1912 N Sherry Dr RESA19-0001 Revision I
CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
4
REVISION REQUEST SHEET OR
! CORRECTIONS TO REVIEW COMMENT
Date: Received by: Resubmitted:
Permit Number. - ccs 1__
Original Plans Examiner: yHi Project Name: Rl tk4 tNC4
Project Address: tG12 IV- 5 ACZC �"-
Contractor: oQal-I 3Yd H/ Contact Name: NArt.f_�C SY'
Contact Phone : o 'er- B , • .d 3 ti� t e-mm . j!;sIe au..(- w .+--�
Revision/Plan Check/Permit Fee(s)Due:
Description of Proposed Revision to Existing Permit:
Additional increase in Building Value: S Additional S.F.
Site Plan Revised:_ Oa-- Public W/U Approval:
By signing below.I(prim name) NSq� _ affirm that the above revision
is inclusive oft o edcbaeg
S I
$' o Contractor/Agent(ConugMr-=sign ifincreaKinvnlunico Date
ofna U.only
one: _.__ Appr cd:
Plan Review Comments: "` •••111
A ••r To la c o n v A
ent review re ulred Yes No
Building
Planning gZonin Plans Examiner
Tree Administrator
Public Works S " 2O 'A0Z9 —
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