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Permit R/W 2010CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5$26 Application Number 10-00000903 Date 8/04/10 Property Address 393 1ST ST Application type description RIGHT-OF-WAY PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc PAVERS, WALKWAY, DRIVEWAY AND PATIO ---------------------------------------------------------------------------- Owner ------------------------ SIRMANS CHARLYN L 1715 LEBANON RD LAWRENCEVILLE GA 30043 Contractor ------------------------ EARTH WORKS DESIGN & MAINTENANCE, INC. 11111-70 SAN JOSE BLVD # 297 JACKSONVILLE FL 32223 (904) 268-4866 ---------------------------------------------------------------------------- Permit DRIVEWAY PERMIT Additional desc PAVER DRIVE, WALKWAY, PATIO Permit Fee 35.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/31/11 ---------------------------------------------------------------------------- Special Notes and Comments Separate permit required for concrete driveway on Sherry Drive. 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. ---------------------------------------------------------------------------- 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. f a.. .~ 'i ~° m z!~~r City of Atlantic Beach ~ ' ' " F '" '~ ~"~~~ Building Department + +IJL 2 1 2Q10 t; :~:+ 800 Seminole Road 1 ~. v • r~ Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 ~-:_- - --- -- -- "~~;3 vW E-mail: building-dept@coab.us City web-site: http://www.coab.us ~ APPLICATION NUMBER.: ~ (To be assigned by the Building Department.) f~-~9v~ Date routed: APPLICATION REVIEW AND TRACKING FORM ~~ ~ ,~, r Property Address: ~ 9 ' Applicant: U ~ ~z~ Project: ,9~i'j L ~'i~€~ _ ___ Review fee $ Department review required Yes No Building Planning & Zoning Tre inistrator ubl' ublic tilities Public Safety Fire Services Dept; Signature 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 Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATIIDN STATUS Reviewing Department First Review: QApproved. Denied. (Circle one.) Comments: `~,~,~~ O ~ ~ ~M,~fS d k0 ~ 5 Cw~tr ti4Jt~ . BUILDING ~tT:.CCJ'~- 50ivCy ~ VC f ~, ./ / / PLANNING & ZONING Reviewed by: ~-- Date: 7~Z3~~~ TREE ADMIN. Second Review: QApproved as revised. Denied. PUBLIC WORKS Comments: ( ~ ~ Q; V:~ ~ SrJJ ~~,LE ~e{~'~.o S~.ow3 Cra,~c~~~~.~~c,n.s ~~ C~~ ~ to lM~ J PUBLIC UTILITIES ~~~- ~.,~~~-~~ ~~ ~ ~~~,\ CpE a,~ tJ`, ~~~ ou.si~c ~-~~ ~ w ~ r ~'or ~k~~,nx,~-~s ~f ~~`5~ ~s gsF=~,~cr ~,,~ 4ao 5~ Z I 1 PUBLIC SAFETY 5 ~C ~'~ Reviewed by: Date: ~ V FIRE SERVICES Third Review: Approved as revised. ^D ni d. Comments: ~°~" ~''zX'~'`~' ~ ~.v~~ . j~~~ n ~~- .~ ~ ~Y t, Reviewed by:..-,--- r"" I?ater~ r h{ AP De..ie.n.l AG/A AI/~lf - ,rr~E City of Atlantic Beach .: _._.__ APPLICATION NUMBER r _ ',~~~ Building Department ~ ~ i.+'~~ ~ (To be assigned by the Building Department.) ;' n y 800 Seminole Road `i ~~ L ~ ~ ~ Q ~ a ,~ - r Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 ,~ji at» E-mail: building-dept@coab.us _ g Date routed: City web-site: http://www.coab.us •~- -• - - APPLICATION REVIEW AND TRACKING FORM Property Address: ~~ ~ `~ Applicant: ~ ~ ~ ~~ Project: A'T7 L ~~/~~ Review fee $ De artment review required Yes No Building Planning & Zoning Tre inistrator ubl• ublic tilities Public Safety Fire Services Dept Signature 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 Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATl1S Reviewing Department First Review: Approved. ^Denied. I' (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed y: Date: ~' ~~'f d TREE ADMIN. Second Review: A roved as revised. ^ pp ^Denied. P WORKS Comments: I II I~ PUB C SA ETY Reviewed by: Date: FIRE SERVICES Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: Revised 05/14/09 p.s -~~~ pLEABE SUBMIT (3j GOMPt~ $~ ~ Pt,1-NS ~~ ~ Oats ~l ~ ~ BY TfE CITY Job Hddr~ess ~ i 3 r - ~ "~-- ""' CS'7~ ~ . Telephone ~ Qom`" ~~~? r- Permitee: Permitiae ~ 12 S~ ~ _ ~'C•~ . Reque~n9 Permis~on b Cottstrutx: ~"- , .~ ~ .--- t Location: (Re~fecence tD Cross-Strom) of ati exerting utrlities, 1. APP~rrt det~ares that P~ ~ ~S this ~ he has asoer'tained the toc~oa both aerial and unde-9round and the a~uraAbe- locations ate shown ~ the sketdres. A Lettec of Nadfi~n was mailed to the fdlo~win911tf'lltleslMunic:iipalibes: Yes () No ( Date: .tat~csortvdle Eleatic Autltori#Y Yes () No } Date: , Belt South Telephone Yes { ) No ) ~= Ferrell C~as ye, ( ) No ( } Dafie: Corncast for the construction, ~P'~ mairrtenanoe. sate and t pperation, 2. or~ioca6ort- ' ofi all, or anY Porten of said stns or ~ as ~ ~ ~ Dior of Public Vtlorks. any or all of sexi poles, p1P~, ales or other faa7ities and appcirtene-s~ authorized hereunder', shalt be ImtY temoti'ed ftorrr ~ street or ~ernent or t+eset or rued hereon as rEquired by the Director of t~ubiic Works, and at the expense of lire PerrYritbee unless r~rbursernent is euthor¢~l. of Tram Stairde<cds and Lie 3, Ali work shall meet City of Atlantic Beach or Florida (fig PTCject P urxiar the supervisbn +~ ~ ~:v Telephone #: I~~ ~d 7/ `~- Sup~ericrtend~ located at 2 4. Ail maberia~ and egtHpment strati be subject to ~ by tfie Dk+ectior of Public Works~a~y spedttcations 5. Ail atY PAY shah t~ rr~toted to tie original condition as far as practir:al, in loBepirrg and five manner satisfat~ory fo the t~ty. shall be made a 6. A sketch of Plans c~verin9 dew of ih~s installation, as well as, a copy of a l+ecent survey part of this Permit C}~raurar~rle ~ ~~ a."s N ~t~ase in knae^^ous area on owner's tot or in the city P_'.^,.'~ of Wav ors m be included with this ~ g~ faith with Z.. days. >f the beginning date is 7. This PeiT1~~ std ~"~'~ ac~l must review the permit with the Director of more than 6iJ days from date of permit approval, then pennittee oonstrudion. Pubf~ Works to malts sure no dtatl~es have orxxarecf in the area that would affect the permed 6. It is understood and agreed that the ~th and ~ herein set out are granted oMy tD the extent of the City's right, title and interest ai the land in be entered upon and used by the holder. and the Holder w~l, at all tkrtes. assume ail risk of and indemnii'Y, defend, and save harmless the Cky of Atlantic B~cth from and against any and aq ~ damage. and cast of expenses arising in any trtarltrer of the e~oerclse ~ attempted exetdses ny the holder of the aiorese~id rrgttbs and privttages_ work acrd ~~ 9. The DirecbQr of Public 1Norks shad he notified twenty-four (Z4) hours pr~r 1o sfautin9 immediately upon c~npsefiow. OWNER _ ~aryJ~ri ~ - r---~ onto: 1 ~t,1 `' -~~- adorn me ~ ~i wv of - cl,Ic~ '~ +~ County ar D<+var, State Or 19otide. tags peraoru~- .~h~`~-`~ -^.. '~~ r inn .1~5 6#Y(~Ni1i~ON 1OD884804 tasi-~a~, tvol~y Pnb6c at t.sige, stets of t9orida, or ou+ra emanaa--a.r~uae,.ar,s IN~r conmission axpites 4 i u- 1 ; t Prodrrcert Ian- Hogben Residence -Duplex 3931395 1st Street South -Atlantic beach Existin Impervious Surfac es - SF Concrete Driveway (393 Unit) 745 Storage/Utility Shed 117 Concrete AC Pad 22 Building Footprint 1750 Existin Total 2634 Proposed Impervious Surfaces - SF Paver Path -Back Yard 47 Paver Driveway - (395 Unit) 387 Paver Patio and Path -Front Yard 122 Proposed Total 556 Total Impervious Surface (Proposed and Existing) Property Square Footage 3190.00 6604.00 ~~~ N~ ~~ Impervious Surface Calculation 0.48304058 p.2 Jul 19 10 09s36a R.O.W. Pornut Attaclur~ent of for R.O.W. Permit # issued , 24Q Atlantic Beach, l:Z 32233 Owner's Name: property Address: Subdivision: Lot # f Blocdc #: R.E. #: - REVOCABLE ENCR.OACHMLNT PERMIT THIS REVOCABLE ENCROACHMENT PERMfr, issued on this ~ day of /~,~,.__~ 2Q~1), by Atlantic Be®ch, Florida, a municipal corporation or~ani~cd and e~c~ting under the fawn of the State of Florida, hereinafter referred to as "CI'T'Y" and ~ ' ~ c.~ ~'=~t ~-,ngt,y'IS of Atlantic Bead, Florida, hereinafter referred to as "USER". WTlNESSETH: That the CITY does hereby grant the USER pcimissian on a revocable basis as desxribod herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/F.aaem~t permit numbers notiad above (copies attached). This work is generally described as: ~',4U~ Q~t'to /~ `:t~l~~~ Qf~#'1d~ j~_ Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty {30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return zeceipt requ tto the followin address: ~~ ~ 1 ~ S•~~.e`~" 1 ~' 0'11 C `'~Csa G~ ~ ~Z2,~~ The depositing of said notice of cancellation in the Unified Stages mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs tQ any facility erected or maintained in the exercise of the privilege herein granted and shall at all tinsel nisintaia said facility in goad and safe condition. In 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 maiY-tainung, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall mew the current reQuirements of the City Code, Building Codes, Land Development Code, and all other land use aril code requirements of the CITY, uacIudirig City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced "with other materials, but must be replaced with smooth concrete left natural m color so that it matches the existing and adjoining sidewalks: ' Page 1 of 2 Jul 19 10 08:1Op Steve Hogben Photography ._ .., _~:43o Earth Works _~ :~ :~ J9:36a (770)513-4809 904-996-0714 0 -Z Th_ USER, prior to making any changes from the approved plaons and/or mothod, must ^~^. ::fin approva3 fzom the City of Atlantic Beach, Public R/orks tkpartmcnt. for said change. ?he USER shall, at the discretion of the C1TY, be requested no submit as-built drawings showing the change within thirty (3U) days after the day of oompletioa. This permit shall inure to the benefit of, 3ud be binding upon, the USSR and their respextive successors and assigns. USIJR shall meet the ieasss and conditions of this permit and to all of the applicable State and CITY laws aadJor speci$cations, to include utilities lode requiiectwnts and use limitations/requirements of public rights-o#-way and ether public land. USIIt finNser agrees that the CITY and its officers and entployecs shall be saved harmless by the USER from any of the work herein under the terms of taus penult and ffiet all of said liabilities are he eby assumed by the USER. DATED and SIGI~EED this ~ ~ day o~ i.r 200L3 By: Property r (to be sigrmd in prese~ce of the Notary} SLATE OF 1?'LORIDA COUNTY OF DUVAL On this ~~ day of ~se'~ 2DOD. DessoaaIIy appearied before me, a Notuy Public in and for said County ahd State, G.(nn~Q1n_~s~r~4rt$, the pcoparty owner of A`~t ~ f t ~' J'.;-~~ ~::: mil, _ Atlantic Beach, 'Florida, known to me to be the person(s) described in acrd who .executed the foregoitsg instrument; who aclo;rowledged to me that he or she cxocutcd she same freely and voiuotanly aAd fvc th ~waaaiiits ed. -~. CA68A[AlN/~AEJ1 i ~ ~ ~A1~ CpN! ~66i68b ~i vi..~rc~[+.'Yt'`vi:...r t.+ r~~s----.• ~~lf ~1Q,~rw Notary Public in for said County and Sbte CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approvod: Ricky L. C,azper, Public Works Director For Permits where city sidewalk is impacted, City Manager approval n:quired: Jtm I~-arson, City Manager p.l v.3 ?age 2 ~f 2 ~ ~ N m M U V- O a~i ~ m •'> c (~ ~ U ~ ~ LL ~ a.+ L ~ U N ~ ~ Q'~~ C pMj U v M '- S2 ~ rn~ OayQ = M ~ ~ ~ ~ ,0 3 ~~ _ ~ w ~~a ?:gO1No 0 0 0 ~ C ^~ LL O ~~ u ~ ' A ++ V J c J ~ cfl ~--- ~ ~ N r M fn m J U V- O N ~ ['LI - .- c 0 N Y (6 r U a ~, a, ~~ o ~ ~ N N Y w Q on M a~ a> ~ C v ~ N "'' ;d ~ U '~ m ~~m M U N M • - ~ ~., c o ~, =Md ~_ ~_ bA M . ~ ~~~~ r ~; w ~~~V w= ~3 ~: 0 0 0 & ~•~~ o a Q o o, ~ •~'' a~a o ~~~ dn'~ -. o .~ P, ~ ~ W ~ 0 C (t3 O r n~ W '~ V w ~ c a. J l~V~l•~N~~ ~ ~ ~ ~ ~ ~ ~'~ ~ ~ ~ ~ ~Q O Q+~~ ~~ ~ ~ ~~ y m0 ~~ ~ ~~4 a ~,~ T ~ Q ~~M cd~~ .~ a ~ ona ti ~ on r. ~~~~ '~ ~ ~~ ~ " ~, ~' ~ ~ ~ '~ ~~a~ 0 0 ~ ~~w~ ~~~ ~xMd .y •~ b W~ an M •~ ~~ ~ G.•~ o y cue P..... a¢o.~ o how o ~ ~ ~. a ~Q bA M U d ~ ~ N Cfl M fn s J U V- ~ ~ ~ ~> c 't.. 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