1731 E Park Terrace FOUN18-0001 rS��,%, City of Atlantic Beach APPLICATION NUMBER
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Building Department (To be assigned by the Building Department.)
800 Seminole Road VN 8 �-0
,, Atlantic Beach, Florida 32233-5445
Phone(904)247 5826 • Fax(904)247 5845 /_ / ��/ Q
'� E-mail: building-dept@coab.us
Date routed: t�P/ O
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
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1131 E. PA��K.
Property Address: wDe a ment review required 7 No
uildin
Applicant: Tb w ns h l p 'B(A.3 tiers anning &Zonin
rree A mmistrator
Project: Pt-act E Rtpeze r + Public Works
Public Utilities
f3eci.in.s Public Safety
Fire Services
Review fee $ _ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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 I First Review: Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
:UILDI 1%.
PLANNING &ZONING Reviewed by: ty- Date: G'/7-c. CY a'
TREE ADMIN. Second Review: nApproved as revised. ❑Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017