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
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Application desc
concrete to pavers driveway
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Owner Contractor
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ETTLINGER, ELLIOTT FARRELL & OWNER
CAROLYN
1230 OCEAN BLVD
ATLANTIC BEACH FL 32233
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/27/14
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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.
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 .
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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
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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
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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