885 Beach - Roof Revision t � CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
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REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMEENTTpS
Datej I 146 Revision to Issued Permit_ Corrections to Comments_ Permit#
Project Address (J
Contractor/Contact Name e o rte. 11 C
Phone 0A W Email
Description of Proposed Revision/Corrections: 11 Permit Fee Due$
� I D. m a _
AdditionK nerea ' t Building Value$ Additional S.F.
Zym=elow affirm[he Revision is inclusive ofthe proposed changes.
(pante name)
3a3 - 1�
Signaturctor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
Building
Planning &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services