1656 W Park Ter 2013 driveway H
CITY OF ATLANTICBEAG
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32
-5814
INSPECTION PHONE LINE 247
D'a
Application Number . . . . . 13-00003560 Date 11/18/13
Property Address . . . . . . 1656 W PARK TER
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 ------
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Application desc
concrete to pavers driveway
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Owner Contractor
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GLAWE RANDALL S & SUSAN D TAYLOR CONCRETE SERVICES
1656 PARK TERRACE WEST 615 15TH STREET NORTH
ATLANTIC BEACH FL 322330160 TAYLOR.CONCRETE@BELLSOUTH.NET
JACKSONVILLE BEACH FL 322SO
(904) 329-0663
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . - . 00
Permit Fee . . . . 35 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/17/14 ---------------
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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 . ---------------
2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
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.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
-247-5800
BOO Seminole Road Fax 904
904-247-5845
Atlantic Beach, Florida 32233-5445
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date \ - 9 - PERMIT#
Job Address ISSUED BY THE CITY
Permitee: n LA-) Telephone#
Permittee Address: cxL, 1Z pa,_, wec�\-
Requestiig Permission to Construct: -I-L��c
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 ( ) 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
supervision �tyz",4 L-il>a- t
per-formed under the — . . of , (Contractor's Projec
Superintendent) located at \;26�ur Cc)-�Cryke SQr0%C-c* Telephone#�IUA --S_;L-% -ckj�t_J
4. All materials and equipment shall be subject to inspection by the Director of Public Works or bis 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 anv inGrease in impervious area on owner's lot or in the cit
Right of WaV are to be included with this appliGation.
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.
9. The Director of Public_,%aleftp shall be notified twenty-four (24) hours prior to starting work and again
immediately upon pie
OWNER
Signed: D ate:
Before me this day of in the County of Duval rr
ond as rsona y rec SHIRLEY L GRAHAM
State f I
lorida, unty of Duval. 0 COMMISSION 9 DD 957760
Nota ub* atL r a, tat o
M c mi . expi a r s o n EXPIR1733:February 14 2014
Ider a
-orded Thru Not4ry Public Un'ierwrfters
I�tif,c—a t, n,-:
q60737q9 lei
R.O.W. Permit Attachment—of for
R.O.W. Permit 4 issued 5200 Atlantic Beach, FL 32233
Owner's Name:
Property Address:
Subdivision:
Lot 4/Block 4:
R.E. 4:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
, 200_, by Atlantic Beach, Florida, a municipal corporation organCz—edand 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 ff y
V,�:rr j�:ac V_ Z_J J?gs 0-Q 'r-3
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 pen-nit shall meet the current requirements of the City Code, Building
Codes, Land Development Code, arid 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
PUBLIC WORKS PLAN REVIEW COMMENTS
Date: 10 Initials: PN f ree__ ML
Project Name/Address: 1 � _s4v, W. pavj� I-e—r Application Permit#: 13- 3S60
Check Box Check
Application Tracking Comments to Add Box to
Comment "Print"
IMPS _�roviide table of impervious surface calculations for entire lot(existing and post
1 0 0
construction).
ESCP Provide erosion and sediment control plans with installation details and maintenance
schedule.
DPLN Provide drainage plans showing site topography(flow arrows, etc.) 0 0
CSMP Provide construction site management plan, including Right-of-Way Permit if using
right-of-way for construction parking.
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional
Land Surveyor, showing 1'contours.
LDCS 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 0 0
calculations and on-site retention required per Section 24-66(b). (See attached information
sheet.)
PCTS If on-site storage is required, a post construction topographic survey documenting proper 0 0
construction will be required.
RWPM A Right-of-Way Permit must be obtained for use 0
REPM A Revocable Encroachment Permit must be obtained. 0
PLWP Pool–Wellpoint(if used) must discharge into vegetated area 10' minimum from street or 0
drainage feature (swale, structure or lagoon).
DAPR All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of
pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of- 0 0
way. (Commercial driveways–6"thick).
URCT Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be
overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the 0
plans.
RWRS Full right-of-way restoration, including sod, is required. 0 0
ROFF 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 0 0
Management)
ECIN Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control
Inspection prior to start of construction.
MEET Recommend Owner/Contractor meet with Public Works Director to discuss proposed 0 0
construction. Call 247-5834 to make an appointment.
1 0
0
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(3 0)days after the day of completion.
This permit shall inure 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 of icers 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 20t5
li� A'1111141 SHIRLEY L GRAHAM
By: Av COMMISSION#DID 957760
----'.XPIRES:February 14,2014
Pfoperty Owner ;. 411".
OF" �on��Thru Notary Public Underwriters
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of J9 64'b J6 EIC 200_, 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)
descri�*d in and who execp1od, the foregoing instrument; who acknowledged to me that he or she
exe e sa e e o ntarily and for the uses and purposes therein mentioned.
for sa C nty and Sta
ublic i=te
CITY OF ATLANTIC BEACH,FLORI DA, a
municipal corporation:
Approve -
o
_0
Ricky L. C er, Public Wor s Director
For Permits where city sidewalk is impacted,
City Manager approval required:
X) h —
Jim Hanson, City Mana/er
9
Page 2 of 2
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