340 OCEAN BLVD - REVISION 10/4/17 cy CITY OF ATLANTIC BEACH
r 800 Seminole Road
zAtlantic Beach,Florida 32233
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REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
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Date 10' 1 ' J 1 Revision to Issued Permit Corrections to Comments Permit#
34-0
Project Address NOLL=-- ir0 6 ( Vg ' -R £ , tz-A , 3 2Z3
Contractor/Contact Name PI4ILL1 p_('_, a u,\ij'ft CAC . l4 L 4 E d
Phone -! O /- .. )4(-) -2 ci `1 6) EmaR}l Lk,9S EC/i,4e-L3Q____COA i . IVL°-
Description of Proposed Revis'on/Corrections: Permit Fee Due $ S°• e C7
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Additional Increase in Building Value $ Additional S.F.
By signing below,I I.k.< c*ArE,L 't4',Y t affirm the Revision is inclusive of the proposed changes.
(printed name)
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Signa e of Contra or/Agent(Contractor st if increase in valuation) Date
(Office Use Only)
Approved ( ' Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
(Building --) n\i).
Planning & Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities l 0 - `1"/ 7
Public Safety Date
Fire Services