1629 BEACH AVE - REVISED ENGINEERING DWG .1.A.N OFFICE COPY CITY OF ATLANTIC BEACH
�S 1411 '. . 800 Seminole Road
Vii IS\ Atlantic Beach, Florida 32233
j Telephone(904)247-5800
/ FAX (904)247-5845
J;31/� REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: l l-9- Ice Received by: =` Resubmitted:
Permit Number: to- e-A A Q-- lbl!o
Original Plans Examiner: Project Name: } RYT-FUNKuEie
Project Address: 1(62 q ` ci,-. Ave
Contractor: ' •v;Ww ;1":"(.. Contact Name: '3kve 5-7�- !2.3
Contact Phone : - Contact e-mail:
Revision/ Plan Check/Permit Fee (s) Due: $ C2- a D n
tS
Description of Proposed Revision to Existing Permit: I V
— Nov - 9 2016
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Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signin below. I (print name) 'Toce,,e_ 4(_.,hi".S affirm that the above revision
is incl the f the prop sed changes. ((
Signatur of Contractor/Agent(Contractor must sign if increase in valuation) Date
Office Use Only
Date: ft— ?"--/6 Approved: X Rejected: Notified by:
Plan Review Comments:
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ent review required Yes o m
uildin
Planning &Zoning Plans Examiner
Tree Administrator -10
Public Works / l_.?_1 (p ( d /\\'(14\
Public Utilities
Public Safety ,.5
DateC./ Created 4N6 Rev 3
Fire Services