396 11TH ST - POOL *SS>
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
SWIMMING POOL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Sob ID: 15-POOL-820
lob Type: SWIMMING POOLISPA
Description: NEW POOL
Estimated Value: $25,000.00
Issue Date: 4/30/2015
Expiration Date: 10/272015
PROPERTY ADDRESS:
Address: 396 11TH ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CUSTOM POOL AND LANDSCAPE INC
Address: SHAWN BUCKLEY 5150 THOROUGHBRED BLVD
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
Future permits will require proper pool design detail.
No pool decking is requested or approved by this permit.
Site stormwater flow patterns must be maintained.
Drawings are not clear. Max 1', 4" pool coping is allowed. If more is required, provide
details as previously requested.
Full erosion control measures must be installed and approved prior to beginning any
earth disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment
Control Inspection prior to start of construction.
All runoff must remain on-site during construction.
If on-site storage is required, a post construction topographic survey documenting
jPMIwer construction will be required.
IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
,ftt 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
POOL - Wellpoint (if used) must discharge into vegetated area 10' minimum from
street or drainage feature (swale, structure or lagoon).
FEES:
PLAN CHECK FEES $87.50
BUILDING PERMIT FEE $175.00
STATE DCA SURCHARGE $2.63
STATE DBPR SURCHARGE $2.63
Total Payments: $267.76
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MAP SHOWING SURVEY OF
LOT 45, BLOCK 13. F THE CUR NT ATLANTIC BEACH AS DUVALRECORDEDCO IN PLAT
BOOK 5, PACE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,
FLORIDA.
scALL: 1 � zY
EAD RDH,OF
ELEV -
'AVED
V, a 50.00 — !
_ __-- BLOT oT a
r _ LOT 43
! LOT 45
.1 LOT aT
E
!, T.5 1
].5'
(n
rrI
CONCRETE +S
S Z II NWN3DATIg1
'10
r I $
R fYI Io I
I)
p Is ]s
1
1 O
�1 )
;I �R °D
II LOT 42
j `I •! LOT u 'I
:1 '1 LOT 46
LOT b ! !
1 1 ! I
I 11 1 I•
1 ! •1 I,
II ! ! !
NOTER
I. M Is A..RD sAK1'.
E. x cM R ANGLES
FII EY RAT
1 IHRMgI MINES ME /5 FELLOWS: 1
A�xDW'15'
B BOVP15
0
0 1.1
0-
59.
%
.. XO gJILpNO Ii51MCApl NNES RR
THE PROPERTY SHOWN HEREON APPEARS TO LIE IN ROOD ZONE
"K" (AREA WTSDIE OF THE 0.2A ANNUAE CHANCE FLOODPLAIN)
AS WELL AS CAN BE DETERMINED FROM THE ROOD INSURANCE
RATE MAP No. 12031CO40914, REVISED JUNE 3, 2013 FOR DUVAL
COUNTY, FLORIDA
m VALID MTxOUT TME s AN MO DONN IN BOATI
ME DRICIHRL RAISED SEK Li A ELORPA FOUNDATION WRVEY: MARCH 1%]M5 FLORIDA UO' SURA
SURVEVp!A.YAPPER.' TENSED 1£RRICATEENS OEWIBW 12,=4 FLOPIDA M. SVAKn
XCMFO ec FRe29L5-2 DRAYRIer: BOATWRCHT LAND SURVEYORS, Inc. 1500 ROBERTS DRIVE, JACKSONVILLE BEACH. iLORIOA 241-8550 DA]
BUILDING PERMIT APPLICATION
r CITY ATLANTIC BEACH FILE
�O�T"
800 Seminolele Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845 LC
Job Address: 3q4 �/ ST. Permit Number: ZSS-oo of- 9a0
Legal Description Parcel#
oor ea o q. t. q,
Valuation of Work$25,.2proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprnkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: /I LI[� s�OQ L
Property Owner Information:
Name: LINVLE`/ OLift-LT Address: 14 iiBENCH! AVECity 14 State aZip 39233 Phone 23µ-d44
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: �D.N l�[riG9 Qualif ing Agent: $H AI 8"d-6Y
Address�J�,[aoegjpw .CSA LUO CiTy Ax State Fig,_Zip
Office Phone /,Hf s?9 4 Job Site/Contact Number :76o 3073 Fax# (W/ 3369
State Certification/Registration# CfeB5 LSIR
Architect Name&Phone#
Engincer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 the
issuance o a permit and that all work will be��ormed to met the standards ofall laws regulating construction in this jurisdiction. This permit becomes null
and void a work is not commenced within siz 6 months, ori construction or work is suspended or abandonedfor a ppeeriod ofsiz/6J months at mry h'me a/ter
work is commenced. I understand that separate.permits must be secured jos E/enrich Work,Plumbing,Signs, Weas,Pools,Furnaces,Boilers,healers,
Tanks andAlr Conditioners,nc
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.
l herebp certify that/have read ad a 'n 1 p icotion andhoow the same to be true aadcorrect. All provisions oflaws and ordinances governing this
type q work will be co ted A t r c i herein or not. The granting of a permit does not presume to me authority to violate or cancel the
provisions afany other deral, tel 0 1 ca a gelating construction or the performance ofconslruction. t
Signature of owner Signature of Contractor M �/
Print Name ...� _........._.... .......... Print Name smN!N.........N.WAL.1cX_........._._........_.....
..__..
2��
me
_ y,,,, •�_ this Day f _
MY eOMANSSONSFF 1639'A g� 9CO11NVpID
f " k'.
aR 1k;
`i E%PIflES:eecenEer 27,2010 _ : _ MYCOAMAISSION/ff t&9A5p
otary Public e%n... -�^e°°'^'.na,nviceau�a+an - Nota a rc w"WRI°^"
.�..�. Notary �'Yir,;ga•� eere.a rnu upon we¢uamr.
Revised 01.26.10
n NOTICE OF COMMENCEMENT FILE COPY
Penn13 NG. �� Pool' (PREPARE IN DUPLICATE)
Tax Folio No.
Stale of _ County of
To whom III may eonesn:
The untlemignetl hereby Informs you Nat improvements will be made to certsin mal Property,and in
COMMENCEMENT.CEM N Seepon 713 of the Florida Statutes,the 1-11-1-9 Infarmatlon Is armed in this NOTICE OF
COMM
Legal desaipaon of Property,being lmprow:d:LdT 45 84CL"ot 13 &2 —4
Ada�aGfpropedy6oinghpasd: �u9G IfTH v!.
/6T+�4�1/T/L BGN �c A 8f�2 33
GeneraldesodptionofNry,avanenb:
Owner L,,�a[.sy rntRtar
Addrsea f REA[H ry ?L.�NTIG �cN .Z23�
Ownefa interest in sib of Na improw:mepl
Fee Shrple Titleholder(d otherNan awns)
Name ^
Address
1�v/�_\DAmreae D THMRor.W.Pnc .BLy�
Phale Na 924 9603073 Fax No. 33 9
Swely(Sam
Address Amount of bond 6
Phone No. Fast No.
Name and address Of any Pelson making a roan for the consbumon of the Im,,me nb.
Name
Address ,---
Phone No. Flux No.
Name afperson vhNln the State ofFlodds.mher Nan Mmpl[desgnarad by owner upon whom noticea or other
dowmeatimaybesemetl:
Name
Address
Phorsf No. Fax No.
In addMan fo hbmeY,Gums,de8linatsa the fanovdag person Is mceNre a COPY of tiw Llenofs Notice as provided in
Section 713.08(2)(b),Florida Slatules.(Fdl ro at Ownees option).
Name
Address
Phare No. F.No.
Blaustion date er Notice Of Commencement(She Minutes dale Is Dyes mthedote o(mcatlhg unless
di fererd dale Is specilled):
THUS SPACE FOR RECORDER'S USE ONLY IEA A
astral MTE 1 \/tel
ea(on mama In
Coud,dDuad, lake tlq as omfls.,eered
h-mtn uY
heumbsealran Entaltlefe.n Ifa,d tleo. porta herein
amhuew.d Kclmle
Doc M 2015080118,OR BK 17128 Page 1802, r"YW"yy SCOTT NiNOU`
Number Pages:1 s: a MY CCMMISSIONiFF 16M0
Recorded 040WMI 5 at 03:00 PM, z E%PIRE5:0sember 27,1a1s
Ronnie Fussell CLERK CIRCUIT COURT DUVAL d(.Ja aeaniawsoGwNhumwwlrr
COUNT' 8latghhecelege,8W of
RECORDING$10.00peessayseeNo
Ibmnmhabn eeppee
P tion er
MAP SHOWING SURVEY OF
LOT 45, BLOCK 13. SUBDIVISION 'A- ATLANTIC BEACH AS RECORDED IN PLAT
BOOK 5, PAGE 59 OF THE CURRENT PUSUC RECORDS OF DUVAL COUNTY,
FLORIDA
S LE: I d
ELEVEN'TREET
PAVED
0
,.P 50.00' I,
w� B
LOT al I
-— LOT 43
LOT IS
•I LOT 47 `a
1 !
1 :1
•1!
CONETE A 5 1!
NO. 396
O ! 6
o ry T; ! $U I
t D ! .J 1.5• TV i .)
Q
I IMI— a xaa'
1 c I
•1 0
I, �--
I
i
(w.
! ! ! 1 1 LOT 42
Lor 44 •1
11 11
LOT 46
LOT 4B •( ! •I
•1 ! I !
! 1 1 !
:1
11 11 i
NDTM
IS A NAMARY SUnS ..
vMcUOTEO nOOK MT.
]. .KI.N10.ES ARE AS MUO'cL L
20Y R'
O➢1}5'
O-NO'I1VS'
ND ANIIMW
DU Nc
4 RESAICTOX LINES FER%pT.
THE PROPERTY SHOVM HEREON APPEARS TO UE IN ROOD ZONE
-%- (AREA OUTSDIE OF THE 0.25 ANNUAL CHANCE ROCOPLAIN)
AS K£LL AS CAN BE DETERMINED MOM THE FLOW INSURANCE
RATE MAP Nu 1203TCO409H, REVISED JUNE 3, 2013 FOR DUVAL
COUNTY. FLORIDA.
'NOT V VIO MOXIUT T SIGNI AND DONN W. BOAT)
INF aMaxAL RUSED 4u OF A FLprvw iWroAnM SUI uAAp Iq nS FLCMDA L1G SUR\
LISMODO SJNAYPI PND MM Slf.' pFN3D(SATn.. OLODUER 12 ZDIA FLLRIOA LIC. SIIRKYI
xD ED Rr._ ne2pT;r25Z DMMM w: BOATWRIGHT LAND SURVEYORS, Inc. 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA Ill-8550 LMT
NOTICE OF COMMENCEMENT
(PREPARE IN DUPUCAM
Permit No. Tax Fond No.
State or County,of
To whom N may concern:
The urWarsign,d hereby informs you Mat Improvement,wig be made to certain real properly,and in
aeeo armas with SeeNon 113 of Me Florida SW,Ies,Ma fall Mai Inf,rrnNlon fatted Ia Mi,NOTICE OF
COMMENCMM1 T. A
Legal description of property being Miprand: /AT 4S BLCrSt S3 Svc-A'
AddofpropMybeingigplowed' f JI PH
W tNT/I BCH • CLA S;t233
Gen Mdesalpdonof Maaoa,me^N: WIrAWIVAI ) Pool _
CMer 1 1a1n! EY =L&
Address 44T BzACN
Ownefa Inlaeet M c6e ntMe IngrolerrNnt
Fee SlmpieTldeholder(comer than OMM)
Name
Adchans
amraMM C/1STOM a9LS —
` AeMmaTa TA tlRewHR,eI .61 VG
Phew N0. 11,04 "Q30 -3 Far No. (2*1
Smetyarmlo
Adtlm59 : Mmud of boM S
Phone No. Fier No.
Name and aditN of arty pMaon making a ban for the construction of the Imptaremanla.
Name
Address
phone rip To,No.
Name of parson Main the Stale of Flodds.other Man hbnaeg,oftegered by ovaer upon whom notices or other
documenla nary be saved:
Name
Pddrass
Phase No. Fax No.
In Add fien to hbraee,owner modgretas the following person to receive a copy of the"mors No".Na Intended in
Section 713.06 C2)(b),Florida Stabiles.(Fill M M Owmaeg QPIM .
Name
Atldmes
Phone No. Fu No.
Expbagon data of Notice M CmwwxemeM(ft kation date Mo j1)yeM4om the data of recording uMessa
digerent date N spec,"riled):
TNIS SPACE FORRECOROER'S USE ONLY
(/�1I N/1
etyma: ppiE 1� (\/
neanetlJc e
Cwa.arymowal, nae nae. ass onelyeppeeRa
mmaemlwmesan mn.salelena evnaecw. ilea ee�r+
M
w eae vw awvme e,„ .N�".*..
iA1"y 'Te SCOTT N1NOU
Occ a 2015OSO11S.OR BK 17125 Page 1872. MY COMMISSION A , 7,Al
Number Pages:i ». EXPIRES Oecepl. —a
Recormall W9I2015 M 03:00 PM. Wery Prem wa�.nas
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Macon PWlicm Lege,s�m�
COUNTY Mywmmsamn e.pirea:
RECORDING$10.00
FNdumdl&nMcatla --
� < .
u g
%
x
- - - � \
. �
. �
_ 1
I 1 - C m�rrr
I ' lJz
-Open Area=38.79i1P
•IAPMO L)stedFlow Rates: 1)25so6-320-010 Sump Body
•For 2.5"plumbing using two outer ports= 2)25520-050-010 2'NPTPIug
308GPM(Floor)&212GPM(Wall) 3)25506-320-030 Debris Guard
•For2.5"plumbing using centerportoniy= 4)2S506-320-020 32'Cover
200GPM(Floor)& 168GPM(Wall) 5) 67008-042-022 Screw
-For 2"plumbing using two outer ports=
268GPM(Floor)&192GPM(Wall)
•For2"plumbing using centerport only=
184GPM(Floor)&176GPM(Wall) - - -- - - -
Part Numbers:
15506-320-000 32"Channel Drain w/Sump, White i
25506-321-000 32"Channel Drain w/Sump,Gray i
25506-324-000 32-Channel Drain w/Sump,Black
25506.327-000 32-Channel Drain w/Sump,Dark Gray
25506.329-000 32"Channel Drain w/Sump,Tan
25506-320-100 32-Channel Drain w/Frame, White
25506-321-100 32"Channel Drain w/Frame,Gray
25506-324100 32"Channel Drain w/Frame,Black -
25506-327-100 32"Channel Drain w/Frame,Dark Gray = '
25506-329-100 32"Channel Drain w/Frame, Tan
1)15506-320-110 Frame
2) 25506-320-120 From Support
3) 25506-310-020 32'Cover
4) 61008-042-022 Screw
Custom Molded Products, Inc.
Toll Free:800.733.9060 or visit us online at www.c-m-p.com
Contact us for details about our complete line of pool,spa&whirlpool bath components!!
oYllry
--Y,o L BaN,oING 7O K
sU7 /M/i'1 / N� /JOOL
0 ,C�i�I/Z � G�DPPCR
CoNNseT�� —
A7-
Cort/ t! A1I O[9S
To PooL
Ft NO To
Sc/L Ci5N
�Nc L05' Uk c
Nolet
/•I// WOduw b
•,:o 'N• • * yL TJ ,�� ,.•4 ♦ door Sha//
auq = A// ,SfeeTk
/ r
N ark MINTTYP S Ps So•�r4d is Ace
sr I�•o"
. r
s�•/• 'moi=� 'O .ctiG. fiw :•. ',.4" .
Lwar !
#3 M.
• l . .•' '•' y fySOr
IK' sM
;LH vo ra c
M
All YoeT
Typ d✓�ac Seen
is
Z
Easy to install or retrofit in even the tightest space- models
1 I from 175M to 400M BTUs-all measure 21"L x 21"W x 28"H
1 1
1 Rotating digital display means more installation options
1 1 and easier access to view operating information
1
Rustproof, tough composite exterior for long life
f
Available in natural gas and propane models.
J
6 aoo
Pool Capacity in Galo es Pool Surface Area in Sq.Ft at 5.5' Depth
5 85,210 97,383 121,729 146,075 194.766 2,069 2,364 2,955 3.546 4,727
10 42,605 48,691 60,864 73,037 97.383 1.034 1,182 1,478 1.773 2.364
IS 28,403 32.461 40,576 48,692 64,922 690 788 985 1,182 1,576
20 21,303 24,346 30.433 36.519 48,691 517 591 739 887 1,182
25 17,042 19,477 24,346 29.216 38.953 414 473 591 710 945
30 14,201 16.230 20,288 24,345 32,461 345 394 493 591 788
35 12.173 13,912 17,390 20,868 27,824 296 338 423 507 675
40 10.651 12.173 15,216 18,260 24.346 259 295 369 443 591
Minutes for 30oF Temperature Rise(Heater Input in 1000 BTWHR)
)!.0 310 400 L33.0
61.0 710 810 91.0 102.0
;OO 180 270 350 53.0 62.0 71.0 80.0 89.0
-50 '5OHD 15.8 235 30.8 46.5 54.3 62.0 70.0 778
SCO 135 200 26.5 40.0 46.5 53.0 60.0 665
I00'400HD 90 140 180 27.0 31.0 350 400 44.0
=chart Is based on a 307(16.6'C)temperatwe dse,discounting losses and only based on heat.e{vb,d to
- -•were wn In minutez Two rear inuted warranty See wananty for details.
acMF-dets available.See our Pentair WatePool and Spa ivpeeentav p for devils.
RRRR | ||
---
±
\z \ „ | ! . § k ■ ; « !|
Cl.
) < \ ) ! } 0A $
7.
cr
% • "j .
\ � \� . , . „ kB ■ = ® � f
} � ■ \ �\ � w , . � 7 �
ƒ { } ) ƒ 7 }
! E
f # § § § ■ � |
§
too)
-
! ; 7 - . ! ■ # � ; „ m
i \ ! » ■ ■ § a � |
i § �
) ) � ( \ \ { \ / { } \ ] ( /
( ( ply ; ƒ \ ) \ }
} \ f - / } \ J
ƒ } ( » \ ® � )
° 40 ] f \ � !
HM
} } � \ c
! i 7 f. • ' . o
City of Atlantic Seach APPLICATION NUMBER
Budding Department '�C:eEr I [D.
ba assigned by the BWlding Department
�1 800 Seminole Road �D
r Atlantic Beaus Honda 32233- 45 LG
- Phone(904)2475820 Fnx 4 247 p84 /� 4� L
E-mall. building-dept@Wab. � 'S e routed:
- f.lty webslfe INIVI/www coabus � -- -
APPUCATM REVEW AHS RACKNIGI FORM
//� r�- '7— *artMerE'ruperty Addr sls: �(�// �� ,/ revievurequired Yes No
Applicant: jkST�m jdOC a �'�Cnintrater
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Flonda Dept. of Environmental Protection
Flofitla Dept.of Transportation -'--
SL Johns River Water Managanent District - -" -
Army Corps of Engineers
Division of Hotels and Restaurants
Division ofAlmhdic Beverages and Tobacco
Other
APPLICATION STATUS
---
Reviewing Department First Review: _gpproved. nDenied.
Circle one Commen�c:
BUILDING
PLANNING 8:ZONING
C L_
Reviewed - Date:
TREE ADMIN.
Second Review: nApproved as revised. ❑Denied
PUBLIC WORKS C.ommenta:
PUBLIC UTILITIES
I
PUBLIC SAFE1 Y Reviewed by. Date:
FIRE SERVICES Third Review: QApproved as revised. [Denied. --�I
Comments:
Reviewed by: Date:
wiseR 07/27110 --�
d City of Atlantic Beach
APPLICATION IVUYv1BER
Building Department (ro be assigned by the Builtllny Depamment.)
800 Seminole Road q
Atlantic Beach, 32233-5445
Phone
Y� 2D
l Phone(904)247-5826 Fax(904)2a]tiA45 f-
ty ,y E-mail: building-dept@coab.us D'afe routed: �Q
Cityweb-site IIIIPHvmuw.coab.us
APPUCATIION RE7Vff-W AND 5fRAMNIG FORM
Property Add r�^ss: /G•-'/'/� // ' ^ T " q De artment review required Yes o
Applicant: l�ks,��IY1_ _! BQL,�_ - sC_ fanning BZonin -_
mmistrator -- ---' -'-
PrglNra: tiic Works -----
Iles —
c ety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified Date
Florida Dept of Environmental-Protection
Florida Dept.of Transportation
St. Johns River Water Management District - --
Army Corps of Engineers
Division of Hotels and Rmtaurards
Division of Aleohdic Beverages and Tobacco
Other:
_._. APPLICATION STATUS
Reviewing Department First Review: Approved
[]Denied.
(Circe one.) Comments:
BUILDIN
I
j PLANNING 8 ZONING
TREE ADMINReviewed by: Date.
. ---
Second Review: QApproved as revised. ❑D ed.
PUBLIC WORKS Comments
PUBLIC U T ILITIES
PUBLIC SAFETY Reviewed by
----- : Date:
FIRE SERVICES Third Review: QApproved as revised. []Denied,
Comments: I
- Reviewed by: Date:
evised W/D/VO ---�---
City of Atlantic Beach .rv�,'.�
Building Department Ci T APPLICATION IVUMBER�
`) (� ( o be assigned by the Builtling peparfine>f
000 Seminole Road APR J
'. � Atlantic Beach,Florida 32233-b4 5 Hfn u Ld15 E.
Phone(906)3425&2ti Fax L JN soot 1
E-mad: building-dept(c�coab.us �__ ';_ ' Date routed:
Gty web uddl hltngw Wabos
Property Addr/g�slIs, ! G ��- -' De artment review required Yes No
ln�t
Applicant: V Nm "F lanning&Zonin
-FFFF mmistrator - - --- -"-
Project[ _ N(rw_—Am L _. - - . is Works .. .- .__.
II as — —
lc ety
Fire Services _
Review fee $ 21- Dept Signature A��,j
Other Agency Review or Permit Required Review or Receipt -
of permit Verified B Date
Ronda Dept.of Environmental of ion
Fbiida Dept.of Transportation ---
St. Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other: —
APPLICATIONSTATUS —
FievieICird Department First Review: I[�Napproved ❑Denietl.
(Circle one r"ommenh;
BUILDING
PLANNING&ZONING s
Reviewed bY:��—r
TREE ADMIN � u, /o-
- Date.
. -
—
SecondReview: Qgpproved as revised. ❑Denietl.
IC WO S
Comments—KITES
P BLI/SAFET Reviewed by.
Date:
FIRE SERVICES Third Review: -- -- --moi
Approved as revised. [Denied.
Comments:
I
Reviewed by: Date:
wised 07127/10 - --_------- --
City of Atlantic Seach ED.
Eiuilding Department000 Seminole RoadAtlantic Beach, Florida 322335445Phone(904)2425t32riQW-1. E-mad: budding-dept@coab.us �Q
city website http/w coab uv _
I�roperty Add sG: _ 3 /�/ _�� ' w T _ _ De arkmenY review required Yes No
—P
Appiicarrt: kS,Ttm /'A0� .`
-. .._ . _ -_ - try� tanning&Zonin _
mmistrator
N�ioo L
Project: tic Works -- -- ----- --
es
is ety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified a Date
Florida Dept of Environmental Prot ecfion
Flo,itla Dept of Trensportation ---.
_. ..__—_____-_
St.Jahns Wver 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: q - ---- --1
Approved nDenied.
(Circle onecomments:
BUILDING
PLANNING&ZONING I
Reviewed by: 44-/ t"'- j
TREE ADMIN --
Date:
Second Review: QApproved as revised. ❑Dented.
PUBLIC WORKS Comments'
PUBLIC UTILITIES
I
PUBLIC SAFETY Reviewed by:
---- _ Date:
FIRE SERVICES Third Review: -- "- -----�j
DApproved as revised ❑Denied.
Comments:
Reviewed by:
-------- Date: i
vViSEG 0]/2]110 ..--