740 Paradise Ln revision 'S r�fJ j• .�
CITY OF ATLANTIC BEACH
OFFICE COPY 800 Seminole Road
� r Atlantic Beach,Florida 32233
ro) 19'
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date rd—18-/7 Revision to Issued Permit Corrections to Comments_ Permit# 5 f 7-o1 l y
Project Address —7L"�D
Contractor/Contact Name
Phone L�D� io Zc� 01—`1�� Email
Description of Proposed Revision/Corrections: Permit Fee Due �C)-
r��;s•c� F1.
Additional Increase in Building Value $'\ Additional S.F.
By si bel w,I 1`b\ d I..b, ^S affirm the Revision is inclusive of the proposed changes.
(printed name)
Io -la -f�
Signa re of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved x Denied Not Applicable to Department
Revision/Plan Review Comments S'„6 rn•, F' !97 15.1 ov 1y A v n ��rr ra dry
¢.� P��k- �� -sem b c��r � �'�y �' •
Department Review Required:
Z9nini
-ag
ngg &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities 0-172
Public Safety Date
Fire Services