320 Beach Ave - Revision Request CITY OF ATLANTIC BEACH
800 Seminole Road
,S J Atlantic Beach, Florida 32233
•
j — r Telephone (904) 247 -5800
FAX (904) 247 -5845
REVISION REQUEST SHEET
Date: 1/8/16 Received by: Resubmitted:
Permit Number: 15 -SFR -681
Original Plans Examiner: j7 Project Name:
a
Project Address: 320 Beach e
Contractor: Bosco Building Contractors, Inc. Contact Name: Dale Donnell/Todd Bosco
Contact Phone : 904- 241 -0320 Contact e-mail: DaleABoscoCBC.com; Todd @BoscoCBC.com
Revision / Plan Check / Permit Fee (s) Due: $
Description of Proposed Re% ision to Existing Permit:
Engineering sheets for retaining wall.
Additional Increase in Building Value: $ 0 Additional S.F.
Site Plan Revised: -- Public W / U Approval:
By signing below. I (print name) Dale Donnell affirm that the above revision
is inclusive o •posed changes.
1/8/16
' ontractor / ' gent (Contractor must sign if increase in valuation) Da_ te
Office Use only
Date: / /2- ) 6 Approved: Rejected: Notified by
Plan Review
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JAN – A 2016
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Buildin
ent review req ulred Yes No
M anning & Zoning
Tree Administrator 1/4/ Plans Examiner
Public Works
Public Utilities
Public Safety
Fire Services Date (r<ai J Rev 2
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