290 BEACH AVE - REVISION REQUEST SHEET FOR ARCH PLANS fit ' t, CITY OF ATLANTIC BEACH
s 1 ' 800 Seminole Road
�\1 �j Atlantic Beach,Florida 32233
7 (/S�► s) Telephone(904)247-5800
t� FAX(904) 247-5845
REVISION REQUEST S r" I— 0 [ [IV CS F' ;
Date: 2/16/16 Received by: esubmitted:
Permit Number: 15-SFR-1868 1 r EE ' -u"u
Original Plans Examiner: Project Name: Iel Residence
Project Address: 290 Beach Ave
Contractor: Bosco Building Contractors, Inc. Contact Nam To.• :•
Contact Phone : 904-241-0320 Contact e-mail: Todd BoscoCBC.com. o h
Revision/Plan Check/Permit Fee(s) Due: $ SO. G
Description of Proposed Revision to Existing Permit:
Pending Hold:
Structural : Architectual Plan Revisions
Plumbing:
Mechanical :
Electrical :
Misc:
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(print name) Josh Rotta affirm that the above revision
is inclusive of the proposed changes.
2/16/16
Signature of C 1/2/
tor/Agent(Contractor must sign if increase in valuation) Date
Office Use Only
Date: Approved: Rejected: Notified by:
Plan Review Comments:
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