2056 Beach Ave stucco permit revision CITY OF ATLANTIC BEACH
AAL 800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
Ir
FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: Received by: Resubmitted:
Permit Number: /` — 6
Original Plans Examiner: Project Name: k un r y
Project Address: 2ojrG -a <
Contractor:Q;\ ; Contact Name:l
Contact Phone • Contact e-mail: wJ e.r�be.1 �I-G n
Revision/Plan Chec c/Permit Fee(s)Due: $ 5VOv jt. 7 ?
Descri tion of Proposed Revision to Existing Permit: /
OIL/ S JL/ `
r
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Additional Increase in Building Value: $ ��C"nq Additi .F.JAN
Site Plan Revised: public W/U Appro
By signing below.I(printname) cAkp `--ff'i= lit the a,___ bov_ a _revision
is inclusive of the proposed changes.
Signature of Contractor/Agent(coniminr most sign if increase in valuation) Date
�^r Office Use Only
Date: /- ;1 S—,/!'r A,,.sM: Rcj.n,d: Nolifiedby:
Plan Review Comments: I ) / L /
Ys� ul.a/ -FT -v�kwff 4-• l 6ont rea�ro adapt d� /a"Zk• er
Apay'my I V {+ tab Qra ink a
D t review re uired Yes No
uildin
—planning &Zoning Plans Hiner
Tree Administrator q
Public Works
Public Utilities
Public Safety Date cousuune a...s
Fire Services
ATLANTIC BEACH
6 PERMIT RECEIPT
January 24, 2017
PERMIT DESCRIPTION:STUCCO REPAIR
PERMIT NUMBER: 16-RAAR-2868
ADDRESS: 2056 BEACH AVE ��-\\
OWNER: VPL-ue — S OO V o0
PLAN CHECK FEES $37.50
ZZ 67z?
BUILDING PERMIT FEE $75.00 t z o oa 4 Ypb
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Totals:
$116.50
(07 '