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210 Pine Street - Permit V S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000473 Date 4/29/10 Property Address . . . . . . 210 PINE ST Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc concrete to pavers ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MIRANDO OWNER 210 PINE STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/26/10 ---------------------------------------------------------------------------- Special Notes and Comments Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line . Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . 1) cannot alter existing flow paths 2) roll-off container company must be on City approved list and cannot be placed on City right-of-way Cannot alter existing flow paths . Roll off container company must be on City approved list and container cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1"A CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. .Date 2-0 / 0 FPERMIT# Job Address ISSUED BY THEE CITY__ Permitee: 19-/�62 L 1W 0 Telephone# LL Permittee Address: -S Requesting Permission to Construct: Dpa/tX Location: (Reference to Cross-Street) bd-v� Applicant declares that prior to filing 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 Utilities/Municipalities: -VIA Jacksonville Electric Authority Yes( No Date: Bell South Telephone Company Yes( No Date: Ferrell Gas Yes( No Date: Comcast Yes ( No Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent)located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing nny increase in i Dervious area on owner's lot or in the citv ided with this ai2plication. 7. This permittee shall commence actual construction in good faith with 17Z--5'_ days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24 ior work and again immediately upon completion. Pit F ca y OWNER S, Date: B —1—aig / re me ay of in the County of Duval, S f orida, as rs ly a pe re Not ry lic at r .St of Florida, uhty of Duval. FIL E COP My om xP Ily Known: y caqrsona I ca R MY COMMISSION#W 957760 EXPIRES:February 14,2014 Bonded Thru Notary Public underwriters PUL1111L allu uIaL cm ui �aiu11CLU111L1%.,0 a!%,11kAAUy aaaullj�� R.O.W.Pen-nit Attachment of for R.O.W.Permit# i�_sued 200 ,Atlantic Beach,FL 32233 I A-9� Owner's Name: 177c-49 Property Address: 12?- Subdivision: Lot#/Block R.E. #: REVOCABLE ENCROACEM1ENT PEP2MT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of 200L, by Atlantic Beach, Florida, a municipal corporation organized and existing under the la s of the State of Florida, hereinafter referred to as "CITY" and 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 of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement pen-nit numbers noted above(copies attached). This work is generally described as: er�7 ty--r-y- -n ?Avfe_� 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 the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. 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 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, repairmg, 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." Page I of 2 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. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30) days after the day of completion. This pen-nit 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 public rights-of-way 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 hereby assumed by the USER. DATED and SIGNED this 20 day of 4 20�0 B3 y: Property Owner (to be signed in presence of the Notary) STATE OF FLOREDA COUNTY OF DUVAL On this 5;�6— day of _'Pd--P ri'L_ 20/1) personally appeared before me, a Notary Public in and for said Courfty and State, ' the property owner of Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instruinent; who acknowledged to me that he or she exe e e e freel and v untarily and for the uses and purposes therein mentioned. NSf6y Public In f�r_s�d County and State RID, SHIRLEY L GRAHAM CITY OF ATLANTIC BEACH,FLORID My COMMISSION#DD 957760 municipal corporation: EXPIRES:February 14,2014 ublic Underwfiters Bonded Thru Notary P Approved: C_/6 Ricly L. ifarper,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: /j/4 of ) Jim Hanson, Cityr Manag&r Page 2 of 2 U^p SHOWING BOUNDARY SURVEy $24, " =R VX-AT Or -ftanow so ' M L& - a NiQ.Z"Xl CZWR=m ruzL= smovas or Duv" low-m"' s Tos MEMO ox"WMP Lam TVTLI& "Muz"CE MUM. awe. tatALL 2-2 ib 44 41 Ok=,. -At AM dew" 4-t�j=x, IL 1ATED SURVIM"ll UNQ i7m.AmEw awe oww lei am M = A SAM & Rom Zwor" lilL 4w SHOWIN43 OUNDARY SURVEy Atanow 8"Z"X, AS %scow= , 'LIN P"Ir or ouv4i%L Qou"Tt CIM?lvtxu -Vol IXE mw ox WVT@t TAWD TTTLU" 40P --SO;V (Q L Ae, �r 1.7 bx�A V)a-,-/ lq"10 19,12), / 20 3o),- ry(f LA Wt WIF I* at (Lit A 1111 TUD OUR MANX MAN M" a MU wm�""IW AN A SHOWING BOUNDARY SURVEY T= VXAT OV AaCn*g NO. % B*J.Z"X,, AS Liff FIAT ib ar TM Coxaum rmLxc MMv=w or IPW" lamm"s "orm".. CIE LSD -Tos Am op" CGNMORKWALMN YAM TXTLvc AMD MAXNWTT SAM. N.A- 40 7- MIS IS p dwic- .jp% 1 20 3o Al; PAO, A -3 L ML OW IP JFAF -MM 0 MTED imam% rM mom MR=gem a 1w Public Works Plan Review Comments Initials: 6� Date: Y4_Ot11O VV Project Name/Address: � Jb Application Permit#: /6 -Oq'7 3 Check,Box Application Tracking Comments to Add Comment Provide impervious surface calculations. 0 Provide erosion and sediment control plans with installation details and maintenance CO, schedule. Provide drainage plans showing site topography (flow arrows, etc.) 0 Provide construction site management plan, including Right-of-Way Permit if using right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed 0 Professional Land Surveyor, showing I' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting proper construction will be required. - •Right-of-Way Permit must be obtained for use 0 •Revocable Encroachment Permit must be obtained. 0 Pool—Wellpoint (if used)must discharge into vegetated area 10' minimum from 0 street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick,4000 psi, with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not 0 allowed in the ROW (Commercial driveways—6" thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be 0 shown on the plans. P -Roll off container company must be on City approved list and cannot be placed on City right-of-way. D RAVE CRY of-Atfan-fic 136ar-h APPLICATIoN NUMBER 'by Suff-ding Department APR 10 2010 Claba2ssigned the��dfn-qDeparftnant) 800 Seminofa Road AlEantic Beach,Flodda 3223",SA45 -5826 - Fax(9G4) Phone(904)247 2 E-Maff: buffd1ng-dePt9coab.us Defe routed: GRY web-sfta, h�.-[Aravwxaab.us APPLICATION REVIEW AND TRACKING FORM tapertyAddrass-.- -PI�IL J7-e� Depar ftnent raidew regulmd Yes No BuildEng Planning &Zoning Tree Admirlstrator I icwo �br Uff" uid ffif a P 1E Fire Servfr---s Other Agency Review or permit ReqUired Review or Receipt Data Of Permit Ver Med By FfOrkfa Dept&EnWronmentat Pratection Fickrida Dept-of Trans�mrbffon St Johns Rwer Water Managernent DsMat Amw Corps of aigh- eers DivMan of Hote-Ts and Restauranft MvIsicm of Almhoric Bavemges and—1 obacm Other APPLICA 17ION STATUS av&e%qngDeparbm.ent F-irstRaview-. fgA?praved. FIE)enied. (Circle one.) GIMM- ants.- BUILDtMG LANNING&ZONING Reviewed bw Date: TREE ADMIM Second Review.- E]Approved as revised. F�Denied- PUBLIGWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FLRE SERVICES Third.Review: ElApproved as revised. DIDeriied. Comments: Reviewed by: Date,: City- of Atlantic Beach APF�UQATIO-N'KUMBER Building Department V' be assign6cf by the BL41fding Departmi ent.) 800 Serninofe Road AlLantic Seach,Florida 35123'—' 5445- ED APR Phone(9G4Y 247-5826 - Fax(904)247-584-3 D;de rckd� E-maH: bukring-deptgcoab.us d: e Ile GPLy web-silfe- f-v�-f1Mkw.coab.us FBY: APPLICATION REVIEW AND TRACKING FORM 'roperty Addrass:- c7;?, -P/�/6 J7-k-li EZ' peparinent review raquimd Yes No Building pplicard: 6A;77 Planning &Zoning Tres Admirdstator Ablic Worj-�� <,�—Fu—bric Utl"e Public RaTe--ff Fire Services Review or Receipt Offier Agency Review or Permit Required of Permit Veriff ed By Data Florida DepL of Environmental Protection Florida DepL of Transporfaffan St Jofms River Water Management District AmW Corps of Engineers Divi§fm of Hateds and Restaurants MvWon of Alcoholic Beverages and Tobacco Other: APPLICA TION STATUS ElDenied. viewing Department First Review. �A?proved. (Circle one.) Comments: BUILDMG LANNING&ZONING Reviewed tjY.- Date: TREE ADMIN- Second Review: [:]Approved as revised. FlDenied- &PWpRKY�1 00-F,omments: _a J64Lij PU FIC �S IC SA ETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. F-jDenied. Comments: Reviewed by: Data- Ised 05M41D9