1535 SELVA MARINA DR - REVISION 2-21-17 .P.:. , .......�.......��... ._. CITY OF ATLANTIC BEACH
800 Seminole Road
I OFAtlantic Beach,Florida 32233
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OFFICE V G V i 'Telephone(904)247-5800
FAX(904)247-5845
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JF3 REVISION REQUEST SHEET
1 G-sf2R z5 17
Date 1 11-7 Received by: Resubmitted:
Permit N tuber: 16 F' 51-7
Original Plans Examiner: s Project Name: , ,� '"C6
Project Address: 5 c� mm l+� c_
Contractor:S tr Contact Name:
hone . 59 9 77 Con` " b w.3r11'5QqVnAl s Go m
Revision Plan Check/Permit Fee(s)Due: c9 .
Description of Proposed Revision to Existing Permit:
Additional Increase in Building Value: $ Additional S.F. `
Site Plan Revised: Public W/U Approval:
By signing bel+-I(print name) i � affirm that the above revision
is inelusive 00he proposed changes.
e
gfreOf ontractor f Agent(Contractor must sign if increase in valuation) Dat
Office Use Only
Date: c;���+ 7 Approved: X Rejected: Notified by:
Plan Review Comments: /
oDo rove 0'7Cr S S tr rrn v ppl O J"i G /t ! 40101
ee aw I c i C)/0 ca
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,D=artment review required Yes `No
BuildingX
erring&Zoning V —
Tree Administrator Plans Examiner
Public Works
Public Utilities 2-227/77
Public Safety
Fire Services Date Created W0/1 5 Rev.z
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