1705 MARITIME OAK DR - REVISION PAVERS J .� CITY OF ATLANTIC BEACH
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? _ _ 800 Seminole Road
J Atlantic Beach,Florida 32233
Telephone(904)247-5800
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FAX(904)247-5845
REVISION REQUEST SHEET
-
Date: i?'/0%? f S Received by:
Permit Number: $- S ie- 9 Resubmitted:
Original Plans Examiner: ,;
Project Address: G v n t Project Name: , � {�� uh�r Clad
4P• vli t_Da ` /Ji'g✓e-
Contractor:S Phf ^ o 11 641 . 6-3
Contact Phone : 6 ��; _ (I Contact Name: a��j mew
Revision/Plan Check/Permit Fee(s)Due: $°ntact e-mail:_s „.,��
Descri•tion of Pro•osed Revision to"Existin. Permit:
41 I . `v0. / dt. di Af.
•
•
•
Additional Increase in B ilding Value: $
Additional S.F.
Site Plan Revised: c S
Public W/U Approval:
• By signing below. I(printtiame):i. ✓`1t S 0.o,-�e_..„
is inclusive of the proposed chanes. affirm that the above revision
0 •
Signatu e of Contractor/Agent(Contractor must sign if increase i J r����l�
n vaivatiai) Date
Office Use Only
Date: Approved:
Rejected: Notified by
PIan Review Comments:
i/L. ..., ',¢ , aT t �ZACF. .e?ec o/`
epartment review required Yes No
aildin. ` '�
anning &Zoning � � _ -
'e ''minis rator 410c orks Plans Examiner
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lc tilitie
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clic Safety
1 Services
Date Created 8/20/15 Rev.2
1
1
CITY OF ATLANTIC BEACH
800 Seminole Road
?5 v Atlantic Beach,Florida 32233
Telephone(904)247-5800
I'2.Jii l�� FAX(904)247-5845
REVISION REQUEST SHEET
Date: 1,9 l / S
Permit Number: Received by:
s- S �2- ci Resubmitted:
Original Plans Examiner:
Project Address: 6 e Project Name; ��`
Contractor:S c_ rl efk-, 0 If ' 6;s
Contact Phone : �6y_r-/, _ Contact Name:
Revision/Plan Check/Permit Fee (s)Due: Contact e-mail: �,,�� �
Descri.tion of Pro•osed Revision to.Existin, Permit:
ct_ / _ ' t'
•� 0
Additional Increase in B ilding Value: $
Site Plan Revised: 5 Additional S.F.
Public W/U Approval:
• By signing below. I(print name)_• wi>!S o'"iee.---��
is inclusive of the proposed changes. affirm that the above revision
or
Signatu e of Contractor/Agent(Contractor must sign if increase in vat, i ai 9- 1 i c
t ah.n) Date
/ Office Use Only
Date: l �1 ,) Approved:
_4_
Rejected: Notified by:
Plan Review Comments:
Department review required 1021 No
Buildin• _-
"tanning &Zoning-11111111111111_-
Tree ••m767rator
•• c ►Yorks Plans Examiner
•••Fie tilitie _
'ublic Safety _- /� y� /‘
:ire Services
Date Created 8/20/15 Rev.2
t �
1 `r CITY OF
.,, ATLANTIC BEACH
y�� s) 800 Seminole Road
J " `r
Atlantic Beach,Florida 32233
v
Telephone(904)247-5800
�Jj31�� FAX(904)247-5845
REVISION REQUEST SHEET
Date: /? g",a j s
Permit Number.: Received by:
S- S i2- c Resubmitted:
Original Plans Examiner:
et,,4
Project Address: G
on e Project Name: 1'
Coniaactoz:S e_ ht�k•� ,,{ c. ecac.Li CO +'•
ContactPhone : °if 13'0 ' 6-5 Contact
1-f• - a Name: a G 3
Contact e-mail: ,� � /"
`urs(
Revision/Plan Check/Permit Fee(s)Due:
Descri,tion of Pro•osed Revision to.:Existin_ Permit:
/,1 t -
•
. o
•
Additional Increase in B ilding Value: $ .
Site Plan Revised: Additional S.F. �—
Public W/U Approval:
By signing below. I(print titiine)::.• KJ C 00,-. .e._.-
affirm that the above revision
is inclusive of the proposed chances.
ri •
Signatu e of Contractor/Agent(Contractor]rust sign if increase in valuation r����11
Date
Office Use Only
Date: (Z L t 4"-
Approved: Rejected:
Notified by;
•
•
Plan Review Comments:
(c..t ri d '10(W4
•
epartment review re.wired Km No
lildin• _-
innl gn&Zoning % t-.�, ) —
'e '•mmrs rator ==
c ►►orks Plans Examiner
lc tiiitie
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)1ic Safety -- 2 •
3/
Services _-
Date
.
Created 8/20/15 Rev.2
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