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Denied Permit r/w 1540 Selva 2011 � 1.,..4y; City of Atlantic Beach APPLICATION NUMBER Building Department AUG �Q IQ (To be assigned by the Building Department.) ;+ 800 Seminole Road j 0 Atlantic Beach, Florida 32233 -5445! /4 2 _ Phone (904) 247 -5826 • Fax (904)5 747 -5845 yam ,- 0. E -mail: building- dept @coab.us � � Date routed: 6 2 7 /6 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / 5 h a c b"kZt a. • Ct„ department review required Yes No Building Applicant: Planning & Zoning Tr- - istrator Project: / `Yr geed Public Safety Fire Services p .., � kj i'; h fi Z p ii g5�»� n vh ,�y , 'dwi a 'k '„^ nu Fir . 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 w Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. Denied. ^ (Circle one.) Comments Median must be adopted in accordance with City policy. BUILDING Requires 5 year commitment and group of 5 or more residents. • l 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 Public Works Plan Review Comments Date: 3b I is Initials: T 0 Project Name /Address: 1, j t10 sc Iva, YraRi`na . jZ Application Permit #: (0 - 10 72- Check Box Application Tracking Comments to Add Comment Provide impervious surface calculations. 0 Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right -of -Way Permit if using ❑ right -of -way for construction parking. Provide a pre - construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24 -66(b) of the Land Development Regulations requires on -site storage for increased runoff. Provide Delta volume calculations and on -site retention required ❑ per Section 24- 66(b). (See attached info. Sheet) If on -site storage is required, a post construction topographic survey documenting ❑ proper construction will be required. A Right -of -Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool — Wellpoint (if used) must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW (Commercial driveways — 6" thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. P - Roll off container company must be on City approved list and cannot be placed on City right -of -way. ❑ LA_, ►C 1JeeS Tv A tii pot- �t 04 - ti AP 0 ❑ CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS : , ter m `°� 800 Seminole Road 904 - 247 -5800 Atlantic Beach, Florida 32233 -5445 Fax 904 - 247 -5845 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date 7 /26ljo PERMIT* Job Address /6'D S &LVA MA R.IPJA 1111<- ISSUED BY THE CITY Permitee: Letg .e:P�� Telephone # Permittee Address: I,J � 5tt4 MARINA Requesting Permission to Construct: 1, RAt Z tit htlePlAPI 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 (X) Date: Comcast Yes ( ) No 01) 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 Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with l 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: /�GSN�►''�`p ate: 014 Before me this Z'71-e— day of in the County of Duval, � wHRE 12a State Of Florida, has personally appeared G° rr17'OB e- DEg 0 Notary Public at Large, State of Florida, County of Duval. _— ,.• •„ y ,M\SS ub 2p �e�/ My commission expires: � �/ Pers a nN'�p14��s' p' i Produced Identification: `�. 'a a "' 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 harnlless by the USER from any of the work herein under the terms of this permit and that all of said liabilities q5e hereby .: umed by the USER. DA IED an,.IGNED this ( I / day of , , 20 /d 4 4 " '' 7 °8` --581 � B eA / LW h� oD& y: . Property Owner (to be signed in presence of the Notary) ' ..---11 , 1 STATE OF FLORIDA S rl - S i S co Wl COUNTY OF DUVAL On this 2 day of , 20A),, personally appeared before me, a Notary Public in aid for said County nd State, 1. c t t-'o- - a/e. - , the property owner of /JVu -(1/. Aa,- cwt F— Ae, , Atlantic Beach, 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. lidaiiid: C `, - . +p'' " , DEBORAH A WHITE i *r , MY COMMISSION 11 DD 834126 Notary Public in for said County and State • - - ` EXPIRES: May 21, 2011 ',fit •. 1 Bonded Thru Notary Put* Underwf tars CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: Ricky L. Carper, Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page2of2 ,11. -tv r City of Atlantic Beach " ' '. APPLICATION NUMBER Building Department (To be assigned by the Building Department.) -• �r 800 Seminole Road AUG ' 0 2010 € -" r4 Atlantic Beach, Florida 32233 -5445 �U t 7 Z- . ._. _ $ / Phone (904) 247-5826 • Fax (904),?-47-5845, l f .j3 1..,'''' E -mail: building-de ing- dept @coab.us Date routed: f 27 / j City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM` " AUG 2010 Property Address: /5' h c ' ' 2 C!r , epartment review required, Yes_. _No Building Applicant: (J 4-D J-- Planning & Zoning • Tr A• •l' istrator t Project: / 0Y / c5\, C2 f7 Y� • . tilities Public Safety Fire Services RateV pa`a s.�2 q : p�� srt '` x 4' �' c L y �. wry �. a� e �+ � �: At1$ d*ej ' '+ ��q„,K4 tk t"� ?:t . ,66f,Q a ° `�¢' r,P�'` i ,';'AO* 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. !A D enied. (Circle one.) Comments: BUILDING Pl \) PLANNING & ZONING GN/ v Reviewed by: � Date: TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLI ORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. EDenied. Comments: Reviewed by: Date: Revised 05/14/09 Public Utilities Plan Review Comments Date: B 13 I (0 Initia Project Name /Address: )910 gel vx M a.R ina - Application Permit #: / 1 '7 ; Check Box Application Tracking Comments to Kidd Comment Avoid damage to underground water /sewer utilities. V ti vertical needed, horizontal call tal ❑ location of utilities. Eland dig if necessary. If field co 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 i de and visible. A reduced pressure zone backflow preventer must be installed provided or if there is a private well on the property. Backflow ❑ tested by a certified tester and a copy of the results sent to Public Plans note the building will be iinsprinldled. 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 certi tes ter 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, will require double check baclflow ❑ preventer. 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. /)1us71 - bb a- gfa''p Pe /°o1 `y -- )51r ,4 / 0 I rs- f- rl CITY OF ATLANTIC BEACH • .,. CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904 - 247 -5800 Lo • Atlantic Beach, Florida 32233 -5445 Fax 904 - 247 -5645 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date Flt 4 1/ 6 /5 -lit PERMIT # Job Address /5 5 L [A IAA R/AIA- ISSUED BY THE CITY Permitee: 1.6 It/Lt 1 Z.oc Telephone # Permittee Address: L. fo 5CDIX MARINA Requesting Permission to Construct: L IZA(40 t Jf At E1DJRWl 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 ( ,e) Date: Ferrell Gas Yes ( ) No (X) Date: Comcast Yes ( ) No 01) 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 appurtena es authorized hereunder, shall be immediately removed from said street or easement or reset or reloc t=• hereon as required by the Director of Public Works, and at the expense of the Permittee unless rei - ement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of :nsportation . , dards and be performed under the supervision of • tractor's Project Superintendent) located at elep n :� . 4. All materials and equipment shall be subject to inspection by the Directs , f \ • ' •r his designee. 5. All city property shall be restored to its original condition as far al, i ke- i with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well 4s, • copy •f a recent survey shall be made a part of this permit. Calculations showing anv increase in in p rvious 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 a b 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: � /�G�w ate: ItJz`1 m Before me this 'Z day of 1 in the County of Duval, A 1'2 State Of Florida, has personally appeared w %', 1 Notary Public at Large, State of Florida, County of Duval. , , MM�SS�O 21, My commission expires: /�� �/ Pers plk�N� Produced Identification: Bo: 3 Fir . #' A "WNW I R.O.W. Permit Attachment of for R.O.W. Permit # issued , 200_ Atlantic Beach, FL 32233 Owner's Name: uft 1 Property Address: 15Mt' 5e4A1 ft C 9t Subdivision: 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: P ( I N Kegs 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: i 5° 551. VA, Mnia ( s� 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 ire hereby .: umed by the USER. DATED an,.IGNED this / da of , 20 /d . 4! ,.,., 70 -'5 316 By: r` emaU l LW / oD& . 0 Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA S,n — 6 t S 6-0 wq COUNTY OF DUVAL l On this t -74- day of , 2042,, personally appeared before me, a Notary Public in and for said Count d State, - C ‘OtA.frra e._ , the property owner of /S34-) -q/C/ 41_61-e -(-4 ) 7'', , Atlantic Beach, 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. j i/1'L t -- _ ` a.; ; MY COMMISSION k DD 634126 Notary Public in for said County and State +-. .:r EXPIRES: May21, 2011 +, Bonded 1hro Navy Pole Undonv1ten CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: Ricky L. Carper, Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page2of2 7 r 1 Impervious Surface Calculations % Formula. Find scare footage of the following: House footprint Driveway - All sidewalks/walkways A/C pads Detached- garage /sheds Pool Decking Patios, terraces and/or decks Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. - - 2 v / . # 2,,e 5 5/1412007 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 e hereby umed by the USER. DATED an,.IGNED this day of , 207 � Jr/ 7 ©8'- 58166" By: • � - E'lYW L W JAJ71 2 JC 0 Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA rl - S S C lv� COUNTY OF DUVAL t On this t -1(4-- day of , 20/0, personally appeared before me, a Notary Public in a d for said County nd State, Lec alt.,- le- , the property owner of /.1-{0 2 . , Atlantic Beach, 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. /, MY" DEBORAH A. WHITE '•u MY COMMISSION N DD 834126 Notary Public in for said County and State EXPIRES: May 21, tot t `;fit•h, Bonded UN Nwery PUNIC Undenwlien CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: Ricky L. 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