2337 SEMINOLE RD - BATHROOM ADDITION Gi-ty of Atlantic Seach
APPLI AT10i� NUMBER
EpWilding Department
(To bp asc-ignci I bY the Building Deparfmein�,.)
800 Seminole Roml
RA
Atlantic Beach, F -ida 32233-5445 f�,TV D
It
Phone(904) 1�8/15
Date routed
E-mail, buildii -dept@coab.us,
Citywc-b-sil-F- htLl)-1/\Afvm1co;.;;b.iP.-; AFk
AP1U_L_-')1JCAT90H REV0EV/V--AMeF=r"CMNG IFORMA
Pr"pei*y AddrPq,--: 2337 j I Y.'F-d
Department revlev-f required Yes
lit
zt� .-- �_r qu"' Y P-
Alcil',.-If ie a rot: A) ng&Zo
Ivi
Tree Administrator
/W4040 14r) lic Wo
Public Safety
Fire Sei vices
Review fee $ Dept Signature
Revie v or Receipt
Other Agency Review or Pern-tit Required of 1p Date
r
of Permit--Verified B
Pt of
Florida Dept. of Environmental Protection
ri
ept, 0
_10-ida Dept. of Transportation
Flot da D
St.Johns River Water Management District
Arnly Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages-&P4Tobaem— -
Other
APPLICATION STAT US
1`4-vielwing Depariment First Review: FokpProved.
FADenied.
(0 ircle one.) Comments:
BUILDING
PI-ANNING&ZONING
Reviewed by.-
Date:
TREE ADIMII\j
Second RevievAvi: pproved as revised.qenied
PUBLIC WORKS Comments:
PUBLIC UTILI-11177S
PIUBLIC SAFETY Reviewed b Date-
FIRF
';FRVICFS Third Review. DApproved as revised. Denied,
f�omments-
Reviewed by.,
Date:
1.7/27/10
CITY OF ATLANTIC BEACH
SEP 0 3 2015 800 Seminole Road
Atlantic Beach,
Florida 32233
Telephone(904)247-5800
FAX (904)247-5845
-V
REVISION REQUEST SHEET
let—
Date: /__2 Received by: Resubmitted:
Permit Number.
Original Plans Examiner: Project Name: A411004-)
Project Address: /4:;P'
Contractor: Contact Name:
Contact Phone -,(0 2 572- Contact e-mail: Aa, —
— ew AA
Revision/Plan Check/Permit Fee (s) Due:
Description of Proposed Revision to Existing Permit:
W4�--
Additional Increase in Building Value: $ _5�0 Additional S.F. :::26
Site Plan Revised: Public W TJ Approval:—
By signing below. I(print narne) affinn that the above revision
is inclusive of the proposed changes.
Signature of Contractor/Agent(Contractor must sign if increase in valuation)
Date
0�f_ice Use Only
Date: Approved: Rejected:___— Notified by:
Plan Review Comments:
nt review required Yes No
C>
Planninri P_ 7nnin
r tor Plans ExamineT
U or
ublic Utilities
11c z5a e y
Fire Services Date Created S/20/15 Rev.2
CITV OF ATLANTIC BEACH
4'
800 Seminole Road
Atlantic Beack, Florida 3223")
Telephone(904)24.7-5800
FAX (904) 247-5845
REVISION REQUEST SHEET
Date: Received by: C::::� Resubmitted:
Permit Number:
Oriainal Plans Examiner: Project Name:
Preject Address:
Contractor:
Contact Name:
Contact Phone -t�7 Contact e-mail:
Revision/Plan Check Permit Fee (s) Due:
Description of Proposed Revision to Existing Permit:
-v -2��
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W TJ Approval:------.---
By sianino,below. I(print name) A�-
C. Z:) affirm that the above revision
is inclusive of the proposed changes.
Signature of Conti-actor Agent(Contractor must sign if increasei
Date
III ValLiation)
Office Use Only
Date'. 7- Approved:___/71 Notified
Plan Review Comments.- C/
1/01
Pea w c AaI7 rm, -pro/V--\
lo 41Vro o;,-n )to
C'Q11 h0Me0U1Ae r " �0 0
J*pi�g�nt review required Yes No
4'Planning &Zoning
4-T r—e�—a� tor Pkans Ex-,rrnr*n1Erj
ork
Ll I' ork
u Vi
blic Utilities
`ff=—1c-3-ale ty
Fire Services I)ate
Owed SP-0/iS Rev.2
Y
CITV OF ATLANTIC BEACH
800 Sefninole Road
SEP 0 3 2015
Atlantic Beach, Florida 322333)
Telephone(904)24 7, 800
FAX (904) '2 45
jw) REVISION REQUEST SHEET
Date: Received by: Resubmitted:—
Permit Number:'
Original Plans Examiner: ProjectName:
PrQject Address:
Contractor: Contact Name:
Contact Phone 4,�I-�V-4- 7 57;�- Contact e-mail:
Revision/Plan Check Permit Fee (s) Due:
Description of Proposed Revision to Existin!g Permit:
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W TJ Approval:
affirin that the above revision
B sicn*nc,below. I (print narne) IV
y 1-1 1 11 ---- —-
is inclusive of the proposed changes.
Sigiiattire of Contractor Agent(Contractor must sign if increase in valuation) Date
Office Use Only
Approved:— Rej ected:__ Notified by:________
Plan Review Comments:
�-nt review required Yes No
Z
4-;Pianning &zonin
,�4Fe st t�, 4-0
c)rk
EL--
Ll 11 L ork
ublfic Utilities
-rr-uun %5aTe::-1y
Fire Services Date Crealed 8120/1 Rev.2