353 2nd St FNCE19-0044 01.A,y;. City of Atlantic Beach APPLICATION NUMBER
i!trit, t, Building Department (To be assigned by the Building Department.)
� 800 Seminole Road
�1 -9 AtlanticAtlantic Beach, Florida 32233-5445 FNcetq -004411
1.4'1. Phone(904)247-5826• Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 35 2 R a ( Department review required Yes No
Applicant: LiLD 1\`) Z arming &Zorn
ree Administrator
Project: t SCC `-€ia lic Works
�at5 is i i ies ,
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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. of applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: � vate: /". lir
TREE ADMIN. Second Review: Approved as revi ed. ❑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
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