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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 ---------------------------------------------------------------------------- Application desc 8x12 shed ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LANIER MICHAEL W OWNER 1768 PARK TER W ATLANTIC BEACH FL 322335612 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- 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, '�'J14 57 -47- tet- 3 5�' AcT ISN CoMMoNwEAL7-14 LAND ' rME INSyeZAKjCC COMP ANY CVA MI>�INA k)-I,_1 IT *ti o• CD �pc.,4T r'3cefC 34, �f�G,�S SI- SIr3� -7FD 110.0co. I L o T 8 No CA �,NiiE � uNC 3 o,�• G'WooD FE=TIDE CT-v PI c- L2) x jol ti •coNc. I K on• SRIcK TJeC K . V 17.7 x m ba IC ° N _ 12.(4' —,/-x O hi:1 U) �loo� 'Sft�1GL�S 1-7 nI 8 J 319 5'3.St.�. - J � rG FNT�y co eoNc'W4iK " M d 115.00' r4o cAPS. 03 03' 1 o" SIV . l l 0.oo AjVVP -4SS'OCI-4 T�',S; VNG�: 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 _ o aQ � r 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 li .at n 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