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331 7TH sT 2014 DRIVEWAY CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Application Number . . . . . 14-00001199 Date 8/11/14 Property Address . . . . . . 331 7TH ST Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc priveway ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OSWALT, SUSAN M OWNER 4827 MAXWELL DR MASON OH 45040 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/07/15 ---------------------------------------------------------------------------- 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 . Street must be swept clean daily during driveway construction. ---------------------------------------------------------------------------- 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 Other Fee Total 54 . 00 54 . 00 . 00 . 00 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. 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Date 7/1 TA V f�EIRMIT# Job Address 3a/ -2 39�4 OH r-4� S2-z-3 ISSUED RY THE CITY Permitee: 7ZY W ri cr, Telephone# Permittee Address: ":a 3 / -77-�4 -5 �2 Requesting Permission to Construct: -12_CIPLA,,-�C w---T71 6 A V:rt,-5 P6fLV:X&,,S pq YF 12-S Location: (Reference to Cross-Street) be 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 Florida Department of Transportation Standards and be performed under the supervision of * . 5,674" CxX-,4XA)_S (Cont actor's Project Superintendent) located'at Y3 1 71" Sr jj6?JeqF:;L -szzi� Telephonl 41D 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. CaIGUIations showing anv increase in impervious on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall comrrfence 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. OWNE)q -7 1 2//_ 45� -7 1 Signed: Date�: Before me this day of :i:&4 L�Y in the County of Duval, PA7=REN State Of Florida,has personally appeared _YZ-,kA- ,S"A--r MyCWMW0#FF0K?5 Notary Public at Large,State of Florida,County of Duval. limit EXPKS:S""15.2D117 My commission expires: -s,�Pr. "5- Z-17 X Personally Kno4 W..; 9WMftVW"b*= Produced ldentificati6: R.O.W. Permit Attachment of for R.O.W. Permit# issue.', 1200 Atlantic Beach, FL 32233 Owner's Name: :5-& H,- 0-5,�A L�-r Property Address: S'3i -?rl� I-Ac"--r 11r.AC,*?,r-1__ Z-2_3,3 Subdivision: Lot#/Block R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of 5 200_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the la of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida, hereir.a:After referred to as "USER". WITNESSETH: That the CITY does hereb ' gant the USER permission on a revocable basis as described herein the Y _ 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: c m o v D)2:rYCLJ� :X7-,J-6-X_VZ6L,!!, ?-Av 4-AA- 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: :3 3 1 -71',* s-r ;3 6�-A ew PML ig Z 2-3 3 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 p ennit 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 p�:..As and/or method, must obtain written approval from the City of Atlantic Beach, Public Works D '_.iartment, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-). �t drawings showing the change within thirty(30) days after the day of completion. This permit shall inure to the benefit of, and be binding upor, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to ai. zif 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 terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of -3-1� 204 1/ B Property Owner (to be signed in presence ;�-he Notary) STATE OF FLORIDA COUNTY OF DUVAL 97_e-H On this day of 206y, personal'� appeared before me, a Notary Public in and for said County and State, 0S#',;ALT- _, the property owner of 7-H-f S'r -, Atlantic Beach, Florida, lc;,t,-iwn 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 mentioned. PATRW RM EXPIRES:SOMW 15,2017 W COMMISM#FF ON75 Notary Public in for said County and State SA N.W w*drnw*wy%*n CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: Doug Layton, Public Works Director For Permits where city sidewaik is impacted, City Manager approval required: Nelson Van Liere, City Manager Page 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department ro be assigned b th Building Department.) 800 Seminole Road JUL 3 0 2014 W- 1199 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904) 'Date routed: E-mail: building-dept@coab.us City web-site: hftp://Www.coab.us APPLICATION REVIEW AND TRAC %'iNG FORM No Property Address: c3m� 7 Sr Depa. �nt review required Building Applicant: Planning &Zoning Tree A istrator Project: u tilitie J u c 1c afety_ r�S �s F:ire Ser es t Review fee $ ' Dept: igna ure:. Other Agency Review or Permit Required Review or Rece, t Date of Permit Verifie, I;y_ 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: E]Approved. [X�enied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:_ Date-. TREE ADMIN. Second Review: KApproved as revised. E]Deni, _PlDeni, PUBLIC WORKS Comments: PUBLIC UTILITIES ;777��7 Date: ?h PUBLIC SAFETY Reviewed by: 4<=== FIRE SERVICES Third Review: FlApproved as revised. []Denieo. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned b th Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 JUL 3 0 2014 W- 9 9 Phone(904)247-5826 - Fax(904)24 6- 8�45 -11291 E-mail: building-dept@coab.us Y__ e routed: — City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 Sr Department review required Yes No Building Applicant: Planning &Zoning T��ator Project: u afety ty rvic FFire Services 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. ElDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: X// TREE ADMIN. Second Review: F]Approved as revised. ElDenied. C ORK Comments: WO TILITI y PUBLIC*SAFEY Reviewed by: Date: FIRE SERVICES Third Review: FApproved as revised. F]Denied. Comments: Reviewed by: Date: Revised 05/14/09 Patrick Rich From: Judy Palazzo Sent: Wednesday,July 23, 2014 9:33 AM To: Patrick Rich 000 NORM NEW Subject: FW: SSOCOF CONFRM 2014/07/23 #00000 204401781- Oswalt confirmation for locates -----Original Message----- From: irth host@callsunshine.com [Malilto-irth hostccDcalisunshine.coml Sent:Wednesday,July 23,2014 9:32 AM To:Judy Palazzo Subject:SSOCOF CONFRIVI 2014/07/23#00000 204401781-000 NORM NEW CONFRM 00000 CALL SUNSHINE 07/23/14 09:32:04ET 204401781-000 STREET Ticket: 204401781 Rev:000 Taken: 07/23/14 09:15ET State: FL Cnty: DUVAL GeoPlace: ATLANTIC BEACH CallerPlace: ATLANTIC BEACH Subdivision: Address : 331 Street : 7TH ST Cross I : E COAST DR Within 1/4 mile: N 200 Locat: ENTIRE PROPERTY Remarks : *** LOOKUP BY ADDRESS Grids : 3019A8123A 3019A8124D Work date:07/28/14 Time:08:59ET Hrs notc:071 Category: 3 Duration:04 MONS Due Date 07/25/14 Time: 23:59ET Exp Date :08/22/14 Time: 23:59ET Work type: UNDERGROUND CONSTRUCTION Boring: U White-lined: U Ug/oh/Both: U Machinery:Y Depth: 10 Permits: U N/A Done for: OSWALT Company : HORN BUILDERS Type: OTHR Co addr: 1133 SHIPWATCH DRIVE EAST City :JACKSONVILLE State: FL Zip: 32225 Caller :JUDY PALAZZO Phone:904-242-2600 Contact : CHUCK HORN Phone: 904-673-4860 BestTime:8-5 Fax :904-242-2601 Email :JUDY DHOR JBUILDjRS.COM Submitted:07/23/14 09:15ET Oper:JUD Chan:WEB Mbrs : CAB457CCTV03FLP539JEA SBF17 TL2051 I I I I L4J -n v) --4 v) -n 0 ul -4 LA -n > c 0 EA c o m z > r .. = 0 ja w go 7, j M M 0 3 0 cu I h r) Ln 0 cl. -n X m X- 0 c r- pr 0 0 (D -n x CR z (D > CD :3 Z CL 0 :3 CL v --h :E i D- 0 o G) < r>- :t — (D CU fu— nw -n > :3 ll — + n F r) 0 fu Ln > r- 0 I-A CFQ m m c 0 EP :3 m Z o c Ln 3 r- m :3 00 r) CA En m m uo r- m FD' C: M En r) -j 1+ Ln m q C3 0 w 0 m > T m 0 > 0 V) (D z 0 r- 13 C: > m =1 Ln r+ > z 0) 00 z LA. c --1 1+ CL r- 0 F-) I m (D 0 03 kn > 0 0 m =r Ln -h 1+ > 0 > fu a) 0 =r > < r+ -n -u -n (D (D z 3: CL 0 r) m -0 m X (A ID lq-�< -0 m 2L 0 0 a) M :3 a) 0 e-i N CL N Ij 0 m fD Ln CL CL (D Lrl 0 C: hj 0 (D n C) 0 LA 7q* W, 0 =3 LA. o. w 0 .0.0 r+ 2: (D :3 =3 00 (D cu > r+ Ln CD 00 CD -0 m c 0 (D =3 (A m r) E 77 (D 1+ hi C) 00