77 Shell St beam & wall revision A20%a 11' CITY OF ATLANTIC BEACH
J� 800 Seminole Road
Atlantic Beach,Florida 32233
H Telephone(904)247-5800
J - S FAX(904)247-5845
A
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: Qwnr"� �d '2"'b Received by: Resubmitted:
Permit Number: /(o- RM9- 2 3D—Cl
Original Plans Examiner: Mike Trn e l Project Name:
Project Address: '-* 4 c%e+l S+ee}
Contractor: Mv» (.)veg. Contact Name: tIlla" L a+b'1,r2
Contact Phone: 65oV -6465-2Se+? Contact e-mail: PIIT� aj.mr 'I�ton
Revision/Plan Check/Permit Fee(s)Due: $ 5 0 . 0 0
Descri tion of Proo ed Revision to Existing Per
aha ajAl! cle 30^ daces olxlr /7eL
1 eo;^ acn Ve,,Ai ow o e Pafi
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Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(pintname) /N• "Gln �4 l 1)el J07t, affirm that the above revision
is inclusive of the proposed changes.
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Signature of Contractor/A ent(comm or ntun sign if inar in vw"ion) _ Date_.____....._._... _._...
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/ X Office Ilse Only
Delo: �/� �� ' /� Approved '.
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Plan Review C mme /
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sWitor
s Dale
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PAUL S. U, P.E. #18305 1
8160 BAYMEADOWS WAY WEST, STE 145 qA
� j. JACKSONVILLE, FL 32256 m y
E-MaRl PaulLiEng@bellsouth.net q
Ph/Fax, (904) 737-6876/737-2385
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