592 Royal Palms Dr 2013 driveway CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002527 Date 4/29/13
Property Address . . . . . . 592 ROYAL PALMS DR
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 ----------------------
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Application desc
REPLACE CONCRETE DRIVE AND DAMAGED CURB ----------------------
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Owner Contractor
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CARTLIDGE, ELIZABETH R OWNER
592 ROYAL PALMS DRIVE
ATLANTIC BEACH FL 32233
-- -------------------------------------------------------------------------
Permit DRIVEWAY PERMIT
Additional desc 35 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . - 10/26/13 -----------------------
-------------------------------------------- -------
Special Notes and Comments er/sewer utilities . Verify
Avoid damage to underground wat
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 . ust be 511 thick, 4000 psi,
All concrete driveway aprons m
with fibermesh from the edge of pavement to the property
line . Reinforcing rods or mesh area not allowed in the
right-of-way. t be on City approved list
Roll off container company mus
and container cannot be placed on City Right-of-Way.
(Approved: Advanced Disposal, Realco, Shappelle' s and Waste
Management . )
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. ------------------------
---------------------------------------------------- 2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
ENG REV BLDG MOD OR ROW 25 . 00
STATE DBPR SURCHARGE 2 . 00
------------------ ---------------------------------------------------------
PERMIT 9Q&PFffl4W4XU IN ACCORDAfN"beL49ftidALL CITY OF R"OTIC BEACtg5j@"t�i@A AND THE FIP"DA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 13-00002527 Date 4/29/13
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 29 . 00 29 . 00 . 00 . 00
Grand Total 64 . 00 64 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
C
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY g&%IMEhIT'aa.
994-247-5800
800 Seminole Road
Atlantic Beach,Florida 32233-5445 9 7-5845
y I &!
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. 4BY- � -
Date �d 12, Z, )1-3
. 1 9 PERMIT#
Job Address ISSUED BY THE CITY_ 4
Permitee: r 1;ze; I CA 04 1 Telephone# (7�
Permiftee Address:
Requestinq Permission to Construct: ey-voUg- A)& 14AC-f— non
TIN r 1 V e, IA)A /3r A OP r-CA V-in
Location: (Reference to Cross-Street) r-O&ti IF-rL 04 &1 an Pf AZP
I 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: L4
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 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.
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 Way are to b2 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 ail
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 I,-, 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;.FA,?,r to starting work and again
immediately upon completion.
%
OWNER 24,
Signed: (A&4t— Date: 4W 9
in fh
Before me thiso day of V Afn"ZA5 ecourityof Duvilz.
'0. ME 056104
State Of Florida,has personally appeared f--3'e-A cht��&
Notary Public at Large,State of Florida :)unty of Duval. TIP7,
Ts,
My co ssion 12115- 1.W,
/C S.
Produced identi?— .0 T
icatiSWA �C,�SAI�
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 terms and conditions of this pen-nit 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
pen-nit and that all of said liabilities are hereby assumed by the USER.
DATED and SIGNED this 2-'L day of r 200L.?
By:AVO*
Prope Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this 2.�,Ild day of 20V', personally appeared before me, a Notary
owner of
Public in and for said—ACofun and State, Ujt&" C",dAL_, the property
Atlantic Beach, Florida own to me to be the person(s)
describeVin and who executed the foregoing instru I ment; who acknowledged to me that he or she
executed the same freely and voluntarily and for the. oses therein mentioned.
".p
24
Notary Public�ii for said County and State
#EE 056104
CITY OF ATLANTIC BEACH,FLORIDA, a
i1c
."N
municipal corporation: It STXT�
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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71
h F APPLICATION NUMBER
City of Atlantic Beac (To be assigned by the Building Department.)
Building Department
APR 2 4 202
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5�26 - Fax(904)247-5845
31,1-3
E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://www.coab.us I -_ I
APPLICATION REVIEW AND TRACKING FORM
c5�Z ii—ed —es
Property Address Department review reqdi
Building
Applicant: Planning &Zoning
Tree-Ad—ministrator
Project: Wor so
Niels _17_uurlzrb��
Fire Services
T7Re—vievw or Receipt Date
Other Agency Review or Permit Required f P.""
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Managem ent 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. E]Denied.
(Circle one.) Comments: C"
BUILDING
Date:
PLANNING &ZONING Reviewed by-
TREE ADMIN. Second Review: FlApproved as revised. F_�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:. Date:
FIRE SERVICES Third Review: [—]Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 07127110
F
City of Atlantic Beach APPLICATION NUMBEER
I�A 7926J3 artment)
'2 (To be assigned by the Building Department.)
Building Department APR, 2 4
800 Seminole Road 12 4__L5 ,;��_1
Atlantic Beach, Florida 32233-5445
826 - Fax(904) e—Uq a
Phone(904) 247-5
E-mail: building-dept@coab.us
City web-site: http://\vww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address. L'�u 2�� Department review required Yes No
rig
Suldi
nning &Zoning
Applicant: Tree inistrator
P,- /i I ublic Wor
Project: J t i c Iffle
hpjq�'� u I
Fire Services
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified B)L
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
Approved. DDenied.
Reviewing Department First Review:
(Circle one.) Comments:
BUILDING
I --(a Date:
PLANNING &ZONING Reviewed by:
TREE ADMIN. Second Review: FlApproved as revised. F-IDenied.
Co ments:
P W RKS
LI I
Date:-..—
Reviewed by:
PU IC SA E
s revised. F�Denied.
i FIRE SERVICES Third Review: ElApproved a
Comments:
Reviewed by: Date:
Revised 07/27110