1973 COLINA CT - REV. TRACKING FORM s.- _ , City of Atlantic Beach
7,' , " •,, Building Department APPLICATION NUMBER
/ �*y- 800 Seminole Road (To be assigned by the Building Department.)
! ''r" ``').' Atlantic Beach, Florida 32233-5445 _
�, Phone(904)247-5826 - Fax(904)247-5845 �r ' - ,j 7
E-mail: building-dept @coab.us
City web-site: http://www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9
i! „m I ent review required
Applicant: L.�
411-11111111111411111111111111111111111
( C 6 �r I N di Planning&Zoni • _-
Project: Ov a � �
\\ \(C nr _L±1 Publi 1 • - _
I\ 1 MASTER— ���-� 'ublic Utilities -
_-
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept.of Environmental Protection ..m.mmm, .._.__aIIIIIIIIIIIIIIIIIIIIIIIII
Florida Dept. of Transportation
St.Johns River Water Management District
IMIIIIIIIIIMIOIIIMMMIMMIMIMIIIIMIIIIIIIIIIIIII
Army Corps of Engineers -
Division of Hotels and Restaurants .11111111 ■■
Division of Alcoholic Beverages and To:p .'_l-_ima
Other: ___ -
- I
APPLIC TIM] STA
Reviewing Department First Review: �
�Appr• ed. l ]Denied. t (
(Circle one.) Comments:
BUILDING
\ D'e-..”
PLANNING &ZONING
1 i 1 k .eviewed by:__
TREEADMIN.
Second Revie — — i);;-;;.
_ ci
❑approved as revis L!• nied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
\\
PUBLIC SAFETY
R viewed by:
FIRE SERVICES Third Review: DA Date:. S as revised. ❑Denied.
Comments:
4-t A 'l'
Reviewed by:
----_- Date:
wised 07/27/10
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