1771 Sea Oats Dr re-roof permit �s `; ,. `�\ CITY OF ATLANTIC BEACH
.- , ?so 800 Seminole Road
' r Atlantic Beach, Florida 32233
'p;iI!V
REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
Dates/ 2 1 7 Revision to Issued Permit/.Corrections to Comments Permit # t g-"a0yo
Project Address / 77/ 5--- e-( D�4$ P/.
Contractor/Contact Name �S �4/Cs ct
Phone C2 - 7cO3 Email , ave O-tis-(ill(h o C Gc'`t
Description of Proposed Revision/Corrections: Permit Fee Du- $ 50. 00
l;7016 S t'2e , Sec e-e , Cmc tica si0G4�e. — GSD/Le
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.tee - s,, e/ -,,.--r ,,C( zed �� al 3 v ,tT ,k r�')
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Additional Increase in Building Value g2-) OC)0. 00 Additional S.F. 3flr
By signin. .. ow, ,G /t tcC 5'• V L '/
{ ((0 ) affirm the Revision is inclusive of the proposed changers r'
(printed name) T L (o/aYR)1
i AshIle t-, -..,‘ g/ .9///7
*ire of or • gent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved A/ Denied Not Applicable to Department
Revisio Ian Review Comments Fee3 /o b-e collect-12/. 4/v- ill c".Pe s-cat vaiwt-.,
Department Review Required:
Building fily
Planning & Zoning Reviewed By
Tree Administrator
Public Works , 2-7- '17 Z
Public Utilities
Public Safety Date
Fire Services