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1915 Sea Oats Dr 2013 driveway CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003573 Date 10/29/13 Property Address . . . . . . 1915 SEA OATS DR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc slate stamped concrete driveway and walkway ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WALLACE, PATRICIA A OWNER 1702 3RD AVE N JACKSONVILLE BEACH FL 32250 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/27/14 ---------------------------------------------------------------------------- Special Notes and Comments 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 . Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from the edge of pavement to the property line. Reinforcing rods or mesh area not allowed in the right-of-way. Full right-of-way restoration, including sod, is 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 . ) street must be swept clean daily during demolition and construction No increase in driveway footprint allowed without detailed submittal ------------------------------------------------------------------ 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 ------------------------------- PERIGII[^Is agisltaVEti bQLI' IN ACCORDANCE WITH ALL CITY OF ATLQ1yTIC BEACH�ppRDII.�''ANNCEgg AND THE F ORIDA BUILDINd;tMESummary Charged Paid CreCliteCl �ue CITY OF ATLANTIC BEACH' ; 1 1; CONSTRUCTION PERMIT WITHIN CITY WAY AND EASEMENTS !: 800 Seminole Road 904=247-5800 Atlantic Beach,Florida 32233-5445 Ll x 904-247-5845OCT + PLEASE SUBMIT 3 COMPLETE SETS OF PLANS WITH APPLICA 2 3 O 2413 Date 412. 3• l d . PERMIT# Job Address -l�� ©otma YTHE ITY Permitee: W a Telephone# Permittee Address: eque ting Fermis iort t�Construct: ' W LDB6 A � e p� Location: ( eference kt C oss Sheet S 1. Applicant declares that prior to filing this application he has scertained 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 follow' g Utilities/Municipalities: Jacksonville Electric Authority No`�� ' 1 Yes ( ) ( ) Date: ' Bell South Telephone Company Yes( ,) No ( :), Date let Ferrell Gas Yes'(. ) No ' ( ) Date. Comcast Yes( ) No ( ) Date: I i; 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 " p p (Contractor's Project Superintendent) located at Telephone#: 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 aspractical, in keeping with,city specifications and the manner satisfactoryto 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 thecity 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 sef 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 Hol'de'r 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 exerciseior'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 GRAHAM Sign r`"'� �'"�" 2.30 .Ay,COMM SY Iii 1#DD 957�otl 14,2414 Before me this da of in the Count of Duval, rPIPES,"' � nt rs Y Y , � Bpnd Tutu Nn+rry Rabt+c 1Jnrleryr R , State O Florida,has personally ared 1 t 1 ,_ _. Not at arge,St to of lorida; ounty of Duval. issi n 'pires: Personally Known: Produced Identification: R.O.W. Permit Attachment of for R.O.W. Permit# issued , 20 Atlantic Beach, FL 32233 Owner's Name: IQ ll k f+ Property Address: / Subdivision: Lot#/Block#: R.E.#: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT 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 i generaII dets ribed as: k a C 16612 C,M uc aIV MM ax E2 eA can e. P"ry T 3 -scL:N-- led'f y1A 2Y`U1 STN,,5Any facility maintained, repaerected, 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 I9-7 (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 o 3 day of Qcr , 2X3 By: W A.0 Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this day of ® C 201,'�personally appeared before me, a Notary Public in and for said County 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 execu a sa a fre d oluntarily and for the uses and purposes therein mentioned. Notary Public in or sai unty and State ", '- IRLEYL.GRAHAM AY GOMMISSION#DD 957760 February 14,2014 CITY OF ATLANTIC BEACH, FLORIDA, a ' o�;;¢� ondedThruNn�aryPub0ers 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 INTEGRITY LAW, P.A. •6•,i 2024 Gilmore Street P:904/224-2100 " Jacksonville,FL 32204 F:866/630-6328 I www.integritylawiax.com SURVEY FL1309.3206 PROPERTY ADDRESS:1915 SEA OATS DRIVE ATLANTIC BEACH,FLORIDA 32233 NUMBER: FIELDWORK DATE:10/3/2013 REVISION DATE(S):(REV.1 10/4/20131 FL1309.3206 BOUNDARY SURVEY 5ELVA MARINA GARDEN 4z4. P.B.34.PG 84 No ID g DUVAL COUNTY N 89°26'54'E 200.26'(M) N 89108'46"E 200.02'(P) 00 W00D FENCE 1/2 FIPC 1ci0 6' NO ID 33 f3 ry O h 61 O� 30.5' 300, elf P ts1 o m33 S9 LOT 5 b BLK 3 vNN 90, RE5M 951 IOZZ C-I 2j v R=50.00'(PEM) L=47.05'(P)46.84'(M) J I A=53°55'13"(P)53-401 1"(M) CH=N 1 3°58'55"W,45.34'(P) oma° P 5 13°55'44"E,45.14'(M) M i C2 2•FIPc R=50.00'(PSM) No ID C,2 L=42.85'(P)42.60'(M) A=49°06'I DIP)49°02'57"(M) I' NOTGS: L01 A'.'EARS 10 BE SERVICED BY CITY WATER AND sEW'ER Ch=N 65°29'36"W,-41.55'(P) 20 A FENCE OWNER511IP NOT OETERNINCO N 64°57'02"W,41.5 I'M S,qY B.11 I hereby certify ��' S�etchI s e of the hereon described pr yKas ade y direction, and to the s of o 9 nd bell f,it is a true N and accura sury t at meets the T minimum to i by Florida QW L Board Of Pr ion ulNeyors scribed in ) Chapter 5J-1 a FldWk?ninisCode. ' �--9� 30' 20' Id O 1 5SURVEYO�fY tttt�L���LLLIIII������11 Wesley B.Haas (S) GRAPNIC SCALE slate of Florida Professional Surveyor and MaPPv c I Inch= 30 feet Loam No.3708 1 Use of This Survey for Purposes other than Intended,With Written Verification,will he at the UserOtherr than those CertRed.le Ftisk and Without biliry to the Surveyor. Nothing hereon shall be Construed to Give ANY Righu or Benefits to Myone POINTS OFINTEREST FLOOD INFORMATION: NONE VISIBLE BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING LOTO NICIPALITY N ZONE OR X.THISE ROPEORTY WAS FOUND IN THETHE PROPERTY APPACITY OFBE ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06/03/13. � � • � AFFILIATE CLIENTNUMBER:ILPA274 DATE:10/4/2013 i ' MEMBERS FL'-TA BUYER:PATRICIA WALLACE SELLER:JENNIFER SALLIES CUNHA T�� „�, CERTIFIED TO:PATRICIA WALLACE;INTEGRITY LAW,P.A.;WESTCOR LAND TITLE INSURANCE COMPANY;OR LENDING,A www.exattaland.com DIVISION OF FIRST FEDERAL BANK OF FLORIDA Land Surveyors, IncP.B6W73S-1916•F.86ra-7447882 11940 Fairway Lakes Drive,Suite 1•Ft Myers,FL 33913 This is page 1 of 2 and is not valid withotrt all pages. LBO 7337 ,.s.aaiF City of Atlantic Beach APPLICATION NUMBER j r " Building Departrnent (To be assigned by the Bu&ft Depwtwa) '► aoo Seminole Road da 32263.6445 73 AUantic Beech,FiorlQCT Phone(904)247-5= - Fax(904)247-SM 2 4 E mail buik0ng4ept@coab.us ; - Oahe roused: c� City web-site: httpl/www.coab.us ; APPLICATION REVIEW AND T"CKING FORM Property Address: d 6A 7-6 rtrnent review required I Yes I No Building Applicant (,() f Plannin &Zoning Tree AdminfsMator Project / {l6 btic W JT55fic Utirdies Fire Services r Review fee� c Dept Signatun Other Agency Review or Permit Required Review or Receipt Date Of Permit Verified By Florida Dept of Envirorunentai Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division "Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. ®Denied. (Circle one.) Comments: -I D BUILDING PLANNING&ZONING Reviewed by: Date:z /1 TREE ADMIN. Second Review: [+Approved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by Date: FIRE SERVICES Third Review: ®Approved as revised. ®Denied. Comments: Reviewed by: Date: Revised 06MV89 City of Atlantic Beach APPLICATION NUMBER Building Department . (ro be assigned by the Bu&&V uepaltwnf 1 a00 Seminole Road J Zf - 22 _ Atlantic Beach,Fiorkla 3223aZW 0.� Phone(904)247-5826 ; Fax(904)247--r%M E mail: buikring-dept@coab.us '/ � Date routed: City web-site: http:/AArAw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 19 d. 6A TS Department review required Yes No Building Applicant: Q�,[�f Planning 8 Zoning Tree Administrator Project: /} / (�� a ubffc W ubl'ic Utilities tY Fire Services Review fee Dept Signatu 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: proved. ❑Denied. i (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: % €REE ADMIN. Second Review: ❑Approved as revised. ®Denied. PTl�t W Comments: ". UB !C UT1Ll /0 - z SAFETY Reviewed by. Date: FIRE SERVICES Third Review: ®Approved as revised. Denied. Comments: Reviewed by. Date: CITY OF ATLANTIC BEACH stZ J 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 = ' INSPECTION PHONE LINE 247-5814 Page 2 Application Number 13-00003573 ---------- Date 10/29/13 ----- ---------- ---------- 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. r r �c� t cL t .ter N m v I m O a T T wt - � 13 rn w T r X V J3 d d � 1 � O s v 1 7 p d d I rn T � a y fb /f CG11 U d 3 8 m n a o x �$q N O 2 O a ao V � ✓ tf C ell .`�.. m 'n CDa v ro ol z c0 iO m J n \ CITY OF ATLANTIC BEACH 1 s 800 SEMINOLE ROAD +� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003573 Date 10/29/13 Property Address . . . . . . 1915 SEA OATS DR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc slate stamped concrete driveway and walkway ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------- ----------- WALLACE, PATRICIA A OWNER 1702 3RD AVE N JACKSONVILLE BEACH FL 32250 —_ ---------------------------------------------------------------------------- Permit . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/27/14 ---------------------------------------------------------------------------- Special Notes and Comments 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 . Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible . All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from the edge of pavement to the property line. Reinforcing rods or mesh area not allowed in the right-of-way. Full right-of-way restoration, including sod, is 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. ) street must be swept clean daily during demolition and construction No increase in driveway footprint allowed without detailed submittal ' (,ecxI0L � a1- � " A5 J2C-,-----_ -------------- ---- - -1 r- 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 ------------------------------------------------------- PERMTI-IS APMVEIT ONL-V-1N AC'CORDANCE WITH ALL CITY OF ATLp1�iTIC BEACH ORD A C AND THE F ORIDA BUILDIN(FCM)Esummary Charged Paid Crec i e ue CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD !� �r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Page 2 Application Number . . . . . 13-00003573 Date 10/29/13 ----------------- ---------- ---------- ---------- ---------- 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. Huffman, Chris From: Carper, Rick Sent: Monday, November 04, 2013 2:51 PM To: Gilboy, Tim; Maddox, Patrick; Lyon, Mark; Showman, Lisa; Daniels, Freddie; Huffman, Chris- To: Cheryl Subject: FW: FSA Rollover option Option mentioned will allow rollover of up to $500 from current year Flexible Spending Account for three months into new year, so we would not have to spend to zero by Dec 31. Please let your people know about this change (it will happen, IRS has already ruled, so getting CM signature is a formality). Rick Ricky L. Carper, P.E. Public Works Director/City Engineer City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 rcarper(a)-coab.us PH: (904) 247-5834 Fax: (904) 247-5843 Florida Public Works-First to Respond, Last to Leave www.apwaflorida.com From: Berry, Cathy Sent: Monday, November 04, 2013 2:47 PM To: Carper, Rick; Classey, Michael; Griffin, Michael; Hanson, Jim; Johnson, Timmy; Kaluzniak, Donna; Randich, Keith; Van Liere, Nelson Cc: Lavake, Ellen Subject: FSA Rollover option 1 just spoke with a representative at Medcom, our FSA vendor. They are working on a plan amendment to cover the new rollover option and will send it to us as soon as it is complete. This will just need to be signed by Jim rather than go to the commission. Please let me know if you have any questions. caw-1-9 Catherine Berry,J.D. Human Resources Director City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 904-247-5890 fax: 904-242-3498 1 - - - -= CITY OF ATLANTIC BEACH �+lp -- �I i .I •. CONSTRUCTION PERMIT WITHIN CITY WAY AND EASEMENTS a 800 Seminole Road rn 904-247-5800 . ?rte' Atlantic Beach,Florida 32233-5445 L! x 9047247-5845,` PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICAT OC 2 3 213 Date 0 V 2, 3• 1 13 .}_ PERMIT# Job Address ���� ©q,1$ 1 YTHE ITY Permitee: A_FA : L Telephone �, {_ # • Permittee Address: -1 t ��(� oG4,1 /�V� eque ting,Permis iori tq Construct: ' W 6o_ (� �I g u.,;ktt oss-Street a w; s erc. p ado s �,M to=ws .� Location: ( eference to C tat. S -4- �� -, e OP4916 1. Applicant declares that prior to filing this applicati n he has scerta^ned 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 followi g Utilities/Municipalities: Jacksonville Electric Authority tiD Telephone Company:.. 11 ' Yes( ) No ( ) Date: Bell South TeleI p Yes (' ;) No ( . ), , Date � • Ferrell Gas . ,Yes(, ) No � ( ) Date Comcast Yes( ) No ( ) Date: I 2. Whenever necessary for,the construction, repair, improvement, maintenance, safe and efficient'operatron, 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 facilitiE,s and appurtenances authorized hereunder, shall be,immediately-removed`from said street or easement or reset or relocated hereon ash 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 (Contractor's Project Superintendent) located at 1 elephone#: 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..... B. 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 reviewthe 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 he4lh:; et out are granted ;only to theextent 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 iall 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 flie 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. f OWNER Signed "'�— 23:13 . 2�Ppra v1�COMMSY D095 .0 Before me this15L-d@ of 1. �` �` . 1,tiARES;H°bruar�14.2�j4 y in the County of Duval, ' • ,., ertmlgts i; Stat e Of Florida,has personally a aced , eF ea��dTBtvNn+r7publlclJn�l.. . Not atCge,St to of lorida; ounty of Duval.fissionres: Personally Known: Produced Identification: .. -. �Z �N6 R.O.W. Permit Attachment of for R.O.W. Permit# issued , 20_ Atlantic Beach, FL 32233 Owner's Name: A111 Q' , Property Address: / a Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT 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 i geqeralIX dets ribed as. ke.Pla ct' V44vMq 16612 aNk tke M. 2 eavt e. a��r Y1A�P.Y`U1 v�5 5lti�o�� 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 l of 2 z 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. 2 DATED and SIGNED this o 3 day of Qc� , 20L3 By: ��"'\, WAOQ- Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL �y On this day of ® C 2013personally appeared before me, a Notary Public in and for said County 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 execu a sa e fre d voluntarily and for the uses and purposes therein mentioned. Notary Public in or sai unt and State �`.'-�� '� SHIRLEYAM y y 4Y c0MMISSON#DD 95V60 ,; r c,tPIRES:February 14,2014 } o• ionded Thru N04'ry Public Underwrders CITY OF ATLANTIC BEACH, FLORIDA, a . municipal corporation: Approved: �6 S� Ricky L. CarperiNblic Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 rib—ris—' um 10 h 6 I ` i6 BAS =4 10 �arlf� �1 C UGR zz 1LJ 1915 SEA OATS DR Atlantic Beach FL 32233 Building Type 0102 - SFR 2 STORY Year Built 1981 Building Value $72,297.00 Type Gross Area Heated Area Effective Area Deck 150 0 22 Addition 160 160 144 Base Area 1251 1251 1251 Unfinished Garage 490 0 220 Finished Open Porch 84 0 25 Finished upper story 1 236 236 224 Unfinished Storage 96 0 38 Finished Open Porch 36 0 11 Total 2503 1647 1935 Front 80.00 Depth 201.00 TERMS AND CONDITIONS STATEMENT and AFFIDAVIT I STATE OF Florida COUNTY OF St.Johns DATE: October 7,2013 FILE NO.:ILPA274 The undersigned buyers and sellers agree and state that all tens and conditions of the contract or sales agreement for the purchase and sale of real estate dated August 17,2013 have either been met and satisfied or expressly waived by the parties,and they relieve Integrity Law,P.A.as insuring and closing agent,of any and all responsibility or liability relating to fulfillment of the terms and conditions of the said contract;and the expiration date of the contract is hereby extended through the date of this closing and is declared to be in full force and effect as of closing date. The undersigned further swear and affirm that they are not aware of any previous contract entered into by this seller for the sale of the property referenced in the contract. This Affidavit is given to induce Integrity Law,P.A, and Westcor Land Title Insurance Company to issue its policy of title insurance based on instruments signed by Affiants. We are familiar with the nature of this oath and with the penalties by law for falsely swearing to statements made in an instrument of this nature;that under the penalties of perjury,the above statements are true and correct. Patricia A.Wallace Jennifer Safles Cunha SWORN TO AND SUBSCRIBED BEFORE ME THIS October 7,2013 BY Patricia A. Wallace and Jennifer Salles Cunha WHO HAS PROVIDED DRIVERS LICENSES AS IDENTIFICATION AND WHO DID NOT TAKE AN OATH. Notary Public:_ -- - - - - _ a� a FL321? 4 F: 630­1x3_ 1, 1 cvwTntegxxttav a)Lcom fl PROPERTY ADDRESS:1915 SEA OATS DRIVE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER:F1_1309.3206 FIELDWORK DATE:10/3ao13 REVISION DATE(S):tREVA 1014rz0131 FL1309.3206 BOUNDARY SURVEY LIMAt:14"NA rcm DUVAL COUNTY ".F. 3-4. 474' N 89°2054'E 200.26'(M) NO ID m° N 89°08'46"E 200.02'(P) I 1/2'F1PC. 100 G'WOOD FENCE o0 NO ID 1 — I I N �•I 6 ,y X67• �?,.' .`'•h,;;\ v n N66 N C,m33 ass LOT �N N B 2 97Y. 2\00 I a I:Esnssi 09 y1 O Izr 0,�� r z I 0 yo• p9 "_ I ' 2�4• s C-1 i R=50.00'(P4M) j: L=47.05'(P)46.84(M) A-53°55'13'(P)53°40'11'(M) G. i CH=N 13°58'55'W,45.34(P) S 13°55'44°E.45.14'(M) f' ! C-2 I1NO,p I• C2 R=50.00'(PEM) L=42.85'(P)42.80(M) A-49°06'I O°(P)49-02-57-(M) yoot 1%,:-..A .1::13L.:1.. ,..u,s.1.11, t tl;r 4::.:.... CN=N 65°29'36°W,41.55'(P) '1 t '-'.a -s,, r:Na:�.v11rR-.0,Nf.•1:vl:crr:uC^ N 64°57'02"W.41.5 1'(M) °t�sye e s Ha4r I hereby certify i&5`ketch a of the hereon described It yKas"ade y direction, N and to the sAWNOby ll f, is a We W C r c and accurat at meets the tv, r minimum Florida ea Board Of Pr ioscribed In �pL "0 Chapter 5 J-1 a nol:(If' &1nis Code. It C) �= 3Cr 20' IO O 15' 30 S'O't'41 SDRVEYOR� (S) Wesley B.Haas GRAPHIC SCALE c�y State of Florida Professional Suneyora:M Mapper it I Inch =30 feet uranse No.3708 Use of Thls Survey for Purposes other than Intended,W,thoutNMtten Verification,will be at the Users Sole Risk and Without Liability­h,Surveyor. Nothing hereon shall be C—stn,ed to Give ANY Rights or Benefits to Anyone Otherthan those Certified. FLOOD INFORMATION: POINTS OF INTEREST BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING NONE VISIBLE MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE LOCATED IN ZONE X THIS PROPERTY WAS FOUND IN THE CITY OF ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06/03/13. ' ' • ' . CLIENT NUMBER:ILPA274 DATE:10/4/2013 AFFILIATE� c MEMBERS BUYER:PATRICIA WALLACE SELLER:JENNIFER SALLES CUNHA _ 3 $ � CERTIFIED TO:PATRICIA WALLACE;INTEGRITY LAW,P.A.;WESTCOR LAND TITLE INSURANCE COMPANY;OR LENDING,A DIVISION OF FIRST FEDERAL BANK OF FLORIDA � - Lan d Surveyors Inc. 1916- x6644 28a2 / P.966J35-191 ti•F9667442882 This is page 1 of 2 and is not valid without all pages. LBI17337 11940 Fairway Lakes Drat,Suite l•Ft Myers,FL 33913 Z z z 2q � » ~ , \ ` 43 ON MM � 7 . \ . N ■ r. a � � 2 J � � } Euj ; ƒ � � . \ m . . . \ R k \� 0 Ln REQ Ln - \ \ \ § \ / ] / � \ \ � } :a3- � \ [ \ / ID 0 Z o { ( k ` ol ca c }