158 16TH NEW SITE PLAN J`1r�J
s CITY OF ATLANTIC BEACH
t' ?� 800 Seminole Road
s' Atlantic Beach,Florida, 32233
MAR 15 2018
31
REVISION REQUEST/CORRECTIONS TO PLAN REVIE*09MM9# &—_
Date J i r�tevision to Issued Permit Corrections to Comments Permit# 1 06v
Project Address sp �-
Contractor/Contact Name- '5 5 r 'C en
Phone g J -b /,J-,3 9 s Email
Description of Proposed Revision/Corrections: Permit Fee Due$
P—e-- w 5:4 PLS
Additional Increase in Building Value$ Additional S.F.
By signing below,I 5, affirm the Revision is inclusive of the proposed changes.
(/, (printed name)
Signature of Con for/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
Med
&Zonineviewedinistrator
KUV isor
Pubic Utilities
Public Safety Date
Fire Services