1793 ATLANTIC BEACH DR -REVISION INTERIOR FOOTING \__,''''1 r CITY OF ATLANTIC BEACH
800 Seminole Road
\C,,V' Atlantic Beach, Florida 32233
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;) Telephone(904)247-5800
FAX (904)247-5845
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REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: Ji /1 Received by: Resubmitted:
Permit Number: 1( - SPX- 1.. `f
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Original Plans Examiner: /l ov.L S Project Name: 4lia..�`z• P)ra a Kn7�Y C ht 4
Project Address: 1113 ewf fe_✓.jucin 0,..-0e---
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Contractor: Siuc/9v4wt " •l( 46.141•C ..5 Contact Name: Jat.•,e s
Contact Phone : 90y-L/f-1a3 Contact e-mail: )c.or. e, NS e-.Cd►o"t
Revision/Plan Check/ Permit Fee (s) Due: $
Description of Proposed Revision to Existing Permit:
is -- h.,-;(:).,-- .4./4-1,., /Grit) S l`a✓\
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W /U Approval: --
By signing below. I (print name) J4.`111 C 5 Co# "-t---4+---
affirm that the above revision
is inclusive of the proposed chap s.
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Signat e of Contractor/Agent (Contractor must sign if increase in valuation) Date
1 / Office Use Only
Date: �" / `='?' Approved: V Rejected: Notified by:
Plan Review C mments: / nE0E'''AtOUeO/ a s Leev, 3eor . So/7 /rac ,
Ahs , e, ck - : o • CC) 11:111111
;
ill AUG V
Department review required Yes r.No
ing &Zoning Plans Examiner
Tree Administrator
Public Works ,7. 3.16
Public Utilities
Public Safety Date Created 4/13/16 Rev.3
Fire Services •
JOB COPY
THIS PLAN MUST BE ►
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CHRISTOPHER J. SABOURIN b
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AUG 172016 — m °°
FL PE NO 71461
REVISION - •
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