RES18-0161 Revision CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
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REVIIISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date Z ('O Revision to Issued Permit_ Corrections to Comments V Permit
Project Address /781 -SEA 619F3
Contractor/Contact Name Q W M r—f2—
Phone _q S; Email •
Description of Proposed Revision/Corrections: Permit Fee Due S--'O—
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Additional Increase in,,Building
./Value$ �r// !�•I Additional S.F.
By signing below,l /7/1 u "F ///c- affirm the Revision is inclusive of the proposed changes.
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved X Deniied/ / Not Applicable to Department
Revision/Plan Review Comments"/ L jne 6114,OY }L n 'O� db Low
D rtment Review Required: O
Building
anning 8r Zoning Reviewed By
Tree Administrator
Public Works 6—f7�f fI,
Public Utilities J
Public Safety Date
Fire Services