1637 BEACH AVE - REVISION SHEET (2) '-�%.L„,J r CITY OF ATLANTIC BEACH
JAS r �`"��� 800 Seminole Road
4,,,{v Atlantic Beach,Florida 32233
. ;• ., ;) Telephone(904)247-5800
j” ' • FAX(904)247-5845
t•,';N>," REVISION REQUEST SHEET OR
CORRECTIONS TO ' VIEW COMMENT
Date: Y// 7 Received by: Resubmitted:
Permit Number: 1 7— ROO.F'- 3a 33 Wr
Original Plans Examiner: Project Name:
Project Address: I(p 3'7 eta_chAtin C
Contractor: NlWi Witt goo f-i/�5 ( G''I Contact Name: (Wei/s's'z .11 trv-v/J
Contact Phone : 9O / '1 q 3-/V, �7 Contact e-mail: , r'n 7 e g m 4.D.e0 1-4
Revision/Plan Check/Permit Fee(s)Due: $ Mall2V '' 5'0,0•
Description of Proposed Revision to Existing Permit:
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Additional Increase in Building Value: $ /',OCO Additional S.F.
Site Plan Revised: Public W/U Approval:
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By signing below. I(print name) 'V` et t S S S M e2 R i + affirm that the above revision
is inclusive of the proposed changes.
?/d-?//7
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
Office Use Only
Date: 3/1// 7 Approved: x Rejected: Notified by:
Plan Review Comments: 1�
Pp ro veal a s g cd en v r/ / X70/i fy Coit Vra o Aril- 4 PRY •'e'-r
Department review required YryAsio
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Planning &Zoning Plans aminer
Tree Administrator
Public Works _3s' i / 7
Public Utilities /1,
Public Safety Date Croated4/13/16 Rev.3
Fire Services
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