Permit R/W pavers 1415 Ocean 2012 l
0. CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
3 ^ ATLANTIC BEACH, FL 32233
. ' INSPECTION PHONE LINE 247 -5814
47 - 1 -011 9 r'
Application Number 12- 00000440 Date 4/23/12
Property Address 1415 OCEAN BLVD
Application type description RIGHT -OF -WAY PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
PAVERS
Owner Contractor
DAVIS BRIAN AND CAROLINE OWNER
1415 OCEAN BLVD.
ATLANTIC BEACH FL 32233
Permit DRIVEWAY PERMIT
Additional desc .
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 10/20/12
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 a RT1 concrete box with metal
lid. Cleanout to be set to grade and visible.
Full right -of -way restoration, including sod, is required.
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 .00 .00 .00 .00
Other Fee Total 79.00 79.00 .00 .00
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.
•' J '' ' CITY OF ATLANTIC BEACH wir mil t, r s)
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904 - 247 -5800
■ Uri W. Atlantic Beach, Florida 32233-5445 Fax 904 - 247 -5845
Date 4//5 PERMIT #
V
Job Address � I - a Ct3✓1 C)% iU ISSUED BY THE CITY
Permitee: B (1211 - 0,)4\i t . * &Aare I ! rl e b 2vtf Telephone # C ierl ' C ° I I '' 5 580
0 4( or.1
Permittee Address: _Sav'1 e..-
Requesting Per ssion to Construct: c -i are 2 S - f ZJt?C bi 3 W 1L'h
pC' l ( per t/ \Go% lSf_
Location: (Reference to Cross - Street)
t
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 ([GS4) V Lb /.v() C (rI TYLActrec! (Contractor's Project
Superintendent) located at 2 IC c 1 1.1v)-/ ?GtT rep Telephone #: 7u y —2-4 I -0 3 Z(_.
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 i 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 , r .
WILLIAM L. POPE
Signed: lW-51 - 7pate: Notary Public, State of Florida
Before me this — day of ' 2) L in the County of Duval, My Comm, Expires Oct. 19, 2015
State Of Florida, has personally appeared c‘JQ /,7U Oft v, Commission No, EE 128745
Notary Public at Large, State of Florida, County of Duval.
My commission expires:
Personally_Known: / 4,,. r ' or
Produced Identification:
Permit Attachment of for
Permit # issued , 200_ Atlantic Beach, FL 32233
Owner's Name: ' WO 1)AJK Property Address: tk ' OCEZ( ' 13\Ne
C-z ()me Qle.ns
Subdivision: 0 ' ` 2.A4 m knI t»4' # / Block #:
R.E. #:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 201_,
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: � - Ir4.K i <G�✓( G.e 6 Y ,S
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
Permit Number Tax Folio Number
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF DUVAL
-
- 11 lL= UNDERSIGNED hereby gives notice that improvement will be made to cenain real
property.: and in accordance with Chapter 713, Florida Statutes, the following information is
provided in this Notice of Commencement.
► . Description of property (Address): / // ) 0( a, S/UU aci/Licc &
2. General description of improvement: / Q.ii Ci SC E. / h c r - i S(a J.Q .
3. Owner inlormation:
1. Name and Address: _)r u Al -r Qc 05 /'//3 3(oan aid
2. Interest in propeny: rx,)
3. Name and address of fee simple titleholder (other than owner):
4. Contactor's name and address: 9 t t I(ii "7l J � 1 c
a. Ph one numbe D y a y/ U 3.a v
b. Fax number: v 2 '/ U 3a �
5. Surety Information:
a. N;une and address:
b. Phone Number: •
c. Fax Number: _
d. Amount of Bond: ' Is 1 .
6. :Lender's name and address:
a. Name and address:
b. Phone Number:
7. ''Person within the State o f Florida designated by owner upon whom notices or other
doc uments maybe served as provided by 713.12(1)(a), Florida Statutes.
a. Name and address: _
b. Phone nutuber:
c. Fax number:
N. In addition to himself /herself. owner designates
of
to receive a,copy of the Lienor's Notice as provided in
Section 71 _.12(1)(b) Florida Statutes.
"i. Expiration date of Notice of Commencement (the expiration date is one (I) year from the
;late of Recording unless a dif'- - nt date is spe • _
S i` ^nature uI Owner: -
.Sworn to and subscribed before me this / day of _Aire" 70 / 2_ .
11
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____ _
01.441., (4 City of Atlantic Beach
e3s Building Department APPLICATION NUMBER
—. .. 800 Seminole Road (To be assigned by the Building Department.)
r
� Atlantic Beach, Florida 32233-5445 % - 1 /y0
Phone (904) 247 -5826 • Fax (904) 247- 5844PP r
..e. f 9%' E -mail: building- dept @coab.us =''y. 7 eop Date routed: `( p `/
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND ACKING FORM
Property Address: � f j/,4 (( 4 j /` d Department review required Yes No
Building
Applicant: O /i) )7Ct Planning & Zoning
Tree A . ministrator
Project:
ph' 1, S - ublic Works)
:.• Utilities_.›
'u. afety
Fire Services
Review fee $
) 1(
Dept Signatur
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: ►;k pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING C�� Dat
Reviewed by: �-- i �,
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
p : % , e - S Comments:
PU: IC A ET Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
vik City of Atlantic Beach APPLICATION NUMBER
\ts Building Department (To be assigned by the Building Department.)
800 Seminole Road 4/D 4
j ffi . Atlantic Beach, Florida 32233 -5445 R 17 y
Phone (904) 247 -5826 • Fax (904) 247 -584 ?0�
A;;; 9: E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TR • CKING FORM
Property Address: ` 74 pct, 6/rd Department review required Yes No
Building
Applicant: O/d 77 te. Planning & Zoning
Tree Administrator
Project: 7 ublic Works
_ UtilitieJ
u afety
Fire Services
IWAW .44. • t , I' rri �ii� •
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: I pproved. ❑Denied.
(Circle one.) Comments: 0, � v
BUILDING � —
PLANNING & ZONING Reviewed by: Date: 1' i��
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['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