1212 Linkside Dr 2014 ROW SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RIGHT OF WAY PERMIT
lr-.)ef D*Y INSPEe"ION' 249' 5014—
JOB INFORMATI)N:
Job ID: 14-ROW-35
Job Type: RIGHT-OF-WAY PERMIT
Description: REPLACE CONCRETE DRIVEWAY
Estimated Value:
Issue Date: 9/29/2014
Expiration Date: 3/28/2015
PROPERTY ADDRESS:
Address: 1212 LINKSIDE DR
RE Number: 172374-5045
PROPERTY OWNER:
Name: CLIFFORD, DALE L
Address: 1212 LINKSIDE DR
PER [IT INFORMATIO 4: UTILITY DEPT.: PUBLIC WORKS:
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.
No work is shown in City Right-of-Way. Therefore no work is authorized by this permit.
If no dumpster is used, keep debris vehicle in driveway area behind silt fence. No soil to wash
to street in rain.
Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control
Inspection prior to start of construction.
Call Public Works prior to placing concrete for inspection.
FEES:
Fence/ROW $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
81nM14VaVVAWAtS: $35.00
..........
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY �kl\l s E 90 N,;;Tr
R
800 Seminole Road
Atlantic Beach,Florida 32233-5445 4 -
ax 90 4 - 845
PLEASE SUBMkTOCOMPLETE SETS OF PLANS WITH APPLICATION.
Date Re W14
PERMIT#
ISSUED r,Y THE CITY
Job Address
Permitee: CAI J�(A Telephone#610-
Permittee Address:
Repesting Permi,�sion to Construct: k�m Q�k r)u I 8� UL
3 2�On 2-- G,Z
_�)2) IQ. 1�0 rA
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
Y e,,,K) No Date:
Bell South Telephone Company Yes NT No Date: 11 e-1
Ferrell Gas Yes;?q No Date: %I
Comcast Ye Date: it
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 easementas 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 r Flo 'd D rt of Transportation Standards and be
�A�E a rneQt
performed under the S )f D�x
(CO�Qtractor's P-oject
Superintendent) located'at W-10%.Q09- K%,I A V Telephone#:M�L
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 showinq any increase in impervious -:Tea on owner's lot or in the city
Right of Wav are to be included with this apPliGation.
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 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.
c ks shall b
9. The Director of Publi U e notified twenty-four (24) hours prior to starting work and again
W
immediat I up completi
OWNER JENiM.JAQUET
Notary Public-State ol Florida
Signed- Date: My Comm.Expires Apr 15.2018
I. L
Before'me
I is dayof intheCognt of Duval, Commissim 0 FIF 105515
State Of Florida,has personallylapp�eared
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Notary Public at Large,State o Florida,County of Duval.
My commission expires: Vt s-i S Personally Known:
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THE PROPERTY SHOW TIC FLORIDA, DATED 41
wSURANqE RATE MAP- FOR THE CITY OF
is SO4OW AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CERTIFCA770N OF SAME
SURVE ) INC.
TRI-STA jACKSONWLLE, FLO IDA j2256 (904) 731-7235
8411 BAYMEAOOWS WAY -'U'TE #2'
I HEREBY CER7IFY THAT THE ABOVE LANDS oFRE SURVEYED UNDER MY
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AD" FLORIDA STATE BOARD OF pROFESSIONAL SURVEYORS AND MAPPERS
PURSUANT TO SEC TION 472.027, FLORIDA STATU7ES
nvcmx L&K LARRY G. EDDY P-L-1, No. 4144
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City of Atlantic Beach APPLICATION NUMBER
[3uilding Department be assigned by the Building Department-)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 - Fax(904) 247-5845
E-mail: bLjilding-dept@coab.us SEP 2014 ite routed:
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND7TRACK9NG FORM
jj Department review required Yes No
Property Address: 2- Z
Building
Applicant: Planning o,ning
Tree Adw 3trator
;�=blic 74c,;',
Project: zy/,aj�(r
�7Pub=ic W07,
U)lay Public Saif-, y
Fire Setvj q
Review fee $ cp_ Dept Signature
Other Agency Review or Permit Required Review or Rece'�,- Date
of Permit Verified
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 Revievv: pproved- [:jDenie-,J'.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING A
Reviewed by: L-P-1 Date: C/-
TREE ADMIN. Second Review: [-]Approved as revised. OlDenied.
KS Comm
IC WOR_t ents:
S
' P/
PUBLIC TILIT S
APUBLIC SAFETY/ Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. []Denied.
Comments:
Reviewed by- Date:
evised 05114/09
City of Atlantic Beach APPLICATION NUMBER
------ ent.)
Building Department (To be assigned by the Building Departm
800 Seminole Road
H
Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 - Fax(904)247-58�Kp 1 8 2014
E il: building-dept@coab.us Date routed:
-ma . 1 L
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 12-12 -A .0 Department review required Yes No
Building
Applicant: Planning &Zoning
Tree Administrator
Project: b 1,;c�Wo,
1c Uil
Pub
Public Safety
Fire Seivices-:
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Rece',,)t 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: FlApproved. ed,.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by.- Date.-
TREE ADMIN. Second Re�i�ew- �Appr�oved a�srevisecl. [�Jnied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: D�at e:
FIRE SERVICES Third Review: FlApproved as revised. OIDL_e�-
Comments:
Reviewed by: D2te:
Revised 05/14/09