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Permit Res Alt 620 Orchid St 2011 :' = �� CITY OF ATLANTIC BEACH '' J` 800 SEMINOLE ROAD ......"„) s) ATLANTIC BEACH, FL 32233 te '`" ;' INSPECTION PHONE LINE 247 -5814 ":)fl Application Number 11- 00002791 Date 10/25/11 Property Address 620 ORCHID ST Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 4477 Application desc build out garage to create bedroom Owner Contractor QUICK ENTERPRISES INC 1902 FOREST AVE NEPTUNE BEACH FL 32266 (904) 588 -6682 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 75.00 Plan Check Fee . . 37.50 Issue Date . . . Valuation . . . . 4477 Expiration Date . 4/22/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. 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 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: ? C7 ` . � ( , 1 91- . Permit Number: // --- 7 7 / Legal Description le.. 11.25 VIE • (4' 5E61104.5.,„, Parcel # -7 0 G t 1 —Ono Floor Area of Sq t. me Sq.Ft Valuation of Work $ '41l rte. Proposed Work heated /cooled 271 non - heated /cooled Class of Work (circle one): New Addition Alteitiot Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial ' esiden ial i If an existing structure, is a fire sprinkler system installed? (Circle one): • es OOP N /A Florida Product Approval # For multiple products use product approval form // Describe in detail the type of work to be performed: &o i lC c0 J�" F'1 is+t'✓L, 2,- cei 1 c I'}e- '+ (robv.te kece ∎ a RA. O c o t - Property Owner Information: // ,, f 1 Name: AAA Q, (MoAc�u��e4 Address: K�60 ©f �-V4� 5f . Cit -ta 1 %c- A State•reZip? 2-t 3 Phone /o4 -74S - 24800 E -Mail or Fax # (Optional) Contractor Information: /7 Company Name: Q)1 C- -test p nom, A C_- Qualifying Agent: Ga J y • a., C - Address: 22' _ _,, "'a 10 i o 0' Ci _ State 1-'t- Zip ; 2 225 Office Phone 9°4 -c',a,Q,- ,4e,e Job Site/ Contact Lt �, , �;L�'l�C .1;, � , . . , p" State Certification/Registration # ' r 0 ',,.i .. ` a� MY al VI @at 1 1 D • / ► I 1 alb '- ....■a..: , Architect Name & Phone # MEIN Y Y WV Y FINI u MU , ` x If Engineer's Name & Phone # A, r . • .: ; ' a.. Fee Simple Title Holder Name and Address 'I I '1 _ 01 :. . _ • , i. �. , 1 ''' Bonding Company Name and Address i F 1 Mortgage Lender Name and Address W ' t � p ave /tVO ;mod A D • 0 1'` , J J Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation as comme ", p1 t . y issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This per , .e • e , u 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 . ny +our. t:: work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, : s r ers r - er ^ Tanks and Air Conditioners, etc. �.e. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF' a 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 1 have read and examined this . application 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 gave authority to violate o cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. n L Signature of Owner Signature of Contractor v Print Name 41A3 v^t (^ re . �' Print Name Cif Swop and sus - ri.ed before me Sworn ti subscribed b- fore me this or Day of C. 0 -' , 20 ( 1 this 1 e 11 of ►,G' _ 20 1 A i Ll. n /, 4 +. AL AL ., , A_ tH_'._ _ � Notary Pu. c , np Nota Public State o Florida LC ry =ry Public State of Florida Sonia M Marvin ' Sonia M Marvin ` � My Commission DD961884 1..., .9?,,,, My Commission 00961884 ' evised 01.26.10 Of R i Expires 02/15/2014 Expires 02/15/2014 • MAP SHOWING SURVEY OF _ 1 OT :T, HLOCK 128, SECTION "H" ATLANTIC BEACH, AS RFOORI7rf) IN PLAT BOOK 18, PAGE 34 OF THr CIII* LN I PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. II: i / I 1 I o T 4 / L o f 4 FOUND I /] - \IRON N/39 /"L. 134 17'(I' ILLU1 rIrr hN 414•11 N88 "E 1 34.02 „wra” 1,r Iwaa rca u a ={t! X ) (� .1: ruxL \ 0, 1' .1 O _ri � • .__. `' IONCMItl 'J 44.3' CO i' c IV �1 TA �^ `Y c' t7] c. � • . ; nNCN I2E.,If) FRAME FNf E --JI �\ f � � J C s - ) • U • , P05TED "(320" 4.0• 1 { * ( , FINISH FLOG' 8 .y •P. O - n 2_T ,,( ELEVATION= 2 � � „ '1.IGaIN ('� (17 O C . ) c,_ rt � .. ., O.4' ` ` ILI AN WT .�_ '�`►} 4ACR , WW V i/. ({• �� 4. rf111M5 1/ WO Y (��` /y'�� � ��/ y T VPf, U 367 PIPE: LD JO /2 1 ` 5,]V V 7r 1 1 � „v7 .7- f 1- . H3'O1' 41.1-W 11 :514 (1 ILLUV ��' �) all t. CI L 0 1 ti FE/icor ,.4.)1.44-(Nik 4-k , 1) T 6 4 Il ( ),-) .exic-fi? n5 19d/ 1 *._____ i - -- - - 1 WEST 6th STREET NOTES: to. HI(;H 1 OF WAY (PAVED)) THIS 15 A SOUNDAR'T SURVEY. TICS SURVEY WAS MADF FOR IHI- 14NLFII Or: VAN I.)LISEN &' VAN DUSEN, LLC, NO (111111 DING RL':'IRIC:TIQN LINE AS PER PLAT. PEOPLES FIRST r•'_OMMUNI1Y RANK I3rAHINUt., HAWLU UN IHL WL:;ILI2LY LINE Or EILOCK 128. BEINC N 01'22'00 W A; PIP, PLAT 1111 h•I.OI -1 N I ',l TOWN HEREON APPEARS TO LIE 1N FLOOD) ZONE ••X (AREA 00T;117r' son YLAH FLOOD PLAIN) AS WELL AS CAN SE DETCIMINI 1) I f2OM THE "I 11101) IN`Z(1RANCE RATE MAP COMMUNITY I-'ANLL_ r4UMr11 1YOO !'S 00411 1), 120- VISEL) APRIL 17. 1 3SI 1: UI+ I Ht. CITY OF A I LAN I IC nrACI 1, FLORIDA s kis -... DONN W. BOATWRIGHT, P.S.M. • �Al Of^ w A Wn IX rJ NIT THr WVAn ANT! AN Ti if' FLORIDA SIC_ SURVEYOR and MAPPER No. LS 3295 P r SEf. REAL Or n rLOwiU+ Lr�'[N•.CU WRY. VOA r n w 14,141.' CLORIDA LIC.. Sl1NVF 'ANC; : .4r MAPPING BIJ:INCtti Nn. 1 R :1(.71 KLU 13Y: w nA-1E: • DRAWN 137 :. L:RJ — BO A T WRIGHT LAND SURVEYORS, INC. JANUARY 271 200/ , FILE: :'oO _3!s 1500 RO9ERT5 DRIVE, JACKSONVILLE F3EAGH, FLORIDA 241 -8550 SHEET _1_ OF 1 S /SWC /2009 O53h• .KGL 200G - APPENDIX 13 -D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600C -04R Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions, Renovations & Building Systems ' +Compliance with Method C of Sub - Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6005-04 for additions of 600 square feet or less, site- installed components of manufactured homes, and renovations to single- and multiple - family residences. Alternative methods are provided for additions by use of Form 6000 -04 or 600A -04. PROJECT NAME: 620 Orchid St BUILDER: Quick Enterprises, Inc. AND ADDRESS: Atlantic Beach PERMITTING CLIMATE - FL 32233 OFFICE: ZONE: 1 2 n 3 OWNER: Andrea Moncrief PERMITNO.: / / - 19 / 1 JURISDICTION NO.:I 21 611 111 01 C SMALL ADDITIONS TO EXISTING RESIDENCES (600 square feet or less of conditioned area). Prescriptive requirements in Tables 6C -1, 6C -2, and 6C -3 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS, Only site - installed components and features are covered by this form. BUILDING SYSTEMS. Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. Addition 2. Single- family detached or Multiple - family attached 2 S FD - 3. If Multiple - family -No. of units covered by this submission 3. 2 y •/ 4. 4. Conditioned floor area (sq. ft.) 5• 1.4 5. Predominant eave overhang (ft.) 6. Glass type and area: Single Pane Double Pane . a. Clear glass 6a. 15 sq. ft. b. Tint, film or solar screen 6b. sq. ft. sq. ft. 7. Percentage of glass to floor area 7• 5 - 8. Floor type and insulation: a. Slab -on -grade (R- value) 8a R = 0 lin. ft. b. Wood, raised (R- value) 8b. R = sq. ft. c. Wood, common (R- value) 8c. R = sq. ft. d. Concrete, raised (R- value) 8d. R = sq. ft. e. Concrete, common (R- value) 8e. R = sq. ft. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R- value) 9a -1 R = sq. ft. 2. Wood frame (Insulation R- value) 9a -2 R = 13 sq. ft. b. Adjacent: 1. Masonry (Insulation R- value) 9b -1 R = sq. ft. 2. Wood frame (Insulation R- value) 9b -2 R = 13 sq. ft. c. Marriage Walls of Multiple Units` (Yes /No) 9c 10. Ceiling type and insulation: a. Under attic (Insulation R- value) 10a. R = 30 297 sq. ft. b. Single assembly (Insulation R- value) 10b. R = sq. ft. 11. Cooling system* 11. Type: Central (Types: central, room unit, package terminal A.C., gas, existing none) SEER /EER: 13 12. Heating system* 12. Type: (Types: heat pump, elec. strip, natural gas, LP -gas, gas h.p., room or PTAC, HSPF /COP /AFUE: existing, none) 13. Air distribution system* a. Backflow damper or single package systems* (Yes/No) 13a. b. Ducts on marriage walls adequately sealed* (Yes /No) 13b. 14. Hot water system: 14. Type: n / a (Types: elec., natural gas, other, existing, none) EF: * Pertains to manufactured homes with site - installed components. 1 hereby certify that the plans and specifications covered by the calculation are in compliance with Review of plans and specifications covered by this calculation indicates compliance with the Florida the Florida Energy Code Energy Code. Before construction is completed, this building will be inspected for compliance in � I accordance with Section 553.908, F.S. PREPARED BY: C � ` C9 g , C 1 0" - DATE: I o ,i / BUILDING OFFICIAL: I hereby certify that t ' , Odin i in n - • ' the Florida Energy Code: OWNER AGENT: cool) DATE: 17 f 11 DATE: FLORIDA BUILDING CODE - BUILDING 13 -D.33R 'APPENDIX 13 -D Climate Zones 1, 2, 3 TABLE 6C -1: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. R. and Less), RENOVATIONS TO EXISTING BUILDINGS AND SITE - INSTALLED COMPONENTS OF MANUFACTURED HOMES COMPONENT MINIMUM INSULATION EQUIPMENT MINIMUM INSTALLED INSULATION INSTALLED EFFICIENCY EFFICIENCY Concrete Block R -7 a Frame, 2' x 4' R -11 R - 1.i ? Central NC - Split SEER = 13.0* SEER = 3 I Frame, 2' x 6' R -19 p - Single Pkg. SEER = 13.0' SEER = 3 Common, Frame R -11 O Room unit or PTAC EER = 8.5* EER = o Common, Masonry R -3 Under Attic R -30 R - 3 0 Electric Resistance ANY 0 0 Single Assembly; Enclosed z H eat pump - Split HSPF = 7.7' HSPF = 7 7 ' Z Frame R -19 i= 7 ' - Single Pkg. HSPF = 7. HSPF = - Metal Pans R -13 w Room unit or PTHP COP = 2.7* HSPF /COP = o Single Assembly; Open R -10 = Common, Frame R -11 o Gas, natural or propane AFUE = .78 AFUE _ Fuel Oil AFUE = .78 AFUE = rn Slab -on -grade No Minimum X it O Raised Wood R -19 O Raised Concrete R -7 LL Common, Frame R -11 O w Electric Resistance EF = .92 EF = _ < Gas; natural or LP EF = .59 EF = U In unconditioned space R -6 R - 6 3 Fuel Oil EF = .54 EF = D In conditioned space No minimum TABLE 6C•2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY See Table 13- 607.1.ABC.3.2 and 13- 608.1.ABC.3.2 Maximum percentage glass to floor area allowed is selected by type, overhang length, and solar heat gain coefficient. Maximum % = 2 °Installed % = 5 GLASS TYPE, OVERHANG, AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double OH -SHGC OH -SHGC OH -SHGC OH -SHGC OH -SHGC OH -SHGC OH -SHGC OH -SHGC 1' -.87 0'- .78 2' -.87 1' -.78 NOT 2' -.78 NOT ALLOWED 3' -.78 0' -.75 1' -.75 0' -.61 ALLOWED 1' -.61 2' -.61 0' -.57 0' -.44 1' -.44 0' -.35 Get certified SHGC from the manufacturer or use defaults: Single clear SHGC = .75, double clear SHGC = .66, and single tint SHGC = .64 TABLE 6C -3 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather- stripped or otherwise sealed, X Exterior Windows & Doors 606.1 Max. 0.3 cfm/sq.ft. window area; .5 ctm/sq.ft. door area. X Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. X Recessed Lighting 606.1 Type IC rated with no penetrations (two altematives allowed). fl/ a Multistory Houses 606.1 Air barrier on perimeter of floor cavity between floors. n / a Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. n / a Combustion Heating 606.1 Combustion space and water heating systems must be provided with o0tside combustion air, except for direct vent appliances. n / a Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked circuit breaker electric or cutoff (gas) must be provided. External or built-in heat trap required for vertical pipe risers. n / a Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas / spa & pool heaters must have minimum thermal efficiency of 78%. n a Hot Water Pipes 612.1 Insulation is required for hot water circulating systems (including heat recovery units). n / a Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig. n / a HVAC Duct Construction, 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated Insulation & Installation and installed in accordance with the criteria of Section 610.1. Ducts in attics must be insulated to a minimum of R -6. X HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. X GENERAL DIRECTIONS: 1, On Table 6C -1 Indicate the R -value of the insulation being added to each component and the efficiency levels of the equipment being installed. All R- values and efficiencies installed must meet or exceed the minimum values listed. Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows, sliding glass doors and glass door panels. Double the area of all nonvertical roof glass and add It to the previous total. When glass in existing exterior walls Is being removed or enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 6C -2. Prescriptives are given by the type of glass (single or double pane) and the overhang (OH) paired with a solar heat gain coefficient (SHGC). For a given glass type and overhang, the minimum solar heat gain coefficient allowed is specified. Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition do not have to comply with the overhang and solar heat gain coefficient requirements on Table 6C-2. All new glass in the addition must meet the requirement for one of the options in the glass percentage category you indicated. The overhang (OH) distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. Any glass type and solar heat gain coefficient may be used for glass areas which are under at least a 2 -foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single -pane tinted, double -pane clear or double -pane tinted. 4. BUILDING SYSTEMS. Comply when new system Is installed for system installed. 5. Complete the information requested on the top half of page 1. 6 Read "Minimum Requirements for Small Additions and Renovations," Table 6C -3, and check all applicable items. 7. Read, sign and date the 'Owner /Agent' certification statement on page 1. 13 -D.34R FLORIDA BUILDING CODE - BUILDING C it o Atlan Beach APPLICATION NUMBER ���� y (To be assigned b the Building Department.) c, ,... . Building Department ( g y © g p �,; ?f 8 00 Sem in o le Road // — ,2 7 " Atlantic ach, 32233 -5445 Phone (90 247 -5826 Florida Fax (904) 247 -5845 0/1 uzi 0- E -mail: building- dept @coab.us Date routed: /d City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / tiZ O eel), i Jr De • artment review required Yes o ` • Applicant: 6, /C/ 17 Me? 4 sF S Planning & Zoni , Tree £ . ministrator Project: 2-j//O' 61,4 r 94ita � � �Tf Public Works Public Utilities Ti � Cei e .� r e / 7 -- 9 Public Safety ,G[/ T Fire Services Review fee $ Dept Signature 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: APPL ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING //�i/ . PLANNING & ZONING Reviewed by:---- ,�C- -` Date: / C""/ 7 �i ^1/ TREE ADMIN. Second Review: Approved as revised. ❑Denie PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: I Revised 05/14/09 MAP SHOWING SURVEY OF - r OT 5, BLOCK 128. SECTION "I I" ATLANTIC BEACH. AS RFCORDFD IN PLAT BOOK 18, PAGE 34 Or TFII CuI.I' EN 1 PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. `u vi / Cyr I t 1 O T •1 L U I 4 •• FOUND If= " \(C,ROr1 IH35- 0 S' °_. 1'. 134 17'(1'ILLI]) Pill All •„it I) N88 134.02' ,,..?1,7,,,/,7,-,r— YI(XX, FEII(.L `[7. I' � _ <o ii---, L 0 T .- - r I` , WO ;TORT � ' � _, i ,. / +a r+. N FRAME � ,. . rte] ! f1 a[ n 12ESIDFNCE s ..' POSTED " b 1) 4D � ' � � I ` ., FINISH FLOO' 77 �, IruRLr[ N -Q' U "— .- n• ca , i�w v t te, -L" f — � I ., i1.4' N o.L•x i, „.., _ - y .rnict j,% :-' - LI �+ [[)) p• 5e oo W 114,3°1 P1 LE) � a2 . , , e MITZII 1/]' IRON( S4ii3 to PIP[ L U MN I qry {- r 11 38(I ILLUS ■ ,.c. City of Atlantic \Beach L (' ' ' peccor4A w 4-1- N. r Planning and Zoning Department � y` ' I �� �q gl� rE is approval verifies Compliance' with applicable z ring, subdivision and other local land development regulations, but does not constitute approval for the issuance of permits. Compliance with Florida Building Code and all other applicable focal, State and Federal permitting requirements must be verified by signature of the City of Atlantic Beach Building Official pri. to the issuance of a / Building Permit. /� / Approved By - T VYE m 4 ;Ti' =� .. Date: s ,Ft"�) i NOTES: THIS SURVEY WAS MAUF FOR IHI HI- NLI 11 or T1-11.5 IS A BOUNDAR'T SURVEY. VAN I.)LISEN & VAN DUSEN, LLC, PEOPLES FIRST (':UMMI.INI I Y HANK NO Hull t It1 , - ;. RIC :TIQN LINE AS PER PLAT. t3r-AKINGI: LI A`rLU UN IHE WESILNLY LINE or I3 0(.1 128, DE.■NC] N 01 `A A °, Pr1 P1 AT 1111 F'Ia)I - • f 11I'r !,I 'OWN HEREON APPEAR TO LIE 114 FLUOD 7000 "k” (AREP. 007 `,■(1 YLP I- L000 PLAINT A5 WELL AS CAN BE DCTCI9MII ;) 1 1:C)L4 ,HE "I I (1(111 I NE.l 1Rh.N C..F_ FATE MAP COmMUNII l- ANLL ft(' " r�l 1.1 Affl 0 h (d 1 10. -'0 001)1 1), Ia- V1`4h_ll APRIL 17, 1.1 G'� 1...D.._. 1 0k !HE CI 1 Y OF A ILAN 100.. 0000) I, rl_r)RIDA DONN W. BOA fYVRI(SV IT, P•.S.M. , ,.vm WI WAIT NF nfcnnn,ar . +r. rr l FLORIDA LIC. SURVEYOR and MAPPER No. LS 3205 nr - nn,. R �-E #I (f•4 E r ,,,,,, L,._..+.Lu rLURIDA LTC. :i1.,HV3 YIN(: .4- MAPPING BU4INC1 Nn. 1 R .',C,7 SUAY(TUA Aril', rt." - _ ^" • CHECKED BY: eOATWRIGHT LAND SURVEYORS, INC. ,J ANUARY 2 ?nn DRAWN BY: . CH I .._ O� sty 1500 ROBERTS DRIVE. JACKSONVILLE BEACH. FLORIDA 241 -8550 SHEET_]._ OF 1 . _ FILE: - . Jf JW_,,,, 'u _,• .1% Llo G - 871 .. :,7i— City of Atlantic :each APPLICATION NUMBER '� ` °' h� building Department (To be assigned by the Building Department.) ' r 800 Seminole Road — 71 l ) Atlantic Beach, Florida 32233 -5445 � � Phone (904) 247 -5826 •Fax (904) 247 -5845 - '3:: :_ s;� ;�, . E -mail: building- dept @coab.us pate routed: �'� Arid City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No (,�'� Li � .� `C4 L?i � 4 ' ' s Planning & G� i Tree Administrator ^ / tot /_ , fr Public Works Project: 1 4� f C� ®�� 9 " Public Utilities �� r e/ a1 ry Public Safety � � j �/ Fire Services Review fee $ Dept Signature q),K 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: MApproved. ❑Denied. (Circle one.) Comments: `Ftect5,e � ( � ju iej, o fk BUILDING " - CZ) CO`-"S St PLANNING & ZONI Vn OM Review i t e : TREE ADMIN. Second Review: Approved as revised. nDenied. 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