460 SAILFISH DR - REVISION SIDING 0 l'iliV l✓,, CITY OF ATLANTIC BEACH
Js • ► psi\ 800 Seminole Road
I, J Atlantic Beach, Florida 32233
A s1 Telephone(904)247-5800
FAX(904)247-5845
'.-1J13]9,
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: I b 2c1 v Received by: Resubmitted:
Permit Number: 1. 6 -, (2-44 a_ — ...7-3 9
Original Plans aminer: Project Nam- Some f ' k
Project Address: ' .. en P'51-1 A— - ----‘ ' 8( m C-i Fc 3 22 T-3
Contractor: An cg Es co S n c. Contact Name: Zw.1.:-*- itAat_C 0
Contact Phone : q oK 6 2f1 es- 8 3 Contact e-mail: c.rd6SSe 0_5 nAc: l Co•K
Revision/Plan Check/Permit Fee (s) Due: $ r
Description of Proposed Revision to Existing Permit:
- s'IIICAMEta 4 t iE>w Woo.' f-Q G6-
- - - - - _ - -
jet 7-0 it F ,Icar-'...s SR:p s C 1 y K FT 1 ( I.IAP S'iAirs
b 14r R.eIi t Fac. Peoot cir 1t- 1 3 1 4 2- . )
a �� ` CEIVED
Additional Increase in Building Value: $ 2,OaD Additions
Site Plan Revised: Public W/U Approval: •
z En-
By signing below. I (print name) affirm�tfiat tlfe"ab � evision
is inclusive f 1- op. edthan•-
Building Department
c r re �' City ofAtlanti
Signatu o on '. for • gent(Contractor must sign if increase in valuation) /late �' B@aCh� FL.
Office Use Only
Date: /'" S r If? Approved: ?c Rejected: Notified by:
Plan Review Iv Comments: -tn l ' 1 1
Scar► pfrn i •)- • /'1 -e- . to/ (/ Cori %YciC(4� +o
I-/Z k –v� '5'o 1! cc) py
I - — : I review required Yes No
Building
•• •- : -oning
Tree Administrator Plans Examiner
Public Works 41 • 5-1 A
Public Utilities — --
Public Safety
Date Created 4/13/16 Rev.3
Fire Services