R/W JEA 1644 PARK TER E 2012 'rdf City of Atlantic Beach APPLICATION NUMBER
y - Building Departrnent (ro assigned by the Bung department.)
prt y 800 Seminole Road
Atlantic Beach, Florida 32233 -5445 /2 -- //O 7
Phone (904) b_
247-5826 Fax ( Date 247 -5845 p 1 E-mail: 2
building- dept@ooaus e routed: O – 'Z
City web -eile' kftp/iwww_eeeb.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Applicant JR4 Planning & Zoning
� � ���� I _ �^ Tree Administrator
Project: CI' al
Public Safety
Fire Services
_
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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: DApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date:
TREE ADMIN. Second Review: DApproved as revised. DDenied.
PUBLIC WORKS Comments:
PUBUC UTILITIES
PUBUC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10