770 Triton Rd Roof and Wall revision Js4A�,ot CITY OF ATLANTIC BEACH
800 Seminole Road
41, 400 JAN 2 6 2018 Atlantic Beach, Florida 32233
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'�✓ ' `�
0 411-SION REQUEST /CORRECTIONS TO PLAN REVIEW COMMENTS
Date 1/21;'be e Revision to Issued Permit Corrections to Comments ✓ Permit# 2 E SVt- (3°lci
Project Address 1 D -rd ' 4 ave
Contractor/Contact Name (1144,`� (Roc-
Phone
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Phone
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Description of Proposed Revision /Corrections: Permit Fee Due S-D.
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Additional Increase in Building Value $ % Additional S.F. O
By signing below,I �G �' \`c'c-t.?C' affirm the Revision is inclusive of the proposed changes.
(printed name)
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Signature o�ractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved )( Denied Not Applicable to Department
Revision/Plan Review Comments Go ac p K- wap jo h r y fay r-"{-
Department Review Required: M
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Description
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Project Number
Date
1
REVISION 1
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10/02/17
2
Revision 2
A 4010
10/24/17
3
Revision 3
11/2/17
4
Revision 4
1/24/201
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Date J A N.
4 2018
1
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