Permit Fill Dirt 1738 Selva MArina Dr 2010 A 1,11Le, , ,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
49.1319:"' 10- 00001106 Date 10/29/10
App - ion Number
Pl_,JNi.Ly AJJLe 1738 jELVr1 mxx11N1 -, Ux
R number 172007 -0000- -
N OLD ACCOUNT NUMBERS . .
Application type description FILL DIRT
Subdivision Name
Property Use
Property Zoning RES SF LRG -LOT DISTRICT
Application valuation . . . 0
Owner Contractor
FORSYTH V ALLISON OWNER
2345 SEMINOLE REACH CT
ATLANTIC BEACH FL 32233
Permit ENG REV FEE PRE -APPL OF CONSTR
Additional desc .
Permit Fee . . . .00 Plan Check Fee . . .00
Issue Date . . . 10/29/10 Valuation . . . . 0
Special Notes and Comments
Approved for fill only.
Fee summary Charged Paid Credited Due
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .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 RECEIVED APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department 0CT 2 7 2010
800 Seminole Road
Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 2 B5E45 Date routed: _id/
4-11—t-1) E -mail: gpt @coab.us
City web -site: buildin http de : / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
9 4, Property Address: f k �� ° '
a Department review required Yes No
e <) �)
Building
Applicant: ('//eisInfo ge/7": Planning & Zoning
Tree Administrator
Project: l� - �`�ublic Works
► i c [7tilities
Public Safety
Fire Services
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ewfe $ -�al•+ft" q 11 r ', ;,sj� ep SidOkfio'!++?�tixn� �^ � h`$ G�rv� i . i...,, ,„,
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Review or Receipt Date
Other Agency Review or Permit Required 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: [/Approved. ['Denied.
(Circle one.) Comments: f l froc- .
BUILDING
PLANNING & ZONING Reviewed by: Date: / VA1
TREE ADMIN. Second Review: ❑Approved as revised. [Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. [Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
TO: Mike Griffin
FROM: Chris Lambertson
DATE: October 27, 2010
SUBJECT: Pre - Construction Topographical Survey
I have enclosed the pre - construction topographical survey. I would like to place fill on
the lot in order to level the building pad prior to construction. I anticipate only a minimal
amount of fill in order to achieve a level pad. All other site grading will happen towards
the end of construction.
I anticipate starting construction in November of this year.