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Permit Folder 214 7th StCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-00001970 Date 1/05/10 Property Address 214 7TH ST Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc NEW 6FT FENCE ---------------------------------------------------------------------------- Owner Contractor MANITIAS SUNSET FENCE, INC. 214 7TH STREET 12341 CLEAR LAGOON TRAIL ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 220-3050 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc 4' ALUMINUM FENCE Sub Contractor SUNSET FENCE, INC. Permit Fee 35.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 7/04/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. Portalet cannot be placed on City right-of-way. Roll off container must be 5' from 7th Street edge of pavement. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-00001970 Date 1/05/10 Property Address 214 7TH ST Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc NEW 6FT FENCE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MANITIAS SUNSET FENCE, INC. 214 7TH STREET 12341 CLEAR LAGOON TRAIL ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 220-3050 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc 4' ALUMINUM FENCE Sub Contractor SUNSET FENCE, INC. Permit Fee 35.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 7f 04/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. Portalet cannot be placed on City right-of-way. Roll off container must be 5' from 7th Street edge of pavement. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 35.00 35.00 .00 .00 .00 .00 .00 .00 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~?~~.; City of Atlarttlc Beach s1 Building Department ~ 800 5eminofe Road ~,.~~ Atlantic Beach, F{orida 32233-5445 >_ ~•-:_ '' '~'~w Phone (904} 247-5826 Fax (904} 247-5845 `~'~':~~ ~~"~ E-mail: buildin de f coab.us ~~s~~' - g- P ~ City web-site: http:!lwww.coab.us APPLiCATit3Rl h(UMBER (To ba assn/g(n//f(e/Vd//~(~6y the B/u/%i~~ld'ing DJn/eSpaifinenf:)' .. ~ ~ ~ -. - Date .routed:. ... . - ~ - .7 . i~~i~aE1'~: .5 ~ .~ - ~ er@f PeSflel~R/ rS Mired YeS IiIQ $' Plannin & Zoning Pnbiic 1hPtirks UI7iIC IJfliffleS PUI?iIC a e Flre ~eNfCeS Ctller Agency ~G1~'iev~- t3P Pere~¢t i~equir~d 1~~V6evv or RecetiPt of Perre~it Versfiecf S Date Ftorida Depf. of Enviranrnerr€at Protection F{orida Dept. of TransporFation St_ Johns River Wafer Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Afaohoiic Beverages and Tobacco Uther: ~'~~~~~~~~~ ST~IT~~ viewing Qepart~roer~t First review: (circle one.) ~~ BUl#.D1NG ~~?/ (~ ~ 15 ANNING & ~ONIN ~ `~~ i ~1.~, i ]A [Denied, ) `~ Vt, cr~.z.( j~ U~ ~~G~~ Si ! lI"P ~ v~ ~ ~~~ Se ~ y ~~ ~-c. i/~~ c ~~~- Rev~ewed by: ~ Dafe: /L d TREE ADMIN. Reviev~r: Approved as revised. ^Denied. PUBLIG 1(~tORKS Cvc~revents: ~1~ ~~ C~lti.>'~.es~ ' 1` - ~~ i~ ~ ~ U6LPC UTiL1TIES ~~ PUBLfC SAFETY Reviewed by: FIRE SERVIGES Third Revriew: ]Approved as revised. ^Denied. Gacn~ser~fs: Rev[et,F:Fed lay: tJ~l. l8 i~ ~L~'~~ ~~--~~ i 7L+~ Dafe: ~Z ~'2- ~ i~afe ~~~~~ 1n ~~s ~ ~~ P~~ S~ 7 ~ S~ ~~~~ c ~~~~. isLd r~5f4~PG~9 Showman, Lisa From: Layson, Tiffany Sent: Monday, December 21, 2009 1:55 PM To: Graham Shirley; Brooks, Nancy Cc: Showman, Lisa; Classey, Michael Subject: permit application 09-1970 I spoke with Abe from Sunset Fence Company today. He advised me that he had applied for a fence permit for 214 7~' Street and has been thus far denied, pending a line of sight study by the police department. Lt. Cameron and I went to the location today, where the fence is already erected. It is an aluminum fence (with spacing between each post) and there is no sight issue at all. The fence does not pose any safety issues to motorists on the roadway. Let me know if I can be of any further assistance. Lieutenant Tiffany Layson Atlantic Beach Police Department 850 Seminole Road Atlantic Beach, Florida 32233 office: (904) 247-5859 ext #10 fax: (904) 247-5867 CITY OF ATLANTIC BEACH ' 800 SEMINOLE ROAD, A1'LAIVTIG BEACH, FL 32233 ~ . i OFFICE: (904}2475626 ~ FAX NO.:(904)247-5845 - I-, ~`, f BUILDING-0EPT~C0AB.US -- BUILDING PERMIT APPLICATl4N DUVAf_ COUNTY 19J0B ADDRESS: - 2. VALUATfONOF WgRFC - 3: 50: FT:UNDER ROOF / ST ZGvo 4. LEGAL DESCRIPTION' - 5. CLASS OF WORK'- o: USEDF STRUCTUREi r I ~ ~ ~~ , ^ NEW BUILDING ^ DEMDLIr10N ESIDENTIAL LOT BLOCK SUB DIVISION C ^ ADDITION ^ CONVERTING USE II COMMERCIAL 7 DESGRIPTIOfJ OF`WORK ^ ALTERATION D ACCESSORY BLDG. 8, EIRE SARINKLER: r ^ REPAIR ^ POOL I SPA Q YES ^ WA L D ~ MOVE OTHER (] NO PR ERTY'OVIINER: GpN CTOR ARCHITECT /IENGINEER 9. NAME: i ~ MPANY NAME 23. COMPANY NAME: i6 E . : ~~ oa~ti~~ 24. LICENSEE NAME: T0. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: ~/ 2 / ~ ( ~/7 ~ ~ ~~' / 18. ADDRESS: 26. ADDRESS: 1 t. OFFICE PHO NE: 12. FAX NO.: 19. OFFICE PHONE 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 0 13. CELL PHONE 21. CELL PHONE: ao~ 29. CELL FHONE: 14. EMAIL ADDRESS: 22 EMA ADDRESS: 3D. EMAIL ADDRESS: ~ ~O ®~LI ~ '(/71 FEE StMPLETiTLE HOLDER: pF OTHER THA1J OWNER) BONDING COMPANY: - MORTGAGE LENDER: 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: App{ica4ion is hereby made to obtain a pemmit fo do the work and installations as indicated. l certify that no work or installation has commenced prior to the issuance of a permit and that aN wo-ic will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. t understand that separate permits must be secured for Electrical Work, Plumbing, Signs, WeNs, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. 0WNEt2'S AFFIDAVIT - !certify that aU the foregoing infortnatian is accurate and that all work will be done in compliance with alt applicable laws regulating construction and zoning. I will not otx;upy or use the referenced building or any part tfierof, unfit a0 inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building offiaat, as required by law. mot- {lIfARNING TO OWNER: ~ YOUR FAILURE TO REGORD A NOTICE OF COMMENCEMENT MAY RESULT tN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. t?WNER or AGENT... NTRACTOR (If Agent, Power of Attorney or Agency LetterRequired) ~ er ) Signed: Data: Signed: Date: Z~ '~d Before me this day of , 2009 in the county of Before me this day of 1 2009 in the county of Duval, State of Florida, has personally appeared Duval, State of Florida, has personalty appeared herin by himself /herself and affirms that all statements and declarations era herin by himself /herself and affirms that all statements and declarations are true and accurate. true and accurate. ~ Notary Public at Large State of,~~ ,County Nota Public at Large, S to of , County of ry ^ Personally iCn G ~ ~ l] t' •nally fcnawn ' ^ Produced I ntfica6 Produced Identfi on - Notary Signature: Notary Signature: ~I U - - BLDG01 Permit App{ication Bldg: REVISED: 12118@008 ~x ~ r_ t~ ~ } _M~z. City of Ailarttic Beach Building De~arEment 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904y 247-582G ~ Fax (904) 247-5845 E-mai[: building-depf@Coab.us City web-site: http:/lwww.caab.us API?L(CATi(3N~NUMBER (To be assigned by the Building Departrnent:~' Date.routed:~~ "~ .- ~- .7 ~l~+r 1 Iii ~5~ 1~~ ~ ~ ~~d6~ I~E~6frr~il'~: Jr ~ .~ r~j~~f: Zi ~ ~ / ~ G - ~ ~~ Qtber AgerBCy Review cr Perra~it ~.e~-~ieed I ~f Florida Dept. of Enrriranmenfaf PrafecEian Florida Dept. of Transportation Sf..dohns River Wafer Manage-nenf District Army Cards of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Ofher: frr6t PEr~f@e1~1 PeCICfEFeE~ YES IV€} B Pfannin & caning Public t~4Torks ubhc Utilities Public a e Fire Services ~1 H~ vieaiving Department (Gircle one ) First €Z.evie~w: ]Approved. Ale . BUfLL?I~IG ~~nye~~; ~,,,diy(,~,,f_ G & SON G eviewed by: s.~~tt/u• Date: Z • 0 7r0' TREE AdMIN. Seccnd Revlev~r: pproved as revised. ^Denied. PUBL{C V1fQRKS G~rrEr~ertts: ~ FI"~ ~~~e 'UBLPC UTILITIES A B RF lS PUBLlC SAFETY E eviewed by: ~ ~~---- _ ~b Date. /Z DY FIRE SERVIGES TL~i<rd Reviev~r: Approved as revised. ^Denied. Gc~v~aenfs: r R~:vFe~F~ed i~,~:,( ~. 1'~~~ ~ .~G~/YJ-~ sl s:~a~e. ~ ~'1~ sG-'d EF~f'E~NQ~ / CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLAhrrIC BEACH, FL 32233 - a ~ :I OFFICE: (904}247-5826 ~ FAX NO.:(904)247-5845 / ,;? BUfLD{NG-DEPT~GOAB.US -- -~ =% BUILDING PERMIT APPLlCATl4N 09- ._ DUVAL COUNTY 1: JOB ADDRESS: 2. VALUATION-0F WORK -- - ------ - 3. 50: FT',UNDER ROOF _. / Sl ZGao 4:-LEGAL'DESCRIpTION: 5. CLASS'OF WORK -: 6, USE:OF STRUCTURE `A- J ~ I ~ ~ ^ NEW BUILDING ^ DEMOL1770N ESIDENTIAL LOT ~G BLOCK / SUB DIVISION C ^ ADDITION ^ CONVERTING USE ^ COMMERCIA! 7: GFSGRIPTION OF`WORK: Q ALTERATION ^ ACCESSORY BLDG. B. FIRE SPRINKLER: r ^ REPAIR ^ POOL I SPA DYES ^ WA L D ^ MOVE OTHER ^ NO PR PER'N01r1fNER: CON CTOR ARCHITECT FENGINEE$:- ~/j9~~'N,AME: d T ,Q. ~ ~ ~l 15 MPANYNAME: ~~ ~~~ ' 23 COMPANY NAME: ~-r~ ~( • • / 7 S 16 E 24 LICENSEE NAME . a~ oa~ti~~. . 10. ADDRESS: 17. STATE OF FLORIDA LICENSE WO.: 25. STATE OF FLORIDA LICESdSE NO.: (fj ~~ 2 /~ ~/ ~ ~ C~+ J 18. ADDRESS: 26. ADDRESS: 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE 20. FAX NO: 27. OFFICE PHONE 28. FAX NO.: 13. CELL PHONE 21. CELL PHONE: a oa 29. CELL PHONE 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: FEE SIMPCETfTCE HdLDERi (IF 07}iER 7HAIJ OVMIER) 60NDING COMPANY: - MORTGAGE LENDERc 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Appficaf+an is hereby made to obtain a permit to do the work and installations as indigted. I certify that no work or installation has commenced prior to the issuance of a permit and that all work wiB be performed to meet the standards of all taws regulafing construction in this jurisdiction. This permit becomes Wulf and void if work is not commenced wRhin six (6} months, or if construction or work is suspended ar abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boners, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT- I certify that a8 the foregoing information is atxurete and that alt work will be done in compliance with all applicable laws regulating construction and zoning. (will not occupy or use the referenced building or any part tfierof, until all inspeduons are finaled and prior to obtaining a cert~cate of occupancy or completion issued by the building offiaat, as required by law. mot- WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWIGS FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT ONTRACTOR (If Agep[, Powar of Attorney or Agency Letter Required) - ~ er )' - Signed: Dais: ,.~ Signed: Date: fi' C/ Before me this day of , 2009 in the county of Before me this day of 2009 in the county of Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared herirt by himself /herself artd affirms that all statements and declarations are herin by himself! herself and affirms that all statements and declarations are true and accurate. Notary Public at Large State of ~~ , County o true and accurate. Notary Public at Largo, S to of ~, County of ^ Personally Kn ~ ^ P Wally Known ' ^ Produced I ntificati Produced Identifi on - Notary Signature: Notary Signature: ~I d V I BLDG01 PertnRApplicatian Bldg: REV(SED:12/18/2008 A _y 1 ~~ - ~ _ _ ~~~~ . _ City of Atlantic Beach ii~~ ~- i~ ~' ~(~~~:! ~~`~ :~; `_ Building Deparl:ment __ ~~ ~~ 800 Seminole Road ~ _ _ ~.:_~_ Atlantic Beach, Ftorida 32233-5445 ~ ---?_~=_'•'~~_~_`= Phone (904) 247-582Fs Fax (904) 247-5845 ~''-:'-r=` ~ s ~' E-mail: buildin -de t Caab.us y~s~'~' . -- 9 p G City web-site: http://www.coab.us APPL[CAT[ON NUMBER : (To be assigned by the Building Department:) Date routed: ~ ° - ~ .2 7 ppiican$: S rfsj~~f: /~ ~ ~. ~T ~ ei1$ Pe`I'iAw PeC~~fired ~eS iii® B~ Flannin & Zoning Public V~forks ublic Utilities Public a e Fire Services Dther Ageetcy Revie~r ar Perrrrit Retiuired Revieonr or Receiist 6f Perrnit Verified B Date Florida Dept of Enviranmentat Protection Ftorida Dept afTransportation St Jahns River V1i'ater Management District Army Corps of Engineers Divisian of Hotels and Restaurants Divisian of Alcoholic Beverages and Tobacco Other. A~[~L.~CATl64t!! STp-T`U~ viewing Departrvrent I First Revievr: (Circle one.) Cmrne~yents; BUILDING CANNING & ZONING ^Denied. Reviewed by:~~ TREE ADMIN. gec®nd Review: []Approved as revised. ^Denied. ~l)f31_I('~1/QRKS C®f~frnent5: `UBLIC UTIL6TlE 05 P LIC AFETY Reviewed by: F1RE SERVICES Third Review: ^Approved as revised. ^Denied. Cccevnaents: Revie~F~:ed by r'O Date: Cate: ~~~~ osF~~sas r CITY OF ATLANTIC BEACH OAS ~ ~ _ ~ - I - f 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 7 ~ ,. .i~ ,1 OFFICE: (904}247-5826 ~ FAX NO.:(904~47.5845 / l BUILDING-0EPT~COAB.US == ~%" ~ BUILDING PERMIT APPLfCATfON DWA~ COUNTY 1. JOB ADDRESS: 2: VALUA710N OF VYORK 3. SD. Ff. UNDER-ROOF / ST ZGao 4. LEGAL DESCRIPTION: 5. CLASS OF WORK 6. USE OF STRUCTURE: r ~J i 1 ~ ^ NEW BUILDING ^ DEMOLITION ESIDENTIAL LOT ~0 B O ' L CK /SUB DIVISION C ^ ADDITION ^ CONYER'fING USE ^ COMMERCIAL 7. DESCRIPTION OF WORK: ^ ALTERATION ^ ACCESSORY BLDG. 8. FtP.E SPRINKLER: r ^ REPAIR ^ POOL I SPA ^ YES ^ N/A L D MOVE OTHER ^ NO PR ERTY OWNER: CON CTOR: ARCHITECT f ENGINEER: N AME: ~ OMPANY NAME 23. COMPANY NAME: /9 ~ ~ ~~ ~~~ 7 ~f [ / T _' ~ ~~~' ' ~ ~ ' 18. E 24. LICENSEE NAME Q~ o4~tiL~..- 10. ADDRESS: t7. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: ~f/ Z /' J ~", ~~~ 18. ADDRESS: 26. ADDRESS: 1 t. OFFICE PHONE: 12. FAX NO.: 18.OFFICE PHONE Z0. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: D 3d 13. CELL PHONE: 21. CELL PHONE ~ Oa 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMA ADDRESS: ,/ 30. EMAIL ADDRESS: ~ ~O ® L. ~ 4 /L~L~~f FEE SIMPLE TITLE HOLDER: (IF QTHER THAN OWNER) BONDING COMPANY: MORTGAGE LENDER: 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indigted. t certify that no work or installation has commenced prior to the issuance of a permit and that afl work will be performed to meat the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6} months, or if Construction or work is suspended or abandoned for a period of six (ti} months at any time after work is commenced. I understand that separate pem~its must be secured for Electrical Work, Plumbin ,Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that alt work will be dome iri compliance with alt applicable laws regulating construction and zoning. 1 will not occupy or use the referenced building or any part therof, until all inspections arse finaled and prior to obtaining a certifigte of occupancy or completion issued by the building official, as required by law. ~ WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT NTRACTOR (If Agent, Power ar Ationley or Agency Letter Required) ~ tes Signed: Data: Signed: Date: /z- y-~ Before me this day of , 2009 in the county of Before me this _ _ day of , 2009 in the county of Duval, State of Florida, has personally appeared Duval, State of Florida, hsa personally appeared herin by himself /herself and affirms that alt statements and declarations are herin by himself! herself and affirms that alt statements and declarations are tfue and accurate. L Notary Public at Large State of / ~ .County true and accurate. Notary Public at Large, to of~, County of ^ PersonallY / ^ ppr~6y Knovm ^ Produced I ntificatio v ~Pwduced Identfi 'on - Notary Signature: Notary Signature: ~i v I BLDG41 Petmit Appficalion 81dg: REVISED: 12/182008 ~st:~1~. ~ City of Aflartfic 3each Building Deparfr~nenf 800 Seminole Raad ~: - . ~~ Atlantic Beach, Florida 32233-5445 =~-. ,- •ry--~-?~' ~`` Phone (904) 247-582G Fax (904) 247-5845 - ~;:y,~~~ ~ E-malt: building-dept ar/7Coab.us City web-site: hftp:!/www.coab.us APPLI~AT[t3N~NUN6BER (To be assigned 6yth~ Building Department:j~ • ~ Date .routecf_~~~ .. ~ - '2. 'f ... . ®p~e•Egr ~dr~~~~s: 0~1 '! ~~ ~~~~ ~pCe~ar-~t: S ,~ f3,~GCf: L ~ G - ~ enf review req€~i~ed Yes i~o €~ Plannin & Zoning Pnbiic V~Forks ubiic Utilities Public a e Fire Services ~'`'~.' - Ctber Agency/ €~eviaw ~r Pert~it €~e~~ired Review ©r €~ecea~st ~f Perreaat !(eriiied S safe Florida Dept. of Enuironmenfat i'ratection Florida Dept of Transportation St .dohns River Water lVlanageerrenf District Army Corps of Engineers Division of Hotels and Restaurants Division of Aicoha[ic Beverages and Tobacco Other: ~[~~CAY~(3~d ~TA~TU~ viewing 4epartaroerdt First E~evi~w: Approved. ^Denied. (Girc(e one.) C~~nyee~~: BUILDING ANNiNG & ZONING Reviewed by: Date: /o?-O j'ob' TREE ADMIN. 5ecand Review: ^Approved as revised. ^ enied. PUBLIG WORKS C~e~menfs: 'UBLIC UTiLIT1ES °UBLIC SAFETI'r Reviewed Icy: Dafe: TIRE SERVEGES T6~ird #?eview: ^Approved as revised. ^Denied. G~c~vs~aents: Revie~E~ eci bra: Date: red Qaf'@~'o9