824 Sherry Dr addition revision docs CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: g 2 /G Received by: Resubmitted:
Permit Number: !!c- 109/%p- 9S Z
Original Plans Examutrp�r. Project Name: A Alj r"2 N
Project Address:82`t' 'j>
Contractor. 5P.1"t, 1Ji>4k3 ame: Tf M E
Contact Phone : 59 S B94S L
ct e-mail: M A '. /JET
Revision/Plan Check/Permit Fee(s)DuDescri tion of Pro osed Revision to Exrm'
R5 2x�ees
HA £ x,d3 D D
Additional Increase in Building Value: $ --CT Additional S.F.—�
Site Plan Revised: rJO Public W/U Approval:
By signing below. I(prim name) _SA Mf S -R44*10 affirm that the above revision
is inclusive of the proposed S.
A a4)4,k s 29 ) �
Mature of Contractor/Agent(Convector must sign if increase in valuation) Date
Off'.Ilse Only
Date: a'_30_.P016 ApprovM: X Rejected: D of&d by:
AUG 2 9 2016
m
Plan Review Coments: J.
G a'3 v 10 In r ca fYOL o1Z "— -�
r co
D ent reviewreuired Yes No
Building Y / �1�
a Zoning
Tree Administrator Plans Examiner
Public Works P 3�_�6
Public UBlities 1f
Public Safety Date a.msurvrs ar.s
Fire Services
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