340 8th ST - REVISION T �`�'��!'/�, CITY OF ATLANTIC BEACH
J� ? \�› 800 Seminole Road
.' . Atlantic Beach,Florida 32233
1-' A A1 Telephone(904)247-5800
Z FAX(904)247-5845
‘I'-40.219i'" REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: I 0 Received by: Resubmitted:
Permit N b-r: (Lo - SFR. .2277
Original Plans Examiner: Project Name:
Project Address: 3(1O t S-hree r
Contractor: Contact Name: -rim t(,u>vAi
Contact Phone : 904/-S'!/-79W Contact e-mail:
Revision/Plan Check/Permit Fee(s)Due: $
Description of Proposed Revision to Existing Permit:
�- - .� � -�APR 1 0 2�
revs se 2 s+ru c dive. t> i a 24-
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(print name) affirm that the above revision
is inclusive of the proposed changes.
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
Ch
Office Use Only
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Date: '- I v ' 11 Approved: / Rejected: Notified by:
Plan Review Co ments: 11.,,
Co,t QC GOisitera h prcl-V y vb Geipy / / 4)4,...€_t
s c.a ti -ilk V e f.
Dent review required Yes/No ,�
Building �/
e.partnr
tanning Zoning
Tree Administrator Plans Examiner
Public Works 4/ /et,/e7
Public Utilities
Public Safety
Date Created 4/13/16 Rev.3
Fire Services
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770 WAKEMONT DR.
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FLORIDA 32065
CERTIFICATE OF
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770 WAKEMONT DR.
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FLORIDA 32065
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11-30-2016
C.PAUL DIGIACOMO
FL PE#59660