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Permit ROW Pavers 1817 N Sherry Dr 2012 4h, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001370 Date 10/11/12 Property Address . . . . . . 1817 N SHERRY DR Application type description DRIVEWAY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc paver walkway ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MCDERMOTT, WALTER F JR CHARLES WILLIAMSON MASONRY, INC 1817 NOORTH SHERRY DR 2925 NEWELL BLVD ATLANTIC BEACH FL 322334516 JACKSONVILLE FL 32216 (904) 249-7466 ---------------------------------------------------------------------------- Permit * * ' * * ' RIGHT OF WAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/09/13 ---------------------------------------------------------------------------- Special Notes and Comments Berm as shown on plan markup is required. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENG REV BLDG MOD OR ROW 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 3S . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 25 . 00 25 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OFATLANTIC REACH R E, IN ,I T 11 PT G PlRRIMUIT APPUff.,A TION (Alt�rations Additions) CO C&7P�) 0a ate: Job Address: 7 Owner of Property:. _"_ Address:. Telephone- _A. _MLZ_ -A Legal Description: Block Number: Lot Nmber: Zoning District. Contractor: State License Number- Contractor Address: Telephone: ?Y/0001 Fax: azz- Describe proposed use and work to be done: V111$r,411,f1VX1 Present use of land or building(s): Valuation of proposed construction: What are the dimensions of the added space* feet X Will the added area be heated and cooled? AVO New electrical or increase in�seMce? Add plumbing fixtures? Add fireplace? Add beating(air conditioning? I Is approval of Homeowner's Association or other private entity required? JV0 —if yes, please submit with this application. Will this project involve changes In clevat Ion, site grade or any use of rill material, or the addi I tion of 5% or more to the original impervious area or the removal'of any trees? El NO. Applicant certifies that no change In site grade, Impervious area or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to i ssuance of a Building Permit NO. Applicant certifies that no trees will be removed.for this project YE�. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times e2eb month. Procedure: In order to expedite issuance of permits, please follow allsteps and nr2yJ11t all infor,m@922 Incomplete applications may result in delay,in Issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, pleese� contact the Planning and Zoning Department at 904-247-5826, in order to correctly verify zoning designation, please have Property Appraiser's Real Estate Nu,mbor available. STLP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-wristruction topographical survey or grading plan is required. (If not required,written ve,rificalion must be provided with this application.) The Department of Public Works is i located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal, Akppll cwdrin if arew Ire.r-,rrewed orml*��,attvd STEP 4. Pleage submit Building Permit Application, Energy Code Forms, Notice of Commencement, Ownen'Contractor Affidavit if owner is contractor,and four(4)complete seL,;of construction plans to the Building Department,which is located at the Atlantic Beach City Haji,800 SeminoleRoad,Axlaniic Beach,FL 32233 'rclophont:(904)247-5,n6 809 SeM100PID,INDad -AtIKt!flc,—Reac-!3I�F!erida 322.33MQ145 Ttil.1phone; (90-4)247-5800 -Fax: (90 4)21,0-584S Page,2 evi.sc�&'04 CITY OFATLANTIC REACH PRU11, 1rNG PIRIRNI wT APPI,'TrATION (Alterations & Additions) Date: Job Address: IJI 7 Owner of Property: Address: -1-17-LZ--Ay4011?1-71 Telephon-.: Legal Description: Block Number: Lot Number: Zoning Diatrict. Contractor Ale, . y &*— State License Number: Contractor Address: 21paJr A/I Iza Telephone: Fax: AV 41'— j(i/ D��e and work to be done: Present use of land or building(s): Valuation of proposed construction: What are the dimensions of the added space- feet x feet Will the added area be heated and cooled? New electrical or increase iA'service? Add plumbing fixtures? Add fireplace? A/O Add beating/air conditioning? Is approval of Homeowner's Association or other private entity required? _YO If yes, please submit with this application. Will this project involve changes In elevation, site grade or any use of rill material, or the addl tion of 5% or more to the original impervious area or the removal of any trees? E3 NO. Applicant certifies that no change In site gradeftEs Cglmateri I at will be used on this project- YES. See Step 2 below, Approval of the Public Works Department is required prior to issuance of a Building PermlL 0 NO. Applicant certifies that no trees will be removed for this project. C]YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUMD. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and pL9vJdc all intur cuslay-li g1-1R2m2—ri#-te. Incomplete applications may result in delay in issuance of permit STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please- contact the Planning and Zoning Department at 904-247-5826. in order to eonvaly verify zoning designation, please have Property Appraiser's Real Estate Number available. STLP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-constr�ction or post-construction topographical survey or grading plan is re-quired. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Appllcwliar,if t"f-r,are to"t or STEP 4. Pleage submit Building Permit Application, Eiiergy Code Forms, Notice of Corrunencement, Ownen'Contractor Affidavit if owner is contractor,.and four(14)complete sets of construction plans to the Building Department,which is located at the Atlantic F�each City EaH,800 Seminoic Road,AilimLic;Beach,FL 32233 Teltphont:(904)247-3826 801.1 SeminoPe Road -AtIsfAle Fveacb-, F iorlde 3223.3-,'1,r-145 T--L.,-W�one. (904)247-5W) -Fax: (9W)T14!-58,!S Page 2 ;�evisce 9,104 in aejv.,1(M t.)con.", iction and m 1�uicering ex-tail,plans-Armst contain th!:fo!'lowkig`iij'brn47P&.a as appTopriate ffbv the type.^fwr)rk being performex! Fn9le sf Arawings�;houlld bcsujffi;.�mt to depict all required tnformation ir,a clear P.4 le&le manner, I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of an structures,t".1-nmy ard perinsnerpt,inchAinp setbacks,building height,number of stories and square footage. Identfly any existing omrtlirrK and we,,e, 3. If required by the Department of V�ubjic Work,%a pre-construction topographical survey. 4. Anysignificant environmental feamres,including any juiisdictional wetlands,CCU,natural water bodies. S. Impervious Surface &rea calculations: include driveways,sidewalks, patios and other lmperviou3 Surfaces, Swimming pools may he excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with'this applJ i is corrom Signature of wAmer: I hereby ccrdfy that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be cftplied with,whether specified herein ot noL The granting of a pennit docs not presume to give authority to violate or mncel the provisions of any foderal,state or local rules,regulations,ordinances,or laws in any maimer,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is cordingent upon the above information being true and correct and that the plans and supporting daft have been or shall be provided as required, Sip.ature 19�,eon_A�®r. A and conuict infbrmation of person to receive all correspondence regarding this application(please print). $6 ame: ding Ad,drm: Faux: E-Mail: S TO OVNER: wom to and subscribed before me day of of Florida,County of Duval X Notar", _z Si Pe own I Pro .1 fication AS TO CONTRACTOR: Sworn to and subscribed before me this of' 520 State of Florida,County of Duval 20_ Notary:'s Sign S 77- Produced identification HIREY L,GPMAM " -" '7,9, r 7 yp-,ta�i6entailcailoo Produced My COMMOS110IN#DD 957760 "U� I . 01 Fely 4 2 P "PIR'S'F (pr, ebruary 14.2014 Orided Thru Notary.Public U f I eNwrf el's Rood A*!Rpfle ftepcb, Flerid-9.41233-5A45 Telephome: (904)2J'7-5!R0(' - Fax- 1,994)147-!!RA� - hffp- '!�-ezrzh'"T'ue. Page 3 S/04 R.O.W. Permit Attachment of for R.O.W. Permit issued ' 20 Atlantic Beach, Fl, 32233 Owner's Name: -In-0 Property Address: 7 /V JAX,- cry_'Dr Subdivision: Lot#/Block 4: R.E. 4: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 20_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to "CITY" and of Atlantic Beach, Florida, hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permissir on revocable b is as described herein the nti right to enter upon the property of the City of Atlai 1 Ic ch fo the purp e a described in the City of Atlantic Beach Right-of-Way/Easement perm it numb r; d a ove (co ies att ched). This work is generally described as: Any facility maintained, repaired, erected, and/or installed th! exercise of the privilege granted remains subject to relocation or removal on thirty (30) days not� by CITY ttolk-11TSER, said notice to USER shall be given by certified mail, return receipt re the following address: *2t�!" The depositing of said notice of cancellation in the Unod-`Siates mail shall constitute the notice of cancellation and the burden is upon USER to keep the Y informed of USER's proper address. The USER shall promptly make any an necessary repairs to any facility erected or maintained in the exercise of the privilege herein gra 'ed 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 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 insure 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 limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from 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 Xo�e� 20_LZ- V By: daLyl �-2�� - P/Operty Owner ( - 0 (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY ff DUVAL On this .,/7 day of S�7_ 20/�-personally appeared before me, a Notary Public in and for said Coun(y and State, , 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 *"s-a—) o and for the uses and purposes therein mentioned. e>�_e�et sam freely/41141-V _�Zzz:z__ a Notary Public in r said and State HIPLEY L.GRAHAM t6 CITY OF ATLANTIC BEACH, FLORIDA, a D 95, 0 r_XF1 176 17s: Ponded "a 14,2014 municipal corporation: ru I c P1 b i Undo r4w, 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 N"' A P A Fi A LAWAL C, d� 1 TJ or ELC CO all C) LU LU X-1 -4 7g ;m Ifn _x ::)�' I I to, V City of Atlantic Beach APPLICATION NUMBER N" Building Department (To be assigned by the Building Department.) 800 Seminole Road 1,370 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5P45 E-mail: building-dept(gcoab.us L Date routed: �2LI2- Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: A/ J�-'A_o-v 'A-- Department review required Yes No —Planning&zon!hd� Applicant: --T—ree Administrator ZL'd 1k1_' A'_,nh V Project: -Public Utilities Public Safety Fire Services Review fee Dept Signature /L<— 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: FlApproved. Wenied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed bv: TREE ADMIN. Second Review: $Approved as revised. [E]Denie�. PUBLIC WORKS Comments: PUBLIC UTILITIES �J PUBLIC SAFETY VQ'e ?h2_ Reviewed by: Date:2 je FIRE SERMCES; Third Review: F]Approved as revised. F—]Denied. Comments: Reviewed by: Date: Revised D7127110 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 11;2 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@?coab.us Date routed: -2112- City web-site: http://www.coab.us ZZ2� APPLICATION REVIEW AND TRACKING FORM epartment review required Yes No Property Address: Planning&Zon6d> Applicant: -7r—ee Administrator wo&R-s—� Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature 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: f-JApproved. KfDenied. (Circle one.) Comments: I/Vewo 0 U'5 6o;-lact, 0�cje_c-� rl��Cdl BUILDING NNING&ZO G Reviewed by: Date: 76111 1 444 !tE:A:DM IN. Second Review: nApproved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. F]Denied. Comments: Reviewed by: Date: Revised 07127110 .1j. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road A, - /270 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us routed: 9 City web-site: http://vmw.coab.us - —. 11 APPLICATION REVIEW AND TRACKING FORM / & Department review required Yes No Property Address: Planning&Zo Applicant: _k!S 2i�:ng_> –rr—eeAdministrator Project: _7A) VA4 WA/I/- AM V - _17-u—'sNIP-W®rrs�5 Public Utilities Public Safety Fire Services Review fee $ Dept Signature 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: ElApproved. FIDenied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: FlApproved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. F]Denied. Comments: Reviewed by: Date: Revised OV27110