1655 Atlantic Beach Dr garage door revision r�S 1 CITY OF ATLANTIC BEACH
5 FEB800 Seminole Road
- B 2017 Atlantic Beach,Florida 32233
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Telephone(904)247-5800
FAX(904)247-5845
j REVISION REQUEST SHEET OFFICE COPY
Date: iZ $ I, Received by: Resubmitted:
Permit Number: IU—SF K— ,i
Original Plans Examiner: Pa,cJJect Name: frq CjUtj
Project Address: 56 W Dr. I J
Contractor: -T[) Y Cont t Name:
Contact Phone : W- W U 3 ontact e
Revision/Plan Check/Permit Fee(s)Due $
Description of Proposed Revision to Existine Permit:
r11flYlf 201
? J_ltr IA r S.
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: N O Public W i U Approval:
By signing below. l anainnme)_ affirm that the above revision
is inclusive of the pm osed changes.
Signature of Contractor/Agent(C moor must sign irincrenm in valomim) Date l�
I V o
,a►'s Omee Jo Only
ans: 1-7- 12 _ Approved. FOK__ Rjemcd. _. Nmiaai EY:
Plan ReviewComments:
nnr�R-be,14-yo/
For g pay Eee.
Department review required Yes ;W0—
Building
Planning&Zoning _
Tree Administrator Plans Examiner
Public Works
Public Utilities
Public Safety
Fire Services Date cdwsn a...s
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