150 SHERRY DR COMCAST City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
-f,, 800 Seminole Road
Atlantic Beach, Florida 32233-5445 14 — 50
ct
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 413
City web-site: http://Www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: [>_ Department review required Yes No
Building
Applicant: cp S+ Planning &Zoning
dministrator
Project: F_/'Y�e✓� � PublicW3
Public Utilities
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:
BUILDING
PLANNING &ZONING Reviewed by: Date:
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:
wised 05/14/09