Permit 1852 Beachside CourtCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000732 Date 6/21/10
Property Address 1852 BEACHSIDE CT
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . TO BE UPDATED
Application valuation 0
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Application desc
concrete/pavers
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Owner Contractor
------------------------ ------------------------
REICH OWNER
1852 BEACHSIDE COURT
ATLANTIC BEACH FL 32233
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Permit DRIVEWAY PERMIT
Additional desc .
Permit Fee 35.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 12/18/10
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Special Notes and Comments
Ensure all meter boxes, sewer cleanouts, valve covers are
set to grade and visible.
A sewer cleanout must be installed at the property line if
not already existing at that location. cleanout must be
covered with an RT1 concrete box with metal lid. cleanout
must be set to grade and visible.
There is an existing water main in the easement at the east
edge of the existing driveway.
Replacement curb to be Miami type curb and gutter to match
existing.
Portion of paver driveway in right-of-way must be installed
on gravel/sand, NOT limerock.
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 BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
.~ ~`~6
>~~,',J~~ CITY OF ATLANTfC BEAC D ~ ~ ~ ~ U. 15
-+ ~. CONSTRUCTION PERMIT WITH ITY RIGHTS OF AND EASEMENTS
® ~ ~ 904-247-5800
"~ ~` S00 Seminole Road
" ~ %~` k ~ ~ ~ Atlantic Beach Florida 32233-5445 Fax 904-247-5645
~2s~
PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH AP
Date ~~ ~ ~ ~ l V ~ PERMIT #
ISSUED BY THE CITY
Job Address (~~ ~ ~~~~.i~EStPc Gr'/,
Permitee: ~ c%l~ ~' ~ ~ lc,:ti l~ (= t~(~1 Telephone # ~ ~'t ~ ~~ ~ " ~ ( ~
Permittee Address: ~ ~~ Z 3 ~ ~~ ~= ~ ~
Requesting Permission to Construct: (2~~~~~~ ~-~",c~~ ~~ ~d~rc~ ~~tVZ~
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained. the location of ail 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: ~L(r `C1) (~ ((o
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 iN~u~>C~•~ P~~ ~s (Contractor's Project
Superintendent) located at `~1~ ~~~'~' kus' ,y .SPA G~~ Telephone: ~ S3~ c~11
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. Ail 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.
~. 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 imtaervious area on owner's lot or in the city
Right of 1Pi/ay are to be included with this app{ication,
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 sand 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 ~nrork and again
immediately upon completion.
O~NER ,~ . ,~. , ~ F!L E COP Y
Signed: ~.-~ Date: ~i
Before me thi day of GLh-C~ in the County of Duva1~0 ' ~ ~ ~ ~ ~ 0 P Y
State Of Florida, has personally appeared
Notary Public Large, State of Florida, Gounty~4fil~AflhlAl.KEf~
My co ex ' es: Personally Known:
ntification:
My romm. exp. Dec.13; 2Q13
Comm. No. DD 946177
O.W. Permit Attachment of
O.W. Permit # issued
for
Atlantic Beach, FL 32233
I~SZ 2;i~~r
REVOCABLE ENCROAC~l~t'T PEl.ZNItIT
~`~3IS REVOCABLE ENCROACHN~NT PERNIIT, issued on this ~ day of
20~Q, by Atlantic Beach, Florida, a municipal corporation organized and existing
~~~- the Iaws of the State of Florida, hereinafter referred to as "CITY" and
~-~-~ ~-~jantic Beach, Florida, hereinafter referred to as "USER".
of
VVITNESSETH:
-what the CITY does hereby grant the USER permission on a revocable hasis as described herein the
~ to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of
A~ ~tlc Beach Right-of-Way/Easement permit numbers noted above (copies atta.ched).
T~.s work is generally described as:
/atn~ ~lt.~to~ b~ Cr.
, 200_
Owner's Name:
Property Address:
Subdivision:
Lot # 1 Block #:
R.E. #:
~Sr facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted
s subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to
rema.>n shall be given by certified snail, retunz receipt requested, to the following address:
USE ~~ ~ _- ~ .~
the depositing of said notice of cancellation ui the United States mail shall constitute the notice of
c~eellatzon and the burden is upon USER to keep the CITY informed of USER's proper address.
.X'he -USER shall prarnptly imalce any and all necessary repairs to any facility erected or maintained in
the exercise of the privilege herein granted and shall at all dines maintain said facility ui good and safe
condition-
~ 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, repairing,
operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utilit<,~ provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building
CodeSo rand 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 side~vallcs inay not be
laced with other materials, but must be replaced with smooth concrete left natural ul color so that it
rely
snatches the existing and adjoining sidewalks."
Page 1 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 showvzg the change
within thirty (30) days after the day of completion.
This permit 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 fiu-tliar agrees that the CITY and its officers and
employees shall be saved harmless by the USER from any of the work hereui under the terms of this
permit and that all of said liabilities are hereby assumed by the USER.
DATED and SIGNED this 'S'~ day of .Lvw.` , 200_.
By: u ~ ~-
Pro erty Owner
(to be signed in presence of the Notary)
STATE OF ~+LORIDA
COUNTY OF DWAL
On this ~" day of (~(~. 200, personally appeared before me, a Notary
Public in and for said ounty and State, i r~ !~i G~ the property owner of
~ S L 13-e u t ~ 1 ~> (G~. G-~-~ ,Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoingl~q~ who acknowledged to me that he or she
executed the same freely and voluntarily @1~1t;tr~betlbl~C~S~~oses therein mentioned.
My comm. exp. Dec. 13, 2013
GGGC~ ~~~ Comm. No. DD 946177
otary Public in for said County and State
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation:
Approved:
G ~-/~~
Ricky L. zper, Public Works Director
For Permits where city sidewalk is impacted,
City Maazager approval required:
~`~
Jim Hanson, City Manager
Page 2 of 2
MAP SHOWING BOUNDARY SURVEY OF
LOT 7 BLOCK AS SHOWN ON MAP OF
AS RECORDED IN PLAT BOOK
CER TIF/ED FOR: ~U/J/~ ~~~
/ S•tJ y Gtr. ; FUA
+~ Z PAGES ~4 - ~4 cOF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
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NOT VALID UNLESS EM80SSED WITH SEAL OF THE UNDERSIGNED. BEAR/NG5 BASED ON LINE AS SHOIMV
THE PROPERTY SHOWN HEREON APPEARS TO LlE WITH/N FLOOD HAZARD ZONE AS ALED FROM FLOOD
INSURANCE RATE MAPooo/ FORAT~.aNTic ~E4G/-!~ FLORIDA, DATED ~7-8~
~j.s-.yPl
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I
~° -. _.:. ;+l ~U6l~in~ ®ep~r$anent
~~ `~~~,~.,fy 800 Seminole Road
~'~~'" ~~
,~ ;._.:. Atlantic Beach, Florida 32233-5445
~~- ~ Phone (904) 247-5826 Fax (904)
', ~Jit ~r E-mail: building-dept@coab.us
City web-site: http://www.coab.us
,a
-~
45 j~ ~~r~
APPLICATION NUMBER
(To be assigned by the Building Department.)
//l - ~ ~~ ~
Date routed:
(~ r
'r®perty A~d~°ess: ,~1~ ~ ~' ~~y~(~,~~®~ ~~Y'
~pplocant: d ~ ~' ~-
'roject: % Q. ~~~.
~I.r~ld'>8V ~~Qiv11~1
®epartrroerst rev'sew requ6red Yes No
Building
Planning & Zoning
Tree A ~ istrator
ublic Wor
ublic Ut' ~ '
Public Safety
Fire Services
.,..
I~ev~evv;~ee>~~ ~<. ~~..:. „ $~, :_.r:, ~ ,~DeptSSrgna~ure~... £.?.. _~. -:;
Oti~er Agency Review or Permit Required Review or Receipt
of Permit Verified lay ®ate
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:
APPLICATi IOId STATUS
Reviewing Department First Review: ]Approved. ^Denied.
(Circle one.) C mment ~ ~ / ~ ~y~
~- ,) /~~, Cdr-e~'" C t~.,v r~2 l ~ rh ~ C t~ ~ .~~ ~ ~--
BUILDING ~q~...~ ~~~si ~. ~,,,t}.y F21v~1f ,tQ~
.~> ,~b~a-c o / ~~ /~,a-~ 1tivE,w~.~ ~ .t.~ /L/G ,y-r o/L
PLANNING &ZONlNG ~~~// SS~ ~~ Gds. `
r h s r q.GC~- a a ~ ~ Reviewed by: ~ Date: d`
TREE ADMiN. Second Review: ^Approved as revised. ^Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES YB~ird Review: ]Approved as revised. ^Denied.
Comments:
Reviewed by: Date:
Revised Q5/14I09
.t-''~'~~''f,s City of Atlantic i3each
~'; ~,: ~:~
il 13ui6~Ging ®epartment
~ S
~,~- - ~
Nj.
Y 800 Seminole Road
44
j ~
~ Atlantic Beach, Florida 32233-5
5
a Phone (904) 247-5826 Fax (904}
`"'~~rt ~r E-maih building-dept@coab.us
City web-site: http:/lwww.coab.us
X16" 6' ~~~~~~®~ ~~ ~/
APPLICATION NUMBER
(To be assigned by the Building Department.)
.~ ~_~ r ~ ~~, a
~ ~s~a:5 ~
.'~i~. ~ ;~ '~~t~ Date routed:
"r®perty A~9dress: ~h ~ ~" ~~~'~~~ ~ ~~~
~-pplicant: ~ ~~ ~ ~..•-
Pr®jec~: / ~ ~~~
~r~'Y~1V ~®~~
®epartrnent reviewr re wired Yes No
Building
Planning & Zoning
Tree A istrator
ublic Wor
ublic U ' ' "
Public Safety
Fire Services
Revieti fee;Dept S gri'a~ure_
..~ v.~:~..~..~...
Other Agency Review or Permit Required Review or Receipt
of Permit Verified i3y ®ate
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 by:
TREE ADMIN. Second Review: QApproved as revised. ^Denied.
P11~1~WORKS '~ (C~amments:
PUBLIC SAFETY
FIRE SERVICES ~ Third Review:
Comments:
Reviewed by:
QApproved as revised. ^Denied.
Reviewed by:
Date: tP" U ~l ~
Date:
Date:
Revised D5/14/09