2238 Beachcomber Trl (driveway) 2012 0.,,,n,,,„
, f CITY OF ATLANTIC BEACH
r,, ► r) 800 SEMINOLE ROAD
j s . ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
--JI3l
Application Number . . . . . 12-00001774 Date 12/13/12
Property Address 2238 BEACHCOMBER TR
Application type description RIGHT-OF-WAY PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
paver part of driveway
Owner Contractor
HIGGINS DAVID S FIRST COAST PAVERS CORP
2238 BEACHCOMBER TRAIL P 0 BOX 8090
ATLANTIC BEACH FL 322334566 FLEMING ISLAND FL 32006
(904) 588-8066
Permit DRIVEWAY PERMIT
Additional desc .
Permit Fee 35 . 00 Plan Check Fee . . . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/11/13
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 increase in impervious covervage is authorized.
Sidewalk must remain plain concrete.
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 . )
Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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 4 . 00 4 . 00 . 00 . 00
Grand Total 39 . 00 39 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1j6( fr). 5) 1-)
R.O.W. Permit Attachment of for
R.O.W.Permit# issued ,200_ Atlantic Beach,FL 32233
Owner's Name: '7/ . 791' S
Property Address: 2233 $�kehIa-7r,&/' 7;L
Subdivision:
Lot#/Block#:
R.E.#:
REVOCABLE ENCROACHMENT PERMIT
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 "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: 671 (Tt/ i f ?fief
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.
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 pennit 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."
Lf
Page 1 of 2 OPy
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 (1 day of /1/0 l/ ,200,L
By: 1
Pro erty Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY Of DUVAL
On this /6 day of 72 V , 200/2r personally 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)
desc: r ed in and who executed the foregoing instrument; who acknowledged to me that he or she
e ' .B-d .e same B d voluntarily and for the uses and purposes therein mentioned.
1111°ao ;:�*:ry'•. :Y L GRAHAM
A ,11. ie*t` SSION#0D 967760
No • 'ub in folraid County and Stag •ri;?�s February 14,2014
Underwriters
CITY OF AM• 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
BUILDING APPLICATION
CITY OF ATLANTIC BEACH may-- j
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: ka3$40G404(Li �A/i-1 lcr1Atupt /V fA M Permit Number:
Legal Description Lo 4.1" 0u/4A/um 1.K Orr i Ow,FL -t;,2 a k y+ , S�0-t°0-t° /6-/A. Parcel# Ft
Floor Area of S4.1t• q
Valuation of Work$, S 00 0— Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one New Addition Alteration Cepair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form •
Describe in detail the type of work to be performed: &nwti Cl/.7 Si) F O f e1/(S i ens, coil)aek 7),Q6ive ivy
61prrolttwl 413 )Fef&c-r )ckvturay aA4 reo e wt� pkvete S'-fvv
Property Owner Information: 1
Name: -DA u/f R/GEr/N1 Address: J-a 3�' QegG�i4JM!t-1 �o.pll
City ft.1-(4tirrc_ l(i . State Ft-Zip 7113 3 Phone Cell ?t I - 2.1,G, - OSJ O
E-Mail or Fax#(Optional) d 6,(... 14./4- 1J') ( C ANA:i_< Corr
Contractor Information: nn �/ /
S--U,t.i /"�yeks Qualifying Agent: A/o/lit Mc-Cikl Company Name: ,R Stag rt.. Zip 3d-D U 6
Address: PO. cK dO40 Cif
Office Phone YOY 9/0 017fc ob Site/Contact Number Ls ,, '5D 5btilFax# Toy _:2_(.,4-- 3.7 id,
State Certification/Registration# jkr /
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address `
Mortgage Lender Name and Address U S 4ANK/ tiro( r�Getc4 S�-.1 O(Dews 4�f f �Y A33/
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY.AN ATTORNEY BEFORE RECORDING YOUR NOTICE F WITH
YOUR LENDER OR COMMENCEMENT.
t hereby
work wil be complied with whether specified examined teci tedlhertein o�ot.know
The granting of a permit does correct.
not presume to gi of authority to+violate or cancel this
the
type .
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner- Signature of Contractor
Name .( • Print Name
Print ��,.�,/..A tt•ICI-U'
Sworn to and subscribed before me ,20
di'. lip ay o /p, . 1:. ...._ this Day of
Notary i
1 * n� DublicUnder�'�nters Notary Public
No Pubic. . y :;�to Netan .. -._ _ Revised 01.26.10
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MAP SHOWING BOUNDARY SURVEY OF:
LOT 25,OCEANWALK UNIT ONE
ACCORDING TO PLAT THEREOF,AS RECORDED IN PLAT ROOK 42 ,PAGE 1A-1F OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA
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LEGEND:
BEACHCOMBER •
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a. CENTERUNE NOTT1:
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OH CHORD I. NOLNOCRSROUNCUTILITEB OR 0JIWCI11RE5 LOCATED.
I MGM 2. N0 UTILITIES LOCATED EXCEPT AS MAY BE SHOWN HEREON.
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A ARC LENGTH I. ADSIRACTOF TITLE WAS NOT FUR METRO TO THE VIAFRlIR1EO.
. ME NOT TO I.CAIE
AA: MR.OVER N dD ELER OYTH!516E OF1143 SURVEY,YOU Am10E TO DE ROUND N•TRIUNE METIER ON THE SUTVEY.
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CONCRETE 1. Tole IURVS1 A RREN0E3 FOR=LE USE OF THE PARTIES MIMEO HEREON.
2. NO PARRY MAKI ASSIGN TIES 1URVSY 0MWN00R ANY INTEREST OR
• - WOOD OSL(A1TJH IRMONV.11000TTHE PRIOR WRtTTpl 0074!11)OF THE 1S10ERS*0100.•
BANKS BANKS 5. ANY REPII0000T EN OP TINS SURVEY IS 201110.
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,WEST(Ii STREET ATLANTIC BEACH,PL
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WRING MTU48A4ED ON ON EAST{AYE BONO NT4•I100 W
• DATE: H0YEA°ER 2.2070
THERE MAY 8E ADdmAMAI RESTRICTIONS TT1ATAIYLY BUT ARE NOT WORN ON 7103 SURVEY GUT AMYIli SCALE ISVOH+20 f6lT
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- "' Atlantic Beach, Florida 32233-5445 2 1
n v Phone(904)247-5826 • Fax(904)247-5845 1x���
Azr,,»r E-mail: -site. g-dept @coab.us Date routed: /L-
City web-site: http://www.coab.us j
APPLICATION REVIEW AND TRACKING FORM
Property Address: f 2. .� ' c a(V) (Q) f/ l/L Department review required Yes No
Building
Applicant: 1/,a--I � j f,1 �r�2 Planning&Zoning
Tree„_Administrafor
Project: ( I'/�/�1 fi ('j% 4 C�-J�%y Public Works,
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: PI pproved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date: /Z.
TREE ADMIN. Second Review: EJApproved as revised. ❑Denied.
P, ; i Comments:
PUBLIC UTILI - -
I -/
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [(Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07127//0
i
*----'s'-1's'ri City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road /2 - / 774
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 • Fax(904)247-5845 �� /����
- E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
p / p /
Property Address: 2Z 3lJ Zia��/t it )29 t/ /rZ Department review required Yes - No
/� Building
Applicant: //J-- 6. % �/,� (f lr-S Planning&Zoning
✓�
(PA-/Zr 1I Tree inistrator
?,Project: ✓ 4 c J d Clr� of Gvipy ublic work`
/ (frUblic Utilities
_Public Safety —
Fire Services
Review fee $ 9 Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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: QApproved. El Denied. `, /
(Circle one.) Comments: �t,' '�l1 -�" - V���,,�i��"" C Q �'`-/'-�
BUILDING � -
V y1.Ll(L. r-'c�� Qvh(NQ °
PLANNING&ZONING
445110 Reviewed by: Date: al/0/tL
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by: Date:
FERE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127110