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Permits R/W 2010 - ll J z1 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 - r o � � s F � d i s .�1 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: II! 0 s a � � Z Iles J ag. Za,ov-jj t �i`Ilk q 'J izvo lb E T�