1856 Tierra Verde Dr deck revision Ak 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. - _ Received by: Resubmitted:
PermitNumber:
Original Plans Examiner. #Pro* Name: f(4
Project Address: -� 1 r< .
Contractor: ct Name:
Contact Phone Revision/Plan Check/Pemtit Fee s) ue:
Description oronosed Revision to Existing emit:
`(- o S 7 A V- f=r frer—+D/t
PnYtt ' Sr�Q. -
Additional Increase in Building Value: $ Additional S.F. /
Site Plan Revised: t� Public W/U Approval:
By signing below. I(pdm mme) A to.cLne 1./- VaL,+ rll affirm that the above revision
is inclusive of the proposed changes.
Signature of Contractor/A (Conhector must sign if imn,=in valuation) Dale
p �r / 'J/' Office Use Only
Date: 16 App.vW:�" Rgje : NNo�tifidd b��.y:2l'�
l5 l�,J LS � V LS
Plan Review Cents:
/40 omm /
rr,kma fo Cons
ri= c- v I ie "f' ia co
Department review r uired Ye No rn!�
Building `Y
Planning&Zoning
Tree Administrator Plans Examiner
Public Works 910A14Public Utilities
Public Safety
Fire Services Date n.n.e.nmb aa.�