1076 Hibiscus St arpon concrete 2013 1,51 , 1.
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CITY OF ATLANTIC BEAj
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800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002557 Date 5/02/13
Property Address . . . . . . 1076 HIBISCUS ST
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
NEW CONCRETE APRON
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Owner Contractor
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MILLAIRE JEFFREY S & ANNE R OWNER
1076 HIBISCUS ST
ATLANTIC BEACH FL 322332652
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Permit . . . . . . RIGHT OF WAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/29/13
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Special Notes and Comments
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible .
A sewer cleanout must be installed at the property line if
not already in place. Cleanout must be covered with an RT1
concrete box with metal lid. Cleanout to be set to grade
and visible.
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Other Fees . . . . . . . . . ENG REV BLDG MOD OR ROW 25 . 00
UTIL REV MODIF OR ROW 25 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 50 . 00 50 . 00 . 00 . 00
Grand Total 85 . 00 85 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Graham Shirley
From: Kaluzniak, Donna
Sent: Thursday, May 02, 2013 9:31 AM
To: Graham Shirley
Cc: Walker, Chris; Showman, Lisa
Subject: RE: 1076 Hibiscus St
Shirley—approved. I'll enter in AS400 now. Fee will be$25 for ROW review- Donna
From: Graham Shirley
Sent: Thursday, May 02, 2013 8:22 AM
To: Kaluzniak, Donna
Cc: Walker, Chris
Subject: 1076 Hibiscus St
Donna , Have you looked at this yet, need this morning if possible.
Thanks,
shirleu crahavu.
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, Fl 32233
904 247 5800
sgraham coab.us
1
City of Atlantic Beach j RECEWED
A.
Building Department APR 2 9 2013
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800 Seminole Road :J
Atlantic Beach,Florida 32233,54451 'h:
Phone(904)247-5826 • Fax(904) ��
E-mail: building-dept@coab.us .., '
.,• city web.-site, http'l/www.coab.us
APPLICATION REVIEW AND TRACKING. FORM
Property Address: 4 Department review required Yes No
_
Building
Applicant: h 1 Planning&Zoning
Tree Administrator
Project: uwork
biic s
Utilities
u is ety
-pop Fire Services
Other Agency Review or Permit Required Review or 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: AAppiuved.- []Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:—fz/// 3
TREE ADMIN.
Second Review: ❑Approved as revised. []Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27110