Permit Driveway 513 Viking Ln 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000742 Date 7/17/12
Property Address . . . . . . 513 VIKINGS LN
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
driveway
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Owner Contractor
------------------------ ------------------------
RUMANCIK, AMBER L OWNER
513 VIKINGS LANE
ATLANTIC BEACH FL 322334150
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/13/13
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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.
Street must be swept clean daily.
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management)
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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
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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
BUILD�NG CODES.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road
Rit— Atlantic Beach,Florida 32233-5445 904-247-5800
Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date_I//?,/ 1-1.
PERMIT#
Job Address vIkIA163 L+vC- ISSUED BY THE CITY
Permitee: /41
Permittee Address: 9 vo-A AIrt/k Telephone 00(d
V/A_ 11V6
Requesting Permission to Construct: PAIvj� I-Ar
Location: (Reference to Cross-Street) I-A W� ofr,�E 5r.
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: Lo,,A�ns i'�� /I z0z. Z 73
Jacksonville Electric Authority Yes No Date:--(/,/-7/ / 2—
Bell South Telephone Company A r- q r Date: L
Yes No
Ferrell Gas Yes (*No Date:
Comcast Yes N Date:
o
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 Jed A, �415
-0 L-IL (Contractor's Project
Superintendent) located at n3 0k lwt,5 1-4" A , A-i ;zy) Telephone* 19Y —19rz
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. iAll 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 c1tV
:Right of Way are to be included withthis 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
I:mmediately upon completion.
OWNER
Signed: Date:
Before rn day of
_��in thp County of Quv
State Of Florida,has personally appeared A KM_n:17A_) D HAMANDAWHTE
MY
Notary Public at Large,State of Floqaa,Coynty of D9v_a_1. ' P COMMISSION#EE o57340
My commission expires: EXPISES-may2l,2015
Pe.rsonally K 80,Wed Thru NotarY PubliC UnderWftrs
Produced Identifica-JtIon:
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R.O.W. Permit Attachment of for
R.O.W. Permit i�_sued —,200– Atlantic—Beach, FL 32233
Owner's Name:
Property Address:
Subdivision:
Lot#/Block
R.E. #:
REVOCABLE ENCROACHMENT PERM[IT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
JVO�- _, 20#_Z 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
Atla4tic Beach Right-of-Way/Easement permit numbers noted above (copies attached).
This work is generally described as: i/0 rA,-L Vr
191? Vc 1 4
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:
03 V I k I/V�5 L A AJr_ TLiq t,7- Fr L Z-z 3
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancollation 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 maintammig, repairing,
operating,replacing, or addingto 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
Code i s, 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
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 li-mitations/requirements of
public rights-of-way and other public land. USER ftirther agrees that the CITY and its officers and
employees shall be saved harmless by the USER fi-om any of the work herein under the terms of this
permit and that all of said liabilities are hereby assumed by the USER.
DATED and SIGN-ED this A)-�dav of
B �Prope //A/1
r
(to bef end presence of the Notary) DEBORAH AMANDAWHIIE
�fi.y COMMISSION 0.H 057349
EXPIRES.tft 21,2015
STATE OF FLOREDA
.ded Thru N PUblil;Uld"Ifflitem
COt, JNTY OF DUVAL
On !this & ay of
d 20P
personally appeared before me, a Notary
Public in and for sai c
,d- unty and State, 157�1t_e 19 the property owner of
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 jan yoluntarily and for the uses and purposes therein mentioned.
N,
Notary Public in for said County and State
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
Page 2 of 2
----- -------
AfAP SHOXI-MC BOUlVDARY SURVEY OF
LOT 28, BLOCK 1, SEASPRAY AS RECORDED IN PLAT BOOK 35, PAGES 64 & 64A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
AMBER L. RUMANCIK & JOSEPH M. RUMANCIK
COLDWELL BANKER MORTGAGE
RICHARD T. MOREHEAD TITLE & ESCROW, INC.
STEWART TITLE GUARANTY COMPANY
PALM STREET
S 67*24'27" E 74.68' (MEASURED)
POUND 1/2' IRON PIPE S 67*28'00" E 75.00' (PLAT) FOUND 1/2- IRON PIPE
NO IDENTIFICATION NO IDENTIFICATION
'7�. —X X—X—x X— OA3-.7-
--'��10- DRAINAGE, UTILITY
AND SEWER EASEMENT
— — — — — — — — — — — — -- -- — — — — — —
LOT 27 LOT 28 X LOT 29
BLOCK 1 BLOCK 1 BLOCK 1
20.2'
Ld
LLj
A
w
< F- V)
LLI < F- <
-j < Lj
-0
C� 0.1'
U C,
c;
CD 39.8' c;
0.1
LLJ Lkj ONE STORY
MASONRY
POSTED # 513 -c' 0
C-4 P of
C-4 04
rn r,
04
C-4 C14
C4 Z 38.8, 04
z 7.5'
COVERED 9-
ENTRY 21.2' 7.5' L
— — i X
20' BUILDING RESTRICTION LINE
A
p C D
S 67*28'00" E z
60.00' (PLAT)
FOUND 1/2- IRON PIPE FOUND 1/2- IRON PIPE
NO IDENTIFICATION N 67'28'00" W 75.00' (PLAT) NO IDENTIFICATION
N 67*44',35" W 75.10' (MEASURED)
VIKINGS LANE
(60.0- RIGHT OF WAY)
REVISIONS
NOTES: ACCEPTED BY: DATE DESCRIPTION
JOB 08-0065 DATE OF FIELD SURVEY: 03-08-08 IDATE OF ISSUE: 03-09-08 SCALE: 1" 20'
NOTES:
1. BEARINGS ARE BASED ON THE __PLAT — BEARING OF N 22*32'00" E ALONG THE
NORTHWESTERLY BOUNDARY LINE OF SUBJECT PARCEL.
2. BY GRAPHIC PLOTTING ONLY, THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE X AS
SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY
NUMBER 120075, PANEL —0001-Q--.
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT, UNLESS
OTHERWISE STATED, NO OTHER TlTLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED.
4. THIS SURVEY IS NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE
CERTIFYING SURVEYOR.
CERTIFICATE LEGEND:
I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA R = RADIUS
BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61G17-6. FLORIDA
ADMINISTRATIVE CODE,-?URSUANT TO SECTION 472.072, FLORIDA STATUTES. L = LENGTH
—X—
FENCE
1008 Ldring Avenue Vr CONCRETE
Suite 20
Orange'Pork, FL 32073 CHARLES K. McINTOSH
(Phone�, 904-215-0900 (Fox) 904-215-0910 REGISTERED SURVEYOR AND MAPPER 0 5502 STATE OF FLORIDA
Licensed Business # 7361
City of Atlantic Beach
Building Department APPLICATION NUMBER
(ro be assigpied by the US
800 Seminole Road Depamient.)
Atlantic Beach,Fk)rida 32233-5445,
77
Phone(904)247-5826 - Fax(904),247-546V
E-mail: building-dept@wab.us Date routed: 2- z-
City web-sife: hft:/&%w.ewb.ur.
APPLICATION REVIEW AN-DT�ACKING FORM
Property Address:
-1-4TnL Do artment review required No
Building
Applicant Planning&Zoning
Tree lnisbVor
D
B
P
T
0
uild a
ing
ant re
lanning Zo ir
re & ist!4 77
e in
Project: -4 lic Wor
ublic Utill
u t
lic 5afety
r
jFi ices
Other Agency Review or Permit Required Review or Receipt Date
of Permit Ver: B
Florida
7r Dept.of Environmental Protection
LFWda Dept.of Transportation
C
S j
t.Johnis River Water Management District
Co
Army Corps of Engineers
Division of Hotels and Restaurants
Division Of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: �ffApproved. FIDenied.
(Circl6 one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by:— r
Date:_0
TREE ARMIN Second Review: E]Approved as revised. E]Denied.
P I C ments:
IL I
PUBLIC Reviewed by: Date:
FIRE SERVICES Third Review: OApproved as revised. E]Denied.
Comments:
Reviewed by:
Date:
RevisW 07'12711�
City of Atlantic Beach
Building Deparbnent APPLICATION NUMBER
800 Seminole Road (To be a8s0gned by the Building Depaftent
Beach.Florida 32233--A45
Phone(904)247-M26 2—
Fax(90,4)2474*
E-mall. building-dept@wab.us Date routed: 2- z-
outed�
APPLICATION REVIEW A4N'D--- CKING FORM
Property Address: V/ De rtmOnt review ulr9d Yes No
Applicant: Building
Planning&Zoning
T [LnLinisb-ator
Project: y"L it " .41 1 I-ic
ublic Utilmis"
U011c
Fire Servk>--s
Other Agency Review or Permit Required Review or Ipt
Florida Dept.of Environmental Protection of Pon-nit Verified 8 Date
Florida Dept.of Transportation
St.Johns Rim Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
0#W.
APPLICATION STATUS
Reviewing Department FIMt Review: proved. E]Denied.
(Circle one.) Comments:
Fl EROVIew.,
CJ:m 8_
ant JBUILDING f- ysx,�- , z �
PLANNING&ZONING Reviewed by: Date:__q J)
TREE ADMIN.
Second Review: ElApproved as revised. F]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:____ Date:
FIRE SERVICES Third Review: []Approved as revised. E]Denied.
Comments:
Reviewed by: Date:
Rwiwd W27110