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1070 Ocean Blvd 2013 Permit App for Driveway Extension Si1TI jJJCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 a 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 Property Address: /U d/ld Department review required Yes No �( Building Applicant: U [A) Planning &Zoning Tre dministrator Project: Vks j �]d ' wor ublic Utilitie 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: ❑Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114109 JUL 112013 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY OF WAY AN MENTS v� 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3))COMPLETE SETS OF PLANS WITH APPLICATION. J(,I Date I L 1 OZ ✓ PERMIT# ISSUED BY THE CITY it Job Address 0 7 DOce-AA) .674/4 Permitee: 0 o Loa-rd Tele hone# 1 J v 9f 5_ 6 Permittee Address: 10 I 0 �✓C_f-n 3 Nuf7 JF_1 3,-V33 Requesting Permission to Construct: 0,0 , V 1; W 6,/ l_�X��,�;,�1 e,U Location: (Reference to Cross-Street) (7 G e- ►9 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 (/f-'No ( ) Date: !,3 Bell South Telephone Company Yes (r/j No ( ). Date:. :, Ferrell Gas Yes O� �/No ( ) Date: Comcast Yes ty) 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 BeacN or Florida Department of Transportation Standards and be performed under the su rv'ision of MaY t i�SQ,tJ ZjUC- - (Contractor's Pro'ect Superintendent) located at C_r IIS33 ,fir,r}wc/= , v,Telephone#:�p�)- 8!•3 ' �y 4. All materials and equipment shalf be subject to inspection by the DI ¢��a lic Works or his designee. 5. All city property shall be restored to its original condition as far as practf�al, 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.Iot.or in the-city Right of Wav are to be included with this application. 7. This permittee shall commence actual construction in good faith with /6) 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 rightsand'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 im ediately upon completion. OWNER +� E ESSIE MERRITT Signed: /12c �( 7[� Date: `1N�tety Publk•Sta{e of fMritie Before me this day of t e Coun of Duvy Comm.Expired Feb 10,2017State Of Florida,has personally appeared ee � Commission A►EE 872958 Notary Public at Large,State of Florida,County of Duval. / Bol,"Thrsupp Naval.Notary Assn. My commission expires: ,A—)O-I ✓Personally Produced Identification:` R.O.W. Perm t Attachment of for R.O.W. Permit# issued ' 20— Atlantic Beach,FL 32233 Owner's Name: I Ioil H0DX Vd Property Address: 1670 OCtOil C ,T�eac 3)-x-33 Subdivision: 156XCJ-) Lot#/Block#: Y2- I ( (p R.E. #: pkdb)o (p1TJ 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: w ; Ae ry 04'\; -to , LJ�`�l e o /?, `- l f._.)i f r7Ybe ru r 10 8 tae K 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 We rt,�ig ma ,� re receipt re_quested, to the following address: 1070 C�,� T� Fac c�. ACh* Rori do 3 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 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(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. q 1�— DATED and SIGNED this I day of_CD ' 2013 Ll By: Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA / COUNTY OF DUVAL �/ On thisg( # 1 day of JU tu, 20L, ee personally a peared before me, a Notary l Public in and for said County and State, t /)o"j , the property owner of 1070 O&AA) &Vd Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she r executed the same freely and;oluntarily and for th d. J ,�� ;'N•.,, ESSIE MERRITT 1 Notary Public-State of Florida tLy— My Comm.Expires Feb 10,2017 Commission#►EE 072959 Notary Public in fo aid County and State N` IondeO TM W*NOW Notary Mtn. CITY OF ATLANTIC 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 MAP SHOWING BOUNDARY SURVEY OF THE EAST 1/2 (HALF) OF LOTS 5 AND 6, BLOCK 39, ATLANTIC BEACH CORPORATION'S REPLAT, AS RECORDED IN PLAT BOOK 6, PAGE 1, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: TALMAN M. HOWARD & DIANNA L. HOWARD EVERBANK PON T E VEDRA TITLE, LLC/HA I HAWAY & REYNOLDS, PA OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY 11th STREET {40'RIGHT OF WAY) 62.50 (DEED) N 83'06'36' E BLOCK D,2. 62.50' (MEASURED) D_, CORN. 62.50 (DEED) ' c EAST HALF POCLn OF LOT 6 RZ BLOCK 39cK i n n WEST HALF y�j __ PAVF25. I OF LOT 6 K �•7 BLOCK 39Lj I W I 12.2' $ C �H D } O ` PAVERS n O Q QO 3 o iB O!O �S Ym OO a O:L'Fi , 7.5'`, O`- J# I r i c-y LOT 6 _..—. O~ c=i� BLOCK 2 .�—..—.._.,,I } 0 1 ; ..—.. m Lu ' a.s' o q; Z'$ m0 �I O�ac oI W Q...y U© toQ p s!i�' EAST HALF V 1= 3 o Of� OF LOT 5 O Ja N 3 O II BLOCK 39 v I- l N a WEST HALF OF LOT 5 g 4.0' a fA BLOCK 39 1�� Z PAVEtS 31.9' 2&O 6'm A/C PAD 3' { S 8251'25' W 62.68' (MEASURED) LOT 4 62.50' (DEED) BLOCK 2 LOT 4 BLOCK 39 LEGEND: Q =SET 1/Y RE W PC PONT OF CURVATURE ST 1 -IRON 8 PT POINT OF TANGENCY =FOUND t/2'IRON PPE NO IDENTIFICATION N PRC POINT TU REVERSE (tA1tE59 ORff.RWSE NOTED CURVATURE ■- Vx4'CONCRETE MONUMENT PCC POINT OF COMPOUND R CONDITIOlIER CIRVATl2E —X—A/C Ax FENCE O' CONCRETE REVISIONS Ray Thompson E SURVEYING, Inc. DATE DESCRIPTION Going the DISTANCE for Y-IZI 4613 Philips Highway,Suite 210 PONTEVED.... 1TLE,L.L.C. Jacksonville,Fiodda 32207 (Phone)904-448-5125 It — (Fax) 904-448-5178 JOB # 22850 DATE OF FIELD SURVEY: 6-18 2013 SCALE 1" = 20' T CERTIFICATE r NOTES: w 1: BEARINGS ARE BASED ON THE ASSUMED BEARING OF--b- '�`�-24- --- HEREBY CERTIFY THAT ni: AN HOER YY RM 13Y THE CHARGE ALONG THE WESTERLY BOUNDARY UNE SUB.ECT PARCEL. AND AEt�S THE V.INIMUM A<STAND SET FORTH BY THE FLORIDA 2 BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS DE WHIN FLOOD ZONE BOARD Cf PROFESS VEY(A45,AN2 MA9P CHAPTER STATUTES.FLORIDA X' AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP, ADINUMS:'T{AT1VE.. AIT TO SECTid:47 OR1CA STA:JT6 DATED: JUNE 3.2013,COMMUNITY NUMBER: 120076 PANEL 0409 H 3: THIS SURVEY REFLECTS ALL EASEMENTS&RIGHT OF WAY AS PER RECORDED PLAT&/OR TITLE COMMITMENT IF SUPPLIED.UNLESS OTHERWISE STATED.NO 9 OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. S1. AYMGR(PETROMP 4: THIS SURVEY IS NOT VAUD WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE REGISTERED SUR lLIJD MAP61466146 STATE OF FLORIDA AND AUTHENTICATED ELECTRONIC SEAL L!C . 7469 LAND SURVEYS O CONSTRUCTION SURVEYS O SUBDIVISIONS MAP SHOWING BOUNDARY SURVEY OF THE EAST 1/2 (HALF) OF LOTS 5 AND 6, BLOCK 39, ATLANTIC BEACH CORPORATION'S REPLAT, AS RECORDED IN PLAT BOOK 6, PAGE 1, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED T0: TALMAN M. HOWARD & DIANNA L. HOWARD EVERBANK PONTE VEDRA TITLE, LLC/HATHAWAY & REYNOLDS, PA OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY 11th STREET (AD'RIGHT OF WAYj 62.50' (DEED) N 83'06'38" E 0.2' 62.50' (MEASURED) a1 moo+ B2 DEED 2.6 EAST HALF POa.h OF LOT 6 BLOCK 39 n WEST HALF .PAYERS. _ _ 24••a OF LOT 6 d' ffiT 8 C BLOCK 39 wLu z.z' w H ov f' b� 0 } O F ' PAVERS C4 O S O Q O O } 3 po H � oC � 7.5'7.5' � �� � Q. LOT 6 0, BLOCK 2 9.s• � o_ 1 Z„ W Lij U NQ '"a"r{ EAST HALF • LJ h)1 F y Q 3 g O W 0 M i BLOCK390d 0 CK3 ' M 3 WEST HA{ (p 4.0 OF LOT_ O ' T' (JJ BLOCK 39 c.a Z PAVERS O i g•m A/C PAD T S 82'51'25• W R 62.68' (MEASURED) LOT 4 62.50' (DE--D) BLOCK 2 LOT 4 BLOCK 39 LEGEND: O -SE?1/Y REBAR PL - P031T OF CURVADJRE STAMP@ FOUND tf2'PSRIRCN ON RPc PT POINT OF TANGENCY - NO IO rHM"SE N PRC - PONT TU REVERSE (UNLESS OTNERIMSE NOTED) CURVATURE ■-exe CONCRETE MOWMENT PCL - PONT OF COMPOUND A/C - AIR CONOCONER CURY'ATLR —X— = FENCE - CONCRETE Ray Thompson REVISIONS SURVEYING, Inc. DA DESCRIPTION Going the DISTANCE for Yo =flu 1 4613 Philips Highway,Suite210 PONTE VE ITLE, L.L.0 Jacksonville,Florida 32207 (Phofle)9044685125 (Fax) 904448-5178 JOB # 22850 DATE OF FIELD SURVEY: 6-'8-2013 SCALE: 1" = 20' NOTES: CERTIFICATE �. r N BEARINGS ARE BASED ON THE ASSUMED BEARING OF-- AND I HEREBY CERTIFY THAT TH II/ NOEA MY RESPONSIBLE CHARGE ALONG THE 71ESTERLY BOUNDARY UNE OF SUBUECT PARCEL AND LEFTS THE N{NIMUM ti STAND SET FORTH BY TIE FLORIDA 2 BY C#tAPHIC PLOTi1NG ONLY THE CAPTIONED L4ND5 UE VATH!N ZOCO ZONES OF PROFESSI YEYORS.dWI MAP i CHAPTER H31077-B,FLORIDA X ' AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP, ADMINISTRATIVE ANT TO SECTION 47 LORIDA STAFUIES. DATED: JUNE 3,2013•COMMUNITY NUMBER: 120078 P&NEL 0949._;1. 3, THIS SURVEY REFLECTS ALL EASEMENTS&RIGHT OF WAY AS PER RECORDED PLAT&/OR TITLE COMMITMENT IF SUPPLIED.UNLESS OT'ERYASE STATED,NO OLDER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. AYM6TjCMP 4: THIS SURVEY IS NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE REGISTERED SJR FjNC MAPPPE 6146 STATE OF FLORIDA AND AUTHENTICATED ELECTRONIC SEAL. Lic 7469 LAND SURVEYS O CONSTRUCTION SURVEYS O SUBDIVISIONS A MAP SHOWING BOUNDARY SURVEY OF THE EAST 1/2 (HALF) OF LOTS 5 AND 6, BLOCK 39, ATLANTIC BEACH CORPORATION'S REPLAT, AS RECORDED IN PLAT BOOK 6, PAGE 1, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. FIED TALMAN M. HOWWAARD & DIANNA L. HOWARD EVERBANK PONTE VEDRA TITLE, LLC/HATHAWAY & REYNOLDS, PA OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY 11 th STREET ;4O RIGHT OF WAY) 62.50' (DEED) N 83W36' E a2 6250' (MEASURED) a1 SER b a4' s i6 EAST HALF iNZ Par'' OF LCT 6 j v BLOB( 39 I \ n V Es LJ }. WEST HALF yOj PA 2a''G OF LOT 6 R' 20.7, BLOCK 39 g 14.1• AE ly n \ W v Lu v �. E O ; PAVERS n O O Q F 5 W O ? � Y m O O.ff 7.5 QU O v ' C_` r Q- LOT 60]a BLOCK 2 E 6 0 1 ; zg U© ILd `O Q p n' EAST HALF a U OF LOT 5S- I BLOCK 39 _\ N Q WEST HALF OF LOT_ Q 4.0' to 3LOCC 398 Z PAVERS s'g 25 0 i 6•o AJC PAD S 82'51'25' W 62.68' (MEASURED) LOT 4 BLOCK 2 ~ LOT 4 BLOCK 39 LEGEND: O SET T/2 REBM PO STAMPED P5N}6148 > PO OF JTVATURE .FOUND T/Y RCN PPE Pf > POAR OF TANGENCY NO R Ti1G?ICN PRC POINT OF REVERSE C.On.NOTED) CURVAIUtE �>Cz4'COKRETE NOMREIR PCC PONT OF OOMPOUND A/C > AMi COlIY110P1ER O OARVATUS —X^ = FENCE > CONCRETE Ray Thompson REVISIONS SURVEYING, Inc. DATE LTTN ng the DISTANCE for Y w�T� 4613 Philips Highway,Suile 210 ONTE.V"14, 71LE,L.L. C. Jacksmvife,Florida 32207 (Phone)904-4485125 (Fax) 904-448-5178 JOB # 22850 DATE OF FIELD SURVEY: 6-18-2013 SCALE I" = 20' NOTES: C!R= TE ,I: BEARINGSARE BASED ON TIE ASST MED BEARING OF-- _ '`- - _-_ I HNIMU NIB, "N SE NY RH BY 7B.E CHARGEANN,nlAT STAND SET FORTH 9Y THE 04 ARGALONG THE VISTERLY BOUNDARY LINE OF SUBJECT PARCEL BOSSI VEYOEOS.6NM MA-P CTAPiER 61017-6.FLARUAB7 GRA."C PLOTTING ON.Y THE CAPTIOE®LANDS UE VATHIN"LOCO ZONE AOANT 70 SECTION 47 ,.CRBA STATUTESX ASSHOWNONTHENATIONALFLOODINSURANCE MAP, DATED: JUNE 3,2613,COMMUNITY NUMBM 120076 PANEL 4409 H3: THIS SURVEY REFLECTS ALL EASEMENTS A,RIGHT OF WAY AS PER RECORDEDyPIAT Q/OR TIRE COEUAITYENT F SUPPLIED.UNLESS OTHERWISE STATED,NCyM1IRAY6l8NBE 4WCMPOTHER TITLE VQIFlCATDN HAS BEEN PERFORMED BY THE UNDERSIGNED. C SUR Pr' C MAP 6148 STATE OF FLORIDA 4: 1}45 SURVEY t5 NOT VALID 1WTHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHE'1TLCAIED ELECTROMC SEAL 7469 LAND SURVEYS O CONSTRUCTION SURVEYS O SUBDIVISIONS