699 Beach Ave RES17-0309 Engineer Request RECEIVDE
yr CITY OF ATLANTIC BEACH
800 Seminole Road
,• , Atlantic Beach,Florida 32233
AUG 2
6=
W.
130ding Department
REVISION REQUESICiWORMW44d4it-61Tb A�AN REVIEW COMMENTS
ZV/T
Date 2 Revision to Issued Permit /corrections to Comments_ Permit# RS- k �CIS C r7
Project Address e�W 163e�W
Contractor/Contact Name—
Phone ��� �22���� Email ®
�S'D• OO ��
Description of Proposed Revision/Corrections: Permit Fee Due
Additional Increase in B 'Iding ue $ Additional S.F.
gning elow, ,qYG/ affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature o ontractor/A ent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Z Denied Not Applicable to Department
Revision/Plan Review Comments CoR L12C% 7TJ i��- v �'o�J C-0 PKA�K
Dep&rtment Review Required:
Buildin
Planning &Zoning Ve iewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services