720 14TH ST W - REVISION HVAC LAYOUT I
J 1., ..,.;.4 �� CITY OF ATLANTIC BE
k . , ,:t_C., �SS' ACH
f J 800 Seminole Road
—''' '` Atlantic Beach, Florida 32233
Telephone(904)247-5800
�f J,31��� FAX(904)247-5845
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- REVISION REQUEST SHEET
Date: 3 1 C, Received by:
Permit umber:15-S�rQ.. Zit Resubmitted:
Original Plans Examiner: Project Name: 1-if
Project Address:70 Si« S+ic.t*
Contractor: 4h" �},,,,,p h.,,al
Contact Name: e,,,,,n ivcr n Contact Phone . 964-4�� i4_s_ Contact e-mail: k
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Revision/Plan Check/Permit Fee (s)Due: $ M
0.00
Des cri,tion of Pro c osed Revision to.Existint Permit:
VA L —-- . 1 1,1dt. • i r -. .f 1,.. ' c ,r , r,
Additional Increase in Building Value: $ \
Site Plan Revised: Additional S.F.
Public W/U Approval: N
By signing below. I(print Mine). . ke.-.' MA.14tiY1
is inclusive of the roposed changes. affirm that the above revision
Signature o ontractor/Age Contractor must sign if increase in valuation) Dat / l 3! � L
Office Use Only
•
Date: Approved: Rejected:
Notified by
Plan Review Comments:
.,
• �
' I illi I 1 I._)'
•
Department review required Yes o
Building ` t 1
Planning &Zoning ��1
Tree Administrator
Public Works Plans Examiner
Public Utilities t 2l t
Public Safety
Fire Services
Date Created 8!20!15 Rev.2
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