1644 E Park Ter 12 1197 ii
City of Atlantic Beach APPLICATION NUMBER
Building Department
"P 800 Seminole Road
(To be assigned by the Building Department.)
J
' Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 12 - 1197
z119 �—
will E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING CORM
Property Address: /&-//4/ 1,14k, ,C De artment review required Yes No
Building
Applicant: Planning&Zoning
Tree Administrator
Project: �/z Z_ Public Works
u is tilities
Public Safety
Fire Services
Review fee $ Dept Sigilature
F
y Review or Permit Required Re iew or ReceiptofP rmitVerifiedByDate
f Environmental Protection
f Transportation
r 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 b : Date:
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by Date:
FIRE SERVICES Third Review: DApproved as revisec. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127110
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