Permit Paver Driveway 1717 Beach 2011 » f
sA CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002083 Date 5/25/11
Property Address 1717 BEACH AVE
Application type description RIGHT -OF -WAY PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
CONCRETE TO PAVERS DRIVEWAY
Owner Contractor
HADLOW NANCY P OWNER
1717 BEACH AVENUE
ATLANTIC BEACH FL 32233
Permit DRIVEWAY PERMIT
Additional desc . PAVER DRIVEWAY
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/21/11
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.
Cleanout must be covered with at RT1 concrete box with
metal lid. Cleanout to be set to grade and visible.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Cannot block Beach Ave. traffic at any time.
No increase in drivway footprint is permitted.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Cannot block Beach Avenue traffic at any time.
No increase in driveway footprint is permitted.
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 g . 0 . 00 . 00 . 00
.A
PERMIT IS iP� frAD g1 IN�'.�CI RDANCE WIT1? LLVITY OF ATLA7sNIC4ACH ORDINANCE4RND THE FLORIDA °
BUILDING CODES.
.rs
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J �� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
.,;.... J 131 9'14
Page 2
Application Number 11- 00002083 Date 5/25/11
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.
"'` ° CITY OF ATLANTIC BEACH U
A CONSTRUCTION PERMI WITHIN CITY RIGHTS OF WAY AND EASE TSMAY I e 1011
�' 904- 247 -5800
800 Seminole Road
•" : '� V Atlantic Beach, Florida 32233-5445 By Fax 904- 247 -5845
Date '1, ,1/ PERMIT*
�_` `'
/ ISSUED BY THE CITY
Job Address /7/ 7 / J t 4C6' — /�
Permitee: bIrrea .D� Arbag es vivax LL C Telephone # 90 5V3' " 7U
Permittee Address: /i' 3' 5P. de'- f ' O ie `/ 4y' / rtA eza
Requesting Permission to Construct: /Pew /Alert ‘.24.-lveu•.51r (te/ d9 z./ / 'QXzsR/Lyj
Location: (Reference to Cross - Street) /7 amiert
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: - / /r06 te)C-A " S —(6ft xerlrrit,C
Jacksonville Electric Authority Yes ( ) No ( ) Date:
Bell South Telephone Company Yes ( ) No ( ) Date: \t/
Ferrell Gas Yes ( ) ( ) Date:
Comcast ( ) 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 EJA'' 2c'7L /i aijdtrer,C.j s ai (Contractor's Project
Superintendent) located at .7 ?6S i re. Telephone #: 960Y , S - VS: 7204
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 / 0 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.
1 OWNER - Of
Signe r i • v. Date: - '11)•l l
Before me this 11) day of gl in the County of Duval,
State Of Florida, has personally appeared G1ro Fai I non
Notary Public at Large, State of Florida, County of D val. 4 0 _ a� CHRISTINEWATSON
My commission expires: 2 ,� Notary Public, State of Florida
Personally Known: or rw; Commission #DD984107
Produced Identification: (..nL FASO 3 4 41850 My comm. expires Apr. 21, 2014
R.O.W. Permit Attachment of for
R.O.W. Permit # issued , 200_ Atlantic Beach, FL 32233
Owner's Name: /Yid /U £ kfriLey ,C11Gavlti
Property Address: /7/7 isexe/ .
Subdivision: frairtVc rtl#
Lot # / Block #:
R.E. #:
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: 2 I Ck .41-v eft. ' P21 V&W A-1
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.
DATED and SIGNED this /d day of , 2044
By : AL.-4 _
Property 0 er
p Y
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this IO' day of Pk , 2061, personally appeared before me, a Notary
Public in and for said Count and State, a/ Fa 11 «,r , the property owner of
r A.C%\ A , Atlantic Beacli, 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 and voluntarily and for the uses and purposes therein mentioned.
CHFUTINE WATSON
Notary Public in for said County and State 4. '` '` Notary Public, StatoofFlorida
II Commissigr►#. D0984107
My comm. expires Apr. 21, 2014
CITY OF ATLANTIC BEACH, FLORIDA, a - }-0-
municipal corporation:
Approved:
Ricky L. Carper, Public Works Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim Hanson, City Manager
Page 2 of 2
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C
r S1 -A 1; City of Atlantic Beach M 1 APPLICATION NUMBER
r ;' Building Department y 2Q (To be assigned by the Building Department.)
800 Seminole Road �f
e Atlantic Beach, Florida 32233 -5445 e/ " a ��
Phone (904) 247 -5826 • Fax (904) 247 -5845 ._
E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /7/ 7 ,&&? ke Department review required Yes No
Building
Applicant: Planning & Zoning
- • • - • trator
Project: ?Aft '/ pe W (/ • IC A •
° •Iic Utiliti- -
Publ Safety
Fire Services
(
Review feel
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 1
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: -
TREE ADMIN. Second Review: ['Approved as revised. ❑Denied.
WOR' S Comments:
U LITIES
PUBLI SA Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
"
5 J ,,, City of Atlantic Beach APPLICATION NUMBER
u I Building Department M'�y (To be assigned by the Building Department.)
d
800 Seminole Roa r
§ , Atlantic Beach, Florida 32233 - 544/ 1 . '1 6:c110/1; Aj /// - ��
Phone (904) 247 -5826 Fax (904) 247-54
.:: / -oli 9',. E -mail: building- dept @coab.us --., Date routed: /4
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND T RACKING FORM
Property Address: M/7 oeesieiv 6 Department review required Yes No
Building
Applicant: D eZ Planning & Zoning
- - • • • • trator
Project: ?Ai 1_• "/ v eoA y • •
•lic Utiliti-
Public Safety
Fire Services
Review fee $_ `` Qept;Sibr ature £ " ,
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: ❑Approved. [Denied.
(Circle one.) Comments: d"� c.)1
BUILDING
PLANNING & ZO NING Reviewed by: Date: �j-��
TREE ADMIN. Second Review: Approved as revised. ['Denied.
PUBLIC WORKS Comments: p PUBLIC UTILITIES
Reviewed b : - 4 Date: -
PUBLIC SAFETY Y
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
MAY-31-2011 14:46 FROM: CLERK OF COURTS 904 270 1512
TO: 92475$45 P :1/1
•
Poll* No, �f • dG7oo3 NOTICE OF COMMENCEMENT
Tax Folio No.
Static of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real roe in accordance i th
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Wl
1. Description of property (legal description of property and address if available):
.tI , Y
2. General Description of improvements: :1 r�
Y.XI3r eats Uee c
3. Owner Information:
a) Name and Address : /Z/, /G //OW/ / /01061,11 / 7/7 /? /
b) Interest in property; k,
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information:
e {
a) Name and Address: ,�'�Ip, f / 4 ?d _ CC /.5 � 7fi� Q.2
b) Phone Number: , o .s- 7 -
5. Surety Information:
•
a) Name and Address:
b) Phone Number: ./V/14
c) Amount of Bond: $
6. Lender Information:
a) Name and Address: ji./1
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Narne and Address: 5-fig p 4„.Git / Po
b) Phone Numbers of Designated Person:
S. In addition to himself/herself, Owner designates of to receive
a copy of the Licnor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address:
b) Phone Number of person or entity designated by owner:
9 Expiration date of .Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ,ARE CONSIDERED IIVIPROPER PAYMENTS UNDER CHAPTER 713, PART
1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON TIIE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITII YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this la* day of 20 f
J
16 — ", �1 O TARY PU/I��BLIC, STATE OF FLORIDA
CHR1t3flP E WA Sc pr t N ame: Ch t < 5 N 0.450 c1
Nota►y poin, SFataof grab
Commission/DC/841U
My canm. expires Apr. 21, gt ersonally Known
entifieation/Type : FLL. LA CWet L-t Cra1. e -
Veri.fication pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belief.
tafAitiorr
Voce A:011119419, OR 3K 15514 Page 1533, Signature of 'rclperty Owner
Number Pages 1
Recorded 05131/2011 at 02:57 PM,
„AIM FULLER CLERK CIRCUIT COURT DUVAL
COUN i'Y
RECORDING $10.00
Revised 10/1 /2009