824 SHERRY - TRUSS REVISION CITY OF ATLANTIC BEACH
\ss\ 800 Seminole Road
Atlantic Beach,Florida 32233
j r Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET
Date: 7-z — (1° Received by: Resubmitted:
Permit Number: l(o R 6-2--
Original
- ZOriginal Plans Examiner: Project Name: a,,,d.EtzSv�
Project Address: $2. Sht-ty ,
Contractor: J t.15p)rid Contact Name: "S",
Contact Phone : S'-i S -- $9'7 S Contact e-mail:J,/1,) e
Revision/Plan Check/Permit Fee (s) Due: $
Description of Proposed Revision to Existing Permit:
t ss --k(7 J/ p ftc.J 1 J
- . 7R *Aus :� ; L) E 1 e Rr,Anbd e
is T�b�)a.:c� -Firsf
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Publ. U Approval:
By signing below. I(print name) / /„_ _. affirm that the above revision
is inclusive of the proposed chan::s.
Sig Ire of Contractor/Age Contractor must sign if increase in valuation) Date
Office Use Only ? E C t I V E
Date: "7-c !6 Approved: / Rejected: Notified ,
Plan Review Comments: /
ror os Sr.km.Heti. Scot) / 'J 1, per/Yr/1-
Coy'! /Iv chit. p;sc. -(1) "Toto c.o y.
•
Department review required Yes No
Building V 014
Planning &Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities 7 2 a•16
Public Safety
Fire Services Date
Created 8/20/15 Rev.2
Ir
1rFR A �R� p. 414 4 i°24--
0structural engineer
224 roscoe boulevard north REVISION
ponce vedra beach,florida 32082
6, 90, W/i,
� ,��� GS L.
A-RAN- 932 OFFICE COPY
�� DATE 7 r k
lk1k . —
.I ) '; 1` ,i' S SIGNED I
/ , Ti9Db " ?s Z ,LA ,¢.(A hJ/� - ZX ' s 2")211 j1�,Qlii Gts w rAli'
- - (____Ni..________ j
w ki4tl 1NTE C / v L
S ) ((
I 1 JUL 2 0 2016
V •
E } 1
1 ‘•‘` '1VERA� tIII,
i • ......... Q.,„,4I„,_
„ ) I / • 'I' •. 410 'YO...‘3 Sfi
,33: Soy
gip:n
- ; Si" : * =
i :N=