1945 Brista De Mar 2014 Pavers CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001048 Date 7/22/14
Property Address . . . . . . 1945 BRISTA DE MAR CIR
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
PAVERS
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Owner Contractor
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SIMON, KENNETH OWNER
1945 BRISTA DE MAR CIR
ATLANTIC BEACH FL 32233
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Permit . . . . . . RIGHT OF WAY PERMIT
Additional desc . . Plan Check Fee . 00
Permit Fee . . . . 35 . 00 Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 1/18/15
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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 . . . . . . . . . ENG REV BLDG MOD OR ROW 25 . 00
UTIL REV MODIF OR ROW 25 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 3S . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 50 . 00 50 . 00 . 00 . 00
Grand Total 85 . 00 85 . 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 200 Atlantic Beach,FL 32233
Owner's Name: A 4A
0,
Property Address: /17y5 e
Subdivision:
Lot 4/Block 4:
R.E. 9:
REVOCABLE,ENCROACHMENT PERAM
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
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 permit numbers noted above (copies attached).
This work is generally described as:
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 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 officers and
employees shall be saved harmless by the USER from any of the work herein under the terins of this
permit and that all of said liabilities are hereby assumed by the USER.
'�_t 71
DATED/and IGNED this__�,�day of 0/0-e- 20YK
By- Z
operty Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY 01�DUVAL
On this __Way of 2j4personally appeared before me, a Notary
--r—unty an the property owner of
Public in and for said o an State, 5
, Atlantic Beach, Florida, known to me to be the person(s)
desc * ed in and who e cuted , foregoing instrument; who acknowledged to me that he or she
e free d vol arily and for the uses and purposes therein mentioned.
Notary Public in sal Co and State
CITY OF ATLANTIC BE FLORIDA, a
municipal corporation: Notary public State of FloriWda
P& Shirley L Graham
my commission FF 086990
Approved: or Expires 02/14/2018
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
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
904-247-5800
800 Seminole Road
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
7-
PLEASE S U BMI,To COMPLETE SETS OF PLANS WITH APPLICATION.
Date CIA4e_ 2-7/" ;ZO14— PERMIT#
JobAddreSS -D45 A,,1,41- � ISSUED BY THE CITY
Permitee: Telephone# 6 V-
Permittee Address: 9 �Kr (=4P,
Re t ng Permission to Corw_4rupt, 11'5,4VJ9rA Z?921w5W4V
1;�01114A/l DO(* 7
Location: (Reference to Cross-Street)
I 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. -i 31- q M-CMO(r,
3. All work shall meet City of Atlantic Beach F or DepqrtMent of Transportation Standards and be
per-formed under the su . . f �twll`e^1 (Contractor's P oje
Superintendent) located aAp ; ADa A" (=44,4, Telephone 7,
4. All materials and equipment shall be subject to inspection by the 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 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 application.
7. This permittee shall commence actual construction in good faith with !Fd 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.
& 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 indemnifv, 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.
OWN ER
Signed: Date:
Before M is of I11^^
Florid , has,,personally pp
State e State of Flo a
Not Publi at Large,Stath of ori unty of D Shirley L Gra m
a n:
My co res:
-,,1r§&pjAy Kn
MAP SHOWING BOUNDARY SURVEY OF
.,T 85, SELVA NORTE UNIT TWO, ACCORDING TO PLAT THEREOF AS RECORDED IN PLAT BOOK 40, PAGES 37,AND 37A
JF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. EXCEPTING THEREFROM THAT PART DESCRIBED IN
OFFICIAL RECORDS VOLUME 9569, PAGE 14 OF THE CURRENT PUBLIC RECORDS OF DUVA*L COUNTY, FLORIDA.
CERTIFIED TO: JOHN JOIRISON, SUZANNE FREEMAN,
1/2' STEWART TITLE GUARANTY COMPANY,
DURDEN WATSON & OSBORNE TITLE SERVICES, INC. AND
L.B. .1048 WATSON MORTGAGE CORPORATION.
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77
CITY OF ATLANTIC BEACH 7/18/14
BP250U01 Application Tracking Step Selection by Revision 11:43: 17
Application number . . . . 14 00001048
Address . . . . . . . . . . 1945 BRISTA DE MAR CIR
RE number . . . . . . . . . 169506-1660
Application type . . . . . RIGHT-OF-WAY PERMIT
NCR OLD ACCOUNT NUMBERS . . AB23095
Tenant name, number . . . .
Type options, press Enter .
2=Change 4--Delete 5=View 6=Fast log 8=Action log maintenance
9=ln/out maint ---- Key Dates Review Summary
Path
opt Agency description Rev Step Req In Est Cmpl Resulted Stat By
PUBLIC UTILITIES A 01 Y 06/30/14 07/18/14 07/01/14 AP LS
PUBLIC WORKS A 01 Y 06/30/14 07/18/14 07/16/14 AP LS
Bottom
F3=Exit F5=Land inquiry F6=Add F7=Revisions F8=Misc info inquiry
F9=Corrections report F10=View 2 F11=Sort by agency F24--More keys
APPLICATION NUMBER
C
PPL']; j]
City of Atlantic Beach (To be assigned Vb the Building Department.)
Building Department
800 Seminole Road RECEIVE1
Atlantic Beach, Florida 32233-5445 -5845 t
Phone(904)247-5826 - Fax(904)24 T JUN 3 0 2014 Date routed:
E-mail. building-dept@coab.us
city web-site: http://Vmw.coab.us BY
APPLICATION REVIEW A-ND TRACKtNG FORM
Departm-tlt review r quired Yes No
Property Address: Building -
Planning 6, �oning
Applicant: Tree AdmOstrator
4� Public WO
lic U";;;If:e
Project:
Public Satety
Fire Services
Review fee Dept Signature
.Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified B-,.'
Florida Dept.of Environmental ro ection
Florida Dept. of Transportation ent District
St.Johns River Water Managem
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: DApproved. DenieJ
(Circle one.) Comments:
BUILDING Date: IQ
PLANNING &ZONING Reviewed by:
roved as revised. []Denied
TREE ADMIN. Second Review: pp J-Dor;,I)
PUBLIC WORKS Comments: /L �> �6_
-� ff4-<- -
PUBLIC UTILITIES Oki Reviewed by'. Date'. ?
PUBLIC SAFETY /_ A -----------
FIRE SERVICES Third Review: []Approved as revised. "Denic-
Comments:
Date:
Reviewed by:__� --
Revised 05114109
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
. ...... Phone(904)247-5826 - Fax(904)247-5845 JUN 3 0 2' Date routed:
E-mail: building-dept@coab.us IRV�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 8,��461 ofro Department review required Yes No
Building
Planning &Zoning
A)-n
Applicant: Tree Administrator
<P:ublic Wor
Project: —Pq P u b I F U t Oil irt�ie s;�
_tilitie§
Public Ta-fety
Fire Services
Review fee $ Dept Signature ('��
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: pproved. [:]Denied.
(Circle one.) Comments: Y�
BUILDING
PLANNING &ZONING Reviewed by:_ (9,2—Date:
TREE ADMIN. Second Review: FlApproved as revised. RDenied.
ALIC O#R Comments:
"'Ct Reviewed by: Date:
IC U ILITIE
PUBLIC SAFE Y
FIRE SERVICES Third Review: FlApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09