1637 BEACH AVE - REVISION SHEET j rvirie., CITY OF ATLANTIC BEACH
ri 's,s1 800 Seminole Road
,'\ Atlantic Beach,Florida 32233
`' A ) Telephone(904)247-5800
V Z. FAX(904)247-5845
��Olt>>f' REVISION REQUEST SHEET OR
CORRECTIONS TO R VIEW COMMENT
Date: // 7 Received by: Resubmitted:
Permit Number: 17-Roof'- 3a 33 III
Original Plans Examiner: Project Name:
Project Address: I(p 3'7 I3e&c4 ' v-c coat-
Contractor: Il4 ifttt goo FinS o-itc( ed4u1 Contact Name: I tSSa Altei- -vj,J
Contact Phone : 90 y-1 R 3-/lost 7 Contact e-mail: ' ' e'r. - ? e g m li.Z.D- O
Revision/Plan Check/Permit Fee(s)Due: $ Ai610 '.. 5'O.0•
Description of Proposed Revision to Existing Permit:
live acre I'e rot. C i3 pyw...1 tno«s� - 1 Q ,�_..atlSh i ng l es PL. l o l ay, l
5-A rne-}a,/ PL -: rallte3 Teo/ ea? Ft sig po. /
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
M
By signing below. I(print name) et t SS Q 111 CA R 1 4- affirm that the above revision
is inclusive of the proposed changes.
.9/a '/i 7
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
Office Use Only
n
Date: 3//// / Approved: A Rejected: Notified by:
Plan Review Comments: J�1 .pp ,(_
Pv revel q$ Solprr.s hL", 4o7it, CoA raPP '�'1- PRY f'e'el
De artment review required Y(erNo �/yl
Buil 1/ — /" i _-
Planning&Zoning Plans aminer
Tree Administrator
Public Works _3/1/ /
Public Utilities I
Public Safety Date Created 4/13/16 Rev.3
Fire Services
ort t o N.c,,( ej e_ 8,500 --- 9Z-sem �-fd
\ r\ psi 14000 = IZO.00
.,c 4- re--v(.stat-. -k-E.P.-_.