1057 BEACH AVE - REVISION 6/20/17 •
LLyrl„ CITY OF ATLANTIC BEACH
tt1 800 Seminole Road
r Atlantic Beach, Florida 32233
j • 0 Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: J"-v`e-- coot --01 •q- Received by: Resubmitted:
Permit Number: Keso(1 0001
Original Plans Examiner: Project Name: L0 60_1(.0,1 ny,
Project Address: ltd roto e,
Contractor: L tats Rowe- Contact Name: L-ks
Contact Phone : qo 4 •3 -cx, 4 Contact e-mail: ?rob 0,1 dors L Ccs kd-w. t I. ea,
Revision/Plan Check/Permit Fee(s)Due: $ 5e), 00
Description of Proposed Revision to Existing Permit:
J.D\c� v�
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
Office Use Only
Date: �-11 Z'1 \ Approved: v Rejected: Notified by:_
Plan Review Comments:
De• - mount review re uired Yes No �f 1
-tom`- I I I I I��
Tree • • ..'r'strator Plans Examiner
•ublic Works =-
Pub is U t l les _- 2_1 11
Public Safe Date Crowd 4/13/16 R•v 3
Fire Services
E C
Enaf ECITY OF ATLANTIC BEACH
\ts\ JUN 2 1 2017 a ' 800 Seminole Road
`,.;, Atlantic Beach,Florida 32233
.) • Telephone(904)247-5800
FAX(904)247-5845
s.
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: JLL•e-- av, o t Received by: Resubmitted:
Permit Number: g,GS o 1"]— 0001
Original Plans Examiner: Project Name: LiER'C' o.1 Coy7
Project Address: ltd vA\pe, U
Contractor: L.t.i,ts RoSa r Fizz. Contact Name: 1,.u.ks
Contact Phone : ctoq 3$b - o' y- Contact c-mail: Probv,1.1 tiers
Revision/Plan Check/Permit Fee(s)Due: $
Description of Proposed Revision to Existin, Permit:
CJAA-v-sye`j C�'CGL� �✓Lc� �-h O \ �`GL
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) Dale
office Usc Only
Date: b--;71-77 Approved: Rejected: Notified by:
} Plan Review Comments:
= = ■ment review required Yes No ` r
• - •r're &Zoning
Tree Administrator Plans Examiner
public Wor14---->
Public Utilities —
Public Safety
Fire Services
Date Crated 013/16 RCN.3
I
1.4 CITY OF ATLANTIC BEACH
rs� 800 Seminole Road
•- r Z;:... .-• .J Atlantic Beach, Florida 32233
+) :44Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: 3 t. ao, '-01 - Received by: Resubmitted:
Permit Number: SGS o (7 0001
Original Plans Examiner: Project Name: 4:54 13o_\c-0,1
Project Address: tt - e-coca, A\g.e- "
Contractor: (..,t�.ts 1205a.t'i_ Contact Name: L.t s
Contact Phone : qoq '3$b - c 4 Contact e-mail: f'robo.,1 dc,-s oF'"n0YA L A L L._C.B I•t-D-I-t t 1. c
Revision/Plan Check/Permit Fee(s) Duc: $
Description of Proposed Revision to Existing Permit:
C-A.u- -D e-% �v d-ccl,� -��+ �,� D c t
1
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
Onicc Use Only
Date: Approved: ✓ - Rejected: Notified by:
Plan Review Comments: zn
- 'efc'-F G774'ecI cr.)/il ct / ` .17G I
-----
D: it-tuuent review re.uired Yes No
4 -ai i• &Zonin• '
M
Tree Administrator Plans Examiner
41111_Public Works �
Public Utilities � ' -------
Public Safety _-
--- Date Ctp,ni 4/11116 Rev 3
Fire Services