Permits R/W 2010 - ll
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CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
. �V it 1,
Application Number . . . . . 10-00001090 Date 9/08/10
Property Address . . . . . . 84 DUDLEY ST
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
--------------------------------------------------------------------
Application desc
REPLACE DRIVEWAY
-----------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JACKSONVILLE HOUSING AUTH OWNER
123 S 8TH STREET
JAX BEACH FL 32250
-----------------------------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/07/11
-----------------------------------------------------------------
Special Notes and Comments
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 if
not already installed. Cleanout must be covered with an RT1
concrete box with metal lid. Cleanout to be set to grade
and visible.
All concrete driveway aprons must be 5 INCHES THICK, 4000
psi, with fibermesh from the edge of pavement to the
property line . Reinforcing rods or mesh are not allowed in
the right-of-way.
Must maintain inverted crown in driveway for drainage.
------------------------------------------------------
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.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
N, ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001089 Date 9/08/10
Property Address . . . . . . 82 DUDLEY ST
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
REPLACE DRIVEWAY
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JAX.HUD OWNER
HSG.MGMT.DIV.ACCTG.DEP
1300 BROAD STREET
JACKSONVILLE FL 32202
----------------------------------------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/07/11
----------------------------------------------------------------------------
Special Notes and Comments
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 if
not already existing. Cleanout must be covered with an RT1
concrete box with metal lid. Cleanout to be set to grade
and visible.
All concrete driveway aprons must be 5 INCHES THICK, 4000
psi, with a fibermesh from the edge of pavement to the
property line. Reinforcing rods or mesh are not allowed in
the right-of-way.
Must maintain inverted crown in driveway for drainage .
----------------------------------------------------------------------------
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.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445
Fax 904-247-5845
PLEASE SUBMIT(3)COMPL TE SETS OF PLANS WITH APPLICATION.
Date
PERMIT#
Job Address ISSUED BY THE CITY
�. 1
Permitee: dausiv:� Telephone* )-L/9-
Permittee Address:
Requesting Permission to Construct: e eg 7
Location: (Reference to Cross-Street)
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 any increase in impervious area on owner's lot or in the city
Right of Wav 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`_ Date: LUCRETIA J.MELTON
�•: .:- COMmission#DD 855097
Before 'me this V January 27,2013
State Of Florida, has personally appeared,
in the C unty of Duval, q:= 89ndeedExp'r�Tro Fain naraeee900V&7019
Notary Public at Large,State of Florida,Count of Duval.
My commission expires: Personally Known:v�
Produced Identification:
auw -
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City of Atlantic Beach
APPLICATION NUMBER
(To be assigned b the Building Department.)
Building Department
;+ 800 Seminole Road I_ ;"7 `Q
Atlantic Beach, Florida 32233-5445 �1
Phone(904)247-5826 • Fax(904) 247-5845
��ojt vs E-mail: building-dept@coab.us Date routed: j
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORI1 ;' aA�
I S� 1 200190
Property Address:
�. � ( LDepartment review requiibdk Yes Ne
ing
Applicant: ning &Zoning
inistrator
Project: I p s Utilit'
Public Safety
Fire Services
r.3 a4
ptS"'
R
S
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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.) Comm nts:
BUILDING it
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
i
City of Atlantic Beach l/f'�''LpP / q APPLICATION NUMBER
r '- Building Department �`� 1 66 t (To be assigned by the Building Department.)
d 800 Seminole Road
o Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us a� Date routed, /
hl
City web-site: http:l/www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property
Address: P :�4)I�V Department review required Yes No
f�'q Building
Applicant: /7 1 r Planning&Zoning
Tree nistrator
Project: 2a 0 ,r-rj'Y r or-_ 6 1-)�C� ubli
13 c Utili '
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
BUILDING
PLANNING&ZONING Reviewed by: Date:-,_,'9=/_/0
TREE ADRMN. Second Review: [QApproved as revised. []Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/74/09
Public Utilities Plan Review Comments
Date: 41 4/0 Initials: (Q"
Project Name/Address: �(,� Application Permit 4:1'0..11691
l :Cheek Boa
Application Tracking Comments to Add
.Comment
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call 0
247-5834.
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 RTI concrete box with metal lid. Cleanout to be set to grade and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be. ❑
tested by a certified tester and a copy of the results sent to Public Utilities.
Plans note the building will be unsprinkled. If plans change, any fire-Line installed
must be metered with a Sensus touch-read meter in a properly sized vault and an ❑
appropriate backflow preventer installed. Back-flow preventer must be tested by a
certified tester and a c V of the results sent to Public Utilities_
If fire sprinkler system is provided, contact Malcolm Clemons at 247-.5839 for
back ow requirements. At a minimum,will require double check backflow ❑
reventer.
Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"
must be installed in a vault as noted in JEA specifications.
City of Atlantic Beach (/ APPLICATION NUMBER
` Building Department P (To be assigned by the Building Department.)
r 6�
� 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 1
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us f(�
APPLICATION REVIEW AND TRACKING FORM 6 v 1 2,x;0
Property Address:
Dep
artmenteview re uired° Yes �-No- --==- -
Buil
Applicant: ,lt Plaing
Trator
Project: Pub
Pub
Fire
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: VApproved. ❑Denied.
(Circle one.) Comments-
BUILDING
BUILDING
PLANNING &ZONING Reviewed by: --!^ Date: g/7 lU
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach V APPLICATION NUMBER
• Building Department (To be assigned by the Building Repartment.)
800 Seminole Road , /
w Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5846 \
E-mail: building �G G Date routed: � �6
LJI
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
r e Address: f-z Department review required Yes No
Property Building
Applicant: J#4 Planning&Zoning
T 'nistrator
Project: \( oon rE_ Public Wo
e Utiliti
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
BUILDING
PLANNING&ZONING
Reviewed by: Date: - y
TREE ADMIN. Second Review: []Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Public Utilities Plan Review Comments
Date: (I'� Initials•
Project Name/Address: Application Permit#:
Application Traeking Comments to Ad
Comment
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call ❑
247-5834.
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 RTI concrete box with metal lid. Cleanout to be set to gra4e and visible.
A reduced pressure zone backflow preventer must be installed-if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be ❑
tested by a certified tester and a copy of the results sent to Public Utilities.
Plans note the building will be unsprinkled. If plans change, any fire-line installed
must be metered with a Sensus touch-read meter in a properly sized vault and an ❑
appropriate backflow preventer installed. Backflow preventer must be tested by a
certified tester and a copy of the results sent to Public Utilities.
If fire sprinkler system is provided,contact Malcolm Clemons at 247-5839 for
backfLOw requirements. At a minimum,willrequire double check ba.clflow ❑
reventer.
Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" ❑
must be installed in a vault as noted in JEA specifications.
El
. n
0
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 322335445 Fax 904247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
1 lY
Date 9 51ho PERMIT#
Job Address
ISSUED BY THE CITY Z1
`
f.
Permitee: ac,ktanv,�l� ,Iays �jc,��aY�J Telephone# aLIL4 4 L
Permittee Address: 1 0 0l rba a �Rk �L
Requesting Permission to Construct: �7
Location: (Reference to Cross-Street)
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 any Increase in Impervious area on owner's lot or in the cifY
Rlaht 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.
B. 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 /� LUCRMJ NELTM
Sin Date: 3t� Corrnr*WM#M 85W
Before me thi day of i�the my of Duval, '
203
State Of Florida,has personally appeared Yom .
Notary Public at Large,State of Florida,Countyo Duval.
My commission expires:..��* -7. 12-11113 Personally Known: ✓
Produced Identification:
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