340 OCEAN BLVD - REV 1/9/18 r
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' \ . JAN 1 O 2018 CITY_OF ATLANTIC BEACH
80_0 Seminole Road
Atlantic Beach,Florida 32233
J,;, V JAN 9 2018
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date / 9 /P Revision to Issued Permit Corrections to Comments Permit# 'RES- I ++ ODj O
Project Address 3* 0 c&--74 id 6�o. A .0, l•J 223
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Contractor/Contact Name ?
Phone
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Description of Proposed Revision/Corrections: Permit Fee Due$
?PlA)6-19-(c
Additional Increase in Building Value $ L-1 Additional S.F.
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By signing below,I144 � E' ri /11✓ / affirm the Revision is inclusive of the proposed changes.
(p ' d name)
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Signat a of Contractor/Agent(Contract ust sign if increase in valuation) Date
(Office Use Only)
Approved V Denied Not Applicable to Department
Revision/Plan Review Comments /*Ai 0 .r` /J!eP
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Department Review Required:
Building ('''�'��V16y4,/
/��Planning & Zoning �":, V �'l� 'eviewe
Tree :•i..nistrator ' `� Pg o'
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PCtbtit-titititiES v�J` Qscw-
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Public Safety �M�� Date
Fire Services
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jalISLINEIGH � 1 JAN 9 2018
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20' BRL
121375/106 PAWF6 - -
PERVC16 PAW%
50.00'
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60' R.161-4T OF WAY
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