Fillable REVISION SUBMITTAL FORM (City of Pompano Beach)

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REVISION SUBMITTAL FORM (City of Pompano Beach)

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DEPARTMENT OF DEVELOPMENT SERVICES
CITY OF POMPANO BEACH
BUILDING INSPECTIONS DIVISION
100 West Atlantic Boulevard – Room 360
Pompano Beach, FL 33060
REVISION SUBMITTAL FORM
Has permit been issued yet? Yes No
Permit Application #:______________________
Revision #: _____
Date: __________________
PURPOSE:
REVISION (Make changes to an issued permit)
CONDITION OF APPROVAL (Needed for an inspection)
CORRECTION(S) TO REVISION (Revision not issued/still in review process)
CONTRACTOR: ________________________________________________________
DESCRIPTION OF PLAN REVISION BEING SUBMITTED FOR REVIEW:
Please specify the nature of the changes in a brief narrative that clearly explains what is
being affected by the proposed revisions:
________________________________________________
________________________________________________
________________________________________________
Please identify which plan sheets have been revised since the latest approval of the plans
by the Building Inspections Division and write in the sheet numbers.
(Please check and identify sheets numbers on the line provided)
Architectural Plan.......
Civil Plan…………….
Structural Plan ………
Landscape Plan……...
Site Plan……………..
Plumbing Plan……….
Electrical Plan……….
Mechanical Plan……..
Fire Sprinkler Plan......
Fire Alarm Plan……...
Other………...............
Structural Calculations
Energy Code
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
Shop Drawings
Truss Drawings
Call when ready?
Name:________________________________________ Phone No.:______________
E-mail: _________________________________________________________________
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REVISION SUBMITTAL FORM (City of Pompano Beach)

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Completed 4 August 2020

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