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0 11TH ST 17-SPPR-501 PU rs-r�`1�.:41 City of Atlantic Beach APPLICATION NUMBER 6' '% Building Department «� (To be assigned by the Building Department.) •- ,.t� ,. 800 Seminole Road s / Atlantic Beach, Florida 32233-5445 11— SP Pe--- SO Phone(904)247-5826 • Fax(904)247-5845 ~ ' "��;ti)% E-mail: building-dept@coab.us Date routed: OS 1 OS 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 It' s-v- ,( 4 "4" UV\\CSis-e_Qr,tk Department review required Yes No :uildin. Applicant: S do' c.t t(tc2(v I_LLC �L.. ua 4 F a' a.nning &Zonin. Tree Administrator Project: f Qui.Li-J DV—5(4.104.)L'Si'Jr\ au\c.[. CPublic Works Q\40 ill______)lic ilities� Public Safety ire Service Review fee $ Dept Signature • Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection IFlorida 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. i ❑Denied. (Circle one.) Comments: �� A BUILDING 'e2 v) X A",,-' 2 PLANNING &ZONING / J �/`--Date: .00/ Reviewed by: / TREE ADMIN. Second Review: pp �A roved as revised. Denied. 74 N/RK omments: PUB�IC(TILITS PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. Denied. Comments: Reviewed by: Date: 1_ Revised 05/14/09 I rs,.., ,�, City of Atlantic Beach d 1, + � Building Department APPLICATION NUMBER k' -� 800 Seminole Road (To be assigned by the Building Department.) av -;r Atlantic Beach, Florida 32233-5445 I,- S,PP� so f r Phone(904)247-5826 • Fax(904)247-5845dil.r Ji;lu E-mail: building-dept©coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FOR / � I M Property Address: t� I I 3`14. 6- `- L,AY-SId-LOritk Department review required Yes No . uildina Applicant: Q.-kV-kV C_,1 •(ISp.Ay L LLC i Lc Last J jrcq}1a- nning&Zoning Tree Administrator Project: C Q tA.L`. 0 -S 1.4.13e-ta iSO rk 0_011C.(_ 'ubli o ks_ PC 40 - -__'_u_._ c ilities Public Safet _- h.) 'T -t e-i t . S E T Review fee Dept Signature • Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: APP (CATION STATUS Reviewing Department First Review: Approved. (Circle one.) Comments: Denied. BUILDING PEA) d �� PLANNING &ZONING )/14- -- 846)// r� Reviewed by: dDate: 17 TREE MIN. Second Review: I Approved as revised. I Denied. ' - -WORj"S Comments: UBLIC UTILITIES� o-r b—,7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I !Approved as revised. I (Denied. Comments: Reviewed by: Date: iised 05/14/09 l f . :/-/-,ft =. ____ - CITY OF ATLANTIC BEACH \s\ j 800 Seminole Road - U U L 1 9 2017 i i I'� Atlantic Beach,Florida 32233 7,-)r, ;r , i Telephone(904)247-5800 L_.._ ______`_.___ "` FAX(904)247-5845 REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT r , t Date: I 61' 17 Received by: Resubmitted: 1" 1 q-17 Permit Number: J'7- SP/3/2 50 Original Plans Examiner: Project Name: Se 1 V4 Pte er vt Project Address: Contractor: Se I v I'vp&enity L(,0S Contact Name: La u r a Fe r r an tt Contact Phone : Contact e-mail: Revision/Plan Check/Permit Fee(s) Due: $ Description of Proposed Revision to Existing Permit: Additional Increase in Building Value: $ Additional S.F. Site Plan Revised: Public W/U Approval: By signing below. I(print name) affirm that the above revision is inclusive of the proposed changes. Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date Office Use Only Date: Approved: i Rejected: N/A to Dept: Plan Review Comments: Department review required Yes No _ThG./ Planning & Zoning y Tree Administrator Plans Examiner (JILLc"Wow'rks 3 • Utilities 0 ' 1.;,...-/....G.--------.' _______4_60_ ( (7 Public Safety 1-7 -17 Ire ices Date Created 5/13/17 Rev.4