664 Beach Ave - Permit RES18-0123 rS1--11r
�S ti CITY OF ATLANTIC BEACH
� 800 Seminole Road
+� N Atlantic Beach,Florida 32233
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REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date 41-L` ' �� Revision to Issued Permit /Corrections to Comments Permit S p�z3
Project Address ly�4 ac.Av Ov "—
Contractor/Contact Name 1�• c.4-Pv� �a t�p� lsae)
Phone qv' • 5C)4 -G4 `I Email qy\ • C-°n
Description of Proposed Revision/Corrections: Permit Fee Due Oa
Additional Increase in uilding $ Additional S.F. ¢�
By signing below,I irm the Rev' iron is inclusive of the proposed changes.
(print4d name) •L 0 AN Co n
Signature of Contractor/A ent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments_Cc /ac.f p�C -�)'I Sego rc py 8 pn�(
Department Review Required:
Bui in
Planning &Zoning eviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services