1132 Beach Ave DEMO18-0010 house demo permit rs v.1/2 City of Atlantic Beach APPLICATION NUMBER
Building Department (To be as
gned by the Building Department.)
800 Seminole Roadiv/ O 1 V- 00(0^ 00 C0
�� �r Atlantic Beach, Florida 32233-5445 l o
Phone(904)247-5826 • Fax(904)247-5845 ( / f
»r E-mail: building-dept@coab.us Date routed: t l ( �(
City web-site: http://www.coab.us APR 2 4 7011
APPLICATION REVIEW AND TRACKING FORM
Property Address: b t ekaCil A1/,Q ent review required Yes No
i uilding___�
Applicant: 1—Q�.\0,0 e��LC�� G� Planning &Zoning
ree administrator
Project: C Pl'P`k-'-E___ O ubaicINorks)
(Publi tilies�'�
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:
APP (CATION STATUS
Reviewing Department First Review: Approved. Denied. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed b • i,ijj� i , late:
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied. I Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017