359 8th ST ROW18-0032 underground CATV permit City of Atlantic Beach APPLICATION NUMBER
(1-0..m-,-4,
1 u\, BuildingDepartment' ''�1% p (To be assigned by the Building Department.)
,� 800 Seminole Road
5•. _ __ �r Atlantic Beach, Florida 32233-5445 KO w 1 6-003a
Phone(904)247-5826 • Fax(904)247-5845
^'44-,4'44E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
PropertyAddress: 3S ( Department review required Yes
No
Building
Applicant: So o r(-(E �t DTI u r-t -S 4anning &Zoni[� Tree Administrator
`
Project: u o w �lic Wor^
ublic Utilities
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:
APPLICATION STATUS
Reviewing Department First Review: ['Approved. ['Denied. Not applicable
(Circle one.) Comments: /
BUILDING
PLANNING &ZONING ¢
Reviewed by: G�� Date: ^7� 0
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑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