697 BEACH AVE - REV ENGINEERING '¢ CITY OF ATLANTIC BEACH
800 Seminole Road
3
Atlantic Beach,Florida 32233
Telephone(904)247-5800
«• FAX(904)247-5845
REQUEST SHEET
RE
REVISION Q
Date: 6/27/16 Received by: Resubmitted:
Permit Number: 16-RADD-473
Original Plans Examiner: Project Name: Dehart Gargae/Bonus Room
Project Address: 69713each Ave
Contractor: Bosco Building Contractors, Inc. Contact Name: Todd A. Bosco
Contact Phone : 904-241-0320 Contact e-mail: Todd@BoscoCBC.com;Josh@BoscoCBC.com
Revision/Plan Check/Permit Fee(s)Due: $
of Pro ed Revision to Existing Permit: Q V
Description uos lr
t.(D D I[E
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Engineering Pile and Grade Beam Revision "'-
n11 ILI c1A 4 pb
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(print name) Josh Rotta affirm that the above revision
is inclusive of the proposed changes.
6/27/16
Signature of tractor/Agent(Contractor must sign if increase in valuation) Date
Office Use Only
Date: —o+� —r Approved: OXRyected: Notified by:
Plan ReviewComments:
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Department review required Yes o
Building
Planning&Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities
Public Safety
Fire Services Date C"W WOIIS Rev 2
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DP# ,� �- Pal)0- `0 OFFICE
DATE � -6 COPY
SIGNED � 2 OF 4