1070 Ocean Blvd 2013 ROW r �t�•"��I f fS�
C,� CITY OF ATLANTIC BEAC I
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003043 Date 7/17/13
Property Address . . . . . . 1070 OCEAN BLVD
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DRIVEWAY EXTENSION
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
MOODY DOUGLAS AND LINDA OWNER
1070 OCEAN BLVD
ATLANTIC BEACH FL 32233
---------------------------------------------------------------------------
Permit DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/13/14
----------------------------------------------------------------------
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 .
For work in right-of-way only. No impervious/pavers may be
added on owner' s property.
-----------------------------------------------------------
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
Grand Total 114 . 00 114 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
pR9 0dE
JUL 112013
D
CITY OF ATLANTIC BEACH
,. l
CONSTRUCTION PERMIT WITHIN CITY MENTS
(% 800 Seminole Road 904-247-5800
d!�;.�j/ Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date t Oy'(� PERMIT#
Job Address D /o b(-f' �coo-rd ISSUED BY THE CITY Cr, �(
Permitee: ((/�-7^ o 1Telep oone�# -9 5— 5U�
Permittee Address: t0 l 0 Qcco n [JL CLI'I I K. &P '1 0 3,2233
Requesting Permission to Construct. V G CJ 1,/ x J-r,5: e.tJ
Location: (Reference to Cross-Street) 1)C e ►9 n-' N dyC), d- /,-j �J r
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(/jNo ( ) Date: 7 Z3 3
Bell South Telephone Company Yes(sf No ( ) Date:
Ferrell Gas Yes(yf No ( ) Date.
Comcast Yes(k4 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 Beacl or Florida Department of Transportation Standards and be
performed under the supervision of (. /��rY/i S0/_� Tri i" • (Contractor's Project
Superintendent)located at(•,i✓,/ /)I r r //6,33 1 r qs.w�/>' /r-.Telephone#:110
4. All materials and equipment shalf be subject to inspection by the D)"r �t Iic 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 lot or in the city
C-01
t of Wa are be included with this a liion.
h permittee shall11 commence actual constructionn in good faith with A') days. If the beginning date is
FILE molb 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
imspediately upon completion. n ' Q y� _ `a`
/OWNER 1 C tet'1UYUC�''+�
I J d4Z, ESSIFMERRITT
Signed: i1'1-CF 7 ttt✓U Date: '1 NM�ry Pu01k•Sute of FbrlCatBefore me this da of c n t e Coun of Duv�I My Comm.Expires rip 10,2017
State Of Florida,has personally appeared Qe „C-.k' . Commission I EF E72959
Notary Public at Large.State of Florida,County of Duval / e''%a; r Bonded Tnfoup National Notary ben
My commission expires: of-I -I ✓P'ersonall_-y
Produced Identification:
t
R.O.W.Permit Attachment of for
R.O.W.Permit# issued 120 Atlantic Beach,FL `32233
Owner's Name: �(Oil fTV UJ
Property Address: 1670 CC f0JI IPJ 00t
c ��T?jeac 131 x-33
Subdivision: Q
Lot#/Block#: 1 (p
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). S
This work is generally described as: (U i rhe ru 0r: v-e w A v from
n !? '- Z " 1.21�e Fe-rmen la fu 4 8b,e_A
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 py erti ma re receipt re uestp , to the following address:
1070 L�E�.n TSI uo� iiT l p each . Mort day._.x-33
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.
q2
DATED and SIGNED this I day of ,20j3
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of , 2013, personally a 'Pe before me, a Notary
Public in and for said County and State, I let a1 h1<T , the property owner of
oeemj .61.4 - 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
executed the same freely and Zoluntarily and for th d.
ESSIE MERR::872NMO
Nary Public-ShINi t1
• My Cmm.ExNrn FebO17
No ry Public in fo aid County and State Ca1wlMstbe!EEa.
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.
CERFIED TALMAN N. HO D k DIANNA L. HOWARD
PONTE VEDRA TITLE, LLC/HATHEVERBANK AWAY do REYNOLDS,PA
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
11th STREET
(w—T v-1)
62.50'(DEED)
N 63106'36'E
6250' (MEASURED)
ar LaA�m
0.1. 2x
o CASs MAV I O�,
PDnry R LOT 6
BLOCK 3i
HEST HAV i[•E
a<LOT 6 Y•
BLOCK 39 111 p
N�j 12Y • '
b �
a
T.Y j6
n 0-
LOT6 _ _ �.._ % mg
<+f BLOCK 2 Iy 7x r. n0 1 f Z$
� } o1 r,
V y'a EASE HALF (� 1
11RR OF LOT 9 o
BLOfIt>9 a
8
Y[ST NAV $
OF LOT S +`••_—J/11
BLOCK
79 l�
Z
b
u
Is"
S 6231'25'W
62.66'(MEASURED)
LAT 4 62.50'(DEED)
BLOCK 2 LOT 4
BLOCK 39
LEGEND:
O -n�iAM'm�v .1 rt-row o o.NVAtuRE
•-f°w'Oo�'mr,nom nic .�a.naffs
pAani ancns KDTm) DRV
■.tw•mraciL ND.AoiT va:- n—MvT A'uccairaro
aR- �ocanocA ,O'..- eaHaeTL
REVISIONS
Ray Thompson DATE Es�non
SURVEYING, Inc.
Milli. II the DISTANCE W r4M
ONTEV ITLE,L.L.0
M3EE1r=TT
4613 PNpx HiyhraY.SING 210
JlcluunUN.FbriOa 32107
(Rnn!)90444&3126
(Fsx)90444BS1T8
JOB 22850 DATE OF FIELD SURVEY: 6-18-2013 SCALE: 1" a 20'
CERTIFICATE
NOTES: HOMer oa mAi n niti, .ea w ALvwxa[dANOE
c xAnns Arc BAA3o DN M�.rARwa DF--iLGSZYif-B-- an Nms wauN sr roRW w ae naROA
AWNO M YQIRY NxCMY lAE O 9Atlr PAN.4L BMAD OE NiDRJAe KT+KM CNAPIFA 41G1)i.F.DADI
2 BY OOAPNC PLO w OMLY M COT=..LE■Tlel F A-IONS ADNe+STUnK eli W YC OAWA si,AWi¢
As sNaB a M IU11pNAl rL000 MBgArME BAT.
DAIEO:.AINE l 701].OOWMT NU147FA:1700M PANEL G7�lL
MS 9MKY!6L[Ci5 ALL[ASOENIS!IIgIT Of MAY AS IE1r rEC01OED
vuT appt1 tmE rorTNwr s nrrum.uNLEa oncRN�STATm.No AYMOMM
OTrlF TrIE AEWi%A'tON NAS®1 PErMORNEO in M 1,NDERSIGr®. Rf(YSTERp SUR IAKD N 110 STATE OF FLORWA
t:1W5 SIMKY R NOT VALD VIIr1011T AM AUTNp1 n,DAim pECIRONiC SN}IA'UriE � 7M9
AND AI.TENRGTED ELECTROMC SEAL
LAND SURVEYS O CONSTRUCTION RVEYS O SUBDIVISIONS
I
i
5
S
MAP SHOWNG 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.
CERTALMAN M.HOD&DIANNA L HOWARD
EVERBANK
PONTE VEDRA TITLE,LLC/HATHAWAY 8 REYNOLDS,PA
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
11th STREET
r•An
6.5:Y(GEED)
N 83D6'36*E
62.50 (MEASURED) 6 0°
nz n, ccua
at
as
s FAST HALF
OF LOT 6
QQ BLOCK 39
WEST HALF C 7.
BL CK 39 CCKK A
W rr 9 Q
I [b
x- 888 '°
oe
a LOT t, _ _ _ — CD
<d BLOCK 2
T oW_ Q
1 a 0 a EAST HALF W Wv
36i 4N aLOT s 6 8
}I O 1 BLOCK 39
N
< M4 I !p
KS, IF 1 R C
DF Lot 5 O N
BLOCK 39 C
Z F
g b 40
,s r
S 5=15"W R
62.68'(MEASURED)
LOT 4 62.50'(DEED)
BLOCK 2 101 4
BLOCK 39
LEGEND:
•'w a'n�,.,cia we" e.nus
loam Dnaa6E Ko•mI
aawvT
■-:.:mraKx Yu.nar R+Ane°�'�
AF MVId14KD m1pWT(
REVISIONS
Ray Thompson �, BESCRIP ON
SURVEYING, Inc.
9re DISTANCE Par Y
4613 Phi4614VWOY.5Ws 210 ONTE1� ITLE,L.L.C.
JoPIWDnWB6,FWiU 32Y07
(Prom)9044485125
(F.)9044488178
JOB 22850 DATE OF FIELD SURVEY: 6-18-2013 SCALE: 1"- 20'
NOES: CERTIFICATE
N_06.12Z{J6___ ram.o<em,KAr n 4]s, Y.4lsOKWSF a'"A�
,:sAa.cs ABE BA20 OX THE 6 96➢.eFAmHc of-- :ro PEs-,s n:i aaw Qr roR1H ar 17 namA
ALOH6 T1E WtsToaT Ba4orAT,)4:or ae.FtT INIGEI. 6pMo 6 ER(iF99 �c,'$1KB• !C4NRA 4,CT-4.Ft01faA
2 8r ORAP,4C ROTAMG OILY T1E W110rtD WI06 tt MY-FLOOD ZPC AprP,y-aAn>i .] .dWA SfA!ur¢
As a,Dm a iXE NATKNAL FL000 4wnAHCE rAP,
DAtEp:JIAIE 3.TA3 COEB4F4TT M1@Ik CHT PAIEL—MO -
3 MS 9/XEY IEC/lEtT6 ALL FAYIEXTS t Irq,T Cf WAY AS PEA WECDrmtD
q.AT�/OR ItAE COYNTY[AT i SUPPUm.,BAFSS OTEBM,Y fTA*[✓.VD A"Y6EIDE EIIOMP
OIER 1Lc W6MAipK XAs 6EEM PEBFOMED 8Y THE t41OIX51GKE4_ REOSIERED S:#i_ /L1lC YAP 6,16$TATE OF FI_A
k M6 S.AlEv 3 NOt vAIL WmauT AX AYAIFNTICATm ElEC,AG:,. a.Avx )159
iY'D AUAIEXIIGTED ELLCTB014C
LAND SURVEYS O CONSTRUCnON SURVEYS 0 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
TALMAN M.HO�O�k DIANNA L HOWARD
EVERBANK
PONTE VEDRA TITLE,LLC/HATHAWAY&REYNOLDS,PA
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
lith STREET
(w wort or—)
62.50'(DEED)
N 636'36'E _
62-W(MEASURED)
EASE I V
Pony,
Of LOT
6 s
aoac�a
HEST HAyJ T i
woaiT�c
' 13
La zr 7 0
o v �C
PAYD6 a 3; I^m $ O O i V
d ]x
8?af �L tl
oi
LOT 6 _ _ ^` CD 0
v.1 BLOCK 2 y �n
W W�
OF i14 F Lois
"0 1 1 aca�ss ae 4�
Y6L HALF
OF LOT S
�« �--�
� y
J .�
tx
S=51ww 3
62.66(MEASURED)
LOT 4 6250•(DEED)
BLOCK 2 LOT 4
BLOCK 39
LEGEND:
O .war .wr a owA.0
w. nlw. PPE nc_ PaPrt v PwT or awar TAYOHn
(UlL]I ona,lls;woroi ar�AP1F
"# 228
�.�rtREASIONShompson �,.t OE�„Q,EYING, Inc.DISTANOE fart :FIELD
:RLE,L.L.0s H9hrwY.6r) Rorib 125) OC4465,26 901-N65176
JOB 2285p DATE SURVEY: 6-18-2013 SCALE: ," 20'
CERTIFICATE
NOTES: Nnor oDnrT
1:E.AIwV6 APC dl4D oY M�.sw,mG OF-_1L9�3YZiJ1' wo.an M WILY RAID A scr FnI,H QT M 0.0tmA
ALON9 M!21612 1SMIlY 11[K!41£1'2 PMQL MA9D OF Pg1]9u ,E'R7r 11�YAw I O,AAE OOttA ilalM
2 YY WRK PLOTLC GILT M CID,4m LAI85 LE V11M ILOOD L'WC IOM6AAIM AHT A 2(aIO.♦ HOA STA,YTf3
ws s,ow oY M YA!1MAl FLOm INMb1[E wP,
DAtLD:.uc 1 tpa Tawlwrt Yualt,x9o]e PNRl 9f0�LL-
:us s,n.EYmLE m�u.�,wrt rwPwimw oi,Tcm y 6 ac�aimhcon
p�tlO, OF
1M 5lA
A"Y11191A
O:,lp T�glixllUH HAS RE11 PE%O@4iD BY M UIi0ER9O6. REGIS,ERm SUF I�(IC YTE {1.OYYJA
I:TWS 211VE'R YO'v.YD■1„OLIF AY AU,Np,I0A1FD ELEa1RONC SIOV A'�Hi. l� ]b9
AND IUiliNllGtFD'SLCiPnIC SFA:.
LAND SURVEYS O OONSTRUC710N SURVEYS O SUBDIVISIONS
S l City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
`{ 800 Seminole Road
v 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
Property Address: �� /y O 11/�' Department review required Yes No
Building
Applicant: W n Planning&Zoning
Tre dministrator
Project: ✓ k j �6`� Works
blit Utilitie
Public Safety
Fire Services
Review fee$ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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: FVpproved. [-]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREEIN. -" Second Review: QApproved as revised. ❑Denied.
q
15
ORS Co ments:.
TILIT S
PUBL S Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
l
Comments:
Reviewed by: Date:
i
Revised 05114109
trnr�� City of Atlantic Beach APPLICATION NUMBER
�f g Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
F Date routed:
eE-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / / O�G A/t' Department review required Yes No
Building
Applicant: W n Planning&Zoning
Tre ministrator
Project: ✓ D works
blic utiliti
Public Safety
Fire Services
Review fee$ Dept Signature
Other Agency Review or Permit Required Review or Receipt Dateof 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: Wt4`QIf- r&,LT G"Vj cam/ , JzO
BUILDING /� V LV%- ����' ✓ �� N n
PLANNING&ZONING Reviewed by:
TREE ADMIN. Second Review: ❑Approved as revised. []Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES TWd fb~. ❑APProved as revised. ❑Denied.
COIIr11�IM�:
I
I
Reviewed by: Date:
Revised 05114109