330 Magnolia St revision 4f �i CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach, Florida 32233
vro Telephone(904)247-5800
N ST SHEET OR FAX(904)247-5845
CO CT TO REVIEW COMMENT
Date: Received by:_ Resubnfitted:c4,"r� 2-og;�
PermitNumber: �1,-W 7122-
Original Plans Examiner: Project Name:
Project Address: 3-4� ti�v 11 1zN--
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Contractor: 0 A,> Contact Nam;c
C Z-1 Ot-,3q 461 Contact e-mail: 4!! p4-3e-_4 I AWL e-
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(Rev�isiof/Plan Check/Permit Fee(s)Due: $ 60. 9 0
De Posed Ll�;o4
. !,Existina Permit:
Additional Increase in Building Value: $ A Additional S.F.
Site Plan Revised: Public W U Approval:
B 70 k��
�si b low.I tfninnnsabe) Cwjr, affirm that the above revision
s lus e 'the proposed changes.
M6r I Agent(cnatnetar mw sip if in=we in valutim) Date
Office Use Only
Date: /0 G Appced: %,jccftM Notified by:
Plan Review C�er,
norov� CIA,: CC)44 od Cr)Y1 40c4yt- -�Wyc-
Deeart review meguired Yej( No
W5 V",
-Manning &Zoning Plans Exandner
Tre,e Administrator
Public Works
Public Utilities
Public Safety Date CnandW13116 R-3
Fire Services
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