Permit Fence 1355 Ocean Blvd 2012 City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road
Atlantic Beach. Florida 32233-5445
Phone(904)247-5U6 - Fax(904)247-5845 7
E-mail: buj1cffng-dept@?coab.us [Date routed:
City web-site: http:/twww.coab.us IF
APPLICATION REVIEW AND TRACKING FORM
Property Address: 126�5_ bllc� Department review required Yes No
Building
Applicant: Planning&Zoning X
Tree Administrator
Project: &--7d) PuNic Works X
Public Utilities
Public Safety
Fire Services
Review fee --Dept Signature
Other Agency Review or Permit Required Review o Receipt Date
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: loeo,*Proved. E]Denied.
(Circle one.) Comments:
BUILDING----,
rNNING&ZONING Reviewed by: ---Date.-
5 ,
Second Review: ElApproved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised OVUM
City of Atlantic Beach
APPLICATION NUMBER
Building Deparfinent (To be assigned by the Building Department)
4
800 Seminole Road /c;2
Atianiff c Beach. Florida 32233-5445
Phone(904)247-5826 , Fax(904)247-5845 -7
E-mail: bujlcring-dept(9coab.us Date routed _3
City web-site� http://Www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 126�5— 16Q4,21 N;04— Department review required Yes No
Building
Applicant: Planning&Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Pennit Required Review or Receipt Date
of Permit Verified By
Florida Dept of Environmental Protection
Flodda 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. nDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
ATREE MIN.I Second Review: FlApproved as revised. DDenled.
W RK r
4omments:
U UTILITIES Reviewed by: Date:
PUBLIC SAFETY
FIRE SERVICES Third Review: nApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 07127110
City of Atlantic Beach
APPLICATION NUMBER
Building Department i (To be assigned by the Building Doixiftent)
800 Seminole Road
/c;2 -/7-5-S�
Atlantic Beach. Florida 32233-$t45� " " , ,�7'�
Phone(904)247-5826 - Fax(ON,'2-47-5845
E-mail: builcling-deptCcoal)-us Date routed.
City web-site. http:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: A��C� A?V;04 Department review required Yes F—No—
Building
Applicant: 6oxz? Planning&Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Review fee 3� Fire Services
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
—I of Permit Verified By
Florida Dept.of Environmental Protection
Flodda 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: EVpproved. nDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by:
TREE ADMIN. Second Review: ElApprovedas revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SER\ACES Third Review: DApproved as revised. FIDenied.
Comments:
Reviewed by: I)ate:
Revised OVUM