1768 W Park Ter 2013 shed CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
"J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003448 Date 10/07/13
Property Address . . . . . . 1768 W PARK TER
Application type description SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
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Application desc
8x12 shed
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Owner Contractor
------------------------ ------------------------
LANIER MICHAEL W OWNER
1768 PARK TER W
ATLANTIC BEACH FL 322335612
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Permit . . . . . . ACCESSORY STRUCTURE NEW RES
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 5000
Expiration Date . . 4/05/14
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED
TO MEET 120MPH WIND LOAD.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 116 . 50 116 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH rk ;
S800 Seminole Road, Atlantic Beach FL 32233FILE COPS � �
q ,_ ;�.�`_� _ ti ! Office (904) 247-5826 Fax (904) 247-5845 013
Job Address: (7L8 PAR.IG -r6lee4CE Lc 6sr Permit Number: y
Legal Description LOT 10 'NACI_ to SCl-VA A1Aa1n1A parcel#
Floor Area o q. t, t
Valuation of Work$ 5 oon. - Proposed Work heated/cooled (J A no -heated/cooled R 0 +?
Class of Work(circle one): Ne Addition Alteration Repair Move Demolition D 0 so
Use of existing/proposed structure(s) (circle one): Commercial eside i
If an existing structure,is a fire sprinkler system installed? (Circle one). es o SE 5 3
Florida Product Approval# By
For multiple products use product approva orm
Describe in detail the type of work to be performed: L IZUGTIoN OF 8' X 12'' CEpA i2
6AcK yARp - 1 D609 - G 401dVOW5 - 460AA RcOF A556iv%VUr() F20ft A I;�AIJCL_ 1< ►-r-
Propertv Owner Information:
Name: lViC14AEL It LIA3PA L.A4160- Address: ITPS t?Av41C. Wc5T
City ENLAIJ-i'tL $dAt+l State A-Zip 37.2 Phone Q o4 -2146-81.78 62 404.4.52--3230
E-Mail or Fax#(Optional) linA . 14M 4'r ® hc4wu;i . c o-rn
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Qualifying Agent:
Address: Citv State Zip
Office Phone � mC r ax#
State Certification/Registration#
Architect Name&Phone# UITYOFATIANTI
Engineer's Name&Phone# SEE PEE
Fee Simple Title Holder Name and A ress REQUIREMENTS AND
CONDMONS-
Bonding Company Name and Addres
Mortgage Lender Name and Address DATE: -
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wor 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 six16)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools,FFurnaces,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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this a lication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o1 work will be complied with whether sped ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of(ier
� Signature of Contractor
Print Name Print Name
.........................................................................................................................................
........................................................................................................................................
Be fo Before me
this this Day of 20
:?` F _ SHIRLEY L GRAHAM
Notary Public RES:ebruary1a,z0ia Notary Public
Y 41110 Underwriters
Revised 01.26.10
MAP SHOWING BOUNDARY SURVEY
LOT ! a BLOCK AS SHOWN ON 1 priftopy
f
S�L�lA. MAS t 1�tA. UNtTyo • 8
AS RECORDED IN PLAT BOOK 3q PAGES 85 OF THE cuRfZENT- i'��Uc coR�S or-: V-)VA co, r~ A
CERTIFIED TO: U/vo fl N4 LAN l L9 -1 ky D to t C iz�n o Ty N l o ti l,
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1614 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FLORIDA, 32207 PHONE: (904) 805-0030 FAX: (904) 805-9888
GENERAL NOTES P.C. POINT OF CURVATURE LEGEND R RADIUS
P.T. POINT OF TANGENCY � DELTA (INTERIOR ANGLE)
— AKIN—
(I)BEARINGS SHOWN HEREON ARE BASED ON P.R.C. POINT OF REVERSE CURVE A ARC LENGTH
P.C.C. POINT OF P.O.C. POINT ON CURVE ND CURVE C CHORD
C/N� OF CB CHORD BEARING
�AfZ F� 7E-K�AGE v\/EST B.R.L. BUILDING RESTRICTION LINE A/C AIR CONDITIONER
(2)THIS PROPERTY HAS NOT BEEN ABSTRACTED CENTER LINE CONC. CONCRETE
FOR EASEMENTS, COVENANTS, RESTRICTIONS I.P. IRON PIPE R/W RIGHT-OF-WAY
FD. FOUND O.R.V. OFFICIAL RECORDS VOLUME
(3)UNDERGROUND ENCROACHMENTS AND UTILITIES
SERVING THIS PROPERTY HAVE NOT BEEN
LOCATED OR SHOWN
(4)THIS PROPERTY APPEARS TO LIE WITHIN SCALE
FLOOD 70NE " V '• AS SCALED FROM /0-//-ZoO2
F.E.M.A. FLOOD INSURANCE RATE MAP, PANEL -L7
I Zoo�S-o0 o I L1. DATED .H_l.-l�9 ®SITE OF F7£tD SURVEY NATHA E. PERRET, FLA. CERT. NO. 5732
CARL S. COURSON, FLA. CERT. N0. 3129 LB N 6715
r e 'Z'7 5 r r_ la 8 urtr vun rnnrrrr sur crrrvArrn r .& nrr nar�uir oArc.-r, -11
f ,
NOTICE OF COMMENCEMENT
FILE COPY
(PREPARE IN DUPLICATE) `
Permit No. ♦i/y q
1 V.�. �/� y 114:�./1d iCU.Y"Ylu1l1�'S2N.'1/M� �- .
Tax Folio No.
State of F--4- County of
To whom it may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: L CrT 10 $LO4,'- LO -j6L VA MAQIn1A
UNI-r No. B
Address of property being improved: 1768 PAQk -re-OQA-CC MI CST
,4-TtA&3-yc- 'Bt AcO+ PL- 32-2-55
General description of improvements: f;Qt45TZJ[.1IOIJ A55,5M6?LV O(= A 1B (�
46PAe- -5NCp 4IT- 111 3RL6::� Y449
Owner L INI-�A * M 1 LNA 9L L A r�►(i„Q
Address 1-166 PA 121- 'ft✓Iell ASC- (AJ�-T—
Owner's
Owner's interest in site of the improvement Doc#2013247065,OR BK 16539 Page 1428,
Fee Simple Titleholder(f other than owner) Number Pages: 1
Name Recorded 09i25i2013 at 10:45 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Address COUNTY
Contractor RECORDING$10.00
Address
Phone No. Fax No.
Surety of any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name NIA
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a
different date Is specified):
oar
o
THIS SPACE FOR RECORDER'S USE ONLY OWNER `_ N�
C
Slgn DATE
Bef a Is a of In the o o
County of Duval.Stale o lorlda,has personally appeared W ro
herein by ( gz
himself!herself and affirms that all statements and declarations herein —iu 2
are true and accurate f`—
=I�$1
c1
0
ID.
, tate of County of 4°(
z = :• f(
FP.Y P• ':y 5•F`.`
,���.• '�.�., SHL, i
IRLEYM� mission plree
s ,;•*••�^
MYCOMMISSION#eP Kno or
EXPIRES:Febru jf94pgc{ddent tion
p rondr d Thru Nota
.ry.P-blicUndenvrflers. - -- - .
FILE COPY
CITY OF ATLANTIC BEACH
OWNER / BUILDER AFFIDAVIT
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER 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 EXEMPTION TO THAT
LAW THE EXEMPTION 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 IMPROVE A ONE—OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL 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 YOUR-SELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR- YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
Ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN-OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
068 RAOK —f_Cj2ieAe_A—:: W6-5-r 61D4- 2 qt, t,18
ADDRESS PHONE NUMBER
LINDA M. LANJLE9
PRINT N
- 44411at_
1_4V664 -
SId&URE _DATE
Before me this day of l 203in the county of
Duval,State of Florida,has personally Y.peared herin by himself/herself and affirms that
all statements and declarations are true and accurate. —
Notary Public at Large,State of County of
El P rsonally Known
duced Identificatio 9
SHIRLEY L.GRAHAM
I
Notary Signatu MI 9
'�`ly('OMMISSION#DD 957760
i RES February 1 4 201 4
rXPIRES-February 14,2014
hru
�ta P,I"
F/BLDG/0"m�-Builder Affadavit;REVISED: 4116/2009 Bonded Thru N0tarY Public Underviri erss
Eye Anchor Kit Instructions �. ����
v COPY
Do-it-Yourself protection for most outdoor structures or possgssions� L. E k:
Includes: 30" Anchors,
Wire Clamps
& 60 ft Cable
Part #59075
\U o Q O�D
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aQ �
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1. Install ground anchors as close to the building as possible at all four corners.
A. Install anchors using a straight rod to turn (screw) anchor into the ground.
B. A starter hole, up to 1/3 of the anchor length can be used to start anchor into the ground. Once the anchor
eye is level with the ground, backfill the soil and pack area around the anchor eye.
C. Anchor eye should be just above soil level.
2. Cable can be secured to the building using the following methods.
A. Attach one end of the cable to an anchor using the wire rope clip. Cable goes thru the anchor eye and is
clamped together using the wire clips (2). Place the cable over the roof to the opposite anchor, loop cable
thru anchor eye. Cut cable to have enough to attach to the anchor. Pull cable tight, attach 2 wire rope clips,
tighten nuts. Repeat for other side.
B. Attach cable to the side wall studs.Additional hardware required, bolts, washers nuts and wire rope clips.
All available at your local hardware supply.
NOTE:
These instructions are for suggested attachment to small shed not located in high wind areas. For more
detailed anchor requirements, see the wind zone charts for your area. You may need additional anchors,
cable, wire clamps or other forms of anchor attachments to the shed to meet local or state requirements.
Twelve (12) Month Limited Warranty
All tie down anchors,when installed in accordance with the manufacturers recommendations
and when used within the suggested capacities are guaranteed for 12 months from date of
purchase against defects in material or workmanship.
If returned prepaid to the factory.TIE DOWN ENGINEERING will replace without charge the
defective part.Labor delays or damage are not covered by this warranty and while this warranty
gives you specific legal rights,you may also have other rights with vary from state to state. m
Instruction#08091TIE DOWN ENGINEERING - 255- o
Villanova Drive SW * Atlanta, GA
O
• • • • I • III 1 • I I 1 /
Conjunto de anclajes p p qara a uenos
� _
cobertizos y cercos t = d U -
,:p, c
4
Proteccion que puede colocar usted mismo para la mayoria de las estructuras o construcciones al
aire libre.
`"Innluye, anclajes de 3 .i•:.\ .,
abrazadeveia:-.:as y cable de 60 pies
Pieza IVo. 59075
4; o Q
oQ �
---------------------
aN
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E
1. Instale los anclajes del piso en los cuatro extremos, to mas cerca posible de la construccion.
A. Instale los anclajes con una varilla recta para girar(atornillar) el anclaje en el suelo.
B. Para insertar el anclaje en el suelo, se puede utilizWun orificio inicial, de hasta 1/3 del largo del anclaje.
C. EI aro del anclaje apenas debe sobresalir del nive Adel suelo.
2. EI cable puede asegurarse a la construccion siguiendo alguno de los metodos descritos a continuacion.
A. Sujete un extremo del cable a un anclaje con el gancho metalico para soga. EI cable se pasa por el aro
del anclaje y se sujeta con el gancho de alambre. Pase el cable sobre el techo hasta Ilegar al anclaje
opuesto; pase el cable por el aro del anclaje formando un bucle. Corte el cable dejando el largo
suficiente para sujetarlo al anclaje.Tense el cable, coloque el gancho metalico para soga y ajuste las
tuercas. Repita el procedimiento para el otro lado.
B. Sujete el cable a los montantes de las paredes laterales. Necesitara otros elementos de ferreteria,
pernos, arandelas,tuercas y ganchos metalicos para soga.Todos estos elementos se encuentran
disponibles en su tienda local de articulos de ferreteria.
Garantia limitada de doce(12)meses
Todos los anclajes de sujeci6n al piso,si se instalan conforme a las recomendaciones del
fabricante y se utilizan de acuerdo con la capacidad sugerida,cuentan con una garantia de 12
meses contra defectos en los materiales o en la mano de obra a partir de la fecha de compra.
Si se devuelven a la fabrica mediante envio pagado por adelantado.TIE DOWN ENGINEERING
reemplazara la parte defectuosa sin cargo.Esta garantia no cubre demoras ni danos
ocasionados por la mano de obra.Si bien esta garantia le otorga derechos legales especificos, `
usted tambien puede tener otros derechos que varian entre los distintos estados.
i
TIE
1Villanova Drive SW -, Atlanta,
A 30336
www.tiedown.com1 . 344-0000 Fax • / 349-0401I
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
Ir ,s 800 Seminole Road ?
Atlantic Beach, Florida 32233-5445 of
Phone(904)247-5826 - Fax(904)247-5845 t /�
E-mail: building-dept@coab.us Date routed: .7
City web-site: http'//www.coab_us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1741 ?aoiX Thr Department review required Yes No
ui
Applicant: tanning ,&
Zonnnls for
Project: 7Works )
Utilities
Pub Ic a
Fire Services
Review fee $ Dept Signature
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: proved. DDenied.
(Circle one.) Comments:
UILDING
PLANNING 8,ZONING Reviewed by: Date: tel"30
TREE ADMIN. Second Review: [Approved as revised. DDe ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
rtsa�ir�� City of Atlantic Beach APPLICATION NUMBER
Building Department �` i® l (ro be assigned by the Building Departrnent.)
rid 800 Seminole Road
�. Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 ,
ilt E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /W ?azC 7r � Department review required Yes No
Applicant: jiC�N'� ', nning &Zoning
7npWifistr6tor
Project: Z- /1,6ublic Works
/
6 / _ Utilities
2)6og (O AJ✓0-bOAj.5 PubicSa ilt7-
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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING R ZONING Reviewed by: Date: 6
TREE ADMIN. Second Review: QApproved 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 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road ✓ IVA
�. Atlantic Beach, Florida 322335445
Phone(904)247-5826 • Fax(904)247-5845
lit E-mail: building-dept@coab.us Date routed:
City web-site: http:/fwww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZW ?m& 2i/ IV An
rtment review required Yes No
Applicant: Q � g & E
nir
Inistrator
Project: ,'Public Works
Utilities y
0 G Pub tc Safefy
Fire Services
Review fee $ Dept Signature
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. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: j�� Date:
TREE ADMIN. Second Review: QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved 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.)
j:• - 800 Seminole Road S
0 Atlantic Beach, Florida 32233.5445 $� -(��►+
Phone(904)247-5826 • Fax(904)247-5845 1?60. Date routed:
� tt�? E-mail: building-dept@coab.us
City web-site: http:Uwww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /7l1 T�,�,� ,/er !w
Department review required Yes No
Onning
Applicant: L()A16e, &Zonin
- Inisfrator
Project: ( /�. /r ublic Works_
Utilities`
Pub Ic a ....
Fire Services
Review fee $ Dept Signaw
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: ❑Denied.
(Circle one.) Comments: �Approved.
BUILDING
PLANNING &ZONING Reviewed by: �� Date: '
TREE ADMIN. Second Review: QApproved as revised. ❑Denied.
*PUBLIC
K Comments:
IES
SAFE Reviewed by: Date:
FIRE SERVICES Third Review: ®Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09