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Permit Hurricane Shutters 1853 Beach Ave 2011 0 ; CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002268 Date 7/07/11 Property Address 1853 BEACH AVE Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 4200 Application desc hurricane shutters Owner Contractor KONOPASEK OSPREY BUILDERS INC 342 CRESANT LAKE SHORE DR ATLANTIC BEACH FL 32233 CRESENT CITY FL 32112 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 75.00 Plan Check Fee . . 37.50 Issue Date . . . Valuation . . . . 4200 Expiration Date . 1/03/12 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 75.00 75.00 .00 .00 Plan Check Total 37.50 37.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 116.50 116.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION A CITY OF ATLANTIC BEACH :' FILE Copy '!! 800 Seminole o e Road, Atlantic Beach, FL 32233 b .., Office (904) 247 -5826 Fax (904) 247 - 5845 , ., ,,, ,. i Job Address: 3 Beti C L1 A V 6 _________ - - Permit Number: 1 -' i ;� I Ogg Legal Description / C ic / au a h-I U t • A tv�;n arcel # oor ' ea o q. t. q. t • Valuation of Work $ - 00 ,06 Proposed Work heated /cooled non - heated /co a , ` I �c ( �/ z Z. z ? pooUspa wi Class of Work (circle one): New Addition Alteration Re air Move Demolition p p Use of existing/proposed structures) (circle one): Commercial e idential V U A 8 A If an existing structure, is a fire sprinkler system installed? (Circle one): es o N /A gl; Florida Product Approval # C t.._ j ci t; i/ For multiple products use product approdal form Describe in detail the type of work to be performed: l'4 •s f e - i C G ,~ e S \-, , 4 6s III;: tilt w Q� P Owner Information: iam i r-. KOI 5 (" Address: i g$3 6•ec e '�-a - I ell i City ( . 4 e . . 6 ar — State aZip X 23 Phone q a y y 7 (, - S6 1. 1 E -Mail or Fax # (Optional) Contractor Information: M Company Name 5 f � , eLt 1...DE l �C ing nt: 1® ' C � �' / Address :, Z IT L--. �� � `1.1 W.ff City � � '- & T >State � c._.. Zi "j 2' 1 1 Z, Office Phone �I e p '1 - 1 1-3/2,S Job Site/ Contact Number C, 5 S ? - 7e 17 Fax # ?4 ( v 9 li t 1 State Certification/Registration # C-. 13C.. 82.`x[ 0 .� Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address • Q 1 A % 6 Bonding Company Naine and Address 'tl (( Mortgage Lender Name and Address ■ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work 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. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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. 1 hereby certify that I have read and examined this qoplication 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 presum' to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. I t Signature of Owne ...�AI■ Signature of Contractor ( 1 Print Name 'A fnk 5 L., .K OP /01'1 7 *, Print Name t . J v ` - �y Sworn to and subscribed before me Sworn to and subscribed before me this to Day of . \ v t .e. 20 this , 0 Iry Day of , 20 11 Alb ti(444, 7 0 ` ` 1c .„.. ' ... N I . JOANN REDDINGTON Notary Public I., : *= My c 6 M # D5 ' " • ;S • .4.1.F... . EXPIRES March 16, 2014 ,�;,.K 4, • ,, =o = MARY F. PHILI Igo �j 3gg-0153 FbndeNWa �Ys v ce �Om tit ` Notary Pubfic - Ststdb a 1. 26.10 a o , My Comm. Expires May 26,201 �;� `�''� '`', Commission • EE 97554 Property Appraiser - Property Details Page 1 of 2 KONOPASEK JAMES L Primary Site Address Official Record Boo Page Tile # 1853 BEACH AVE 1853 BEACH AVE 1853 08654 - 02245 9409 ATLANTIC BEACH, FL 32233 -5938 Atlantic Beach FL 32233 KONOPASEK KAREN E 1853 BEACH AVE Property Value Summary 1 i r- - 2010 certifies 2011 In Progress F Ta District 1697 3-1110 —_.— ( Value Method Condo Condo I Property Use 0400 RESIDENTIAL CONDO Total Building Value ' $600,050.00 $377,300.00 ! # of Buildings 1 1 Extra Feature Value $0.00 $0.00 Legal Desc. 09- 2S -29E Land Value (Market) ! $0.00 $0.00 THE NAUTILUS CONDOMINIUMS Land Value (Agric.) $0.00 $0.00 [Subdivision 04416 THE NAUTILUS CONDOMINIUM Just (Market) Value $600,050.00 $377,300.00 The sale of this property may result in higher property taxes. For more information go Assessed Value $301,504.00 $306,026.00 to Save Our Homes and our Property_Tax Estimator . Property values, exemptions and Cap DR /Portability Amt $298,546.00 / $0.00 $71,274.00 / $0.00 other information listed as 'In Progress' are subject to change. These numbers are part of the 2011 working tax roll and will not be certified until October. Learn how the Exemptions $50,000.00 See below Property_ Apra ser'sOffice valuesproperty. Taxable Value $251,504.00 See below Taxable Values and Exemptions — In Progress If there are no exemptions applicable to a taxing authority, the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD /FIND Taxable Value School Taxable Value Assessed Value $306,026.00 Assessed Value $306,026.00 Assessed Value $306,026.00 Homestead Exemption (HX) - $25,000.00 Homestead Exemption (HX) - $25,000.00 Homestead Exemption (HX) - $25,000.00 Amend 1 Homestead (HB) - $25,000.00 Amend 1 Homestead (HB) - $25,000.00 Taxable Value $281,026.00 Taxable Value $256,026.00 Taxable Value $256,026.00 Sales History Book /Page Sale Date Sale Price Deed Instrument Type Code Qualified /Unqualified Vacant /Improved I 08654 - 0.2245 6/17/1997 $265,000.00 WD - Warranty Deed Qualified Improved 07222 -02065 11/7/1991 $250,000.00 WD - Warranty Deed Qualified Improved 06537 -00390 6/1/1988 $250,000.00 WD - Warranty Deed Unqualified Improved I Extra Features No data found for this section Land & Legal No data found for this section Land Legal IT.H7Legai Description ' 1 : 09- 2S -29E I 2 THE NAUTILUS CONDOMINIUMS 3 DWELLING UNIT 1853 L 4 �O /R BK 7222-2065 _J Buildings Building 1 Building 1 Site Address 1853 BEACH AVE Atlantic Beach FL 32233 Bulldi __. __ ng Type 0401 - CONDOMINIUM SOH Year Built ____ _ 1988 _. ____._ __J I TYPe _ Gross Area Heated Area Base Area 1400 1400 I Total 1400 2010 Notice of Proposed Property Taxes (Truth inMllage [Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed Roiled -back } f Gen Govt Beaches $301,504.00 $50,000.00 $251,504.00 $1,327.01 $1,717.42 $1,449.52 j P Public Schools: By State Law $301,504.00 $25,000.00 $276,504.00 $1,365.45 $1,478.19 $1,520.94 http: / /apps.coj. net /pao _propertySearchBasic /Detail.aspx ?RE = 1697231110 6/20/2011 . SALES AGREEMENT f„,,,,...,_, I NV , E 1754 Ammo 1 �� Y 2375 St. Johns Bluff Rd. So. STORMPROTECTIO Jacksonville, FL 32246 C-17/72e- www.ArmorStormProtection.com SALESMAN /_- / (( DATE G • -2o - // PAGE of ESTIMATED TIME OF INSTALLATION WEEKS ORDER NC CUSTOMER NAME J % r'. ,n c P q S . c- HOME PHONE 'WY 5/76- -h55 ADDRESS (g 5 3 e ctc L- "CAA c WORK PHO E CITY R V) G � + C � c. C t- STATE l . ZIP 2 -Z 3,..' FAX# JOB ADDRESS 5 C&-✓' -`e NAME OF CONDO # ELEVATION /'51 COLORS: (WH) White; (IV) Ivory; (BG) Beige; (BZ) Bronze; (GY) Gray; (BN) Brown; (SP) Special Slats Mulls Track Valance _ Back Panel BTM Slat Purlin OPENING NUMBER # / # . # .3 # v # \- # g # 7 # v SHUTTER TYPE 3-...19, ' '• e S: ( S. P. 6 . S, (Pt 4). TYPE OF SLAT PROFILE i 056 /0 5o , c).56 , 050 WIDTH (TRACK TO TRACK) J !' "2 > ( V p 3 2 7 26, '3 TRACK HEIGHT 2- P6/ L J 6 6 S c, S G S Gp g$ , C GEAR OR MOTOR . J `7 OPERATOR LOCATION (ISLO) MOTOR OVERRIDE (YES /NO) PURLIN CODE AND TYPE SPECIAL INSTRUCTIONS f-/,p#a1 c r - S' . ) S r5 i G n 2 e , P\as4- 'Be i (N.S\- Q 13 e"---- � l � \ . S C3 -- 0 - �'�an 4 CvS , ?450,15 1 TERMS: 1 /2 DOWN CONTRACT AMOUNT $ Gf2b6 ( BALANCE DUE ON COMPLETION OF INSTALLATION LESS DEPOSIT o// e)°, eJ OTHER: CHECK NO CIRCLE ONE: MC VISA DISC. BALANCE DUE PER TERMS .A /O 0 CC ACCT #: SBC CODE MAKE ALL CHECKS PAYABLE TO ARMOR S'ORM PROTECTION EXPIRATION DATE: CARDHOLDER NAME: PAYMENTS IN CASH, ALWAYS RE • UEST A RECEIPT SALESMAN ..c —Ail BUYER , 4 / B ACCEPTED BY _ AP - UY 'AN INTEREST C ARG • F 1.5% PER MONTH WILL BE ADDED TO ACCOUNTS NOT PAID WITHIN TERMS. ADCITIONAL TERMS AND CONDITIONS A • : 1 THE REVERSE SIDE OF CONTRACT. A SALES AGREEMENT • �' r'� INVOICE J 1755 ARivio I r' _ ` , Y i) 2375 St. Johns Bluff Rd. So. CTORMPROTECnn Jacksonville, FL 32246 www.ArmorStormProtection.com SALESMAN / c MEL DATE b 20 -//` PAGE of ESTIMATED TIME OF INSTALLATION WEEKS ORDER NO CUSTOMER NAME \,.. ' yv' YOY1tS - pC e HOME PHONE Cf)(p -- (,iSb ADDRESS 1 85 . ,3 6 E'a C 'L )4.1.& _ WORK PHON CITY 4,\• \o \ t� \3c \ STATE t' i ZIP G? 2 2.?-3 FAX# JOB ADDRESS 3C■ve NAME OF CONDO # ELEVATION 1 $ d--- COLORS: (WH) White; (IV) Ivory; (BG) Beige; (BZ) Bronze; ('GY) Gray; (BN) Brown; (SP) Special Slats Mulls Track Valance _ Back Panel BTM Slat Purlin OPENING NUMBER # G` # /'0 # / /' # / Z ,# # # # SHUTTER TYPE V s 1 % P. S - r i TYPE OF SLAT PROFILE , 05 0 -0 i o5c5 .050 WIDTH (TRACK TO TRACK) y C7 / q 4 TRACK HEIGHT G (` Y q. l y � " 2 — _ GEAR OR MOTOR T OPERATOR LOCATION (ISLO) MOTOR OVERRIDE (YES /NO) PURLIN CODE AND TYPE SPECIAL INSTRUCTIONS TERMS: 1 / 2 DOWN CONTRACT AMOUNT C BALANCE DUE ON COMPLETION OF INSTALLATION LESS DEPOSIT P r OTHER: CHECK NO 47 C CIRCLE ONE: MC VISA DISC. BALANCE DUE PER TERMS CC ACCT #: SBC CODE _ MAKE ALL CHECKS PAYABLE TO ARMOR STORM PROTECTION EXPIRATION DATE: CARDHOLDER NAME: PAYMENTS IN CASH, ALWAYS REQUEST A RECE PT SALESMAN BUYER ACCEPTED BY BUYER AN INTEREST CHARGE OF 1.5% PER MONTH WILL BE ADDED TO ACCOUNTS NOT PAID WITHIN TERMS. ADC ITIONAL TERMS AND CONDITIONS ARE ON THE REVERSE SIDE OF CONTRACT. 5851 Lowcountry Drive -'• Ridgeland, SC 29936 "''� L 375 St. Juff seservicing y �� d Jacksonvi ohns lle, Bl FI 32246 Rd. So. a �� „f SB , v � , Brunswick, Savannah, Hilton Head, Beaufort Charleston J Jacksonville and the Beaches STORMPRDTECUO `rom Amelia Island to Daytona Home Office & Showroom 5851 Lowcountry Drive •Ridgeland, SC 29936 1-888- 765 -2929 • Fax 1- 843 - 717 -1749 PROPOSAL w ww.ArmorStormProtection.com TO: PHONE DATE JOB NAME / LOCATION v Kan () P r-7. 5c- 1 ' S „f 13 e c c ra. � � 1'- 1-1-,a V. c l3ec., k- Fl . JOB NUMBER JOB PHONE The following is a layout of home or business & is an addendum to contract i 1 ° s z � cL3 I, ' 5 ' CI-6 ,, 2 t, 2x e ._ 2 c .5 , Ga g Ip 63 ca `33, Cv l D SZs as / H //lc, ,-.3\ , zi a; -S ----4 q 2 ! -s )1S 2 !l v 7 . l.2 'P 7('‘ a Authorized l `^ /z 3 ql 7lb b Y Signature I? y 3���s I C\ Date of Accepts i S 2. c, b5 6 1Qe)(4 5 /s Sb Y s--- Signature .4 ttl 7-i v /6 Signature BUILDING DETAIL SHEET Customer Name '<a n o .P Se Property Owner e No Address 1 ss 3 ego , ,te e Unit # City a 1- I Q +^V( Q (3c 4. C k County C ‘ s , oi, Single Family Residence Yes No Condo Residence. No Other 1. Structure: Masonry •o Concrete Aluminum Other 2. Roof Slope: Less Than or Greater Than Degrees 3. Fire Sprinkler: Yes ED 4. Building Height: 2,..s"' 5. Coastal Zone: 0 No 6. Condo / Association Approval: Required Not Required 7. Are Homeowner / condo Specification Available? es 1 c3 8. PSF tf L All Drawing must indicate the following 1. Correct Shape of Building 2. Room Type [kitchen,bedroom,ect] 3. Openings where windows or shutters are to be installed. 4. Whether shutters are manual or electric. 5. Main connecting street [cross road] Florida Building Code Online Page 1 of 2 il i Jar✓ a 't' a v ' u `, h l S nfl r '' 9 r!r { ae;F A 4' S - t i� / ! :k : n y y r < c / y t y k p 1, rt r a ty !f-b;;� i "H �� rlfn Un�k kr � J `, I 0 6:9 Vi, k ik � `�yi� "�'��' "^ v &�U 4 " 7 e Y w y i ,1 µ t a , �, • t,, lid, If t v ti h �' Odd 4 , � .y r � J k 't� f a ; J . TF� k n t F' . A F � y w dy f '..10,4_,,,„,,,,:r.,,, tf�l y`A / 7 ri a F 6 Y$ ,, I t�(,F y �'� L D rc y .t q Yi,� R �' M``�i' / "tll / iJ£L����ui II l ,,,.. p) I' . ,, ,, ( 9 k g , '''''h A i r ,(� i t 4 i " k I i ' 1 p� k ` J \ v , ` i. g r l k r 9 i I i , q, 1 ''ii, -0k yij l rrg '' d, 1� et. �tbrv' n � • 4Y 1 t e T i t 'i % Ptg I J � � s '4�' �� ;; � S / ' bw t f Y r 40 a q'r er ' 4' , ,', 'N yti i f €u'` I��Y A * k5 IP+ R P��r E �M.�# '',C OkTbCTY• ,. S a . !4I d 4 r ',dCA DC1t'f t70 itAS i0 r - 'F , BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search � f i t u „— • �� ' � .� i 'Product Approval A'tf k k t' al y k I USER: Public User C Vii, Community � �a {�� �i At r Affairs Product Approval Menu > Product Or Application. Search > Application List > Application Detail , rs �rt� ke:J ;i 3lMi ^r +4F a D I BIlt&i:l ig r 1.tlrva ae�ur7ky.w r FL # FL11968 ”` ,a " ^ "', "" Application Type New ,�� F Code Version 2007 ,a D. /itriwt r h r , Application Status Approved �� ;; v re+ s, �p N,1 ..:. W( ovurrtt ,:wrked.`.irQ,n9r;,.rA tk Comments ,,, ` , ^ AKW Archived Product Manufacturer Eastem Metal Supply Address /Phone /Email 4268 Westroads Drive West Palm Beach, FL 33407 (800) 432-2204 Irodriguez @easternmetal.com Authorized Signature Bill Feeley Irodriguez@easternmetal.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Shutters Subcategory Storm Panels Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Walter A. Tillit, Jr. developed the Evaluation Report Florida License PE -44167 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/2013 Validated By John Henry Kampmann Jr. Validation Checklist - Hardcopy Received Certificate of Independence FL7.1968,._R0_COI_.Certificate of Independence 08 0521.01.PDF Referenced Standard and Year (of Standard) Standard ¥ear ASTM E330 2002 SSTD 12 -99 1999 Equivalence of Product Standards Certified By Sections from the Code Florida Building Code Online Page 2 of 2 Product Approval Method Method 1 Option D Date Submitted 01/02/2009 Date Validated 01/09/2009 Date Pending FBC Approval 01/16/2009 Date Approved 02/03/2009 'Summary of Products Model, Number or Name Description 1 1968.1 0.040" Bertha Aluminum Storm Corrugated aluminum storm panels retained or not by Panel (2.25" Deep)- Non -HVHZ - tracks to provide hurricane protection. Drawing Number 08 -145 Limits of Use Installation Instructions Approved for use in HVHZ: No ! FL11968 08 145.PDF I Approved for use outside HVHZ: Yes Verified By: American Test Lab of South Florida Inc. j Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: Large Missile. Max. span is 12' -0" for +25, -25 FL11968._ Product Evaluation Report 08- p.s.f. and 4' -0" for +125, -130 p.s.f. for sections 1, 3, 4, 0521.03.PDF 6, 7, 8, 8A, 9 and 11. See sheet 10 of installation Created by Independent Third Party: Yes . drawing number 08 -145 for other spans and pressures. 11968.2 0.050" Bertha Aluminum Storm Corrugated aluminum storm panels retained or not by Panel (2.25" Deep)- Non -HVHZ - tracks to provide hurricane protection. Drawing Number 08 -141 Limits of Use Installation Instructions Approved i Approved for use outside HVHZ: Yes . Verified By: American Te t b of South Florida Inc. Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: Large Missile. Max. span is 12' -11" for +30, -30 FL11968 ,R0_..AE Product Evaluation Report 08- p.s.f. and 8' -2" for +75, -80 p.s.f. for mountings without 0521.01.PDF �; "h" header. See sheet 5 of installation drawing number Created by Independent Third Party: Yes 08 -141 for other spans and pressures. 11968.3 24 Gage Galvanized Bertha Steel corrugated galvanized steel storm panels retained or not Storm Panel (2.25" Deep)- Non- by tracks to provide hurricane protection. HVHZ - Drawing Number 08 -142 • Limits of Use Installation Instructions Approved for use in HVHZ: No FL11968_R0_II--.Drawing 08 142.PDF Approved for use outside HVHZ: Yes Verified By: American Test Lab of South Florida Inc. Impact Resistant: Yes Created by Independent Third Party: Yes 11 Design Pressure: N/A Evaluation Reports Other: Large Missile. Max. span is 9' -8" for +30, -40 FL11968 _RO_AE_Product Evaluation Report 08- p.s.f. and 7' -2" for +70, -80 p.s.f. for panels mounted 0521.02.PDF without "H" header. See sheet 4 of installation drawing Created by Independent Third Party: Yes number 08 142 for other spans and pressures. A r Nex[ l 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 C 2000 -2010 The State of Florida. All rights reserved. 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(SEE NOTES BELOW) 1§. � _ —_ i^ Q '3 a I N r1 �wwwNwwww \_www� 1 • 111 . 1 •1•1•1•7 1 • 1 1• 1 1•1•1111 ,1 a C -0 yn n pr--- - -- - §Ircii;m__I 6A k v) Q. n G' -.• AIM r - o lty i kl a Z ® I�I�} .., r a [�II� r, ti I €. \ ,,:•�' ` N a a • • a [� O N a. PARR LOCO( (SCE mons ear.0 £t n ` ✓ 0 •�ww�wwr •∎• ∎••∎w� � P 1101 Itl i 1. m ;elf n R Z --.1" _ D`i / _, ° #a � _: a • O : i 6666 . _ a s f� o O • � a ` 4 § Via F S Uo b �L� r o" °a • 0 OO v) r / rte o < • E m . `� 7 V - - -.- a —Ybr. PAWL LENOm (SEE Notts 80.010--- aZ A � o ►wwhw�►www�ww\ �www■w�►ww�\ r c C � y J —I 117.1 r is r ,' i s N Li, .. rl , n 1 ,P ; 6 ;( --. sr. c,5. ■ . 8 1 (-) x NJ ,-.1,,,t• ---- iimi t 01 r n - ' p o d 8 ^ e * 0 S N ^ •-. Nor. PANEL LANGAN (SEE NOTES BELOW) • 1... _ 11:111.1■WCIROZ11011011• IR rs ' ''. iii. IZ 11, n ami lf bear - __ ` § � V' r Lams, � . � C / o Pn 5 N ( f �: o non � g H ; \,n 4 a AI O •'.N 3 R1! 3 C. © o N �S • O Q --1 2 • ° -Nor. PANE). 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PANEL LEWIN (SEE NOTES BELOW) gam' z 3 N n9 POFR n ; ;s1, • Jf ; f � ; , City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building `� 800 Seminole Road g Y ng Department.) 3 ,- Atlantic Beach, Florida 32233 -5445 /l Z Phone (904) 247 -5826 • Fax (904) 247 -5845 tort»/' E -mail: building- dept @coab.us Date routed: 1 c9 f! City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / (676 to /4Y D *ent review required Ye No ' Building V Applicant: 611'4. ]/ gui idge-5 • • ing & Zoning / Tree Administrator Project: 'Hirt rr / ( a `]4. 116 J Public Works Public Utilities Public Safety Fire Services Reyievir fe 7 , H , . t �,�QepS�gjature_ b f , ,. 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: [Approved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING & ZONING 6 �& tr Reviewed by: Date: TREE ADMIN. Second Review: ['Approved as revised. ['Deni d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10