66 Dewees deck revision CITY OF ATLANTIC BEACH
Amk 800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
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FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: 12— 2—/16 Received by: Resubmitted:
Permit Number: /3= �2 oC/ — /IDV
Original Plans Examiner:M9 r Project Name:
Project Address: 66 CLg&4C,
Contractor: ContactName:
Contact Phone : O - TY - c e- ' • / - i n �`�
Revision/Plan Check/Permit Fee(s)D
Description of Proposed Revision to Existing Permit:
Additional Increase in Building Value: $ Additional S.F. NO ue-
Site Plan Revised: Public W/U Approval:
By signing below.I(print name) affirm that the above revision
is inclusive of the proposed changes.
1Z - Z�16
Signatureof tractor/Agent(Convector must sign if increase in valuation) Date
Ofca Use Only
Dme: �2_2�i6 Appmved'_x Rejemed: NMified by:
Plan Review Comments:
t90rOVt 1 C Submr7-7R� /10�t{r poi!/ Ot�Ort 70
'3-012 coPe-Depazft .sts
ent review required Yes No
ing &Zoning
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