238 Pine St 2012 driveway CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001553 Date 11/15/12
Property Address . . . . . . 238 PINE ST
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
concrete to pavers
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Owner Contractor
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HOLLERAN, WAYNE T. E & R ENTERPRISES OF NORTH FL
238 PINE STREET 2628 WEST END ST.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 270-2185
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . . CONCRETE TO PAVER
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/14/13
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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 .
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 . )
Street to be swept clean daily during construction.
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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
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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
BUILDING CODES.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road
904-247-5800
Atlantic Beach, Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date 10-i'-3- i2l - PERMIT#
Job Address )-3 8 -PV4C- 5; T, ISSUED BY THE CiTY
Permitee: L�7 9f 1Z L_-W—n_-tZ1Pe_(S (Z- Telephone#_ TO 4- 4:� Sl=
Permittee Address: _;44 2-6 L-NZ ST )3c-H Fi-, 3�-L33
Requesting Permission to Construct: Aew_ Op_lve� VVAX Q E-Wo V15 0 L-13 toi Gr4u, ryl�W
L,— �I _-, — n )DA .
Location: (Reference to Cross-Street) RAO�D
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 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,
alteratiO-, 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 e,/T1—cj5AC LA -(Contractor's Project
Superintendent) located at jelephone#-
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 owner's lot or in the city
Right of WaV 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.
OViNER
signed: 4".,�Date:
BeforaTn(E:�thi --�ay.o
W ahasr&�211 2PPE821rd
State Of a
P si W, L.GRAHAM
of
Nota u lic at Large t of lorid County of Duval
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R.O.W.Permit Attachment of— for
R.O.W.Permit# issued -,200— Atlantic Beach,FL 32233
Owner's Name:
Property Address: :;?, 3,9 S7
Subdivision:
Lot#/Block#:
R.E.#:
REVOCABLE ENCROACHMENT PERAUT
THIS REVOCABLE ENCROACHMENT PERMIT, 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"CIT'Y"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: ?,9 1/ sve, r/,��h r a
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.
'Me 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 fi-anchised
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 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 USEF, 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 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 20d Z'
By:Prope<rtyOwn�e
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of rsonally appeared before me, a Notary
Public in and for said County and State, the property owner of
, Atlantic Beach, Florida, known to me to be the person(s)
d in d ho xec; " the oregoing instn=ent; who acknowledged to me that he or she
11
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,oregoing infent;
ly and for th and
xec ed the s e y and untarily and for the uses and purposes therein mentioned.
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bliic'14 for—said ViAnty WY C
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Th�Not n a 14 2074
CITY OF ATLANTIC;ACH,
municipal corporation:
A�pprov :
/4 2-
Ricky L. Ca&r,Public Works)"Direa tor
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim Hanson,City Manager
Page 2 of 2
-Zsfe) PLVIM ST
MAP SHOWNG SURVEY OF
Lot 521 , SALTAIR SECTION NO.� 3 AS RECORDED IN PLAT BOOK ld-, PAGE
16 OF THE CURRENT PUBLIC RECORDS OF QUVIAL COUNTY , FLOIRDA .
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F16 OF THE CURRENT PUBLIC RECORDS OF QUVIAL COUNTY , FLOIRDA.
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City of Atlantic Beach OCT 2 3 2012 APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
t antic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us LHate routed: sbc�)_
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
IV
Property Address: RdE �Sr Department review required Yes No
Building
Applicant: 66, Planning &Zoning
'Tr!��nstrator
Project: Pr I V 10 /9- /7 e ri r& P�g��Wor
P_
ublic Utilft�ie
/ ,0 P 771—7 9-a f—et y
Fire Services
Dept Signature.
Review fee
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
FOther:
APPLICATION STATUS
Reviewing Department First Review: �A7pproved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed 13<2-- Date:
TREE ADMIN. Second Review: E]Approved as revised. ElDenied.
4 P L ORKS Comments:
PU C I IT
Z_
PUBLIC"AFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
'UVED
City of Atlantic Beach OCT 2 3 2012 APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 - Fax(904)247-5845 Date routed: /0 Xp
It E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: rz-� Department review required Yes No
Building
Applicant: c Planning &Zoning
'TF,��nistrator
Nbk Work
Project: V 40 /'7-Y 4,2 e ri r,& P
Public utila!��
72� r/7 P-6171 F IS a—fe t y
Fire Services
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. XDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: �101�d
TREE ADMIN. Second Review: %Approved as revised. F�Denied.
PUBLIC WORKS Comments: � -�� �I � -
� /C - -c,@, -�AJG -4A
C 4,w';�4)0
PUBLIC UTILITIES kiia/1'
PUBLIC SAFETY Reviewed by:_ Date:
-----------7
FIRE SERVICES Third Review: FlApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05114109 e