1535 SELVA MARINA DR - REVISION 6/6/17 f;j Jr\ `):o6
`� �.� OFFICE COPY CITY OF ATLANTIC BEACH
ss1 800 Seminole Road
I-: Atlantic Beach,Florida 32233
j ^' Telephone(904)247-5800
FAX(904)247-5845
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REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: C 17 Received by: Resubmitted:
Permit u ber: (C.- 4 -gsS 11 -0) Re.3
Original Plans Examiner: Project Name: SG\a� i `
Project Address:153 5 -J o.. ��if\G b S t
Contractor:,i ` a-�Lire' � we Contact Name: 4( 0 0 ,
iuw--
Co 4:c 1 one4 -751 -9 7 Contact e-mail: rex i D.,,e5
'evision/ e Ian Check/Permit Fee (s)Due: $ 5 U_ 00
Description of Proposed Revision to Existing Permit: (U,
C�xie ik.);v\.c7 ows E'c'o\,,,. ✓k K +0 z'CT (F-1-.1) F 1 s.s +, is,�
0,0., c. donc-S c:t . YK K --'o p a.,S)t'p t'o 621,4-(v, 15.11 ,9 )5 a 13, Idl.
R. —,c0/-5?)
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
•
By signing below. I(print name) g€. kit l c,,,,,,�s affirm that the above revision
is inclu`. i,of the proposed changes.
._
....
i L na'ire of Con ra a r 'gent(Contractor must sign if increase in valuation) I . -
RP
lb
Office Use Only
Date: 6 ' 7 - 17 Approved: ( " Rejected: Notified by:JUN 6
2117
Plan Review Comments: v
Plea C.a n 1 a b y. i d i n ' l4...- is - r,,,,t,1- Building Department
Department review required Yes No
1�uildin� .
Planning &Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities 1 7
Public Safety
Fire Services Date Created 4/13/16 Rev.3