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Permit Driveway 1707 W Park Ter � L p , f1 CITY OF ATLANTIC BEACH =max t 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001431 Date 12/07/10 Property Address 1707 W PARK TER Application type description RIGHT -OF -WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc concrete to pavers driveway Owner Contractor MOURO YOUNG AMERICANS HOME INC 1707 PARK TERRACE WEST PO BOX 24076 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241 (904) 759 -9302 Permit DRIVEWAY PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 6/05/11 Special Notes and Comments 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 RT1 concrete box with metal lid. Cleanout to be set to grade and visible. Other Fees STATE DCA SURCHARGE 2.00 ENG REV BLDG MOD OR ROW 50.00 STATE DBPR SURCHARGE 2.00 UTIL REV MODIF OR ROW 25.00 Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 79.00 79.00 .00 .00 Grand Total 114.00 114.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. /'1ovt CITY OF ATLANTIC BEACH Z; 1. CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS >, T 11111MINI , 800 Seminole Road 904 - 247 -5800 Atlantic Beach, Florida 32233 -5445 Fax 904 - 247 -5845 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. �j Date 1 • �3' ' • 11) Pax PERMIT# Job Address I 0 ( I�...1 � .v Ira ct W ISSUED BY THE CITY v� � Permitee: �U ik1 [S , IIL. Telephone # Permittee Address: • _a ti _ _ L • FL v �l Requesting Permission to Construct: 101'We - CO 'Q d x (Ve Wa l (e.p Kact w( paver drive Vvo�y 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 sod poles, wires, pipes, cables or other facilities and apOurtenances 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 Bea h • r. FI• rid- Dep. rt ent of IranspoFtatio to • . rds and be performed under the supervisio of •1!• 1 , ► UYt nynevicam i - •r' Project Superintendent) located at '10 eyytat w. :;y!! ' I -, elephone #: S C 1. 43o - a- 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 Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 5 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: 22 • •Rz-•" `' sate: j /�7//!- Before me this ; sg% day of ►I1 . i th County of Duval, �,` State Of Florida, has p- rsonally appeared OWIQ�S Q�1t� , WPM NEWS NALIOINE Notary Public at Large, Stag o Florida ounty of Duval. \ NON! P N E111I1g commissio expi es: 15 • • ( Personal) 0 Aly n O T Produced Identification: ,‘ -A, r M Ift a m e s e Throe. NNiwN Nary A, R.O.W. Permit Attachment of for R.O.W. Permit # issued , 200_ Atlantic Beach, FL 32233 Owner's Name: Property Address: Subdivision: Lot # / Block #: R.E. #: REVOCABLE ENCROACHMENT PERMIT W S REVOCABLE ENCROACHMENT PERMIT, issued on this day of � , 200, by Atlantic Beach, Florida, a municipal corporatigjorganized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and /‘y a✓)'C' 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: PA g)(/ 14.4 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 times 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'ZED and SIGNED this - a - 9 day of NI 6\bQI'V1 bur , By %)2 ? • ��ll Property Ver (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL `__ On this _ day of N 5V &M GX4' , .2.4 O personally appeared before me, a Notary Public in and for said County and State, "TEA/was Malin , the property owner of k_TeV rga. w . , Atlantic Beach, Florida, known to me to be the person(s) described in and who ekecuted the foregoing instrument; who acknowledged t4 me that he or she executed th same freely and voluntarily and for the uses and purposes therein mentioned. • MAW NEM SAME Notary Public in for said County and State M � 4," 01111116. ho Ate a O • IM N „vas : CITY OF ATLANTIC BEACH, FLORIDA, a N ANIL municipal corporation: Approved: 1.-) v Ricky L. Carper ublic Works Director For Permits where city sidewalk is impacted, City Manager approval required: P/9" Jim Hanson, City Manager Page 2 of 2 Western Surety C POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America, does hereby make, constitute and appoint Paul T. Bruflat o f Sioux Falls State of South Dakota , its regularly elected Senior Vice President , as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed, the following bond: One HIGHWAY PERMIT bond with bond number 14613785 for SU G AM R ,k 00 S C. as Principal in the penalty amount not to exceed: $5,000.00 . Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by -laws of Western Surety Company duly adopted and now in force, to -wit: Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Tre i surer, or any Vice President, or by such other officers as the Boa�d of Directors may authorize. The President, any Vice President, Secre ry, any Assistant Secretary, or the Treasurer may appoint AttooFFneys -in -Fact or agents who shall have authority to issue bonds, policies, undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its Senior Vice President with the corporate seal affixed this 25 day of August , 2010 ATTEST WE / N SUR COMPANY 4 2-41.„.„/ L. Nelson, Assistant Secretary Paul T. Bru at, Senior Vice President STATE OF SOUTH DAKOTA ss COUNTY OF MINNEHAHA On this 25 day of August , 2010 , before me, a Notary Public, personally appeared Paul T. Bruflat and L. Nelson who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Senior Vice President and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntary act and deed of said Corporation. }cv.)h5hh5.) 547% ,c,c,h + s D. KRELL s a S AE L NOTARY PUBLIC SEAL /.t_e_g s SOUTH DAKOTA s Notary Public + + My Commission Expires November 30, 2012 r® Form F1975 -9 -2006 �IiiM' 1r," .40.1. 0 4 .,f/ t ' ° ,', , ':' ' I '''. •k r` '' ,' , ,,,,,, T - q1i:, m *4 41a,' ,,,-.:1?':k.;,....V),,..J-i,:44,11tv:4,4' ,,,..,,,, . ,.,,,,, < , , ,, v ,,,,,, '1■''1' ' i ' ''' ''' " 7 4 ' ' ' ' " .' ' ' 'f' ° : ? : 4 43: - '' ..''''' 'a.. 0,0' ' ''' ...w.-0 ....,. .11 '.: . ''.1' ' I'': '''' 14 -1.e..t.'-' ;;;., :.: f. 6 "' ',.; ' i 1 ,..., . ' . ...',. ,.' ^.. 4ii C ''-'I , - ., I, 314 , t • . RK - , , •-e " -,' - ID „. ',..i.' i'.".. ./..i'41.,t . '..q.‘Vri*T. .,,, ' ‘-''''' 1.4.tbiAtis ,t7. 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PARK TERRACE, ATLANTIC BEACH, Florida 32233 4 f, SURVEY NUMBER FL1008.0211 ..; 7,-„7,77,-77-•,17.,r,,,,,rir.„....„.4; ,,,,„; ,,,,,.,. „ r ,,,,, 1 „,, ,..,,,,,,,, , „,",,- ,... 4-..; ',,,,,,,■,,,,,,,,,,, ,,,,,,,, ,„„,..,,, ,1,-- ,,,,. ,...% Moe , .. . ,..„..A,.., or .......r .r......., ....,.....„, , ,, . , , , • >TE: 8/13/2010 REVISION DATE(S): (rev.0 8/13/2010) f. '..' Ll , 0211 NO3°03'10"E 5.64' (P) ., RY SURVEY LOT 17 N01°4011"E 5.29'(M) r; . 0 —..• ;OUNTY ,,, ,. 1, , , BLK 12 S8 (B 6 °R 56 . ' P 50 C14"P E 1 (P) ,rr S:6 °56'50"E 129.93'(M) FIP 1/2" i 0 se/ : 30.0' NO ID FIP i 111-21. x , Oi .,— ......- ... 1 FIP 1/2" ''''' • f NO I --X--X---X--X x i X f 6' WOOD FENCE j ', ,.. ' ` CO/Lie/tale di k at , r V. 47.1. . 7 Si 0 . , ,, ,........ ti, --_, , j/-4' --...._.... .o --_ • 4,-, ...--- AisrA 1/ / sg: Cl ..,,,.........._ i i . ... ', , . , /, ::. PA refi- 4fiiie ' / p 4.3i ...:: -I- i 4 ''' ,;;;" „ r - 11 , ..,. 34. • v 1 :', Pi/t /k 4toy . , / / ---.7, 7 BL 12 . /..../ , i. ,,, tir-,•. / 7 ,‘2' / . ' ''.. - LO r 16 1 p X ' / i ' - - t 5.1, , , , ,, - ' 1 7 i ., . / 1 , • .., FIP1/2 ' " ; ----....... =-- (N i 1 I / / / / ' • , / l'/ (.* 1 ii-c,' ' , C i . ' ' ' 1 ' 0 ''' i (I) ? u" 1 , ,v 41 ....... .......... c FIP 1/2' 10> 1 VC '55''E 95.30W) NO ID ,S4f,..■...,,, i © P.R.C. •41GG,----..., I , P), 4°33'15"(M) ft.) t let, 4'30t.'41,fr -5' I 28"E 18.86'(P), •06 • -0, 4 s ,: - . --.,,,.. I ": ; '; 49"E 18.85'(M) 0 I wi LOT 15 ,r...• i / BLK 12 ,.,.. / at this Sk6t5hr 2f SurveY o th' hereon I arty has been made under m di .con, and I CALC. PT. ny knowledge and belief, it is a .ru: and FIP 1/2" (TREE ON - ..f, atstecatios-ot aceu r .t meet. t e minimum ispjaa NO ID PROP.COR.) dards set forth by ttag orida B. w'. Of - FENCE OWNERSHIP NOT DETERMINED. wic ki . na ministraSTektr..5 Surveyors as doscrIbed in - -ptar 5J-17 LOT APPEARS TO BE SERVICED BY CITY SEWER. ;"..; dre 4. R. .'f..I t e. FLORIDA sP OA sr, ‘0, 30 0 15 30 •, 'I4 4 Z S URVV,' cis" ), Mark A. Johnson GRAPHIC SCALE (In Feet) w N 'i V all• .!Wr b, -----:----------_ •:, )rida Professional surveyor and Mapper 1 inch = 30' ft. •11111 Oar '..;,• License No, 6572 ..1-. Use of This Survey for Purposes other than Intended, Without Written Verification, will be at the User's Sole Risk and Without Liability to the Surveyor. • Nothin hereon shall be Construed to Give ANY Rt• hts nr Benefits to An one Other thAn those Certified. 1 ,,I41 3 4 , •3I00 '4I,V 31 ,Y“' 'I.:4 '' 3 3•33. - "." 'I:, k a, , r c .sue_'1 a r air e � �ip q i f i ' I; 3 � � � 1 � �O I f f rl . ; g $° Ate' ?e' ' I ° i f i : Q . S I I y treq ( ta}ib�Y �t v R r � + ye ; ' r y .FL:t i ,4r?� t + r ) V"r t,ftM1Y n''$ 3 rt • ? . ; ; 40., , r+ 4 i t . i r . t i;. t, .c,. t'r Y: ! i x w ' _ e /• * M71 ' - e t } :� ti:r c ti *'I 4 r " t ' + X •: . v it ^''ss w'y ./,: B� ti.: G )yt i � t ° CIF s A t i . w r0.^ )i ' ; t o t P� ne�: S ea,r, �^y�" I f Lt[ zY x5 ;1 . "? �.. r T r k .. . t�3a�"°S � r* s r,, :i i y , F x r:' Wva k $ w '�?`,} t i ^�r ," ?{ h�'{�n ,N • t ^ 1 c f t , + e r ' tt + , "i'0 ° d ea •' ' 0o `• s v t i � i ( t � x 5 4� ...Y� a r e�ti d^'s � zv nryu� K ' S � ; 04.7".: y �p 7 -, f 1 t . < ; _ ("t� y t v4" c ..� ��, .VlO� ' ✓ W +� , p s r , F l i X 34 , e +r = y .. „ Si •M •` kt , a . s * M 9 � °f x ` I : f t w J i 1'1 a rt }1 > p ii. e ,✓ r 'Yt , r , z .o e �s 's'K i- a t r0.t J t�,.t.we1 ��yt�'c.'t r,_. r's,'ka� .eat.. •..rt r x +fra a -.4 SURVEY NUMBER FL10080211 RESS: 1707 W. PARK TERRACE, ATLANTIC BEACH Florida 32233 \TE: 8/13/2010 REVISION DATE(S): (rev.0 8/13/2010) NO3 °03'10 "E 5.64' (P) 0211 LOT 17 N01 °40'11 "E 5.29'(M) �2�mQ V RY SURVEY BLK 12 „:„....,,,, ;OUNTY ( (B,R. PER PLAIT. iv ' D �7 5 .S C ',."....,:' F IP 1/2" S 86 °56'50 "E 130.00' (P) v a FIP 1/2" 30,0' NO ID S86 °56'50 "E 129.93'(M) N OI x , 0 N61-ele cla I M fit 6' WOOD FENCE I WO 1 r: D !f NOIO O rn SA: � Cr �e �l w 4 '1 -� n I / l t , vQ r 1 ' ) i / vela -- t2g't/t- ` i i C1 3.5� 4,3, 1 1 LO 16 1 ± ��� yD f II 5 j BL 12 1 u, l: ( i 10 Y r 7 i , l ) - ¢ New / AVet- i i // 1 . / N I a , 1 Lc) i r FIP 1!2 ( $T 173 c0 I I F10su piLy / 1N #/707''s Y 1.26 N 4 U,� I // 2.58' W.7 •' -..1•,-- rO Uj;-- 1 tp e r's i cc 95.95'(M) ir ----:---...„, ;;;' i.i:,(--------. kr) (P), 23 °10'35 "(M) C2 �C' rn 1 i9 "E 94.36'(P), y 0'F I FIP 1/2" s Mr \ '55 "E 95.30'(M) NO ID F 1 @ P.R.C. N N64° R0RQ F� 1' P M 33'1)5 "(M) pt 411 p22 3 n �74 D ySp p < /r /F S SFU � ,"� ` 28 "E 18.86'(P), 6 � M j �. �p) O vFR \ I- 49 "E 18.85'(M) P lL r „ c j x I A. Iof N LOT 15 1 $ �SE Ntr o� BLK 12 I ° r at this Sk61 Survey o th= hereon CALC. PT. arty has been made under m di = coon, and NO ID pROP.CO ny knowledge and belief, it is a ru FIP 1!2" (TREE ON and ry�latic -oiac u • ,t meet• t e minimum N_QT_ dards set forth by fbb orida B•a{ Of - FENCE OWNERSHIP NOT DETERMINED. MC . rid Surveyors as doscribed in - `• pter 5J -17 ...,m a LOT APPEARS TO B SERVICED BY CITY SEWER. � ministra& &FLORA 4� 1 30 30 0 fs foNgL SilR�/b`�o - g1 GRAPHIC SCALE (In Feet) ' s u •sY Mark A ' 11111 v , 'ride Professional Surveyor and Mapper 1 i nch = 30' ft. License No, 6572 Without Written Verification will be at the User's Sole Risk and Without Liability to the Surveyor. ; Use of this Survey for Purposes other thhn intended, Give ANY RI hts nr Benefits to An one ed, r .„,4,„ , , ; ,., ,, , _ - Construed to Gi Other than those Certified ,..y ynA r Nothuv hereon shall be C . ` City of Atlantic Beach 1 \.AEI `�.l E' IV y APPLICATION NUMBER R..A� ;� Building Department (To be assigned by the Building Department.) ` .- v + 800 Seminole Road DEC 0 2 2010 , d j J - �.) Atlantic Beach, Florida 32233 -5445 � , _ /� l Phone (904) 247 -5826 • Fax (904) 2 845 'Jtt 1..)v 1..)v E -mail: building- dept @coab.us Date routed: / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 7 / ` ez ! t tr Department review required Yes No Building Applicant: YOrr)2 94„,„ ,# Planning & Zoning Tre- • •' I istrator Project: ( (kiey7 A "PubUc Wn 1/ -P -� c Utilities / '"tr 'ublic a ety Fire Services �"1 tip �,�r�{� J��t is �` iN3"�� i ,� �� v p i.,, i u NL � yt If � ,I, ept ign t rR�r ,'jp�i9�{�zt ,;° �, d J2: 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: ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by Dater I/0/() 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 05114109