80 SARATOGA CIR - REVISION 6-13-18CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach, Florida 32233
REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
Date i> /0( Revision to Issued Permit_ Corrections to Comments_ Permit #from 1t / S • oo�
Project Address �L) s .]o -r,- "y0.- Contractor/ Contact Name
Phone Email w+Licl'ti.-�sjeeDu74;:.5c;�,Qf4�-
Additional
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Description of Proposed Revision / Corrections: Permit
Increase in Building Value $
Additional S.F.
By signing below, I �— a - `, t'� A . -a- V_ affirm the Revision is inclusive of the proposed changes.
(printed name)
to It-$ RC1
of C ctor/Agent (Contractor must sign if increase in valuation) Date
Approved e
Revision/Plan Review Comments
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
(Office Use Only)
Denied Not Applicable to Department
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61 Reviewed By
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Date
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BEN BROADFOOT , DESIGN
420 SOUTH THIRD STREET
L3 (904) 242.8600
JAGKsow LE BEACH, FL 822506721
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JACKILtEf'IMLIA WRACK I LOWD^