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1829 SEMINOLE RD - PAVER PATIO C '.. ,, RESIDENTIAL OTHER PERMIT PERMIT NUMBER "� ) CITY OF ATLANTIC BEACH ACC18-0044 �� , 800 SEMINOLE ROAD ISSUED: 11/28/2018 15v�Ji319~ ATLANTIC BEACH. FL 32233 EXPIRES: 5/27/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: RESIDENTIAL OTHER SINGLE OR PAVER WALKWAY AND 1829 SEMINOLE RD TWO FAMILY RESIDENTIAL PATIO $6000.00 OTHER TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169632 0000 OCEAN GROVE UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: KETTELL INC. 1860 MAYPORT RD ATLANTIC BEACH FL 32233 OWNER: ADDRESS: CITY: STATE: ZIP: WATERS JANICE B &JAMES C/O MARTINA BLYTHE ATLANTIC BEACH FL 32233-5915 DEZMOND ET AL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL Notes: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(247- l5814)to request an Erosion and Sediment Control Inspection prior to start of construction. Issued Date: 11/28/2018 1 of 2 "/ri,„ RESIDENTIAL OTHER PERMIT PERMIT NUMBER s CITY OF ATLANTIC BEACH ACC18-0044 -'11 ISSUED: 11/28/2018 800 SEMINOLE ROAD � '�� �` ATLANTIC BEACH. FL 32233 EXPIRES: 5/27/2019 2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 3 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapell"s,Inc.,Republic Services,Donovan Dumpsters). Container cannot be placed on City right-of-way. 4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 5 PUBLIC WORKS PERVIOUS PAVERS INFORMATIONAL (Notes: Pervious pavers must be used to receive 50%credit. e � „ �/ P. . ,.f„ DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $85.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00 TOTAL: $206.50 Issued Date: 11/28/2018 2 of 2 'SLAW(' City of Atlantic Beach APPLICATION NUMBER d 41Building Department (To be assigned by the Building Department.) ,v 800 Seminole Road Atlantic Beach, Florida 32233-5445 P Q_, I g OC)/ 4 Phone(904)247-5826 • Fax(904)247-5845 7 1(9 l jl� �? E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: BZ-[ SEA-11 ,,)0 lac k_OD ment review required Ye No Buildi Applicant: K E-T T EL -L_ I Planning &Zoni Tree Administrator Project: Pcw -(2 Vv (k(./ t) fl� is Wor ` tilitseie� pt-A" o 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: Q pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDININ PLANNING &ZONING Reviewed by: Date: a7'l TREE ADMIN. Second Review: Approved as revised. ❑Denie . ['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 @P �f Building Permit Application Updated 12/8/17 Y " '.„ar City of Atlantic Beach ,91 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904 247-5826 F Fax:(904)247-5845 Job Address: )8'J L• "l/� _-9417/17, . oetd Permit Number: Legal Description 7h —7/0 0 Q -2$ Zq.6 0 q RE# /a4 b3 Z - of Valuation of Work(Replacement Cost)$ 6 do 0 Heated/Cooled SF /l/,��-Non-Heated/Cooled / • Class of Work(Circle one): New Additi Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercia •- • If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: m &YAW rtith,r1 ki-J0 Od otalc_ 4,- (Aitu-rdt/ifrify .0-sit 14/atAktvls, , Clifitu,WX4)641,-(5 Florida Product Approval# for multiple products use product approval 1 Property Owner Informaton � / t a . Name: (, rjf I y Address:'� Lr w CityState F ) Zip 3 Z2--33 Phone ?j 03— 2'g9— 0 yyerCi E-Mail 'rWZ L,Jrkt 1 e 61"u. cop., LL_ Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) !i_ Contractor Information /40i1 /A'e4e"f/ 0 Name of Com ny: _ J. AL1 /A . Qualifying A ent: Address ! a/f I 04 City 4 , f - State C Zip Office Phone ley 3 7 Z 2-2-6 Job Site/Conntact Nu� r ber : i'S /M 7 /''/, State Certification/Registration# I`9 !� E-Mail h170 r 4L4 a iA C • ea."-, g ..,. Architect Name&Phone# i - R 0 Engineer's Name& Phone# _ & Z V Z Workers Compensation /i) ��7 44. in . — 410r , 4* ZWIrlit., _ _./ Z Exempt/Insurer/Lease Employees/Expiration Date a !,i j - a I...— cL Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or inst tailigaa commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws rila10 Z construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,(gllC ,p U G WELLS, POOLS, FURNACES,BOILERS, HEATERS,TANKS, and AIR CONDITIONERS,etc. NOTICE: In addition to the requiremHt4efgin permit,there may be additional restrictions applicable to this property that may be found in the public records of this cqty tacyl Q there may be additional permits required from other governmental entities such as water management districts,state awn i s�rrn federal agencies. O Q Z W OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance Ilacittllpc 2 applicable laws regulating construction and zoning. W >. a pc m WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Dili N w fa RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND CC W- TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE cc cc w RECORD ,,r YO -R ICE OF COMMENCEMENT. / . /% i ./1p (Sig a of Owner or nt) C (Signature of Co ra or) (includi•• contractor) / ign-. and sworn to(or aff :•) before me this l , day of Signed and sworn to(or a ed)befor- e this 17 a day of • 7c g b A.a,A A._Ai. i- t - _So, , i74 g , .W .atc£ fi ,1/ 11.411111a . anitlipi - at. e . lot )itimmir :__:. _ - i •.. onk, TONI GINDLESPERGER [ ]Personally Known OR , TONI GINDLESPERGER I , 'ersonally Known OR * a MY COMMISSION#FF 924951 ? �CDS,': EXPIRES:October 6,2019 [ ]Produced Identification t+ MY COMMISSION#FF 924951 I I Produced Identification j .i•.,,,, ; .L- -1 EXPIRES:October 6,2019 pe of Identification: ;pf,t,' Bonded Thm Not YpUbI Unde,w ters Type of Identification: 4' '- BondocThru Nilly m,ters MHC- DI1UVVIIVL, ODUIVLJI1M 1 OC I MCC. JUIN VC 1 tir. THE SOUTHERLY 1/2 OF LOT 39, AS SHOWN ON THE PLAT OF OCEAN GROVE UNIT NO. 2 AS RECORDED IN PLAT BOOK 20, PAGE 20 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF REFERENCE COMMENCE AT THE NORTHWESTERLY CORNER OF SAID LOT 39, SAID POINT BEING ON THE EASTERLY RIGHT OF WAY LINE OF SEMINOLE ROAD (A 100 RIGHT OF WAY AS SHOWN SAID PLAT OF OCEAN GROVE UNIT NO. 2); THENCE SOUTH 00'31'00"EAST, A DISTANCE OF 30.05 FEET TO THE POINT OF BEGINNING; THENCE SOUTH 88'38'13" EAST, A DISTANCE OF 123.00 FEET TO A POINT IN THE EASTERLY LINE OF LOT 39; THENCE SOUTH 03'46'42"EAST, ALONG THE EASTERLY LINE OF SAID LOT 39, A DISTANCE OF 30.00 FEET; THENCE NORTH 88'42'32" WEST, ALONG THE SOUTHERLY LINE OF SAID LOT 39, A DISTANCE OF 124.70 FEET TO THE SOUTHWESTERLY CORNER OF SAID LOT 39, SAID POINT S: BEING ON THE EASTERLY RIGHT OF LINE OF SAID SEMINOLE ROAD; THENCE NORTH 00°31'0" WEST, ALONG SAID RIGHT OF WAY LINE, A DISTANCE OF 30.05 FEET TO THE POINT OF BEGINNING. FOUND 3/4"IRON PIPE , I r NO IDENTIFICATION 0 -1uj ` 12 L 0 T 3 8 L„ o I POINT OF' REFERENCE Fj, \ NORTHWESTERLY CORNER LOT 39 S68'33 50'5 121.30' DEED SET _ 588'55'58"E 121.68' MEASURED FOUND I/2`IRON PIPE CONCRETE NO IDENTIFICATION 3' 31 rn ;Z THE NORTH 7/2 OF LOT 39. NOT A PART OF THIS SURVEY 1 POINT OF BEGINNING / 23.6• }p70.'.A' D. I.n 24.3' S.c N IW I z Nu W 0 A a $ m FOUND P.K. NAIL No. 1830 ry m a: N DO N m0 Tn A I'1 ,"SLB. ,{5488 588'38"18"E 12334' MEASURED ' 8 Z Irn I amo .CUT S88'38'13"E 123.00 DEED 4 '6 •1 „noo F N': LL a.wrrA�o 2-STORY FRAME o� Q Q Q h & COQUINA RESIDENCE o (Z,i U' -CONGA O W I .. ORA£ n No. 1829 N o o l (._o eicx 4' 235'd[ Q f`) •-GORDERCPADS '� �i 243 ,. - {`1 ;.!:t: m 11 7.7'5, c''1 1 V Z Q I // fit"hs�! ma' I� ` 71 .S Is-oAK� 1T1 �• O 0 '�-GAS,TANKS .. /7, "' cc QI W Q FOUND 4`X 4``O' N88'42'32"W 124.70'DEED FOUND 7/2`IRON PIPE CONCRETE MONUMENT NO IDENTIFICATION 3') 3'I ( NO IDENTIFICATION N89'02'O7"W 124.89' MEASURED � 0 L 0 T 4 0 I I to IMPERVIOUS CALCULATIONS LOT AREA = 3.720± SQUARE FEET I I Cr--- - e.\✓ c DESCRIPTION SQUARE FEET BUIL DES AREA 1,330± ill A'e�] WOOD DECK 325± l ^, Vt NOTES+ THIS PROPERTY LIES IN FLOOD ZONE 'X'PER FLOOD INSURANCE REAR LANAI 196± RATE LAP(FIRM), DUVAL COUNTY, COMMUNITY No. 120075. ^ AMP/PANEL No. 120,31C-0407-H. REVISED JUNE J.20T! FLATWORK 480± rneVe c BEARINGS BASED ON THE EAST RIGHT-OF-WAY LINE OF A/C PAD(S) 18± SEMINOLE RLAO AS BEING NOG-31'00`W TOTAL IMPERVIOUS AREA = 2.349± -u— DENOTES 6'WOOD FENCE EXCEPT AS NOTED TOTAL DENSITY = 632 TREE SIZE AND LOCATION ARE MEASURED BY OBH(DIALETER I BREAST HEIGHT)APPROXIMATELY 48 INCHES ABOVE GROUND THERE MAY BE ADDITIONAL RESTRICTIONS THAT ARE NOT SHOWN ON THIS SURVEY THAT AMY BE FOUND IN THE PUBLIC RECORDS OF CERTIFIED TO: DUVAL COUNTY.FLORIDA. JAMES DEZMOND WATER, IV AND KODY HANAVAN I t I hereby certify that this survey meets the f I R p minimum technical standards as set forth by A D U D E N I the Florida Board of Land Surveyors, pursuant to Section 472.027 Florida Statutes and Chapter SURVEYING AND MAPPING, INC. I 5J17 Florida Administrative C 1825—B 3RD STREET NORTH JACBEACH, 32250 (904)KSONVILLE 853-6822 FAX FLORIDA 853-6825 LICENSED BUSINESS NO. 6696 IFLORIDA REGISTERED SURVEYOR No. 4707 H.BRUCE DURDEN,Jr. ARMOR'S NOTE. THE SURVEY HEREON WAS MADE WITHOUT THE BENEFIT OF ABSTRACT OR SEARCH OF TITLE AND SIGNED MAY 3. 2018 THEREFORE THE UNDERSIGNED AND DURDEN SURVEYING AND MAPPING, INC.. MAKE NO CERTIFICATIONS REGARDING INFORMATION SHOWN OR NOT SHOWN HEREON PERTAINING TO EASEMENTS,CLAIMS OF SCALE: 1 = 20' EASEMENTS, RIGHTS-OF-WAY, SETBACK LINES. OVERLAPS"BOUNDARY LINE DISPUTES, AGREEMENTS, r-�—^^^ RESERVATIONS OR OTHER SIMILAR MATTERS WHICH MAY APPEAR IN THE ABSTRACT OR SEARCH OF TITLE. WORK ORDER NUMBER: 18258 AJ 9 2 9A miir f U WIIVV DVUIVUHI'S 1 OG MCC. Jvr‘vc 1 yr. THE SOUTHERLY 1/2 OF LOT 39, AS SHOWN ON THE PLAT OF OCEAN GROVE UNIT NO. 2 AS RECORDED IN PLAT BOOK 20, PAGE 20 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF REFERENCE COMMENCE AT THE NORTHWESTERLY CORNER OF SAID LOT 39, SAID POINT BEING ON THE EASTERLY RIGHT OF WAY LINE OF SEMINOLE ROAD (A 100 RIGHT OF WAY AS SHOWN SAID PLAT OF OCEAN GROVE UNIT NO. 2); THENCE SOUTH 00'31'00"EAST, A DISTANCE OF 30.05 FEET TO THE POINT OF BEGINNING; THENCE SOUTH 88'38'1.3" EAST, A DISTANCE OF 123.00 FEET TO A POINT IN THE EASTERLY LINE OF LOT 39; THENCE SOUTH 03'46'42"EAST, ALONG THE EASTERLY LINE OF SAID LOT 39, A DISTANCE OF 30.00 FEET; THENCE NORTH 88'42'32" WEST, ALONG THE SOUTHERLY LINE OF SAID LOT 39, A DISTANCE OF 124.70 FEET TO THE SOUTHWESTERLY CORNER OF SAID LOT 39, SAID POINT BEING ON THE EASTERLY RIGHT OF LINE OF SAID SEMINOLE ROAD; THENCE NORTH 00'31'0" WEST, ALONG SAID RIGHT OF WAY LINE, A DISTANCE OF 30.05 FEET TO THE POINT OF BEGINNING. FOUND 3/4"IRON PIPE ,, I I b NO IDENTIFICATION _, ti L 0 T 3 8 I z w 0 H I POiNT OF REFERENCE NORTHWESTERLY CORNER LOT 39 S88'.33.50"E 121.30' DEED __----- SET x-CuT 588'55'58'E 121.68' MEASURED FOUND 1/2"IRON PIPE CONCRETE NO IDENTIFICATION 1' 31 o. in THE NORTH 1/2 OF LOT 39. NOT A PART OF THIS SURVEY_� 0 �' POINT OF BEGINNING oM /07o'..' 0' Z I �" \ o c 1„cn T mN ---' 23.6' } O-,1____±? I �m 24.3' 5.6 - v 6 o( Z N� 0 nL l Q O '7 5.0ki ( ...,:..7... 47, I mJ� ~ O ZC Z FOUND P.K. NAIL r. W N0. 1830 n 1 • �a^N N v0j�v aArvE �•1 I O Ip p nj m,,Anj t.i �LB.15488 '00 588'38'18"E 123.34' MEASURED ' - z'� I o 0 0 O Q IH ,2-PAM ) ,) ..cur 588'38 13 E 123.00 DEED 4 ,•ee1>o FEN�E� � I — P45111ER 9� L I- ... I 2-STORY FRAME C 4 a' N wo (:)., caxAErc on' & COQUINA RESIDENCE id'i�'��►7/�/� Ell !a IA ..l Q rib I TARE N No. 1829*M e ( 'P ,'/r. I Q o O .� ti 6arx 'T _ 23.5' a'Y000 ar"CE n '^. 24..7' ! . 1-8 o '� z - •e'' •O� Ba10ER .l .�c PARS a I 0.7.7'5 _ 111111111111WITTIrsw = p XN Am ..- _ CQ 1cufA 0.1- N88'42'32"W 124.70'DEED , fTl `� _ WFOUND 4 X CONCRETE MONUMENT FOUND 1/2"IRON PIPE NO IDENNFIGATIDN 3' �lhU) NO IOENNFICANON N89'02'071'1 124.89' MEASURED \ L 0 T 4 0I l Heuoi l �� IMPERVIOUS CA0i CE C - NS ‘ - '-'... FEET DESCRIPTION SQUARE FEET - ())0, HUILDING 1.25± lt V✓✓✓ �1015 WOOD DECK 3251 WES, THIS PROPERTY LIES IN FLOOD ZONE 'X"PER FLOOD INSURANCE REAR LANAI 196± ,{'���� RATE IMP{FIRM). DUVAL COUNTY, COMMUNITY No. 120075. NAP/PANEL No. 12031C-0407-H,NEV/SED JUNE 3.2013 f1A1WORK 480± /�]� BEARINGS BASED ON EAST RIGHT-OF-WAY LINE OF A/C PADS) 18± �� C� (�+ _'e�� SEMINOLE ROAD AS BONG N00-31'00"W TOTAL IMPERVIOUS AREA = 2,349± 0 -NY— DENOTES 6'WOOD FENCE EXCEPT AS NOTED TOTAL DENSITY = 63Z / 7T TREE SIZE AND LOCATION ARE MEASURED BY BOH(DIAMETER 1 _5 _ / / BREAST HEIGHT)APPROXIMATELY 48 INCHES ABOVE GROUND IU//1 J[�yVhT��J, THERE MAY DE AOOIUDNAL RESTRICTIONS THAT ARE NO7 SHOWN ON THIS SURVEY THAT AIRY OE FOUND IN THE PUBLIC RECORDS OF CERTIFIED T0: DUVAL COUNTY.FLORIDA. JAMES DEZMOND WATER, IV AND KODY HANAVAN I I I hereby certify that this survey meets the minimum technical standards as set forth by AD U p D E N ` the Florida Board of Land Surveyors. pursuant to 1� Section 472.027 Florida Statutes and Chopter SURVEYING AND MAPPING, INC. I 5J17 Florida Administrative C 125-8 3BD DST MR JACKSONVILLE BEACHH,, FLORIDAF32250 i I I (904) 853-6822 FAX 853-6825 LICENSED BUSINESS NO. 6696 I FLORIDA REGISTERED SURVEYOR No-4707 H.BRUCE BURDEN.4. SURVEYOR'S NOTE, THE SURVEY HEREON WAS MADE WITHOUT THE BENEFIT OF ABSTRACT OR SEARCH OF TITLE AND SIGNED MAY 3, 2018 THEREFORE THE UNDERSIGNED AND DUROEN SURVEYING AND MAPPING.INC. ALIKE NO CERTIFICATIONS REGARDING INFORMATION SHOWN OR NOT SHOWN HEREON PERTAINING TO EASEMENTS.CLAIMS OF SCALE: 1" = 20' EASEMENTS. RIGHTS-OF-WAY, SETBACK LINES,OVERLAPS, BOUNDARY LINE DISPUTES,AGREEMENTS, RESERVATIONS OR OTHER SIMILAR MATTERS WHICH MAY APPEAR IN THE ABSTRACT OR SEARCH OF TITLE. WORK ORDER NUMBER: 18258 R-9291 ,�11..AAr� City of Atlantic Beach APPLICATION NUMBER A to . Building Department (To be assigned by the Building Department.) is 800 Seminole Road fKac (p7 0 44 ��� Atlantic Beach, Florida 32233-5445 \�, �j VlJ Phone(904)247-5826 • Fax(904)247-5845 7 I ft E-mail: building-deptcoab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: B� [ SFi i(0,0 ' O D tment review required Yes No Iff Buildin Applicant: K ET TELL ( k\--)C_.,. anning &Zonin, ree Administrator Project: A-CA-(1,0 totf'� 'c 1 icTJtilities� pPcic © 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: f-ZDate: 2- TREE TREE ADMIN. Second Review: ❑Approved 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 as'--I,`1r�,, City of Atlantic Beach i �' x..".� APPLICATION NUMBER rf I Building Department JUL 4' ; (To be assigned by the Building Department.) r A - 800 Seminole Road. z z��3 ( y �y /1/�,/( /J j..R Atlantic Beach, Florda 32233-5445 t7 lJl.!`"t-�} Phone(904)247 5826 • Fax(904)247-5845 L. 7 9 l " J,3 s� E-mail: building-dept@coab.us ��`� Date routed: f 1 8 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: CMZ 9 SEA-N i rJ0 LEjQ Department review required Yes No K T / Buildin Applicant: ET GC—C._ ( N--)C__— annin &Zoni Tree Administrator Project: ' V 'O Pk-U,k��J ACJ' -s• is Works . is Utilitie pP�•li© Public Safety Fire Services Review fee $ ii)VDept 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 artment First Review: ❑Approved. ['Denied. Not applicable (Circle one.) Comments: • BUILDING PLANNING &ZONING >476'1--Reviewed by: / r 7 Date: TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. ['Not applicable P WORKS Comments: UBLIC UTILITIESr/ Zo -/ ` PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 jtAnTr—, City of Atlantic Beach APPLICATION NUMBER r)'�(4.- �.. Building Department ��� (To be assigned by the Building Department.) /', 800 Seminole Road > Atlantic Beach, Florida 32233-5445 11 �L�I�j l�L J�- Phone(904)247-5826 • Fax (904) 247-5844UL • ri;t 9r E-mail: building-dept@coab.us 2 0 2018 id Date routed: 7i ( tP City web-site: http://www.coab.us �Y, APPLICATION REVIEW AND TRACKING FORM Property Address: , ?)2( F111 i (\DQ L0 P_ILL6LLment review required Yes ' No Buil.,•_ __._-. I f - y T •tannin• &Zonin• Applicant: l\ ET EC..L. I ��., ' ----------- Tree Administrator Project: P AkiIG(?-_ U.0>41.1{AA_D Alf 4+1 _ 1 4 Public - F- "--u• is 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: APPICATION STATUS Reviewing Department First Review: 10Approved. Denied. Not applicable (Circle one.) Comments: BUILDING • PLANNING & ZONING • Reviewed b ' /,// Date: �, .�� �.- - _ TREE ADMIN. Second Review: Approved 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