835 ATLANTIC BLVD COMM18-0023 COMM ALT PERM ?Syv.pf , City of Atlantic Beach ECEIVE0 APPLICATION NUMBER
s �\, Building Department (To be assigned by the Building Department.)
\t) 800 Seminole Road /� 7 j
�� Atlantic Beach, Florida 32233-5445 SEP 2 4 7018 e0VV\.(111 O
t _ C Z T
Phone(904)247-5826 • Fax(904)2 5845 / G
;t �? E-mail: building-dept@coab.us QY,
Date routed: I r (
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: _ a 1De. . ent review required Yes No
uildin• J111.11111111111
Applicant: t, 64,e C(2_00-P R-nning &Zoning
m' bliWorks
Project: t �l)1 l.�t �v�� 1 t�TC_(Z�Z"t Cif uc•
Public Safet _=
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept.of Environmental Protection 4-- ( Ceil se
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: 4II-- (�
BUILDING P INAS 'tDO I CV5e- D LOSW&\ t'
PLANNING &ZONING Reviewed b : ate: r•-0/800#
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
C I
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017