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1575 Selva Marina Dr 2012 pavers 0 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 -5814 INSPECTION PHONE LINE 247 Application Number . . . . . 12-Q0000997 Date 8/13/12 Property Address . . . . . . 157�� SELVA MARINA DR Application type description DRI�'EWAY Property Zoning . . . . . . . TO t1E UPDATED Application valuation . . . . i 0 --------------------------------------- ------------------------------------ Application desc concrete to pavers ---------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ HUTCHERSON, NORMA J ET AL OWNER 1575 SELVA MARINA DR. JAX BEACH FL 322505613 ----------------------------------------i ------------------------------------ Permit . . . . . . DRIVEWAY PERMIT Additional desc Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/09/13 ---------------------------------------- ------------------------------------ Special Notes and Comments Avoid damage to underground water) sewer utilities . Verify vertical and horizontal location f utilities . Hand dig if necessary. If field coordinationl� is needed, call 247-5834 . Ensure all meter boxes, sewer cle�,nouts and valve covers are set to grade and visible. A sewer cleanout must be installe� at the property line . Cleanout must be covered with an �Tl concrete box with metal lid. Cleanout to be set to !! :grade and visible. Full right-of-way restoration, including sod, is required. Roll off container company must b� on City approved list and container cannot be placed on 'City right-of-way. (Approved: Advanced Disposal, Rea 'co, Shappelle ' s and Waste Management) Full erosion control measures must be installed and approved prior to beginning any e�:rth disturbing activities . Contact Public Worksi� (247-5834) for Erosion and Sediment Control Inspection pgior to start of construction. --------------------------------------- ------------------------------------ Other Fees . . . . . . . . . STAI i'E DCA SURCHARGE 2 . 00 ENG �:REV BLDG MOD OR ROW 50 . 00 STA 'E DBPR SURCHARGE 2 . 00 UTI;, REV MODIF OR ROW 25 . 00 PE-RM+T-IS-AfPROIVED ON L-Y-W-ACCOKLDANeEr Wi-T-ii-,tLl,-'CIT-1-OPA'FL-ANTIC-BEACIt-(1,RDtNANeES-A-ND-IIM-FtOltiDic------- 8tJ1LD1N%*,reWE§ummary Charged taid Credited Due '�j CIT V OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Page 2 Application Number . . . . . 12-�: 0000997 Date 8/13/12 ----------------- ---------- ---- ------ ---------- ---------- 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 ALL CITY OF A-LANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MAP SHDWING BDUNDARY SURVEY DF., i LOT 10, BLOCK 3, SELVA MARINA UNIT NO. 2, AS RECORDEL? IN PLAT BOOK 27, PAGES 6 AND GA OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. i 1 fq15(--4-'C OF. � WA y gy PLA 7' -)qY C4 � COUNI '40 -/j Pipe n 4 affl ss 429-74 �br-ner 83041'1e-q"F� ,:, n A I* pe /ron f,Iran pe f,Iran 00 ss Corncr 44.40 A r !!t-lly IP/01 -0-r-2 0.1 41 %C) 510P. -�6nc- 40- STOP YAWN-Ry j7E!s'1D&JCE "t. f�15 '3 t tn ;;,Z 'A carport ��Ive '..con. . 40 Agnp ell e a'zx pipe 5e�N0410 5.0 (k8e I n go 03 10" ropd ez'ID") Oq�hvn pipe(,,a 0 1p� ro,,Un NOTES BEARINGS ARE BASED ON THE:EASTERLY RIGHT-OF-WAY LINE OF SELVA MARINA DRIVE AS BI 3IJG N.1 1*56'50"W.BY PLAT. 4r THERE MAY BE RESTRICTION L NEi OR EASfMENTS THAT AFFECT THIS PROPERTY BY VNING OR RECORDED IN THE PUBLIC RECORDS OF THIS COU4TY THAT ARE NOT SHOWN ON THIS SURVEY. THIS PROPERTY LIES IN FLOOD ZONE"X"BY FLOOD MAPS REVISED 4/17/89, COMMUNITI PANEL NO.120075 0001 D. PREPARED FOR THE BENEFIT OF: R.O.W. Permit Attachment of for R.O.W. Permit issued 200 Atlantic Beach, FL 32233 Owner's Nat:ne: A 7-8 A I f,.5,0 A/ Property Ad��lress: 1_67-7_67' SE164, _07a-H77k, Subdivision: Lot#/Bloc� #: R.E. #: REVOCABLE ENCROACHKKNT PERMIT THIS REVOCABLE ENCROACHMENT PERNFIT, issued on this day of 200_, by Atlantic Beach, Florida, a mt1nicipal corporation organized and existing under the laws of the State of Florida,hereinafter referred to 13.s "CITT' and of Atlantic Beach, Florida, hereinafter referred to as"USER" WITNESSETH:, That the CITY does hereby grant the USER permission cn a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beacb: for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers note�!I above (copies attached). This work is generally described as: bf -V &_ _,;p J f, LA)ig y T6 P4 Vc-,P Any facility maintained, repaired, erected, and/or installhd in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days flotice by CITY to the USER, said notice to USER shall be given by certified mail, return receitt 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 Infonned of USER's proper address. The USER shall promptly make any and all necessary rer;airs to any facility erected or maintained in the exercise of the privilege herein grarited and shall at all tilnes maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's opproved representative or other franchised utility to enter upon the above-described property of the C117Y, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintainnii 9, repairing, operating,replacing, or adding to of the utilities and facilities:!of the CITY or franchise utilit y provider. The facilities allowed by the permit shall meet the curreiit requirements of the City Code, Building Codes, Land Development Code, and all other land use and 6)de requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cioss sidewalks: City sidewalks may not be replaced with other materials, but niust be replaced with sm( oth 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 a�)proved 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 sj I ibmit 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 bin( ing upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this peiinil� and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requimments and use lh-nitations/requirements of public rights-of-way and other public land. USER furthei 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 SIGNED this day of 4& 242- B y: 0 ope Pr' ej (to b s i ed in p esence of the Notary) STATE OF Ftff��A COUNTY OF DUVAL On this day of _ 5d__tkQX_tC5-/ 20�j personally appeared before me, a Notary Public in and for said County aL"nd State, the property owner of . Atlantic Beach, I lorida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she e fr oluntarily and for the uses ani I purposes therein mentioned. NotaryTvmic Ifor saiounty and State ...... SHIRL L.GRMAM ." . �tll CITY OF ATLANTIC BEACH,FLOM my COMM111 ION#DO 957760 14,2014 r P EXPIRE& 'brua municipal corporation: 1 1.44 WWI Bonded ThtuN PU lic Underwrltm WWAR Approved: 74�/)Oe qc�5112_ LZ'04� - Ricky f CarTrer,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: P)�— Jim Hanson, City Manager Page 2 of 2 Norma- �A,��6v\ CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RI�HTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 jilt Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date Job Address _Jh Z,-22 CITY Permitee: r f n Telephone# 91df i� Permittee Address: Requesting Permission to Construct: E 7 f- _krr1_ bk)19V 73 _Pd Y f if 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 ale 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 stmet or easement or reset or relocated hereon as required by the Director of Public Works, and at the e pense 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 (Contractor's Project Superintendent) located'at Telephone#7 4. All materials and equipment shall be subject to inspection :)y 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 increaselin impervious area on owner's lot or in the city Rlaht 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 upo 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 privileg��s. 9. The Director of Public Works shall be notified twenty-�bur (24) hours prior to starting work and again immediately upon completion. OWNER Signed., Before me this --day f, in the Coui 1 0 State Of Florida,h s pe onally appeared XNF@�_i��t La e,S FIHIRL L�I- rid County of Duval. 11 i , -�, C Issio ex ir yc m's 'o _kA61ly- nown:'1, Prodl, 11 It City of Atlantic Beach APPLICATI Building Department ON NUMBER 800 Seminole Road 4k (To be assigned by the Building Department.) Atfanlic Beach,Florida X2 33-('. �Y *7 x 17 Phone(904)247-5826 F 904)k��7,--IM5 E-mail: building-dept@coab.us Date routed: —,02- 12� City web-sife! htfpAvww.eoab.ua APPLICATION REVIEW A ACKING FORM R, Property Address: ._ tt Ar Department review required Yes No Building Applicant: ad-1—il r i- 14-n t-n 9's Planning &Zoning I i I Tree Administrator Project: w Ej Tg— ri V e, -4 71A VIM' s 1'f lu �l ic,wo-ft Public�a e&y Fire Se ' s Other Agency Review or Permit Required Ro-view or Receipt Date I of Fleninit 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 STA4LIS Reviewing Department First Review: MApproved. F]Denied. (Circle one.) Comments: 7— BUILDING PLANNING&ZONING Reviewed b Date: TREE ADMIN. Second Review: ElApproved as revisiEd. nDenied. PUS Comments: "L 77S - CP�UBILIC UTILI PUBLIC SAFETY Reviewed bi Date: FIRE SERVICES Third Review: FlApproved as revise [-]Denied. Comments: Reviewed b� Date: Revised 07/27110 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Depaftent.) 800 Seminole Road Atlantic Beach,Florida 32233-SW Phone(904)247-5M - Fax(904)247-5845 E-mail: buikling-dept@wab.us Date routed: 2� City we&eife! hffp:/Aww.w9b.us — APPLICATION REVIEW AND TRACKING FORM Property Address: Se/VJ--;harl-n Department review required Yes No Building Applicant: Planning&Zoning ?fi V645 Tree Administrator Project: rt V u lic Woft u lic Utilffl&�� P ruZbl'ii–cc M re ity -50`0 Fire Services Other Agency Review or Permit Required Re low or Receipt Date Of P rmit Vedft4J By Florida Dept.of Environmental Protecfion Florida DepL of Transportafion St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other APPLICATION ST*4 TUS Reviewing Department Fimt Review: pproved. ElDenied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed Da tee TREE ADMIN. Second Review: ElApproved as revise []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b)� Date: FIRE SERVICES Third Review: []4proved as revise 1. RDenied. Comments: Reviewed by Date: ReOW 07WIlD