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Permit Driveway 18 Forrestal 2011 14 A t ' CITY OF ATLANTIC BEACH ,. sr 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002548 Date 9/02/11 Property Address 18 FORRESTAL CIR Application type description RIGHT -OF -WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REPLACE CONCRETE DRIVEWAY Owner Contractor AVELLAR CAPITAL CITY INTERIOR TRIM INC 18 FORRESTAL CIRCLE 8713 REEDY BRANCH DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 519 -2542 Permit DRIVEWAY PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 2/29/12 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. 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. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees STATE DCA SURCHARGE 2.00 ENG REV BLDG MOD OR ROW 25.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan I? an Check Total .00 .00 .00 .00 PERMIT IS Q t.dik6iE .Y�IW kL"t�ORDANCE WITP‘LQ QITY OF ATa19H0 fitACH ORDINANGEi XND THE FLORID/0 0 BUILDING CODES. i i LL - r � ' ' s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t „. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Page 2 Application Number 11- 00002548 Date 9/02/11 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. CITY OF ATLANTIC BEACH 0,,,,m, CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS - 904-247-5800 800 Seminole Road 904 247 5800 Fax 904 - 247 -5845 r;: ,_. ,/ Atlantic Beach, Florida 32233 -5445 Date d / PERMIT # 1 , Q C 2.0 ISSUED BY THE CITY I Job Address ) ( 8 Fo�eSS 1 '\ I( - � f'r 9 3 Q ' � ( 6) �� Z Z� Permitee: OA At' L�� �`b 'r � 'c` "" " \$5D ° 445 — ��� Telephone # Permittee Address: l 13 0 0 , r ti,, Dv -s, 32,2.5t, GA o. a L s n b v`, l d plri) - ►y Requesting Permission to Construct: ) C1V-e W t.. N, fa ('l - re Location: (Reference to Cross - Street) irr `"` 6 11, 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 (CQ Date: Bell South Telephone Company Yes ( ) No (/y Date: Yes ( ) No 6 ) Date: Ferrell Gas Comcast Yes ( ) No .(c) 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 4.Qe Q '-/4C (Contractor's Project Superintendent) located at Telephone #: $ -4455 -Sic) 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 wit w .,_ : days. If the beginning date is more than 60 days from date of permit approval, then permittee m -, 4 .- , e permit with the Director of Public Works to make sure no changes have occurred in the area that w• • - ct th miffed construction. 8. it is understood and agreed that the rights and privileges herein set out are g ant or ' o e extent of the City's right, title and interest in the land to be entered upon and used by the holder, a j older 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 i /4 Date: $ / 2 3 s � B e ore: I day of ,dxi in the County o . ' W� i ' _ — _ A n Statee Of Florida, is Y �j,IJ-, _ ilp State Of F has personally appeared rHo.1L �ov�.�. A�tA If Notary Public at Large, State of Floprida, County of Duval. PATRICK LUIS FOSTER My commission expires: «tA,hc ( '� ,At Notary Public - of flotid& Personally Known: or . D (.—„* T My Comm. Ewan Nay tk 2014 Produced Identification: Pie �o:.ty✓s "C w-�i wc+A� ,,� jA1. -' Commisalsa. EE 40072 A , _ y 1 `y - WO vi v• • ` Q I II Z IM oc o c o • 0 — i 6 F N K I 6 A d 6 . ; 1 . m 3 0. CNI w • < - s '; " I P 0 t . ....c---4 2 ,,, , v— . . < . ..... A . ,.... ., ,v. _ s , 5*.?.%...:a I ....,, ...t. = m ,:� i al vi U. t <; ,. I is 1 4 ' tq W X I . *I f . ''' : 1 C° 4 1 . p , N IS T g L,i. ,. t p __ k , Nri 4.0, cl r- < A ill , I ,:_- 4- (t)§* 1 „,. ;. •:: l• t 1 li 1 .. o I U .:... 5 s a a v, V 2-'4. • • -- W a - t_ — 4 d w �g W O V' s G. .I N 2. ° La 1 iki , 6 v.) d - d > a I tag T. 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I cA a N 4--...-- i= . -' ct z v ? l o' er . . et O. z O � � tma a a!� I I4 Z ~U W<o< F = - . ..3 . ru LL ^ J` � 9; oi a ° C " x a i' Z in rn d 9 5c"` •5 M < in W r-- (Av r-- . ,.... , 1/4...) . 11 tn 6 0 h '''' i W60 0 11'6 a 62 p �IIIhIIIIf Z w o cas U'" w Q w I o �. . , 1I1 _ L IIIIi 1---- 0 J <g it < 1 ' . 'as M - �s��s>wa 0 ;-; ' • (1 Q .. cV ,/ I d1 m 6 0 m i� ■ ••L a I, s' O w • ;n /! /.b.7 4 o (o38nsb3w) ,Lo•oo t „LO,SZ.oZ N (lvld) .00'001 „S£,SZ.OZ N tC slill 1 .... _N . J A H m J 0 1,Alp, r , , City of Atlantic Beach C, APPLICATION NUMBER t.'' Building Department `�'Og - �j .k (To be assigned by the Building Department.) . y 800 Seminole Road s s 1 1 :• s) Atlantic Beach, Florida 32233 -5445 `° // !/ Phone (904) 247 -5826 • Fax (904) 247 =58"45 J ci57 ' // Date routed: ���a E -mail: building- dept @coab.us ^�"= �� City web -site: http: / /www.coab.us -. APPLICATION REVIEW AND TRACKING FORM Property Addr ss: d rr f, 7' L 1Z. Department review required Yes No ed-v l Bui lding Applicant: '1 in Building & Zoning Tree Administrator Project: 00 n li ff . (f-_. 0y 1 f E oily Public Work 'ublic Utili !- Public Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required 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: BUILDING PLANNING & ZONING Reviewed by: _1� Date: ? . TREE ADMIN. Second Review: DApproved as revised. ❑Denied. P , .Le,,,,- 0- S Co me ts: pi' : U LITIES PUBLIC SAF TY // Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 ''''' Pte" 4 51,A,y,. City of Atlantic Beach 1- APPLICATION NUMBER ' " s� Building Department , : �v o` � (To be assigned by the Building Department.) Y • j 800 Seminole Road tf, /� �✓�� j �r Atlantic Beach, Florida 32233 -5445 IJ Phone (904) 247 -5826 • Fax (904) 247 -585 w ( �� " r..)';'' E-mail: building- dept @coab.us Date routed: ( 1/ Ji City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Addr ss: Ig firrisn-L L /_ Department review required Yes No / / hiThiC Bui lding Applicant: a( 01 / e1 of rr frt. Planning & Zoning y Tree Administrator Project: C() n O Tf , l vE u'q- Public Work Cblic Utili i , Public Safety Fire Services Review fie $ :.... 4= Iep ,'Stgriture .� ." ... 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: ` / BUILDING 7 4// , % PLANNING & ZONING Reviewed by: �/ Date: •' li i 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 07/27/10