1698 MARITIME OAK DR - REVISION SITE PLAN --s'1.1-1-/Y-
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\�� �.._:., ��� CITY OF ATLANTIC BEACH
; �, 800 Seminole Road
7:3
V 1
Atlantic Beach,Florida 32233
Telephone(904)247-5800
��JFi 1 FAX(904)247-5845
REVISION REQUEST SHEET
Date: Received b
Permit Number:�S- �e_g_ by: Resubmitted:
Original Plans Examiner: !���
Project Address: )L- . °,` Project Name: A ,� {�� �tQ4 I
Contractor: I'')",) ;,,,,I L r 1 �
Contact Phone : neArsi Contact Name: `1 arnt
�'0 —Y C' •mac r
Revision/Plan Check/Permit Fee(s Due: $Contact e-mail: „t L),�
Descri 1 tion of Pro 11 ose. Revision to Existin. Permit:
"•sc • S. . a (10 wok . Si 4 t��q t
Additional Increase in Building Value: $ -
Yt�
Site Plan Revised: Additional S.F. -
--
Public W/U Approval:
• By signing below.I(print name) J 0 ✓ht S . ..-n c...-
is inclusive of the proposed chan es. affirm that the above revision
•
Signat re of Contractor/Agent(Contractor mu 1 I/3( S
st sign if increase in valuation) Date
Office Use Only
Date: ISC Q
NOV 3 "15
/�
Approved: Rejected: v
Plan Review Comments:
nts:
•
_____
•
_De• .rtment review required Yes No
. Buildin. _-
anning &Zor'�. _
• Tree A.II.l istrator _-
ublic Plans Examiner
Public Safety _- d3 / f
Fire Services
Date Created S/20!15 Rev.2