1734 MARITIME OAK DR - REVISION 8/4/17 ij; CITY OF ATLANTIC BEACH
SSS 800 Seminole Road
`, A j OFFICE C0PY Atlantic Beach, Florida 32233
Telephone(904)247-5800
\3V FAX(904)247-5845
1.-1-D.1111)
REVISION REQUEST SHEET OR
1 CORRECTIONS TO REVIEW COMMENT
Date: �!4 Received by: Resubmitted:
Permit Number: t b- 2 3\ —OS
Original Plans Examiner: Project Name: -K)AA-C
Project Address: \19-k t_mMc_ p�u
Contractor: Kts.E2fxste Vtfyi.A. S Contact Name:
Contact Phone : `Loi-t Sc' \-651 Contact e-mail: pct YS
Revision/ Plan Check/Permit Fee(s) Due: $-0
Description of Proposed Revision to Existing Permit:
R- 16cbO. c-
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/Ageht(Contractor must sign if increase in valuation) Date
Office Use Only
Date: 1 S!I Approved: Rejected: N/A to Dept:
Plan Review Comments:
)s/-e a S Sc.Q n /Pi for m a / i oh p/! .c) / - r ri- j i .130
)-c
nt review required Yes Jo --
Building 1/ - --Planning &Zoning
Tree Administrator Plans Examiner
Public Works • /.5-
- '6/7
Public Utilities Public Safety
Date Created 5/13117 Rev 4
Fire Services