1076 HIBISCUS ST REVISION COMMENTS 01-A-N:rio CITY OF ATLANTIC BEACH
t� 800 Seminole Road
Atlantic Beach, Florida 32233
±) Telephone (904) 247 -5800
FAX (904) 247 -5845
REVISION REQUEST SHEET
Date: 3/2- i/ / Received by: Resubmitted:
Permit Number: 19 _ 8yo i 1 D(rAR- 2 WSJ
Original Plans Examiner: Mike Font(' Project Name: d ei Workline
Project Address: 10 11:65 (I.
Contractor: �,, ;;_;.;�� Co C ontact Name:
Contact Phont : c4 (- ?7I- (i13 7 Contact e -mail: ?a,Fn j[ ( ) et nil/. CO n1
Revision / Plan ' : - • ee (s) Due: $
Descri , tion of Pro I osed Revision to Existin ' Permit:
Wit f n.: a) �' �✓ 11 •i r_
Ariet tit \.74. MAA 2 X
Additional Increase in Building Value: $ — Additional .
Site Plan Revised: Public W / U Approval:
By signing below. I (print name) I C N i s affirm that the above revision
is inclusive of the proposed changes.
Signature of Contractor / Agent (Contractor must sign if increase in valuation) Date
Office Use Only
Date: ', /) 31 �6 Approved: Rejected: , otified by
Plan Review Comments:
a/o//5 ore due s p reel / // c v i a / - A -P - ro v-e
U cCa ✓d,Y,
FCC ✓�1��, d3 A: / /6" /n49Sr►77v,► -t S/1d s Cin ;_ii1 j,
par review required Year No
Bulk-Jinn
1
Planning & Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities
Public Safety
Fire Services Date
Created 8/20/15 Rev. 2