2279 Seminole Rd # 1 (vault) CITY OF ATLANTIC EACH, FLORIDA o6oq�
Approved by APPLICATION FOR ELECTRICAL PERMIT
F-`�-r
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
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ELECTRICAL FIRM: MA iC�IAN�SIGNA%RE JOURNEYMAN
BOX
NAME P"'m ADDRESS: \ —
BLDG.SIZE BETWEEN:-
RES. APT. ( COMM. ( PUBLIC INDUS. I I NEW ( OLD ( I REW.
ADDITION TRAILER ( TEMPA SIGNS SQ. FT.
FEE
SERVICE: NEW( INCREASE ( REPAIR f.r-
CONDUCTOR SIZE - AMPS COPPER ALUM.
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY .
EXIST.SERV.SIZE k "SO AMPS PH -3W --Z-4(�OLT -.--kRACEWAY
FEEDERS NO. SIZE IND. :SI:Z:E: NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
1 0.30 AMPS. 31-100 AMPS_]
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER BELL TRANSF�. �
APPLIANCES
AIR H.P. RATING H.P. RATING KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT:
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NO.NEON TRANSF.' - NO. VA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
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$ 1 12-� 0
TOTAL FEES
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CITY OF ATLANTIC BEACH Cc:
D. Ford
BUILDING /ZONING DEPARTMENT
TI) 800 Seminole Road S. Doerr
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # 6 & - ZZ-7�q
Property Address: _ 2-2 -71 J" A ?a(
Applicant:
Project: lfl-Vi- U)AV
This permit application has been:
EJ Approved
F-1 Reviewed and the following items need attention:
I
A—W--k ^A�a
t,/4- A, 10W
Please re-submit your applicati when these items have been completed.
7- e
Reviewed By: (��A Date:
Date Contractor Notified:
Al" CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
904-247-5800
800 Seminole Road
Florida 32233-5445 Fax 904-247-5845
Atlantic Beach
PLEASE SUBMIT(3) COMPLETE SETS OF PLANS WITH APPLICATION.
Date-- PERMIT#
ISSUED BY THE CITY
Job Address- Ag- XV ,P�
Permitee.
131JOAl CRA-0041hel Telephone #
Permittee Address:A/ 9-'2 7Y 5P_9xil Rd 4-11144 1
to Construct: 6�t zve
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches-
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes ( ) No ( ) Date:
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas Yes ( ) No ( ) Date:
Comcast Yes ( ) No ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized.
3. All work sha;! meet City of Atlantic Beach or Florida Department of Transportation Standards and be
ontractor's Project
performed under the supervision of 14 1� —,, - - . 02
;�A 4,g-/,�,/ e -
Superintendent) located at -It.a,7#1 Tel phone
?
4. All materials and equipment shall be su6je-ct to inspection by the Director of Public Works or his designee-
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications
and the manner satisfactory to the city.
A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a
v iimc- ase In knigerVious area on owner's lot or in the
part of this permit. 20,&Olculations s-howina an e
R;qjh,� of Way are to be.inciuded v-jith this ac-Glication.
7. .This permittee shall commence actual construction in good faith with days. If the beginning date is
more than 60 days from date of permit approval, then permittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges. ing work and again
9. The Director of Public Works shall be notified twenty-four (24) hours prior to start
immediately upon completion.
,"WNER r)�L -71 2 /V t/0
Signed: Date-
f��
i SHIRLEY L. GRAHAM
in
Before melthis day of I in the County of Duval,
No ry Publi - S e F
ta C tat of loft
if F eared
nda, has personal peared
State Of Florida, has personal
My Commission Expires Feb 14,2010
Notary Public at Large,State of Florid oun f Duvtl.
my commission expires: -Personally Known: DO 518533
Produced Identification: Notary Assn.
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CITY OF ATLANTIC BEACH
OWNERIBUILDER AFFIDAVIT
Date:
Job Address: �2Z 9-
CHAPTER 489,FLORIDA STATUTES,PART I"CONSTRUCTION CONTRACTING"REQUIRES OWNERIBUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE
APPLIED FOR A PERMIT UNDER AN EXEM[PTION TO THAT LAW. THE EXEWTION ALLOWS YOU, AS THE
OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR INDROVE A ONE—
OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR INDROVE A
COMWERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE
BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS CONTLETE, THE LAW WILL PRESUME
THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXENVT10N- YOU MAY NOT HIRE
AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION M[UST BE DONE ACCORDING TO
THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONS113ELITY TO MAKE SURE THAT
PEOPLE ENDLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL
LICENSING ORDINANCES
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT mARsTMNANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTION& THE ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES;OR MAY BIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN
PROGRESS By UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS-
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS WORKER'S CONDENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE
POLICY To CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMYLOYERS AND
SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS
THEY ENVLoy ON THEIR DvTROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMTLOYED UNDER ANY CIRCUMSTANCES- OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS
NOT ADEQUATE TEE OWNER SHOULD PHYSICALLY SEE THE COUNTy-CERTIFICATE OF CONVETENCY"OR
TTIE FLORIDA "CONTRACTORS CERTIFICATV' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR-
TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
I HEREBY ACKNOWLEDGE TI-IAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
CONVLy wm-I ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT-
SHRLEY L. GRAWN
of F
Feb 2]
010
D 578
No"Pubk-St011e of Fbft
I ota r s
MY Commission Expires Feb 14,2010
Commission#DD 518533 PROPERTY OWNERIBUILDER
Bonded By National Notary Assn. 11 -2
�bL
20 e aC
SWORN TO AND SUBSCRIBED BEFORE M[E THIS 1�) /D OF Pf�r�' r
M[Y CONMSSI E S:
NOTE: PHRASES UNDERLINED ABOVE.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
19
Application Number . . . . . 05-00030576 Date 6/16/05
Property Address . . . . . . 2279 SEMINOLE RD UNIT 001
Tenant nbr, name . . . . . . REPL HVAC
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------ ----- ------- ----------- -------------
CHAUDHURI , DIJON OCEAN STATE HEAT & AIR
SHARPS HILL ROAD 1476 ATLANTIC BLVD.
ARKPORT NY 14807 NEPTUNE BEACH FL 32266
(904) 249-8251
------------------ ---- --- ------ - - - --- --------- -- -- --- - ---- ---- --------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 71 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
- --- - ------------ --- ------- ------- -- - ----- - ---- ----------
Permit Fee Total 71 . 00 71 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 71 . 00 71 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CC
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date: 6 -o
Property Address:
Owner: b-1 Telephone 4:
Contractor:-0=n 173=e- ��IQ i QIC Telephone 4:Ellp-
Contractor Address: 141(.p Cnarib C, N%rA n 2) Fax 4:F4q-qQqq
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of
good practice listed therein.
Type of Heating Fuel: If other corrstruction is being done on this building
3"–Electric 11P or site,list the building permit number:
• Gas: —LP —Natural /<entral Utility
• Oil
El Other–Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
Z""Heat Space _Recessed -Central —Floor WX Residential
U"Air Con—ditioning: _Room —,<-entraj
ZI Duct System: Material Thickness Q Commercial
ZI Refrigeration Maximum capacity efin El New Building
zi Cooling Tower: Capacity gpm Q Existing Building
0 Fire Sprinklers:Number of Heads
ZI Elevator: -- Manlift Escalator (Number) Replacement of Existing System
�3 Gasoline Pumps —(Number)
El Tanks (Number) Ll New Installation
El LPG Containers (Number) (No system previously installed)
• Unfired Pressure Vessel Z) Extension or Add-on to Existing System
• Boilers
• Gas Piping 0 Other-Specify
• Other–Specify
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPNIENT&CONDENSOR'S Approving
Number Units Description Model# Manufacturer Ton's Agency
��dd-Q-3
HEATING–FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model# Manufacturer BTU's Agency
FV4&V6001000 O000 6cL-
TANKS Nominal Capacity Type Liquid Serial Approving
How Manv &Dimensions Contained we UanufacturLr No. Agency
I 1!AxFn
160 - - .w jq,��
800 Seminole Road -4;ic DENIM,PhwWwwo"233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.as
IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 05-00030843 Date 7/27/05
Property Address . . . . . . 2279 SEMINOLE RD UNIT 001
Tenant nbr, name . . . . . . INSTALL CU & AHU
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------
---------------------- --
CHAUDHURI , BIJON OCEAN STATE HEAT & AIR
SHARPS HILL ROAD 1476 ATLANTIC BLVD. FL 32266
ARKPORT NY 14807 NEPTUNE BEACH
(904) 249-8251
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 71 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 71 . 00 71 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 71 . 00 71 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
C S. C 1%A
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date:
Property Address: 7 9
Owner: Telephone#: C2"
Contractor:Dce= 43-TME - I -P, QIC Telephone#:Ewl-%z5l
Contractor Address: 10 tp CNW rlu C,NVH Fax#:F,4q-9Qqq
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of
good practice listed therein.
Type of Heating Fuel: If other construction is being done on this building
or site,list the building permit number:
a--'Electric
Q Gas: Natural I XC11t1al Utility
El Oil
0 Other—Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
er"'Heat Space Recessed "Central Floor
0-""Residential
a"'Air Con—ditioning: _Room --�ntral
U Duct System: Material Thickness U Commercial
U Refrigeration Maximum capacity_cfm 0 New Building
Cl Cooling Tower:Capacity .9pM El Existing.Building
• Fire Sprinklers:Number of Heads
• Elevator: —– Manfift—Escalator_(Number) 2" Replacement of Existing System
C3 Gasoline Pumps —(Number)
C3 Tanks (Number) Q New histallation
• LPG Containers _(Number) (No system previously installed)
• Unfired Pressure Vessel U Extension or Add-on to Existing System
C3 Boilers
cl Gas Piping C3 Other-Specify
U Other–Specify
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving
Number Units Description Model# Manufacturer Ton's Agency
:5S&y,5 0,2,6 IL
REATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model# Manufacturer BTU's Agency
I /Ppi FV#&VV6,.),0V 0&4� -2�. 4-�z it L-
TANKS Nominal Capacity Type Liquid serial Approving
How Many &Dimensions Contained Manufacturer No. Agency
800 Seminole Road-Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.as
Y OF ATLANTIC BEACH
CIT
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 06-00032744 Date 4/14/06
Property Address . . . . . . 2279 SEMINOLE RD UNIT 001
Tenant nbr, name . . . . . . DRIVEWAY
Application description . . . RIGHT OF WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Contractor
Owner ------------------------
OWNER
CHAUDHURI , BIJON
SHARPS HILL ROAD NY 14807 ATLANTIC BEACH FL 32233
ARKPORT
---------------------------- -----------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc - - 35 . 00 Plan Check Fee . 00
Permit Fee . . . . valuation . . . . 0
Issue Date . . . .
Fee summary Charged Paid Credited ----Due---
----------------- ---------- -------- - ---------- . 00
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 - 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WrIll ALL CITY OF ATLANTIC BEACH ORDINANCES AND TM FLORIDA
BUILpp,G CODES.
A S�
A
,4
44j, V "..
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
ZIGHTS OF WAY AND EASEMENTS
CONSTRUCTION PERMIT WITHIN CITY P
800 Seminole Road 904-247-5800
Atlantic Beach, Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3) COMPLETE SETS OF PLANS WITH APPLICATION.
Date
PERMIT#
Job Address ISSUED BY THE CITY
xel '41 / -
Permitee-.'V 1-31TON! f,#4Q014LJ10J Telephone# 04�,- Z4� 7 f. li/m
Permittee Address 7Y Rd 147:yt* -r
Requesting Permission to Construct: 7 ea�Z_ Z21 'I'lle
lei'l— Jlvl�y6l e�z /-- V 0
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both 2erial and underground and the accurate locations are shown ron the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes ( ) No ( ) Date:
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas Yes ( ) No ( ) Date:
COMC21St Yes ( ) No ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized.
3. All work shai! meet City of Atlantic Beac or Florida Department of Transportation Standards and be
F lei
performed under the supervisior - //1 Otd,4.,%�,.j;,_,� ('p,,v,/.,ijContractor's Project
Superintendent) located at ;tA(4- &/+,,�J.,J�,,jelephone ji:
4. All materials and equipment shall be suKjkt to inspection by tti6 Director of Public Works or his designee-
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications
and the manner satisfactory to the city.
A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a
part of this permit. shok-ying anv inc,-ea59 in ip2pe-Acus ares. on owner's lot ow '941 the
R-Aqh-�!. cf liVay are to be ',Included vilith t1his anolication.
7. This permittee shall commence actual construction in good faith with days. If the beginning date is
more than 60 days from date of permit approval, then permittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in 'the land to be entered upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
"WNER— o -71 2 tJ � c 4/
Signed: �L_l f D�ate- SHIRLEY L. GRAHAM
Before me this day of ri in the County of Duval,
I
r
Notary Public-State of Fllodda
State Of Florida, has personal peared� -my Commission Expires Feb 14,2010
Notary Public at Large,State of Florid Count4pf Duv I
6. : f'ommj�sion#DD 518533
My commission expires: Z . . — Personally kinown -
Produced Identification: Jl!io,�ai Notary Assn.
CITY OF ATLANTIC BEACH
PIUBLIC UTILITIES DEPARTMENT
1200 Sandpiper Lane
Atlantic Beach,Florida 32233
(904)247-5834
(904)247-5843 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application #
Property Address: 22,7?
Applicant:
Project:
v,Your application is approved as noted by the Public Utilities Department.
Final application approval must come from the Building Department.
u Your permit application has been reviewed by the Public Utilities Department
and the following items need attention:
M>epU —1--kil
tj4_1z1r _i&xtz 4#10 ?L.— iV &,&21F2 Ow��
Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane,
Atlantic Beach, FL 32233 in order that we can approve your application. If you have any
quest�ons,please call(904) 247-5834.
Reviewed by D jzniak, Public Utilities Director
Date
Sij��ture
Contractor Notified Date 6/111W 4?/J,3
Page I of 1
Gorman, Susan
From: Bussey, Donna
Sent: Wednesday, July 25, 2007 3:28 PM
To: Gorman, Susan
Subject: FW: Pelican Dunes
Susan,
Please check the building file and plans for the request from George Bull.
Thanks,
Donna
From: BULLTOOL@aol.com [mailto:BULLTOOL@aol.com]
Sent: Wednesday, July 18, 2007 12:27 PM
To: Bussey, Donna
Subject: Pelican Dunes
Donna,
Do you have any information, Drawings, Surveys or Site Plan on Pelican Dunes?
The address is 2279 Seminole Road. Build around 1980.
Thanks,
George Bull jr.
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7/25/2007