1999 Brista De Mar 2012 driveway CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
S SA
)
Application Number . . . . . 12-00001610 Date 11/13/12
Property Address . . . . . . 1999 BRISTA DE MAR CIR
Application type description DRIVEWAY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
small part of apron
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Owner Contractor
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HERED ROBERT W TAYLOR CONCRETE SERVICES
1999 BRISTA DE MAR CIR 615 15TH STREET NORTH
ATLANTIC BEACH FL 322334S2S JAX BEACH FL 32250
(904) 329-0663
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 3S . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/12/13
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Special Notes and Comments
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 .
All concrete driveway aprons must be 511 thick, 4000 psi,
with fibermesh from the edge of pavement to the property
line. Reinforcing rods or mesh area not allowed in the
right-of-way.
Street must be swept daily.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
ENG REV BLDG MOD OR ROW 25 . 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 S4 . 00 54 . 00 . 00 . 00
Grand Total 89 . 00 89 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
-247-5800
800 Seminole Road 904
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date C;�o t-2- ERMIT#
ISSUED BY THE CITY
Job Address bl�
Permitee: Telephone#
Permittee Address:
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. FILE COPY
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 detefli th&fflM,14r0 Public
Works, any or all of said poles, wires, pipes, cables or other facilitieE r r i orized
e e e
hereunder, shall be immediately removed from said street or easement or rese or relok i on 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 (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.
S. 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 showinc
I 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 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
Signed: Date:
Before me this 2y of in the County of Duval,
State Of Florida, has personally appeared
Notary Public at Large,State of Florida,County of Duval.
My commission expires: Personally Known:
Produced Identification:
R.O.W. Permit Attachment of for
R.O.W. Permit 9 issued 200_ Atlantic Beach,FL 32233
Owner's Name: -A
Property Address: \
Subdivision:
Lot Block
R.E.
REVOCABLE ENCROACHMENT PERNHT
TIHS REVOCABLE ENCROACHMENT PERM11T, issued on this day of
, 200_, 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: . 0 (:::�'J -L_)�O, rf��,
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 ()-iven by certified mail, retuni 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 infonned 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 ftanchise 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
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 terrns 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 lirnitations/requirements of
public rights-of-way and other public land. USER further agrees that the CITY and its officers and
employees shall be saved hainiless by the USER fi-oni any of the work herein under the terms of this
permit and that all of said liabilities are hereby ass ied by the USER.
DATED and SIGN-ED this day I —,200 Z,
01 sal"liabilities are nereby
D this day
&t By:
Property Owner
n e 0 ry)
(to be signed in pre nee otary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of 20M personally appeared before me, a Notaiy
Public in and for said -Co-u and State, Au P& L lt�4 -, the property owner of
["47' f5yi &A-6-D�L M&- . , Atlantic Beach, FloriN, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that he or she
ex cuted the same freely and voluntarily and for the uses and purposes therein mentioned.
ENID V.JOHNSON
..t';OWN.P 217
Alt-1W...
- Y . 11 CommIsslon#EE 204
A Z\. :p 16
I at—e �ypiresjune`15,20 7019
Kot–ary Public r said-Co-'unty and St -froy Fain Insum-800.385.
Sorjed Thr,
�)o
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
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OCT 3 12012
_Q11 City of Atlantic Beach A FLICATION NUMBER
P
All tg
T3 FTo be aspsigned by the Building Department.)
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445 —
Phone(904) 247-5826 - Fax(904)247-5845 Date routed'. LJ1
112-
E-mail: building-dept@coab.us .................
Cityweb-site� http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Depa review required Yes No
Building
Applicant: Planning &Zoning
Tree Administrator
Project:
_ia-u-b-lic Utilitie'�-, ..
Public Safety
of Fire Services
Review fee Dept Signatu
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
ElDenied.
Reviewing Department First Review: C;JAP-p-r o v e d.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: FlApproved as revised. FjDenied.
P Comments:
C UTILITiE
PUBLIC SAF&.;�? Reviewed by: Date:
FIRE SERVICES Third Review: F-]Approved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach X-CECEIN, APPLICATION NUMBER
Building Department OCT 3 12012 (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Daterouted: 12–
Cityweb-site: http://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -Aae Department review required Yes No_
Building
Applicant: ]L�V-h)4 Planning &Zoning
Tree Administrator
,'!`�-ublic W
Project: 6J r1v-1V'�'z0A V ��Lol�
tFuMic U—tiliti`et�-
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. ,'tenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date.L"5
TREE ADMIN. Second Review: JApproved as revised. F—]Denied"'
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 07127/10