227 BEACH AVE - REV. SHEET : :: J~ CITY IF ATLANTIC lEACH
J .:`. �• - >., 800 SEMINOLE ROAD
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ATLANTIC
ANTIC BEACH,FL 32233
a
L 'r, ]x (904)247-5800
Revisiol lest Sheet
Date: j 2' � Received by:
Resubmitted:
Permit Number:_14- 0'j 7 Clearance Sheet Number: ti
' Original Plans Examiner:
Project Name: / • • . e44, f- g `�/e/1 '
Project Address: 2 Z 1 gee / •
Contractor: (I�Ofa ee ( '9 V► 7fu Contact Name: AMU
Contact Phone Number:2.,0.4_4- 9_1_,:_334L Contact Fax Number:
Revision/Plan Check/Permit Fee(s)Due:$ 'O 4 �
Description of Proposed Revision to Existing Permit:
Pending Hold:
Structural: • 1 p,/- —fa. & - ha) L C E I V E
t lei 1II I
Plumbing: _ 'fill 1R
Mechanical: V'�
•. Electrical:
Misc.:
Additional Increase in Building Value:$ p(j A
Additional Square Footage: 'T
Clearance Sheet/Site Plan Revised: �` `�g•
Environmental Health Approval--
By signing bel•w,I(printnamn) i S /J y-e. affirm that the above revision is inclusive of the
propos chi es.
`./ 8--/2— / .
Signature of Contractor/Agent(Cont p tor must sign ifiucrease in valuation) Date -
Office Use Only
Date: 07/if Approved: x
Rejected: Notified by:
Plan Review Comments:
trt _
Plans Examiner //S
Date -
Created os/osios jto
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