720 W 14TH ST - REVISION SHEET CITY OF ATLANTIC BEACH
J ' 800 Seminole Road
- J Atlantic Beach,Florida 32233
J �r Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET
Date: f a)// Received by: Resubmitted:
Permit umber: 1< -51'R-a M L
Original Plans Examiner: Project Name: 7)0 w, i(,l t15
•
Project Address: --)3,0 w, 1 yT Sifte.k
Contractor:Sd\a,. I-kome Dt.AA°porS,LLC Contact Name: ke ,n N\04-Fitt
Contact Phone :�jbti.A.47I Sys , Contact e-mail: k'nQ bv.e 50(artvme Jeielopecs.,yyy,
Revision/Plan Check/Permit Fee(s) Due: $
Description of Pro osed Revision to Existing Permit:
1 �l ;r Skyl, a rnty kr �Le�, iSl>`c' (PiaL,A prsot�`5 inci(Aiv.J rL X5617. 1
a� AciA,Y, a) rck S W oh_e eel\ o °� 1
Additional Increase in Building Value: $ 5 000 Additional S.F. /V4
Site Plan Revised: 1 ec , Sete o, a�1,e� Public W/U Approval:
/ non-G,e� r a,t?�
By signing below.I(print name) ev„n pal a2`,1\ affirm that the above revision
is inclusive of/the proposed changes.
Signature of Contractor/ gent(Contractor must sign if increase in valuation) Date/ /
_16 Office Use Only
Date: .1' Approved: x Rejected: Notified by
Plan Review Comments: Ii) EC EE !ME
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D- ,gent review re•uired Yes No
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Plans Examiner
Fire Services _- Date
Created 8/20/15 Rev.2
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