278 Seminole Rd RES18-0301 slab revision 10-26-18 �riavr.,
r3' •t� CITY OF ATLANTIC BEACH
m 800 Seminole Road
u _ Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date /D-$L -[g Revision to Issued Permit_ Corrections to Comments_ Pemrit# ES/ _ 03 o 1
Project Address 9 7 g ��1.«t vto�e 9J
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Contractor/Contact Name f a . (de J
Phone_ !oV - 3o2 - x4 UL Email p- (e la(f.,(< 61 A)e•('
Description of Proposed Revision/Corrections: Permit Fee
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Additional Increase in Building Value$ Additional S.F.
By signing below,1 1 J 5". b+ affirm the Revision is inclusive of the proposed changes.
(printed name)
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Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved s)--- Denied L Not Applicable to Department
Revision/Plan Review Comments4g&&lT ?.rd-�n J'o6 Cbny If pt� ti�
Department Review Required:
Building,
Planning &ZoningReviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services
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REV16EP ffOUNPATION PLAN
SCALE= 1/A"= I'-d'
CHRIS & JENN LAGNER DRAWN 8Y: MTH
278 SEMINOLE RD. oLLIAM
ATLANTIC BEACH, FLORIDA DATE: 10/25/18 `��p•�•'�cE F�% N
JOB NUMBER: 127918 T ' p
HAROLD W. COFFIELD, PE. CGC
CONSULTING ENGINEER �i••• 1+ (Uy
�USTOM ENGINEERING/CONSTRUCTION/GOVERNMENT
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HOUSE 2743-1 MLLETNRD. 318 SS�ONAL `` en
PLANS (W) �, 30=A
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