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239 Seminole Road - permit CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD =j ATLANTIC BEACH,FL 32233 � H INSPECTION PHONE LINE 247-5826 M 0 tit Application Number . . . 10-00000470 Date 4/28/10 Property Address . . . . . . 239 SEMINOLE RD Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------ Application desc EXTEND DRIVEWAY TO CIRCULAR --------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- JEVIC OWNER 239 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ------------------------------------------------------------------ Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/25/10 ----------------------------------------------------------------------- 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 . There is an existing sewer main in the right-of-way in front of the house. Recommend planting trees as far east as possible . --------------------------------------------------------------------------- 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 BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Cid oft Atlantic Bead �` a �. APPLICATION NUMBER Suf1di g Department ' �o be assigned by the Bufidir�g Department.) 800 Seminole RoadFlorida 322.33-54-x.5 Road APR 010 Q wWK rn � Aflantic Beach, Phoria(W44 247;-5s?6 - Fax(9G4)247- cz E-mail: buffding-deptcaab.us �� Clete routed. ' �9 GLr web-sits: i-otig:1Araq r eoab.Lrs . , " hd APPLICATION VIE TRACKING FORM Iraperty Address: ��9 o F�1� a l� Deparftnent review required a Ye No Building ip plicant: C` 71 S Planning&Zoning ` rIT, ccr V - �!� 1'c• li Public Safety Fire Servicas <-V Other Agency Review or Permit Required I vfew or Receipt Date of Perini Veri'fad By Florida Dept_of Environmental Protection Florida Dept of TramgxorEaffon St Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Drvv6ion of Alcoholic Beverages and Tobacco Other- APPLICATION ION STr A,TC dewing DeparLment First Review: %Approved. Denied. (Circle ane.) Comments: BUILDING LANNING&ZONING Reviewed b TREE ADMIN- Sezond Review: A raved as revised. pig F—jDaRieC}- Com enfs: LI UTIL TI � PU LIC AFETY Reviewed by: Date: FIRE SERVICES Third Review: QAp revised. QUanied. Comments: �O oe*A 4e Rlevie,,ved by: Data: A. ised �.. �° =r €Y Oftia€�dr- BeachyRECEIVEDAPPLICATION - BuFldingf Department . (Ez3beassign d bythe Bui€dir+gDepattitent.) 800 Semino€e Road r _ x ?tian is Beach,Flodda 32233-5�a Q P R 1 0 2010 _ Q - Phone(9Q4)-747--5826 - Fax(-QG4) 7-5845 P3 E-mall: buffding-dept cr coab.us 8 Data rotAad-- Cst�r web-sere_ bitp:ffc�r,�,r:e�6.i Fs . APPLICATION REVIEW AND TMCKING FOR Iraperty Address: Ad Building ia C 7� Planning &Zoning r cor I Pulalic Safe Fife Services r�,-_ _.,,,,�:..--- -- -- - - - - ..�� _< - z.�•: - -... :_ _ :.ter_��_�_:.: - Doses Agency Review or ParE nft Required Review orelpt. Dam of Perfiseia�er€feed B� Florida Dapt,of Emror+r�aental Protection Flacida Dept.of Transpariation St Johns River Wafer M-magernent District Anny Corps of Eng-hears Dfv!imm of Ha els and Rsstaurants IEn cY€ fzolic Beverages and T.ofsac PLICA1 ION STATUS viewing Department Fimf R`evsm : [AA.pproved. ODenied. (Circle one.) C�.€ a�efs: BUILEX MG LAMMING&ZONING "IQ007* Reviewed Icy: Data: TREE ADMIN. Second Reyle QP.pprovad as revised. r-�t7ertied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QA.{cproved as revised. 7Denied. Re,rietred bsf_ date- 'fSed EE F'�tie t i • r Sr JCITY 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 I 0 PERMIT# Job Address '239 SA)61 %V0 l,t P.Uh ISSUED BY THE CITY Permitee: L F_00NR:�' (S. �� i Telephone# 50 ' (o Permittee Address: Requesting Permission to Construct: �'1C hS:c� ¢44_ C o f f p,"4- 1) r, WC ►�'`�`c� C��(',t c �G�" �f% ' L _ Location: (Reference to Cross-Street) 2-50 No 12T fF 01" bun) SfTZ�1/ 1. 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 0k o.%e, Cerd'zc. m4h_ Jacksonville Electric Authority Yes (� No ( ) Date: y -ce-f- Bell South Telephone Company Ga IN9 I'/VVJ°' Yes No ( ) Date: y-fr,io Ferrell Gas 0 N l p, Yes No ( Date: q.V-to Comcast Ca 9 q()00'?r1(3 Yes (yQ No ( ) Date: 4 -y-iZ 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 Qf 2R,e4 -:A%g i 1 (►del I s Co,n.cre c) (Contractor's Project Superintendent) located at 9-0 D v I e ti Rb' Telephone#: 904- Zh,-7 7TY 4. All materials and equipment shall be subjecl 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 any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 34 7. This permittee shall commence actual construction in good faith with lays. 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) hours prior to starting work and again immediately upon completion. OWNER (, J Signe / / Date: Befor e 6is J, day of in the County of Duval, State Of Florida, has personally appeared Notary Public at Large,State of Florida, County of Duval. My commission expires: Personally Known: Produced identification: asOf 14r YG 1y.uu Seo g® U�.t0,40AP 11rVV VIIV CA► Wav ---• '-- - �■yew C'��_ �" ,.w.�,r.. THE VA i I$ITLL It 40P SHOWING SURVEY l� LafY 4ili Z i►it� otr I> ' A3 FAMILUMIiit!IAT"OK !! ,1tCE.r& _QF1718LtjwP rrUdILCxlFCMCtiCw Fe.ap.l ~ SAKI 11�1A vim Yasas' �.ax• �` • tS.r" Inla+. -23 331191 L7" 1s t�.3' •� IlcsiPY �i J � 4 � 1•IST6t'f � 1, i 7Yac.lr�� .i Q ts.o• Aq p r l a'wPs "Ww e O Uff 21 6YMY t - r,pa!!YT � b by W t'ata R M+.4 !!7Mi7 1 ila1MM �4 � * r •• Y . S11?O � • t its �� rA J. atiea��• T�t1AL �r Y aai ��li.f' F�HO aIY» �• L"W�C 7�"_�0• 'R3S" Mt"11F.YlYZ- ti«M PIPs , /!aY PIPta Lar IIgfY a %MET 41111 Luc "1- 1 tet 44 , . •7N�tc tu't!!ADDISIt)N131r 1trs�zc'i30ite Tait RTlLY •1. 'flint In s boundary sunray. tN Too lu16IC 1 mtos OR FACT012ss or 4111 t*=, 7- Rood tons x as b wt socorte11*d Nom FloW J+1Wus m Halt MW community Anel npaa uln.-a..ltdresd k-n-*SF '3. Two i1Mvq Is not i dowill1ra to 7 of OMRttIClJdp 4 tluilnew Halloo SWO 111��1<L'Bt1tF3'TO, TTLri 377++1e'Its,.Yi r= h p PYt1416 uaT.-►a.- ?ITS 1 ' tMaLRMaG! 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