593 TIMBER BRIDGE LN - REVISION CITY OF ATLANTIC BEACH
r y S'\ 800 Seminole Road
OFFICE COPY Atlantic Beach,Florida 32233
1,2) Telephone(904)247-5800
FAX(904)247-5845
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REVISION REQUEST SHEET
Date: /5 Received by: Re
Permit Number:
Resubmitted:
Original Plans Examiner: Project Name: }-BCC/é 3
Project Address: 7n�gEE 0y,�
Contractor:Q o0o g,, ,a� �, r �,, c Contact Name: / 4ci cu 5 die.ipe---
Contact Phone : ?oc,611 oZ v Contact a-mail: a(vS^
Revision/Plan Check/Permit Fee(s) Due: $ � WOOD foM G4rt(ES_(a M
Description of Proposed Revision to Existing Permit:
Cls-f- t7(Pi 'el— fo'c- 4cT✓t. y- -'
Svn)LArsr MC?/11—
1-Yi" awtu+, 60j`t z Ltpas S Sn4g11-o_1e_ ; 2c{ 44
/101 80- l
Additional Increase in Building Value: $ 0 Additional S.F.
Site Plan Revised: ,v t& Public W/U Approval:
By signing below. I(pri t t name) ,2 24)s /�'r G4 ��- affirm that the above revision
is inclusive of the pr. osed ch es.
flls�rJ�
Signature o.• •.'tr or ent(Contractor must sign if increase in valuation) Date
Office Use Only
Date: //'. 6Y/ Approved: Rejected: Notified by:
Plan Review Comments: _ /
Cc 0") f0 5-9'3 / rn �er irc ci. LQn
• • nt review required Yes No n
uildin•
Planning &Zoning
Tree Administrator ((t/// Plans Examiner
Public Works
Public Utilities 1/--G' >
Public Safety
Fire Services Date Created 8/20/15 Rev.2