362 PLAZA RD - RES17-0079 ,SAA
CITY OF ATLANTIC BEACH
800 Seminole Road
r Atlantic Beach,Florida 32233
REVISION REQUEST/ CORRECTIONS TO PLAN REVIEW COMMENTS
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Date,,2 ( SRevision to Issued Permit Corrections to Comments_ Permit �,
Project Address
Contractor/Contact Name Q -=
Phone Email F E R 2 „
2018
Description of Proposed Revision/Corrections: Permit F ue $ $0.
10 SI. 0 , S 1 4. ( 51. E . S I.2 S �_ .S . SZ S
A / C),,
M J z
Additional Increase in Building Value $ 'v Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
(pri name)
171t ur ontractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments L-0/1 /ac� 4V 6J i Cep —012 S010 GoAti R5!y
De Ment Review Required:
J Buildi�
ing &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities `e� ''a 3 '201 k-
Public Safety Date
Fire Services