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1230 Ocean Blvd Driveway 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000290 Date 3/31/14 Property Address . . . . . . 1230 OCEAN BLVD Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc concrete to pavers driveway ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ETTLINGER, ELLIOTT FARRELL & OWNER CAROLYN 1230 OCEAN BLVD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/27/14 ---------------------------------------------------------------------------- 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. 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 construction. City sidewalk must remain plain concrete . ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 ENG REV BLDG MOD OR ROW 25 . 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 PERMIT ISCA"PA&XEEF@#LYT19tA�ORDANCE WIA4ACRITY OF ATL�kP[PiEACH ORDINANCIROAND THE FLORIDAOO BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Page 2 Application Number . . . . . 14-00000290 Date 3/31/14 Grand Total 89 . 00 89 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BP250UO2 CITY OF ATLANTIC BEACH 3/07/14 Application Tracking Individual Step Maintenance 09:42:39 Application number . . . . 14 00000290 Application type . . . . . RIGHT-OF-WAY PERMIT Revision number . . . . . . Path/Step/Seq/Agency . . . A 01 00 PUBLIC WORKS Date submitted, resulted . 22714 30414 Status code (W . . . . . . ffA- DISAPPROVED Reviewed by (F4) . . . . . . LS LISA SHOWMAN Revised est cpl date . . . . 31914 Copies of plans . . . . . . . - 1=Add new comment 2=Change comment 4=Delete comment Opt Seq Comments Prt Date 4.000 City sidewalk must remain plain concrete. Y 30414 5.000 Show detail of connection to pavement . (Will work be done - 30414 between sidewalk and asphalt?) 6.000 - 7.000 - 8.000 - More. . . F3=Exit F4=Prompt F8=Log maintenance F9=Add standard comments F12=Cancel F14=Required inspection maintenance Jr. CITY OF ATLANTIC BEACH 09A�A&) MENTS CONSTRUCTION PERMIT WITHIN CITY RI (10 800 Seminole Road - 904-247-5800 147 -5445 F� 904-247-5845 Atlantic Beach,Florida 32233 F 27 2014 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION By D a ate /�?�/Z PERMIT# Jf r f ISSUED BY THE CITY Job Address /9 cEexv 8 L 0_0",f 41176 Z12M Permitee: Telephone# Permittee Address: Requesting Permission to Construct: RiffiRme- OL7:Ll� Ay/c pltlle;es . 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 F oridlaDepartment of Transportation Standards and be performed under the supervisi'on of &IRVA&M, hZ6**Me P r olect (Contractor's' Superintendent) located at 75-30-c�,;?-y .ak *t46e!,:lt:�AV Z&� &2.2-5r-, Telephone#:4?4"1/' 4. All materials and equipment shall be subject to insp6ction by tfie 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 pla ns 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 th2,� Ri _qht 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 permitt6e 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 t'he 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 fro4"a6d 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 Signe Date: Befor Z(jT I'll day of Frft 2PI14-fin—the County ofD al, 3 4R ,e for lee Sta f Flo a,has i5ergonally appeared aw No ary Public at Large,State o�f F1 ida,J )f Duval. jount 9 T-. Z01 Personally Kn' n: My commission expires: RYAN MCCARTHY Produced Identification: Notary Public,State of Florida Commisslon#EE 148740 My comm.expires Nov.27,2015 Permit Attachment of for Permit# issued 20_Atlantic Beach,FL 32233 Owner's Name: Property Address: R.E. #: Subdivision: Lot#/Block#: 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 is generally described as: RCRJ:�&C- EXI-57)0)C- 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 requeswd:,to submit as-built drawings showing the change within thirty (30) days after the day of completion. This permit shall insure to the beiwfif'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 ten-ns of this permit and that all of said liabilities are hereby assumed by the USER. DATED*aI ED this day of 2014. By: Pro er ((to to e igned in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL 'A�Y\ On this &L; My of 20L� personally appeared before me, a Notary Public in and for said County and State, the property owner of .Atlantic Beach,Florida, kncmzNl 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 mentioncl DESTINY ALESCH 'C] Notary Public in for said County a-nd;State NolAfy Public.S!at:eof Florida 5 13 Comm;ssion#EE 135211 My comm. expires Wt. 2, 2015 CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approv d: Rick�L. Ca er, Public Works irectoir For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere, City Manager Page 2 of 2 T101- C.% Ca act C G^C -3s.- Cr- it f4 q S7.C' -ro 4" CONC. WFA6--"% Z/( W 6-lrc OCC—AN BOU L' D 50* S14 &I C�URVEY O�- MAP TO 0 W tA 0 & P, L- 0,-- LOT LOT 2 aNDo 7) 8!;c re-c-ordl of r r According fo PIcrf recorded ;r Hte CW k J)Uvaj Coulify. Florida in Plaf Soo& t Cl For IA City of Atlantic,Beach R-ECEIVED APPLICATION NUMBER Building Department Fo be assigned b he Building Department.) 800 Seminole Road FEB 2 8 2014 Z Atlantic Beach, Florida 32233-5445 290 Phone(904)247-5826 - Fax(904) b 7 E-mail: building-dept@coab.us L Uate routed: City web-site: http://www.coab.LIS APPLICATION REVIEW AND TRAC�'_)':,Z�NG FORM Property Address: 03,9 Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator 7T, ubli Wori Project: 80—nd a '7:1�� Utiiftl v�e-..S Public Safcty Fire Servic-s ,Review fee $ _-Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified �iy 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: �4Approved. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE DMIN. TOR LE I'E D M 14N Second Review: []Approved as revised. []Denied. ornments: L C IL PU IC AF Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. F]Denied. Comments: Reviewed by: — Date: vised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department �X_�FIVED (To be assigned b he Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 i FEB 2 8 2014 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: c>N627 City web-site: http://vjww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: irk V tj2j.��Iks E: 49_w4k Utilitie§s� ?lq K ts Public Safety Fire Services keviewle_e -D- e -n- pt Sig ature 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: DApproved. enied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: pproved as revised. F�Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: /) of( FIRE SERVICES Third Review: E]Approved as revised. DIDend. Comments: Reviewed by: Date: Revised 05/14109