411 SKATE RD - REVISION 10/13/17 (--
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<,�{, CITY OF ATLANTIC BEACH
_ 800 Seminole Road
- 7 '' 'f"'�' Atlantic Beach,Florida 32233
REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
Date / 0 13 / Revision t• Issued Permit / Corrections to Comments Permit# RCS 17 -o i 4 z
Project Address 4/l —</:/147-6-- RP , A- , , p/ 32,35
Contractor/Contact Name Alf/e,l,g-g-e pH/'z'i
Phone q01 c_%".9-9-2.999 Email p)l l lit'g t/I i,2)6:ie (,e-�►' ))6r
Description of Proposed Revision/Corrections: Peirnit Fee Du; $ aDC
C H A/6 6Ric? . /t1+0c P/9-610 per ,a .► tAJ ..
Additional Increase in Building Value $ , / /� Additional S.F.- -
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By signing below,I v 1,i OJ 2 ]�t/�' k( affirm the Revision is inclusive of the proposed changes.
(printed name)
4e4 Aa /gSi re of Contrac or/A n�ntrac �• tg g ( sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments DO(dole Awl.c S cAan j.el 71-0fiC / We)Y•6 , 6,4fradr.�
iv flick-,-Jr -'o b Copy if pal "-Tv-a_
Department Review Required:
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arming & Zoning Weviewed By
Tree Administrator
Public Works
Public Utilities /0 - .ac.) - / 7
Public Safety Date
Fire Services