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Permit 1792 Sea Oats Dr 2011 driveway i ' X�r y ' f CITY OF ATLANTIC BEACH s> 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DRIVEWAY - SINGLE OR TWO FAMILY DRIVEWAY MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: 10-00001452 Description: REINSTATED 11/16/17 - CONCRETE TO PAVERS Estimated Value: 0 Issue Date: 1/31/2011 Expiration Date: 7/30/2011 PROPERTY ADDRESS: Address: 1792 SEA OATS DR RE Number: 172020 0422 PROPERTY OWNER: Name: BOLTON MARGARET K Address: 1792 SEA OATS DR ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001452 Date 1/31/11 Property Address . . . . . . 1792 SEA OATS DR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc CONCRETE TO PAVERS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HUNTER OWNER 1792 SEA OATS DRIVE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/30/11 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible . A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . Roll off container company must be on City approved list and cannot be placed on City right-of-way. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. Waiver approved by City Commission 1/24/11 . ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 ENG REV BLDG MOD OR ROW 50 . 00 STATE DBPR SURCHARGE 2 . 00 UTIL REV MODIF OR ROW 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 7q . 00 nn7_q.n00L . 00 .00 PERMIT IS 21 I4O'D"(IM,YW &40RDANCE WITH ALC CITY OF ATLA(NA K-0REACH ORDINANC'EQ 9LND THE FLORIDAP 0 BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . 10-00001452 Date 1/31/11 Grand Total 114 . 00 114 . 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 o ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 J131 Application Number . . . . . 11-00100033 Date 1/07/11 Property Address . . . . . . 1792 SEA OATS DR Application type description SUB APPL FOR WAIVER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc request to have circular driveway ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HUNTER OWNER 1792 SEA OATS DRIVE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . SUB APPL FOR WAIVER Additional desc . . LDR WAIVER Permit Fee . . . . 150 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/07/11 ---------------------------------------------------------------------------- Special Notes and Comments approved to process fee only ok per R Carper 1/7/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150 . 00 150 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 150 . 00 150 . 00 . 00 . 00 F/I r cp PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. DEVELOPMENTAPPLICATION FOR LAND Section 24-46(d) permits the City Commission to authorize limited Waivers,on a J s case-by-case basis,from a specific provision(s) of these Land Development Reg- ulations when it is demonstrated that compliance with such provision(s)would be unreasonable, in conflict with the public interest,or a practical impossibility. City of Atlantic Beach A Waiver from these Land Development Regulations may be approved only upon 800 Seminole Road showing of good cause,and upon evidence that an alternative to a specific pro- Atlantic Beach,FL 32233 vision(s)of this Chapter shall be provided,which conforms to the general intent (P)904.247.5826 (F) 904.247.5845 and spirit of these Land Development Regulations. In considering any request www.coab.us for a Waiver from these Land Development Regulations,the City Commission may require conditions as appropriate to ensure that the intent of these Land Development Regulations is enforced. A Waiver shall not modify any require- ment or term customarily considered as a Variance or any requirement or term prohibited as a Variance,and shall be considered only in cases where alternative administrative procedures are not set forth with the City Code of Ordinances. �C PfN ;, U � 2011 1.APPLICANTS NAME T 2.APPLICANT'S ADDRESS 7 Q 2— s,� 7, D, V�i_ 3.PROPERTY LOCATION ,*g-,,,J_ 4.PROPERTY APPRAISER'S REAL ESTATE NUMBER / 12 G Z z1 Z 5.CURRENT ZONING CLASSIFICATION cS"fi�P 6.FUTURE LAND USE DESIGNATION Jf4 7.LDR provision(s)from which waiver is sought: j9 - 7 E3u �Q�S �2r 7)i Y27G( /C� fF/� L�+r" �077-0 G�2 Cu /ale jr �(f'it)A 8.SIZE OF PARCEL: PARCEL FRONTAGE PARCEL DEPTH PARCEL AREA 9.UTILITY PROVIDER i/ /i C , 10.Statement of facts and any special reasons for the requested Waiver,which demonstrates compliance with Section 24-46(d)of the Zoning and Subdivision and Land Development Regulations,and specifically describing how the request complies with the Conditions necessary for the City Commission to approve this request. Please use second page if additional space is necessary. page 1 of 2 ME APPLICATION FOR WAIVER FROM " • • ,�► ' �1T OF • 'MENT REGULATIONSJS 11. Provide the following information. Applications will not be considered complete and will not processed until all items have been received: a. Proof of ownership(deed or certificate by lawyer or abstract company or title company that verifies record owner as above). If the applicant is not the owner,a letter of authorization from the owner(s)for the applicant to represent the owner for all purposes City of Atlantic Beach related to this application must be provided. 800 Seminole Road b. Survey and legal description of property. Atlantic Beach,FL 32233 c. Required number of copies(2). (P)904.247.5826 d. Application Fee($150.00). (F) 904.247.5845 www.coab.us I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. Signature of owner(s)or authorized person if owner's letter of authorization is attached: PRINTED OR TYPEDNAME(S) SIGNATURE(S) ' CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION: NAME �/77r`7��/� /`G' /Jf 12 ADDRESS 'A/- PHONE / FAX CELL `f�j- `/ E-MAIL 6 ADDITIONAL SPACE FOR QUESTION 10: page 2 of 2 4 `tri"tr yy�� BAS S� s ` fI2 20 �d ;ism ' FSTI FGR , Building 1 Site Address 1792 SEA OATS DR Atlantic Beach FL 32233 Type Gross Area Heated Area Base Area 1668 1668 Finished Storage 231 0 Finished Garage 294 0 Fin Screened Porch 160 0 Finished Open Porch 66 0 Total 2419 1668 R.O.W. Permit Attachment of for R.O.W. Permit# issued 3200_ Atlantic Beach, FL 32233 Owner's Name: �1 - Property Address: at1-5 Ay- Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 200_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida, hereinafter referred to as "USER'. WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: P4V�_f- r r�`y£ij.4 Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural u1 color so that it matches the existing and adjoining sidewalks." Page 1 of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of By: Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this q day of 20b_P, personally appeared before me, a Notary Public in and for said County and State, , the property owner of , Atlantic Beach, Florida, known to me to be the person(s) described' in and who executed the fore ledged to me that he or she e cuted e ai e free a d vol ily uMvcoranwIss�N, O*s t ein mentioned. a EXPIRES:Febtuary 14,2014 7, Bonded Chiu Notary Public Undervrtitem Notary Pub is in tr s ' ounty and State CITY OF ATLANTIC BEACH,FLORIDA, a municipal corporation: Appro d' W / 5 1 Ricky L.itarper,Pub is W rks Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 uxo t I.J. as-w%, ► r•►„ 1%.u%mf 1AIZ1D IV IPTG I'LAI Lir SMILVA 4 AS RECORDED IN PLAT BOOK 34, PAGE 85 OF THE CURRENT CERTIFIED I'0: PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ROBERT HUNTER, CAMILLE HUNTER, STEWART TITLE GUARANTY COMPANY, KEITH WATSON TITLE SERVICES, INC. AND BANK OF AMERICA, N.A. LOT 10 BLOCK 14 LOT 9 1V 0.1"4.2,'24` E 9?:9?'' fj�i LOT 11 BLOCK 14 1/2' a4. N 01:35`.22' E 97.88' (At) as' BLOCK 14 Q.7* I omr- - 3.9' LOT 13 a. 94GROUND BLOCK 14 ci POOL FRAME ' • CONC. 11r/y1m��mm 37'.9' CIN cow_ o �`�;ap1/If•'"' ALK Z -.•.a 625 P.E4 � PLASM h c COIMC AIAC VWX PAO d - C1i X1.8 1RESKOmm '*4 a � t U N a NO. 1792 . C14- 00 00 a6` r m 3 • BU4 0 0 O 0 a ROCKS 11.4` � w op ROCKS PBLOCKS' m 04Q _ •2 0.7' �05 1.6` 16.9 y a ^ b oo ia WALL ' N (rp) cow T.1" $ELL A. .•. Lt• 21.3. �• _ ��.-'•.`=- FRAME • YI/YM1tL 91DM1G t] •4. a SEED ON COLIC. cY �: 213-98' (R) 213.72• (M) LS 3872 1/2" BEARING REFERENCE LINE tRLS �. . S 04'0820" W 95.44• (M) 4344 { 00"48,'20" 1P 98.44' i.5' CURB - & GUTTER (60' RIW FLOW ZONE-r=AREAS DE18isNerM TO 8E WIME DE O.0 NNWAL OUNCE FU OD RM/ROOD ZONE'X - AREAS OF Q2Z ANNUAL CHANCE FLOOD: ARFAS OF 19 ANNUAL CHANGE WIN M OOM DEPTHS OF LESS 7HAN 1 FOOT OR MLN MAMA6E AWAS LESS WM t SOOME MM' MD AWAS Pb01 RIM 8Y LEVEES MM IS MORA►.CHANCE FLOM Ng 1.BEARWGS ARE BASED ON i`-� cs34 PAGE85 2 STRU AVC N0. 1792 SHO1U! HEREON UES M1THIt FLOOD ZONE XAS BEST DETERMINED FROM F.E.M.A. FLOOD MIAPS PAIIFI W —1 i ATED0=17-1989 ASSOCIATED SURVEYOR$ INC. 3.THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS, LAND do ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED. 4."ISDIC`11ONAL AND//OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT 3846 M-AND NG 8013LLVAR - LOCAIED BY M SURVEY. .4Ar`klZr*A4I a fr n fW)*nA zgllin Permeable/Non-permeable Calculation 1792 Sea Oats Drive 2890 sf Under Roof 459 sf Pool deck 85 sf Existing shed 232 sf Existing cone. walks and pads 848 sf Driveway replacement 4514 sf Total existing& replacement -170 sf Deduct for existing driveway 450 sf New addition to driveway 280 sf Net new (increased) driveway 4794 sf New total lot coverage f f CITY OF ATLANTIC BEACH �. CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3))COMPLETE SETS OF PLANS WITH APPLICATION. Date ►.J ze—, ( PERMIT# Job Address 7 rJ �� 0E %S P ISSUED BY THE CITY 7 Permitee: Q D✓1J e IC T 1 )q V T Ek— Telephone# Permittee Address: SO4 A (C7/9?S QP- Requesting Permission to Construct: /V lel D kl vG ll' /4m Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( ) e: Bell South Telephone Company Yes( ) N ) Date: Ferrell Gas Yes ( o ( ) Date: Comcast Zent. ) No ( ) Date: 2. Whenever necessary for the construction, repair, improv maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida De rfient of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to i pection by the Director of Public Works or his designee. 5. All city property shall be restored to its original `condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. B. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: FI Before me this V day of L`' in the County of Duval, State Of Florida, Notary Public atr e o uva, My commission Person ly Known: duce Id ificati : B onded Thru Notary Pudic Undenxriter Q Public Works Plan Review Comments Date: 12/10/10 Initials• Project Name/Address: 1792 Sea Oats Dr. Application Permit#: 10-1452 Check Box Application Tracking Comments to Add Comment Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance schedule. Provide drainage plans showing site topography(flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using right-of-way for construction parking._ Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ❑ proper construction will be required. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used) must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick, 4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not allowed in the ROW (Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. P - Roll off container company must be on City approved list and container cannot be placed on City right-of--way. City Code sec. 19-7(f) requires minimum 100 feet lot frontage for circular driveway. City of Atlantic Beach - `- APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road �r Atlantic Beach, Florida 32233-5445 `7 Phone (904) 247-5826 • Fax (904) 241-58145 n rj E-mail: building-dept@coab.us City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: // �� -� ' _Department review required Yes ' No i Building �----- Applicant: _ aa) n CCr� Planning &Zoning _ rninistrator Project: ��_ — ry)0 f Z��Pf 4K— � blao Utilitie Public Safety Fire Services _L_ Review fee $ Signature. Other Agency Review or Permit Required Review or Receipt T 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 Restaurant I Division of Alcoholic Beverages and Tobacco Othen: APPLICATION STATUS Reviewing Department First Review: ❑Approved. Denied. (Circle one.) Comments: i BUILDING �I t j PLANNING & ZONING 1 ------------_ ___ eApproved Reviewed by' -__ Date:TREE ADMIN. Second Review: as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: _ Date: FIRE SERVICES j Third Review: ❑Approved as revised. [-]Denied. Conirnent.s: Reviewed by: _—__-- — — _ Date: _— Revised 05/14109 Public Works Plan Review Comments Date: 12/10/10 Initials: Project Name/Address: 1792 Sea Oats Dr. Application Permit#: 10-1452 Check Box F_ Application Tracking Comments to Add Comment Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance schedule. Provide drainage plans showing site topography (flow arrows. etc.) ❑ Provide construction site management plan. including Right-of-Way Permit -'if using-] right-of-way for construction park Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ R Professional Land Surveyor, showing V contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section -66(b). (See attached info. Sheet) If on-site storage is required, a post construCtI0111 t0l)001a1)111C ,L11'VCy dOCUMC11ting, ❑ proper construction will be required. A Right-of-Way Permit must be obtained for use A Revocable Encroachment Permit must be obtained, ❑ Pool - Wellpoint (if used) must discharge into vegetated area 10' niffilinum froni El street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick, 4000 psi, with fiberinesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not allowed in the ROW (Commercial driveways_-_6' thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the Cut. Repair must be shown on the plans. ---------- P - Roll off container company must be on City approved list and container cannot be placed on City right-of-way. _4 City Code sec. 19-7(f) requires minimum 100 feet lot frontage for circular driveway. ❑ _J s 51',yCity of Atlantic Beach !: � APPLICATION NUMBER Building Department LDaterouted: assigned by the Building Department.) 800 Seminole Road �j r� Atlantic Beach, Florida 32233-5445 DEC 1 0 20900 Phone(904)247-5826 • Fax(904)24 -5845 / It T � E-mail: building-dept@coab.us BY: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: v a_i s Ar Department review required Yes No Building Applicant: ��},n Planning &Zoning fga-AdTjnistrator Project: - ✓t✓ L."dam C� Yf/ E - P or ' Utilitie Public Safety Fire Services e ie, u feed' IT epati = „ . Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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� r" _: �� , n BUILDING PLANNING &ZONING Reviewed b . _ Date: TREE ADMIN. Second Review: ( Approved a revised. ❑Denied. PUBLIC WORKS Comments: p PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: -� FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Irt'�'\�rirCity of Atlantic Beach APPLICATION NUMBER Building Department DEC 1 o (To be assigned by the Building-Department.) � 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247 it E-mail: building-dept@coab.us - Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2, �� ' it Department review required Yes No p Y Building Applicant: Planning &Zoning &-r) nistrator Project: / ✓> 0 Yi 12- cUtilitie,�> Public Safety Fire Services �ra 1 1c.s Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: NyApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: /?,//3 TREE ADMIN. Second Review: []Approved as revised. Denied. IPWComments: Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09