347 10TH ST ACC19-0007 APP REV FORM TURF BLOCK 7
rs�Lif,, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Departme[>\)
s 800 Seminole Road _
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 '
�-6169, E-mail: building-dept@coab.us Date routed: ��
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / I — ST Department review required Yes No
uildin
Applicant: CD(ADil,-)CiZ P on
Tree
Project: l U���..AU�� u 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 ` ► �J
Army Corps of Engineers V
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLI ION STATUS
Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING A c�
PLANNING &ZONING Reviewed by: Date: 3—
TREE ADMIN. Second Review: A roved as revise .
❑ 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