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592 Royal Palms Dr driveway apron 2013 j��711�f rlv� C,� CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Jit Application Number . . . . . 13-00003377 Date 9/24/13 Property Address . . . . . . 592 ROYAL PALMS DR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc COMPLETE DRIVEWAY APRON ---------------------------------------------------------------------------- Owner Contractor CARTLIDGE, ELIZABETH R OWNER 592 ROYAL PALMS DRIVE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/23/14 ---------------------------------------------------------------------------- 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. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 ENG REV BLDG MOD OR ROW 25 . 00 STATE DBPR SURCHARGE 2 . 00 UTIL REV MODIF OR ROW 25 . 00 ---------------------------------------------------------------------------- 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 54 . 00 54 . 00 . 00 . 00 Grand Total 89 . 00 89 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I 7W � � adCITY OF ATLANTIC BEACH 06 2013 CONSTRUCTION PERMIT WITHIN CITY RIGHTS N EASEME Its,. •H '*ri��,;I 800 Seminole Road Atlantic Beach,Florida 32233-5445 L 904-24 -5800 5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date Z2Z �-3 PERMIT# ISSUED BY THE CITY Job Address O Clow Permitee: " P Telephone# Permittee Address: / Requesting Permission to Construct: ��> O�eP �l�i✓ice c.r� 7 �/�/�UN c�O�Location: (Reference to Cross-Street) Ile Z=4� 2.iV�dL O / !'YI 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: I Jacksonville Electric AuthorityYes o ( ) Date: Bell South Telephone Company Yes No ( ) Date: Ferrell Gas Yeo ( ) Date: Comcast Ye 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 shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject 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. 6. 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. Calculations showing any increase in impervious area on owner's lot or in the-city Right of Way are to be included with this application. 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. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. r• OWNER 1 i ,\,;�►�rt,u�tiri�� �` fA_ / . , �.7 Signed: Date':�/ w`� V G eM�tes�•. C'�y Before m this ay of int County of Duval, ® _9� State Of Florid ,has personally appeared _ Notary Public at Large,State pp_fFlorida,County o uval. AFF •` y -� My commission 24 Personally K� ori a Produced IdentificatiX44 •.;brance � /lllf�lri`OR. .. H z :.J j y�\OL-G j (D O m }C LU fl:::a"f -CD 0 cn < 3 � � 0` sv � � ffi �' — � � 0I MI,ZSI� I -'+ r IIZO O o c CD o CD -n 3 OL 4t� )-go � o C2 �• — CD CnCL t - cn CE) 6'W J!— Z�' v � c o oa- _. 3 a (D CD m n x�. (D CDCD CL C U0 Q .. ICl 7 ~• X it 'I} D NN I n D Ip : N L� X N oUO UV3 Ul rD Qi rr _ 0,No X--� 6'Q t'' o'9Z 4 =1I o 15 D O O - _ Z G 6 Cb Ln ? a `, .-• 0 3 _ n - V o Q ISS it 6g 3 i O _ _ _ \ �N Z� r; (D - - --A unw \ \ \ - - W < O �� rnz A _, uturditdr 1111c aCrvices :: 4 .x 904.296.3100 A emim s PROPERTY ADDRESS:592 ROYAL PALMS DRIVE ATLANTIC BEACH,Florida 32233 SURVEY NUMBER:FL1212.0471 FIELDWORK DATE:12/7rzo12 REVISION DATE(S):(mvo 1211WMIZ FL1212.0471 BOUNDARY SURVEY DWALCOUNTY b b O v B.R. (PER PLAT) u2•F1PC 5 85'37'27'E 95.07'(M) ILLEGiB(E 5 85°37'27"E 94.95'(P) I ur RP 1.O I NO ID I 11 11 6'W.F. 3 � 0.3'off I I l0 v z I25'S.B.L__ � j n tP fn Ll 016 24.0' C,,ONG.ON✓ nth..• I LOT 1 —_ I _ I 0 ro 0. BLK 17 �� W Q cry 6!E! 22 5' 21.0' -QT 24 a TOLK 17 3.5' 254 0 Q v15#592 sp n _ z I� 4 0.5-014 OHk 5/6'RR NOO11D 2.13'N X - 0.55'E 0.7 4'GXF�X�X�X— O 6'W.F. W LOT 2 _X� zI ° u2•ARC Or Qa(P) /4144 BLK 17 X337 w 5 82'4233-W93 SVEY s. y z I 5 82 dG SSE AU I LOQ ?� r 7 I _ I O m C I 0) „U2:;ate` Cr _j �, �. T11 Y Cl,to NCD CD (� CL Soni - CLCD CDCD cL CD � m < h I 0 ca D y ce m CCD 0' ChD , n N w 3� rip N CD V 3 fD Tv ' n3 I { fA }X c ► -00 fl, SIC1 - QbZ ° � }X� Dm (�p� X 0111I w 7u Vj C 31 I LS A ii n Q Ob NO X� 6.89z �a— ` h (�� N - = O p ,� I it 0 � � On = = - z•S� do - v+ cb ➢ —0 _ s., M m Cb 7En Im OM i - a,9 C = \ ON Z� Q k J m — — -rn LnwN -n r �A rnZ �� F Prepared by and return to: Doc#2012289761,OR BK 16187 Page 568, Michael A.Popkin,Esq. Number Pages:4 Attorney at Law Recorded 192118/2-012 at 02:25 PM, Law Offices of Popkin & Rosaler,P.A. JlM FULLER CLERK CIRCUIT COURT DUVAL 1701 W. Hillsboro Blvd.,Suite 400 COUNTY RECORDING$35.50 Deerfield Beach,FL 33442 DEED DOC ST $637.00 954-360-9030 File Number: 12-70867 [Space Above This Line For RecordingDatal Special Warranty Deed This Special Warranty Deed made this j 4 day of December, 2012 between Federal National Mortgage Association AKA Fannie Mae whose post office address is14221 Dallas Pkwy# 1000, Dallas,TX 75254, grantor, and Elizabeth R. Cartlidge, a single woman whose post office address is 592 Royal Palms Dr.,Atlantic Beach, FL 32233, grantee: (Whenever used herein the terms grantor and grantee include all the parties to this instrument and the heirs,legal representatives,and assigns of individuals,and the successors and assigns of corporations,trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,situate, lying and being in Duval County,Florida,to-wit: LOT 24, BLOCK 17, REPLAT OF PART OF ROYAL PALMS UNIT TWO A, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 31, PAGES 16, 16A, 16B, 16C AND 16D, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. Parcel Identification Number: 171519-0000 SUBJECT TO: 1. Zoning and other governmental rules,regulations and ordinances. 2. Restrictions,covenants,conditions,easements and other matters of record. Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold,the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;that the grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons claiming by, through or under it, but not further otherwise. In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. Signed,sealed and delivered in our presence: Federal National Mortgage Association F ie Mae by it's attorp`e in ct pkin & Rosater, PA IYA Witness Name: Willia' K. lsh E By: ichael Popkin As its: Vice President Witness Name: Edwina Vega f State of Florida County of Broward The foregoing instrument was acknowledged before me this l `t day of December, 2012, by Michael Popkin, as Vice President,of Popkin&Rosaler,PA as it's attorney in fact for Federal National Mortgage Association,on behalf of the corporation. He/she Ais personally known to me or[ J has produced a driver's license as identification. [Notary Seal] Notary Public pin N* Notary Public State of Florida s % 1�- WiNiam K Walsh pe My Commission EE134816 �of*1d! ExPMO 2WMIS Printed Name: William K.Walsh My Commission Expires: Ordered By 81",R,1 Gibraltar Title services . P.-0z"S7 F au 4. ReR)f1" 904.296.3100 a - 0 x i e PROPERTY ADDRESS: 592 ROYAL PALMS DRIVE ATLANTIC BEACH,Florida 32233 SURVEY NUMBER: FL1212.0471 FIELD WORK DATE:12/7/2012 REVISION DATE(S):(rev.o 12/10/2012) FL 1212.0471 BOUNDARY SURVEY —.._ DUVALCOUNTY c. , .. _ . o , B.R. (PER PLAT) / S 8595-07'(M) 0' °37'27"E \ I , aiI/2"FIPC EGiBLE S 85°37'27"E 94.95'(P) I/2'FIP 1 F I NO ID 0 5'�F --a—u--rr—a—rr—a— ` 0.3'OFF G'W.F. 3' D L l0 1 , ZG<h �0 V' GONG DM rnrn 00 00) 2251.0 2 25.a p �� 1� ! I STM. 3 Q 1 Rfg m ' ai.5' I — p5.ON 1 Oni 5!b'FIR 1 I "O ID O/5 I t �_A 2,13'N a t q•G.LFX�x X _ G'W.F. W 0.55E I 07- F �XX—X— Oil 0 a ' 23 93. 112- 14G s. .o2 9300' aa 82W 60.(M) 30.l3V L37 °4og CENSE hereby ce I Z this a ch o of the hereon ' '401 FS f 5[- ,8s {t lrr r T O\51 G "r Oil FIL.AT ti� described r perty,ras H r1ade un a my direction, ;:Ey of EQ P NOT DETERMr v and to th b st Y)16, ledge and b Ii f,it is a true O Ts Tv hA0N'UI l[NT AFTT ARDNA: r G oN and accu at rr({f� tjt f curve t at meets the T Ar r T E ill ti,.,zr_..- c F L r •, vJM+r,. NCR TO Till'r:Jr lv`[I'r. minimum ' nical spa dbi s§et forth he Florida Board Of P Siona AT Ivey described in / Chapter 5J-1 Florida Ad • ative Code. 30' 20' 10' 0 s' 30 '• �\�', � 1 ^I `VqC SURVEYO i1 V j t Wesley B.Haas GRAPhIC SCALE / State of Florida Professional Surveyor and Mapper I inch = 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 shall be construed to Give ANY Rights or Benefits to Anyone Other than those certified. FLOOD INFORMATION: POINTS OF INTEREST By performing a search with the local governing municipality or www. (1)6'WOOD FENCE OVER D.E&P.U.E.(2)4'CHAIN LINK FENCE V ER fema.gov,the property appears to be located in zone X.This Property was D.E&P.U.E. found in the CITY OF ATLANTIC BEACH,community number 120075, dated 04/17/89. DONNA W CLIENT NUMBER: DATE: 12/10/2012 REALTOR® 904.336.5476 prudential BUYER:ELIZABETH CARTLIDGE WWW.DONNAWARPOOL.COM DWARPOO. BELLSOUTH.NET SELLER:FANNIE MAE CERTIFIED TO:ELIZABETH CARTLIDGE;GIBRALTAR TITLE SERVICES; OLD REPUBLIC NATIONAL TITLE INSURANCE 4- , I COMPANY;REAL ESTATE MORTGAGE NETWORK,INC WWW.Surveystars.com Land Surveyors, Inc. P 866-735-1916• FB66-744.2882 This is page 1 of 2 and is not valid without all pages. LBx 7337 1222o Towne Lake Drive,Suite 5s•Ft.Myers,FL 33913 i REPORT OF SURVEY FL1212.0471 This is page 2 of 2 and is not valid without all pages. LEGAL DESCRIPTION: LOT 24, BLOCK 17,REPLAT OF PART OF ROYAL PALMS UNIT TWO A,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 31, PAGES 16,16A,16B,16C AND 16D,OF THE PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. JOB SPECIFIC SURVEYOR NOTES: THE PLAT BEARING REFERENCE OF SOUTH 85°37'27" EAST IS BASED ONTHE NORTHERLY LINE OF LOT 24,BLOCK 17,REPLAT OF PART OF ROYAL PALMS UNIT TWO A,AS RECORDED IN PLAT BOOK 31,PAGES 16, 16A,THROUGH 16D,OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. GENERAL SURVEYOR NOTES: 1, The Legal Description used to perform this survey was supplied by others. This survey does not determine or imply ownership. 2. This survey only shows improvements found above ground. Underground footings,utilities and encroachments are not located on this survey map. 3. If there is a septic tank,or drain field shown on this survey,the location is approximate,and was determined by visual above ground inspection only,and cannot be relied on for accuracy. 4. This survey is exclusively for the use of the parties to whom it is certified. 5. Additions or deletions to this survey map and report by other than the signing party or parties is prohibited without written consent of the signing party or parties. 6. Dimensions are in feet and decimals thereof. 7. Due to varying construction standards,house dimensions are approximate. 8. Any FEMA flood zone data contained on this survey is for informational purposes only. Research to obtain such data was performed at wsvw.feme.gov. 9. All corners marked as set are at a minimum a l/z"diameter,18"iron rebar with a cap stamped LB#7337. 10. If you are reading this survey in an electronic format,the information contained on this document in only valid if this document is electronically signed as specified in Chapter 5J-17.062(3)of the Florida Administrative Code. The Electronic Signature File related to this document is prominently displayed on the invoice for this survey which is sent under separate cover. Manually signed and sealed logs of all survey signature files are kept in the office of the performing surveyor. If this document is in paper format,it is not valid without the signature and original raised seal of a Florida Licensed Surveyor. 11. Unless otherwise noted,an examination of the abstract of title was NOT performed by the signing surveyor to determine which instruments,if any,are affecting this property. 12 The symbols reflected in the legend and on this survey may have been enlarged or reduced for clarity.The symbols have been plotted at the center of the field location,and may not represent the actual shape or size of the feature. LEGEND: SURVEYORIS LEGEND BOUNDARY UNE NC NR CONDITIONING ID. IDENTIFICATION 5EW. SEWER C� 5.1- BLARING REFERENCE NF RORRODON 5.P. 5OUARIPEST BLK. BLOCK IR IRON ROD 5'DH SET DRILL HOLE B.C. BLOCK CORNER IP IRON PIPE 51KC 5rT IRON ROD 4 CAP STRUCTURE B.RL BUILDING RESTRICTION UNE L LENGTH 5N 5ET NAIL ...._...__..... B5MT. BASEMENT LEI UCEN5E I-BU54NE55 5N. 5ET NAIL DISC BAV BAY/BOX WINDOW LSI UCEN5E I-SURVEYOR 5TY. STORY CONCRETE LOCK WALL (C) CALCULATED (M) MEASURED 51.L SURVEY TR UNE C CURVE N.I- NON RADIAL 5V 5EWER VALVE ChNWUNK or WIRE FENCE CATV CABLE TV.K15M N.T.5. NOT TO SCALE 5M' SIDEWALK WOOD FENCE C.B. CONCRETE BLOCK O.C.5. ON CONCRETE SLAB 5.W. SEAWALL CHIM. CHIMNEY O.G. ON GROUND TEL. TELEPHONE FACILITIES IRON PENCE C.L.F. CHAIN UNK FENCE O.H.L. OVERHEAD UNE T.O.B. TOP OF BANK EA5EMENT C.O. CLEAN OUT O.R.B. OFFICIAL RECORD BOOK TX TRAN5FORMPR ... _ ... _.- CONC. CONCRETE OH. OVERYIANG Tyr. TYPICAL EDGE OF WATER C.V.G. CONCRETE VALLEY GUTTER OVA OVERALL W/C WITNE55 CORNER GL CENTER UNE Q5 OFPSEr W`r WATER FILTER WOOD CONCRETE C/5 CONCRETE SLAB PKN PARKER-KALON NAIL W.F. WOODEN PENCE Or COVERED PORCH P51M PROFE`->SIONAL SURVEYOR WM WATER METERNALVE BODE D CSM' CONCRETE SIDEWALK AND MAPPER WV WATER VANE P T �®LE COR CORNER PL5 PRDFE5510NAL LAND 5URVEYOR V.P. VINYL FENCE (D) DEED (F) PIAT O/W DRIVEWAY P2 POOL EQUIPMENT WATER COVERED AREA D.F. DRAIN FIELD PLT PLANTER EUB ELECTRIC UTILITY BOX PP PINCHED PIPE ENOL ENCL05URE P.B. PIAT BOOK BENCH MAW. ENT. ENTRANCE P.I. POINT OF INTER5ECTION A.E. ANCHOR EA5EMENT ® E.O.P. EDGE OF PAVEMENT P.O.B. POINT OF BEGINNING C.M.E. CANAL.MANTP..NANCE ESMT, ::AI.C.•"�r CALCULATED POINT E.O.W. EDGE OP WATER P.O.C. POINT OF COMMENCEMENT C.U.E. COUNTY UTILRY E5Mr. A CENTRAL ANGLE a DELTA rA FENCE UNE P.T. POINT Of TANGENCY D.E. DRAINAGI'r.A5E.MENT ♦ CONTROL POINT TIP FENCE P05T P.C. POINT Of CURVATURE E5w. EKrMrw ■ CONCRETE MONUMENT (r) FIELD P.C.C. POINT OF COMPOUND CURVATURE I.ER.E, INGRE-'1,'A'GRE55 ESMT, CATCH BASIN F.F. FINI5HED FLOOR P.R.C. POINT OF REVER5E CURVATURE IRR.E. IRRIGATION EASrMEN- ELEVATION FPL FLORIDA POWER 4 UGHT P.C.P. PERMANENT CONTROL POINT L.A.E. LIMITED ACC.E55 E5MT. V FIRE HYDRANTP'DH FOUND DRILL HOLE PALM. PERMANENT REFERENCE MONUMENT LB.E. LAND5CAPE BUFFER r5W' FIPC FOUND IRON PIPE 4 CAP R RADIU5 or RADIAL LM.E. LAKE CM LANO5CME Q MANHOLE FIRE FOUND IRON ROD 4 CAP (TU RECORD MAINTENANCE EASEMENT is TREE PIR rOUND IRON ROD RES. RESIDENCE M.E. MANTENrNCE EASEMENT IP UTILITY OR uGHT POLE FIP FOUND IRON PIPE R/W RIGHT OF WAY P.U.E. PUBLIC UTILITY EA5EMEHT © WELL PCM PND.CONCRETE MONUMENT (5) SURVEY R.O.E. ROOF OVERHANG rSMT. COMMON OWNERSHIP FIN POUND NAL 5.5.L. SETBACK UNE 5.W.E. SIDEWALK EASEMENT FN4D FOUND NAL 4 015C 5.C.L SURVEY CL05UKE UNE S.W.M.E.5TORM WATER11-4 . PND. FOUND 5CR. 5CRSN MANAGrMENT E5MT. GAR, GARAGE 500 5ET DRILL HOLE T.U.E. TECHNcXc C:ICAL UTILITY E5W. GM GA5 METER SEP. 5EPTIC TANK U.r. UTILITY tPaVIVENT ELECTRONIC SIGNATURE: PRINTING INSTRUCTIONS: OFFER VALID ONLY FOR: ELIZABETH CARTLIDGE In order to"Electronically Sign"all of the PDFs sent 1. While viewing the survey in Adobe Reader,select the by STARS,you must use a hash calculator.A free "Print"button under the"File"tab. _ _ _ 2. Select a punter with legal sized paper. online hash calculator is available at F . I I ,t, ^•�.°={--ic, „ ..r.."''-,�<I, ) ''` `��'` 3.Under"Print Range",dick select the"All"toggle. To Electronically Sign any survey PDF I I 4.Under the"Page Handling"section,select the number I POOL-FENCE •ADDITION I 1 Save the PDF onto your computer. 2 Use the online tool at of copies that you would like to punt. v,I i I I I11,T_ 5.Under the"Page Scaling"selection drop down menu, to browse for the saved PDF your computer, select"None." S i 25% 3.Select the Hash Method as SHA. 6. Uncheck the"Auto Rotate and Center"chedcbox. off I 4.Click Submit. 7.Check the"Choose Paper size by PDF"checkbox1. (UP TOSso Your PDF is electronically signed if all of the 8. Click oxtoprint. I ANY FUTURE I characters in the SHA-1 code submitted by STARS m7l�PRINiINBL4CK+WHfTE: I SURVEYING SERVICES matches the code which is produced I calculator.If they match exactly,your PDF is 1. In the main print screen,choose"Properties". I ON THIS PROPERTY electronically signed.If the codes do not match 2. Choose"Quality"from the options. I Offer valid only for the buyer as listed on the I exactly,your PDF is not authentic. 3. Change from"Auto Color"or"Full Color"to #page of the survey,Toldt dlsoount not to "Gray Scale". I Bed$SM. - - - - - - J rwww.surveystars.com Exacta Land Surveyors,Inc. L847337 P 866-735-1976• F 866-744-2882 �� �. 1222o Towne Lake Drive,Suite 55•Ft.Myers,FL 33913 City of Atlantic Beach1 APPLICATION NUMBER Building Department / �+�TT T (To be assigned by the Building Department.) 800 Seminole Road ©� 1✓�y T I _ �� Atlantic Beach, Florida 32233-5445 8Ep Phone(904)247-5826 • Fax(904)247-,5Q45 E-mail: building-dept@coab.us / Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2- N I ry\5 Dr- De artment review required Yes No Building Applicant: 2 - I vl Planning &Zoning \_JTr inistrator �� Project: ���` Vyy v � orks Public Utilities Pu Ic Safety Fire Services Review fee $ � Dept Signature /P/ 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: `Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. Denied. WORKS Comments: PBLI C ILITIES Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road I �� �1 Atlantic Beach, Florida 32233-5445 / Phone(904)247-5826 ~ Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2 r��l r� I P0A'ry)5 [k Department review required Yes No I Building Applicant: 2Cart Planning &Zoning c) \ f Tr Administrator Project: `,n`�) 1 � ublic Wpikg Public Utilities` Public Sa ety Fire Services Review fee $ Dept Signature / 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: [ *proved. ❑Denied. (Circle one.) Comments: r.)10) 1� BUILDING PLANNING &ZONING Reviewed by: Date: 9 I� TREE ADMIN. Second Review: FlApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC S PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114/09