2335 Fiddlers Lane 2013 driveway CITY OF ATLANTIC BEA�:-,H
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003312 Date 9/12/13
Property Address . . . . . . 2335 FIDDLERS LN
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
brick pavers driveway
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Owner Contractor
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LASCH WAYNE D OWNER
2335 FIDDLERS LANE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/11/14
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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 .
Roll off container company must be on City approved list
and container cannot be placed on City Right-of-Way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management . )
Street and gutter must be swept clean daily.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 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 4 . 00 4 . 00 . 00 . 00
Grand Total 39 . 00 39 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
__AA d _66-
W. Gi of t antic ach
APPLICATION NUMBER
Building Department (To be a�ssigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us rout�
routed:
Cityweb-site: http://www.coab.us EDate ----7
APPLICATION REVIEW AND TRACKING FORM
Property Address:69 33 54" 1777 Department review required Yes -No
-Building
Applicant: iowwe_ Planning &Zoning
T inistrator
Project: V_'61 Public Works
Public Utilities
Pub ic a e
Fire Services
Review fee 570 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: loApproved. ODenied.
(Circle one.) Comments:
14nl(O l- Z- �— �
BUILDING (-Y
PLANNING &ZONING
Reviewed by: :Date:7?
TREE ADMIN. Second Review: [—]Approved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ElDenied,
Comments:
Reviewed by: Date:
Revised 05114109
1 T
"P7 VED
City of Atlantic Beach Aur
Y, 7 2013
APPLICATION NUMBER
Building Department
(To be assigned by the Building Department.)
":w 800 Seminole Road
7
Atlantic Beach, Florida 32233-5445 Z_
Phone(904)247-5826 - Fax(904)247-5845
V t ji.liv , E-mail: building-dept@coab.us; Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:r,�335` 6';)P,6ee� Z-27 Department review required Yes No
Building
D
B
e
u
p
ild a
ng
'Mont re
Applicant: 0 Planning &Zoning
J I L
eAdmignistrator
re i k 77
Publi s
Project:
Public Works
ublic-Utilities
Pub ic a e
;Fire Services
Review fee Dept Signature/
111��
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit Verified By
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
I
Reviewing Department First Review: lApproved. RDenied.
(Circle one.) Comments:
BUILDING I
PLANNING &ZONING Reviewed by: Date:_k__J z z
TREE ADMIN. Second Review: nApproved as revised. OlDenied.
P R K, 'Comments:
IT S
4PUBLICOSAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 05/14109
CITY OF ATLANTIC BEACH A U G 2 6
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EFMENTS
'4-247-580
800 Seminole Road
Atlantic Beach,Florida 32233-5445
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date [�PPERMIT#
MIT
ISS
Job Address,�6- ISSUED BY THE CITY
.22&41-46-7-7
Permitee: A,/C"t," Telephone#
Permittee Address: /CV A ove czt�
Ice S,�?Clz�r
Requesting Permission to Const
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 (.4) 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.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supervision of 4�LA?144 4�71V;�4- (Contractor's-2 Project
Superintendent) located at -Or Aie 0.P, I-e r
__go75_TeIephone#:
4. All materials and equipment shall be suKect t6 inspection by the Director of Public Works or fiis 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.
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 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. g work and again
9. The Director of Public Works shall be notified twenty-four (24) hours prior to startin
immediately upon completion.
OWNER W.L SAWYER,III
Notary Pubk,SIM of Florida
Signed: Date:V-Ail) MY Comm.Expires March 21,2016
Before me this ;26 —day of in the County of Duval, Commission No.EE 181483
State Of Florida,has personally appeared
Notary Public at Large,State of Florida,County of Duval.
My commission expires: Personally Known:
Produced Identification:
R.O.W. Permit Attachment of. for
R.O.W. Permit# issued 200_ Atlantic Beach,FL 32233
Owner's Name: '11111jfZ6��e
Property Address: a2az�5_ /5�;D04,eAM
k 6E4,LK4
Subdivision:
Lot#/Block#:
R.E. #:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this 24.7 day of
200!� by Atlantic Beach, Florida, a municipal corporation organized and existing
und4e(r the laws of the State of Florida, hereinafter referred to as "CIT-Y?-" and c ce
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:
c2-23 67 /7^�jf_)b L"S LPq1q9 ;4&A—Vh_� &rWW_1 A2.7
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 nights-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 20W
By:
Property Ow�e_r
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this c;2(�, day of 146f,�a� 200_g personally ap ared before me, a Notary
Public in and for said Coulfty and State, the prwe
Atlantic Bekh, Florida, known to me to be the person(s)
described in and who exe7c'uted 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.
W.L SAWYER,III
Notary Public,State of Rodda
Notary Public in for said County affd State MY Conn.Expiras March 21,2016
ComWesion No.EE 181483
CITY OF ATLANTIC BEACH,FLORIDA, a
municipal corporation:
Approved:
Rkicky L. 0 �er, Pu�blic WoikgDirecto
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim Hanson, City Manager
Page 2 of 2
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