2346 OCEANFOREST DR - REVISION SHEET S i i\i'i
` ` rfL' CITY OF ATLANTIC BEACH■
Ss� 800 Seminole Road
Atlantic Beach,Florida 32233
J Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET
Date: l _ —/� Received b
Permit Number: t( Y Resubmitted:
Original Plans Examiner: + ,..__Project ame:
Project Address: 1 1 C T"v�e •may
Contractor: I A —c , 1,n✓c tei- ; c,•s Contact Name: 1-7 A.
Contact Phone : 96 -3/6 3c "E"-- Contact e-mail: (( h.,'Revision/Plan Check/Permit Fee (s)Due: $ b _Lh �L l p
Description of Proposed Revision to Existing Permit:
�s.i S t' l°d > M //04)
( ' / — .c,Grt' - 0
•
-G 4(
eh MITCRITIMMINEWilr F7,-. ,#/5-
Additional Increase in Building Value: $
Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(print name) / D GeNe �
' r j7 '----X--•
is inclusive o the proposed changes.is that the above revision
Signature of Contractor/Agent(Contractor must sign if increase in valuation)
Date
G Office Use Only
Date: 1 ' O /6 Approved:
Rejected: Notified by
Plan Review Comments: t�1 oven,
Al`if/r vet" r • i.Lmi C,
PS MIIIIIN 1111
Ca �a� !�.� 11111 • 2016 II/II
IMINImmenummi
,D-p- lent review required �' o
Pinning 87711,1111111111111
/
• Public orks Plans Examiner
4 Public Utilities --
Fire Services
Date Created 8/20/15 Rev.2
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