1670 SElva Marina Dr driveway 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000590 Date S/01/14
Property Address . . . . . . 1670 SELVA MARINA DR
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 ---------------
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Application desc
PAVER DRIVEWAY
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Owner Contractor
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FRESCO CONSTRUCTION INC
WHITAKER, I . B. 13703 RICHMOND PARK DR N
1670 SELVA MARINA DR.
ATLANTIC BEACH FL 322335615 #3407
JACKSONVILLE FL 32224
(S17) 819-3772
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . - . 00
Permit Fee . . . . 35 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/28/14
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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 .
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 . ) ------------------------
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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
- ------- ------------------------------------------------------------------
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.
R.O.W. Permit Attachment of for
R.O.W. Permit issued 3200 Atlantic Beach,FL 32233
Owner's Name: J I-Ik 11-�,
-XIC
Property Address: //, _5�4 t1&__7A&n,*&4r
Subdivision:
ILE COPI Lot#/Block
R.E.
REVOCABLE ENCROAC11MENT PERIVHT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
200 by Atlantic Beach, Florida, a municipal corporation organized and existing
under the I ws of the State of Florida, hereinafter referred to as"CITY" and
of Atlantic Beach,Florida,hereinafter referred to as"USEW'.
WITNESSETH:
That the CITY does hereby grant the USER pennission 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: iVt JU
--PAY t-AJ a)
V�
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted
remains subject to relocation or removal on thirty(3 0) days notice by CITY to the USEI�, said notice to
USER shall be given by certified mail, �aur�l rec - t requested, to the rftwing address:
/Jo 7 0 a- ,r im e5%__ .
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 USM,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 1 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 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 ftu-ther agrees that the CITY and its officers and
employees shall be saved harmless by the�USER ft-om any of the work herein under the terms of this
permit and that all of said liabilities are hereby ass ed by the USER.
DATED and SIGNED this day of 20J4
--, 42
y:__L'L2. 609Z:A.4�
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this I� day of 74er; L-, 2� personally appeared before me, a Notary
Public in and for said_CouKty and State, _I ' the property owner of
Atlantic Beach, Florida, known to me to be the person(s)
describe who executed oregoing instrunient; who acknowledged to me that he or she
exe sarne eel and un y and for the uses and purposes therein mentioned.
Notary Public " for sa' Co d tate
CITY OF ATLAN C BEACH, RIDA, a
municipal corporation:
ef Notary Public State of Florida
. 4 Shirley L Graham
hb/ MY Commission FF 08
NEE 6990
oved:
Appr A X, Expires 02/14/2018
Ricky L. Carper,Pub ic Works;Direc or
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim�� ty Manager
son, Ci ariager
Page 2 of 2
IND SE
CITY OF ATLANTIC BEACH S OF WAY-84 MEN14
WITHIN CITY RIGHTi_EjjjiRa9iW�—%r1;
CONSTRUCTION PERMIT t, i+
904-247-5800
5
800 Seminole Road Fax 904
W. 33-5445 B
Atlantic Beach,Florida 322 y
PLEASE SUBMkj,�OcOMPLETE SETS OF PLANS WITH APPLICATION.
11111 Oil
PERMIT#
Date ISSUED BY THE CITY
Job Address 7
Telephone
Permitee:
Permittee Address:
Requesting Permission to Construct:
Location: (Reference to Cross-Street) certained the location of all existing utilities,
1 Applicant declares that prior to filing this application he has as
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Yes No ( ) Date:
Jacksonville Electric Authority Yes No ( ) Date:
Bell South Telephone company Yes No ( ) Date:
Ferrell Gas Yes No ( ) Date:
Comcast uction, repair, improvement, maintenance, safe and efficient operation,
2. Whenever necessary for the constr ment as determined by the Director of Public
or relocation of all, or any portion of said street or ease
alteration cables or other facilities and appu.rtenances authorized
Works, any or all of said poles, wires, pipes, ocated hereon as
hereunder, shall be immediately removed from said street or easement or reset or rel
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
ransportation Standards and be
authorized. Citv of Atlantic Beac r Florida qbp I art nt T (Co t t Pr
3. All work shall meet n
performed under the supervislo Of Telephone
Superintendent) located at the DU�irector Tof Public Works or his designee.
4. All materials and equipme t shall be subject to inspe�ctiion b�y in keeping with city specifications
5. All city property shall be restored to its original condition as far as practical,
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. Callaulations Si increase in impervious area on owner's lot or in the city
Right f a f are t le included with this application. od faith with _ days. If the beginning date is
7. This pe'r itt e shall co rnence actual construction in go must review the permit with the Director of
from date of permit approval, then permittee
more than 60 days sure no changes have occurred in the area that would affect the permitted construction.
Public Works to make in s- out are granted only to the extent of the
it is understood and agreed that the rights and privileges here
8. land to be entered upon and used by the holder, and the Holder will, at all
City's right, title and interest in the tic Beach from and
times, assume all risk of and indemnify, defend, and save harmless the City of Atlan
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.
XVINER "n �S�. Date:
Signed: d in the County of D a 09 P", Notary Public State of Florida
Befor me thi
ida, has ersona ly ap� red Shirley L Graham
State 0 a,Count f val. zlq4(0�9W
N blic at Lar St e f F ri ission FF 086990
Expires 02/14/2018
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MAP SHOWING SURVEY OF
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Recorded i-n plat Book-----30----------Page--- —-------------------Of---cqf���j�-----------Public Records of Duval Co.,
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LEGEND R. L. CROASDELL & cOMPANY NOT INC. Date
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City of Atlantic Beach APPLICATION NUMBER
(To be assigned by e Building Department.)
Bui RECEIVED
W
Iding Department
800 Seminole Road 01
Atlantic Beach, Florida 32233-5445 2 17-54 PR 17 20147
Phone(904)247-5826 - Fax(904) Date routed:
E-mail: building-dept@coab.us BY:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /vo- De artment review required Yes No
Building
Planning &Zoninq
Applicant: Tr . .strator
Public
Project: --hun-1-1tilifies
Public Safety
AFFire Seirvices 7
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: ��pproved. nDenied.
(Circle one.) Comments:
BUILDING Datei
PLANNING &ZONING Reviewed
TREE ADMIN. Second Review: FlApproved as revised. E]Denied.
0 Comments:
PUB I TI TIE
Reviewed by: Date-.-
PUB IC S FETY nApproved as revised. nDenied.
FIRE SERVICES Third Review:
Comments:
Reviewed by: Date:
Revised 05114/09
City of Atlantic Beach APPLICA ION NUMBER
PPL'C
i7o be assigned by e Building Department.)
Building Department RECEIVED
800 Seminole Road
Atlantic Beach, Florida 32233-5445
h PR 17 2014
Phone(904)247-5826 - Fax(904)2 7-58
LDate routed:
E-mail: building-dept@coab.us 1BY:-
City web-site: http://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes FN—o
Property Address: 16 70 r= Building
Planniny &Zoning
Applicant: T mstrator
Project: ublic
—?AIE4— 1jr-Utl-lities
Public Safety
F ir �s
ire Services
looec
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 Revie Approved. nDenie
(C
��t ircle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by- Date:
TREE ADMIN. Second Review: FlApproved as revised."[D]Denie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. FIDenie(;
Comments:
Reviewed by:_ Date:
Revised 05/14/09