425 SAILFISH DR - REVISION SHEET CITY OF ATLANTIC BEACH
800 Seminole Road
'� - Atlantic Beach,Florida 32233
OFFICE COPY Telephone(904)247-5800
FAX(904)247-5845
DTI J \f'
REVISION REQUEST SHEET
Date:
' Resubmitted:
Permit Number: I _
Original Plans x. - Project Name:
Project Address: I�5—sa I Fi
Contractor: P#(.AA (w(o ,.kp1.- Contact Name: pt-i v
Contact Phone : 333-- �� 7 Contact e-mail:
Revision/Plan Check/Permit Fee(s)Due: $
Description of Proposed Revision to Existing Permit:
Charm e ,lo clone ern F Wicti , c - #' //64I6, 1
S Sl,rnwer s
Additional Increase in Building Value: $ Additional S.F.
Sits Plan Revised: Public W/U Approval:
By signing below.I(print name) 6,94,--AA, N IL affirm that the above inclusiv if the proposed c ges. r--- ove revision
Iw -23 -_ /
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
`�/ / Office Use Only -
Date: JL 5l I( Approved: A-- Rejected: Notified by:
Plan Review Comments:
4proed qS rfr 6m7 14 E c E i -,
+v ac bb Copy �2A ed44 aclen_
J
ApL
Department review required Yes;/ No
Building r/
Planning &Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities 31 5///6
Public Safety
Fire Services _ Date
Created 8/20/15 Rev.2
Jas , .. r1,-.)c'f CITY OF ATLANTIC BEACH
>" ' isI 800 Seminole Road
r ` J si
Atlantic Beach,Florida 32233
J - OFFICE COPY Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET
Date: —Z3 — , - - -'.-. . ,.
Permit Number: (p- w IV r) - .a Resubmitted:
Original Plans t•. ---7'. Project Name:
Project Address: i 3 JIM
Contractor: Thum t31 N Co g• 0 ri . Co 1 c ` ��='•, ....�,
Contact Phone : L t�` -:::
3 3 - -(0 0 Contact e- 11 : ; 1111
Revision/Plan Check/Permit Fee (s)Due: $ I a 'I
Descri tion of Pro i Deed Revision to Existin. Permit rgar
4kIrMliffidWIMIMIrk,. .q/11114.070:4 a - s dooa_
Additional Increase in Building Value: $ .$—
Site Plan Revised: Additional S.F.
Public W/U Approval:
By signing below.I(print name) a Lill±2Z 1-72 VT' affirm that the above revision
is inclusi•- • t e proposed c anges.
1 - r..\ , . ---J3 —/4,
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
Office Use Only
Date: 313! /l 6 Approved:
Rejected: Notified by
Plan Review Comments:
3'c119 ear/ -An Cem irC,c log.
Department review required Yes No
Building
Planning &Zoning
Tree Administrator
Public Works Plans Examiner Public Utilities 3/ 31/16
Public Safety
Fire Services -72-1,9--
Date Created 8/20/15 Rev.2
J� _ CITY OF ATLANTIC BEACH
1-,
800:,r
r '''�y 800 Seminole Road
J Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET
Date: 3—J — i Received by:
Permit Numbe - �Q _ z j .to:v n
Original Plan - • • • �'•
Project Address: • ► Proje iiiii \F ���Contractor: wA w _=Z3 ..e.131. i
Contact Phone : _ ' Cont.�� `�,� �,, fr,`..
It Contact e-ma T `� �'
Revision/Plan Check/Permit Fee (s)Due: $ • �-- _�
Descri 1 tion of Pro 1 osed r Revision to Existin
_ Per, it:
• •...__ 6 ovk Oil • Iii() -& .
Additional Increase in Building Value: $ -19—Site Plan Revised: Additional S.F.
Public W/U Approval:
By signing below.I(print name) et 1 124744.3-1----
is inclusiv- ,•f the proposed changes. affirm that the above revision
Signature of Contractor/Agent(Contractor must sign if increase in valuation)
Date
2 Q) Office Use Only
Date: J J( 6 Approved:
Rejected: Notified by:
Plan Review Comments-
..) . • Cu,
Department review required IZZIP, o
Building M- r
Planning &Zoning _-
Tree Administrator -- li
Public Works 1111
Plans Examiner
Public Utilities -- /
Public Safety -- �/ 31 16
Fire Services _-
Date created 8!20/15 Rev.2