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1024 OCEAN BLVD - PERMIT ACC18-0021
CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach,Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS C 251Zo1'� /� C } Dale J / Revision to Issued Permit CorLrections to Comments Permit# /'f `c I V�U2 j Project Addressl0�4 ©Gr""- _glJP' A4VA(l. �(, iFL 323, 33 Contractor/Contact Name kc'• cw'l' k c . �r Phone�l�-l' - 652 Email SVSfj�� U/ � �•Wt'^' cell 161- 48'l- — 6 5P/ Description of Proposed Revision/Corrections: Permit Fee Due$ p &A,1 �°<y� A.4<1- 691 '51454t- + tu 9 i V4k jar5' /r51-f, !L''{ '5 a Vg)/4A'1 CA51c CaitfKc) rn 4,e Q-) wLarc �Wo oP �r a-)k) AK !ooW Je )a & 4L,c p lob, Additional Increase in Building Value $ �� Additional S.F. By signing below,I ✓ � �s 5 affirm the Revision is inclusive of the proposed changes. uninted name) S/2 S /2d8 re of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department Revision/Plan Review Comments Cad -jo PT,4—un ' 0 Department Review Required: Building Zoning Reviewed By Tree Administrator Public Works Public Utilities 5 — c✓' 701 Public Safety Date Fire Services So -------- 3 o N m' e_______ ___________?____________ A A O P S n £ $ b Z 'i $ O m m N 0 0 a 21 ol OFFICE COPY a of