587 TIMBER BRIDGE RFNC22-0131 REVOCABLE .=.A.w`. REVOCABLE ENCROACHMENT AGREEMENT
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Li **ALL INFORMATION
, City of Atlantic Beach
'J 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAYIS REQUIRED.
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REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing underfthe laws of the State of Florida, hereinafter referred to as "CITY" and
f/l.J C < l\Q iv, p L) of Atlantic Beach, Florida, hereinafter
referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon
the property for the purpose as described in the City of Atlantic Beach.
This work is generally described as 6g/1/ICIC
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to
relocation or removal on thirty(30)days'notice by CITY to USER,said notice to USER shall be given by certified mail,return
receipt requested,to the following address 58-7 77 n4(3 t r r 2/1.)6 e 4/7/I/i-/grzigni l ' &-,961,FL_ �3,7c2323
• In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or
adding to of the utilities and facilities of the CITY or franchise utility provider.
• The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land
Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h)
which states"Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks."
• The USER, prior to making any changes from the approved plans and/or method, must obtain written approval
from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of
completion.
• This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and
assigns.
• USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or
specifications, to include utilities locate requirements and use limitations/requirements of easements, public
right-of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be
saved harmless by the USER from any of the work herein under the terms of this permit and that all of said
liabilities are her 'y assumed by the USER.
/— /
( Date /,,2 �/zC,/.Z 7
Property Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL (
The foregoing instrument was acknowledged this 7 CJday of L c) 0 , 20 2 Z
by til ' k (�/VA l-= •42C)rc e pu,o,_,A , ,,who personally appeared before me and
(p ' ted name of Signer)
ackno edged thatpt27`she sig ed the instrument voluntarily for the purpose expressed in it.
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_ _ ,.// Department Approval:
Signature of Notary Public,State of FlIrid:
[ ] Personally Known ;; ►'•,,, TONI GINDLESPERGER
Produced Identification(Type) '•:i: ,., .,,: MY COMMISSION 353178
[ ] ( yp ) t. Scott Williams, Public Works Director
II.''-�-.o< EXPIRES:October 6,2023
C',''':°P: e°'' Bonded Thai Notary Public Undotwdters
H:\Applications&Forms\Word&Excel Document Orik' - - - --- -------:-:-77. ent.docx Revision Date:8/31/18