262 Seminole Rd shed permit City of Atlantic Beach
APPLICATION NUMBER
Department
(To be assigned by-the Buildin De artnient.
800 Seminole Road
f4 $J1
Atlantic Beach, Florida 32238-5445
Phone(904)247-:5826 • Fax(904)247=5845
"Yo , ,0 E-mail: building-dept@coab.us :. . .:Date routed: :1 {.I4-116:
: City
16-
ity Web-site::'http://wwwdoab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:.: De artment review.required: Yes No
ildin
Applicant: c).eAN,i S annin &Zonin ;
` Tree Administrator
Project: h r\5 ` 1‘ id S14, ublic Works
•
Rublic Safety
Fire Services
KIKEV 4,01$ ` 7.,,•61 F't=`? D j Signafure,. it_
Review or Receipt
Other Agency Review or Permit Required 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 ..:
APPLI .ATION:STATUS.
ReviewingDepartmentFirst Review:
Approved. ❑Denied.
(Circle one.):. Comments:
BUILDING
PLANNING &:ZONING
1
C
:Reviewed:by: Date: /4/2-11((
TREE ADMIN...
Second Review: ['Approved as revised:. ❑Denied.
C WORK Comments:•
.
i` .
-'U 00-:-UTILI4TIES'
:HuBLIC SAFETY ..:Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. [t]Denied.
Comments:
Reviewed:by: Date:
Revised 05/14/09