275 Beach Ave 2013 deck w/ roof CITY OF ATLANTIC BEACH.
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 13-00003817 Date 12/20/13
Property Address . . . . . . 275 BEACH AVE
Application type description DECK/PATIO
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 48400
-------------------------------------
Application desc
deck with roof
-------------------------------------
Owner Contractor
----
------------------------
'-----------------
HOLMES MARK H LIVING TRUST J S BUILDING CORP
275 BEACH AVE 13058 TALL TREE DRIVE SOUTH
ATLANTIC BEACH FL 32233 JACKSONVI
09L E FL 32246
-- -------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . 147 . 50
Permit Fee 295 . 00 Plan Check Fee 48400
Issue Date Valuation
Expiration Date . . 6/18/14
-------------------------------------
Special Notes and Comments
Full right-of-way restoration, including sod, is required.
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
-------------------
--------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 4 .43
STATE DBPR SURCHARGE 4 .43
Fee summary Charged Paid Credited Due
_ ---------- ------ . --
--------- ----------
- . 00
Permit Fee Total 295 . 00 295 . 00 00 . 00
Plan Check Total 147 . 50 147 . 50 00 . 00
Other Fee Total 8 . 86 8 . 86 . 00
Grand Total 451 . 36 451 . 36 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION tv
•�' CITY OF ATLANTIC BEACH
z 0 13 800 Seminole Road;Atlantic Beach,FL 32233 (�, 4-13
Office(904) 247-5826 Fax(904) 247-5845
Job A s . Permit N ber: 1.3 3c
f 7-
Legal Description 1..o-r- S Parcel#
P'loor Arta-ot sq.R. — SgF't
Valuation of Work S Proposed Work heated/cooled nen-heated/cooled or
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one):installed?
esidentia
If an existing structure,is a fire sprinkler system nstalled? (Circle one): e o ED
Florida Product Approval#
For multiple products use product approval form
11,6ga)
Describe in detail the type of work to be performed: 641e,( ��,LaO 0
Property Owner Information:
Name: AAIL. /ll X&-k j4pL.Ahs-e. Address: �+ttEN
City A-r1,.APw"C- asAkey1 �33C%0&- 12A(0 - 02j,3 StatePLZip? Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:7:Y dt,a,D1�.fG• Go(�QC0.ATuC1�1 Qualifying Agent: 4 0 .su
Address: City 1 State�_Zip
Office Phone Job Site/Contact Number Fax
State Certification/Registration#
Architect Name&Phone# j4&AgL a tgsi G,4 -
Engineer's Name&Phone
1
Fee Simple Title Holder Name and Address
Fo0om8*4=
Bonding Company Name and AddressTffnn ff-
Mortgage Lender Name and Address '
Application rs hereby made to obtain a permit to do the work and installations as indicated I certify that no work or ins a a.. }
issuance of a permit and that all work wall be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nu
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 ai wry time after
work is commenced I understand that separate per
must be secured for Electrical Rork,Plumbing,Sigtrs, We!!s,Pools,Furnaces, Boilers, Heaters.
Tanks and Air Cononers,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
COMAWNCEMENT.
I here b certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified 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 ofconstruction.
Signature of Owner Signature of Contractor V�
II \_ A
Print Name ���. 1... Print Name .............�. ...... �+......1..... ......5. 1'.I..11A.......
........................ ..
�........ ..... .......................................
Sworn to and subs before e Sworn e 20i3
this /0 Day of v 20/ this S
o�
RI GRIFFIN t y P Ii of Florida
•
,• r
Not is _ �.= My Comm.Expires Oct 14,2014 NO�n' t3 ortl:•, C i sion#DD 986504
Commission#EE 34559 26.10
Bonded Through National Notary Assn.
eEM IV 4, Office of Beaches and Coastal Systems �.
Florida Department of Environmental Protectio
��<'z i 3900 Commonwealth Boulevard - Mail Station FILE
C
FLORIDA • Tallahassee, FL 32399-3000
PRE-CONSTRUCTION CONFERENCE RECORD
Permit Number:
In Attendance:
I have met with the permittee, authorized agent, and/or other person(s)identified above, and together we have
reviewed the project description and conditions set forth on attachments to the final order of the permit issued by
the Department. Further:
(1) At the time of this conference, constructio fencing is:
❑ IN PLACE NOT IN PLACE ❑ NOT APPLICABLE
A reinspection for construction fencing compliance will be conducted by (date):
NOTE: Construction fencing shall be installed to protect dunes and/or vegetated areas by restricting
pedestrian access, storage of construction materials, and traffic by construction equipment,
to that strictly necessary to the authorized construction.
(2) Approved construction plans are on-site at the time of the preconstruction meeting, in accordance with
permit conditions.
YES ❑ NO
The Pre-Construction conference will NOT be conducted unless
approved construction plans are on site.
(3) Q notice to proceed has been issued.
YES ❑ NO ❑ NO
Proceed at will. Required, but not yet issued. None Required.
DO NOT PROCEED UNTIL Proceed at will.
ISSUED!
COMMENTS:
Department of Environmental Protection Date
Field Engineer
DEP Form 73-308(Rev.09/97) COPIES - White (office) Ye low (perrnitttee/agent) Pink (inspector)
Scott
Florida Department of Rick Governor'
Environmental Protection
l , Dil ision of Water Resource Management iderschel T. Vinyard,Jr.
21,00 Blairstone Road,Mail Station 3522 Secretary
Tallahassee,Florida 32399-2400
September 23,2013
Mark H. Holmes FILE C t
275 Beach Avenue
Atlantic Beach,Florida 32233 j
�j
Dear Mr. Holmes: ;f
is
y
Notice to Proceed Issued
Permit Number: DU456
Permittee Name: Mark H.Holmes
Your request for a permit pursuant to Se' tion 161.053, Florida Statutes, for construction or other activities
seaward of the coastal construction con of line, has been approved by the Department of Environmental
Protection, enclosed is the permit. Ho ever, construction may not commence until after the permittee
complies with any preconstruction requi bments described in Special Permit Condition(s) 1 and 2.
The permit will expire one (1) year a r the date of issuance of the permit. Upon receipt of a written
request signed by the permittee or authotized agent,the Department will consider extending the permit for
up to but no more than three years. Yi j must apply for a new permit for completion of any work not
accomplished under the original permit.:Although you may apply for a new permit, there is no assurance
that such new permit for the same constk ction or activities would be approved.
i
The authorized work is strictly limited t that described on the enclosed permit. If you have any questions
pertaining to this permit, please contact'ine by mail at the letterhead address (add Mail Station 3522), by
telephone at(850) 921-7849,or by email!at valerie.iones@dep.state.fl.us.
i
Sincerely,
i
i
vc�_Lt
Valerie Jones,Perni it Fna�ge�r
Coastal Construction Control Line Progjam
Division of Water Resource Management
VJ/dw
Enclosures
cc: Permit Information Center
Trey Hatch,Field Inspector
City of Atlantic Beach,Building 0 fficial
f .
'I
l
IVIVIV dt n witi,f1 71r
I
j
pp1E(i STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Division of Water Resource Management
2600 Blair Stone Road-Mail Station 3522
Tallahassee,Florida 32399-2400
j FL A (850)245-8336
PERMIT NUMBER: DU-456
PERMITTEE:
Mark H. Holmes 4 FILE C ;.
275 Beach Avenuer �sa:. ►rc ��.�,•r,..'
Atlantic Beach, Florida 32233 ` ' """""""
NOTICE TO PROCEED AND PERMIT FOR CONSTRUCTION OR OTHER ACTIVITIES
PURSUANT TO SECTION 161.053, FLORIDA STATUTES
FINDINGS OF FACT: An applicationor authorization to conduct the activities seaward of the coastal
construction control line that are indicatld in the project description, was filed by the applicant/permittee
named herein on August 6, 2013,and was determined to be complete pursuant to rule on August 6,2013.
CONCLUSIONS OF LAW: After considering the merits of the proposal and any written objections from
affected persons, the Department finds khat upon compliance with the permit conditions, the activities
indicated in the project description of"permit are of such a nature that they will result in no significant
adverse impacts to the beach/dune are4s or to adjacent properties; that the work is not expected to
adversely impact nesting sea turtles,them hatchlings,or their habitat;that the work is expendable in nature
and/or is appropriately designed in acct rdance with Section 62B-33.005, Florida Administrative Code.
Based on the foregoing consideration's, the Department approves the application; and authorizes
construction and/or activities at the location indicated below in strict accordance with the project
description, the approved plans (if any) and the General Permit Conditions which are attached and are by
this reference incorporated herein, and' any additional conditions shown below, pursuant to Section
161.053(4),Florida Statutes.
EXPIRATION DATE: September 20, 2014
LOCATION: Between approximately 410 feet and 460 feet south of the Department of Environmental
Protection's reference monument R-51, in Duval County. Project address: 275 Beach Avenue, Atlantic
Beach.
PROJECT DESCRIPTION:
The applic ,pe 'ttee is authorized tc construct a roof of dimensi 11.3 f t in the shore-normal
direction 37.9 f in the shore-parallil direction over the existing s ward, -grade, open wood deck.
The appli t/pe a is also authorized to construct two small additions o the existing wood deck, one
each on the and south ends,not to exceed the shore-parallel width of the dwelling or the seaward extent
of the existing deck.
IDCity of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road �� �OD�
Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 12 ////1:3
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ? SfI CA ent review required Yes No
Applicant: `o,�' ooje_c�.�
Tree Administrator
Project: �� �� P
Utiliti
Public Safety
Fire Services
Rev eW'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: pproved. ❑Denied.
(Circle one.) Comments:
Bell UI
ANNING &ZONI Reviewed by. JA( VDate: fl
13
TREE ADMIN. Second Review: A roved as revised.
❑ pp -]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
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH tv
(� 10 113 800 Seminole Road;Atlantic Beach, FL 32233 -1 �_ 4--7 3
Office(904) 247-5826 Fax(904)247-5845
Job A s . Permit N ber•
Legal Description L. k,�� y l�tr Parcel#
� ' oor Arba ot q, t. ' 'q. t
Valuation of Work$ Proposed Work heated/cooled f]/ non-heated/cooledT_
Class of Work(circle one): New Addition ,alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)((c>< ircle one): Commercial esidentia
If an existing structure,is a fire sprinTcler system nstalled?(Circle one): es o ED
Florida Product Approval#
For multiple products use product approval form _
Describe in detail the type of work to be performed: (Mill —xaa 0 �l�
Property Owner Information:
Name:A/A.. /kAA_k )ADL AAS e— Address: 7S A414 &AEP"US
City G StateMZip_21=3 Phone
E-Mail or Fax#(Optional) — —•
I
Contractor Information:
Company Name:MM atj%&Z 4&- Qualifying Agent: ,su
Address: City V 1 State r—&. Zip
Office Phone Job Site/Contact Number M/A Fax# AVA.
State Certificatiori/Registration#
Architect Name& Phone# C-1+1
Engineer's Name&Phone# v- q
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address H�L�
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to tl�e
issuance of a permit and that all work well be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six6)months at any time after
work is commenced I understand that separate permits must be secured for Electrical Rork,Plumbing,Signs, Wells,Pools, urnaces, Boilers,Heaters,
Tanks and Air Conditioners,eta
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 application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified 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 Owner Signature of Contractor �Jl
Print Name ............................ Print Narne `.a -lift ... -......... ,,•7.he ellt .......
Sworn to and subsa,b before tr�ie Sworn o e
this 10 Day of v�-U Q� 20/ � this S - ;r� 20i3
fBo,d,d
WIGGINS
RI GRIFFIN _�• •
=.• ` • t YM. 1tZySt�e of Florida
• Nota aCAPIFUS
Not is = • m.Expires Oct 14,2014 ry � C- t
i sion#DO 986'504
� mission# al 0 ry
�'"°.� rough National Notary Assn. 26.10
Office of Beaches and Coastal Systems
Florida Department of Environmental Protection
3900 Commonwealth Boulevard - Mail Station 300
FLORf15A Tallahassee, FL 32399-3000
PRE-CONSTRUCTION CONFERENCE RECORD
Permit Number:
In Attendance:
1 have met with the permittee, authorized agent, and/or other person(s) identified above, and together we have
reviewed the project description and conditions set forth on attachments to the final order of the permit issued by
the Department. Further:
(1) At the time of this conference, constructioIn fencing is:
.-
IN PLACE Q, NOT IN PLACE NOT APPLICABLE
A reinspection for construction fencing compliance will be conducted by (date):
f'
NOTE: Construction fencing shall be installed to protect dunes and/or vegetated areas by restricting
pedestrian access, storage of construction materials, and traffic by construction equipment,
to that strictly necessary to the authorized construction.
(2) Approved construction plans are on-site at the time of the preconstruction meeting, in accordance with
permit conditions.
YES E] NO
The Pre-Construction conference will NOT be conducted unless
approved construction plans are on site.
(3) A notice to proceed has been issued.
] YES NO NO
Proceed at will. Required, but not yet issued. None Required.
DO NOT PROCEED UNTIL Proceed at will.
ISSUED!
COMMENTS:
Department of Environmental Protection Date
Field Engineer
DEP Form 73-308(Rev.09/97) COPIES - White (once) Yellow (permittee/agent) Pink (inspector)
�QQOIBON Rick Scott
F16rida Department of
C/04 Cr!?oi'
Environmental Protection
t � D��ision of Water Resource Management Herschel 1. Vinyard,Jr.
200 Blairstone Road,Mail Station 3522 Secretary
1 Tallahassee,Florida 32399-2400
September 23,2013
I!
i
Mark H.Holmes
275 Beach Avenue
Atlantic Beach, Florida 32233
i
I
Dear Mr. Holmes:
Notice to Proceed Issued 'f
Permit Number:DU-456
Permittee Name: Mark H.Holmes i'
Your request for a permit pursuant to Se' tion 161.053, Florida Statutes, for construction or other activities
seaward of the coastal construction con of line, has been approved by the Department of Environmental
Protection, enclosed is the permit. Ho iever, construction may not commence until after the permittee
complies with any preconstruction requi ments described in Special Permit Condition(s) 1 and 2.
The permit will expire one (1) year afti r the date of issuance of the permit. Upon receipt of a written
request signed by the permittee or autho'' zed agent, the Department will consider extending the permit for
up to but no more than three years. Y '' must apply for a new permit for completion of any work not
accomplished under the original permit.' lthough you may apply for a new permit, there is no assurance
that such new permit for the same constr',i ction or activities would be approved.
The authorized work is strictly limited t' that described on the enclosed permit. If you have any questions
pertaining to this permit, please contact!. a by mail at the letterhead address (add Mail Station 3522), by
telephone at(850)921-7849,or by email at valerie.jones@dep.state.fl.us.
Sincerely,
�v A, {
Valerie Jones,Per it M,Anager
Coastal Construction Control Line Pro am
Division of Water Resource Manageme' t
VJ/dw
Enclosures
cc: Permit Information Center
Trey Hatch,Field Inspector
City of Atlantic Beach,BuildingOfficial
Ii
iL1/1N117/IPl� C1/!�/ f�7/4'
i
, 4AOiE(110 STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Division of Water Resource Management
2800 Blair Stone Road-Mail Station 3522
Tallahassee,Florida 32399-2400
FLOR A (850)245-8336
PERMIT NUMBER: DU-456
PERMITTEE:
Mark H. Holmes
275 Beach Avenue
I
Atlantic Beach, Florida 32233
NOTICE TO PROCEED AND PEkMIT FOR CONSTRUCTION OR OTHER ACTIVITIES
PURSUANT TO SECTION 161.053, FLORIDA STATUTES
FINDINGS OF FACT: An application ,or authorization to conduct the activities seaward of the coastal
construction control line that are indicated in the project description, was filed by the applicant/permittee
named herein on August 6, 2013, and waS determined to be complete pursuant to rule on August 6,2013.
'I
CONCLUSIONS OF LAW: After considering the merits of the proposal and any written objections from
affected persons, the Department finds 'khat upon compliance with the permit conditions, the activities
indicated in the project description of thi„§permit are of such a nature that they will result in no significant
adverse impacts to the beach/dune areas or to adjacent properties; that the work is not expected to
adversely impact nesting sea turtles, theihatchlings, or their habitat;that the work is expendable in nature
and/or is appropriately designed in accordance with Section 6213-33.005, Florida Administrative Code.
Based on the foregoing considerations, the Department approves the application; and authorizes
construction and/or activities at the location indicated below in strict accordance with the project
description, the approved plans (if any) nd the General Permit Conditions which are attached and are by
this reference incorporated herein, and! any additional conditions shown below, pursuant to Section
161.053(4), Florida Statutes.
i
EXPIRATION DATE: September 20, 2014
LOCATION: Between approximately 410 feet and 460 feet south of the Department of Environmental
Protection's reference monument R-51, xn Duval County. Project address: 275 Beach Avenue, Atlantic
Beach.
i
PROJECT DESCRIPTION:
1
i
The applic ,pe ttee is authorized tc construct a roof of dimensi ns 11.3 f et in the shore-normal
direction 37.9 fe in the shore-parallel direction over the existing s 'ward, -grade, open wood deck.
The appli t/pe ee is also authorized to construct two small additions o the existing wood deck, one
each on the and south ends,not to exceed the shore-parallel width of the dwelling or the seaward extent
of the existing deck.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 1 p
Atlantic Beach, Florida 32233-5445 i _� .}O 1
Phone(904)247-5826 • Fax(904)27-545
E-mail: building-dept@coab.us Date routed: 12
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ? ��I CA AG_ ent review required Yes No
Buil
Applicant: 00tioI &
Tree inistrator
Project: 72� ��
G
' Utiliti
Public Safety
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: let—
BUILDING
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: Approved as revised. ❑Deni1eld. '
PUBLIC WORKS Comments: � �� ✓
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:/ 7
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 Road3� D f
Atlantic Beach, Florida 32233-54 5 O
Phone(904)247-5826 • Fax(90 _ 7.-5845
E-mail: building-dept@coab.us '- Date routed: 12
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �7 � SfQ-CnAG- 79, ent review required Yes No
uil
Applicant: � Q� nnin &
Tree inistrator
Project: P
Public Safety
Fire Services
)Revieiru fee $ k , 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: *pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:
TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied.
AUB
RKS Comments:
Of
EReviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
4DCity of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road ? d01
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 /2
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ? SfACA Jftent review re uired Yes
Applicant:
Tree A inistrator
Project: �� �/� P
S�-P�Utilitig5,7
Public Safety
Fire Services
V71 51 " iBk_:-. 1� i ;�
sl.... .�,..
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: m Date:/2"/2-! !3
TREE ADMIN. Second Review: QApproved as revised. ❑D ied.
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