825 SHERRY DR - REVISION 10/19/17 •
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d' i = {,;� , CITY OF ATLANTIC BEACH
r � - 800 Seminole Road
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REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date AV/A///7- (Revisi Issued Permit Corrections to Comments Permit# e S-1? -00 1-13
Project Address r , S- 1 I 4i I. [ " I 3
Contractor/Contact Name Th-e- ;,yr ,__(7-i f tr.,.nn AAc.,.,., 6,-,.....`e
Phone e, l v `rc..
��G( S"O -elf/3 ( Email 0 4ct✓rs dr y . Caw.
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Description of Proposed Revision/Corrections: Permit Fee Du: $ .5'0.00
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Additional Increase in Building Value $ V Additional S.F. o
By signing below,I A dh►yi, G(mt. affirm the Revision is inclusive of the proposed changes.
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Signature (Contractor/Agent(Contr. . .r must sign if increase in valuation) Date
(Office Use Only)
Approved O ` Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
(Pr-
Planning &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities / —3/--i 7
Public Safety Date
Fire Services