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1714 ATLANTIC BEACH DR - REVISION 4 { i 0 LL`1 rfr, CITY OF ATLANTIC BEACH /A800 Seminole Road i ^' 1,;',151 s Atlantic Beach,Florida 32233 r Pli _r Telephone(904)247-5800 FAX(904)247-5845 '�J f3191 REVISION REQUEST SHEET • Date: 11 l 2 J Il Received by: Resubmitted: Permit Number: Its— SFR — 0.301 Original Plans Examiner: Project Name: Ail CtvTt IC .ClC,V1 b uVi r C1.1 U b Project Address: 111 4 Contractor: "To 11 pz,restilem Contact Name: Contact Phone : Q 04 5�'IS 41-13 Contact e-mail: 0►�p�S' eiolt.'�cq ,cor ) Revision/Plan Check/Permit Fee(s)Due: $ .5-0. �J Description of l'roposed Revision to Existint►Permit: JD E© LSD v L Rev 1c,1011 —b Site, __0 0\r - 1`E _. 1 7 JAN..-_ .. _. �� 2 -;017! 1 1 Additional Increase in Building Value: $ Additional S.F. a Site Plan Revised: te,s Public W/U Approval: By signing below. I(Print name) ft5htn4 gO91rs affirm that the above revision is inclusive of the )roposed changes. �...�t . Vial 11 Signature of Contractor 1 Agent(contractormust sign if increase in valuation) Date Office Use Only Dute: I — ! ( /7 -_ App,orcd: 1C Rejected: Notified by: • Plan Review Comments: / Yy roved as Sv hi» .y •c , /''o/i 7r7 Co4/reP 6.710.- 74o p.204—ve Job cc'py tif pay 4'6.- Dgpartm�t review required YesNO Buildin -- fanning&Zoning -Tree ministraf r v Plates Exam ner y _ u tc c&. _ Public utilities—, _i Public Safety -- – — — Fire Services — Date czaleas:x:ns a�.i 0Lvr CITY OF ATLANTIC BEACH O ,'1-, •'`� 800 Seminole Road to�' J Atlantic Beach, Florida 32233 J; r) Telephone(904)247-5800 FAX(904)247-5845 REVISION REQUEST SHEET Date: 1112 I I 1 Received by: Resubmitted: Permit Number: Ill)— SFR— a30 1_ Original Plans Examiner: Project Name: I Gtvji_c chCoij CA Lt L Project Address: 11114c-Ht' eh tZr- - Contractor: -70 II T31-6-thers Contact Name: 1 - i t►Ih-4 Contact Phone : q 01-1 S ,T.L.3 Contact e-mail: O►YOpit S e-1p IU h c ,Cor Revision/Plan Check/Permit Fee(s)Due: $ UVJ Description of Proposed Revision to Existing Permit: ID Ls C LEQ V E Rev ISI on )E)____ r, o ' -r Additional Increase in Building Value: $ Additional S.F. a Site Plan Revised: Public W/U Approval: By signing below. I(print name) &Nadi JO s _�- affirm that the above revision is inclusive of the proposed changes. _A/. Signature of Contractor, Agent(Contnicror must sign if increase in valuation) Date I Omce Use Only I Dine:142:741 Approved: Rejected:_ Notified by: • Plan Review Comments: I De ent review required Yes No �,/ Cluj n i� lanrining &Zoning Tree A ministra or Plans Examiner -u. lc — ---- ------- u• is r r __ 0.-.7/ 7 Public Safety -- -- - Fire Services ____ l Date Created g:?n!IS Kev 2 of`ANel . CITY OF ATLANTIC BEACH i r: ., � ,i JAN 13 2017 ¢1 800 Seminole Road '� J Li Atlantic Beach, Florida 32233 \\ -____Ii ti Telephone(904)247-5800 FAX(904)247-5845 "� )lil=t'' REVISION REQUEST SHEET Date: I I (2 I al Received by: Resubmitted: Permit Number: lip- sm- 0.301....__ Original Plans Examiner:_ Project Name: ft-i-I uv-hC kC:1)Ca )� u 6 Project Address: 111I R1-I(3fl j,,$eC4A (,jr : Contractor: 'TD fj► -c:;rCS Iey. Contact Name: ftskl - IL*0,", Contact Phone : Q 04 6 M-43 Contact e-mail: O s 0 .)11 . hr.,rs ,Ctnv) Revision/Plan Check/Permit Fee(s)Due: $ L.1 Description of Proposed Revision to Existing Permit: ID E 0 E Q V Rri--))1 R-eu izsi OY) site.Van -�a-. =E-- h11 —J1::/1 Additional Increase in Building Value: $ Additional S.F. Site Plan Revised: `,c Public W/U Approval: By signing below. I(print name)_khla1t_gb � affirm that the above revision is inclusive of the roposed changes. V il) V 1 a 1 I —1 Signature of Contractor Agent(Contractor must sign if increase in valuation) Date Office Use Only Date: Pir-V7 Appro 4, _.÷),/ ,jetted: Notified by: ` • Plan Review Comments: D- , . t ent review required No_ :uildin. __ ala}fining &Zoning - -° - L_ ----•--.__ C Tree As ministra or P ans Esa finer was 111 nRtt:a.� IIME 7 __/ A') Public Safety Fire Services .— — Date Created 8120/15 aN.z tw i „ v.,..... ''\'��- JAN y 1' CITY OF ATLANTIC BEACH J t �;� . x2011 800 Seminole Road :t. .e , 9 BY:isN Atlantic Beach,Florida 32233 ti �'' Telephone(904)247-5800 1 ) FAX(904)247-5845 '''''4D111911' . REVISION REQUEST SHEET Date: 11 12 + 11 Received by: Resubmitted: Permit Number: Its- SIR- Q.3p 1 Original Plans Examiner: Project Name: Ati avlinc N.�ACh CDuntrl,�6tA 6 Project Address: 1111-4 d-inytl-1 L Sal Ch (fir- �J Contractor: Tp II Bre t-hers Contact Name: 111 -t� • Contact Phone : q 04 5°IS t L.13 Contact e-mail: (*.yrs kS ec1(h7r7 hcf-c ,[r rv) Revision/Plan Check/Permit Fee(s)Due: $ `� � C C� EUV Description of Proposed Revision to Existing Permit: 'iD � Hi-- 1 Rev IcA 0Y14-0e Van 0.012.ReCA- JAN 1 2 2017 ' i i/III , L Additional Increase in Building Value: $ Additional S.F. a Site Plan Revised: ' s Public W/U Approval: By signing below. I(print name) f3hlfAii •RQ .S affirm that the above revision is inclusive of the roposed changes. -A/. -- 1l a a l 1_ Signature of Contractor Agent(Contractor must sign if increase in valuation) Date ! g Office Use Only Date: i/1 3 1 ` 7 Apprueal: Rejected: Notified by Plan Review Comments: Ltric-t 1-7 /4 )Mott//-h— _ D • . . teat review re•uired Yes No .4 :uildin• - t,fanning&Zoning -Tree ' *minis ra or MI Plans Examiner eFirdia��lilnti�. �� 1 /(3 (..„„ Public Safety -- Fire Services Date Created 8/20i15 Rev.2 =;eR' .., «�V. i ,� 4:i' • FORM BOARD ELEVATION CERTIFICATE Date /z--$—,!' Permit Number: Address: ,i 4/ 47.74-W77/7 All American Surveyors Work Order # / "'OC` 1 •Required Slab Elevation on City Approved Site Plan: /40 Actual Elevation of Form Board or Grade Stake. /Zr 0 9 • Survey Company: ALL AMERICAN SURVEYORS OF FLORIDA INC. 3751 San Jose Place, Suite 15 Jacksonville FL 32257 Work Phone: 904-279-0088 Signature of Surveyor:(PartyChief)