Permit R/W Driveway 2010 � City of Atlantic Beach ' ' APPLICATION NUMBER
fS ' 1 Building Department ' ^ A : (To be assigned by the Building Department.)
I A1. Ca 3 W 20 10
v 800 Seminole Road
Atlantic Beach, Florida 32233-5445 ' / 0 - /o
Phone (904) 247 -5826 • Fax (904) 24=7 -58.45 8 t i 0
' ^,0. ti 9» E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2g4 9 Num le_. ( Department review required Yes No
C -r`Q- (1) Pa ng
Applicant: G+J + S Planning & Zoning
WI Tree Administrator
Project: \ Gi n ctnJe-4.J -ublic Work
Public Safety
Fire Services
... $ W x. 4 'F ' Depf Signature 7 71
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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: n pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
i
D
PLANNING & ZONING
l�
TREE ADMIN. .. , .- • n Re by: . n_
,
,
� 1 � Its CITY OF ATLANTIC g
`' :4 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF ' EACH
.5 C Seminole Road W AY AND EASE MENTS
`� ° °i� Atlantic Beach, Florida 32233 -5445
PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION.
904 -247 -5800
Fax 904 - 247 -5845
Date TION.
Job Address + PERMIT#
A. 4/110
L �r -6 4 _, w ISSUED BY THE CJT
1
Permitee: •�
s
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Permittee Address: _ Telephone # % t
Pe �• � f � t . . �
Requesting
9 rmission to Construct:
Location:
(Reference to Cross - Street)
rC1a ; :mot, 3 .
1.
Applicant declares that prior to filing this application A 40. ''' r
both ca and underground and the ccurate locations are sh �
o he e e s o s n on t ed. the location of all existing utilities,
A Letter of Notification was mailed to the following Utilities/Municipalities: n the sketches.
Jacksonville Electric Authority
a
Bell South Telephone Company
Ferrell Gas Yes N.--)-- No ( ) Date: le T�
Comcast Yes (- No ( ) Date: S
Yes (,,,,y No ( ) Date: i
2 Whenever necessary for the construction, re air, Yes (� N ( ) Date:
alteration or relocation of all, or any P improvement, maintenance, safe and efficient operation,
l t
Works, any y portion of said street or easement as determined by the Director of Pub •
y or all of said poles, wires n,
Works, a , shall be immediately removed from said street or Public
pipes, cables or other facilities and a
required by the Director of Public Works, and at the expense of t Por relocated authorized
authorized.
easement or reset or relocated hereon as
All work shall meet City of Atlantic Beach o F oritla Department he Permittee unless reimbursement is
performed under meet
the supervision of ����
3
of Transportation Standards and be
Superintendent) located at �' �� _ -�= '` _
4 ~�"`°' (Contractor's Project
All materials a nd equipment shall be subject o inspection by the Director of � `�
''' '�' Telephone #
Al! c property shall be restored to its original condition as far as practical in
and the manner satisfactory to the city. covering of Public Works or his designee.
5.
6. A sketch of plans verin d this installation, as well as, a copy keeping with city specifications
part of this perm verin a so this • i
Ri• ht of Wa are to be included with this a. • increase in im•ervious area owner's lot or survey b
n the cit
7. This permittee shall commence actual construction in good faith with rim „. is 41. - ,_
more than 60 days from date of narm ,�.__.._, ,•
R.O.W. Permit Attachment of for
R.O.W. Permit # issued , 200_ Atlantic Beach, FL 32233
Owner's Name: r L,
Property Address: r � Lam -
Subdivision: .,t,
Lot # / Block #: - Li G"--) R.E. #: c-' lc ) O FA e
1 �
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
, 200, by Atlantic Beach, Florida, a municipal corporation organized and existing
under the laws of the State of Florida, hereinafter referred to as "CITY" and
of Atlantic Beach, Florida, hereinafter referred to as "USER ".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described 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/Easement permit numbers noted above (copies attached).
This work is generally described as: '" • 40 J =
r
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 receipt requested, to the following address:
The depositing of said notice of cancellation in the United States 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 to any facility erected or maintained in
the exercise of the privilege herein granted and shall at all tinges maintain said facility in good 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 maintaining, 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 meet the current requirements of the City Code, Building
Codes, Land 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 sidewalks may not be
replaced with other materials, but must be replaced with smooth concrete left natural in color so that it
matches 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 showing 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 further agrees that the CITY and its officers and
employees shall be saved harmless by the USER from any of the work herein under the terms of this
permit and that all of said liabilities are hereby assumed by the USER.
DA'Z'ED d SIGNED this _56 day of , 200.
BY: KM
,'rode •wner
(to be is ed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of , 20/4 personally appeared before me, a Notary
Public in and for said County a t: State, �n We-K. W,�(( u—,. the property owner of
J U S v aa.�(,h �.-�� , Atlantic B h, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that he or she
executed the same freely d voluntarily and for - d . . oses therein mentioned.
/ ( ; t / // � Bo ndod E Th p Nota ry p blic u 2011 r ra
Notary Public in for said County and State
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation:
Approved:
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MAP SHOWING SURVEY OF
LOT 467 SALTAIR SECTION NOS 11 AS RECORDED IN PLAT BOOK 10 PACE 81 OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
SEASPRAY AVE.
Q 10 2 40
SCALE: 1" e 20' Q
Q
LOT 466 0
o
FOUND 1/2'I
IRON PIPE 5 .6728'00 "E. 100.00' FOUND 3/4" I Q
NO CAP I f 8 n_
' IRON PIPE
,.,...0.2' (S. 67'28'00" E. 100.01' FIELD) NO CAP
-- -F_ , x _ r 4 CHAIN LINN FENCE
0•6"1 6' W000 BOARD FENCE d• x x x --d• x- ' Q
W0DD WAIN r`
O o i
O " 44,1' 24.9' ° d -... 0
t� I OO z ° V I-
m � 1 STORY " r $ o, in ' O
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n _
CD
• N PATIO s MASONRY E • W STONES 7
W co AND FRAME 0 , VV
o , RESIDENCE p p�
- r, N ° W o #284 CV C
N N U. In CONCRETE DRIVE N
--...___ N
1'
r U 44.1'
LI
0,
N ��� WA •' V1
*- x-- ._x _-x-- --x�>r 6' WOOD OARD FENCE r
N,!o. (N. 6725'38" W. 100.07' FIELD) o.2 !--d (f)
FOUND 1/2" IRON PIPE
� N.6728 ► 00 "W, 100.00' FOUND P
IRON PIPE
NO CAP NO CAP
LOT 468
co
d
0
u
FOUND 4" 3/
IRON PIPE
NO CAP
NOTES: DAVID STREET
1. THIS IS A BOUNDARY SURVEY.
2. BEARINGS ARE BASED ON THE WEST LINE OF
BELVEDERE STREET, AS BEING S.22 "E.
AS PER PLAT BOOK .35, PAGES 64 AND 64A,
3. NO BUILDING RESTRICTION LINE BY PLAT.
THE PROPERTY SHOWN HEREON APPEARS TO [IF IN THIS SURVEY WAS kAAnF_rn0 Tut ot-.ir-,..T