333 2ND ST GARAGE REVISION CI'T'Y OF ATLANTIC BEACH
4 800 SEVHNOLJE ROAD
ATLANTIC BEACH,FL 32233
>!J13J (904)247-5800
Revision Request Sheet
Daceived by:
------____--_ Resubmitted: _ 7 .Z 2 Ir
Pemit-Jr.N tubeCIearance Sheet Number:
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Original Plans Examiner: / r r-A A
��//-1�f Vy,� �s ` Project Name:
Project Address:
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Contractor: ( Contact Name:
Contact Phone Number: >--p(J •3/�S Contact Fax Number: _
Revision/Plan Check/Pennit Fee(s)Due: $
Description of Proposed Revision to Existing Permit
Pending Hold: _
Structural: Go /3
Plumbing: --
Mechanical:
Electrical: —_.---- —
Misc.:
Additional Increase in Building Value-
Clearance
� Additional Square Footage:___V�-_.—� 3
Clearance Sh Site Plan Revised: 5
Environmental Health Approval:
By propos
be w,i �,me� _ affirm that the above revision is inclusive of the
P
d c nges.
Sic, ofCOntractOr/Agent(Contractormustsign ifincreaseinvaluation) Date
Office Use Only
ate: "�'
r 1 _ Approved: Rejected:
Notified by:
Plan Review Comments:
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Created 03/05/09.jlo ii
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