2251 N Fairway Villas Ln window & garage door revision x •• ..,r.,�!+, CITY OF ATLANTIC BEACH
�+ 800 Seminole Road
e Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: /O—/0—Z Received by: Resubmitted:
Permit Number: Id-&)woo • a2 9Xe J /J
Original Plans Ex 'n : Project Name: (�/ypd4lif q/00�1
Project Address: 11LA3 IAI ��..
Contractor: VM9e," o L ��' Contac N ne:
Contact Phone ; Con -muiis. U 9,01s n+e x.10
Revision/Plan Check/Petntit Fee(s)Due: $
Description of Proposed Revision totup Existipe Permit:
c 0 ur FlIZ
Additional Increase:inBuilding Value: $5d ASite Plan Revised: PublicW/U ABy signing below. I( affirm that the above revisi n
is inclusive of the proposechanges.
Si store of Contractor/Agent(cm mw must sign if incase In vWpmion) Date
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D. //-JS--z6 Approved X Rejen<d: Ndiaedby:_
Plan Review Co ents: 6 rp� o�r (0,1va6 eR.
P e C7 S
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De artment review uired Yea No
Building
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