1716 MARITIME OAK DR - REVISION SHEET ttirrt rui rr•
L�I4l CITY OF ATLANTIC BEACH
J`' :; '. ' '� 800 Seminole Road
10
'� Atlantic Beach,Florida 32233
�j Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET
Date: 4 2.I I 11 Received by: Resubmitted:
Permit Number: 17— C .R - 3`,co � `
Original Plans Examiner: Project Name: flrf'1arI . Cu� ty 1Ab
Project Address: Milt 111U MO iiiNit OQK Dr.
Contractor:-1b0DIrS Cant t Name: •_ ' R g
Contact Phone : 0043 5q5 —5243 Co. • e-mai ‘ aro 4tr. ' .,
evisi Plan Check/Permit Fee(s)Due: 5D.06
Description of Proposed Revision to Existing Permit:
5truc* wa"1 t4lr<eevi n3 - - - -
Additional Increase in Building Value: $ &, Additional S.F. til
Site Plan Revised: NU Public W/U Approval:
By signing below. I(Print name) AShie14 Roners affirm that the above revision
is inclusive of the rop d changes.
742J I I—1
Signature of Contractor/Age Contractor must sign if increase in valuation) Date
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Office the Only
Date: l- 17 Approved: X Rejected: Notified by:--_--
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Plan Review CO mm
.,, A Tdve aS P•eVSSed 1 cooTracfo12- frcA -' join
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Department review required Yes o
uildin
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Tree Administrator Plans Examiner
Public Works
Public Utilities . I _
Public Safety
Fire Services Date crowed 8!70115 Rev.2
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