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42 11th st - JEA RIGHT OF WAY ;:o..A`1:0,, City of Atlantic Beach APPLICATION NUMBER i ', 1 Building Department (To be assigned by the Building Department.) �j }.. 800 Seminole Road 6� • -.• Atlantic Beach, Florida 32233-5445 I (0 —ROW .... ; i al \ - - Phone(904)247-5826 • Fax(904)247-5845 \1'L,;ii91- E-mail: building-dept@coab.us Date routed: City web-site: http:/lwww.coab.us • ' -� APPLICATION REVIEW AND TRACKING FORM 4 Z. Lt`s Property Address: Department review required Yes No ` (� Building Applicant: --_\ E R -lanning &Zonin. ---A•mm - • Project: V� P CLE--2- @...- -•• lc 'for s 'ublic ii• '- 4 4 L ( -(---S Pubic a ety 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: BUILDING Q PLANNING &ZONING /of s (---e--•• X%-s/-Prse-- 0 i Pc-54"-14 40"V ` t2 — USS 7r/f Reviewed by: ' v "------- Date: Y/31,7/1 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: Revised 05/14/09 Gindlesperger,Toni From: Simpson, Robert B. [simprb@jea.com] Sent: Tuesday, May 17, 2016 9:48 AM To: Gindlesperger,Toni Cc: Graham, Shirley; Simpson, Robert B. Subject: 42 11th St. Attachments: STW RO9c554C16051709500.pdf Mrs. Toni, Good morning.Attached is a ROW permit request to replace a pole on 11th St. Along with the required tree trimming perhaps a removal of a tree to set the new pole. Thank You Robert Simpson JEA Florida has a very broad Public Records Law. Virtually all written communications to or from State and Local Officials and employees are public records available to the public and media upon request. Any email sent to or from JEA's system may be considered a public record and subject to disclosure under Florida's Public Records Laws. Any information deemed confidential and exempt from Florida's Public Records Laws should be clearly marked. Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact JEA by phone or in writing. .EtTh PE2v \ rC � O02 RacuSs. 101c C 1� CC