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1699 MARITIME OAK DR - POOL PERMIT t-S 1=-L`l\. v " s, CITY OF ATLANTIC BEACH ''}}. '.: • l 800 SEMINOLE ROAD J� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 .r?Jj1l`- SWIMMING POOL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-POOL-533 Job Type: SWIMMING POOL/SPA Description: swimming pool Estimated Value: $40,000.00 Issue Date: 3/29/2016 Expiration Date: 9/25/2016 PROPERTY ADDRESS: Address: 1699 MARITIME OAK DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: SUNSHINE POOL SERVICES OF NORTH FLORIDA LLC Address: 8280 Princeton Square BLVD SUITE 1 Phone: 904-219-8358 PERMIT INFORMATION: PUBLIC WORKS: 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 silt must remain on-site during construction. POOL- Wellpoint (if used) must discharge into vegetated area 10' minimum from street or drainage feature (swale, structure or lagoon). A separate pool permit is required. Roll off container company must be on City approved list and container cannot be placed on City Right- of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and Sunshine Recycling.) Full right-of-way restoration, including sod, is required. FEES: PLAN CHECK FEES $125.00 STATE DCA SURCHARGE $3.75 PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 44 -11.1:4','' S J CITY OF ATLANTIC BEACH A 0 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 . INSPECTION PHONE LINE 247-5814 4-JF319'� STATE DBPR SURCHARGE $3.75 BUILDING PERMIT FEE $250.00 Total Payments: $382.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUC T Y OF ATLANTIC BEACH FILE copy 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: K9ckc\ rf\ar.�"+mQ Oak 06v e_ Permit Number: //6 - Poo/—5-33 Legal Description 9 a Aitanti c. (kzoich CO��ry a ib Parcel# l (.0 9 5 O 5 H 5 5 Floor Area of Sq.Ft. Sq.Ft Valuation of Work S x-10, 0 0 o Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition Pool/spa window/door Use of existing/proposed structures)(circle one): Commercial Residential If an existing structure,is a fire sprinkler 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: 11 e w eno c n e A-e.. 5 e,.i m m' pool Property Owner Information: //�� Name: •t' ek Q>z.`Ore o Address:(Coc.l°1 Mar-i-imc. Llc.k ( rtvz- City 1.. • t,, C !•• a StateFL Zip 3 c 33 Phone 9 (> ct - I —115 1 7 E-Mail or Fax#(Optional) Contractor Information: Fo •' dA n r ` Company Name:5L d e P00( S rviccs 04 lvortI Qualifying Agent: 1?}ren-t bin t f i Address:>--t tcl l 50,n J04 n /Vie_ City i v a 1 l State F t Zip 3c7a i c) Office Phone l-1 C\ _C1 5 5 5 Job Site/Contact Number r;5(r 15o.D-16,01 Fax# State Certification/Registration # C.PL t Li 5 L6-7 5 cA Architect Name& Phone# Engineer's Name & Phone 11 , • - ' s • - •of 35- LA —G ' 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. 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 if work is not commenced within sir(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 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have r ad nd exam in /this pl atio and know•the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied ti ith w •dt r,'spe led sere' or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, late or I al la r atit g cos ruction or the performance of construction. --era v Signature of Own / �i Signature of Contractor 11 1 _ Print Name /(e 4 A • )Q, • Print Name y'3r't.,,,i. L...!.. _._.__.__......__......_.._._. Sworn and subscrib d before me / � Sworn to and subscribed before me this A Day of .L S n1SPHibble this ,) Day r 14 1,'1l J ti 6,,- P° Notary Public , L„-o- ._ ,PC-o— --. Notary Public s State of Florida Notary Public ,a\. %„„/ My Commission Expires 06/26/2016 ,h,,,,,.,," -,_Revised 01.2610 Commission No.EE 202091 s -- PDL 5 33 NOTICE OF COMMENCEMENT FILE COPY State of F ter`i d q Tax Folio No. Countyof 000 a�. To Whom It May Concern: The undersigned hereby informs you that imptovemetits:Will be made to certain real property,and in accordandiwith.Section 713.of the Florida Statutes,the following information is staled in this XOTICE OF COMMENCEMENT. Legal Description of property being improved: :p l I � C)g-- r�-, 5 -• a 9 Lam, a 3 A4,10rifiC. Qcin C0up�-r� C. i\ t LQ+ 9 Address of property being improved: q (A Y`l\ St r Cy ct k t ve General description of improvements: c e.W c.or c.r`e�-e ��i(J..);mrn C' p O O i 3aa33 Owner: De rek 1 J2!O/'e+0 Address: I (611q1 ft1 ar,42rme. Oak Or;ve, A+Ian4ic Owner's interest in site of the improvement: (-)Wh Q r" o.ck 3; 33 Fee Simple Titleholder(if other than owner): • Name: n Contractor: unIhine P0OI 5er`vic e5 0-c l0r+h Fiort'do Address:% 0 Pr cekorx e)1uch kk) ,4.< I cx..K5_0Dy e, Ft. 3aD�(a Telephone No.: p�.1 C1 '" g Fax No: SU Mty MAY) Address: Amount of Bond S Telephone No: F'axei•o: Name and address ofattyperson making a loan for the construction of the improvements Name: Address: Phone No: Fax No: _ Name of person within the State of Florida,other than himself,desigi Doc#2016047034,OR 8K 17478 Page 1324, Number Pages: 1 served: Name: Recorded 03/02/2016 at 10:55 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL AddreSS: COUNTY RECORDING 510.00 Telephond;NO: fax In addition to himself, owner designates the following person=to t`ecetve a.copy;or me. a.icuuc ______.. 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: fax No: Expiration date of Notice of Commencement(the expiration date is one(I)year from the date of recording unless a different date is specified): THIS SP .; FOR RECORDER'S USE ONLY OWNER ��II / 1110 'f5:17-1-) i gned. ' Date: _2• L1"1 c Sfore'me this ay of i the Coun 'of Duval,State Susan S.Hibble bk_S Of Florida.has personally appeared j . bL os pUA(i Notary Public Notary Public at Large,State of Florida. ounty f Duval. State of Florida My commission expires: Q( (Ztr 1ZO I b Personally Known: f or 9OF fl My Commission Expires 0612612016 Produced identification: __... Commission No. EE 202091 (� 11- Aft,virk, Property Address: Derek Deloreto 1699 Maritime Oak Drive Atlantic Beach 32233 (Lot 92 Atlantic Beach Country Club) Contact: Sunshine Pool Services of North Florida Brent White 219-8358 brent@ss-pools.com Lot calculations: Impervious SF 5,539 SF Lot SF 10,038 SF 55% Documents Attached: Building permit application Warranty Deed COI—Worker's Comp (all other contractor docs previously submitted) Recorded Notice of Commencement Tree Removal Affidavit Site Plan Deck Plan Alarm Code Specs Engineering O DEP Permit N/A Variance Approval Letter—N/A MAR 2 2016 - Doc # 2015007946, OR BK 17032 Page 1258, Number Pages: 3, Recorded 01/13/2015 at 09:28 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDYNG $27.00 DEED DOC ST $2065.00 1 i FILE COPY l 1 Prepared by,Record ' and Return to: • ► Cindie Hernandez Gibraltar Title Services t 4190 Belfort Road, Suite 475 i 1 Jacksonville,Florida 32216 r File Number: 13-7819A i /`f 10 3 419 Special Warranty Deed i j "This Special Warranty deed, made this 29th day of December, 2014, between l i ATLANTIC BEACH PARTNERS, LLC, a Florida limited liability company, whose address i is: 414 Old Hard Road, Suite 502, Fleming Island, Florida 32003-3411, (the "Grantor"), and i . Derek A. DeLoreto and Sherrin Nicole DeLoreto, husband and wife, whose address is: s 14121 Cambridge Falls Court,Jacksonville, Florida 32224-5809, (the Grantee"): : (Whenever used herein the terms "grantor" and "grantee" shall be construed to include masculine, l feminine, singular or plural as the context permits or requires and shall include the heirs, legal • representatives and assigns of individuals, and the successors and assigns of corporations) i i 1 Witnesseth, that the Grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other good and valuable considerations, the receipt whereof is hereby • I acknowledged, by these presents does grant, bargain, sell, alien, remise, release, convey and confirm unto the Grantee, its successors and assigns forever, all that certain parcel of land lying and being in the County of Duval, State of Florida,as more particularly described as follows: ■ See Exhibit "A" for Legal Description attached hereto and by this ' i reference made a part hereof. Parcel ID Number: . i TOGETHER WITH with all the tenements, hereditaments and appurtenances thereto i belonging or in anywise appertaining. 1 I SUBJECT TO real estate taxes for 2014 and all subsequent years, and all declarations, 1 covenants, easements and restrictions pertaining to the Property, recorded in the current Public i • Records of Duval, Florida. 1 i 4 TO HAVE AND TO HOLD the above described premises, with the appurtenances, i i i unto the said Grantee, its successors and assigns, in fee simple forever. I NOTICE REGARDING REPURCHASE OPTION: As provided in the Purchase 1 1 and Sale Agreement, Grantee is required to construct a home on the Lot within a period of 1 3 years after closing and if Grantee fails to comply with this requirement, then Grantor has l the right, but not the obligation, to repurchase the Lot for the amount set out in the 1 f Purchase and Sale Agreement. 1 i E S . 1 OR BK 17032 PAGE 1259 And the Grantor does specially warrant the title to the Property subject to the matters referred to above and will defend the same against the lawful claims of all persons claiming by, through or under the Grantor, but not otherwise. In Witness Whereof, the Grantor has caused these presents to be duly authorized in its • name and by those thereunto duly authorized, the day and year first above written. '. Signed, sealed and delivered in our presence: ATLANTIC BEACH PARTNERS, LLC, a • Florida limited liability company i 0y2.......___„ _ - By: The Wood Development Company of `CL Jacksonville, a Florida corporation 1 Witness Printed Nam _ ♦ G..a.a � R�, -Sib t ° I Its Managing Member • r By: '��,41 �— A...-. /J Susan D. Wood, Vice President E , i Address:414 Old Hard Road,Suite 502 Fleming Island,Florida 32003-3411 ■ Witness Printed Name'&\-'40.-.3 CCR��s 0 CI i i I State of Florida . 1 County of Duval i • y • The foregoing instrument was acknowledged before me this \ :. day of December, i • 2014, by Susan D. Wood, Vice President of The Wood Development Company, a Florida corporation, the Managing Member of ATLANTIC BEACH PARTNERS, LLC, a Florida limited liability company,on behalf of the limited liability company. She is personally know to i me. , ,o.,%■iiitir,,,,,, \' ' e....--. •IL.-•.-S `�,P O•�is5i0yFr/, .� Notary Public { St2�. A . _ Alai CptPhJ1) a :,N- ?o pr',:• Print Name: i C u,• ' a *• O.•• •*F V 2D ZOtlf/ � ),.• #EE 222748 ::ate'• My Commission Expires: ��9�Ae; ,,,.,s ;•����: Notary Seal • r ///"111111tH\\\\\\\ r i t i OR BK 17032 PAGE 1260 1 a k i i Exhibit "A" • Lot 92, ATLANTIC BEACH COUNTRY CLUB UNIT 2, a subdivision according to the plat thereof recorded at Plat Book 67, page 132 through 137, of the Public Records of Duval County, Florida. r i. fi` • SUBJECT TO the "Declaration of Covenants, Conditions, Easements and Restrictions for Atlantic Beach Country Club" as record on August 15, 2014 in Official Record Book 16880, page 816,of the public records of Duval County, Florida. E t • i The Grantee (hereinafter called "Homeowner") shall maintain a social membership in the # Atlantic Beach Country Club, Inc. (the "Club") located within the Atlantic Beach Country Club on the terms and conditions and with the rights and subject to the obligations { appertaining to such membership in effect or established by such Club from time to time. Subject to the rights pertaining to such membership, the Homeowner acknowledges that t the Club is privately owned and that the owner thereof may determine in its sole discretion f how and by whom the Club may be used and enjoyed. Ownership of the Property and/or membership in the Atlantic Beach Country Club Owners' Association, Inc. does not give F the Homeowner any vested right or easement, prescriptive or otherwise, to use any Club f facility. Without limiting the generality foregoing, the Homeowner acknowledges having i read and agrees to be bound by the provisions of Article XII of the Declaration of { Covenants, Conditions, Easements and Restrictions imposed by Atlantic Beach Partners, LLC (the "Company") recorded in Official Records of Duval County in Book 16880, at i Page 816. The rights and benefits under this covenant inure to the benefit of the Company, its successors and/or assigns and any modification or release of this covenant shall be by ■ and between the Homeowner and the Company, its successors and/or assigns. I is 1 I E ■ t S i i spa Main Drains s 10"Sun Shelf 18" Raised pa Spa Jets 6" 12" 6" Raised Beam 5'6" Depth ► 0 6 COOP • �J'8n Skimmer o Skimmer • o • 3 • 3'6"Depth ►1 6'1•' ► Love Seat -►� 2' Returns 5" 2 9-b, — .7 1■ cOFY Equipment FLE :s `J.-0, City of Atlantic Beach `JS t� Building Department APPLICATION NUMBER _ (To be assigned by t eBuilding Department.) 800 Seminole Road 4I e Atlantic Beach, Florida 32233-5445 /l — Q J� Phone(904)247-5826 • Fax(904)247-5845 ?'4�J;il9'` E-mail: building-dept @coab.us Date routed: 3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM eFN `L Property Address: /6 9q Ail pins. Ofix 4. , Department review required O . : • • �- Applicant: ShrkS12/i)1, Ale,/ er�icEs !Tannin• &ZoI•�C� ao Tree Administrator =- Project: !ublic Works doirfilithiMaj Public Safety Fire Services ,Review fee $ Dept Signature • Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: BUILDING PLANNING &ZONING Reviewed by: Date: �6 TREE ADMIN. T" Second Review: []Approved as revised. ['Den d. PUBLIC WORKS Comments: • PUBLIC UTILITIES PUBLIC SAFETY • Reviewed by: Date: FIRE SERVICES Third Review: LIApproved as revised. ODenied. Comments: Reviewed by: Date: Revised 07/27/10 1 I ;-s- 1, City of Atlantic � Y Beach . f -ter. , Building Department APPLICATION NUMBER 16 g 4— 800 Seminole Road (To be assigned by t e Building Department.) _ _� — ��� -- - � Atlantic Beach, Florida 32233-5445 / �j� Phone(904)247-5826 Fax(904)247-5845 G. cc�� o;;t0 E-mail: building-dept @coab.us S Aar City web site: http://www.coab.us Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: � QF � �L l 9 L , �/7jf �jg/e � Department review required Yes .rildin. Na Applicant: Ski r)sh, /)f` P jannin. &Zo.n� Tree Administrator _- Project: ' v c rublic Works peo 1" rl.']IC•1�J �/ 111ii1r�`a Public Safety :Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: LiPApproved. (Circle one.) Comments: ❑Denied. BUILDING PLANNING &ZONING Reviewed b Date: 7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by Date: vised 07/27/10 C r-ILMrC City of Atlantic Beach ` CREC APPLICATION NUMBERBuilding Departm_ent EIVE' D s p )n� (To be assigned by t e Buildin De artment.f . 800SemirioleRoad1:3 * r� Atlantic •Beach, Florida 32233-5,45 MAR 0 3 2016 /6 O L _ 33 Phone(904)247 5826 Fax(•Q �47 5845 1 ano- E-mail: building-dept@coab.us a 1. Date routed: 3 /3 /o City web-site: http://www.coab.us — APPLICATI SON REVIEW AND TRACKING FORM Property Address: /6 91,,Ø,q -, p4s. O9ie Department review required Yes No Building Applicant: Sh • • ,I / annin &Zo ' Tree Administrator Project: NE aj 40,0e__, ublic Works is iii Public Safety Fire Services Review fee $ 2-r 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: I_rroved. nDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ) riVS 3//�Date: (6 TREE ADMIN. Second Review: I 'Approved as revised. nDenied. ICt) KS Comments: i �� PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ' 'Approved as revised. ['Denied. Comments: Reviewed by: Date: vised 07/27/10 Property Address: Derek Deloreto 1699 Maritime Oak Drive Atlantic Beach 32233 (Lot 92 Atlantic Beach Country Club) Contact:Sunshine Pool Services of North Florida Brent White 219-8358 brent@ss-pools.com Lot calculations: Impervious SF 5,539 SF Lot SF 10,038 SF 55% Documents Attached: Building permit application Warranty Deed COI—Worker's Comp (all other contractor docs previously submitted) Recorded Notice of Commencement Tree Removal Affidavit Site Plan Deck Plan Alarm Code Specs Engineering 1EOEDVE DEP Permit—N/A Variance Approval Letter—N/A MAR 2 2016 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 1L9d`l (`(fart± 'r\€ Ooh (Drive. Permit Number: Legal Description a a Action}k-. tad\COv"`}ry C� Parcel# I ( 9 5 Q 5 `i —7 5 5 Floor ea of Sq.Ft. Sq.Ft Valuation of Work$ (10, 00n Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition( pooi pa window/door Use of existing/proposed structure(s)(circle one):installed? Residential `` If an existing structure,is a fire sprinkler system nstalled?(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: f1 e w coil C n e At.. 5 tiSt M Al i no, P 0 0 I Property Owner Information: Name: rek �`0(6\4-o Address:I Cog c1 Mar iiim� ciIA Qr;1K= City f'ti 1 A r1�-t , fea StateEL Zip . a '3 Phone 9 n 4 — 3 l i --15 I 1 E-Mail or Fax#(Optional) Contractor Information: rlpt•i(AA r , L Company Name:5U"d�i e Pool erV icc3 04 N)ort 1,1 Qualifyin Agent:, jr ent wh 1 Tcl- Address:W 1a l Sari ._.) Or' Ave_ City,. v'11e. State F i_ Zip 3r3a f cl Office Phone I-l`lq —(4555 Job Site/Contact NumberC'(nr;�frc 1, 0�-105ZFax# State Certification/Registration# ('_PC_ t`-15 Lf15R Architect Name& Phone# Engineer's Name& Phone# ,: ' - . .. • - • ) 35- Lo 8 — 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. 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 if 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 fork,Plumbing,Signs, Wells, Pools, Furnaces,Boilers,Healers, 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 CONSULT WITH YOUR LENDER OR AN ATTO O EMBEFO NCEMERE ERECORDING YOUR NOTICE OF I hereby certify that 1 have r ad nd examin his ph atio and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied 1 ith w th r sppeegi led here' or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, tate or local'env r at,g co ruction or the performance of construction. _ i Signature of Ownt 0 i Signature of Contractor . Print Name ertK , .) Print Name �121�........_....-..._.... Q,.. .... SwornX and subscrib d before me I�// � � Sworn to and subscribed before me this .l Day of .1 vtt tt$PHibble this Q Day A . 1 IY c'I( /! 1 d/�'� 04*PM pVe� Notary Public _ �J,�.,-L. r'`�oAkiu„-. Notary Public R • State of Florida Notary Public h . . / P Q My Commission Expires 0612612016 it Revised o f.26.i o Commission No.EE 207061 - _ _ y D an C y Dd1�n � o �n hE A Q' O °SS " u ;SSA °gg �. °3 1 3 1© 'cc g Fovp n '..' w ° b 3 0 v c 3 0 7 0 .2_, o F g0 3 0 0 i 0 �' '�'o A R P io 1 R R l 3. R R" ?4 a i is 1. P\as J a I\j �''i sa p» 3 F. aaaa � aa � aa ; s =�tl a a -0 n n C p prItAlt4 n E LP N r4 d ; r 3 n d 3 0' 8 a. g ` o ?f a 3 R d R 14D n, 410 N s . C I I Z F. M M e Q a® A O N a. ^G ° ��— � o a Th 0 n R n ' N -,1 3... s \ , .itilZ r...,c l'i i Ii. F [Yu v ) ' III o b R C V A I 1 A d Ii n 0 3 z n a I 6 l�\.Vl a A. O •••R < n y g pr F ^ + ll I is 14 ' I. ^ ^I I. n 11 ti fir: 'City of Atlantic Beach APPLICATION NUMBER , Building Department -, (To-be assigned 1:V"etuddin�prtment.) r .. tRECEIV�'D / ' 0 L - C3 : - 800SeminoleRoad J J Atlantic Beach,Florida 32233- 45 I Phone(904)247-5826 • Fax(o4)241414* 3 2016 i;V., E-mail: building-dept @coab.us I Date routed: __ City web-site: http://www.coab.4i y. APPLICATION REVIEW AND TRACKING FORM //pp Property Address: /6 9/hf /7f1tt OA Department review required ' Yes No 1 eBuildin __L. f 0 l � fning &Z•�Applicant: £lT)S1?'/) Tree Administrator Project: V ({) fO L _ _, coirbiic Works is iii --- Public Safety . Fire Services Review fee$ 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 1 Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: je4 4.,-141 4frirs4,4, BUILDING PLANNING&ZONING Reviewed by: 4' 1'"// )"6"."----- Date: 3/7/M TREE ADMIN. Second Review: LjApproved as revised. [(Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. ❑Denied. Comments: Reviewed by: Date: vised 07/27/10 1 . w • City of Atlantic Beach ------ APPLICATION NUMBER ,:, Building' ' D REC ErVEL)1 epartment . (To he assigned by 1 e Building Department.) , • ,.--- , ;,,„ 800 Seminole Road I MAR 0 3 2015 /6 - deZ - 4-33 Atlantic Beach Florida 32233-5445 Phone(904)247-5826 • Fax(994)g47-5845 :;,.'pi jo' E-mail: building-dept@coab.us'NO Y• Date routed: — 41•111111/41111M d '— C ity web-site: hitp://www.coab.u ------=--. APPLICATION REVIEW AND TRACKING FORM Property Address: AI 99_ ,,TiALOAX 14, / lieTi-ri-ment t-te-vTeW._._.__....r.Atje—ired Yes-Tho-1 _. Applicant SLz_ _____AILS,eekle,ES oar lann in* &Zo i*•.. Tree Administrator I . Project: /1/i Cc) u b I i c Work 17_42...<2_ C._ r: ------ s __j_ "ublic Safety — 4 ----- -11114-- --- — --- - _ . F_I o_n:da_...6;:::Transportation.. .. .. FireServices_ Review fee$_. Dept Signature --D—a.t.e:-7----1.— [Other Agency Agency Review or Permit Required of Permit Verified B Florida Dept.of Environmental Protection 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: (...._Af<7.----N-oved. ODenied. (Circle one.) 1 Comments: BUILDING PLANNING&ZONING Reviewed by:*-----15/2"---- Date: 11_4 h6 _ TREE ADMIN. I Second Review: DAPProved as revised. ODenied. • ICLiVyKS , Comments: PUBLIC UTILITIES c.a. Co l're1-_IAAIETY Reviewed by: Date: r _ FIRE SERVICES i Third Review: 0Approved as revised. ODenied. Comments: 1 1 I Reviewed by: Date* ------------- - vised 07/27110