390 SKATE RD - REVISION 11/29/17 '� I OFFICE COPY CITY OF ATLANTIC BEACH
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.� 1c. 800 Seminole Road
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REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date k l I tci l 17 Revision to Issued Permit X, Corrections to Comments _ Permit# OC..5-I-7- C-
Project Address 3q b I�jo31--c,„_ Lc, k --A-RooAic. gcoqiiA(�L 32233
Contractor/Contact Name (a 0)"L- e-I Yr
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Phone 1 oul 59 ) 1I35 Email ba \,()C, 0
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Description of Proposed Revision/Corrections: Permit Fee Due$
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Additional Increase in Building Value $ Additional S.F.
By signing below I J 14 ii,J -Z affirm the Revision is inclusive of the proposed changes.
1 (printed name) l
(s / / l ( f29Ii7
Signature o C. .i for/Ag- t Contractor, must sign if increase in valuation) Date
r 111° (Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments 6®/j lace 4 fra-yr 1 Grit.
D_ ment Review Required:
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`Planning &Zoning v Reviewed By
Tree Administrator
Public Works
Public Utilities / Z-/ -C)
Public Safety Date
Fire Services
' CITY OF ATLANTIC BEACH
fli''\\1'.;#y OFFICE 800 Seminole Road
Atlantic Beach,Florida 32233
g TO-gri)
REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
Date\liZie 1 Ii Revision to Issued Permit X Corrections to Comments Permit# K-ff-5- n-01.0 L1
Project Address 0 cci<4.-kf0t4.c,QI hr►OvY�Z IS f'c � 6" L. 32-2--33
Contractor/Contact Name ao;VL kAa_viii
Phone q61-1 S ) tl 391 Email 4cY` `SCP 00 , [.one"
Description of Proposed Revision/Corrections: Permit Fee Due$ `—d —
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-- 9 \Qbt-- t3 c_S tYQ' s t..OV...v\ :rni--k-
(LCS-- i7 --07-21 — EL 17z34 e
Additional Increase in Building Value $ Additional S.F.
By signing below,I U i I..1 `V , i\ /t 6 E7-- affirm the Revision is inclusive of the proposed changes.
(printed name)
11 /zh1 (7
Si na e 'I il . - I ,gent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved x Denied Not Applicable to Department
Revision/Plan Review Comments S'kQn 1-o ee r m i 1 ,n )42-. pi-ea s'-e.,,
De.artment Review Required:
rBuilding fYl
Planning &"Zoning V Reviewed By
Tree Administrator
Public Works
Public Utilities /Z `/ -17
Public Safety Date
Fire Services