The URL can be used to link to this page

Permit R/W Driveway 1731 Beach 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000SO3 Date 6/07/12 Property Address . . . . . . 1731 BEACH AVE Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL CONCRETE DRIVE/PAVERS IN RIGHT OF WAY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PARRISH ROBERT B . & FORREST OWNER 1731 BEACH ATLANTIC BEACH FL 322335838 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/04/12 ---------------------------------------------------------------------------- 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 . 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. For inground storage, photographs on construction will be required. 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. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 ENG REV BLDG MOD OR ROW SO . 00 STATE DBPR SURCHARGE 2 . 00 UTIL REV MODIF OR ROW 25 . 00 ---------------------------------------------------------------------------- PERMIT IS APPROVED ONLY IN ACCORDA�f� wiTH LL CITY OF frI,1AffIC BEACF�PRD 'A�&IR AND THE Fbatll)A BIJILDINd'@ftE@.ummary arge�� a re8l CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Page 2 Application Number . . . . . 12-00000503 Date 6/07/12 ----------------- ---------- ---------- ---------- ---------- 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 ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS ;b 800 Seminole Road 904-247-5800 Air Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date—Aaerk 21., 14 12- PERMIT# Job Address I &PQ dn AyP_"uL- ISSUED BY THE CITY Permitee: 106 �_b V ve �k Telephone# 2-4U 606 Permittee Address: LILI LUAJ— Requesting Permission to Construct: + 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 Compan Yes No ( ) Date: Ferrell Gas Yes No Date: Comcast tILE COPY 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 Stabdards 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 owneVs 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 Holderwill, 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. ----- - DMORM AMANbA NVE ZA MY COMMISSION#1 EE 057349 OWNER EXPIRES: 2015 Signed:Q--d, (-L,1Q, ate: Bonded nru Navy 'Underwitefs In 057349 01 U2"5J D Before rKe thfs-J,/,L--,,4,6,h?=-cTay of 2-,1 the 4n of Duvalj State Of Flor)d ,�ha persoWly appeared s;,7- Notary Public at Large,State of Florida,County of Duval. My commission expires: 1% !� �Personally Known: __:!::)�rOdl."64dentific ZT, WP. SHOWNG Buulvi)A"-' 06V 84WAAa AtAir .,QWZ=wA arAm A4w4*-Pm so*- A IKW D,zot SURVMly OF.- IL9 zr= 8411&A SpApgov EAMV AV MW AN M& '11=100% W WW--mrM441'""Coo r. AA=irA Am"ar A-M LAWY Imy ff X-P colw omaw "'W sw R�— WON 9 A N AID SO OW,a A now ..%owW.=Zw_ I.A. Mc P PC* 2 �10=lm LA F PAGM Sk ASO Bog fk�AM N, 96 119 I? aw AW" A"%VV 4 raw IMLW L Jp_ m1w BEACH Avmvuz Jforw'"Ir Raw ZF4-11"lx 00.00, CITY OF ATLANTIC BEACH OWNER / BULDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW. DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU M :S—UPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR TWO FAMILY RESIDENCE OR A FAKM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000-00 OR LESS. 11ffi_fflMP--IN-Q MUST BE FOR YOUR U SEE AND OCCUPANCY- IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU_MAY NOT HIRE AN UNLICENSED PERSON AS yoUg CONTRACTOR. YOUR CONSTRUCTION MUST g—D6��_ REGULATIONS. IT IS ,kCCORDING To THE BUILDING CODES AN1) LUNlill YOUR RESPONSIBILITY To MAKE SURE THAT PEOPLE EMPLOYED By YOUHAVE LICENSES REQUIRED BY STATE LAW AN BY CO R CIPAL LICENSIN ORPMLAN—CE5. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE.FOR INJURIES TO WORKERS THEY HIRF_ THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING;'OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS . CANNOT BE EMPLOYED UND_ERANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY-UNDER FLORIDA 6 JATUTE NIL). 455- 28(1). AN-OCCUPATIONAL LICENSE"IS NOT ADEQ ATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA 'CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. C 32. T—HONE NUMBER ADARESS AA . V P r TINA E ZA�2j RIN r 441 �nj. 12- DATE T SIGNAT E Beforemethis 213�_("a county of Duval State of Florida,has onally eeared�Le�rin by himself herself and affirms that te WWE all s�;terrients and declarations are trw and accura D County of My COMMISSON#EE 057349 Notary Public at Large,State of!::11--,� (pjRES:Mgiy21,20A5 Z E) N*09deivoters BondedTIRMNOW Ily Known trod.1 Identification z Notary Signatu F:A3LDG/0=er-Buildu Affadavit REVISED:4/16t2009 FW: Response to Sunshine State One Call ticket 116206957 Page I of I From: Lynn D. Scott<Idscoft@mppkj.com> To: BobParrish<rbp@mppkj.com> Cc: Imissmontyl731@aol.com'<missmontyl731@aol.com> Subject: FW:Response to Sunshine State One Call ticket 116206957 Date: Mon,Apr 30,2012 8:52 am Lynn D. Scott Legal Assistant to Robert B. Parrish Legal Assistant to Thomas C. Sullivan 501 W. Bay Street Jacksonville, FL 32202 904-356-1306 -----Original Message----- From: Sent: Saturday, April 28, 2012 7:07 AM To: Lynn D. Scott Subject: Response to Sunshine State One Call ticket 116206957 The following facility operators have responded for this locate request: Ticket 116206957 FL : DUVAL County, ATLANTIC BEACH City 1731 BEACH AVE A T & T/ DISTRIBUTION - Marked CITY OF ATLANTIC BEACH, FLORIDA - Marked JACKSONVILLE ELECTRIC AUTHORITY - No Conflict - utility is outside of the requested work site FERRELLGAS INC. - Clear No Facilities COMCAST CABLE COMMUNICATIONS INC - Marked The most up-to-date response status can always be gathered at or by calling 1 - (800) 852 8057. http://mail.aol.com/36029-112/aol-6/en-us/mail/PrintMessage.aspx 4/30/2012 R.O.W. Permit Attachment of for R.O.W. Permit issued 200 Atlantic Beach, FL 32233 Owner's Name: 4 ?�A Property Address: 41 :2;, 1 L A v i: Subdivision: Lot#/Block#: R.E. REVOCABLE ENCROACHMENT PERMIT HIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of tin 20@_Lby Atlantic Beach, Florida, a municipal corporation organized and exis g and unde the laws of the State of Florida, hereinafter referred to as "CITY' 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: Dt (2"-ply" 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 maintainmig, repairing, operating,replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the pen-nit 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 I of 2 City of Atlantic Beach APPLICATION NU BER (To be assigned by the Buildi g Department.) Building Department 800 Seminole Road k4 -5445 01 zo, Atlantic Beach, Florida 32233 Phone(904)247-5826 - Fax(904 845 �4___)o Date routed: 0 — E-mail: building-dept@coab.us City web-site: hftp://v4ww.coab.us APPLICATION REVIEW AND TRACKING FORM Yes No 173 Department review required Property Address: 2, li —Building Applicant: Planning &Zoning Tree Administrator i rks N 4NBER U 11V 0 be Buildi g Depai )0 a rFD t e Project: Public Wo— Public Utilities Public Safety rF ' �� Y u'jje:r�yi'c:e�s ��' tir e 0 at Review ep ign ure ." 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: pproved. RDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: T TR MIR R M'R Second Review: F—]Approved as revised. F]Denied. WORK omments: BLIC UTILITIES ell PUBLI SAF Y Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. F�Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Bea y 0 3 ch, Florida 32233-51445, 124 Phone(904)247-5826 - Fax( . 7-5845 �4,_.)o E-mail: building-dept@coab.us L__�ate routed: City web-site: hftp://www.coab.us zz__z7_ APPLICATION REVIEW AND TRACKING FORM Property Address: 1731 Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Public Works Project: 2v-zo Public Utilities Public Safety Fire Services Px� Ta i�' A� N-010 1 451, r xw",4 AW 071 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: E]Approved. *Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review:/Approved as revised. F-lDeniedv PUBLIC WORKS Comments: PUBLIC UTILITIES A A',;�' PUBLIC SAFETY Reviewed by: Date:_§A� FIRE SERVICES Third Review: F ]Approved as revised. E]Denie(d. Comments: Reviewed by: Date: Revised 05/14109