551 SELVA LAKES CIR - PERMIT POOL18-0012 i'sr T
CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
Date? -.V.-Joie' Revision to Issued Permit i7Corrections to Comments Permit eUOIl t—0012_
Project Address —557 SQL 0/4 LA e .5- //'C C 0
Contractor/Contact Name G�/t CifJ7si
Phone q/2 32$— / 75'7 Email /3/'/ 07931/e ) 4Y-62o ,
Description of Proposed Revision/Corrections: Permit Fee Du= `, sem- •4110
/.(.c;f e-r4-7 - /moi! '- it' //5 /.4.,.9.0
Additional Increase in Building Value$ Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved /r.." Denied Not Applicable to Department
Revision/Plan Review Comments e-454/6'e 710 /1 L - 'e 6 cur,
Department Review Required: /M
itgrralti
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Fee Administrator
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Public Safety Date
Fire Services
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