1769 ATLANTIC BEACH DR - PERMIT RES18-0009 CITY OF ATLANTIC BEACH
800 Seminole Road
NFICE C O Y Atlantic Beach,Florida 32233
REVISION REQUEST/ CORRECTIONS TO PLAN REVIEW COMMENTS
Date "2J/1/4 Revision to Issued Permit /Corrections to Comments Permit
Project Address 17 a lReld
Contractor/Contact Name �� �,' c h.- "5 L'�'G Z—
Phone d — -3 Email t— S 5% "'arraJ I
Description of Proposed Revision/Corrections: Permit Fee Due 0,C7 O
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Additional Increase in Building
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7$ Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
(printed name)
�y r 6T'
Signature of Con or/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review CommentsCp8 f oC 7 /y 10►r-A '"p :z1" e-w P.0 S A P"
De ent Review Required V,
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FEB 1 4
annin t 218 �' r fi;' Re wed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services
CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
Date / Revision to Issued Permit /Corrections to Comments_ Permit#—W ��LG
Project Address
Z IG.
Contractor/Contact Name
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Phone Email 1-74 _ le
Description.of Proposed Revision/Corrections: Permit Fee Due$
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AW-41 irs�1.� i s� d nA Lf
P -a
Additional Increase in Building Value $ Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
(printed name) Z- jlzz�
Signature of Cont or/Agent(Contractor must sign if increase in valuation). Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Alle ,ntmeReviewRequirgd )�
Iding
s7 �
FEB 4 2018Reviewed By
V Tree Administrator
Public Works 2
Public Utilities
Public Safety Date
Fire Services