303 ATLANTIC BLVD - PERMIT 17-CADD-3210 J1J
CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMMENTS
Date k-1 Revision to Issued PermitX Corrections to Comments Permit#
Project Address—
Contractor/Contact Name --Z
Phone "�T Z(5 Email \r-\0Ne-1-t0,J0 &kA-+--,-e--4—
\J
Description of Proposed Revision/Corrections: Permit Fee Due$
4,--, t- L L on,
e� 3�'4" C e-�( IA I'L I
Additional Increase in Building Value $ Additional S.F.
By signing below,I U A*4"C 0 V affirm the Revision is inclusive of the proposed changes.
(printed name)
-Z"
Signature ofCo1itratgjnt(Conti-actor must sign if increase in valuation) Date
(Office Use Only)
C T- 5 2017
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Departmn.ffif-k—eview Required:
Ali Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety 4Date
Fire Services
CITY OF ATLANTIC BEACH
800 Seminole Road
U Atlantic Beach,Florida 32233
REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMMENTS
Date. 0- C1 Revision to Issued Permitx— Corrections to Comments Permit# O- CAoD321(
Project Address X-T-�_A.L_A-m c
;y2
Contractor Contact Name C-A _L—N2—A-,-T-1 V--C-7
Phone '5T -1 0-4-- t56,Z Email
\J
Description of Proposed Revision/Corrections: Permit Fee Due$
'A
sons 4,--�,
,GA-,r,j c,�_, ,A w,X,
Additional Increase in Building Value $ Additional S.F.
By signing below,I L/, I A.4"r- C)V affirm the Revision is inclusive of the proposed changes.
(printed name)
Signatdre of Contra nt(Contractor must sign if increase in valuation) Date
(Office Use Only)
OCT 5 2017
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
7%t�� - Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safe, Date
ly
Fire Services