1793 ATLANTIC BEACH DR - REVISION10/20/16 `:j, '�J�'�i CITY OF ATLANTIC BEACH
J` - •\• 800 Seminole Road
y`'< `i'2 Atlantic Beach,Florida 32233
ti, - .4., , ;. Telephone(904)247-5800
'� li
—r FAX(904)247-5845
REVISION RE)UEST SHEET
Date: lb I 2 D 11U Received by: AO Resubmitted:
Permit Number: Ito"S FK- 1p24 Nor
Original Plans Examiner: Pr ject Name: arch, , 13ccich C urti,y OLA b
Project Address:1193 Afilarii'1c., e-Ctc v1 "rive,
Contractor: 'Tb kI 2Prtrther5 ontact Nuc:
Phl RD S
Contact Phone : Glpy 9116 5243 Contact e-mail: r Ilb M
Revision/Plan Check/Permit Fee(s)Due: $
Description of Proposed Revision to Existing Permit:
NCW 6 1 plcin leo , . l�:.._'- A. I ctkin `+R.R.e.4.1 '
Building Value: Additional S.F.
Additional Increase in Bu g $
Site Plan Revised: ublic W/U Approval:
By signing below. I(print name)_ . 1�Ca,,i affirm that the above revision
is inclusive of the proposed changes. 111 V
101'2.01W ,__
Signature of ontractor ent(contractor must sign if increttse in valuation) Date,
orrice Use only
Date: 6007 Approved: X Kcje tted: Notified by
Plan Review Comments:
34 De•ailment review re•uired No
.% _�
iN 4 •tanning&Zonin•
J��intstrator Plans Examiner
1 • blic Works
t, ublic Utilities -- ire/�
Public Safety
r. Fire Services III Date Created WWI s Rev.
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..Iron•► - #
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?� rJr) CITY OF ATLANTIC BEACH j
41 1 ��
800 Seminole Road
I ''4. s f Atlantic Beach,Florida 32233 •
iY"''ki;,1.5 Tele hone(904)247-5800 •
i r) P
`� 1 FAX(904)247-5845
'7-1-..01119'?''
REVISION RES UEST SHEET
Date: 10 120 It '- " Received-by: . Resubmitted:
Permit Number ILs"SFR- 1024 `a/
Original Plans Ex. -'• : Project Name: Qvrhc, &qd') Courthe3 C.,lu 6
Project Address:17 a3 Prd_a G r t V_
Contractor: TV►1 3_ar (s . Contact Nie:_ �,o
p Contact Phone :g.py SOTS 5243 Contact e-mail: QYD Grp a +0lIbv .COM
li Revision/Plan Check/Permit Fee(s)Due: $ 5-29. Oct 9
q
,, Description of Proposed Revision to Existing Permit:
N'Gu_J_ in_113 IC,W din ay_w l dti-tn c oeR t-
Additional Increase in Building Value: $ • Additional S.F.
Site Plan Revised: Public W/U Approval:
•i By signing below. I(print name) 'erS affirm that the above revision
is inclusive of the proposed changes. r
Signature of ontractor ent(Contractor mush sign if increase in valuation) Date
1110
-c77-/6
�/ 011ice Use Only
Date: /0 - 7 !�7-/�j _ Approved:
/\ Rejected; - Notified by:
;l Plan Review Comments:
_ iii 0 e, a s % lorry Qo/ P.P sc , 1.e s e na/' ii.
r
ISLIe.W. •, •- --v . _ c0 & et a -Pee-
i .,i De•artment review required 11=0 10
ditriMill 117I‘19 -
_ Ull
4 'Tanning &Zonin•
Tr - A.. lntstrator _ Plans Examiner
1`ublic Works
_. ��
.Public Utilities • 7.` 6
Public Safety
Fire Services _- Date t:te.tedVMS Rev.2
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