2303 Fiddlers Lane RES18-0105CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach, Florida 32233
REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
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Date q/'3Q Revision to Issued Permit Corrections to Comments_ Permit #
blOIS
Project Address
Contractor / Contact Name
Phone 9 a'- 2 2 6— 4' P q 1
Description of Proposed Revision / Corrections:
Additional Increase in Building Value $
By signing below, I z- r,—c '- `f k-1, a-'��'
(printed name)
Approved
A.. 1�c. lam.
Email
Permit Fee D $ a Da
Additional S.F.
affirm the Revision is inclusive of the proposed changes.
'Agent (Contractor must sign if increase in valuation)
Revision/Plan Review Comments
UDeirtmentReview Required:
ning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
(Office Use Only)
61,-3 j t�
Date
Denied Not Applicable to Department
Reviewed By
6 V790/k
Date
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