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1516 Linkside Dr 2013 Driveway CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003056 Date 7/2S/13 Property Address . . . . . . 1516 LINKSIDE DR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc CONCRETE TO PAVERS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DIXON, NEIL E FIRST COAST PAVERS CORP 1516 LINKSIDE DR P 0 BOX 8090 ATLANTIC BEACH FL 32233 FLEMING ISLAND FL 32006 (904) 588-8066 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/21/14 ---------------------------------------------------------------------------- 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 . Dumpster CANNOT remain in right-of-way overnight . Homeowner/Contractor responsible for repair of any damage to pavement or roadway. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 ENG REV BLDG MOD OR ROW SO . 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 CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BtTILDING CODES. CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date. 7/10/13 PERMIT# ISSUED BY THE CITY Job Address 1516 LINKSIDE DR, ATLANTIC BEACH, FIL 32233 1 1 Permitee: FIRST COAST PAVERS Telephone# 904-410-0278 Permittee Address: PO BOX 8090, FLEMING ISLAND, FIL 32006 Requesting Permission to Construct: INSTALLATION OF PAVERS TO REPLACE EXISTING CONCRETE DRIVEWAY. REQUEST PERMISSION FOR DUMPSTER TO BE PLACED CURBSIDE ON STREET MARKED\AnTH CONES, NOT TO BE LEFT OVERNIGHT Location-. (Reference to Cross-Street) DUMPSTER TO BE PLACED CURBSIDE AT HOMEOWNER'S RESIDENCE 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( ) No Date: Bell South Telephone Company Yes ( ) No Date: Ferrell Gas Yes ( ) No (-)c) Date: Comcast Yes( ) No (A) 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. 1 All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of AJ TAJ I (Contractor's Project Superintendent) located at PO BOX 8090 FLEMING ISLAND FL 32006 Telephone#: 904-505-5662 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. CaICLilati0l)S 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 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 uE9p .,flmpletion R .Olvee , igned: Z Date: efore= re in the County of Duval, ori C un of Duval. Personally Known: vnft -------R4QducecL-tdentification: Bon&_3-1Aru Notary q1j,67' '—writm R.O.W. Permit Attachment of for R.O.W. Permit issued 20— Atlantic Beach,FL 32233 Owner's Name: Property Address: LJ,17A%' �W Subdivision: Lot#/Block R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 29_, 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: 9 M: Ro PAJ(,�r7:S 1��I. 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 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 �4V 20LS /T jropeert�y 40w�ner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL C7� On this day of 20—, personally appeared before me, a Notary Public in and for said County 91d State, , the property owner of ' Atlantic Beach, Florida, known to me to be the person(s) described in and who executed thejoregoip. - o acknowledged to me that he or she g, instrument, execjuKdA"ame freely a y an §MW and urposes therein mentioned. EXPIRES:February 14,2014 Pubk Underwrfters MY COMMISSION#DD 957760 A Notary Public in fotsaid Cck6nN and State kl� CITY OF ATLANTIC BEACH, FLORIDA,a municipal corporation: Approved: ? Ricky L_. Carp"er, 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 LOT BLOCK ow AS SHOWN ON MAP OF ser/. jow ZAZ�c�� J&&r p AS RECORDED IN PLAT BOOK ff 7 PAGES " OF THE CURRENT PUBLIC RECORDS OF DUVAL CO., FLA. . FOR: 9:2f_A1.r--X W4W,--f NOTE: BEARINGS SHOWN HEREON ARE BASED ON THE ABOVE MENTIONED PLAT. 1A4wm%1A946 f'o I Ar A 7 77X�5­ Uk N N'- W Jo % flb Qo 7.3— A4 rl ,o,4,v,r 4,c 5owAwAowvr zor z _swvrov, A?,4,,/,54F z v ew5 r City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) "a-TP 800 Seminole Road 1.3 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(90 247-5845 E-mail: building-dept@coab.us Date routed: Uty web-site: http://www.coab.us APPLICATION REVIEW A ACKING FORM Property Address: Department review re uired Yes -No Building Applicant: to Z�) Planning &Zoning Tree Administrator Project: L120-47_6 VP 7A4 Vi r-5 A-blic WS�� 7ublic '!��M 1777 Y. qg!T!:� Public Safety Fire Services Review fee $ Dept Signatibrie" 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: [JApproved. RDenied. (Circle one.) Comments: C'L f BUILDING c, PLANNING &ZONING ILI Reviewe by DE 7 TREE ADMIN. Second Review: FlApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-544 J01 Phone(904)247-5826 - Fax(9 47-5845 E-mail: building-dept@coab.us Date routed: Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: 7_6 vo vir-S — . lic�� (::�7__ijblic UUFF59T� Public SaFe—ty 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 APPLICATION STATUS Reviewing Department First Review: XApproved. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: —Date: TREE ADMIN. Second Review: ElApproved as revised. ElDenied. KS P WOR Comments: L Date: *PUBIC Ww Reviewed by: FIRE SERVICES Third Review: FlApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14109