1655 ATLANTIC BEACH DR - REVISION CITY OF Al"LANTIC BEACH
800 Senfinole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
APR 2 8 2017
-AX(904)247-5845
REVISION' REQUEST SHEET
Date. 0 4/28/2017 Received by: .............................................................
7
PermFt
6
Original Plans Exannner: Project Name: Atlantic Beach Country Club
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Project Address- 1655 Atlantic Beach Drive (Lot 10)
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Contractor: Toll r ("Amitact Name: Ashley Rogers
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tie. : 904-595-5243 Contact e-niail: arogers@tollbrothers.com
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Revisio lan Clieck/Permit.Fee(s).Due: $
Lftew_i"'�_10_ '00
Description of Proposed Revision to.Existing 11'erinit:
...........
__A4j��ti�g shear wall, due to i�%'. t�4�n forward 2'4"to shift closet,pantry and living room.
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Additional Increase in Building Value: Additional. SJ.-'*___.________
Site Plan.R.evised: —,No Public W U Approval:
By signing below.I(print nanw) :Mhl!��.R.o-ger.s ................ affirin that the above revision
is inclusive of the )roposed changes.
04/28/2017
. ............. ... .................................... .........
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,outractor nmt sign if ina me in valtiation) Date
Signature of C�Otra tor gni (c
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Office Lj;�c(Mly
Approved: Rejected Notified ............................................------
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Plan Review Coninients:
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U Dgartmen�t review required Yes No
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Planning&Zoning
—--—-----------------
Tree Administrator Plans-
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Public Works
Public Utilities ..............................................................
...................... ................ ...............................
Public Safety ............. Da t e, CmAW 8r201.5 Rev.I
Ci�e_�—er v i c e s
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