Permit R/W 363 Atl #1 Poe's 2011 s ' .
'' s CITY OF ATLANTIC BEACH
�, 800 SEMINOLE ROAD
Aft J : r ATLANTIC BEACH, FL 32233
"' ' INSPECTION PHONE LINE 247 -5814
Application Number . . . . . 11- 00002276 Date 7/01/11
Property Address 363 ATLANTIC BLVD UNIT 01
Tenant nbr, name POE'S TAVERN
Application type description RIGHT -OF -WAY PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
permit to trim hedge in right of way
Owner Contractor
SHOPPES OF NORSHORE LLC OWNER
P.O. BOX 330108
ATLANTIC BEACH FL 32233
Permit RIGHT OF WAY PERMIT
Additional desc . TRIM HEDGE IN RIGHT OF WAY
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 12/28/11
Special Notes and Comments
Trim no lower than 36 inches and remove all debris.
Applicant must replace any plants that fail after trimming.
Other Fees STATE DCA SURCHARGE 2.00
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 29.00 29.00 .00 .00
Grand Total 64.00 64.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
s1 *.// - City of Atlantic Beach APPLICATION NUMBER
f ` v Building Department .c (To be assigned by the Building Department)
I
800 Seminole Road l
t , 745-,- , 5 -,- Atlantic Beach, Florida 32233 -5445 44 t) 1 // - ( /
\ ` Phone (904) 247 -5826 • Fax (904) 2- X45 9 20l
�+
,f-.4, ti 9f• E -mail: building- dept @coab.us ,� Date routed: O/ 1�
City web -site: http: //www.coab.us y '`�y /
APPLICATION REVIEW AND CKING FORM
Property Ad • - - - • , . , 117 6 2/1 Department review required Yes No
Building
Applicant: ■ I _r ,,// ' C K. 1 1 • • e i Planning & Zoning
Tree • istrator
Project: t C&fi ublic
is Utilitie
Public Safety
Fire Services
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. DDenied.
(Circle one.) Comments: 1 . ^ p
BUILDING
f 'i a f�d`tJW�
PLANNING & ZONING Reviewed by: Date: l2 'a /l)
TREE ADMIN. Second Review:
Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
) 1-' i�, Iti 11 1
f 6 :14 CITY OF ATLANTIC BEACH 1 ��
5 ..1. 'I ,, .S UN 2 8 2011 1 f I
CONSTRUC PE WITHIN CITYi IGHTS OF WAY AID. ; • SEMENTS
d ry; irgt� rrrr �..
800 Seminole Road 904-247-5800
�` ik Atlantic Beach, Florida 32233 -5445 'y Fax 904- 247 -5845
Date , I'L1- it t
j PERMIT #
Job Address G3 After +t c-' O rJ l e %�4 t74+ 1 j '
t ISSUED BY THE CITY
Permitee: R" lc' � . (vtc i O ('f P ett r4v,v- y Telephone # 01 Z.io• 3 313
Permittee Address: O t`x"t rj °'' �` a-d
Req esti _ Permission to �'��t^t ` 0 5 e ✓ �J w1 lied C�- �t,�c C S c of Q v ✓M k �, �„�,,,�-
(- yoe is j Vcr t4 fo,obte.ety �—
5'�; 9 Fr✓ly e r s
Location: (Reference to Cross - Street) "'t�' t �o It ./� .f "' 5�-►^e c
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 (4 Date:
Ferrell Gas Yes ( ) No (4,, -Date:
Comcast Yes ( ) No (v)" 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 epart n?ent of Transportation Standards and be
performed under the supervision of t✓'. 13 aVCtJ (Contractor's Project
Superintendent) located at (�o -k4�✓ Co 4t. `' C evt, 4. Telephone #: 9'€)i- - 2 2- `(. '( 3“
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 withk t `f 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 ben tfied twenty-four (24) hours prior to starting work and again
immediately upon complet'• /
OWNER ( • -
1
Signed: Date:
..6
Before me this ,Z 1 day of 2 U Pe_ in the Count! of Duval, 7
/
State Of Florida, has personally appeared L, rc,1,. (No. >fr� Yt... t ` `°
Notary Public at Large, State of Florida, C my of Duval,
My commission expires: GC —7 / 2c) /�
Ej A �•. MIR M GRIFFIN Personaly Known: or n:' %' Notary Pubc State of FloridProduced IdentificatioTP��'_'�"ZINSW , ; My Comm. Expires Oct 14, 201 Commission # EE 34559
%% %� % %% Bonded Through National Notary Ass
- -__________ ......_
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