SARGO RD 452 (3) City of Atlantic Beach
APPLICATION NUMBER
Building Department
SEP 1 5 2010 (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)24
V It E-mail: building-dept@coab.us Date routed: 4?11�z' ll 11
Cityweb-site: hftp://www.coab.us L
APPLICATION REVIEW AND TRACKING FORM
Property Address: _Z/611'z I h 7,01 VDqpgrtment review required Yes No
Applicant: '�a f_P��nn i n g�&Z o n�i
Tree Administrator
Project: ublic o
ublic Utili I
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
- of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management 671str—Ict
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and:Fobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [�Approved. E�Denied.
(Circle one.) Comments-
BUILDING r"_PCIJ
PLANNING &ZONING Reviewed by: 1040e�,'� Date:—!)/(,h 0
TREE ADMIN. Second Review: E]Approved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 05/14109
City of Atlantic Beach APPLICATION NUMBER
5 21710
Building Department SFr (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)124�'-M45
tilt E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Applicant: nning &Zo—n-ift%
Tree Administrator
Project: ublic o
t6��
Public—Safety
Fire Serv*��
5 ig
1111f,4431,11, e A 11 r6.
p
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: /XApproved. ODenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: ElApproved as revised. ElDenied.
(�OWPU 0 47 ments:
C U ILI
Reviewed by: Date:
PUBL S ETY
FIRE SERVICES Third Review: E]Approved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 05114109