1725 Beach Avenue ZVAR-2011-01 ApplicationAPPLICATI"N FOR A VARIANCE
City of Atlantic Beach 800 Seminole Road • Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5800 FAX (904) 247-5805 • http://www.coab.us
Date File No.�
1. Applicant's Name Kr -12c N e,i7c f.j P uuo o►-f-So,�J
2. Applicant's Address 1135 IC3EOC" (,N"k1 E �E-AcN
3. Property Location gec"s-�-(
4. Property Appraiser's Real Estate Number rj / A
5. Current Zoning Classification IRG 6. Comprehensive Plan Future Land Use designation R L
7
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Provision from which Variance is requested Sv6S7-RtW4:NPi\ [�Vo (If yes, this must be submitted with any application for a Building PZ E o� d� ►-cam- c� f2�Co2�
� .
9. Homeowner's A ociation or Architectural Review Committee approval required for the proposed construction.
❑Yes
ermit.)
10. Statement of facts and site plan related to requested Variance, which demonstrates compliance with Section 24-64 of
the Zoning, Subdivision and Land Development Regulations, a copy of which is attached to this application.
Statement and site plan must clearly describe and depict the Variance that is requested.
11. Provide all of the following information:
a. Proof of ownership (deed or certificate by lawyer or abstract company or title company that verifies
record owner as above). If the applicant is not the owner, a letter of authorization from the owners) for
applicant to represent the owner for all purposes related to this application must be provided.
b. Survey and legal description of property for which Variance is sought.
c. Required number of copies: Four (4), except where original plans, photographs or documents larger
than 11x17 inches are submitted. Please provide eight (8) copies of any such documents.
d. Application Fee ($150.00)
I HEREBY CERTIFY THAT ALL INFORMATION PROVID
ED WITH THIS APPLICATION IS
CORRECT:
Signature of owner(s)
or authorized person if owner's authorization form is attached:
Printed or typed name(s): Imo N P� ►-� M . u^)aL
Signature(s):
ADDRESS AND CONTACT INFORMATION' OF PERSON TO RECEIVE ALL CORRESPONDENCE
REGARDING THIS APPLICATION_
Mailing Address:
25
A�,N rL 3z23�
Phone: Gj py
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