1760 Selva Marina Dr 2012 drwy CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
119
Application Number . . . . . 12-00001650 Date 11/16/12
Property Address . . . . . . 1760 SELVA MARINA DR
Application type description DRIVEWAY
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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HESSION, FRANK W. OWNER
1760 SELVA MARINA DR.
ATLANTIC BEACH FL 32233
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/15/13
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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 .
No parking on median.
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
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.
PE
Job Address Moo SEIqA 4",,-j,4 �g - ISSUED BY THE CITY
Date t)-4 6:1 M&t__ RMIT#
Permitee: F��biq v—, 4C s C, I O!A Telephone#
Permittee Address: 1-1-VA 1041,0,
Requesting Permission to Construct: 4wove AIFPL^44.� C hA_,V(5 WkI H
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.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes ( ) No (V�Z 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 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 Deparfzmpn�of Transport�kion Standards and be
gy%4c cwP-ct-V-_)(Contractor's Project
per-formed under the supervision f
Superintendent) located at I I(o 0 VA 14,41,ovA iV Telephone#7 L 4 '2 '7 f�
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 m ner 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 (2 rs ior to starting work and again
immediately upon Completion.
OWNER f/1 0
Signed:�4� Date: CP /yo V
Before me this /I'd. day o in the C un v o uval,
State Of Florida, has pe
.�d
rst MWn
Notary Public at Large,S a,C RIN1101111M
MYCOWAR P sonally Known:
My commission Expires:
cat
,=ES:May26,201 rodu ent
R.O.W. Permit Attachment of for
R.O.W. Permit# issued 3200 Atlantic Beach,FL 32233
Owner's Name: rZ*p-tv. 1-6111,0�4
Property Address: 114,D �C,,,,A MM—,,.A �P
Subdivision: gL�V4 �,A
Lot#/Block
R.E.
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACIEWENT PERMIT, issued on this day of
2 200_�. 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 pennission 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: OW51W45'
A4 Iva W41 W1,r#
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:
/-7/-0 �eLyq 41 t4;4 AJ
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.
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 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 iii 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 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- lo',i day of /�t/ckt-Aag- 200?,
By: 44 44�
Property Owner
(to be signed in presence of the Notary)
STATE OF FLOREDA
COUNTY OF DUVAL
On this day of cicWA 02- 20t/gpe a!
_SrSs2�o�nll appeared before me, a Notary
Public in and for said County and State, —4,41A.- the property owner of
174,0 ,Ca,4 vn*o(.;A JA_ _, 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
exec e the same freely and voluntarily and for the uses and purposes therein mentioned.
I PM1FDDW0
0086M
mycommom
EXpM:May A 2013
0 1 li in said County ee=w7vuNftyPuw**
TLANTIC BEACH,FLORI IDA, 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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