635 Jasmine St 2013 culvert CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�JJ�
Application Number . . . . . 13-00002158 Date 3/21/13
Property Address . . . . . . 635 JASMINE ST
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
CULVERT
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Owner Contractor
------------------------ ------------------------
HARDING MITCHELL & VICTORIA OWNER
635 JASMINE STREET
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 . . 9/17/13
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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 .
See attached map for details .
Full right-of-way restoration, including sod, is required.
Must coordinate setting culvert flow lines with City
Inspector (838-8076) .
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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 54 . 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
�� s)
r� ;r
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 0,4// Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date r -1/y
_ PERMIT#
ii ISSUED BY THE CITY
Job Address le 3�
Permitee: Leg k- -e Telephone# ZZ& • sboS •9 tl t
Permittee Address: I2g85_ LAS 3957-3-7—
Requesting
X5,32Requesting Permission to Construct: P Ll-t- lex 0. C-Lt-(velf-+
Location: (Reference to Cross-Street) � Yln �Jt� •d- ��5`L � � �'�-f �
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: F/L
Jacksonville Electric Authority Yes ( ) No Date: COPY
(�
Bell South Telephone Company Yes ( ) No (/f Date:
Ferrell Gas Yes ( ) No (ip 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 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 showing 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
Signe Date: f_?_L2
Before me fwk day of in the County of Duval,
Sta lorida, s po ppeared
Public at rge S to of F rida,Cou
My cc is it s: ;z4:"•'•°":a;�, r SHIf,�EY L.GRAH�AiU�a`n'y rs ally Known:
::P° ' 9cnded Toru Notary Public U derN riters
TAYLOR CONCRETE SERVICES INC.
603 15 TH. STREET NORTH
JAX BEACH, FL. 32250
904-329-0663
JANUARY 31 92013
Mr. Carper,
Lot 1 block 135 Jasmine Street, we are requesting a permit to install
culvert pipe according to city's specs, concrete the ends of the pipe.
We would like to come 8' off the property line to the north and
install culvert.
She is getting ready to apply for permit to build new home and
needs access to the property for all the delivery trucks and building
material.
We have supplied application and survey to show where we would
like to put entrance way to property. Should you need anymore info
please call 904-329-0663 thank you for you help.
Tom Taylor
Taylor Concrete Services Inc.
W. 9th STREET
� 50' R/W (IMPROVED)
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-- -------------- -----------
50' R/W (IMPROVED)
PAGE 2 OF 2 PAGES
y p N N BOUNDARY SURVEY LB#6135
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4 No.2883 f TARGiffluEdTSURVEYORS CERTIFICATE (',/ SURVEYING,
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'rT P STATE OF NOTVALID WITHOUTANAUTHENTICATED ELECTRONIC SERVING ALL FLORIDA COUNTIES
oN L 0 R 1 D p pa SIGNA TURE A ND A U THENTICA TED EL EC IRONIC SEAL,
S U R V S 4 ORA RAISED EMBOSSED SEAL AND SIGNATURE.
Digitally signed by Clyde 5601 CORPORATE WAY SUITE 210
Clyde McNeal WEST PALM BEACH,FL 33407
ON:CN=Clyde McNeal,C=
US.0=Tagel,Serveym9.Inc. PHONE (561)6404800
McNeal Date:2010.03.26,3:54:46• FACSIMILE (561)640-0576
(SIGNED) os•oo•
STATEWIDE PHONE (800)226-4807
CLYDE 0.MCNEAL,PROFESSIONAL SURVEYOR AND MAPPER#2883 STATEWIDE FACSIMILE (800)741-0576
Lot 1,Block 135,SECTION H,ATLANTIC BEACH according to the Plat thereof,as recorded in Plat Book 18,Page 34,of the Public Records of DUVAL County,
Florida.
Community Number:120075 Panel:0001 Suffix:D Flood Zone:X Field Work:3/252010
Certified To:
LESLEE K CURRY,'SUNSHINE TITLE CORPORATION;FIDELITY NATIONAL TITILE INSURANCE,-,its successors and/or assigns.
Property Address:
635 JASMINE STREET
JACKSONVILLE,FL 32233
Survey Number.158046
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PAGE i OF 2 PAGES
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R.O.W. Permit Attachment of for
R.O.W. Permit# issued 5200_ Atlantic Beach, FL 32233
Owner's Name:
Property Address:
Subdivision:
Lot#/Block#:
R.E. #:
REVOCABLE ENCROACHMENTPIRIMT
THIS REVOCABLE ENCROACHMENT PERMI; /issued on this day of
200_, by Atlantic Beach, Florida, a mu ' ipal corporation organized and existing
under the laws of the State of Florida, herein fter eferred to s "CITY" and
of Atlantic Beach, Florida, hereinafter referre to "U ER' .
ET .
That the CITY does hereby grant the R e n s on on a revocable basis as described herein the
right to enter upon the property of the City f Atlantic each for the purpose as described in the City of
Atlantic Beach Right-of-Way/Easement permit numb rs noted above (copies attached).
This work is generally described as:
Any facility maintained, repaired, erecte , and/or installed in the exercise of the privilege granted
remains subject to relocation or removal on vrty (30) days notice by CITY to the USER, said notice to
USER shall be given by certified in il, return receipt requested, to the following address:
The depositing of said notice of car ellation in the United States mail shall constitute the notice of
cancellation and the burden is upon U R to keep the CITY informed of USER's proper address.
The USER shall promptly make y and all necessary repairs to any facility erected or maintained in
the exercise of the privilege here' granted and shall at all times maintain said facility in good and safe
condition.
In the event it is necessary or the CITY or the City's approved representative or other ftanchised
utility to enter upon the above described property of the CITY, the USER shall replace at the USER's
sole expense, any and all or/
terial necessarily displaced during the action of maintaining, repairing,
operating,replacing, or add' g to of the utilities and facilities of the CITY or ftanchise 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 1 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(3 0) 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 teens 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__T 2002
By:
440ow—neir
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this � day of C_ 20CZpersonally appeared before me, a Notary
Public in and Or said Count, and State, the property owner of
Atlantic Beach, Florida, known to me to be the person(s)
desc ' and who executed the foregoing instrument; who acknowledged to me that he or she
ecu the me freel d voluntarily and for the uses and purposes therein mentioned.
SHOLU L GRAHAM
Nota 1c in for sa' unty and State My conaMlsslory ea senso
EXFRES:February 14,2014
pF °. fronded Tnru Notary Public Underw6te rs
CITY OF ATLANTIC BEACH,FLORIDA, a
municipal corporation:
Approved:
Ricky L. Carper,Public Works ecto
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim Hanson, City Manager
Page 2 of 2
PUBLIC WORKS PLAN REVIEW COMMENTS
Initials: PN ML
Date: 2-22-13
Project Name/Address: 635 Jasmine St. Application Permit#: 13-2158
Check Box Check
Application Tracking Comments to Add Box to
Comment "Print"
IMPS Provide table of impervious surface calculations for entire lot (existing and post ❑ ❑
construction).
ESCP Provide erosion and sediment control plans with installation details and maintenance
schedule.
DPLN Provide drainage plans showing site topography(flow arrows, etc.) ❑ ❑
CSMP Provide construction site management plan, including Right-of-Way Permit if using 13 13
right-of-way for construction parking.
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional
Land Surveyor, showing 1'contours.
LDCS Section 24-66(b)of the Land Development Regulations requires on-site storage for
increased run-off if adding 400 SF or more impervious surface. Provide Delta volume ❑ ❑
calculations and on-site retention required per Section 24-66(b). (See attached information
sheet.)
PCTS If on-site storage is required, a post construction topographic survey documenting proper ❑ ❑
construction will be required.
RWPM A Right-of-Way Permit must be obtained for use ❑ ❑
REPM A Revocable Encroachment Permit must be obtained. ❑ ❑
PLWP Pool—Wellpoint(if used) must discharge into vegetated area 10' minimum from street or 11 0
drainage feature (swale, structure or lagoon).
DAPR All concrete driveway aprons must be 5"thick,4000 psi, with fibermesh from edge of
pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of- ❑ ❑
way. (Commercial driveways—6" thick).
URCT Any utility cuts in the road must be repaired using CO1 Standard Detail Case X and must be
overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the ❑ ❑
plans.
RWRS Full right-of-way restoration, including sod, is required.
ROFF 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)
ECIN Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control ❑ ❑
Inspection prior to start of construction.
MEET Recommend Owner/Contractor meet with Public Works Director to discuss proposed ❑ ❑
construction. Call 247-5834 to make an appointment.
Provide plan showing dimensions(width)of driveway and proposed culvert length. ❑
�r\s
Coordinate culvert flow lines with City Inspector(838-8076).
Cit of Atlantic Beach :a4
CEIVED
Y APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
F 800 Seminole Road EB 15 2013 3 2-
Atlantic �Sg
Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904) 2 /
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: bs6- JAS-111 i -;1`7 A Sr Department review required Yes No
pp Building
Applicant: �r,(,/��/C, Planning &Zoning
�J / Tree Administrator
Project: 1,a/ y� 7 ublic Work
ublic Utilities
-Tru is Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
P WORK Comments:
UBLIC UTIL // S
PUBLIC SAF47? Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
SET EL
City of Atlantic Beach FEB 15 ?nil APPLICATION NUMBER
J3 � Building Department i (To be assigned by the Building Department.)
800 Seminole Road _ 2-
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
x E-mail: building-dept@coab.us Date routed: T
City web-site: http://www.coab.us 11
APPLICATION REVIEW AND TRACKING FORM
Property Address: (�,�� JAS—,,i-n i �A d-r Department review required Yes No
Building
Applicant: D[�y/��/C.� Planning &Zoning
j Tree Administrator
Project: i-/ V�� J ublic Work
ublic Utilities
u is Safety
Fire Services
Review fee $ Dept Signature ti L
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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. enied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: .00�A Date: 2
TREE ADMIN. Second Review: pproved as revised. [—]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETYReviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised.
]Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10