Permit 1972 Colina CourtCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000817 Date 7/22/10
Property Address 1972 COLINA CT
Application type description RIGHT-OF-WAY PERMIT
Property Zoning TO BE UPDATED
Application valuation 0
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Application desc
extend driveway
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Owner Contractor
------------------------ ------------------------
LORIN OWNER
1972 COLINA 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 1/18/11
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Special Notes and Comments
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
Ensure silt fence is installed along ditch before
installing berm.
A post construction survey to document construction is
required.
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.
' r .
°"%~ ' ~1*'~' CtTY qF ATLANTIG BEACH
,-- ~}~~ CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
®~ ~ _ .:;r
_ '~'~?~~; ~ 800 5eminols Road 904-247-5800
°'~Jrtl~? .. Atlantic Beach, Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT (3~ COMPLETE SETS OF PLANS WITH APPLICATION.
<<-
Date .,...~.rme 1..~, ~°~ll) PERMiT#
,,, ISSUED BY THE CITY
Job Address ~ ~ ~~~ ~ It' ii G ~ ~ ~l ~,~ 3
Permitee: d~iy'ic"12 ~ J~in~ Telephone ~ L~(~'~f~ ~~'~ ~il~~
PermitteeAddress: ~~7~ ('r;~1~ d'i ~i'7C,~1n~1C ~ -=1Atfl Tl '~~~2
Requesting Permission to Construct ~f2~~'t; Aut~.~ L-`~'iCnfS~o~,l -
Location: (Reference to Cross-Street) ,~ J~ .S`IRt "i
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: -~~-U-{'
Bell South Telephone Company Yes (,~j' No < ) Date:
Ferrell Gas Yes ( ) No (~/} Date:
Comcast Yes (/) No (( _~ Date: ~ 1$ .~
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 Gity 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 any increase in impervious area on owner's lot or in the city
Riaht of IRi/ay are fio 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 ail 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 sha14 be notified twenty-four (24} hours prior to starting ~nrork and again
immediately upon completion.
OWNE6'~
~ tr11N tCNAEFftll
S igne ~ ~~ Date: G' .? /.'~O / /~ MMM~ hMe ~ NIMO d iMM~
Before m this day of ?-mss. in the,County of Duval, ' wCO~MlI*ri~n,
State Of Florida, has personally appeared ! V« r ~~" ~~ ~ ~ ~ ~
Notary Public at Large, S t of Flori a, Cou testy of D val. •MW filNprillMN
My commission expires:/~ 7~ .~7F~~ ~ Personally K
Produced identification: `-""~--r
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t..~~~,-'~,,~ City of Atlantic i3each -
I~
,~ .; _~ ~uii~iing ®epartrnent ! > x.
~,~~e~ ; 800 Seminole Road ! ! U N ~ ~ ~ ~ ill
\~ ,, . '~~~ Atlantic Beach, Florida 32233-5445 ~.
~` ` Phone (904) 247-5826 Fax (904) 247-845
`~ ~=e t ~ E-mail: buildin de t coab.us ~•- ° - _ _ _
~JSt ~ ~ 9- p @ •
City web-site: hftp://www.coab.us ' ~ `-
APPLICATION NUMBER
! (To be assigned by the Building Department.)
Date routed: ~~2~,~~~
'r®perty Address: 972
-pplicant: 0 uJ ~i ~~
'r®ject: Gl ~CT~n~ ~ ~,r i OF ~ p y i
Co~C~~T~- C
®epartrnent review required Yes No
Building
Planning & Zoning
T inistrator
Public Works
u Utilities
afety
Fire Services
Review feer~~~~5 ~,.~r~ ~ a r~, ~Dep~;Signature~E ~~~. ~` ~{4: ~x :M w
Other Agency Review or Permit Required Review or Receipt
of Permit Verified i3y Date
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:
APPLICATIOf~ STATUS
Reviewing Department First Review: Approved. ^Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by:
TREE ADMIN. Second Review: ^Approved as revised. ^Denied.
PU~~J~OR`KS Qmments:
PUB
%~
Reviewed by:
Yhird Review: ^Approved as revised. ^Denied.
C®mments:
FIRE SERVICES
Reviewed by:
Date: t~,2~ ~~ ~ O
Date:
Date:
Revised 05114lD9
,q~yi
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City of Atlantic Beach ~ n~'_`'~~. P `~~'.° y ~ .;~..
i3uiiding ®epartrnent ~ ,}uN ~ +~ +llln
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 Fax (904) 24~~-3_ _ ,___.
_ __-__..
E-mail: building-dept@coab.us
City web-site: hftp://www.coab.us
APPLICATION NUMBER
[ro be assigned by the Building Department.)
/D - ~~~ ~
Date routed: (~' 2~ ~~
'r®perty Address: ~9 72 L o li -~ ~ LT
-ppllcac~t: 0 w ~i Cam.
'r®ject: Ll ~CT~I~ ~ ~ i ~~ cU ~ y ~
CD n C~~T~. C
®epartrnent review required Yes No
Building
Planning & Zoning
T inistrator
Public Works
u Utilities
a ety
Fire Services
'^r'„F"'^;'C' ~t'~n-r"S ~-~-.~: cam-~-~,^-~r-}--~--r--r -~-r--?'~^~.'_"^• --•°~"'~'",..~., .;.~ ~. , ~.-^~.A ~ i . k^^'rjv--r.~ ~,
Review'fee; '"` ~~ ~ ~~,_~. ,Y ~ ~ ~ ~ ; k~ a ~ ~ ; ~ _'r.. pR "~M+L Y. ~~
a,y~ _ x 7~.~.~. °~,zt ~ep~S~gnature .,. _,r x....~
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: ^Approved. Denied.
(Circle one.) Comments: (~„_ ±~G~
BUILDING ~ /1
PLANNING & ZONING I Reviewed by: ~~~~,~.-----~' Date: , Y v~
TREE ADMIN.
PUBLIC WORKS
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES
Second Review: Approved as revised. ^Denied.
Comments: ~ ~/ ~T~~ w~ ~ lI~ .d/ice ~~~.~-- 4~.~ 1 ~ s ~ ~~i
~f r ~`
P ~~~ ~~~
Reviewed by: ~ Date: 7 ~ 0
Third Review: ^Approved as revised. ^Denied.
C®mments:
Reviewed by:
Date:
Revised 05!14!09