1355 Ocean Blvd ROW 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002372 Date 8/12/13
Property Address . . . . . . 1355 OCEAN BLVD
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
paver driveway for new home
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Owner Contractor
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LINDLEY TOLERT DESIGNS BOSCO BUILDING CONTRACTORS
465 BEACH AVENUE 21S8 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-0320
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . . Plan Check Fee . 00
Permit Fee . . . . 35 . 00 Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 2/08/14
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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 .
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 .
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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
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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 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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b the Building Department.)
800 Seminole Road
0- Atlantic Beach. Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us 271
L 41-
_�ate routed:
City web-site: http://www.coab.us 1 . I =
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Building
Applicant: Planning &Zoning
Tr��l�rfistrator
Project: tublic Worka-__
Public UtTifties
Public Safety
Fire Services
Review fee $ Dept Signature
V
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: Approved. [-]Denied.
(Circle one.) Comments:
SEWCz< (!AFA"
BUILDING
PLANNING &ZONING
Reviewed by:. Date:
TREEADMIN. Second Review: FlApproved as revised. FIDenied.
P WO Comments:
U LIC UTIOLITIE
PUBLIC SAFE Reviewed by.- Date:
FIRE SERVICES Third Review: []Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
Microsoft Word-Right of Way and Easement Application- Right of W... http://coab.us/documents/28/Right of Way and Easement Application.PDF
41 CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WA
_J 800 Seminole Road
Atlantic Beach,Florida 32233-5445 W 904-247-5�4
PLEASE SUBMIT(3)C PLETE SETS OF PLANS WITH APPLICATION. 26 2013
Date 13
7,
FPERMIT
ISSUED BY THE C�ITY ��.
Job Address
Pen-nitee: L I N P Lot j3 CM7 T I,ephone#- Jol - z34- I kV
Pen-nittee Address: 13 MC�f fW C alWMC 50+C4_1 FL 6 Z-2-35
94,46-P
Requesting Permission to Construct:
Location: (Reference to Cross-Street
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: -512 Q/1
Jacksonville Electric Authority - I e Yes( -) No ( ) Date:
-npany 7-- 6,4,1 Yes( 1) No ( ) Date: _;�'12 4-,Z
Bell South Telephone Cot �tt
Ferrell Gas Yes(- ) No ( ) Date:
Comcast Yes(V) No ( ) Date: /7 3
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 Pen-niftee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach r Florida Department of Transportation Standards and be
perfort-ned under the supervision of -faD D tA- 11303 C-c) —(Contractor's Pr * t
Superintendent)located at .21573 luffffiCT--ell) —Telephone #-. Z 53 - 09IN
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. ey shall be made a
6, A sketch of plans covering details of this installation, as well as, a copy of a recent sury
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. If the beginning date is
7. This permittee shall commence actual construction in good faith with _ days.
more than 60 days frorn 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 pennitted 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. l, work and again
9. The Director of Public Works shall be notified twenty-four (24 hours prior to starting
immediately on c p1l tion.
b" WILLIAM L.POPE
OWNER Notary Public,State of Florida
Signed. DaZ -�5 My Comm,Expires Oct.19,2015
of commission No.EE 128745
of::
Before me at f 4 in t q Coun((of Duval,
0
State Of Florida,has personally appeared
Notary Public at Large,State of Florida,County of D val,
my commission expires� n��o
Produced ldentific�tion.
3/21/2013 1:39 PM
I of I
I achment Pernfit REVIO-...
Microsoft Word-Revocable Encroachment Pennit-REVI 0-08 - Revo... http://coab.us/documents/28/Revocable Encro
R.O.W. Pennit Attachnient-of for
R.O.W. Penult# issued 200 Atlantic Beach, FL 32233
Owner's Name: 10"1 _171 i �0 f-t
Property Address: rlPa 4
Subdivision: f,-iq(L (Cf-A
Lot#/Block 4: In-11 /6, �25-,2
R.E. 4: _D I �,s V I - (�)ODD
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, im. led oil this Z day of
V"*V&_A� , 20f_$ by Atlantic Beach, Florida, a milluicipal corporation orgaillized and existiaig
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 m.the City of
Atlatitic Beach Right-of-Way/Emement pennit munbers noted above (copies attached).
tpmre (
This work is generally described as: NeW CA)STOM qa c 7yucn a ii
Any facility maintained, repaired, erected, and/or installed nil tile exercise of die privilege granted
remains subject to relocation or removal on thirty (30) days.notice by CrIY to the USER, said notice to
USER shall be i en by certified plail, retign receipt rMiested, to the follow* address:
4S &CW_At* 'AVr4 vzzn
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 infornied of USER's proper address.
The USER shall promptly make any mid all necessary repairs to any facility erected or nianiltained in
the exercise of the privilege herein granted mid 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 mid 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 niust be replaced with smooth concrete left natural 'in color so that it
matches the existing mid adjol1w, ig sidewalks."
Page 1 of 2 3/21/2013 1:47 PM
I of 2
Microsoft Word-Revocable Encroachment Permit—REVI 0-08 - Revo... http://coab.us/documents/28/Revocable Encroachment Permit—REVIO-...
The USER, prior to inaking any chariges fi-oln the approved plans and/or iiiethod, niust obtain
written approval froni the City of Atlantic Beach, Public Works Departnient, for said change. The
USER shall, at the discretion of the CITY,be requested to subinit as-built drawings showuig the climige
withu' l thirty (30)days after the day of completion.
Thi's pennit shall inslue to the benefit of and be bindilig upon, the USER and their respective
successors and assigns.
USER shall ineet the tenus and conditiojiS of this penin't and to all of the applicable State and CITY
laws and/or specifications, to include utilities locate reqiurenients mid use lililitatiorus/requi'reinents of
public rights-of-way mid other public land. USER flu-flier agrees that the CITY mid its officers and
employees shall be saved liarniless by the USER fi-olii any of the work hereul under the ternis of this
pennit and that all of said liabilities are hereby assuln ed by the USER.
DATED and SIGNED this day of 200.
By: r 0
Propek—owl
(to be Sig in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this -t4 day of Jwe��—A 200,� personally appeared before ine, a Notary
Public 'ill mid for said County and State, , the property owner of
I Atlantic Beach, Florida, known to nie to be the person(s)
described ill and who executed the foregoing instrurtient; who acknowledged to ine that lie or she
executed the saine freely and voluntarily and for the uses and purposes therein inentioned.
WILLIAM L.POPE
Notary Public,State of Florida
Notary Public ill for Said County and State My Comm.Expires Oct.19,2015
commission No.EE 128745
CITY OF ATLANTIC BEACH,FLORIDA,a
municipal corporation:
Approved:
Ricky L. Caiper, Public Works Director
For Pennitq where city sidewalk Lis iinpacted,
City Manager approval requi'red:
Rill Hanson,City Manager
Page 2 of 2
2 of 2 3/21/2013 1:47 PM
BP250U01 CITY OF ATLANTIC BEACH 5/08/13
Application Tracking Step Selection by Revision 15: 13:46
Application number . . . . : 13 00002372
Address . . . . . . . . . . : 1355 OCEAN BLVD
RE number . . . . . . . . . : 171841-0010- -
Application type . . . . . : RIGHT-OF-WAY PERMIT
NCR OLD ACCOUNT NUMBERS . . :
Tenant name, number . . . .
Type options, press Enter .
2=Change 4=Delete 5=View 6=Fast log 8=Action log maintenance
9=1n/out maint Path ---- Key Dates --- - Review Summary -
opt Agency description Rev Step Req In Est Cmpl Resulted Stat By
PLANNING & ZONING A 01 N 03/27/13 04/16/13 AP LS
PUBLIC UTILITIES A 01 Y 03/27/13 04/16/13 03/27/13
PUBLIC WORKS A 01 Y 03/27/13 04/16/13
Bottom
F3=Exit F5=Land inquiry F6=Add F7=Revisions F8=Misc info inquiry
F9=Corrections report F10=View 2 F11=Sort by agency F24=More keys
Graham Shirley
From: Carper, Rick
Sent: Thursday, May 09, 2013 10:32 AM
To: Graham Shirley
Cc: Showman, Lisa
Subject: RE: 1355 Ocean Driveway
Yes, approve, but fee is $50 (25 foi- ROW permit and 25 for Revocable encroachment permit). Will have Lisa
search for the approved package wherf she gets back next week.
Thanks, Rick
Ricky L. Carper, P.E.
PublicWorks Director/City Engineer
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach, FL 32233
rcarper(a-)coab.us
PH' (904) 247-5834
Fax-. (904) 247-5843
From: Graham Shirley
Sent: Thursday, May 09, 2013 10:30 AM
To: Carper, Rick
Subject: RE: 1355 Ocean Driveway
Do you want me to approve it and issue it ...charge 25.00 ????
From: Carper, Rick
Sent: Thursday, May 09, 2013 10:26 AM
To. Graham Shirley
Subject: RE: 1355 Ocean Driveway
Shirley, I don't have that on my list of permits awaiting information and it's not in Laserfiche (Donna's copy is,
but nothing from me).
I found an email I sent to Todd Bosco on 4/15 saying I had approved it, but don't see the file anywhere on
Lisa's desk.
Rick
Ricky L. Carper, P.E.
Public Works Director/City Engineer
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach, FL 32233
rcarper(a)-coab.us
PH: (904) 247-5834
Fax: (904) 247-5843
From: Graham Shirley
Sent: Thursday, May 09, 2013 10:19 AM
To: Carper, Rick
Cc: Showman, Lisa
Subject, 1355 Ocean Driveway
Sorry I left out the important part of the question ???? Hey after you leave the "Health Fair" come by and get candy!!!!
BP250U01 CITY OF ATLANTIC BEACH 5/09/13
Application Tracking Step Selection by Revision 10:15:52
Application number . . . . : 13 00002372
Address . . . . . . . . . . : 1355 OCEAN BLVD
RE number . . . . . . . . . : 171841-0010- -
Application type . . . . . : RIGHT-OF-WAY PERMIT
NCR OLD ACCOUNT NUMBERS . .
Tenant name, number . . . .
Type options, press Enter.
2=Change 4=Delete 5=View 6=Fast log 8=Action log maintenance
9=ln/out maint
Path ---- Key Dates Review Summary-
Oct. Agency description RevStepReq In Est CMPI ReSUlted Stat By
PUBLIC UTILITIES A 01 Y 03/27/13 04/16/13 03/27/13 AP LS
PUBLICWORKS A 01 Y 031127/13 04/16/13
sk�rLeU (frnkcinA.
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, Fl 32233
9042475800
syraham.Lucoab.us