631 BEACH AVE - REVISION 2/1/17r---------'
�+i ‘ CITY OF ATLANTIC BEACH
{; y 800 Seminole Road
ri1 Atlantic Beach,Florida 32233
,�i \-'9 s) Telephone(904)247-5800
J ..r. FAX(904)247-5845
_ n �? REVISION REQUEST SHEET
Date: Received by: Resubmitted:
Permit u er: fl -RI 3O�a 46-\(64‘,-.:
Original Plans Examiner: �or4s Project Name: �� oti A
Project Address: 0l h AVG - s, �• S
l�� Contact Name: . AV%
Contractor:S i �`�\�` it).n.,Es ���VContact Phone : 9 -q6i Contact e-mail: re,X w ii(I�w•-s 6 5e. S m cn 1 GD fr'
Revision/Plan Check/Permit Fee(s) Due: $ 50'7
Descri t '. of Proposed Revision to Existing Permit:
6 . e 4 ti,\.1,,,st, .< 4_- wig - �r03uA . R mor f.-
r� 10 l-12, -Cre,,�,s s
_ W - Cs s DAIIII
,ro
Additional Increase in Building Value: $ 2 Additional S.F.D c /U Approval:
Site Plan Revised:
. r I I i affirm that the above revision
By signing below (print name) F')‹. 4/�/t
is incl • oft /proposed changes.
-/I/r7
:i.,i .tur• of ontractor/Agent(Contractor must sign if increase in valuation)
• Date
— Office Use Only ,
Date: Rejected:
— 6—�7 Approved: Notified by:
FEB - 1 2017
Plan Review Comments: 44 Ca
rpt 01 Svlorr?i eO(. Press •e J S� IAN s .__�� -e #t il/v Ai t' Ca n Ye. GT0't �o Com-
• - �f �, i
- pay eet.4 s_,oy-, V1)-12 -
De• . ment review required Yes o ---
Building --_
Planning&Zoning
• Tree Administrator Plans Examiner
Public WorksG—/
Public Utilities -- -_._..._
Public Safety Date Crcattd8l2GlIS Rcv.2
Fire Services