1973 COLINA CT - ADDITION PERMIT s-=L�.ly�, City of Atlantic Beach C ;��, APPLICATION NUMBER
65 Building Department /A0:6(:-P': •-./i\SU ,o �, (To be assigned by the Building Department.)
800 Seminole Road 0
j zs, Atlantic Beach, Florida 32233-5445 H2O � � /5".---gold . 2.`Q
Phone(904)247 5826 Fax(904)247-584 IS
FbJ Email: building-dept @coab.us Date routed: 4/.1//‘
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /9 73 ( // 7i 4, e T Department review required Yes No
Q Building---P Applicant: 7' f11t C / t'C r'g Planning &Zoning
/ Tree Administrator
GG
Project: ) G C g • ?' c1 h Ai>.).-L,.oy) ,wow
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: J4 Alfht,did CQ ied/
BUILDING
PLANNING &ZONING Reviewed by: A /��
/ ��/L Date:
TREE ADMIN. II
A.
Second Review: ['Approved as revised. r Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
R.O.W. Permit Attachment of for
R.O.W. Permit ti issued , 200_ Atlantic Beach, FL 32233
Owner's Name: YAy V S. -PE*
Property Address: I'I 73 Cold NA Cocit't
l�'A• "&4,• ft. 31-1-33
Subdivision: SEL-%IA IJ ce-t—c
Lot#/Block#: I.oT *31
R.E. #: 14..34( "eosk- 31/ l' t3 elti41 J9`i B
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
, 20rby Atlantic Beach, Florida, a municipal corporation organize and existing
under fit laws of the State of Florida, hereinafter referred to as "CITY" and Pr '6/
of Atlantic Beach, Florida, hereinafter referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the
right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of
Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached).
This work is generally described as: One S+'Pt 1 wooAe" at* FAA-, #L taJ
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted
remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to
USER shall be given by certified mail,` eturn receipt requested, to the following address:
t a/,` C® a4
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in
the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe
condition.
In the event it is necessary for the CITY or the City's approved representative or other franchised
utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's
sole expense, any and all material necessarily displaced during the action of maintaining, repairing,
operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building
Codes, Land Development Code, and all other land use and code requirements of the CITY, including
City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be
replaced with other materials, but must be replaced with smooth concrete left natural in color so that it
matches the existing and adjoining sidewalks."
Page 1 of 2
The USER, prior to making any changes from the approved plans and/or method, must obtain
written approval from the City of Atlantic Beach, Public Works Department, for said change. The
USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change
within thirty(30)days after the day of completion.
This permit shall insure to the benefit of, and be binding upon, the USER and their respective
successors and assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY
laws and/or specifications, to include utilities locate requirements and use limitations/requirements of
public rights-of-way and other public land. USER further agrees that the CITY and its officers and
employees shall be saved harmless by the USER from any of the work herein under the terms of this
permit and that all of said liabilities are hereby assumed by the USER.
DATED and N D this AlL2 day of 14"f" ,20/f
By:
Property Owner
(to be signed in presen e of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
Itr
On this / 9 day of J11( , 200_, personally appeared before me, a Notary
Public in and for said County and State, 14/1, S 'L .- , the property owner of
ti7 S C6 L1680. , Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that he or she
executed the same freely and voluntarily and for the uses and purposes therein mentioned.
Notary Public in fedsaid County and State
TINA GAYNOR
Mogry Public•StsK�of Florida
CITY OF ATLANTIC BEACH, FLORIDA, a 180546 municipal corporation: ,_cy7 My Comm.Expires Mar 23,2019
%• 1•• Notary Assn.I .
pprogii
A II 111 I
4#1 . , 'ublic?orks Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim Hanson,City Manager
Page 2 of 2
From: KEVIN E MULLICAN [mailto:kemdesigner @att.net]
Sent: Wednesday,June 17, 2015 9:37 AM
To: dlayton @coab.us
Cc: Perez, Paul
Subject: FW: Kevin E Mullican - Designer, Inc. - Perez project- 1973 Colina Court
Doug,
I was just touching base to see if you have had a chance to review this project.
Let me know if you have any questions.
Thanks,
Kevin
From: KEVIN E MULLICAN [mailto:kemdesigner @att.net]
Sent: Friday,June 12, 2015 11:09 AM
To: 'dlayton @coab.us'
Cc: 'Perez, Paul'; heymilton72 @gmail.com; 'Schmidt, Katie'
Subject: Kevin E Mullican - Designer, Inc. - Perez project- 1973 Colina Court
Doug,
Please find attached preliminary drawings for the above referenced project.
This project will be a two story addition of conditioned space and a one story porch addition. Please reference the
attached drawings that show the proposed additions. My question is in regards to the one story porch addition.
The site plan drawing (SP1) shows the location of the proposed porch addition. This new porch addition will encroach
into the existing drainage easement approximately 4'2" but is within the required rear BRL. As you have discussed with
the client in the past, will the city allow this open porch addition to encroach into the existing drainage easement 4'2"?
We would like to get this verified before proceeding with the final engineering drawings.
Please do not hesitate to email of call (745-5574) if you have any questions.
Regards,
Kevin Mullican
NOTICE: The information contained in this message is proprietary and/or confidential and may be privileged. If
you are not the intended recipient of this communication, you are hereby notified to: (i) delete the message and
all copies; (ii) do not disclose, distribute or use the message in any manner; and (iii) notify the sender
immediately.
3
J„
e ';1, CITY OF ATLANTIC BEACH
�4 s 800 SEMINOLE ROAD
iesi
� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
j=
krill W.
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-1857
Job Type: RESIDENTIAL ADDITION
Description: ALTERATION - KITCHEN AND MASTER BED
Estimated Value: $75,000.00
Issue Date: 9/9/2015
Expiration Date: 3/7/2016
PROPERTY ADDRESS:
Address: 1973 COLINA CT
RE Number: 169506-1062
PROPERTY OWNER:
Name: PEREZ, PAUL I
Address: 1973 COLINA CT
GENERAL CONTRACTOR INFORMATION:
Name: ULTIMATE CONSTRUCTION
Address: 4054 W ARBOR LAKE DR JAMES VAN ARSDALE
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $190.00
BUILDING PERMIT FEE $380.00
STATE DCA SURCHARGE $5.70
STATE DBPR SURCHARGE $5.70
Total Payments: $581.40
PERMIT IS APPROVED OM 'V IN ACCORDANCE Val II ALL CI EV OF Al LAN[IC BEACH ORDINANCES AND 'HIE FLORIDA
BUILDING CODES.
/: - , City of Atlantic Beach, C
/,' , -. , Building Department . jTT APPLICATION NUMBER
l 4*, � 800 Seminole Road 4,
/�v r (To be assigned by the Building Department)
` �.' Atlantic Beach, Florida 32233 5 20
15 Phone(904)247-5826 • Fax(904)'247-5845
,� , mil`\ �_ t` �~7
L E-mail: building-dept @coab.us /
City web-site: http://www.coab.us Date routed: 3
APPLICATION REVIEW AND TRACKING FORM
Property Address: [97- G
Department review required lan No
Applicant: 1. L`T I R, _ Building _-
ti L. Planning&Zoning cw
Project: I� Tree Administrator
MIMI
\� OV Ti n IU r .`(CN - Public Works __
�yt DJ ���ST61L. 13 n( Public Utilities ==
r.
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Protection of Permit Verified By Date
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: '.
(Circle one.) pproved. ❑Denied.
Comments:
BUILDING
PLANNING&ZONING
Reviewed by: �' ��
TREE ADMIN. Date: �iy is----Review: ['Approved as revised. ❑Denied.
%4': W
LIC' O' S omments:
IC UTILITIES
P BLfC SAFETY
Reviewed by:
FIRE SERVICES Third Review: Date:
Approved as revised. ❑Denied.
Comments:
Reviewed by:
Date:
wised 07/27/10
i
r
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH D. -•,
•800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 ��
Fax (904)247-5845 �U JO
Job Address: 1113 COUNA C001-1
Permit Number: -, U
Legal Description 1-of 3 1 SE v4 aA-i a �Ae-
oor • ea o Parcel #
Valuation of Work$ 1J- 000, 00 Proposed Work heated/cooled t
non-heated/cooled
Class of Work(circle one): New 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 sprinkler system installed? (Circle one):
Florida Product Approval # 6p N/A
For multiple products use product approva orm
•
Describe in detail the type of work to be performed: 1-e-OVVA110, r Oi I41}-4,,tr. A.-4._ �4Sl-u 4'h,1o1orvi
Property Owner Information:
Name: P v y. Peal- Address: 1(11 3 l..al4 )4 Co op;
City 4f4 Ai1 v VI-a% State .Zip ? 22,33 Phone (q0 4./ 101- g5 3l
E-Mail or Fax#(Optional)
,
•
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: (kit MP T 6 ComS T R V4T i v N T• G Qualifying Agent: 'i& Q ,J
Address: of es'y A�$a R LAKE OR 1A/ !x e r RSA/qL E
Office Phone p City sJA( �w�''vn�� State F Zip ,32225
'f• 23g. Job Site/Contact Number 9v tt �(v -(s"1 I Fax# p R
State Certification/Registration# • • - y y. q 7-/66 S'
Architect Name&Phone# r� • �T' .i .�
Engineer's Name&Phone# ' IA 6�4 e' �j, / ! :.�
Fee Simple Title Holder Name and Addres r
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. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air 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 --CON UL —WI ,
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y(1
Iyy OTI 'c.a�►?d
COMMENCEMENT. $ ,;. fdorrr Public,State of Plotf
iw Ca rP113i,,>'EE8;8638
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions , ,:I. , ..f.,
type of work will be compli d with whether specified herein or not. The granting of a permit does not presume to give aut ority to vioma eeor'crna ?t R 017
provisions of any other federa, ate, or lo I law regulating construction or the performance of construction.
Signature of Owner
i � /
Signature of Contractor JJ��
?rint Name ?/kV � 1 • ��y 3F)in , -
Print Name F'..........g �� S O L E
3ef •e n W........... R
his ' Day of �u 20 1 -- Before me
/ Y this '• Day of —kJ\ k ,20 IS
�.�Cr ov#.4 NIVIA COX �'
dotary Public y wt,.l/...L`c
•, .i My Comm.Exgka Nov 21,2111$ Notary Pub 'c
Comte#►EE 113316E
'•'��tt•` Bonded TtrroippNMioxMNoWltAtm. Revised 01.26.10
1
City of Atlantic Beach
APPLICATION NUMBER
(/ ' 4 \, Building Department
800 Seminole Road (To be assigned by the Building Department.)
r t.N. '.
;� 1. Atlantic Beach, Florida 32233-5445
f Phone(904)247-5826 - Fax(904)247-5845
5- CA , ' - I r ~7
,4 -7-1,;-� E-mail: building-dept @coab.us
City web-site: http://www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9
a' ent review required len No
Applicant: y LT I �� r r� r n ��
C Csl i�c I ul Planning&Zo '
Project: 1�Q�( , • iU _., .tor _-
\ t► r- c _`.' Public , . . _ �=
ryt�D ���57�� �� t �_�ublic Utilities _-
Fire Services __
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection of Permit Verified By Date
Florida Dept.of Transportation
St.Johns River Water Management District
mommimmmim..._..111.M.1.11.1=1
Army Corps of Engineers -
ilrrIMWMIMIMMMI
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobac._=-_
Other: M_=_
APPLIC TION STA DiTak
------Z------:1? , (
Reviewing Department First Review: ;
�Appr� ed. i ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING 1 • D
•eviewed by:
TREE ADMIN. ����_,.. Date:
Second Revie ❑Approved as revis L P Hied
PUBLIC WORKS Comments:
PUBLIC UTILITIES
\\11
p
PUBLIC SAFETY
R viewed by:
Date: ,
FIRE SERVICES Third Review: DApproved as revised. ❑Denied
.
Comments:
4Ct If/
Reviewed by:
Date:
_wised 07/27/10
r =:,.:: City of Atlantic Beach -
/ , Building Department
1, `*, . .
800 Seminole Road
(To be ass
igned by theOBui Building NUMBER
`S'` ' ` 9 Department.)
Atlantic Beach, Florida 32233-5445 AUG 0
c , / Phone(904) 247-5826 • Fax(904)2'7-5845
3X015 - l ;, 7
).;`,j E-mail: building-dept @coab.us ?
City web site: hftpa/www.coab.us '__..:_ Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: [ 9 �
7 o
Department review required lan Building No
Applicant: U LT L 1 �, = �-
1 IV C. Planning &Zoning _-
Protect: I� Tree Administrator �-
OV • lU (= k.---cc r.,L�/ Public Works
iJt�� I�AS7E�. &--\-r-€4 ` • .�
Public Safety _-
_-
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection of Permit Verified By Date
1. 11M111.1.
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
...m.._______MIIIIIIMIMI11-111111111111111111111M
Division of Hotels and Restaurants
INEMMIIIIIIMIIMIll
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review:
(Circle one.) DApproved. G Denied.
Comments:
BUILDING
PLANNING &ZONING
Reviewed by:
TREE ADMIN. ����, �— Date: c /��
Second Review: DApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
FIRE SERVICES Third Review: QA Date:
pproved as revised. ❑Denied.
Comments:
Reviewed by:
Date:
wised 07/27/10
i
Graham, Shirley
From: Williams, Scott
Sent: Monday, August 31, 2015 2:00 PM
To: Graham, Shirley
Cc: Gindlesperger,Toni; Layton, Douglas
Subject: RE: 1973 colina ct
Shirley,
Yes,
That will be good to double check on them.
Thanks
Scott
From: Graham, Shirley
Sent: Monday, August 31, 2015 1:56 PM
To: Williams, Scott
Cc: Gindlesperger,Toni; Layton, Douglas
Subject: 1973 colina ct
Scott, May I issue this since there is no longer any exterior work going on ( they will resubmit at a later date) ...just
interior remodel to the kitchen. I will make sure Mike or Dan goes by this jobsite to make sure
they are not pulling a fast one.
Shirley
1
;" 1.;,. City of Atlantic Beach
/-" -•- • Building Department APPLICATION NUMBER
�I 800 Seminole Road (; —" )� Atlantic Beach, Florida 32233-5445 i Phone(904) 247 5826 Fax(904)247-5845 l:;.% E-mail: building-dept @coabus
City web-site: http://vww.coabus ate routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: ICI 73 COL1K)A
"T �'.'-t;..it.;�nt review required Mr .o
Build,. MNIIIIIIIIIIIMIMII�
Applicant:��w _ ■ v IV . d__ n : Zonin.
Project: 1► ree -• -inistrator
" z aria ss411- (C 41 _f, Public Works _-
AQ �� M.As.TE2 i3 ATE Public Utilities _-
mar -ru�� t� Public Safety
in), F,7. ! S IMEZEM11111111111111111.1�
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept. of Environmental Protection
iiiiiiiillill
Florida Dept. of Transportation
St.Johns River Water Management District -
Mil
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco MEM
Other:
APPLICATION STATUS
Reviewing Department First Review: lig proved.
(Circle one.) Comments:
❑Denied.
CBUILDII /BOG
PLANNING &ZONING
Reviewed by: Alf i /S----TREE ADMIN. i
Date:
Second Review: QApproved as revised. ❑Denie9
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: ❑Approved as revised.
❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
■
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH D .,.
r 800 Seminole Road, Atlantic Beach, /� ��Fr lr.. � FL 32233 1
Office (904)247-5826 Fax (904)247-5845 U// ✓UC �
3j •
Job Address: 11113 (NANA Coo LI •I`
Permit Number:/S-244�-2-P, 57
Legal Description Ltrf 3 1 SE v4 aii-i� i title
Parcel #
Valuation of Work$ 1,4-1 DX, 00 Proposed d Work heated/cooled t
no.n-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residentia 0
If an existing structure,is a fire sprinkler system installed? (Circle one): • - fip N/A
Florida Product Approval #
For multiple products use product approva orm
Describe in detail the type of work to be performed: 40 VJA 1wr3 0i 1' 1"1 ANL '%4q 4'4r4)o,
Property Owner Information:
Name: -4), j,'. ?en-t,
City /,� Address: 1q 7 3 Cow NQ Co 01,
'v.QAl1i -►1 State Zip 3 2 -33 Phone (qo4) loi- 9y3i
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: Hy7fl f jii 7 ® mt/, &in?
Company Name: (All M rq T E 9
Co DPsTR vcif at-) TNL Qualifying Agent: \ill p1E S R Vr A RS A AL E
Address: YOSti AMA LAKE t* H/ City JAc K.sa " ILC
Office Phone log. 23q. 2526 Job Site/Contact Number State FL Zip ,32225-
State Certification/Registration# • • - �U`�• l v �S 1�' Fax# yogi. en 7-1666-
State
Name&Phone# ,� l _� -�
Engineer's Name&Phone# 1 (/� 5 f''C;C gm% l' r •J- . , A.f
Fee Simple Title Holder Name and Address! ` • I
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 cert5 that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora� period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, Furnaces, Boilers, Heaters,
Tanks and Air 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 FINANCIN ,--CO .ULT-WTT :�� �
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y t ' 'm TI CE
trra COMMENCEMENT. a ; RanPu blit,Stat eofFiorida
,; .,,, Commission EE 878638
I hereby certlfy that I have read and examined this a plication and know the same to be true and correct. All provisions ,,, ; ��Y�r�mern.QX ites F2
type of work will be compli d with whether specified herein or not. The granting of a permit does not presume to give aut orit to viola e orvca Mr
provisions of any other federa, tate, or lo 1 law regulating construction or the performance of construction. °T
signature of Owner y Signature g of Contractor
?tint Name ?AV r. 1 . 4L 319,p,E1 _ ,
v„, ..Print Name g RsOA L E
3ef e m;,e Before me
his Day of -0---u (�/ 20 1 5� this Day of �) �?`
/ I 20 (j
/(�--- C trx, aa���N,,4 NtVIA COX
dotary Public y ...• � ->Ht�-off �
tr,N'v-it• • M y Cann+.Ex'ita Naw 2t,toll Notary Pub c j
4.I I* -f r Commission in EE MHO
I
''' ' R'`° boded Through NOW Notify Alta. Revised 01.26.10 i
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date: %'YI, /S— FILE COPY
Development Size
Habitable Space Non-Habitable S:F. C(anrck
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction ---P
Number of Stories Z
Zoning District g 3__ 1.
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone /
Conditions/Comments: