1165 Ocean Blvd revisionPermit Nufnbe
Original Plans
Project Addre:
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
Received by: Resubmitted:
11— _. 1—
Project Name: _ ) 45klew-1cz
Contractor: NWL�i "&TUA sn Contact Name: Ro6Ut ParKe!
Contact Phone: 'tog -9SC-/j(Ss Contace-mail: iz ak.vLea�e.i. cot.
Revision / Plan Check / Permit Fee (s) Due: $ 5:5ePnrl:rr.O C% �
Additional Increase in Building Value: $,� Additional S.F.
Site Plan Revised: 14 (6 Public W / U Approval:
By li9.1.11
elow. l (prior e) dbtr'f pkf Lf` affirm that the above revision
is incof a pro d hanger.
a Contractor /Agent (Cm=ior m ( sip if increase in valuation) Date
'o artment review required Yes No
wilding
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
M94
Plans Examiner
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