435 Inland Way driveway to pavers 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12- DO000885 Date 7/24/12
Property Address . . . . . . 435 INLAND WAY
Application type description DRIVEWAY
Property Zoning . . . . . . . TO 3E UPDATED
Application valuation . . . . 9500
--------------------------------------- -------------------------------------
Application desc
REPLACE CONCRETE DRIVE WITH PAVER3
--------------------------------------- -------------------------------------
Owner Contractor
------------------------ ------------------------
WOLFEL, JOHN OWNER
435 INLAND WAY
ATLANTIC BEACH FL 32233
--------------------------------------- -------------------------------------
Permit ' * * ' * ' DRIVEWAY PERMET
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/20/13
--------------------------------------- -------------------------------------
Special Notes and Comments
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location Df utilities . Hand dig if
necessary. If field coordination is neeed, call 247-5834 .
Ensure all meter boxes, sewer cleinouts and valve covers
are set to grade and visible.
A sewer cleanout must be installe� at the property line.
Cleanout must be covered with an RT1 concrete box with
metal lid. Cleanout to be set to grade and visible .
Full right-of-way restoration, in::luding sod, is required.
Roll off container company, if usE!d, must be on City
approved list and container canno: be placed on City
right-of-way. (Approved: Advancel Disposal, Realco,
Shappelle ' s and Waste Management) .
Full erosion control measures mus: be installed and
approved prior to beginning any eirth disturbing
activities . Contact Public Works (247-5834) for Erosion
and Sediment Control Inspection prior to start of
construction.
--------------------------------------- -------------------------------------
Other Fees . . . . . . . . . STArE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
UTIL REV MODIF OR ROW 25 . 00
--------------------------------------- -------------------------------------
PERMIT 9PWPIFdW131Mi& IN ACCORDAC410LVNWALL CITV OF IC BEACFP6tfi"�&A AND THE RMUDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
v-lit
Page 2
Application Number . . . . . 12- DO000885 Date 7/24/12
----------------- ---------- --- ------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 29 . 00 29 . 00 . 00 . 00
Grand Total 64 . 00 64 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF %TLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMITAPPLICATION
CITY OF ATLANT�C BEACH
800 Seminole Road, Atlantio Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: //7 4A e( Permit Number:
Legal Description _& -o Floor Area of Sq. t. Parcel# Sq.Ft
Valuation of Work —Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration e ai Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the e of work to be performed: 4v4t_tn�
Ile Q7 I OA)
Property Owner Information:
Name: �,),o wtqa��l d s: It
1*04 7
city Statd�!:Zip Phon4
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: 451�� Qua ifying Agent:
Address: City State Zip
Office Phone Job Site/Contact Number Fax
State Certification/Registration
Architect Name &Phone#
Engineer's Name& Phone
Fee Simple Title Holder Name and Address if-11
Bonding Company Name and Address 4W ze
Mortgage Lender Name and Address 4
a she e ade an a e d e work and n a a n as im icate . cer that no work or installation has commenced prior to the
0 mi'to i 'o s s' MW r k
iws regulatinr construction in this jurisdiction. This permit becomes null
a", f
om it s 1 k suspended or abandonedfor a period of sixP6)months at any time a ter
a p I d he tand d
' 0
'pPhc c io p r r by md tha a r , epe 0 e
is an e e m t an w w rm s a' 0
f hs, or �c 't ct, or
su 0 t 0 r
0, _0, ot c t )in t
and N' k n d hi 6 n n
omin 'i s 0 0 ru on or is
u 'r , t at s 'r p rm ts cur f icar Work, Plumbing, Signs, Wells, Pools, urnaces, Boile ,Heaters,
inu t , ed or Elect
'or s f ",c d nd ta d h ep ate e be e
k co' e s
Tanks andAir Con i ioners,etc.
WARNING TO OWNER: YOUR FAIL RE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR I AYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO :.ZE RECORDING YOUR NOTICE OF
COMMENCE qENT.
I here certify that I have read and examined th* plication and know the same to be true and correct. All provisions of laws and ordinqnces governing this
7 s a)
type 7Mrk will be complied with whether elcifled herein or not. The granting qf a permit does not presume to give authority to violate or cancel the
provi.st.ons of any otherfederal,state, or localsfaaw regulat' onstruction or the per/grmance of construction.
Signature of Own
AV Signature of ConNctor
Print Name I Irint Name
.......................... ....X..............W ............ N"N.- - .- - -
Swo VIE&subscr e $worn to and subscribed befor e
this Dav of . 20A)_ 6;- —Day o 20
D A WMH nE
E057149
2�1 2015
Notary Public EXPIRE :M Jj ary Public
8WdMThruN-taq%bkUnd-
Revised 10
?'-,�o o
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITYRIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
-ASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date -7 112. 2--O\-L-
PERMIT#
Job Address 4 1 ISSUED BY THE CITY
1-4
Permitee: Telephone#
Permittee Address:
Requesting Permission to Construct: On.-,d\1C Vf rs
Location: (Reference to Cross-Street) 0 C e rX sy tN(- e
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 locatioi is are shown on the sketches.
A Letter of Notification was mailed to the following Uti ities/Municipalities:
Jacksonville Electric Authority Yes ( ) No Date:
Bell South Telephone Company Yes ( No Date:
Ferrell Gas Yes( No Date:
Comcast Yes ( No Date:
2. Whenever necessary for the construction, repair, improvement, 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, ca)Ies or other facilities and appurtenances authorized
hereunder, shall be immediately removed from saiii street or easement or reset or relocated hereon as
required by the Director of Public Works, and at e expense of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or Flqida Department 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 inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condit on 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 showinq anV increase in impervious area on owner's lot or in the cit
Riciht of Wav are to be included with this at)Dlicatibn.
7. This permittee shall commence actual construction i good faith with days. If the beginning date is
more than 60 days from date of permit approval, th( n 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.
8. It is understood and agreed that the rights and priviI4 iges herein set out are granted only to the extent of the
City's right, title and interest in the land to be enterec upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, arid save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of experses 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: Date:
Before me this day of in the County of Duval,
State Of Florida,has personally appeared
Notary Public at Large,State of Florida,County of Duval.
My commission expires: Personally Known:
Pf oduced Identification:
CITY OF ATLANTIC BEACH
OWNER / BIJILDE� AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW-
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERT/HT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU,AS THE 0)&NER OF YOUR PROPERTY.TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR UVIPROVE A ONE—OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MA Y NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE Lj�W WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATIONOF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY �OUNTY OR MUNICIPAL LICENSING
ORDINANCES.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLEj FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKfR'S COMPENSATION INSURANCE BE
PURCHASED.
Ill. IRS WITHHOLDING;'OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER AN
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,00) PENALTY UNDER FLORIDA STATUTE NO.
455-228(l). AN-OCCUPATIONAL LICENSE' IS NOT ADE )UATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETEN'Y' OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE Tf fAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
.//!a --- ,�;s7f JO-" 7.
ldo� 41"
ADDRESS L PHONE NUMBER
t,Ao V�_s
PRINT 7�
/ IGNATUR
V 1�17
Before In is aly of QLA, 20/14 the county f
.elf an affirms that
Duval,SLt of I.rida,has persoVy appeafed herin by t�imself/here
all statements and declarations are true and accurate.
Notary Public at Large,State of r7!!!!—__ County of 0"14LA DEBORAH AMANDA vffiffE
SSION EE 057349
A MYCOMMI I W
;�W EXPIRES:May 21,2015
E]Personally Known V
I'VI'Droduced Identification- ......P Bonded Thru Notary Public UnDderw"rkerms
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john wolfel real estate LLC
From: Richard Vinas <richardvinas@grriail.com>
Sent: Wednesday,July 11, 2012 6:52 P A
To: john wolfel real estate LLC
Cc: Ben Del-una;Joe Cordless;William Ebert;Association Management
Subject: Re: my ARC request to changeOLt my driveway to pavers
Looks good to us. Ok to move forward with no change to the )riginal driveway foot print.
Richard
On Mon, Jul 9, 2012 at 4:27 PM,john wolfel real estate LLC <John.wolfel Ea)corncast.net> wrote:
My concrete driveway is becoming a hazard so I want to change it )ut with pavers. I'm using the same installer Joe
Corliss used.
I will pull the City permit after I get farther along.
Attached is my request and a sample of the pavers.
Thanks,john
Y-i (2
Y-\
Property Appraiser- Property Details Page I of 2
WOLFEL JOHN 3 Primary Site Address Official Record Book/Page MA
435 INLAND WAY 435 INLAND WAY 062:9-01814 9405
JACKSONVILLE, FL 32233-4682 Atlantic Beach FL 32233
43S INLAND WAY
"o eEb(Detail Value Summary
RE# 169463-1528
Tax-111istrkI USD3 Value Method I CAMA CAMA
PtQperty U 0100 SINGLE FAMILY Total Building Value $271,337.00 $241,600.00
00 1$880.00
#of Buildings Extra Feature Value $93
----------------
42-018 37-2S-29E Land Value(Market) $185,000.00 if$185,000.00
Legal Desc.
OCEANWALK UNIT 4 Land Value(Agric.) $0.00 $0.00
04166 OCEANWALK UNIT 04
Just(Market)Value 1 $457,275.00 $427,480.00
Total Area 13449
Assessed Value $318,754.00 $328,316.00
............... .......... ......................
The sale of this property may result in higher property taxes.For more information go Cap Diff/Portability Amt $138,521.00 $0.00 $99,164.00/$0.00
to Save Our Homes and our Property Tax Estimator.Property values,exemptions and . ....... ............................
jxomntim $50,000.00 See below
other information listed as'In Progress'are subject to change.These numbers are
part of the 2012 working tax roll and will not be certified until October.Learn how the TaxableValue $268,754.00 I.See bel2!-----J
Property Appraiser's Office values property.
Taxable Values and Exemptions—In Progress
If there are no exemptions applicable to a taxing authority,the Taxable Value s the same as the Assessed Value listed above in the Value
Summary box.
County/Municipal Taxable Value SJRWMD/FIND Taxable Va ue School Taxable Value
Assessed Value $328,316.00 Assessed Value $328,316.00 Assessed Value $328,316.00
...............I............................................................................................. ....................... ................................ ................................... ..........................................................................................................
Homestead Exemption(HX) -$25,000,00 Homestead Exemption(HX) -$25,000.00 Homestead Exemption(HX) -$25,000.00
.............................I........................I....................................................... ...........................................11....................... ............I....................... ........................................................................................................-
Amend 1 Homestead(HB) 1.$25,000.00 Amend 1 Homestead(HB) Taxable Value $303,316.00
.................................... ........................................................ ..........................................I.................................................................
Taxable Value $278,316.00 Taxable Value $278,316.00
Sales History
—TVa nt/l�mproved
,Book/Page 1 Sale Date Sale Price Deed InstrUMent Type Cgge Quallfigd/Unguil nt/Improved
lined Vaca
t
06229-01814 10/22/1986 Vacant
i $44,100.00 WD-Warranty Deed Unqualified
Extra Features
LN Feature CQde Feature Description
Bldg. 11.111!11101 111,111 Width Total Units e
V!!u
1 FPPR7 Fireplace Prefab 1 0 !0 1.00 $M0.00
Land&Legal
Land .......... ..................................... LeVl—
Land LwW ;Land LN 1 Legal Description
LN Cggg Use Description Zoning Front I Depth Category,
Units TIM
Value
42-018 37-2S-29E
RES LD 3-7 UNITS PER
0100 ARS1 81.00 167,00:Common 1.00 Lot $185,000.00 2
1AC OCEANWALK UNIT 4
�3 �LOT14
14 MARSHA H O/R BK 6229-1814
Buildings
Building I
Building I Site Address ...........
Element Gode Detail
435 INLAND WAY
Atlantic Beach FL 32233 Exterior Wall i 12 1 12 Cedar or Redwood
Roofing Structure 3 Gable or Hip
Building Type
0102-SFR 2 STORY SCH Roofing Cover
3 Asph/Comp Shingle BAS
Year Built 1987
Interior Wall 5 Drywall
L—F�T�"
Int Flooring :1 1 lCeramic Clay Tile
i Gross Heated Effective
TM Int Flooring :2 12 Hardwood
Area Area Area
Heating Fuel 4 Electric
Finished upper
1090 1090 1036 Heating Type 4 Forced-Ducted
story I
Air Conditioning
2490 3 Central
Base Area 2490 2490
Finished
665
0
Garage 332
1 Element Code
------------
Finished Open 80 Stories 2,000
Porch 0 24
5.000
Bedrooms
Tota 1 4325 3580 3882
http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1694631528 7/12/2012
1
JUL-12-2012 14:46 FROM: TO:92475845 P:1/2
Page I of I
*2099900*
gill
Print Date:
7/12/2012 2:50:28 PM
Transaction#: 2099900
Receipt #- 2035508
Cashier Date, 7/12/2012 Jim Fuller
2:50:25 PM Clerk Circuit Cour,
(TBERNARDI) Duval Courity
330 E. Bay Street Rm 103
Jacksonville, FL 322)2
(904) 630-2044
Customer Information Transactiml Information Payment Summary
DateReceiv.-d: 07/12/2012
Source Co ie: BEACH
-101--fN WOLFEL Q Co le. BEACH
435 INLAND WAY Return Co Je: Over the Total Fees $10.00
ATLANTIC BEACH, FL 32233 Counter Total Payments $10.00
Trans Ty )e- Recording
Agent Ref
Nurn�
I Payments
LBECK 1399 $10-00
I Recorded Items
_O/C BKIPG.' 15998122-30 CRX-2012145992
JEL)TICE Date:711212012 2:50:00 PM
COMMENCEMENT From: WOLA 7EL J07fN To.- COMMENCEMENT
INI)EXING 2 $0.00
- RECORDING $10-00
10 Search Items
10 Miscellaneous Items ———
fi I e://C:\Progratn Files\RecordingiN4odule\def,,tult.htm 7/12/2012
JUL-12-2012 14:46 FROM: TO:92475045 P:2/2
NOTICE OF CONSMNCENEW
State of 40,4 Tax Folio No.
County of
To Whom It May Concem.
The undersigned bcmby bfwm you that improvements will.be Tnade to,*rtain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE 0 F COMWNCEM:ENT.
Legal Description of property being improved: 4 't A 0
-�L:AS— 1,171444( W
Address of property being improved:, As�cn)-Akc-
General description of improvements:
Owner: Z.A0&—Aj Address: /,7 /42-0-
0woer's int=qt in site of the improvement: A41A a4l C L
Fee Simple Titleholder(if other than owner):
Name:
Contractor: V,I -yy-� qAq t
Address: t4(0-7 0-\a :A 9, , ,c kc
Telephone No.: 9d4 (o26244-7 Fax No:
S,=ty(if any)
Address:
TrAcphone No: Fax NO: Doc#7012145992,OR BK 15M Page 7230,
NUrnber Pages�I
Name and address of any pmon waking a low for the construction of the mprQ Reclordi2d(Fi/12i?012 at 02:50 PWI,
JIM FU�LER 0LERK,C1qCU1T COURT DUVAL
Name: COUNTY
RECORDING$10 00
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designate I by owner upon whom notices or other documents may be
served. Name:.
Address:
Tolcphone No- Fax No:
in addition to himsel4 owner designates the fbllowing person to rocci ve a copy of the Lienor's Notice as provided in Section
71�.06(2)(b),Florida Statues. (Fill in at Owner's option)
Nainc.
Addiress:
Telephone No: Fax No:
Expiration date Of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different daft is
TH5 SPACE FOR RECORDERIS USE ONLY 0 Datc; -7�
'Si7 -%
re
Bef y of 2,6 1 - in the cem State
WHM ot Florida,has pemsaiyappmmd P"v
Notuy Public at StsW of Florida,County of Duval.
ON#EE DM9 My oonunj,�,sion expircs.
EXPIFI=E2� or
Personrdlly K'nawn:
.= Al it
qDr&dn" dent cut-jo`T—ft ry
Produced I ifi 1--
City of Atlantic Beach
APPLICATION NUMBER
Building Department
(To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 a
Phone(904)247-5826 - Fax(904)247-5* 7
E-mail: building-dept@coab.us Date routed:
Cityweb-sRe- http:/Ar".coab.us
C
APPLICATION REVIEW KING FORM
Property Address: 1171AO-J� aj��41 Department review required Yes No
Building
Applicant: Planning &Zoning.
Project: TreeAd_ministrator
Public Safety
Fire Services
01111110
Other Agency Review or Permit Required Rf view or Receipt Date
of F lermit 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: ElApproved. enied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: [UApproved as revised. MDenied.
PUBLIC WORKS Comments: 12-
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed t y: Date:
FIRE SERVICES Third Review: DApproved as revisi�d. nDenied. 74
Comments:
Reviewed ly: Date:
d
Revi&W 07127110
City of Atlantic Beach
APPLICATION NUMBER
Building Department
(To be assigned by the Building Depvtnent.)
800 Seminole Road
-5"5
Atlantic Beach Florida 32233
Phone(904)247-5828 - Fax(904)247-5845
E-mail: building-deptecoab.us 2012 Date routed:
City web-eke: htlp:/Aww.co9b.us
zz.
APPLICATION REVIEW AN KING FORM
Property Address: //7 IA^s� Va-4o Department review required Yes No
Building
Applicant: Planning&Zoning
Project: ree A inisb-ator
<
Public Safety
F ces
Other Agency Review or Permit Required R view or Receipt Date
of a
Of errnit Vedfled 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
RevWwing Department First Review, ---'��Approved. [—]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: DApproved as revis.-d. FIDenied.
hKS ornments
PU I TILITIES
PUBLICS F Reviewed t y: Date:
FIRE SERVICES Third Review: approved as revised. nDenied.
Comments:
Reviewed bV: Date:
ROVISIXI 07r27110