1700 SELVA MARINA ZONING COMMENTS ZONING REVIEW COMMENTS
City of Atlantic Beach
Building and Zoning Department
800 Seminole Road Atlantic Beach, Florida 32233-5445
Phone: (904) 270-1605 Fax: (904) 247-5845 Email: dreeves*coab.us
Permit: 15-SHED-1062 Applicant: Michael Carlin, Owner
Review: I st Address: 1700 Selva Marina Dr, Atlantic Beach, FL 32233
Site Address: 1700 Selva Marina Phone: (904) 742-1637
RE4: 172003-0000 Email: N/A
Correction Comments
1. Height: Please show overall height of the structure measured from grade to the peak of the roof.
2. Building Separation: Please show the distance between the proposed structure and all other structures on
the site plan.
3. Tree Removal: Please submit a Tree Removal Permit Application if any trees are to removed. If no
trees are to be removed, then please fill out an Affidavit of No Tree Removal. Both forms are available
on the city website under"Planning and Zoning" and at City Hall.
Derek W. Reeves
Zoning Technician
dreeves@coab.us
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Depa5ment.)
u
B ilding Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445 J.Jr-
Phone(904) 247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us IL Date routed:
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: A-rj�7A�_ p ment review required Yes No
Applicant: LdWse <E5maLn_g &Zon3ig
Tre_e_77dm�inistrator
Project: A0 )oz, &fuPI a r\8LorkW
rPic 2�,
Public 6atety
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 Managern ent District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: []Approved. NDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: o0,,0,'0,1 Date:
TREE ADMIN. Second Review: FlApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. nDenied.
Comments:
Reviewed by: Date.-
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: M6 Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq*Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): ew;)ddition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed struct �) (circle one): Commercial
s I
If an existing structure,is a fire s rinkler system installed? (Circle one):"��esNo Cl�_/�A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Information:
Name:AAYUL Qkilwq Address: �.VLXAI�Lw ty
y
city hone
4- State Vzi—p
E-Mail or Fax 4 (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Qualifying Agent:
Address: city State Zip
Office Phone Job Site/Contact Number Fax#
State Certification/Registration
Architect Name&Phone#
Engineer's Name &Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication 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 the
issuance of a perm it and that all work will be performed to meet the standards of all laws regulating construction in thi's jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of six months at any time after
work is commenced. I understand that separate permits must be securedfor Electricar Work, PI imbing,Signs, Wells,Poo s, �T
1 1 1 urnaees,Boilers,Heaters,
Tanks andAir 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 hereb certify that I h ine his a tion an n he same to be true and correct. All provisions of laws and ordinances governing this
typ e o7work will be c in lied with the ci rein or e granting of a permit does not presume to give authority to violate or cancel the
provisions of any other ederal,stat , 1 al egul geo ction or the peifi�rmance of construction.
Signature of Owner Signature of Contractor
PrintName AICIVAel— -,Y. 00
Print Name
................................. ......................................................................................................................................
Before e Before me
this Da of—"V) 20/S this Day of 20
y
Notary Public Notary public State o0rWWA Notary Public
My Comm.Expires Appr 23.2017
Commission 0 FF 01127�1 Revised 01.26.10
5