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O \ H D4 O H \ Q4 H H \ x O H \ p4 N H \ x F N H O \ P4 N H \ D4 F ~n U rU oU HV F NU mU F w U ~ ~ H F ~ gg ~ ~ ~ ~ ~ ~ F ~ ~G! ~ ; F4 S . a' "' ~' ~ x a w a Q a w a z a z n z z ~ H W H W W W W Vl a w W x w ` ~ r m o ~p O ( ~l r O~ O H d' H ~ eD H o N O f"1 O d' O 0 0 0 0 0 0 0 o , o 0 o O o 0 o Cy o 0 0 0 0 0 O ~ O O O O O O D m o 0 0 m 0 ~ m 0 m 0 0 ~ ~ ~ -$ ,~~s,~~-_ City of Atlantic Beach ' `~--:~r~ ~,~`~ ~'':~ Building Department JyU f ~ Vr ~!~ .~ :z~ 800 Seminole Road ~ ~ !~ ~ ~, . _ ~ Atlantic Beach, Florida 32233-5445 `"~~ _~ =` Phone (904} 247-5826 Fax (904) 247-5$ ~':~~~ E-mail: building-dept@coab.us ~-.. ~, City web-site: http:/lwww.coab.us ~_ APPLICATI(3N NUMBER (To be assigned b 'the Building Depatment:) Date routed: "~ 9 ~~ 9 . r~L~C~~1~i~0 ~~Y~~~ f'-~® ~i~f'i~lfd01~1~ ~~f~~ Property Address: o~~D ~ c~~/1 j~ '7C o f~. ~Cd Applicant: Project: ~ 7CJ~ /l~~ ~A , De artment review re aired -Yes No Suildi annin & ree A mistrator ublic Works i ties Public Safety Fire Services ~ '~~ w•+iY'" ~ 'S' "€E"~ . ~ F ~..i!'~t' ~r`~~* ~'.` ^°f'xc~t~'~(;-Ya-w~~&a~~'~ ~~~`,.~.. I~e~~~.~~~~'~'~ ~~ f ~ept~S Ig 1'~.~t~'! re ,~~:s~~;+,~`~ ~ . R ,~~::h -~~Ay Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River 1Mater Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tabasco Other: API~L~GATiO~! STATUS Reviewing Department (Circle one.) BUILDING PLANNING & ZONING TREE ADMIN. PUBLIC WORKS PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES First Review: QApproved. [,Denied. Comments: _ _ ~ Shared driveway with owner to north. Cannot reconfigure driveway without ensuring access. - - - ~ ~ /, _ Reviewed by:, /> Second Review: Approved as revised. ^Denied. Comments: Reviewed by: Date: "third Review: Approved as revised. ^Denied. Cctcrorraents: Revie~,~.red by: Date: ~ev6sed o5f14PQB (, ,y (( ~ ~ ~~ /YVy, Pulblic Works Plan Review Comments i~~~ Date: 1 t~ I D ~ 0`~ Initials: Project 1~lame/Address: ~ l~ L S'~b~a ~ ~ ~- Application Permit #° (~ ~ ~/$Io ~ ' A~p~~afiou':~ra;trl~ng am~nenats to Aad ~!maidn't Provide impervious surface calculations. ^ Provide. erosion and. sediment control plans with installation details and maintenance schedule. ^ Provide drainage plans showing site topography (flow arrows, etc.) ^ Provide construction site management plan, including Right-of--Way Permit if~using ri ht-of--way for construction arkin . ~ Provide apre-construction topographic survey prepared by a Florida Licensed Pxofessional-Land Surveyor, showin 1' contours. - ^ Section 24-66(13) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ^ er Section 24-66(b). (See attached info. Sheet) If on-site storage is required, apost construction topographic survey documenting ro er construction w.ili be re aired. ^ A Right-of--Way Permit must be obtained for use ~ ^ A Revocable Encroachment Permit must be obtained. ^ Pool- Wellpoirit (if used) must discharge into vegetated area l~0' minims from street or drainage feature (swale, structure or l oon . ^ .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 ^ 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 ^ shown on the laps. . P -Roll off container company must be on City approved list and cannot be placed on City right-of way: ^ -'`~ .~' --~' . ~ lv.,e o . >] II __ - .,•.5~--'''ri;•, CITY OF ATLANTIC BEACH ,~; ;;°~1~ CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS ~ y -, '~ - 904-247-5800 800 Seminole Road Fax 904-247-5845 `, ~;1 ~~ Atlantic Beach, Florida 32233-5445 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date ~ ~~I © ~ ~ °~ Job Address Cr.~02 SI=N111n~~F. (Zc~ Permttee: t~~~~~1 bla~,~- Permittee Address: Requesting Permission to Construct: L-!Ar`clSC,~nv~2. JIaG'3W~r Location: (Reference to Cross-Street) PERMIT # ISSUED BY THE CITY Telephone # 0 `~ - 2~t I -D ~ ~ ?~ 2a ~~ 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: 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 anv increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 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) hours prior to starting work and again immediately upon completion. OWNER Signed: Da (~ ~1 ! ~ Before me this day of in the County of State ~IOr+da. has oersonally ~aeared SHIRLEY L. GRAHAM Notary Public -State of Florida r Commission Expires Feb 14, 2010 Commission # DD 518533 ~i~ National Notary Assn_ Produced Page 1 of 1 http://maps.coj.net/output/DuvalMaps_itdgism123084162472.png 11/25/2009 glover Residence 4 D~s~~ ~~~ ~ ~.. ~ ~ ~- A ~ Alan ~ With Gat Y ~a~„ "e' ~¢a ~~ _ _.. 1~ ,,wure~ ~~ } ~~ ~~~ ~~ ~ 4 (~~j~~~ ~-~ ~~~ ~J ~~' ~ ~, _----.~ ' ~~ " ~ 4F~ ~ ~e~ .~' ~~~ ~~ ~t~~j~e R~~d° ~~ ~~;