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Permit Driveway 27 Forrestal Cir 2012 C . tJ/ r" CITY OF ATLANTIC BEACH ii %' 800 SEMINOLE ROAD J 0. ,.,; ATLANTIC BEACH, FL 32233 .; INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000083 Date 1/31/12 Property Address 27 FORRESTAL CIR Application type description RIGHT -OF -WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc concrete for concrete driveway Owner Contractor DAGLEY, DONALD OWNER 2555 PEACH DRIVE JACKSONVILLE FL 32246 Permit DRIVEWAY PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 7/29/12 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 and RT1 concrete box with metal lid. Cleanout to be set to grade and visible. All concrete aprons must be 5" 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. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to start of construction. All concrete driveway aprons must be 5" 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. Contact Public Works (247 -5834) for Erosion and Sediment PERMIT IS ®u.. oinspealobalaiNpriagti XI attia6KAUANI4P AND THE FLORIDA BUILDING CODES. * \1� CITY OF ATLANTIC BEACH A rl 800 SEMINOLE ROAD 0'°-- — — --f ATLANTIC BEACH, FL 32233 4. ,m ► may INSPECTION PHONE LINE 247 -5814 �Ji3 Page 2 Application Number 12- 00000083 Date 1/31/12 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. FR nil : 3a.n. i'D 2E117 1.1:26A11 PI r - . MAP SEOWING e'URVEY • -OF 1.,C'T '16, ....-111.■./A i, AILANT r, ii.(".7-: 'VILLA, UNIT NO. .1., f..01i.DIL IN P1,11' DOCK 30 ?GE 56 OF TH. PU q:.!.:001•1113 0:.' *DUVAL *ANTI , '.'.D...)RIDA . 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COpy . r.,..., " CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS !To 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 l a 3—R0/2— PERMIT # Job Address 7 Forres 1 61rcl•e, iu 14/iii/4 T3 322 33 ISSUED BY THE CITY Permitee: 6J- �v4/orc71 -e. SerY1C7c JAJc . Telephone # - S3 , " PJ Permittee Address: 14-45 Pia l( , i-ar) r dlcf f ti d ur5 , t" - 3.2 D 6 g Requesting Permission to Construct: (o ,Jere4>✓ +6 (6nl Cr'c4 CA t-iucwcy 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 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 C,si -S 61�€4t gcrv,c= •- (Contractor's Project Superintendent) located at /44 7AJe I '/1'4( / /1//aditi v5, 7 L 3e06 Sl 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 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. Si. • •. rr , ■41111. Date: / 4. / ,3/ , Z. efore me this / • - • in the County o ate 0 • da, hasp a onally .. ppeared I . ?"";Y ., SHIRLEY L. GRAHAM .: • blic at La • , Stet= of lorida, Cou • . of Duval. MY COMMISSION # DD 957760 Uary 14 2014 . • Public Underwriters _ i<• j/ ����w Produced Ide I r + r City of Atlantic Beach RECEIVED APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road JAN 2 3 2012 / ,• b 3 Atlantic Beach, Florida 32233 -5445 _ / Phone (904) 247 -5826 • Fax (904) - 5 Z E -mail: building- dept @coab.us Date routed: 02$ City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c2 ? /"D ( le // Department review required Yes No Building Applicant: .,c J 677 erf Ti. Planning & Zoning Tre- . • • strator Project: COh Cti f 77 12IIi efrc •ublic W• . • is Utiliti- Y4IQ #y 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. IKDenied. (Circle one.) Comments: czJL, : BUILDING PLANNING & ZONING Reviewed by: Date: /2,4 Z y TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES P BLIC SAFETY Reviewed by: ` dift„/ — Date: //Ph/ FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach RECEIVED APPLICATION NUMBER r Building Department (To be assigned by the Building Department.) 800 Seminole Road JAN 2 3 2012 z Atlantic Beach, Florida 32233 -5445 ? D Phone (904) 247 -5826 • Fax (904) 2145 a3 �Z v r F3 �? E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c72 1 /"D /fiSTR L , e Department review required Yes No Building Applicant: Applicant: . , J 67, d rill_ Planning & Zoning Tre- , • . •strator Project: C Oh erin &fieRtif -ublic W. . .lic Utiliti id Ay 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: pproved. ❑Denied. (Circle one.) Comments: BUILDING ZONING ) ' F h 2 PLANNING & ZO Date: Reviewed by: < /� TREE , DMIN. Second Review: Approved as revised. ❑Denied. p, .Atri k Comments: IE PU: IC A ETV— Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 ��A( 4T 41•10.