340 Ocean Blvd new home permit - CITY OF ATLANTIC BEACH
' 800 Seminole Road
sem ( JUN 1 3 2017 1 Atlantic Beach, Florida 32233
_ ' ,) 4 Telephone(904)247-5800
DI -% FAX(904)247-5845
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J;31 FP
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date:6o /.. /7 Received by:WP-11i rvv\) Resubmitted: -F>C2-: +iJ
Permit Number: a:S 11—bO'-t(o
Original Plans Examiner: Project Name: S-1-e2 2 .
Project Address: 311-0 cx.6041 B1J0
Contractor: P1411,14 g4dC Contact Name:
Contact Phone : 34-9 -2,q9 of Contact e-mail: P t-I t tl,t es 14 t,.'lein N OUir.kl el--
Rev i si on
l--Revision/Plan Check/Permit Fee (s) Due: $
Description of Proposed Revision to Existing Permit:
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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 t p- proposed changes.
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Signa ure o Cont acto • :ent(Contractor must sign if increase in valuation) Date
Office Use Only
Date: Approved: Rejected: Notified by:
Plan Review Comments: _ / �/
— C `Gr. 6 - A"e 11 y- d, 4 . ,••/
d
Department review required Yes No i'
ildin
PI ning &Zoning
stratar--" Plans Examiner
ubl a.Wor. 'j 2-2/ /
Public Utilities
Public Safety
Date Created 4/13/16 Rev.3
Fire Services
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