358 5TH ST 2013 ROW CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003037 Date 7/19/13
Property Address . . . . . . 358 5TH ST
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
ROCK IN ROW
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Owner Contractor
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AF AB VENTURE LLC OWNER
357 12TH ST
ATLANTIC BEACH FL 32233
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Permit . . . . . . RIGHT OF WAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/15/14
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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 .
Rock to be 57 stone or smaller. Homeowner responsible for
keeping/clearing rock from pavement.
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Other Fees . . . . . . . . . ENG REV BLDG MOD OR ROW 50 . 00
UTIL REV MODIF OR ROW 25 . 00
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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 75 . 00 75 . 00 . 00 . 00
Grand Total 110 . 00 110 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH: JUL 10 2013
CONSTRUCTION PERMIT WITHIN CITY..RIGH A EASE TS
800 Seminole Road 47-5800
B
7-5845
Atlantic Beach,Florida 32233-5445
PLEASE SUBM17(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Da /0/13 PERMIT# -
i-A J, THE CITY
ISSUED BY 31�
Job Address 136)<�
Permitee: XJ Telephone#
Permittee Address:
Requesting Permission to Construct: A00e, I n
4
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this applicbtion 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:
Yes( No at .-
Jacksonville Electric Authority D e. I/
Bell South Telephone Company
Yes( No. Date:,
Date:
Ferrell Gas
Yes No.
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*dasernent or.reset or relocated hereon as,
required by the Director of Public Works, and at the expense of:the. P6rmittee unless reimbursement:is'
authorized.
3. All work shall meet City of Atlantic Beach or FI 'd D rt ant of Transportatio
pr !,� e= n Standards and be
M I . . e s u p6 (Contract Pro"ie t
perfor ed under th ry n o c
Superintendent) located at M\L4 L4V\14JWT% Telephone#: 611
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 f4r,as.practical, in keeping with city spe�qificatio ns
and the manner satisfactory to thecity,_
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 perrinit. '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 shallbornmence actual construction in good faith with days. 'If the begirinirig date'is
more than 60'days'frbin date oi permit approval,:then Oermiftbe must review the permit With the Director of
Public Works to make sure no changes have occurred, in the ar*ea that would affect the permitted construction.
8. It is understood and 6gre6d'that the ri4hts'66d":rivile§ds herein set-out are granted only t6 the extent of the
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City's right, title and interest in the land to be entered upon and used by the holder, and the Hofder' Will, ptlail
times, assume all. risk .of .a.hd indemnify, defend, and save 6armle'ss,the City of Atlantic Beach from'.-and
against any and all loss, damage, and cost of expenses arising In any manner of the exercise;orattern
pted
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
COPY
F1, r!' V
Signed 7/la 13
Before me s a in the County of:Dul a
C
State Of Florida,has p ona y app are
Notary Public at Large,State of florlda, ounty of Duval.
May.corimps on expires: .4 L-)AA f1i`1 Personally Known:
E_ M6'21-.A it_�.Q.Produqpd Identification:
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Ay Cof&AssON#FF 011480
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EXPIRES:April 24,2017].
Puw
BonW Mn NOWY Pubk Undembll
R.O.W. Permit Attachment of for
R.O.W.Permit# issued 120 Atlantic Beach,FL 32233
Owner's Name:
Property Addres;:
Subdivision:
Lot#/Block#:
R.E. #:
REVOCABLE ENCROACHMENT PERMIT
T I REVOCABLE ENCROACHMENT PERMIT� issued on this _Z& day of
20 -72
_Lby Atlantic Beach, Florida, a municipal corporation organiZed and existing
under 0 laws of the State of Florida,hereinafter referred to as "OTY" and L
of Atlantic Beach,Florida,hereinafter referred to as"USEW'.
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 abbve(copies attached).
This work is generally described as: /Od //V &"o
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 by certified mail, return receipt requested, to the following address:
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 I 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 approN ed plans and/or method, must obtain
written approval from the City of Atlantic Beach, Public Worcs 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 terrns 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 US)ER.
DATE7D - IGNED this IM11 day of 20'3
By:
Iftoperty Owner-400-
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this I O'Yhday of au)U 20Qpersonally appeared before me, a Notary
Public in And for s .d County and4tate. ivrd FL,,
_�i the property owner of
-3159, st�_ , Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; whc acknowledged to me that he or she
executed the same freely and voluntarily and for the uses and purposes therein mentioned.
JENFER WALKER
A A A
MY �OMMISSION#FF 011480
V1 It 11 VW( L/ X I d E PIRES:Apig 24.2017
?ijoM6 Pitblic W for said County and State ftdo TWftWPubkU(W@Wbf3
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
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L-ZD
�TD MAG�AJ SETI/2 RON PIPE FOUND 11Z IRON
LB 3672 CAP NO. LB3672 B PIPIE- NO!CAP
YAM DRAIN
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04
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DRIVE
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TWO STORY FRAME
RESIDENCE in
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b #358 om
0 FINISHED FLOOR 10.20 6
ci /c u)0!
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POOL HEATER—__,
Pool- PUMP
7.1' 34.s,
-16 - 1.0 zo
SCALE: 1" 20'
BRICK POOL
DECK
SPA
C P 6
L 0 c Pool- K
LOT 27 1 LOT 23
YARD YARD DRAIN
DRAIN EL-ILIS
EL-7.0 0
SET 1/2' IRON PIPE, D 17.5' 17.7' c 4' CHAIN CE
_ ZUNI( FEN
so I CAP No. L83672 O.f
FOUND i 1/2- IRON
OVERED
XJND I/L� IRON C TO IJNEI� 50.00' PIPF, 0 CAP
x_
PE. NO CAP WOOD FRAME x—x—
DECK SHED 6' 1 5OD A�x
Tk 12-2'
LOT 28 LOT 26 LOT 24
B 0 C K
NOTES:
1. THIS IS A BOUNDARY SURVEY.
2. NO BUILDING RESTRICTION LINES AS PER
3. ANGLES AS PER FIELD SURVEY-
A 89'48'30"
B 90"13'53"
C 89"55'57"
D 90*01'40"
4. NORTH ARROW PROTRACTED FROM PLAT.
5. THE BUILDING DIMENSIONS AND TIES ARE
THE FOUNDATIONS.
City of Atlantic Beach 'FTNT' APPLICATION NUMBER
Building Department 17013 (To be assigned by the Building Department.)
i U
800 Seminole Road -3
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: Department review required Yes No
Building
Applicant: �_h Planning &Zoning
Tree Administrator
Public Works
Project: r','o
dFL-L-blic Utillp�
Public Sarely�
Fire Services
Review fee Dept Signature
V
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: pproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Q_ Date: f�51-13
Reviewed by:
TREE ADM IN. SecondReview: DApprovedas revised. F]Denied.
P WORK Comments:
PUBLIC TILITIES
K
P WOR V
—IS W
4PUU LIC AFEW Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
1�.
RE CETVFT_1'
City of Atlantic Beach JUL 112013 APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road -BY: U 'm
`7
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 0
Ultyweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Building
Applicant: Planning &Zoning
Tree Administrator
Project: ov^i -Public Wor-k-s-)
Public Utilities
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: E�pproved. [-]Denied.
(Circle one.) Comments: C_ 0-*,-))9�
BUILDING X
PLANNING &ZONING y: OT
e OYTW�-�4 Reviewed b Date:
TREE ADMIN. Second Review: F]Approved as revised.
]Denied.
9 PUBLIC WORKS Comments:
PU
BLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 05/14109