1667 Sea Oats Dr - Application Reviw and Tracking Form ..0 ' -�� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
s1 Atlantic Beach, Florida 32233-5445 MA aFIy
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 3 S —
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 101O S Depyrtnient review required Yes No
uildi _
Applicant: ��c�ti�Z tanning &Zoning
1 Tree Administrator
Project: C�C� ublic Works
ublic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature �--
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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. ERKot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: W/ Date:W10 �
TREE ADMIN. Second Review: A roved as revised.
❑ pp []Denied. []Not applicable
PU21 WORKS Comments:
BLIC UTILITIES
3—irI—I
PUBLIC SAFE Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. [—]Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017