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177 BEACH AVE - REVISION 10/25/17 9,.. Viirier, CITY OF ATLANTIC BEACH , 800 Seminole Road ' . OCT 2 5 2017 Atlantic Beach,Florida 32233 A r7' Telephone(904)247-5800 --7-',--", , 7 FAX(904)247-5845 REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT Date: l o Z 5/I 7 Received by: Resubmitted: Permit N Pt /?E'S 1 615/ Original Plans Examiner: Project Name: MAA.re-' Ad S Project Address: /7 7 bt.1.c.2- Ai,L Contractor: oisl •K w• rlicrc Contact Name: SI iZ/& O` 4 Contact Phone : �'o 44 ST 2-3 Contact e-mail: i k.e X55 de a w�+ALS . -o Pt-- Revision/Plan Check/Permit Fee(s)Due: $ ----05-- 't ©'t Description of Proposed Revision to Existing Permit: i > Additional Increase in Building Value: S Additional S.F. Site Plan Revised: Public W/U Approval: 1 e i v � By signing below. I (print name) 1-14-gel ".,A"`// affirm that the above revision is inclui • o the p •••s/ed changes. . /e)/7,g/iy _ atUre of Con •clot/Agent(Contractor must sign if increase in valuation) Date / Office Use Only Date: / l/ /— r 7 Approved: 2c Rejected: Notified by: Plan Review Comments: -Yu S )l 5-ca "N 1-0 !J•2vm14 It. . 12spactmeat review required Yes JIVo mg Building (/ -- Tree Administrator Plans Examiner Public Works / 1 _ / _/7 Public Utilities Public Safety Date Cientea 4/13/16 Rev.3 Fire Services