345 6th St 2013 parking row I % 0 X I
ell CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003207 Date 8/12/13
Property Address . . . . . . 345 6TH ST
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
PARKING AREA
----------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
DAVID P ROGERS MCANENY BUILDERS LLC
380 10TH ST 11258 REED ISLAND DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32202
(904) 219-3001
----------------------------------------------------------------------------
Permit . . . . . . RIGHT OF WAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/08/14
----------------------------------------------------------------------------
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.
Street must be kept clean and dirt free during
construction.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENG REV BLDG MOD OR ROW 50 . 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 75 . 00 7S . 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.
P,ECEIVED
City of Atlantic Beach APPLICATION NUMBER
ffC- IN D
..._7
_�T7
AUG 0 7 2013
Building Department (To be assigned by the Building Department.)
800 Seminole Road
-5445 ------
Atlantic Beach, Florida 32233
- Fax(904)247-5845
Phone(904)247-5826
E-mail: building-dept@coab.us Dale routed:
City web-site: http://www.coab.us 11
APPLICATION REVIEW AND TRACKING FORM
Property Address: nt c-zir Department review required Yes -No
Building
Applicant: Planning &Zoning
Tree Administrator
Project: u IOWWorks`5
Z2
�Fu_bilic Utilitiej7-:)
=T:u1=1ic_8afety
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
Fother:
APPLICATION STATUS
Reviewing Department First Review:
(Circle one.) Comments: �TApproved. FIDenied.
BUILDING
PLANNING &ZONING Reviewed by: D a t e:
TREE ADMIN. Second Review: DApproved as revised. E]Denied.
WORKS Comments:
UB I TI
PUBLIC SAFE Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
R E C FF,T,N.,T
4
APPLICATION NUMBER
City of Atlantic Beach
Building Department r! AUG 0 7 2013 (To be assigned by the Building Department.)
TV 800 Seminole Road
1.r) ,T. /.� -
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
HIT E-mail: building-dept@coab.us Date routed:
Cay web-site: http://www.coab.us 11
APPLICATION REVIEW AND TRACKING FORM
Property Address: nt Department review required Yes No
Building
Applicant: Planning &Zoning
Tree Administrator
Project: 77 Q (1ru-&r1c Worksp
Pfu`bric utiiiti2D
T-ublicSafety
Fire Services
Review fee S6 Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Tran sportation
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. DIDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Owl-C'_T'k Date:
Reviewed by:_
TREE ADMIN. Second Review: FlApproved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F-]Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAEDii��.A*rlj
800 Seminole Road 8
Atlantic Beach,Florida 32233-5445 16 y Fax
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
0 1
Date --I - S— - I PERMIT
Job Address C r-4 -,-rZ-C_CT- ATL U'a" :IZ?33 ISSUED BY THE CI �y
Permitee: Y'11'%CA0CAjLr VIU I Lr�M- S, L.L-(- Telephone# lfo�. 7 icj I
Permittee Address: 10 Io C'. A�bA^,%l _S7QP_kV-F SurrE 10 YAQ_&0--jJ1LLf_. V*L'3ZZih;f
Requesting Permission to Construct: PA oce- AP_c-,A Lj#-ri-i Ca ILAS4
— L&j 0 P��t 0-)G'S
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:
Jacksonville Electric Authority Yes No Date:
Bell South Telephone Company Yes No Date:
Ferrell Gas Yes No Date:
Comcast Yes No Q 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 Permiftee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supery,I,sibn of ^%CA0C#JY (Contractor�s Project
Superintendent) located at -A V 5- (,V4 s-rre-ec-T- Telephone#: 9Q!j r-i5 16of
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 spepifications.
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
Ri_qht of Way are to be included with this application.
7. This permittee shallcommence actual construdtiori 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'selbut are granted only to the.extent of t,he
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:aftempted
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 Notery P�bfic Soft of FIbrids
Triciiiii F49don
Signed: 1'3�e2d-6ate': My dorn6iasion EE:M26116''
i
aey-bk Emk"il/IW2016,
Befor me 4t 's!�t� in the County of Duval,
State f Florida,has personally appeared
Notary Public at Large,State of FI ida,Co n of Duval.
My commission expires, Personally Known:
-M-5Tuced Identificarib,,
FENCE & GATE
FRONT YARD SETBACK
s-oD
REST R GH 0 W Yo
REPL T 0 0 E
17
6tl
FENCE
Ov
T(
20 I-off
".'ONCRETE APRON: 5" THICK, 4000
'Sit W/ FIBERIVIESH REINFORCING
50 * 00 '
tA
2W-0
STREET � - O ' w
R.O.W. Permit Attachment of for
R.O.W. Permit# /?—21&sued 20_ Atlantic Beach, FL 32233
Owner's Name:
Property Address:
Subdivision:
Lot 4/Block#:
R.E. #:
REVOCABLE ENCROACHMENT PERMIT
)�HIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
Nz\h h-c r 20&, by Atlantic Beach, Florida, a municipal corporation organized and existing
under tbe- 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: ORW (2�1c)19 116n� P*tkl/I-
to I_rW 6;Y%U te"64A)IS; I /U T6Y ac
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 20\';.
By: No"public Shote of Flodda
Ko�erty Owner Trids R40m
my cornmissim EE 852616
OF E)OM 11/1=016
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this �kt�k_ day of 20A�, personally are befige e, a Notary
Public in and for said Counv and State,
1��_&�'\Z� ��\ W4ty owner of
Atlantic FCeail,'Florida—, k7nown 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.
Ootl�y- PubYtFii�for said (Younty and State
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation:
Approved-
Ricky L. Carp&, Public Works Dir'ector
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim Hanson, City Manager
Page 2 of 2
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. 4:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE' ENCROACFEVIENT 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).
This work is generally described as:
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 dayof 20\3.
By: a
Notary PutAic Staft ayf F"a
a R�don
C EE 852151 6
ra
7111191 016
�E) 11/1912016
Trida Rigdon
I%erty Owner V My Comff"sion EE 85261 R
cp:j=ores
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of 20�3, personally Appeare bef e e, a Notary
Public in and for said CounV and State, \'j M - hwxy' owner of
��A "NQ I
Atlantic Beach,)Florida—, kiiown 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.
AQ1A
0otalry IidbY06�for said 6-ounty and State
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