705 SAILFISH DR REV REQ cc --C-r it Y OF ATLAATWBFACH
& 800 Seminole Road
Atlantic Beach,Florida 32233
U Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET
Date: Received by
Resubmitted:
Permit Number:— f?o U.,'—6-1?-7
Original Plans Exami-ner: ProjectName: R'e_(5'keA
Project Address:71)g- 9,4g,--* # _6/
14TI_1��rle_ SCH
Contractor: 744,A,A'%4 7-ve Contact Name:
Contact Ph D7ne : �7;9,116��Con�tact e-mail:
Revision/Plan Check/Permit Fee (s) Due: $_
Description of Proposed Revision to Existing Permit:
F7'
4-110
Additional Increase in Building Value: Additional S.F.
Site Plan Revised: Public W U Approval-
By signing below. I(print name) 4AIA,.4tl affirm that the above revision
is inclusive of the proposed changes.
— 77;���� a V E
SignattKe&f tontractor/Agent(Contractor Must sign if increase in valuation) Date —
AY 2 2016
Office Use Only
Date: Approved: L-1� Rejected: Notifie y
Plan Review Comments:
JDepartment review required Yes No
Building
Planning &Zoning _J4��ewl
Tree Administrator
Public Works Plans Examiner
u ic ti i ie I
Public afety
Fire Services
F7 Date Created 8/20/15 Rev.2
----CJTr0rATLANTICTEM—H
N
800 Serninole Road
�J Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET
Date:- Received by:
Permit Number:— 0-)— 7 Resubmitted:
Original Plans Exammer:-- Project Name: 115(�kel-
Project Address:_7z),�-
Contractor: — ;f 3;2-zjl
r"o 4,4,71Af Contact Name:.��S-?Vet; -1�4AAAoLo
Contact Phone : Contact e-mail:
Revision/Plan Check/Permit Fee (s) Due: $
Description of Proposed RevisiO 1110 Existing Permit:
Xl? F7-
6#rt�7 Af 1901 Z- fA4 IC�, C-a) PAAR lv6 4P o ��,p rT,
Additional Increase in Building Value: $-0 Additional S.F.
Site Plan Revised: Public W U Approval:_
By signing below. I(print name) lelukl-71-- 7;�A/,y-4xi
Is inclusive of the proposed changes. affirm that the above revision
Signattrre 6,f'Contractor/Agent(Contractor must sign if increase in valuation) Dfate .
Office Use Only MAY 2 5 2016
Notif
Date: Approve J. '# Reijec'ted: e Y.
Notifie Y:
Plan R-view Comments:
Department review required Yes No
Building
Planning & oning
Tree Administrator
Public Wor Plans Examiner
u Ic ti Ile
Public Safety
Fire Services
Date Created 8/20/15 Rm 2
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