65 19TH ST 2015 DECK r � ,1s\ CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
]Ob ID: 15-DECK-37
Job Type: DECK/PATIO
Description: PAVER PATIO
Estimated Value: $16,000.00
Issue Date: 2/26/2015
Expiration Date: 8/25/2015
PROPERTY ADDRESS:
Address: 65 19TH ST
RE Number: 169723-1040
PROPERTY OWNER:
Name: SWEENEY,DAVID & PATRICIA,
Address: 65 19TH ST
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
Full right-of-way restoration, including sod, is required, if damaged during construction.
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.
FEES:
BUILDING PERMIT FEE $130.00
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $65.00
STATE DBPR SURCHARGE $2.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
J v INSPECTION PHONE LINE 247-5814
Total Payments: $199.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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L City of Atlantic Beach �tCC APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
# t800 Seminole Road
,' Atlantic Beach, Florida 32233-544
Phone(904)247-5826 - Fax(90 -5845 p
E-mail: building-dept@coab.usDate routed:
City web-site: http://www.coab.us 11
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6 ep ent review required Yes No
Applicant: �gy-fh
e r
Project: �1� �i!'T7d ublic Works
ities
is afety
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: tX7
BUILDING
C
PLANNING&ZONING Reviewed by: Date: IzItl//�
TREE ADMIN.
Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: ate: Z41-1 S
FIRE SERVICES Third Review: ❑Approved as revised. enied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road /� -�V6(4 . 3
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 p
"!
fit E-mail:E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6 __Dep ent review required Yes No
!N /�-S anning &Zoning
Applicant:
e r
Project: f �f1"�!f ublic
u lic 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: / .S
TREE ADMIN. Second Review: JMApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES ,f /_/ /
PUBLIC SAFETY Reviewed by: % yd�/ Date: Vivur
FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
Ly City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road LBY:
CEIVELDate
/S_al4e� 3`�
1 f' Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)24 JAN 1 3 2015
E-mail: building-dept@coab.us outed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
S/ -_Department review required Yes No
Property Address: 6
r-f'h
Applicant: �
Project: 4_ u=bIicUtiI' r
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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:
PPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
r
LICWOR Comments:
UB IC _ IE�_
Reviewed by: Date:
PUBLIC SAFETY
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
11CLBE
S�L1r� City of Atlantic Beach (To be )
BuildingDepartment800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
/„� /9 � ep ent review required Yes No
Property Address: (X
fi� /, Q Z Vs anning &Zoning
Applicant: (/� e r
f� �� Public Works
Project: /`' Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. [—]Denied.
Comments:
Reviewed by: Date:
Revised 07/27110