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Permit Driveway 1285 Main St 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5814 INSPECTION PHONE LINE 247 Application Number . . . . . 12-00001352 Date 12/11/12 Property Address . . . . . . 1285 MAIN ST Application type description DRIVEWAY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc paver driveway ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BROWN STEPHEN & BOBBIE OWNER 1285 MAIN ST ATLANTIC BEACH FL 322332625 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . DRIVEWAY W/WO Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/09/13 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . 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. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible . ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 79 . 00 79 . 00 . 00 . 00 Grand Total 149 . 00 149 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. R.O.W. Permit Attachment of for R.O.W. Permit issued 20— Atlantic Beach, FL 32233 Owner's Name: /&tyrZ44 41eW�k�_v4qv— Property Address: I 4s— me,,-'t 5y - ,U. & 32-Z-3? Subdivision: Aff4�z- /WA 14 Lot 4/ Block#: to t Z 131ve4n- Z-Z7 R.E. #: 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 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: IK's-TOA IV" �Ayet-:s aper 6" qA R4-*.Sd PN t's -10 IWA,C 0 W'A Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains sub.ect to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to 9 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. 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 in color so that it matches the existing and adjoining sidewalks." Page I of 2 0 2— NA iw MAP SHOWING BOUNDARY SURVEY OF LOT 5a BLOCK 227a AS SHOWN ON MAP OF SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. FOR: 13FSTCON, INC. BEARING REFERENCE. NOI'22'00"W FOR THE EASTERLY R/W LINE FOR -MAIN STREET. ELEVATION _SHOWN THUS: (10.52) REFF-RS TO-NAnONAL GEODETIC VERTICAL DATUM. CERllF1 q -off STEPHEN BROWN N MORTGAGE CORP. CHASE MANHATTA MPANY OLD REPUBLIC NATIONAL TITLE INSURANCE CO DEBORAH W. TAYLOR, ATTORNEY AT LAW, P.A. 8 L 0 c K 2 2 8 L 0 T 4 L 0 T 5 L 0 T 6 S01 *22*00"E 50-no -X—x N (is 4471)" (Le 1704) B L 0 C K 2 2 7 L 0 T 5 0 10.f 0 26N 0 9 clq 0 w v— < "N >- oz wi 4, Ll. O.V m 3;" 1 -.1 0 z 0 tJ �- w C 0 o 0 tf) 00 io 00 b lair 00 re z 00 6 wf vm 4A 17" 220.00' N01 *22"o w 50.00 0 MAIN STREET (W RI(MT CW WO PUBLIC UTfLITEES PLAW REVIEW COMMENTS Date: Initials: Application Permit#: Project Name Address: Check Box Check to Add Box to Application Tracking Comments comment /.Pri Avoid damage to underground water/sewer utilities. Verity vertical and.horizontal location Of utilities. Hand dig if necessary. if field coordination is needed,call 247-5834. Ensure all meter boxes,sewer cleanouts and valve covers are set to grade and visible. 07 A-sewer deanout must be installed at the property line. Cleanout must be covered with an 01/ 0/ RT1 concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed If irrigation will be provided or If there Is a private well on the property. Backflow preventer must be tested by a certified 0 0 tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. if plans change,any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate backflow 13 13 preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. if fire sprinkler system is provided,contact Malcolm Clemons at 247-5839 for backflow 0 13 requirements. At a minimum,will require a double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must be 0 Installed In a vault as noted In JEA specifications. D 13 11 13 0 13 13 11 13 0 13 El 0 0 E) _J LAJ tkl 6, APPLICATION NUMBER City of Atlantic Beach (To be assigned by the Building Department) Building Department S F P 18 2 012 800 Seminole Road -�w .' Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)24748,45 1 1 , -_.'_z_._-__ -, ---=�Z=� e routed: 7 E-mail: building-idept@coab.us Em --ruml, Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Yes No Property Address: /C�111! Departme required Building Applicant: Planning &Zoning Tree Administrator Project: blic Works Public Safety Fre Servioes, T-L,_ _�__ Review fee $ Dept signature Other Agency Review or Permit Required eview or Recei t 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: [$Approved. [:]Denied. (Circle one.) Comments: BUILDING Date: 711000)- PLANNING&ZONING Reviewed by: — TREE ADMIN. Second Review: FlApproved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:— Date:. FIRE SERVICES Third Review: FlApproved as revised. FlDenied. Comments: Reviewed by: Date: Revised 07127110