2309 Fiddlers Ln paver patio permit alii
-slATii. City of Atlantic Beach APPLICATION NUMBER
JS r� .; Building Department EC (To be assigned by the Building Department.)
r 800 Seminole Road 'O— D AeD—aoo Li
�_.. Atlantic Beach, Florida 32233-5445 t—
15-7w—
Phone(904)247-5826 • Fax(904)247-584 SEP 01 2011
�r� ► �� E-mail: building-dept@coab.us Date routed: 09 1 O(o(30 I io
City web-site: http://www.coab.usR�, ,.1
APPLICATION REVIEW AND TRACKING FORM
Property Address: a3oci Rciecktis nQ, Department review required Yes No
�,� C Building
Applicant: NATI--t 1OiOM LA,nt nning &Zoning
` , ILL'' Tree Administrator
Project: 1% ) paw,/-/ 0- -U-('C patio g ?icut :s
Public Safety
Fire Services
Review fee $ f.'" 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: pproved. ❑Denied.
(Circle one.) Comments:
BUILDING S �
PLANNING &ZONING Reviewed by:_�`/ / " Date:1 ,12___
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denied.
WORKS Comments:
PUBL�IF 7ILI
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10