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1644 E Park Ter 2013 row CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 F11 Application Number . . . . . 13-00002850 Date 7/02/13 Property Address . . . . . . 1644 E PARK TER Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . RES SF LRG-LOT DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------- Application desc PAVER APRON ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COKER, ALEX B & MARSHA L OWNER 206 MARGARET ST NEPTUNE BEACH FL 32266 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/29/13 ---------------------------------------------------------------------------- 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. Full right-of-way restoration, including sod, is required. 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. Curb replacement, if needed, may be drop curb. ---------------------------------------------------------------------------- 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 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 79 . 00 79 . 00 . 00 . 00 PERMIT ISGLrMtdEfr0talIN ACCORDANCE NAT144MqQ71TY OF A*A4T-10 CAEACH ORDINANCAPAND THE FLORH),Q 0 BUILDING CODES. CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF ffl�IUEAMSLUMETNTTS ---J kit 800 Seminole Road 9bV24 Atlantic Beach,Florida 32233-5445 F 247-5B4 i PLEASE SUBMkT., 113y ,OCOMPLETE SETS OF PLANS WITH APPLICATION. Date— 6 - //- ;0)-? PERMIT# ZI - S7 Job Address ISSUED BY THE CITY Permitee: Telephone Permittee Address: -T/eA1Z-0---)Z)06 AA�,�6;W&7- Requesting Permission to Construct: Location: (Reference to Cross-Street) Z/1,0 0 ;Z e�kllld Dx- -7- )PA121 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 4, No ( ) Date: Bell South Telephone Company Yes No ( ) Date: 3 Ferrell Gas FILE COPYYes No ( ) Date: -3 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 Beac�or Florida �Q� partment of Transportation Standards and be performed under the super Y)sion of AHEC- _(Contractor's , Project Superintendent) located.at 5A/-1 e Telephone*. 0/5�5 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 be included with this application. 7. This permittee shall comrr�ence actual construction in good faith with Z�- 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 Signed: Dale: 01/ Before me this --day of_in the County of Duval, State rid s p o a y pea Not<Publi tLa e t o Florid ounty of D I- is 1 rf so wn: My iss n i L 0A%M]aI1yK gny6ff)W/tbu r 01 . ': e I uary f14,2014 L- U4 2 a IF, gonleffhru Notary Public,Underwriters 11 ptms� LU 1_U z:z w z OW U. 0 ui Zzw W tu Z LU w V) m 2 ;R Of CO) co w w 2 Q� 12 < LU CO WOO �- =j go tu z 0 w Zg I—(.)z U) Y_ z Go S3111VA C) Uj 0 LU t2 5 u- z1xv w w 00 z w UJ w 0: 0 Ir W C() 0 Cop D (L) w z w 0 co W z 0 w 0 co Lu — m LU 0 Uj CD LLJ JM_ I.- w LIJ _j a. CC Z Z z '_u z w-.0 D Ao. 1 0 - 0 ui w ws 2 00. _j 3: P_ () w bo z M- .O� I w w LOU Z > ul LLI W or. co w a. Ui D W co ch 0 Z >_ 3: �< I.- w to 0 w Q z w 0 00 . 0 w < co Lu > w LLI 0 CDO :� Q U_ U_ x Cl'- L LLI tj LLJ LU w cn z uj W ui U_ Lu Cy 0 , LU fe LU 0 .0 !2 z X3: LU W it F� < 0: 2 0 tL 1 (1) . uj U_ 0 1.- 0 A _j fill ui 0 Z LLJ, <+- uj 0 N LL W, IIE I.— a 0 j>> lQn Z OW cn -i Iffl m UJ af I— U LOP 40) () < Uj � 2 P z Z Lu 0 Co LO _V In I :MI fl� z z _5 cr) 8 0 mIr 8K Z _: C4 6 4 . LO -.L a. 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Permit# issued 220 Atlantic Beach,FL 32233 Owner's Name: e!�70A b71-- Property Address: A,41V ?A - Subdivision: 141A-0-1-A4:—0 Lot#/Block 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: ,q - 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 USER shall be i by certified mail, return receipt requested, to the fQllowip& address: _giver 14 7�- 4�P A 7Z-AA17le- 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 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 insure 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 day of 20_. y: Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this day of 2Q/3personally 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) describ nd who executed t e foregoing instrument; who acknowledged to me that he or she ex the s vo tarily and for the uses and purposes therein mentioned. P' GRAH&_ _1,12j7y My CO�AMISSION 4 OD 957760 lic in or said C and EXPIRES:February 14,2014 Bonded Thru Notary Public Underwriters CITY OF ATLA TIC BEACH, FLORI A, a municipal corporation: Approved: )? Ricky L. Carper, P%OWorks Direc 0� For Permits where city sidewalk is impacted, City Manager approval required: P 4 Jim Hanson, City Manager Page 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 tr ! '9,) Z013 J 2.X5 6 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us L_�ate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant, Planning &Zoning : , T tor Project: V, r 4�U2 1) o4ublic Works,) 7 IrME Nllitia> 0 )r 4bT V'gWA Public Safety Fire Services Review fee $ Dept Signatu0__"__1_ 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 FOther: APPLICATION STATUS Reviewing Department First Review: kApproved. ElDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: & TREE ADMIN. Second Review: FlApproved as revised. []Denied. P WORKS Comments: PU LIC UTILITIES Date: PU BLIC�SAFE! Reviewed by: FIRE SERVICES Third Review: FlApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14/09 CEIVEO 3 -'VEI] City of Atlantic Beach IJUN I 2LZ013 APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Lso Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us L_�ate routed: jilt City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant: Planning &Zoning I> . . , tor ,A�istra 4_ublic Works Project: vi— r ,,AMblic UtiIif, 0 r-"DT I V'C' Public Safety Fire Services Review fee Dept Signature I'le— 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 All oholic Beverages and Tobacco Other: APPLICATION STATUS Review.ing Department First Review: OApproved. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: [—]Approved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. OlDenied. Comments: Reviewed by: Date: Revised 05/14/09 FOUND 112- IRON PIPE NO IDENTIFICATION LOT 4 0 LOT 3 > 0 "PARK" m (BY P LAT) CC) FOUND 112- IRON PIPE 0 18,3*35'10"E 140.00' NO IDENTIFICATION o Tl B.R.L. BY ZONING M cl) L L4 PROPOSED m PAVER DRIVE C) F_ c < o > > z CD N) m No C) > �81 x 0) �;o z V) c7) 0 N3 C) E 0 �:u Z� c > M rr� �:o 01 CD C rjj z 60 0000 cf) 0 m 0 �D(o z 00 co '90 c- F-q 0 " r- �;5 z 6) 'D F 'A 0 > m r-q I:J ftz 30.0' C) C) m > L4 �j V) > FF C) .30.. . . . . . . . . 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