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Permit 869 Amberjack laneCITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026716 Date 9/02/03 Property Address 869 AMBERJACK LN Tenant nbr, name ADD TO DRIVEWAY/ROW Application description RIGHT OF WAY PERMIT Property Zoning TO BE UPDATED Application valuation 0 Owner ------------------------ SCARBOROUGH, ROBERT 869 AMBERJACK LN ATLANTIC BEACH FL 32233 Contractor ------------------------ OWNER ---------------------------------------------------------------------------- Permit DRIVEWAY PERMIT Additional desc . Permit Fee 35.00 Plan Check Fee .00 Issue Date Valuation 0 ---------------------------------------------------------------------------- Special Notes and Comments APPROVED AS NOTED-CANNOT BUILD WITHIN UTILITY EASEMENT, 5' OF WEST PROPERTY LINE. Fee summary Charged Permit Fee Total 35.00 Plan Check Total .00 Grand Total 35.00 Paid Credited Due ---------- ---------- ---------- 35.00 .00 .00 .00 .00 .00 35.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH, FLORIDA 32233-4318 TELEPHONE: (904) 247-5834 FAX: (904) 247-5843 SUNCOM: 852-5834 http://ci. atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # ~ ~ ._s~ l~`~ (( Applicant: ~ ~z~~ Address: Project: ,~ ~ ` \. ~~ ~ - iG~ ~ pt /~/ a;/ Your application is approved as noted by the Publlc Works Department. Final ,~-5 ~~''~ application approval must come from the Building Department. ~~~~~~ ~~~1~°3 ' ~~~~'Your pe it application has been reviewed by the Public Works Department and the following items need attention: _. ~(~lYI -~,'-~-- Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Robert S. Kosoy, P.E., Director of Public Works Date ~ ~7 ~ Signature Contractor Notified Date DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH, FLORIDA 32233-4318 TELEPHONE: (904) 247-5834 FAX: (904) 247-5843 SUNCOM: 852-5834 http://ci. atlantic-beach.fl. us Applicant: Address: Project: PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application# ? ~~ ~~~~~ ~ !~ C-Y' C t Ceti-- ~~ Your application is approved as noted by the Publ~ is Utilities Department. Final application approval must come from the Building Department. Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. ev wed by Donna Kaluzniak, Public Utilities Director Date v°-ZS-a3 ature Contractor Notified Date ^ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: CfTY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CfiY RIGI-fT5 OF WAY AND EASEMENTS DATE `j~/ ~ ~ - r"" •~ PERMIT NO. J„ n ~ ~~` ISSUED BY THE CITY JOB ADDRESS (~ (~J `~1 r~~~~ ~ ~ ~ ~ ~~,~~>~ VALUATION $ PERM~TT7=E ~r ! ~ ~ ~ Y ' PERMfT'TEE ADDRESS; ~ REQUESTING PERMISSION FROM THE CITY OF LOCATIONS: (REFERENCE TO CROSS-STREET) 13 EACH TO CONSTRUCT 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/MUNICIPALITIE ' // JACKSONVILLE ELECTRIC AUTHORITY YES ( ) NO ( ) DATE: ~~(G BELL SOUTH TELEPHONE COMPANY YES ( ) NO ( ) DATE: ~ Q FERRELL GAS YES ( ) NO ( ) DATE: MEDIA ONE CABLE TV YES ( ) NO ( ) DATE: Z. 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 F ORID DEPARTMENT OF TRANSPIRATION STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OF ~~b~~ 1AW~GP~ (CONTRACTnORSQ^~ PROJECT SUPERINTENDENT) LOCATED AT TELEPHONE NO. ~" ( ~ p(7V 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, F. A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT. 7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN DAYS. IF THE BEGINNING DATE IS MORE THAN CO 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. S. 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. SUBMITTED BY: ,, SWQRN TO AND SUBSCRIBED BEFORE ME THIS (PLACE CORPORATE SEAL IF APPLICABLE) ~,"~..' DAY OF "~~ f ~V (f 19 '~~""y"~,•-~ JENNIFERSCHLUETER N PUBLI .~a~ r ;6 g.; .: MY COMMISSION # DD 121301 ~,,, ~``• EXPIRES: May 27, 2006 '~ E3onded T1eu Naary Pubes Eltets . .. ~ sHO~vc Bov.~~~ srn~~~ of LOT 2 ~ BLOCK ¢ A5 SHO A'N ON ~[AP OF AS REGARDED /N PLAT BOA'C~o PACE'S ~U- 60A OF THE PUBLIC REGARDS OF DUVAL COUNTY, fLAR/DA CERTIFIED FOR: 2ar3~rz~,c-„atz. dlLov /-F G I.JT fA ~P~ =v • S -~iA2i rT" v !./ i Gc~ G o ~ E A M02T O E ' Gc7 R-~. S 27 So. ~S' THE FLOOD ZONE DATA DENOTED HEREON IS SHOWN AS A COURTESY ONLY AND DOES NOT ~GlL2 f-~. ~~ ~, 34"'~ CONSTITUTE' A CERAFlCAAON OF 1HE SAME. NOT VALID UNLESS EMB SSED W1 TH SEAL Of' THE UNDERS/CNED. BEAR/NGS BASED ON 2 ~ LINE AS 'SHOWN THE PROPERTY SHOWN HEREON APPEARS TO UE W-7N/N FLOOID HAZARD ZONE ~_ AS SCALED FRAM fL000 INSURANCE RATE MAP / FOR THE CJTY OF A7~C~7yc .. FLORIDA. DATED P-/5 - 8°~ .AND ; , ~,v IS .SHOWN AS A COURTESY ONLY AND DOES NOT CANSTITUTE A CERTIFCAT(AN aF SAME. 7 ~ Schlueter, Jennifer From: Showman, Lisa Sent: Friday, August 29, 2003 1:59 PM To: Schlueter, Jennifer Subject: RE: 869 Amberjack Ln FYI -- Bob has approved this permit app. "Approved as noted -- Cannot build within utility easement (5' of west property line). -----Original Message----- From: Schlueter, Jennifer Sent: Thursday, August 28, 2003 9:50 AM To: Showman, Lisa Subject: RE: 869 Amberjack Ln thank you! -----Original Message----- From: Showman, Lisa Sent: Thursday, August 28, 2003 9:45 AM To: Schlueter, Jennifer Subject: RE: 869 Amberjack Ln Got it and when Bob gets back from staff meeting I'll have him review. Thanks. -----Original Message----- From: Schlueter, Jennifer Sent: Thursday, August 28, 2003 9:21 AM To: Showman, Lisa Subject: 869 Amberjack Ln Good Morning, Just wanted to make sure you received the survey faxed for the driveway at the above address and knew where he was putting it. I am putting the original in your box. Thanks, Jenny