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315 19th St pavers 2013 CITY OF ATLANTIC BEA 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 it Application Number . . . . . 13-00003369 Date 10/02/13 Property Address . . . . . . 31S 19TH ST Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc BRICK PAVER DRIVEWAY -------------------------------------------- ------------------------------- Owner Contractor ------------------------ ------------------------ FORD TRUST OWNER C/O ROBERT J & CHARLEIN FORD 318 19TH ST ATLANTIC BEACH FL 322334SO1 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 3S . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/31/14 ---------------------------------------------------------------------------- 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. 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 . ) Full right-of-way restoration, including sod, is required. Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-S834) for Erosion and Sediment Control Inspection prior to start of construction. Provide construction site management plan, including Right-of-Way Permit if using unpaved right-of-way for construction parking. PROVIDE DRAINAGE PLANS SHOWING SITE TOPOGRAHY (FLOW ARROWS, ETC. ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing 4 A H)O for Erosion PERMIT IS'AF1;;tbfA)t AER-IN A�ffitWN� 'ka4� CVRX�FATUX3C V I RDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 it 1 Page 2 Application Number . . . . . 13-00003369 Date 10/02/13 ---------------------------------------------------------------------------- Special Notes and Comments and Sediment Control Inspection prior to start of construction. Provide erosion and sediment control plans with installation details and maintenance schedule. Provide table of impervious surface calculations for entire lot (existing and post construction) . Section 24-66 (b) of the Land Development Regulations requires on-site storage for increased run-off if adding 400 SF or more impervious surface. Provide Delta volume calculations and on-site retention required per Section 24-66 (b) . (See attached information sheet . ) If on-site storage is required, a post construction topographic survey documenting proper construction will be required. 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 . ) A Right-of-Way Permit must be obtained for use of ( . . . . . . Full right-of-way restoration, including sod, is required. Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land Surveyor, showing 11 contours . ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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. A1 CITY OF ATLANTIC BEACH SEr CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND MENT 800 Seminole Road _904�-247-58 Atlantic Beach,Florida 32233-5445 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date PERMIT# Job Address AR ?W S7_&F.�77-r- ISSUED BY THE CITY Permitee: A*�4 Z?, AfOOF4AIX /J4 Telephone# IV$' Permittee Address: 77- 4W AZ j�k Requesting Permission to Construct: Zflelef 4e1Z16:ZVA!!J As &,A9,r714f A- 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 , Cop Yes( ) No Date: Bell South Telephone Company Yeso Noo . Date: , Ferrell Gas FILE Y'Yes No Date: 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 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 WbOe-4004 1,1,C _(Contr.actor's PrOL'ect Superintendent) located at 91C* It M A4V 1 27-7-= Telephone#: V 191 PC 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. 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 shall commence actual construction in good faith with 1�0 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 andprivileges herein �et:6ut 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, atall times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach: from-a.nd against any and all loss, damage, and cost of expenses arising in any .manner of th.e 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 upon completion. OWNER B.PAFMW Signe PAUL Date4 .51 Datd: 116 d*(SSION 1. 0 day - in t�h County :Duva, RowN Be e me this f EXPIRES:June 2�2oj te Of a,has personally appeared 1 7 FtV 80*d Thru Bu*Notwy smic" :,un of D otal lic at Large State oLFIorida,Countv of D at My commission expire�: �2_ kL_�Pers6nally Known: Produced Identification: R.O.W. Permit Attachment of for R.O.W. Permit# issued ' 20— Atlantic Beach, FL 32233 Owner's Name: AmAmr: ry A�p Property Address: -:?Zs- /� 7W sp*f5r A-0 T Subdivision: Lot#/Block #: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABV ENCROACHMENT PERMIT, issued on this day of �ar 3 20U, 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: AWelf, VXL41�w" As 01$r4.AJ4, %J 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/jr B yy- ro rty03�g V'� (to h (to 13� .��gned in ppressennee of the Notary) STATE OF FLORIDA COUNTY OF DUVAL t4 On this Sq,) day of 20_L,,�personally appeared before me, a Notary Public in d for said CoCrity and State, the property owner of Atlantic Beach, Florida, known 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. PAM 13.PARSM Notary Public in for said County and State My COMMISSION#FF 0166M EXPIFIES:June 2,2017 CITY OF ATLANTIC BEACH, FLORIDA, a kW Vn k*K N,"Sma 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 0000 451 N, 99' 6;7 t4 '�-7 r ECK FRA ke ki, J AaACMWALL tr C4 '0. INF� A I A AntF 1,4"1. 01'W, All A. 10 'Am JL Vol to, I W'i- s' -Pprovemento 12'0.-1 11,01 148 Feet 2 209 Ln Ft 170" 115 Feet 2 '6'4" 309 Feet 159 Ln Ft 656 F;eet 2 AA 20'6" L4 RECF City of Atlantic Beach $EP 0 6 APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road T3y: T Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us EDa�te City web-site: hftp://www.coab.us routed: 113 APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant: Mac( cynk L-L-C- Planning &Zoning Administrator Project: an'CAL Pava- (Arl"vc)VA Public Utili ti;s Ic b- Sa e c Pu 11c 7 Public Sa Fire Services Review fee $ a Dept Signature (lq Other Agency Review or Permit Required Review or Receipt Date Florida Dept. of Environmental Protection Of P rmit 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 Reviewing Department First Review: OApproved. nDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE,ADMIN. Second Review: FlApproved as revised. OlDenied. ORKS ornments: UBL UTILITIES PUB IC ftSFE Reviewed by: Date: FIRE SERVICES Third Review: EJApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 05114/09 \/'E,�L) City of Atlantic Beach 2 U 13 APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 it E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 31 Department review required Ye Building Applicant: Mod -Cre-) ex, L�Af/ Planning &Zoning Tree Administrator Project: 3YI CA<. Rwr_� dffvcv�_4 ic Works 16 ilities Public Safety Fire Services Review fee $ 0 _�Depf Signature Other Agency Review or Permit Required Review or�Re:ceipt rof �D�atee Florida Dept. of Environmental Protection of Permit Verified& Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants nivision of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: RApproved. 4Denied. (Circle one.) Comments: I Al'�AC, BUILDING 5�z m. Dk- PLANNING &ZONING 0� 9-�o I 0_�f-- TREE ADMIN. If Reviewed by:_ Date: Second Review: Approved as revised. E]Denied. CommentsA. VQ 9 PUBLIC UTILITIES Dat t r� '�i e: Jf �7 PUBLIC SAFETY Review FIRE SERVICES Third Review: []Approved as revised. nDenied. Comments: Reviewed by: Date: evised 05/14109