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Permit Wind/door 1971 Mipaula Ct 2011 J' r� r13' o f CITY OF ATLANTIC BEACH kA „; //�))} 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number . . . 11- 00002057 Date 5/16/11 Property Address 1971 MIPAULA CT Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 15399 Application desc INSTALL 14 IMPACT WINDOWS 1 IMPACT SGD Owner Contractor KOLSTER, JAMES AMERICAN WINDOW PRODUCTS 1971 MIPAULA COURT 2633 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 731 -2247 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . 130.00 Plan Check Fee . . 65.00 Issue Date . . . Valuation . . . . 15399 Expiration Date . 11/12/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE w/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 130.00 130.00 .00 .00 Plan Check Total 65.00 65.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 199.00 199.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc # 2011108271, OR BK 15602 Page 287, Number Pages: 1, Recorded 05/16/2011 at 01:16 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 . NOTICE OF COMMENCEMENT . • • Permit No. . . State of FbAdt • Y I i I I Z(0 • The 'w dersigned hereby gives notice t(tatfmprovernents will be made to .c ertaln real.paoperty, and in . accordance wittruectton 713,13 of the Florida Statutes, the following•information is provided in this • ' NOTICE OF COMMENCEMENT. t:egat (1:--../t• ■ • of property (lndude Street Address, if available C � -" I 02_S .`1'`-1- Og t 1 •- • - 2-9 e' 2:5e cc2 • . I • General . — .. 1 ,,, of •Itri• : _.i iTW w . Ownerr -. _ (Fins • . c .1 5 'ea— . - . - . • .• Address 1g r11 AA.t` pa a_ r• '' F--....t, 7 3 Owner's Interest in site of � mprovement / ` Fee Simple Title • er• (If other than owner).. . 1 • • Nr3trre Address .. • - • • • i Dpf1f111f�TC miry. 2833 POWERS AVE. . • Address • . • ' • 'qty.'' • • • • Address • • •. • • Amount of bend $ . / • Any erson making glow for the construction on ofee kuprovements: ' Name • ,.. Address • ._ Person Win the State of Florida destru i . y ovmer upan whom nollc es or other documents 'may be saved as provided by Section 713.13(1)(a) 7, Florida Statutes. Name . Address • . . . • • Ir�'addltion tO himself, owner d�e�gnstes , • . to receive" copy of the l ienor's Notice as provided in Settio Fl orida St.bes. • • Expilion•Ote of Notice of Commencement (the expiration ation date is one ( 4) year from the date• of tec ordkv unless a different'date is specified) ' . Printed Name orOwnar . • • ' r. . Nota y Rubber Seal . 1 F r . in& oa4 63Agant s, „ to'ana subscribed bee .Inc this Li_ dal cfi . ° WI LLUPLA.... - .. ; BETTY • • * , , = * MY COMMISSION l DD 702756 • ` • EXPIRES: Degember 7, 2011 - ' . - ar 'rf p, �oP�e . Bonded miu Budge Wary Services . BUILDING PERMIT APPLICATION w CITY OF ATLANTIC BEACH / 800 Seminole Road, Atlantic Beach, FL 32233 11- `Z(4 (r Office (904) 247 -5826 Fax (904) 247 -5845 ilIii)5#1 Job Address: l q 7 1 A4 i Pc1J L a:1- . Permit Number: Legal Description 3q= �� O , 0 c1- 23 - La t V& I e. l-Parcel # /6 g 1 Q(c — IL 2 I,„-. Floor Area of Sq.Et. Sq.Ft Valuation of Work $ I -1 -- Proposed Work heated /cooled n heated /cooled • Class of Work (circle one): New Addition Alteratio Repair Move olition pool /spa window /door Use of existing/proposed structure(s) (circle one): Commercial esidenti If an existing structure, is a fire rinkler sys em installed? (Circle one): No N /A p Florida Product Approval # 'e e C = 'le CA For multiple products use product approval form •, Describe in detail the type of work to be performed: l it / / i II ace vy er t ,O1 i cu 5 t-- /ice O'eplac . Property Owner Information/•� / j(� / �( �j � I Name: W72 5 /40 31 Addr ` 1 f ! t v (. d jo Z ``�. City State Zip ,74, 3 Phone ' - - G - 1 E -Mail or Fax # (Optional) Contractor Information. ' AMERICAN WINDOW , Company Name: PRODUCTS, INC. ) T I Jr� Crux-II- 2633 POWPRS AVE. Qualifying Agent: Address: 1 CKSONVILLE FL 32207 Office Phone r -2 '.I , ; - ---- City State Zip -- •- - - - -•- - Fax # State Certification/Registration # „ //i : WI; : , /; . A , a _ _ - . ' !. ! '.1� Architect Name & Phone # ' . �TiN�►1 Engineer's Name & Phone # 1 � "" �a _ j ,i.�L . • Fee Simple Title Holder Name and Addl . „ , �� : ADDITION • IJ1 - - -- -- . Bonding Company Name and Address I .1 a ONDITIONS. ,I►'k _ 4 Mortgage Lender Name and Address REVIE / ' ., ` 1 11111 ■al WIPE Application is hereby made to obtain a permit to do the work and instalTatio` cts tut s @ issuance of a permit and that all work will be performed to meet the standards of all laws regulating construe 'on i , p v - 1 ' ^ • , x , 1I f 1 and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six (6) months at any time a " 'er work is commenced. I understand that separate permits must be secured for Electrical 'Fork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF . COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. Signature of Owner s : — . 4 > -.5 .. • Signature of Contr ctor ,....ii./...4,............____.- Print Name - _ ` t' � > d. 0 t • \d 1 9r Print Name ) - ..w, Gulze..„ Sworn to and subscri ,, - d b- fire me Sworp to and subsc be of b re me this 1. l Day of 1 ' I , 20 1' this 1,1 D of ILg 20 11 i � 1i4 O m, 1 it 1 Notary Public /,PwY.:T,, BETT'FELDER Notary ,Public , J * --, t , y * , MY COMMISSION # DD 702756 6 % RE1T' FELDER s ui EXPIRES: December 7, 2011 * mot_ j * MY COMMISSION ADD 702756 Revised 01.26.10 19TE0F,,, Q Bonded Thru Budget Notary Services .; in ;' - EXPIRES: December 7, 2011 f ., 9r FOF Foo Bonded Thru Budget Notary Services r+- i A — 1 y o • a b . 1 7 1 O i-i 9 9 1 Q. .-. s ° ° Cs. p �p Oo J CT to A W N !-- !CT -It ? W N .-� x , a v, C CD D ..C.) ..C.) n . n d 4 ro i" > z. c x C/1 > Pc) C/] C!) C/� ° O 7 E .�r cr . 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Florida,Building Code Online Page 1 of 2 � A ,. ti tycA PI Oi ,AMOU' bCAPROCAltntiS , t0419410 044 BCIS Home Log In User Registration Hot Topics Submit Surcharge Stets & Facts Publications FBC Staff BCIS Site Map Links Search f P ro d u ctA P Proval USER: Public User Community Affairs , * Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL8546 -R1 � Application Type Affirmation #1 44t Code Version 2007 Application Status Approved Comments *Crr4CVOPYRE. Archived Product Manufacturer Gorell Enterprises Inc. Address /Phone /Email 1380 Wayne Ave. Indiana, PA 15701 (724) 465 -1839 rgibson @gorell.com Authorized Signature Richard Gibson rgibson @gorell.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Horizontal Slider Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Referenced Standard and Year (of Standard) Standard Year AAMA /WDMA/CSA 101/IS2/A440 -05 2005 ASTM E 1886/1996 2005 Equivalence of Product Standards Certified By i: Documentation from approved Evaluation or Validation Entity http : / /www.floridabuilding .org/pr /pr_app_dtl.aspx? param =wGE VXQwtDquLegv %2flND7i... 5/6/2011 Florida Building Code Online Page 2 of 2 Product Approval Method Method 1 Option A Date Submitted 03/06/2009 Date Validated 03/06/2009 Date Pending FBC Approval Date Approved 04/05/2009 Summary of Products FL # :Model, Number or Name Description 8546.1 1G 5402 Horiz slider 05402 Hurricane slider Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL8546 R1 C CAC G5402 AAMA car.pdf Approved for use outside HVHZ: Yes FL8546 R1 C CAC G5402 Impact Car.pdf Impact Resistant: Yes Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 Other: Large missile impact approved up to 72 x 54 Installation Instructions wind Zone 3 Impact Level D FL8546 R1 II 5402 fast schedule.PDF Verified By: Keystone Certifications, Inc. Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: r Back i r Next Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487 -1824, Fax (850) 414 -8436 (02000-2010 The State of Florida. All rights reserved. Privacy Statement 1 Copyright Statement' Accessibility Statement 1 Plug-in Software 1 Customer Service Survey I Contact Us Product Approval Accepts: Ca 10] f :4 securitl tits t1: , et i us t e Credit Card ett la http : / /www.flori dabuilding.org/pr /pr app_ dtl. aspx? param= wGEVXQwtDquLegv%2flND7i... 5/6/2011 4"-- c 0 13 zp C N w OUTSIDE DIMENSION ' 0 rn 134 13 � fl � � , z0m FT, LI. rn �z= to mm Z 20 O g o � m u,23 - o IIF- E XTERIOR � Z� in 73 9 n � x rn N� ;a Ig -n cZ�E r c^ n o r to In F 0 v ;mO7C • _mu_ „Al LIN - 1 I 1 R i lk - 1-11g7===;a A r tol . 11:::; L . 'FAN .. 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BCIS Home Log In User Registration Hot Topics Submit Surcharge Stets & Facts Publications FBC Staff BCIS Site Map Links Search Product Approval `�'.? ", USER: Public User rid, - Community , '0 Affairs ?' Product Approval Menu > Product or Application Search > Application list > Application Detail #.< FL # FL11403 , Application Type New 4 .. 4 0,0 141 4 , - 4 1 4 ‘ C Version 2007 Application Status Approved Comments Archived Product Manufacturer Gorell Enterprises Inc. Address /Phone /Email 1380 Wayne Ave. Indiana, PA 15701 (724) 465-1839 rgibson @gorell.com Authorized Signature Richard Gibson rgibson @gorell.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Keystone Certifications, Inc. Referenced Standard and Year (of Standard) Standard Year AAMA/WDMA/CSA 101/I52/A44 2005 ASTM E1886/E1996 2002 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 09/15/2008 Date Validated 09/15/2008 Date Pending FBC Approval 09/21/2008 http : / /www. fl on dabui l di ng. org/pr /pr_app_dtl . aspx? param =wGE VXQwtDgv 8JyggZ9WtiEB ... 5/6/2011 Florida Building Code Online Page 2 of 2 Date Approved 10/14/2008 Summary of Products FL # Model, Number or Name Description 111403.1 16402 1Impact sliding door Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL11403 RO C CAC 6402 impact car 71 x 80 22- Approved for use outside HVHZ: Yes 211CAR.pdf Impact Resistant: Yes FL11403 RO C CAC 6402 structural car 71 x 80 Design Pressure: +50/ -50 137CAR.pdf Other: Quality Assurance Contract Expiration Date 05/28/2012 Installation Instructions FL11403 RO II P6402 impact fasteneino.pdf Verified By: Keystone Certifications, Inc. Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: L Back l r Next — 1 Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32 39 9 -21 00 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2010 The State of Florida. All rights reserved. Privacy Statement I Copyright Statement I Accessibility Statement I Plua -in Software I Customer Service Survey I Contact Us Product Approval Accepts: ej scc u rtt5 yn f nr, ' Credit Card Trusted SAFE vt a t.� http: / /www. floridabuilding .org/pr /pr_app_dtl .aspx?param=wGEVXQwtDqv8JyqqZ9WuEB... 5/6/2011 Z CIA. 11 X "OO r 2 , 0 91 i 1 (° MI 2 4_ 10 rmin -.....„- ....111.01..:11T Z.,..., X/ a MI 11, re L o R xi i — gm i 1 VENN. F � \ / L I .)7L�1 I 1 � A _7 11p 1111 rn v v r .jam y�°n2 8 1111111111M 10.10' ! r----1 — _ t 13. m �1 p - 1 ° D V T10 "T10 0Op p mam ET co°mptr 41 -ri —c0 j ? , 3 ?O ? S� j O ? .. 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PPII Oa 0 1G y x 0 0 0 0 3. 3 ( �1 x D O D ,. m om ' A 02 O . ict � 0U1 \ 0O° _II__ C xi 2 rn 0 g0 D 1 a 0• 0 1 33 x x x -P o ∎ IQ 1 00 CO 03 0 ° a 00 0 a \N J Florida Building Code Online Page 1 of 2 mmunity Affairs .. rissmassuassumessus BCIS Home I Log in 1 User Registration 1 Hot Topics I Submit Surcharge i Stats & Facts 1 Publications I FBC Staff 1 BQS Site Map 1 Links 1 Search I Product Approval USER: Public User LIU Community .Aafdd[rs Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL13322 r Ciad.S,.:1:V'i 7 t "'C�+51fdyN-� Application Type New °' " �`� '" Code Version 2007 C E,'.EL "D?tulENT Application Status Approved P L iEa�i ' N4Y ' i,^�%i:- J�cM1ic Comments =FFECF E Archived =.,E rw Product Manufacturer Gorell Enterprises Inc. Address /Phone /Email 1380 Wayne Ave. Indiana, PA 15701 (724) 465-1839 rgibson @gorell.com Authorized Signature Richard Gibson rgibson @gorell.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By American Architectural Manufacturers Association Referenced Standard and Year (of Standard) Standard Year AAMA/WDMA/CSA 101 /I.S.2 /A440 2005 ASTM E1886/E1996 2005 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 11/10/2009 Date Validated 01/04/2010 Date Pending FBC Approval 01/05/2010 http : / /www.floridabuilding.org/pr /pr app_dtl.aspx? param= wGEVXQwtDquFsbTbi %2b3j... 4/27/2010 Florida Building Code Online Page 2 of 2 Date Approved 02/02/201.0 'Summary of Products ^ ��� ^ � FL # Model, Number or Name Description 13322.1 .5305 Double hung DP 50 Double hung 52" x 72" Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL13322_R0_C_CAC_5305 DP50 AAMA APC 52x72.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/09/2013 Design Pressure: +50/ -50 Installation Instructions Other: FL13322_R0_II_P5305 fastener without stops 11-13 - 09.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 13322.2 G5305 Double hung _1DP 50 Impact double hung 52" x 72" Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL13322_R0_C_CAC_G5305 DP50 ASTM APC 52x72.pdf Approved for use outside HVHZ: Yes FL13322_R0_C_CAC_G5305 Impact glazing details.pdf Impact Resistant: Yes Quality Assurance Contract Expiration Date Design Pressure: +50/ 1 1 12/12/2012 Other: Installation Instructions FL13322_R0_II_P5305 fastener without stops 11-13 - 09.pdf Verified By: American Architectural Manufacturers Association i Created by Independent Third Party: 'Evaluation Reports Created by Independent Third Party: Back I I Next Department of Community Affairs Florida Building Code Online Codes and Standards 2555 5humard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2010 The State of Florida. All rights reserved. Privacy Statement I Copyright Statement I Accessibility Statement 1 Plug -In Software I Customer Service Survey I Contact Us Product Approval Accepts: IS II http : / /www.floridabuilding.org /pr /pr app_dtl.aspx? param= wGEVXQwtDquFsbTbi %2b3j... 4/27/2010 gg oiN O M 4 O a. J p 1+) i - i h as 3 3 o i�•- o o o o I C GS ° .1 i .;,% - 6 y = W III � ii..,, . < o 3 i1/r I i II o5 m c "n o $ 3 co oilf �‹ W � o g �a olll ; : o a o. x�Q rai,(7_4_, W Q Q Q nl. arm w a. Q m _ M wyZ V°- o Z Q� F-V Q w Z Nr 3 1 E P ^ ..1".1. = W Q Q Q Z N M n. M N Lit."- . A So Z w co 3z La. CO Q O J —I CDC)E5 0 wwz w ww _ z p N a c pU -� �� %...z = 0 I Dr, 11 ,E L 1 D • cy ) � El o t W C co. o _1 n re 2 OW ®V) " c.) Z x � ,a J • Florida Building Code Online Page 1 of 2 • H �` � m n tty Affa, l4 ► r r A19O t; a,4 +L.Yt 2'hS BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats a Facts Publications PBC Staff BCIS Sloe Map Links Search x" Product Approval k1A! i; "N /USER: Public User Community Ai`fatrs Product Approval Menµ > Product or Aoolicatlon Search > Application List > Application Detail `► cpase,�muTV a�uarurv�s� FL # FL9081 -R1 Application Type Affirmation 'r�ptsreoa caxaaaTV. Code Version 2007 C?E'JFL�PMFIµT, ►tiERaNCY Application Status Approved MANP,ti�Fi$T Comments ►� cEvFhc Archived saMc.T.artt� Product Manufacturer Gorell Enterprises Inc. Address /Phone /Email 1380 Wayne Ave. Indiana, PA 15701 (724) 465 -1839 rgibson@gorell.com Authorized Signature Richard Gibson rgibson @gorell.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Horizontal Slider Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Referenced Standard and Year (of Standard) Standard Year AAMA/WDMA/CSA 101/IS2/A440 -05 2005 ASTM E 1886/1996 2004 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FL9081 R1 Equiv ASTM E1996 equivalency.pdf 'i:[ affi m that them are no changes in the new Florida Building Code which affect my prcduct(s) and my product(:) are in compliance with the nerve Honda Building Code. Documentation from approved Evaluation or Validation Entity http://www.floridabuilding.orglpr/prappcftl .aspx?param=wGEVXQwtDqsOfPMuINEKw... 5/6/2011 Florida Building Code Online Page 2 of 2 Product Approval Method Method 1 Option A Date Submitted 03/06/2009 Date Validated 03/06/2009 Date Pending FBC Approval Date Approved 04/05/2009 Summary of Products FL # Model, Number or Name Description 9081.1 G 5352 Horizontal slider 5352 lift out vinyl slider Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL9081 R1 C CAC G5352 AAMA CAR.pdf Approved for use outside HVHZ: Yes FL9081 R1 C CAC G5352 IMPACT CAR.pdf Impact Resistant: Yes Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 Other: DP 50 large Missile impact level C wind zone 2 @ Installation Instructions 60 x 52 1/4 FL9081 R1 II 5352 Fastener Details.PDF Verified By: Keystone Certifications, Inc. Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: Back I I Next Department of Community Affairs Florida Building Cod. Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2010 The State of Florida. All rights reserved. Privacv Statement 1 Coovriaht Statement/ Accessibility Statement 1 Plua -In Software 1 Customer Service Survey 1 Contact Ua Product Approval Accepts: .re writ .hu.rxrc er vrtsIon C ! arrl rruuFe SAFE y[RIFr0 S 6 http ://www. fl on dabui l ding. org/pr /prappdtl . aspx ?p aram =wGE V XQwtDq sOfPMu1 NEKw... 5/6/2011 1 OUTSIDE DIMENSION IC CD -< m O X/ z c IIr EXTERIOR cn ?c II - n Z \I■ IL] 1-4= = 1 O C ' i 1E� m r\ — 0 4. a 1- =. il r x sW r 11 2-1 z � x o * � ° o \ INSIDE DIMENSION cn —_m cn v �� z �� auz v, o?C� a m c O - R' z _ � rT, Z a x A a D vin Mn 00 rn v�i �� O r rn O o m rn v co CO W pZ N A a m m4. W N — o o rn v w v v U'-1 :o a g. ..„ z n mc z oO� 1 x � c n l rn x 0 c r- o°73; .. '•' cz n� t m >zxmoz Z -r. �� �� c S ' Cc rn 0 m n� O � Cif c o mo �° 3 � O cn o 3 r r o m-‹ c Z O ° alit C�� ZOm ; xi ° x a i° A r � L-r u n � --� Fz o °� � c� a D O ' {' < u�cn O 'C. C N ; °° z z z _—° ma 5 ° I ti z � 41 m o _ / a0[ !D cm v ° o � F m Z u) z FP p ui ' ZI -I °p C r � I �%.., z �cn �m r 0 c %� � Z r- z z0 cn t o , r_ z z '�� o A o° c z oo rn Zw °° (�� o ° � m m XIN m o 0® co � z o m° o�� °Z "100 �r�� o z mrn z v M si _ � cn u r- _ mrn 1 . • t r F ; Z 13 m P m ul n $ [� g m ° R 1 orn v ;c r i Q 1 Cit of Atlantic Beach APPLICATION NUMBER y ;i:.-�a` , (To be assigned by the Building Department.) : , ;� Building Department . " Pv 800 Seminole Road / 5 -, Atlantic Beach, Florida 32233 -5445 ' � Phone (904) 247 -5826 • Fax (904) 247 -5845 r n 04 E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM i 0 : � -.n t » review required Ye No Property Address: �� B i1..' I • • Y e, k ene14 rl it, Planning & Zoning Applicant: 5 ... 09 Tree Administrator �j) ,� Public Works Project: �/V Public Utilities Public Safety Fire Services r c: • ' q r ! 6 sr ; xi ' Del tSICoitu a s ' J -i #T ; '' _^ "'''. R eview or Receipt Date Other Agency Review or Permit Required o f 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 viewin Department First Review: A ❑ Denied. Re 9 (Circle one.) Comments: ���� _I BUILDING f 0 / ' G/ PLANNING &ZONING Reviewed by: �� Date: 9 -// TREE ADMIN. Second Review: (]Approved as revised. ❑De • d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127/10