The URL can be used to link to this page

1780 E Park Ter herm in row CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002970 Date 7/16/13 Property Address . . . . . . 1780 E PARK TER Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc HERM IN RIGHT OF WAY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ APP LAWRENCE OWNER 1780 PARK TERR E ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . RIGHT OF WAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/12/14 ---------------------------------------------------------------------------- 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 . ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENG REV BLDG MOD OR ROW 25 . 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 50 . 00 50 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 'ytJ ZCITY OF ATLANTIC BEACH J0 70 3 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASE41ENTS 800 Seminole Road Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date `V1�C. �-� I Z-013 _ PERMIT# Job Address ISSUED BY THE CITY Permitee: L W r� A P Telephone# I�s�>��PpQ�►,��, Permittee Address: x700 TQC Requesting Permission to Construct: C wn I^1 Location: (Reference to Cross-Street)�5m& Sik&. O�S,&V s 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: j Jacksonville Electric Authority Yes ( ) No (if Date: Bell South Telephone Company Yes ( .) No: rt/j Date: , Ferrell Gas ;Yes (: ) No, (yf. Date Comcast Yes ( ) No (,)- Date: ! i ' 2. Whenever necessary for.the construction, repair, improvement, maintenance, safe and efficient loperation, 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 Bea h_ or Florida De artment of Transportation Standards and be e pormed under' the supervision of p p p vJC (Contractor's Protect Superintendent) located at t f�G Telephone#: $b .lwaq 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"commence actual construction in good faith with t 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''privilege"s 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 Hol'de'r wllll, atiall 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 x(24) hours prior to 'starting •work and again immediately upon completion. „ OWNER Signed: : COPY11' Before mefthis ay of 44 n the CountyA&f D Val, State Of Florida,has personally appearedr 1y Notary Public at Large,State of Florida,County o Duval. JENNIFER WALKER M com issio zpires: Personally K 1�}fi'� Produced Identification; MYGOMMISSIONNFF011480 EXPIRES:April 24,2017 RF Bonded Thru Notary.Public Underwriters R.O.W. Permit Attachment of for R.O.W. Permit# issued ,20 Atlantic Beach,FL 32233 Owner's Name: Property Address: Subdivision: 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 pe ssion on a revocable basis as described herein the right to enter upon the property of th City of Atlan c Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Ease nit pe it nu ers noted above(copies attached). This work is generally describe as: Ii,J vin--�J Any facility maintained, repaired, erecte , aT(00) in alle the exercise of the privilege granted remains subject to relocation or removal on thirty ays notice by CITY to the USER, said notice to USER shall be given by certified mail, retu receipt requested, to the following address: 1-76bt.ec- 9, ,6da4oMC_Q6., 322 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 evelopment 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 7day of 31AW2 , 203. By: 1444wz"Aw Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this "k% of %!SUV`% _ 20L3 personally appeared before me, a Notary Public in and for said County and State, tMV QJ, �i , the property owner of n 0D Ph✓KITIri►r b, , 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 voluntarily and for the uses and purposes therein mentioned. i&M No r Public in r said County and State :: '�F'= � �WIWF0 MY COMMISSION N FF 011490 EXPIRES:April 24,2017 4" i-f:9 Bonded Thru Notary Public Underwriters CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: Ricky L. Carp P li rks Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 1780 Park Terrace E,Atlantic Beach,FL-Google Maps https://www.google.com/maps?f=q&source=s_q&hl=en&geoc... 1780 Park Terrace E Get Google Maps on your phone GOOQI(! Address Atlantic Beach,FL 32233 Text the word�MAps"to466453 AWC) w � d F C' tD !— O c, 3 y m � Cx CD O uriba pr Sdtunba Dr m CII c .y 7 Y 1 I 2 F 2 417 V CJ 2 02013 Google Map data 02013 Google Q� (CO l — t Zi a,gtos A Lo ' Of 1 6/27/13 12:49 PM 26.0 o a 0 ,0 Z6•o i� o - zG•o 60 VY/�L Ca . D FLA . 1 !!C Sy�,p; City of Atlantic Beach � I APPLICATION NUMBER Building Department I �D (To be assigned by the Building Department.) s 800 Seminole Road �� 297e Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(90J4247-518145 E-mail: building-dept@coab.us Date routed: 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / � Department review required Yes No 1 cc ,,pp Building Applicant: Q�jL]/�G 1` Planning &Zoning Trea-Adf-t nistCator Project: SC Public Works tilities YFire 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: o� 3 TREE ADMIN. Second Review: [—]Approved as revised. ❑Denied. (C Comments: P I TI TI P BLIC SAF�Y Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 r1�b11; City of Atlantic Beach APPLICATION NUMBER � Building Department �E�j�ED (To be assigned by the Building Department.) J �j . . 800 Seminole Road JUS 2 $ — 2 9 .7e 1 Atlantic Beach, Florida 32233-5445 2013 Phone(904)247-5826 • Fax(90.4) 247-5845 E-mail: building-dept@coab.us Date routed: 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / � Department review required Yes No CC Building Applicant: Q(j()n G Planning &Zoning Tr ator Project: C Public Works tilities YFire Services Review fee $ Dept Signature A,< Othergency 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: ADate: 2 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 05/14/09