1875 HICKORY LN - PERMIT RES18-0111 CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date Revision to-Issued Permit JV'0" Corrections to Comments Permit# l0 Q 1 (
Project Address /97 iG 0/ Lit/, AM ami
Contractor/Contact Name /4#;yva46 eonSfrvcA-ori
Phone Rd(/,9.38' 77V3 EmailAR "�ng _cal-s4nec' 0A% COln
Description of Proposed Revision/Corrections: Permit Fee Due $ OCA
u� ���� ��I� G�wEs�J ��h�>v �- ��{/i`a►g l�s�rn >� �• �/�►'y�i
U) ADD ,84iA 7,o-6 iAJ ddcilti .449&S
Additional Increase in Building Value $ X90• Additional S.F.
By signin elo ,IdWml ` /�ZD�L affirm the Revision is inclusive of the proposed changes.
(printed name)
*ire Contractor/Agent.(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments Goq be -A, So 6 cop-/ 'g P4V0 4-'--
Department Review Required:
•
dd _Buildin_g
manning &Zoning Vviewed By
Tree Administrator
Public Works
Public Utilities � �2,/
Public Safety Date
Fire Services