Permit 1814 Seminole Rd 12/2011 screen enclosure It CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002983 Date 12/27/11
Property Address . . . . . . 1814 SEMINOLE RD
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3400
----------------------------------------------------------------------------
Application desc
SCREEN ENCLOSURE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HARKLEROAD IMPACT ENCLOSURES INC
1814 SEMINOLE ROAD 1242 NANTUCKET AVE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 346-1112
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ADDITION
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . Valuation . . . . 3400
Expiration Date . . 6/24/12
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
ENG REV PRE APP > 3 HRS 25 . 00
STATE DBPR SURCHARGE 2 . 00
UTIL REV PRE APP >3 HRS 25 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 54 . 00 54 . 00 . 00 . 00
Grand Total 159 . 00 159 . 00 . 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: ��� S 11110 IG ko Ak Permit Number:
Legal Description Parcel#
aoFloor Area of Sq.Ft.
Valuation of Work$ 3 ®0° Proposed Work heated/cooled non d& qq
Ll 5
Class of Work circle one): New Addition Alteration Repair Move Demolition 1/sAE(wo+ or��
Use of existing/proposed structure(s) (circle one): Commercial 1 'al
If an existing structure, is a fire sprinkler system installed? (Circle one): YYes No N
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Information:
Name: luA ii-I R ark-1 e f'y a.0c Address: :Wq 6ed6ie,
City A°+uhft iQ dtarj., State FLZip3 2233 Phone C104—,5, 34-1108
E-Mail or Fax# (Optional) i=1146rc Q 411n "I caw4
Contractor Information: J
Company Name: T,, 4� (,Rsvfzs Qualifyi Age t: tt►^�.
Address: IZH?- A C Cts City a� C. ,ems State Zig? ZZ
Office Phone ID� %6-1114— Job Site/Contact Number yen 90 d- x# 'ff6 2Ak— i�b3
.f?C,+y;TC. y�{Yk`Hle4rrin�r..f t'+.'.Y°'.Wi+!4iiY
State Certification/Registration#
Architect Name& Phone#
Engineer's Name& Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address i
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 aperiod of six16)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, rurnaces,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 here b certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordin nces governing this
type of work will be complied with whether speci aed herein or not. The granting of a permit does not presume to give ty to iolate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
J:.
Signature of Owner Signature of Contractor
Print Name Print Name A �i Yk r
.... ......................................................... ................ .......... ...........................::...............................................................................
Sworn to w�nnd subscribed before me Sworn and subscribed'befo e me
t 's 1 S' T)ay of ri ou 6m p,F_►4 20 l( this Day of .c 20 f
c.f3 Ertl,nn oar
to G CV UPYIN memum
Ix otary Public +y+++N ALBERT MORENO tart' u is NOTARYPLUM
` NoWy Pubk-Stott of FWWla STA OF FLORIDA
• Myr flomm.EiPMaa M Y 24.2016
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Com mewn•EE ar0�0 EVIrea 12/12/2014
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The Law Offices of Rod Schloth
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904-372-9351 -
beach@rod-law.com hd f r
[PROPERTY ADDRESS 814 Sr MINOLE RD ATLANTIC BEACH.Florida 32233 SURVEY NUMBER:FI'109.1/17
FIELD WORK DATE REVISION DATE(S) ;
I
Ft 1109.1717
BOUNOARYSURVEY L1 C 74 ��r
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I nereby cerily that/his Sketch of Survey of the hereon descnbed
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kulle a ge and uelelrlrsa!rve and accurate rep•esenral on ol asunev 111
rat n ats the m nimum tech - a set/orth by the Fingda go i d 1
j 0 Pro'essrona la-d Sun' aeY'esbn r ChaptarSJ-1;a me 30 0 is so
Fu rda Admrn,staP"e C 41x9
GRAPHIC SCALE (In Feet)
1rnldb�,sl:a<tl>� I inch = 30' ft.
a-n111 Survcv for WrU 1 rri lntrndr.tl 11W.utl t V ......eal,r�J 51 fntlNfl ut lrahrlrVy tcrhe 5urviyur.
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LJ-DATE:NUMBER RS11/89 1 C DATE 9/3D/1011 1 kf
-_ Vickie Platt
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E NARhLEROAD AND JUDITH M NARKLLROAD I ccre@bellsoisouth.n
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SELLER BARBARA P11I1-L3P5 www.countryclub-realestate.com
CERTIFIED TOiCARI I II ARY.LERCJ D AND JUDI TII M11AR6u 1 r t)
Of Fil SOF ROJ C HLOTH P OLD RL PUB ll J NIDN l MILE
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This is page 1 of 2 and Is not valid without all pages. !I a 12220 TOwf]E Lake Drive.Suite ss-Ft Myers,FL 33913
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AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE
TO: Building Inspection Department,City of Atlantic Beach, 800 Seminole Road
Home Owner: L,r
Name p
i8 f�l 5, i►► 1\.; n o o A J
Street Address13
r
City. State and Zip Code
Contractor: t1)o,.rN �Am m-e r-�
Permit Number
As the Contractor for the proposed new structure located at the above address,I have personally viewed
with the above named home owner those portions of the-existing structure on which portions-of the--
proposed new structure are to be attached for structural support.I am confident that the drawings and
details included with.this permit application depict the existing conditions of the host structure,and the
members of the existing structure upon which the new structure are to be attached are sound with no rot
or deterioration. The home owner has been advised by me that,in my best judgment based on experience
and knowledge of structural adequacy,the members of the existing structure upon which the new
structure are to be attached are sound with no rot or deterioration and will support all structural loads and
forces imposed on them.By signing below,I hereby declare that I will hold the City of Atlantic Beach
harmless and release it from any responsibility and liability for any adverse consequences or failures
resulting from this work,and further that I will not initiate,execute or enjoin any legal action against the
City of Atlantic Beach for such consequences or failures.
A copy of this document will be recorded as an official record with the Building Inspection
Department permit history so that any and all future buyerslowners of this property may be made
aware of the status of work performed on this structure.
Signed Date /ZL-j 2
Before me thisN
day of Ueem J—
In the County of Duval, State of Florida,has personally appeared
VA1 by h' Iffherself and
and
eccu.rate.
STA'T'E OF FLORIDA
stt wZC
Comm#EE048322 r v .
'n L'r res 12/12/2014 3 � Z
T,I Public=t barge, Static.of L ,County o m o
Personally l nown or Produced Identification �
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F:building/affidavit for attaching a new structure to an existing structure.docx 7/21/09
SUNROOM, SCREEN ENCLOSURE, AND/OR SCREEN ROOM AFFIDAVIT
CITY OF ATLANTIC BEACH
JOB ADDRESS: 1(6/q 5 L rn .,o j e ®� r,Q PERmrr# //-,,)99-5
INSPECTION REQUEST PHONE LIE(904)247-5826
The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your residence.
The table below, Sunroom and Screen Enclosure Requirements provides a brief description of the various sunroom category
requirements. There may be restrictions on the use of your present home depending on the category of sunroom you are installing.
The property owner is hereby notified that should any form of temperature control system be added to a Category I, II, or III
Sunroom or the removal of the doors separating any Category I thru IV Sunroom from the host structure occur, the room shall
become non-compliant and must comply fully with all of the requirements for habitable/conditioned spaces as mandated by the
Florida Building Code,The Florida Model Energy Code and State Statutes.
creep Room Sunroom and Screen Enclosure Re uirements
Category I II III IV V
Habitable Space No No Yes Yes
Foundation Walls<200plf can Walls<200plf can Walls<200plf can Walls<200plf can have Walls<200plf can have
have 8"Wxl2"D ftg have 8"Wxl2"D ftg have 8"Wx12"D ftg "Wxl2"D ftg 8"Wxl2"D ftg
r 3-1/2"slab if no or 3-1/2"slab if no or 3-1/2"slab if no
concentrated load concentrated load concentrated load
7501b >7501b >7501b
Exit Lighting Not Required Required Required Required Required
Interior Electric Not Required Not Required Not Required Required Required
Outlets
Emergency Escape Egress from exist. Egress and Exit must Egress and Exit must Egress and Exit must Egress and Exit must
Openings tructure allowed if meet code neet code. Other neet code. Other meet code. Other
pen to atmosphere or esistance esistance requirements esistance requirements
onsidered screen equirements for or forced entry,air or forced entry,air
reclosure and has orced entry,air eakage and water eakage and water
creen door leading eakage and water enetration also apply. enetration also apply.
way from residence. enetration also apply.
Misc.Window and Host structure Removable windows 1emovable windows iost structure windows Host structure windows
Door Requirementswindows/doors shall allowed in sunroom. Mowed in sunroom. k doors shall not be &doors may be
of be removed. Host structure -lost structure emoved. removed.
windows/doors shall dows/doors shall
of be removed, not be removed.
ind Borne Debris Not Required Not Required Not Required Required Required
pening Protection
Energy Sheets Not Required Not Required Not Required Required Required
I hereby ac ow I have read and understand all the above on this Day of ,
f
Home O Print Name
STATE OF FLORIDA, COUNTY OF DUVAL:
The foregoing in nt was acknowledged before me this Z j_day ofDe-c&ny_�_)0_0r , 20 11 by
herein by himself/herself and affirms all
stat ments and declarations herein are true and accurate.
If
JUSTIN �
N IC, ST TE OF FLORIDA
3 NIOTARY PUBLIC
"0,TE OF FLORIDA P Name: A wst- L, lie S
�A,mm#EE048322
Expires 12112/2014 ❑ Personally Known/Prldentificatiom n j
1/r•✓�1-S !t�'C ren S'�
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 PHONE(904)247-5826 FAX(904)247-5845 REVISED 1-20-10
The Law Offices of Rod Schloth
2187 S Third St �A:
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Jacksonville Bch, FL 32250
904-372-9351 iia+fys' y'-
beachorod-law.com "k '
PROPERTY ADDRESS. 1814 SEMINOLE RD ATLANTIC BEACH,Flo,da 32233 Y I SURVEY NUMBER:FL •:09.1117
I FIELD WORK DATE _ REVISION DATE(S)
FL 1709.1717
BOUNOA.RY SURVEY
DUVAL COUNTYI L2
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fl s c o P
i . :., � ) hY Ot Atlar►t►C Bee
:. Planp and Zoning De
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-- 7hie approNN verNiss comp appticabN
Zoning, subdivislon and oth local land
developmegf regulations, but d not constitute
a` h approval tttoobf the issuance of perm Compliance
i + with Florida IBuilding Cods and all bother applicable
1— (� local, State and Federal penrdtu Il
\ E must be ve
Beach Bull OfffdN bar Stu= r CRY of Atlantic
Building Pew. a(i a
Approved wT•:
:. `.�. .. ------------ Isrrnev4a�!.�etae�wrwwarrraht
F ULI F,
"COPY
1 neroby cerl>)-ma!mis Skelcn of Surrey o/tae hereon described .,,�,,,,,,�
piopeny ras been mado under my direction and to the best 01 my
4^anfeace and bedel 1l is a!rue and accurate rep•esemton of a suney
!rat mee!s rhe m.mmom to . set lorih by:re F!b^da Qaard
i
j Oi Proiesswnxla^d Suny .aeY!escn, Chapter ib joltile 30 o is So
I fcrrdd Adrrunr!rahve C I
GRAPHIC SCALE (In Feet) �
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1,>a„ +'•5�r,e,.for rh.r1.11,u11•Vr1 VI hn•rraeU,VA,I ou If 1. It J S I J Y 1 Al,r+L,N1' I y
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%:CINE VISIBLE
FLOOD INFORMATION
r.,r 7 cc 1 y „ o -,.:•f )p..y a:°f ., �.uI d. dup x 1 ,P• r .,,-o�nd ,THE
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II', , .• ,,,r.:1c tit nul,.,� ''/89
1(CLIENT NUMBER RS11 289 I I DATE
S 9.30720,1 _ Vickie Platt �`Ir'4`V
(;I a> 904.285.258o
j BUYER(-ARL L WARKLEROAD AND JUDITH M HARKLLROAD l; ® ccre@bellsouth.net f ..
www.countryclub-realestate.com i
ELLER:BARBARA A PHILLIPS ._�....�._.._ �.
jCERTIFIEDTO:C R t++oRKtCPO DChDyL I1+ ,HAPYtIRf J.'nt:(,.'.
Df l cis Of ROD SCH107H t UL r NEI' f I 11(?H t I+LE
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+I This Is page 1 of 2 and Is not valid without all pages._ 1 F e t 17220 Towne Late Drive.Sune 55•Ft Myers,FL 33913
PLANNING & ZONING DEPARTMENT
PLAN REVIEW CHECKLIST
APPLICANT IMPACT ENCLOSURES
_0j it
PROJECT LOCATION 1814 SEMINOLE ROAD
City of Atlantic Beach
CONTRACTOR/OWNER IMPACT ENCLOSURES JUDITH HARKLEROAD 800 Seminole Road
Atlantic Beach,FL 32233
F- NEW SINGLE-FAMILY r SIGN PERMIT (P)904.247.5826
(F) 904.247.5845
r NEW TWO-OR MULTI-FAMILY (- FENCE OR POOL PERMIT www.coab.us
REMODEL OR ADDITION (" LANDSCAPE PLAN
RADD-11-00002983
r NEW COMMERCIAL r OTHER SCREEN ENCLOSURE
Application Number
NOTES: LOT 3,BLK 1 OF SELVA MARINA UNIT 9(PLAT 36-20);EXISTING POOL COURTYARD LOCATED BEHIND BRICK WALL WHICH
ESTABLISHED FRONT LINE OF SF DWELLING;POOL&SCREEN ENCLOSURE SHOWN ON ORIGINAL 1978 PLAN;AND ALSO
RECOGNIZED AS FAR BACK AS 1984 COJPAO NOTES;REQUEST IS TO REBUILD ENCLOSURE;MEETS REQUIRED FRONT SET-
BACK OF 25'(PLATTED BRL).
COMPLIES WITH: COMPREHENSIVE PLAN DESIGNATION? r YES r NO RL
ZONING DISTRICT DESIGNATION? r YES r NO PUD
REQUIRED SETBACKS? r YES r NO 25FRONT
MAXIMUM HEIGHT? [x- YES r NO
MAXIMUM IMPERVIOUS AREA? r YES r NO
REQUIRED PARKING? r YES F- NO #SPACES
SIGN PERMIT CHECKLIST
FREESTANDING HEIGHT OF SIGN DIMENSIONS SQUARE FOOTAGE
ILLUMINATION DISTANCE FROM PROPERTY LINE(S)
FASCIA(WALL) NUMBER OF SIGNS R"9�
ILLUMINATION METHOD OF MOUNTINGfit E
I too
OTHER
_... .« .
LANDSCAPE PLAN REQUIRED r YES rX NO
REVIEWED BY: ERIKA HALL,PRINCIPAL PLANNER DATE REVIEWED 12/12/2011
COMMENTS PROVIDED TO APPLICANT: r YES r NO DATE PROVIDED
APPLICATION APPROVED r YES r NO DATE APPROVED12/12/2011
City of Atlantic Beach APPLICATION NUMBER
} � Building Department (To be assigned by the Building Department.)
r 800 Seminole Road //, 7 ,943
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 P
�OR �:� E-mail: building-dept@coab.us Date routed: �Z O I
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
/e
Property Address: / 7 S6"'we �� � DqpadWent review required Yes No
Applicant: IA4 1 1E el%nninq &ZonQ
�` , Tree Administrator
`_
Project: �!"l'-�i�� L"��' �d & Z6 ublic Work
u lic Utilitie
Public Safety
Fire Services
3 ry,";,",_ 1711►54Y4 xy 1s':#:. ,
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: `
B
PLANNING &ZONING Reviewed by: Date: ` ' r2! 20t
TREE ADMIN. Second Review: QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
City of Atlantic Beach APPLICATION NUMBER
ley
Building Department (To be assigned by the Building Department.)
800 Seminole Road
s� Atlantic Beach, Florida 32233-5445 / 0
", ' Phone(904)247-5826 • Fax(904)247-5845 Q
�U31�' E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us 11
APPLICATION REVIEW AND TRACKING FORM
Property Address: /��7 se� 16 ---7-1 . DepxidMent review required Yes No
Applicant: 144 / t-� nnin &Z
Tree Administrator
Project: �c/'��`7 ) �'7?�' /6 &&,e6ublic Work
u lic Utilitie
Public a ety
Fire Services
�i ,:"�'—,
1..x,�da �"''
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:
BUILDIN
PLANNING &ZONING
Reviewed by: Date:A=21—
TREE ADMIN. Second Review: [—]Approved as revised. ❑ enied.
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
City of Atlantic Beach APPLICATION NUMBER
Building Department DEC (To be assigned by the Building Department.)
r `j 800 Seminole Road 4 43
Atlantic Beach, Florida 32233-5445c�_
Phone(904)247-5826 • Fax(904)247-5 -- _ p
'•will E-mail: building-dept@coab.us Date routed: �z Ol /
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Jfj De ent review required Yes No
Property Address: / 7 �/(�t/AA0 ��
Applicant: 144 46 S It 09nninq &—ZODA
If ( C Tree Administrator
Project: JCr�i`n LSC �Q �Lt�G ublic Work
u lic Utilitie
Public Safety
Fire Services
R4MI,
t�
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:
BUILDING
PLANNING &ZONING Reviewed Date: 1t
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
P QR . Comments:
1, ITI
l 2-
C SAFE Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach K " . -- APPLICATION NUMBER
Building Department �' D (To be assigned by the Building Department.)
S 800 Seminole Road ���' /�, Z Gt D
DEC12
Atlantic Beach, Florida 32233- 45 ! Q
Phone(904)247-5826 Fax( 4);247 5845 p
will` E-mail: building-dept@coab.us Date routed: �z U
City web-site: http://www.coab.us '" ,--::
APPLICATION REVIEW AND TRACKING FORM
Property Address: /� �7 J�"IA161 —,Pj DgpAdMent review required Yes No
Applicant: IA4 a&ze
/ t-le nninq &Z •
c�, Tree Administrator
Project: cr �� �'�� �D c�u,e� ublic Work
u lic Utilitie
Public a ety
Fire Services
`� rG,i'E" aP�
,44
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:
BUILDING
PLANNING &ZONING Reviewed by: Date: ,Y 9
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
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
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