404 OCEANWALK DR - REVISION SKYLIGHT •
CITY OF ATLANTIC BEACH
ts‘ 4 800 Seminole Road
A ; MAR 2 0 2017 Atlantic Beach,Florida 32233
! ! Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET OR _aai
l OPY
CORRECTIONS TO REVIEW COMMENT
Date:3/2-0� Received b : 1(-"/ Resubmitted:
Permit Number: /(&10, Z ec5/
Original Plans Examiner: Project Name:
Project Address: •n 9 Dr, ., g 2 r
Contractor:A ,,r*-;,4> 4a/ � ,A i,:peContactName:
Contact Phone : y.2.2(5= /2.1/95" Contact e-mail: 4 ,'• o, `,
Revision/Plan Check/Permit Fee(s)Due: $
Description of Proposed Revision to Existing Permit:
,I�IC�1 AePtle SY sKYA A 74 ,c2 / ss 9 2,
Additional Increase in Building Value: $ 7A�_/s' Additional S.F.
Site Plan Revised: Pu. • W/U Approval:
By signing below.I(print name) �i�, / /`t<;/;1Y`/ affirm that the above revision
is inclusive of the proposed changes.
�,,,��i ��►� 346/off-
re of Contractor/Agent(Contractor m'.t sign if increase in valuation) Date
�j t ? Office Use Only
Date:,J/ ' ! /7 Approved: ' Rejected: Notified by:
Plan Review Comments:
De artment review required Yes o �r
wilding —Th — —
Planning &Zoning
Tree Administrator lans Examiner
Public Works 3/ ./ /i 7
Public Utilities •
Public Safety
Date Created 4/13/16 Rev.3
Fire Services