743 SAILFISH DR - REVISION 7/23/17 r t �
f , r_.-_.,•- OF ATLANTIC BEACH
J' s\ ;( 800 Seminole Road
_ itn. 2 4 2017 Atlantic Beach, Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
— -._
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date:7/023/. /7 Received by: Resubmitted:
Permit Number: i 7 - 317 7
Original Plans Examiner:`743 Project Name: 7073 ,S -
Project Address: Z,,A1 ,SA1l, s/f / oizAwtZ ,
Contractor:XL Pi Pr re 4-Ccgt DNS , Contact Name: 1Y119' IL. 4116 Eai
Contact Phone : 91Dg- 70e/ >7 Contact e-mail: XLfi E T4 C/j,CSW1
Revision/Plan Check/Permit Fee (s) Due: $
Description of Proposed Revision to Existing Permit: //// /
. Jj C- �t J #vAV6J �_r<cf 2ek /f4raye_ 707-cel
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below. I(print name) / :'c ./ 70,,,-7,64-- 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: Er l — / 7 Approved: ! ' Rejected: N/A to Dept:
Plan Review Comments:
ready pv 7L vi Seo/ 4,) e s e 71 . r, Pe rrn 1 + pea ka e C,�'!-rt)
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_cvn 1 acr Cow I k-ac/ouc- 7 , f' - - '-.p -To b 7/ Ceir7 R�.y 4'e- -
ment review required Yes„.-No
uilding
Planning &Zoning
Tree Administrator Plans Examiner
Public Works G_�—/ 7
Public Utilities v
Public Safety
Date Created 5/13/17 Rev.4
Fire Services
4