1696 ATLANTIC BEACH DR - REVISION TO EXTEND D/W ,a
�S'`L��'Ir CITY OF ATLANTIC BEACH
J. i \ 800 Seminole Road
S�
Atlantic Beach,Florida 32233
`c,) Telephone(904)247-5800
', FAX(904)247-5845
REVISION REQUEST SHEET
Date: 4 19-0111, Received by: Resubmitted:
Permit Number: lb Sl'R._ l 90 i
Original Plans Examiner: Project Name: I BG G
Project Address: it ilp Pct 4Y tVL, $eau Dri Ve...
Contractor: `Tpll 13rly1C Contact Name:
.fkh Rb
s Contact Phone q pN eS)5 -52-13 Contact e-mail: aroBet, e l t br ,U wv
Revision/Plan the /
Permit Fee(s) Due: $ LQ
Description of Proposed Revision to Existing Permit:
Cdende.d dr i vieLUCI y co-
Additional Increase in Building Value: $ ts1 Additional S.F.
Site Plan Revised: Public W I U Approval:
s.
By signing below. I(print name) PI.1t. l.0S affirm that the above revision
I is inclusive of the pr..osed changes.
D - 41 2 b 1 I Lo
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g
Si nature of Contractor/Agent i' ontractor must sign if increase in valuation) Date
s Office Use Only —
i
Date: y—.2 b-- Approved: Rejected: Notified by
Plan Review Comments:
1.17 O d
—_--._ _...____. APR 2 2 2016
.., .
I Department review required Yes No
Building
k Planning&Zoning
Tre- ,, ator Plans Examiner
ublic Works
-1s Itl ities� _
� Public Safety
Fire Services Date Created(+pons x�.2
CITY OF ATLANTIC BEACH
800 Seminole Road
ICA Jr_ Atlantic Beach,Florida 32233
Telephone(904)247-5800
J FAX(904)247-5845
r--)ti REVISION REQUEST SHEET
Date: 4 1201
Received by: Resubmitted:
Permit Number:_._1) - 1'iO
Original Plans Examiner: Project Name: Pr BCC
Project Address: %U '- to }-H lrit�, ac L Pr1 v
Contractor: '-falLE :j; ►' I►1C- Contact Name: .641
_.__
Contact Phone t.OEi5 -W-x-13 Contact e-mail: G1roge lI Dr e.bey)
Revision/Plan heck/Permit Fee(s)Due: $
Description of Proposed Revision to Existing Permit:
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below. I(print name) ASbifetj. S affirm that the above revision
is inclusive of the pro nosed changes.
�,
412°111-fl
Signature of Contractor/Agent .ontractor must sign if increase in valuation) Date
------ -._.__
Office use Only ----------
Date: 112-7/r6 _._ Approved: Rejected: Notified by:
Plan Review Comments: Lr C E a V l5 1
((TIUt-rt eit/Hz
_.. APR 22201R
Department review required Yes No
_—
Building
-----
_Planning&Zoning
Tree : = ;r Plans Examiner
-ublic Utilities e/7_2-711.-6..
Public Safety
Fire Services Date Created 8120/15 Rev.2
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