1829 Atlantic Beach Dr new elec permit •
Ly f fv,
CITY OF ATLANTIC BEACH
rj i#41''''' (-;
800 Seminole Road
5.,•;•, S J Atlantic Beach,Florida 32233
—,lc;
r Telephone(904)247-5800
FAX(904)247-5845
•
• REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date:.5 zk /i Received by: Resubmitted:
Permit um r: /4, —ate_ _ Z yZ8
Original Plans Examiner: Project Name:
Project Address: / 24 I - C .0' • cA Jill& •
Contractor l L A/d c '- Contact Name:
Contact Phone : 4bef-z zzeo_ ON 2.. Contact e-mail: _
Revision/Plan Check/Permit Fee(s)Due: $ 6 )
Description of Proposed Revision to Existing Permit:
0296- Jt4 Fienm 7CO torr -fa Arip Z t:041-
Additional Increase in Building Value: $ . Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(print name) affirm that the above revision
is inclusive of the proposed changes.
•
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
Office Use Only
Date: Approved: Rejected: Notified by:
Plan Review Comments:
•
Department review required Yes No
Building
Planning &Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities .
Public Safety
Fire Services Date Created 4/13/16 Rev.3