100 1st St 09-00001993 ROW i r' Jr�a
,mss IS� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J a: ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001993 Date 12/17/09
Property Address . . . . . . 100 1ST ST
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
att asphlt and curb
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BELL SOUTH TELECOMMUNICATIONS
PER M GRIFFIN 5/15/08 NO
LIC INSURANCE REQUIRED
ATLANTIC BEACH FL 32233
(904) 256-3182
----------------------------------------- -----------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 12/17/09 Valuation . . . . 0
Expiration Date . . 6/16/10
----------------------------------------------------------------------------
Special Notes and Comments
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
--------------------------------------- -------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- --- ------ ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
a
�p
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
12/10/09 10:16 11 904 24Y bb4n NU. r7r reit I/UUi
AAL CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 SOm61018 Road 804-247.6800
Atlantic asach,Florida 32233-5446 Fax 804-247-6046
Data i aZGC1 PERMIT#
ISSUED BY THE CITY
Job Address--(QQ SX STta a T'-
Permitee: lkl 4a r Telephone a 1:11% Oq9"7
Permittee Address: ZrO O z. O&La-c f?-
Requesting Permission to Construct: I X,,y, P ir�ialaIl[ STAR
et4fZ# , g As
Location: (Reference to Cross-Street)_QAdW a1 vo w
I. Applicant declares that prior to Tiling this application he has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following UGlideslMunieipalities:
Jacksonville Eledric Authority Yes( No ( ) Date: A �^11
Bell South Telephone Company Yes( No ( ) Date:
Ferrell Gas Yee( No ( ) Date:
Comcast Yes( No ( ) [tate:
g— eve! . y for the Conatnuction, noir, Improvement, maintenance, safe and efficient operation,
€ po'on of said street or easement as detenninad by the Director of Public
� € tip i Si €a -
r k- , €I of d es, wires. I
p per, cables or outer facilities and appurtenances authorized
I me—alatltiy removed from said street or easement or reset or relocated hereon as
r u
V. d;e ;;;rector of Public Works, and at the expense of the Permittee unless reimbursement is
'��'-k --W.1 meet City of Attantic Beach or Florida Department of Transportation Standards snot ii
sup;,:1slon ofam►p wJi\ SO (Contractor's proj=&
hameted at _ - T alspho :
� .§ten:s,.s,! Va fie.Ir ear: !!!d cxlr ..i .� car n, sa,. .
a ..meq, g .aa��... i,i ..-r.i� e._.�y i5 -fi�ec ��yyyy.e� 1- vt yy�� { t��
�fk"��a n it bo� .IFYrY4P 4Z8 im N4lgwin!•�•ClAI,diition as far as prwicai!-rB Pit@ 1!44!lfEl l ,'eL '9 aci1Ib94EbD1�lJ
g
fil-Q WHO Migrlrtor 1410-ia43P r-10____Ct VA6 GArV.
€i. A a%®. n6# $tic,Mrcg i)¢dAtl4ili [7T 6t5tR iFESftliP3ttfir7_ Bit bi.R9Fi iFl3. lSR4@t €47 a fWK"13n1 Fi_rv— is all bo Mir
e. € 1 18`TMAnno a ll}croass,in imnerylos grog on Owner's lot or e.E __Es x_IV
WT t�Ig'v 1V 5jg €-€€.jV4R_q .sr — wigs€i,-Agi-m
I �tls dailies shall cnrnon actual nstructionin good faith with days. if the beginning date is
PUhlic Works io make sure no changes have erred ire the area-that would affad the? rr€Mad cons".r ^rkn.
s#�ar=,,"M-6,aha Anhft grid prIMic- a ha aln t a^..ut=A r r r.d an,z t i"ti_ a.a t:t:s&Ii
w �.. Z Z fvinHa anstarad u-nan and usad N!t1he holdae. . d . a Holdw w4l a. Wil.
.. moil i`I i F M-1a �^€ 1. €2° P4 r°+� ... .orae . r; r aa�e"-a� ¢:: €rP,atS ::
a inst ariv and all low. damage, and cost of expenses ansing in snv manner of Me exercise or aftemnoted
9- The Onvc-ar of Fkjblir. Wwka shall he nca:€wj twanty-fimir :14`€ hours mins to vQ %911�
ms1"NER
SIM Of Rp€�5 Hda.Itaa alV 8crea(
;Sr:ayr City of Atlantic Beach � Y��
�.� � `"t` APPLICATION NUMBER.
Building Department y (To be assign`eidr the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 ' 7
Phone(904)247-5826 • Fax(904)247-584
E-mail: building-dept@coab.us Date routed: 2
City web-site: http://www.coab.us
)�J b �I — 11
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Building
Applicant: Planning &Zoning
Tr istrator
Project: hid V',�
-
r ublic Utilitie
tk�8 lisfQ/1�� ' Safety
Fire Services
fI„N�
oo, , ��1 4, iNh'i pI�Y II i?M .XN
k"
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: O(Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: [—]Approved as revised.
❑Deni d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
12/10/09 10:16 11 4 904 247 5845 N0.797 P001/001
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RI4HTS OF WAY AND EASEMENTS
sty :•
000 as &4W 80110 04-247-SM
Aftft C ftvA.Floud!32233-5416 Fax 904-247-6646
PERMIT s
Job Addrass= ST ST .f'� 139UED BY THE CITY
Permitee: ht4y Telephone0 9644 :ZAS DgQ"'7
Permittee Address: 31& 2lE;aL 40L.a-t rzb _
Re %letting Permission to Constnxt: 4�X c � P-� /ZiE�rkaylt T Qas �pct
QA. p
Location: (Reverence to Cross-Street)Q x1y o
I. Applicant declare*that prior to filing this application he has ascertained the location of all existing utilities,
both aerial and underground and the acouni to locations are shown on the sketches.
A Letter of NodACation was marled to the following UtilidN/Municipslib":
Jacksorwllle Electric Authority Yes( No ( ) Data. A* -t�8gtS t
Bell South Telephone Company Yes( ) No ( ) Date:
Ferrell Gas Yes( No ( ) Date:
Comcast Yes( No ( ) Date:
,
.=i Tve.ir T-
$. � E.,�� 'Y for the consgnlcilon, ropalr, improvement, maintanartce, sofa and siflcieM opsretion,
- - kcalloA Y,0,,oe any PoMon of said street or easement as determined by the Director of Public
d Poles, wires, pipes, cable* or other facilfdss and appurtenances authorized
;=--ned+ately ramoved from said street or easement or reset or relocated hereon as
I `
reguiE ' ry thie Director of Public Works. and at the expense of the Permittee unless reimWmement is
i- shaafmit City of Atte*uc Cseacf-�'o`r�lFiaiga Deprrtmen`t yof Transportation Standgnts and e
r. air x oases ve uoi i'ecda ®seyrgi�°ii�Ipn Of ��. �Ad►Qi �J1�.SA«J (Contractor's Pro,-:
• •-:g ,.___«< *+5. SarS ¢{ .'7.Q`oriturvo to i13'o somas.common as erar as`p.7r$'tiuca,,n revpi g win c ay apec4tusmtu ens
Wo€°€&FI 6e taili Ratio y Sts €a C4i y.
fid.+ ra: . A-Mo cz dwaiift d?f iiw a inwftglir Fartrf an mmiiram n flftnv nT a ra€rmW A€lrvrry Kh ti
� ^_" € . col041tions Snowifto snv 1"CL0as0 in lmagrealous ares on ow"er°a lot
7. -11 r"S cPerl iftf*shall enc a actual construction 1n good fast!?Wi days_ If the beginning date is
It, _ O� .d T {...... . .=l •a w6 .y.... — .1 aL _,��. m as a. s s ?s ,ed
Public Vftrrks to make sure no manges have o=frrred in#W. 1rre1!that t1+plllt affect the?Srra!3tt11d lonstr=fhr^.
..,M Tz►w th •rya r r•hf+ n .,! a is _
�.__.�:�.�.�� .- a'.x:. _�.':a�t: �r2�f�er5 :��� ! a
" ..3=Yv. :.=s. .:.-s=.:8 >.s...s-a
_ •; � :� .. 1�4.._=.,.�� a;'�?�-: err' .s�. � .�€f4�t _:€3..P.._. �.�.t.�t€ �F�' w
:ice ."-+AfAnfl Qevi QAVA n atrrl:atAa fh^ f :}r +err4ni,.R 4.�r�h4Pi: $r.a.t't e'M
against any and all 1055. damage, and coat of expenses arising in any ntenner t�f tf1@ gxarriag or emarn-=far!
9 The Duvelor or Pohlit 1Ntorka shaJI he roc"ad twontv-rncir 1246 hojim nrirfr to Strad-nm wn ani
... �...
ssrsr>-res
Mats OfW.Ma.1€an pam malty appurm
ffowv►°uboe rW Lor s.aiffft of€lariid i.County or 0"Ami.
City of Atlantic Beach APPLICATION NUMBER
` t Building Department (To be assigned the Building Department.)
z0 800 Seminole Road
j0 Atlantic Beach, Florida 32233-5445
} Phone(904)247-5826 • Fax(904)247-5845
ti E-mail: building-dept@coab.us Date routed: 2
City web-site: http://www.coab.us IL
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Building
Applicant: All✓ Planning &Zoning
Tr ' istrator
Project: 00tjoi /7- R&.0 V,!�14_1573e_4
ublic Utilities
e8 lisfQAxzf Safety
T Fire Services
RelJleviC����+ ��� ' 3� CGf sG,k �k`i'y •,„„`" ..�� aN a fi79� t1 i i�i A r...r s�cj' .�i.' E :'_.Gy€
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed b . Date: K
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
Comments:
PUBLICTI S
PU LIC S FEI Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
i
Revised 05/14/09
CITY OF ATLANTIC BEACH
sa 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001993 Date 12/17/09
Property Address . . . . . . 100 1ST ST
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
att asphlt and curb
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BELL SOUTH TELECOMMUNICATIONS
PER M GRIFFIN 5/15/08 NO
LIC INSURANCE REQUIRED
ATLANTIC BEACH FL 32233
(904) 256-3182
----------------------------------------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 12/17/09 Valuation . . . . 0
Expiration Date . . 6/16/10
----------------------------------------------------------------------------
Special Notes and Comments
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
136
142
- fr
125
128 O
n
m
z
201 120
8"pvc water main _ __
1ST {
IST
2"pvc water main
y
a
i {
10"vc sewer main
8"vc sewer main
ss $"pvc water main
6"vc sewer main
0
88
,26,
61 84