248 11TH ST - REVISION 7/11/18 v'
-71
OFFICE
ii O F F I C E COPY CITY OF ATLANTIC BEACH
800 Seminole Road
;Al
-iso� ( Atlantic Beach,Florida 32233
6y
REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
Date 7...,,7-1,- zoida,Revision to Issued Permit/ Corrections to Comments Permit#/Z6' aa, 12/O
Project Address 211g /,i </-ri- -
Contractor/Contact Name, a u-s r. `1 H.6 i J 4pl1 .. -e.,
Phone i0//` ,?3i•.s4z Email 4044,4476rs /Q).4azi I. Nva
Description of Proposed Revision/Corrections: Permit Fee ue $ S O. 6 C)
14"-:_xjV t/ c h `l 4 4/k/L.11 s,af'«v1i at,S,2l �/ ett /'ar , pgtn_G/f
Plit. d 4ilrrar-4/ r , /2e ig2. 2- -I- per,sv.? 4-u4 44.1/44
Additional Increase in Building Value $ , Additional S.F.
By signing belo .,I BLit EV . aa.c��,_ affirm the Revision is inclusive of the proposed changes.
(printed name)
Si:'. re of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
•
Approved Denied Not Applicable to Department
Revision/Plan Review Comments CO,, lay 1 h pi z A- -r -7.1, coP7 ff pay re-e •
Department Review Required:
Building
Planning & Zoning eviewed By
Tree Administrator
Public Works
Public Utilities -` ) -. / Y
Public Safety Date
Fire Services
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