885 BEACH AVE - REVISION 3/23/18 2==A'`I
CITY OF ATLANTIC BEACH
800 800 Seminole Road
._�_ ,,,,-_r Atlantic Beach,Florida 32233
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REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
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Date3I.3 114 Revision to Issued Permit Corrections to Comments Permit#
Project Address ? r`.c. i--- v.v
Contractor/Contact Name12) D f C (-ND ' L S
Phone OA --�n�0 - � I t-k-)Lp Email
Description of Proposed Revision/Corrections: Permit Fee Due $
- . 'acs ( _.C1 cC Q..
Additiorl'Increas- ' Building Value $ Additional S.F.
By s' in: Ielow:00" 1 ,► 6 AI affirm the Revision is inclusive of the proposed changes.
(prynte• name)
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Signature of Contrac a r/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
Building
Planning & Zoning ��� Reviewed By
Tree Administrator
Public Works 05
Public Utilities
Public Safety Date
Fire Services