582 COASTAL OAKS LN - REVISION J � CITY OF ATLANTIC BEACH
800 Seminole Road
X S51
Atlantic Beach,Florida 32233
.
COpy Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET
Date: f 01"711 r Received Resubmitted:
Permit Nu er:_ 3 76/ _
Original Plans Examiner: Al J Q-l/'d-.S Project Name:-46z(
Project Address: 5'09 2 Cgj- I? t„ t34-aCf 0<
Contractor: ffaS G o Contact Name: ''fid v f ce
Contact Phone : d ;oO"-2 3-Q9Contact e-mail:_ d 6 aJ ccc.6c , co,"
Revision/Plan Check/Permit Fee(s) Due: $
Description of Proposed Revision to Existing Permit:
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Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below. I(print name) affirm that the above revision
is inclusive of the pro s.
S1 attire of Contractor/Agent(Contractor must sign if increase in valuation) Date
Office Use Only
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� � / Approved: Rejected: Notified b
Date: / pp j y
Plan Review Comments:
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Department review required Yes No
Building /
Planning &Zoning
Tree Administrator Plans Examiner
Public Works
Public UtilitiesQ""
Public Safety
Fire Services Date Created 8/20/15 Rev.2
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- o=Alexander Grace �.
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_ email=geoff@alexander .
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Date:2015.10.07 �+► •`4{,�
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LEGEND. WIN
o QTB 1-story cableECEUVE
0 QTG 1-story cable � t
o QTQ 1-story cable OCT 7 2015
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