2020 Duna Vista Ct 2013 screen enclosure CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Ji31SA
Application Number . . . . . 13-00002551 Date 5/23/13
Property Address . . . . . . 2020 DUNA VISTA CT
Application type description SCREENED ENCLOSURE
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2490
-- -------------------------------------------------------------------------
Application desc
screen enclosure
--------------------------------------
Owner Contractor
---------------
------------------------
TREET, MARK SCHNORR HOME IMPROVEMENTS
OVERSVISTA CT 6928 PHILLIPS PKWY. DRIVE N.
2020 DUNATREE
JACKSONVILLE
ATLANTIC BEACH FL 32233 (904) 62-FL 32256
1517
--------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . 32 . 50
Permit Fee 65 . 00 Plan Check Fee .
Valuation . . . . 2490
Issue Date . . . .
Expiration Date . . 11/19/13
------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees
STATE DCA SURCHARGE 2 . 0
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
. 00
_ ----------
--------- ----------
- . 00
Permit Fee Total 65 . 00 65 . 00 00 . 00
Plan Check Total 32 . 50 32 . 50 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00
Grand Total 101 . 50 101 . 50 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ORDERED BY:
The Law Offices of Rod Slchloth
2187 S Third St -
,lacksonuilte Bch, FL 32250 n ,
904-372-9351
leach@rod-law.com A _.
SURVEY NUMBER: FL1303.2743
PROPERTY ADDRESS: 2020 DUNA VISTA COURT ATLANTIC BEACH,FLORIDA 32233
FIELD WORK DATE:312912013 REVISION DATE(S):(REV 3!30!2013)
C-2 TABLE:
C-I R=I 100.00'(P4M) L 1 5 3°00'00" E 10.87'(P)
FL 1303.2743 R=130. L=35.87'(P)35.61'(M) S 2°53'32"E 10.90 (M)
L=33.59'(P)(P)33.33.62'(M) 6=1°52106"(P) 1-5 1'18"(M)
BOUNDARY SURVEY A=14°48120"(P) 14°49'01"(M) CI1_5 2°03'57"E, 35.87'(P)
DUVAL COUNTY CH=5 4°24 I Cy'W, 33.50'(P) 5 2°11'04"E, 35.6I'(M)
5 4°24'10"W, 33.52'(M)
F1
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LOT 59 M
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5 89°41'36"E 126.59'(M)
5 89°29'23"E 128.53'(P)
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° City of Atlan B€ai;h',! z
1 X73 38.3' 2'3 Planning and Zoni g Depar*ert 1
1
!, I
h his approval verb Ilancecabled
0 zonin subdivi6i Tx other]1to fanil
f + v opmen regu i ns, floes hot c stitutej
�o approval for the Issu irmits ';Com ance.
5'W.F. 6 1
TMo 5 89°03'56"W 146.81 (,Groh Florida Bg4inq ode rtq it otlj@
' S 89°08'46"W 15 I.76'(P) local, State an!!. 'Wderal p rmittipg,aOquir ent
/ 5 89°03'56"W 15 1 .8 I'(C) must be verified by signatur y
antic
!
L507337 Beach Building Official pri to the is§ua of
W.C. I LOT 57 Building Permit. `?
Approved By a
Date,
0
`
SE B.�U�S �
Q
I hereby certify that thi t l Of gy Of" a on described property has NOTES:LOT APPEAR5 TO Be 5ERvlC D B CITY WATER AND SEWER
been made under my it ction (e best of knowledge and belief,it is FENCE OwNER_5HIP NOT DET ERMINED
A-i:.-JACr50NVILLE ELECTRiC.AL.It10Rlly ttMIEMENI
a true and accurate r p es to rvey that m ets-the minimum technical
JE
standards set forth b t e es at Land Surveyors as
described in Chapter o17 of sTATEoIAdminisQ ve Code.
FLORIDA �P 30 20, to 0 1 5' 30'
6�ON4`S URV6Y0� N
Wesley B.Haas GRAPHIC 5CALE
State of Florida professional Surveyor and Mapper 1 Ihch = 30 feet
License No.3708
Use of This Survey for Purposes other than Intended,Without Written verification,will be at the User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shali be construed to Give ANY Rights or Benefits to Anyone Other than those Certified
POINTS OF INTEREST
FLOOD INFORMATION: 1 4'W.F.OVER 25'U.E.&D.E. #
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING INFORMATION: (1)
MUNICIPALITY OR WWW•FEMA.GOV,THE PROPERTY APPEARS TO BE _
LOCATED IN ZONE A&X WITH A BASE FLOOD ELEVATION OF FEMA
IN THE
CIT`(OF ATILANTTIC BEACH,INED IN ZONE: COMMUNIITY NUMBER 120075,THIS PROPERTY WAS DATED
x,,,,,89 � AFFILIATE
CLIENT NUMBER:RS13-1295 DATE: 3/30/2013 t !�� _ MEMBERS
BUYER:MARK G OVERSTREET AND TIA L OVERSTREET
F'LTA
SELLER:SHIRLEY A MARSH AND LAURA VALLOW �.
CERTIFIED TO:MARK G OVERSTREET NDIN OERSTEETHE
LAW OFFICES;OLD E
� www•surveystars.com
INSURANCE COMPANY;MEGASTAR FINANCIAL CORP
Land Surveyors, Inc. P 666-735.1916- F 866-744-2882
1222o Towne Lake Drive,Suite s5-Ft.Myers,FL 33913
This is page 1 of 2 and is not valid without all pages.
LBM 7337
BUILDING PERMIT APPLICATION .
CITY OF ATLANTIC BEACH ILE
1
800 Seminole Road, Atlantic Beach, FL 32233 � �
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Zo7 0 Vu o j,4vi 5rP r'TA7Lf4Cq ><L 3Zz3 3 Permit Number:
Legal Description S Noll-rte vN o Parcel# I 6 —
Floor Area ot SS q.F t. q t
Valuation of Work$ R.H9'O Proposed Work heated/cooled _ non-heated/cooled 75
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esidenti
If an existing structure,is a fire sprinkler system installed? (Circle one): es No
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: 3 x z 6-' _5ceza-s J -20-0 F
Property Owner Information:
Name: .^2aesd evflL5 E-�6T' Address:7g2Zo ,T.�i,30-'.4 ✓iSTy
City pry A.JT l C_ &,-o L/N-- Statel�LZip 3ZZ Phone�� -Sou -
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: PDS Inc. 09ASGA-w 'SME ;m'°- Philip D.Schnorr
Qualifying Agent:
Address:
6928 Phillips Pkwy. Dr. N. City Jacksonville, State FL Zip 32256 Office Phone 904/262-1517 Job Site/Co tact Number Fax#904 262-1436
State Certification/Registration# CRC 0 41 0 2 8 Sc C,o u so?& er
Z,
Architect Name &Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN-ATTORNEY BEOR ERECORDING YOUR NOTICE OF
COMME1 hereb certify that I have read n examined this a plication and know the same to b true and correct. All provisions of laws and ordinances governing this
type of work well be complied whether sppeci here' or not. The granting a permit does not presume to give authority to violate or cancel the
provisions of any other federal s or local la egu t' construction or th per r ante of construction.
g
Signature of Owner
i nature of Contractor
PrintNamePhilip D. Schnorr
Print Name ......+Qu�it�s.zlrk �`.T.......................................... ..........................................._................................................................................................
.
Sworn to and subscribed before me Sworn to and subscribed before me 20/3
this /9 Day of W)I3 this /Ci Day of 19Pa14,t-
NOTARY PL-BLIC-STATE OF FLORIDA
Notary Public r :. �---�v��,T`o�...�
N ry Public Commission#EE056994 MY COMMISSIONIEEE216772
=• s Expires: JAN.23,2015 s*OFI" uBoidedT2016
�hnWNo 07Setvices
BONDED THRD ATLA.'v nC BONDING CO.,INC.
;1
AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE
JWft
TO: Building Inspection Department, City of Atlantic Beach, 800 Seminole
t
Home Owner: f [ILE C
y]L
Name
Street Address '' r
City. State and Zip Code
Contractor: Sct4(-•o.'XL Homy
Permit Number( 3 - a2575-1
• '
•y
As the Contractor for the proposed new structure located at the above address,I have personally viewed
with the above named home owner those portions of the existing structure on which portions of the ;+
proposed new structure are to be attached for structural support. I am confident that the drawings and
details included with this permit application depict the existing conditions of the host structure,and the �.
members of the existing structure upon which the new structure ar�'+to be attached are sound with-no rot
or deterioration. The home owner has been advised by me that, inIny best judgment based on experience_
and knowledge of structural adequacy,the members of the existing structure upon which the new
structure are to be attached are sound with no rot or deterioration and will support all structural loads and
forces imposed on them.By signing below, I hereby declare that I will hold the City of Atlantic Beach
harmless and release it from any responsibility and liability for any adverse consequences or failures
resulting from this work, and further that I will not initiate,execute or enjoin any legal action against the
City of Atlantic Beach for such consequences or failures.
A copy of this document will be recorded as an official record with the Building Inspection
Department permit history so that any and all future buyers/owners of this property may be made
aware of the status of work performed on this structure.
Signe Date yl
Before me this
day of L'
In the County of Duval, State of Floridi,has personally appeared
*q4l,
I scl no r herein by himself/herself and
Aff al ments nd ons herein are true and accurate.
�Li
Notary Pub >c atar e, e ,County of
Personally Kno or ro uc
ID Type
;�. ."�;, �hIRCEYt"f#iAFIAM
-,XPIRES:February 14,2014
3onned Thru Notary Public Undermters
F:building/affidavit for attaching a new structure 7/21/09
HOMEOWNER SUNROOM ENCLOSURE AFFIDAVIT
The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your residence. The table
below,Sunroom and Screen Enclosure Requirements provides a brief description of the various sunroom category requirements. There
may be restrictions on the use of your present home depending on the category of sunroom you are installing. The property owner is hereby
notified that should they make changes to the sunroom which could include, but not be limited to, addition of any form of temperature control
system or removal of the doors/windows separating the sunroom from the host structure,the room may become non-compliant with the
requirements as mandated by the Florida Building Code,the Florida Model Energy Code and State Statutes.
VSS,Section 3.1.2 defines the following Sunroom Categories:
Category 1: A roof or a covering of an outdoor space. The openings shall be permitted to be enclosed with insect screening or 2 mit..:�.
maximum thickness plastic film.The space is defined as non-habitable and unconditioned. Note: A Screen Enclosure by the FB
definition can only meet Category I.
Category 11: A roof or a covering of an outdoor space with enclosed walls. The openings are permitted to be enclosed with tranja;
or transparent plastic or glass. The space is defined as non-habitable and unconditioned.
Category III: A roof or a covering of an outdoor space with enclosed walls. The openings are permitted to be enclosed with tra
or transparent plastic or glass. The sunroom complies with additional requirements for forced entry resistance, air leakage resis
and water penetration resistance. The space is defined as non-habitable and unconditioned.
Category IV: A roof or a covering of an outdoor space with enclosed walls. The sunroom is designed to be heated and/or cool
separate temperature control or system and is thermally isolated from the primary structure. The sunroom complies with additionrequirements for forced entry resistance,water penetration resistance, air leakage resistance and thermal performance. The spadefined as habitable and conditioned.Category V: A roof or a covering of an outdoor space with enclosed walls. The sunroom is designed to be heated and/or cooleopen to the main structure. The sunroom complies with additional requirements for forced entry resistance,water penetration
resistance,air leakage resistance and thermal performance. The space is defined as habitable and conditioned.
NER
I have read this complete form and UhdcmVqam r iving a Catego Sunroom.(I-V)
Printed Name
Signed: Date:
Before me this day of fin//L_ 70)3 in the County of Duval,State of Florida,has personally appeared
MH6L/L oc/�/L.fT�i=G%� vn renv LI! }_y �e affirms all
statements and declarations herein are true and accurate. Philip u:Iu21u; ;rr,H
CoM.—n1 (1 56994
Notary Public at Large,State of r__L— County of 1. — ires: J.: .3,2015
Personally Know-Oor Produced Identification❑ EDTERUATLAA a JG CO,JNQ
ID Type
Sunroom and Screen Enclosure Requirements
Category 1 11 111 IV V
Habitable Space No No No Yes Yes
Foundation Walls<200plf can Walls<200plf can Walls<200plf can have Walls<200plf can have Walls<200plf can have
have 8'Wx12"D ftg or have 8"Wx12"D ftg 8'Wx12"D ftg or 3-1/2" 8'Wx12"D ftg 8'Wx12"D ftg
3-1/2"slab if no or 3-1/2"slab if no slab if no concentrated
concentrated load concentrated load load>7501b
>7501b >7501b
Existing exterior Relocate to exterior if Relocate to exterior Relocate to exterior if Relocate to exterior if Relocate to exterior if
GFI Breaker enclosed if enclosed enclosed enclosed enclosed
Exit Lighting Not Required Required Required Required Required
Interior Electric Not Required Not Required Not Required Required Required
Outlets
Emergency Egress from exist. Egress and Exit Egress and Exit must Egress and Exit must Egress and Exit must
Escape Openings structure allowed if must meet code meet code. meet code. meet code.
open to atmosphere
and has screen door
leading away from
residence.
Misc.Window Host structure Windows must be Windows may be Host structure windows Host structure windows&
and Door windows/doors shall removable Host fixed or removable. &doors shall not be doors may be removed.
Requirements not be removed_ structure Host structure windows removed. Forced entry, Forced entry,air leakage
windows/doors shall and doors shall not be air leakage and water and water penetration
not be removed. removed.Forced entry, penetration requirements apply.
air leakage and water requirements apply.
penetration
requirements apply.
Wind Bome
Debris Opening Not Required Not Required Required,can be on host structure,if built under existing roof
Protection
Energy Sheets Not Required Not Required Not Required Required Required
• SME {w�(•YLe✓�s.-rEJTS -"--..._....._._..,...a..,...�...ti.,..,...,.,,,......e....+...... -
1 Zg RrJi^�t t��oJ PK✓�y "JCY
T
�LtOt+�l.vs�viur C�/J�
F Z Robert Wood PE 31542
<„P5✓P 2000 Sandpiper Point
Neptune Beach, FL 32266
Phone/Fax: (904) 241-2021
e
NWO '0.
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FILE COPY
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1-X 2- DB O PERIMETER 2-/10 S.M.S. FROM INSIDE FACE OF
NOTE /t: USE)(e X S• LONG LAGS INTO WOOD HOST POST INTO SCREW SPLINES OF HOLLOW
AND )G•e X 2)(' LONG CONCRETE SCREWS INTO GIRT(1'EMBEDMENT MINIMUM.)
CONCRETE OR MASONRY CONSTRUCTION (1- EMBEDMENT 2•X 2•HOLLOW
TYPICAL)/SPACING 24- D.C. AND WITHIN 6' OF EACH HORIZONTAL(GIRT).
PERPENDICULAR MEMBER
1- X 1- X 1/16- ANGLES 2-LONG MATH 2-/8 X 172- ._.... ..y.........
LONG S.M.S. AT EACH LEG TYPICAL EACH SIDE. TOP N
" ! h BOTTOM)' _ ..
o -
Z IJ
a
SELF MATING POST OR HOLLOW POST.
:HOST.STRUCTURE.
ELEMENTS:. ,
A
TYPICAL 1 x 2 TO HOST AT CORNER TYPICAL CHAIR RAIL TO POST DETAIL
Post
FASTEN PEER N�p i"x 2"cont.12 -�x 2"x.125 angle
le
2• X z•HOLLOW HORIZONTAL w/T/a"tapcons i 2each side post
(GIRT). at 24"o, c.
� 2 - #lOx�a"sms
W NOTE/1: USE y,-e X 3• LONG LAGS INTO into O$t and T/4"
WOOD HOSS1,AND )6-e X 2%' LONG p
y CONCSCREWS INTO CONCRETE OR tapcon w/2"embed
MASONRYRETE CONSTRUCTION (1- EMBEDMENT 2"Min
TYPICAL)/ SPACING 24. O.C. AND WITHIN DI7 AH61,e F-Ov-
N 6' OF EACH PERPENDICULAR MEMBER edge A
EACh4 17" P05T
H 51Z@
2- #10 S.M.S.FROM INSIDE FACE .
OF 1 X 2 OB INTO SCREW SPLINES
OF HOLLOW GIRT(1-EMBEDMENT
MINIMUM.)
TYPICAL 1 x 2 TO HOST AT GIRT TYPICAL POST BASE DETAIL
Pile Type Footing
TYPICAL FOUNDATION DETAILS
Ribbon Footing Slab on Grade Slab With_Thickened Edge
6 x 6 10/10 WM.
N 6x610/10WM !fi
f 1 - #5, 2 - #4j. I
or3 - #3
rebar cont.
NOTES:
1. Concrete shall be minimum 2500 psi. Cover for rebar shall be 3". �gl,
2. Fibermesh shall be used in lieu of welded wire mesh.
3. Slab on grade shall be used for roof areas less than 360 sq. ft. or for posts with tributary area,
less than 75 sq. ft.
4. Minimum slab thickness shall be 3-1/2".
S. Foundation shall bear on compacted subgrade with 1500psi minimum bearing capacity.
6. Pile type footing shall have 3/8" diameter rods 12" long t!Xu costs each way.
7. Embeded aluminum posts shall be isolated from concrete to prevent corrosion.
S. Posts supporting carrier beams shall have adequate foundation for hold down capacity.
A minimum of one cubic foot of concrete for each ten square feet of screen roof.
City of Atlantic Beach �'PLICATIQN NUMBER;
Building Department o�iasst aedt�yth `Buiidmg*Department)
800 Seminole Road
_ Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 w Y
E-mail: building-dept@coab.us ero �d' r
City web-site: hftp://vwm.coab.us
APPLICATION REVIEW AND TRACKING. FORM
Property Address: Z,2e 2)vp & Vl--5T / Department review required Ye No
U*
Applicant: �� 109,P1- e1QW11p anning&Zonin
pp .0 ree Administrator
Project: X Z_5' 32 is Works_.)
Utilities 4
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: [[ Approved. QDenied.
(Circle one Comments:
BUILDING �
PLANNING&ZONING Reviewed by: Date: �� l
TREE ADMIN. Second Review: RApproved as revised. [Denied.
PUBLIC WORKS Comments:
I
� PUBLIC UTILITIES
Reviewed by: Date:
PUBLIC SAFETY
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
Cityof Atlantic Beach � ''�' �
- ►R<�'CIC' -FIOIN �El2
Building Department ;asigettBui' dmgDepartmerit)
800 Seminole Road
x
Atlantic Beach, Florida 32233-5445 3 K�
r Phone(904)247-5826 • Fax(904)247-5845
r
E-mail: building-dept@coab.us
. .•'' Y'11s. ' 3a}!h 4r'e!t t%k..t! 'h+'r.,YS
City wets-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addres : Z 20 Auh De ent review required Yes No
Applicant: Com'n anning&Zoning)
_ �}
Tree Administrator
Project: c X Z G/^�� is Works
Utilities
Z--7,)Gf a S-& e Public Safety
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.
APPI-19ATION STATUS
Reviewing Department First Review: Approved. M- Denied.
(Circle one.) Comments:
ING--
�PLANN�ING&ZON Reviewed by:_ Date: �
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127190
City of Atlantic Beachi "F:O�NtJMBEF ,
Building Department APR 2 6 2013gP.0 '.9rtment)
800 Seminole Road
Atlantic Beach, Florida 32233-
r
Phone(904)247-5826 • Fax( "
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 26 2e 25y,l a C,r DeparLment review required Yes No
U
Applicant: /t!7 Q1/ �._ arming&Zonin
Tree Administrator
Project: X �.5 � �/ � �
(au is Works
Utilities
Public Safety
Fire Services
Review or Receipt
Other Agency Review or Permit Required of Permit Verified Ry 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: (Approved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:-
71E
TREE
ate:-
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27110
RECEIVED
City of Atlantic Beach CIBC -f OINUMBER {
Building Department APR 2 6 2013
>} 800 Seminole Road �
Atlantic Beach, Florida 32233-544
z"
Phone(904)247-5826 • Fax(904)!Z47-55W
` E-mail: building-dept@coab.usp °' u
City web-site: httpJlwww.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addre : 2,o 25U/7 Q V l�%/�t C;� De ent review required Yes No
Applicant: _P1
(� /l!7 Q!/ P &Zonin
_ Tree Administrator
Project: X 2 22 is Works
MMW Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B
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: Approved. QDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: [Approved as revised. ❑Denied.
P I CfRKS Co ments:
U TILT E/
PUB IC SAFETY 3 Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10