66 DEWEES AVE - REVISION SHEET SW
j r 1A1 ile CITY OF ATLANTIC BEACH
:j i_ .. .,4 '� OFFICE COPY 800 Seminole Road
il
' 1.-y I., }SJ Atlantic Beach,Florida 32233
. Telephone(904)247-5800
, ,. - v FAX 914
-"t71.0111.0 .4 Lour, e
REVISION REQUEST SHEET *
Date: ?9 /6 Received by: Resubmitted:
Permi um er: /S_ i'4 Dp 2sfy
Original Plans Examiner: Project Name:
Project Address: (g bei,Li., 5-
Contractor:
Contractor: Contact Name:X V T7,.,GA /iolt.,&
Contact Phone : ev 7s'V- 36 Z Contact e-mail)/ov,.y Aincx,69- 80,7,0s-G ee//Sav71/ .
Revision/Plan Check/Permit Fee (s) Due: $ 1va /
Description of Proposed Revision to Existing Permit:
/ /i•,,,7,',,i 0 713b7 3 ' d F/oc Al2eft
Additional Increase in Building Value: $ /ti -'e Additional S.F.ie.Qoluc. ;,v
Site Plan Revised: res Public W/U Approval:
By signing below. I(print name) affirm that the above revision
is inclusive of the proposed changes.
0/
.........„- --2„,______ 44
Sigi ure of Contractor/Agent(Contractor must sign if increase in valuation) Date
/ X
Office Use Only
Date: 51 `//yy? 16 Approved: Rejected: Noti : r" .. 4' n
PI a Review Comments: / APR y 2016
09fOve o a S S� longi 17 f ,'/�s �o� T J
'T)z b co .A MAUL * k—v l
ent review required Yes o
IECEOVE1
BuildingPia"
P anning &Zoning MAY 1 / 2016
Tree Administrator Plans Examiner -
Public Works
Public Utilities $'-/ 916
Public Safety
Fire Services Date Created 8/20/15 Rev.2