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290 BEACH AVE REVISION 3 LEVEL
J , I CITY OF ATLANTIC BEACH J J I' ` �� l�J 800 Seminole Road , s(g Atlantic Beach, Florida 32233 �, / � � Telephone (904) 247 -5800 I FAX (904) 247 -5845 �J;31 . ' REVISION REQUEST SHEET Date: 3 /. /G Received by: ... ____.*Permit u Ken Resubmitted: Original Plan ..miner: Project Name: /0 /TL E Project Address: ,79a ,. =u- - 6 Contractor:IafCo D vici /6 (' covri T Contact Name: 71.49 /) i p ,ea. c U Contact Phone :..2¢ /.- 032 0 Contact e -mail: co Revision / Plan Check / Permit Fee (s) Due: $ 50. a0 �C . coN+ Description of Proposed Revision to Existing Permit: f9, 6 ee2Uf✓ ,70./ .5 ,2/06E impr 'rm. Additional Increase in Building Value: $ Additional S.F. Site Plan Revised: 5Z P ( ublic W / U Approval: By signing below. I (print name) 7 /% . dai C d is inclusive of affirm that the above revision ose• cha ges. t ��/ 3i c :na ure c ontractor / Agent (Contractor must sign if increase in valuation) Date Office Use Only Date: Approved: Rejected: Notified by : 2 Plan Review Comments: fin E© `� Q b 1 • �' `-) -7 X 16 I -A �G311�� review required Yes No Buil ding rtrrtng & Zoning `A Tree Administrator Public Works Plans Examiner Public Utilities kl` b / Public Safety Fire Services Date Created 8/20/15 Rev. 2