344 Plaza 2013 driveway CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003689 Date 12/18/13
Property Address . . . . . . 344 PLAZA
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0 ----------------------
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Application desc
circular driveway ----------------------
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Owner Contractor
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KACHERGUS MATTHEW R & JENNIFER JOYNER CONSTRUCTION
344 PLAZA GROUP INC D LN
ATLANTIC BEACH FL 322335442 1845 LEEWAR
NEPTUNE BEACH FL 32266
(904) 477-0484
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc - - 35 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 6/16/14 -----------------------
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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. ------
---------- --------------------------------------------------------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.
77 - i0
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WA -ASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date— &�_3/ PERMIT#
�03
Job Address '411 P)AOA lDr-. ISSUED BY THE CITY
Telephone# 1��
Permitee:
Permittee Address: P14-2-4 OjDr,
Requesting Permission to Construct: Ve io dr-,V*_-1
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 (vf No ( ) Date:
Bell South Telephone Company Yes (Vf No ( ) Date: 2_3 2_�c)s 'z
Ferrell Gas Yes (j/f No ( ) Date: �� 2 -i _S
Comcast Yes No ( ) Date: 2 f�,1 3
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
-5– _(Cont
performed under the supervision of 'D t,ii� ractors Project
7
Superintendent) located at Telephone#:
4. All materials and equipment shall be subject to inspection by the Director of Public Works oir 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
Right of Way are to be included with this aDDlication.
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 Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER N D HUG,
it
Signed: Date:
V, ber,?6,
Before M�fthis 1-3-r4l __JZday of 1WVFA4RK_in the County of Duvall
State Of lorida,has personally appeared AV
Notary Public at Large State of Florida,County of Duval..
My commission expire�: 1 1489
Produced ldentification:,��O;)--
- ro ci
A dinInsO...
R.O.W. Permit Attachment of for 's LIZI PIA-Z4 Or'.
R.O.W. Permit# issued 5200 Atlantic Beach,FL 32233
Owner's Name: MA kAcLe,,-Kvc
Property Address: 31-114 PJA2J4
A+Lki�� i3en, 37-233
Subdivision: A+1c,,Ac_ 3e-&4
Lot#/Block#: 2ot- UZAlock 10
R.E. #: /6 OW — 0000
REVOCABLE ENCROACMIENT PERMIT
TIHS REVOCABLE ENCROACIEWENT PERMIT, issued on this day of
9 200, 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 pen-nit numbers noted above(copies attached).
This work is generally described as: 640A
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 harinless 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 dg,,,,�LW- 200_
By.-_1P1,df—, AL ///
Pr/perty Owner'
i��
(tb be signed ilfp-resence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this 13th day of November 200. personally appeared before me, a Notary
Public in and for said County and State, Matthew Kachergus __5 the property owner of
344 Plaza Drive -, Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed th I . strument; who acknowledged to me that he or she
1$4,\10
d voh*'_ ses and purposes therein mentioned.
executed the same freely an
6'
-r-CD:
1489
�-'&dt6ry Public in folr_said C'oun
CITY OF ATLANTIC BEACH, F_
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
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PL A 2— A DIV, i v
City of Atlantic Beach APPLICATION NUMBER
r 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 Date routed:
E-mail: building-dept@coab.us
City web-site: http://viww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: C3 Department review required -Yes No
Building
Planning &Zoning
Applicant:
Tr� ��ator
Project: bli
rPrublic Ujilitie.
a�� — —
Public afety
FireServices
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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: O(Approved. [:]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: EJApproved as revised. RDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
t antic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
Date routed: Al/43
0 IT E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
a
Property Address: c3 /Ct 7-A-,- Department review required Yes No
11674t Building
Planning &Zoning
Applicant: TTrj�,��ator
ubli
Project: 4A_a�
ublic Wilitie
Public Safety
Fire Services
pro
V
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: Approved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: nApproved as revised. FIDenied.
wo Comments:
UTILITI ?�
Reviewed by: Date:
4PU LIChFET
FIRE SERVICES Third Review: nApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09