825 SHERRY DR - REV. 1/22/18 4/ CITY OF ATLANTIC BEACH
4 *.' 800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date 1/ 2 G//U Revision to Issued Permit IK, Corrections to Comments Permit# O?-65. 17 Uv 1{ 3
Project Address '32 9i c( y Dr, r/l 1vt t.f-)?_._ 6cG,-GP
Contractor/Contact Name / .cc (7/0,7 �Tcj«,-v. Arc,il
Phone /CM -- Soa.- f,Gi 3 it Email "1 rirc V-ray( ,7- < c,-",C
Description of Proposed Revision/Corrections: Permit Fe ue $ SO,D _
�j►(ie..\1•.- Ddu( rL <5:7v . a - 4 oak cvv rvv„1,)-# &i)
Additional Increase in Building Value $ k/A' Additional S.F. 74--
By signing below,I A.w.rYl l?(ri,t,/ affirm the Revision is inclusive of the proposed changes.
(printed name)
-r //20//g
Signature Contractor/Agent(Contrac r must sign if increase in valuation) Date
(Office Use Only)
Approved )(..- Denied Not Applicable to Department
Revision/Plan Review Comments Cb4Jac7 /0 p2k-17 To6 Cop?. g (ka), c•P-e.
Department Review Required:
Cnning & zoning
01eviewed By
Tree Administrator
Public Works
Public Utilities 2 -1 -.701r
Public Safety Date
Fire Services