Beach Ave 1768 DEPARTMENT OF PUBLIC WORKS
1200 SANDPIPER LANE
ATLANTIC BEACH,FLORIDA 32233-4318
TELEPHONE:(904)247-5834
FAX:(904)247-5843
SUNCOM: 852-5834
http://ci.atlantic-beach.fl.us
PLAN REVIEW COMMENTS FROM THE
PUBLIC UTILITIES DEPARTMENT
Permit Application # / x---I- - —7
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Applicant:
Address: B9
Vroject: C' (--c 'S c�-�C-E
Your application is approved as noted by the Public Utilities Department. Final
application approval must come from the Building Department.
Your permit application has been reviewed by the Public Utilities Department and the
following items need attention:
&A4n5g !Ebel A.�
Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane,
Atlantic Beach, FL 32233 in order that we can approve your application. If you have any
questions please call (904) 247-5834.
ji e:d b
_LDonna Kaluzniak, Public Utilities Director
Date
§ig6ture
Contractor Notified Date Fo-xed 4'�151013
DEPARTMENT OF PUBLIC WORKS
1200 SANDPIPER LANE
ATLANTIC BEACH,FLORIDA 32233-4318
TELEPHONE:(904)247-5834
CA—) FAX:(904)247-5843
SUNCOM:852-5834
http://ci.atlantic-beach.fl.us
PLAN REVIEW COMMENTS FROM THE
PUBLIC WORKS DEPARTMENT
Permit Application # Z(p-7 Z
Applicant:
Address: e90 6cc,00t P,
Proj ect: Lc� ULA
�"�our application is approved as noted by the Public Works Department. Final
application approval must come from the Building Department.
�ennit application has been reviewed by the Public Works Department and the
- our p,
X following items need attention:
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a V I L)z=--
Provide 6-radLIQ ShOUJI--7a 2C� K-�� dtk,17
Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane,
Atlantic Beach, FL 32233 in order that we can approve your application. If you have any
questions please call (904) 247-5834.
Reviewed by Robert S. Kosoy, P.E., Director of Public Works
Date
Signature
Contractor Notified Date
CITY OF ATLANTIC BEACH
TREE REMOVAL APPLICATION
2 6 ;'ti'03
Xv
Ail applications must be submitted with seven (7^es and'received Dy 5:00 p.m. on the Friday
ten (10) days prior to the scheduled meeting in
er o be placed on the agenda. - ------
INCOMPLETE APP ONS OR INACCURATELY
MARKED SIT, OT BE PROCESSED.
1. 46- ?"jPgO 5-,wle-
P14 AP0041
PPLIC T NAM ADDRESS T71�EPHONF' 5 2 ;Z
C ?
2. tj 1A 'Inv I A-- ;VWGP— GXT_1_:_IQ&10N1 AtJ0 W
AhANSS OR OWAL DESCRIPTION OF TREE R'EMOVAL SITE
AL -LIST-C-LOSEST-GROSS STREET)
3. ON F PRO REEREMOVAL: !GGWSjZ r_-�CrE>Jgtol�
NSSITEBE TO THE TREE B-OARUBEFORE-7 YES NOT S E
4. HAS T
5. SITE PLAN/TREE SURVEY indicating:
a. Existing and proposed structures.
E EGAL
-G VTtON
OP
ONF PR P RE
C11%, —
HAS T S SITE BE To THE
b. Location of utilites and easements as applicable.
of ix in
c. Location, species and size of all trees With 0fameter at Breast Height (D. ) ;0 or more.
. c
d. Location, speties and size of all trees to be removed-should be clea arked an
e. Location, species and size of aR trees to be perserved on-site for mitigation must be
marked with brackets
f. Location,-species and size of any proposed'n
g. Location,-species and size of all trees to be ine noted.
P
6.. ON-SITE REQUIREMENTS:
i of
a. Barricading.at tree dnrp�line al[trees to be
b. Address/legal descr�o I u I st be posf-dd,in a
c. The property comers must be marked by stak
ed for removal MUST b rk
d All trees,iden9 y,ma
or tape,.
-e. All trees to be'preserved on-site for mitigatio
flagging, paint or tape.
800 Serninote Road,
Telephone(904)247-5800 Fax(9�4)247-584.5 1 of 3
0810912003 SAT ZAU YAA M Z41 6111 Lu. V V-L I V V.L
5 MIN. RETURN
PHONE
Book 11302 page 199
NOTICE OF COMMENCEMENT
State of Tax Polio No.
County of
To whom it May Concern-,
The undersigned hereby info=8 you tha improvements will be made to certain=4 property.and in accord=00
with Section 713 of the Florida Stattites,the following information is stated in this N017CE OF COMUMNCEMENT.
I.cgal description of property b6W improved: 1-45t 15=
Addrtss of propirry being improvcd:_V0�tL11 A!t IjSt� —,-"iM&4 4L-b
ptl —�;7 I A e-*,%P'.p
QTcncrW descri i f' lements:0..'8*jY5
'01 0 improl e�, 6-'0a Jg
I tl a-"M CcLa^&Je4-Ln�fK -4-k IC K'iir—e fie r% -
Owner, fyla'L��
Addmss:&aq
Ownces interest in site of thdhoprovement'
Fee Simple Titleholder(if other than owner);
Name.
Address:
Ccutr3ct0Y:.--W Lj I-A C zbatM'r%j
V1Aja-'fT.= - -*-.XA- P�-�OLJJ�-k:' azal
C,iA Addms: (.45� a= -Fax No:-
Phone No:-s
Q.qt —-f
surety(if any): k�ouzit of Bond$
Address-
Phone No: Fax No:
NWne md addms of my person making a lo=fo r the construction ofthc fm—PfOvemellft-
Name:
Address;
Phone No: Fax No:—
Name of person within the State of Florida,other than himself,designated by owner upon-whom notices or other
documents may be served'
Name:
Address;
Phone No.-- Fax No:
in addition to himself,owner desiveles the f011Owing Person to motive a copy ofthe Lienox's Notice as provided in
Section 713.06(2)(b),Florida Statties. (Fill in at ownees option).
Name:
Address:
Phone No: Fax No-
Expimfion date ofNotice of Commencement(the @*rati*�-�i$0 1)y frojj�the d4te of recordIAR unless a
daerent date is specified):
U
7WS SPACE FOR RECORDEWS USE ONLY Date:
Sig#
--B*fQrc me this day o 2 CWV in the county
r-0 peamd_
of D state of Fl Aid has PC so
0 01
N Public at Large.S f Fjorid%County of Duval.
My commission expires: 'P ig :z
Lo jc .P1010j W 2 9 6 0 Parxonally Known: or
Page: 19,9 Produced Identificaition:—
Filed & Recorded SHARON D.STARLING
08/20/2003 12:15:39 PH
JIM FULLER My COMMISSION#DD 190702
EXPIRES:March 21,2OD7
CLERK CIRCUIT COURT Bw4WThm"P(M
DUVAL COUNTY
RECORDING S 5.00
TRUST FUND $ 1.00