1600 Selva Marina Drive 14-00001244 (ROW) ?�!r•-L�l,�
CITY OF ATLANTIC BEACH
r j 800 SEMINOLE ROAD
J " ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
1� jilt
Application Number . . . . . 14-00001244 Date 9/10/14
Property Address . . . . . . 1600 SELVA MARINA DR
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
for entrance tower
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ATLANTIC BEACH PARTNERS, LLC MAIER DEVELOPMENT SOLUTIONS
414 OLD HARD RD SUITE 502 12786 HUNT CLUB RD N
ORANGE PARK FL 32003 JACKSONVILLE FL 32224
(904) 759-1395
----------------------------------------------------------------------------
Permit RIGHT OF WAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/09/15
----------------------------------------------------------------------------
Special Notes and Comments
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, contact Chris
Walker at 222-4656 .
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible.
Ensure location of structure does not conflict with
existing water main as discussed during field meeting with
Chris Walker and ABCC on 7/11/14 .
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENG REV BLDG MOD OR ROW 50 . 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 75 . 00 75 . 00 . 00 . 00
Grand Total 110 . 00 110 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233.5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date: August 5, 2014
PERMIT#
Job Address 9600 Selva Marina Drive(Entry Tower)Atlantic Beach ISSUED BY THE CITY
FL 32233
Permitee: Maier Development Solutions Telephone# 904-759-1395
Permittee Address: 12786 Hunt Club Road North, Jacksonville, FL 32224
Requesting Permission to Construct:Atlantic Beach Golf&Country Club Entrance Tower
Location: (Reference to Cross-Street) Elva Marina Drive and Seminole Road
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(X) No ( } Date: 7-17-2014
Bell South Telephone Company Yes(X) No( ) Date: 7-17-2014
Ferrell Gas Yes(X) No ( ) Date: 7-17-2014
Comcast Yes(X) No ( ) Date: 7-17-2014
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 Douglas Maier (Contractor's
Project Superintendent) located at Same as above Telephone
#: 904-759-1395
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 imnarvlous 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 5 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 wor�I���nalltain
immediately upon completion. `4D A
`\����P SP•E� ���
OWNER: Signed. r e w+ Date: - d—M � ��► ���
Before me this—5-Vh V day of I3Rftu5C_W*the County of Duval,
State Of Florida,has personally appearedJQ �1pp���R[t,�+•c� b mod _cd: my q 2015 =
Notary Public at Large,State of Florida,County of Duval. No,EE06` r Q`
mis ion e i es: Personally Known: •Q
Produced Identification:
ii�q, +OFtF�,O��
Doug Maier
From: irth_host@callsunshine.com
Sent: Thursday,July 17, 2014 1:15 PM
To: dougmaier@comcast.net
Subject: Response to Sunshine State One Call ticket 198400133
The following facility operators have responded for this locate request:
Ticket 198400133
FL : DUVAL County, ATLANTIC BEACH City
SELVA MARINA DR
CITY OF ATLANTIC BEACH, FLORIDA
- Marked
JACKSONVILLE ELECTRIC AUTHORITY
- No Conflict- utility is outside of the requested work site
A T&T/ DISTRIBUTION
- Marked
COMCAST CABLE COMMUNICATIONS INC
- Marked
FERRELLGAS INC.
-Clear No Facilities
The most up-to-date response status can always be gathered at http://www.online8ll.com/IRTHOneCall/or by calling 1
-(800) 852 -8057.
No virus found in this message.
Checked by AVG -www.avg.com
Version: 2014.0.4716/Virus Database: 3986/7865 - Release Date: 07/16/14
1
R.O.W.Permit Attachment of for
R.O.W. Permit# issued ,204 Atlantic Beach, FL 32233
------- Owner's Name: Atlantic Beach Partners, LLC
6AUG
Property Address: 1600 Selva Marina Drive
5 2014 Atlantic Beach, FL 32233
Subdivision: Atlantic Beach Golf& Country Club
Lot#I Block R.E.#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this 5th day of
August , 20g4; by Atlantic Beach, Florida, a municipal corporation organized and existing
under the laws of the State of Florida,hereinafter referred to as"CITY"and Atlantic Beach Partners LLC
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: Atlantic Beach Golf& Country Club Entrance Tower
I
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:
414 Old HarpRoad Suite 502, Fleming Island, FL 32003 (904) 264-6553 a j
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 tunes 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 fi-anchise 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."
Pagel of 2
1
I
i
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 insure 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 limitationsh•equirements of
public rights-of-way and other public land. USER fin•ther 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 S day of L�� �'s2A9�01�f
By:
roperty Owner —Mole ih Me.�►1ae�� I J/41Ai-
(to be signed in presence of the 1Votary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this .5 day of C� i �D/' , �@8_; personally appeared before me, a Notary
Public in and for said,Co,Co nig ty and State, •: rues the property owner of
I&CO :',7eAC4 J?ja CkVAVY , Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that lie or she
executed the same freely and voluntarily and for the uses and purposes therein mentioned.
Notary Public in for sa cl County and State �; j' s•�
CITY OF ATLANTIC BEACH,FLORIDA, a B ��,2015
municipal corporation: �����.•.A ,x.•.44`
Approved: OF0yF0," `�
Ricky L. Carper,Public Works Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Am jMefisea,City Manager
Page 2 of 2
Doug Maier
From: irth_host@callsunshine.com
Sent: Thursday, July 17, 2014 1:15 PM
To: dougmaier@comcast.net
Subject: Response to Sunshine State One Call ticket 198400133
The following facility operators have responded for this locate request:
Ticket 198400133
FL : DUVAL County, ATLANTIC BEACH City
SELVA MARINA DR
CITY OF ATLANTIC BEACH, FLORIDA
- Marked
JACKSONVILLE ELECTRIC AUTHORITY
- No Conflict- utility is outside of the requested work site
A T&T/ DISTRIBUTION
- Marked
COMCAST CABLE COMMUNICATIONS INC
- Marked
FERRELLGAS INC.
-Clear No Facilities
The most up-to-date response status can always be gathered at http://www.online8ll.com/IRTHOneCall/ or by calling 1
- (800) 852 -8057.
No virus found in this message.
Checked by AVG -www.avg.com
Version: 2014.0.4716/Virus Database: 3986/7865 - Release Date: 07/16/14
1
FJaVa45
City of Atlantic BeachAPPLICATION NUMBER
Building Department (To be assigned by the Building Department.)800 Seminole Road 62014 � ZAtlantic Beach, Florida 32233-5445 Vq
Phone(904)247-5826 • Fax(904)E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �Q��1�6L ///t7'>�Q Department review required Yes No
Building
r
Applicant: / Planning &Zoning
Tree Administrator
Project: blic Wor
c Utiliti
Public Safety
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: �j4pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: ( _ Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
LIWSAFY
Comments:
UBLIC
PUBLIReviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach RF C�� APPLICATION NUMBER
�S r � Building Department — "'' � (To be assigned by the Building Department.)
z-x 800 Seminole Road
Atlantic Beach, Florida 32233-5445 AUG O 8 014 /
r
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us y-
APPLICATION REVIEW AND TRACKING FORM
Property Address: /(QOa �/Y6L�/�7'>}�Q Department review required Yes No
Building
Applicant: / 4"2Planning &Zoning
Tree Administrator
Project: blic Wor
C Utili
Public Safety
Fire Services
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: [Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: �� Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
PREPARED 8/25/14, 12 :42 :40 PAYMENTS DUE RECEIPT
CITY OF ATLANTIC BEACH PROGRAM BP820L
------------------------------------------------------------------------
APPLICATION NUMBER: 14-00001244 1600 SELVA MARINA DR
FEE DESCRIPTION AMOUNT DUE
-----------------------------------------------------------------------
ENG REV BLDG MOD OR ROW 50 . 00
RIGHT OF WAY PERMIT 35 . 00
UTIL REV MODIF OR ROW 25 . 00
TOTAL DUE 110 . 00
Please present this receipt to the cashier with full payment.
CITY OF ATLANTIC BEACH
r CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Fax 904-247-5845
Atlantic Beach,Florida 32233-5445
PLEASE SUBMIT(3) COMPLETE SETS OF PLANS WITH APPLICATION.
Date: Au ust 5 2014 PERMIT#
ISSUED BY THE CITY j
Job Address 1600 Selva Marina Drive (Entry Tower)Atlantic Beach I
FL 32233
Telephone# 904-759-1395
Permitee: Maier Development Solutions Tele p
Permittee Address: 12786 Hunt Club Road North, Jacksonville, FL 32224
Requesting Permission to Construct: Atlantic Beach Golf&Country Club Entrance Tower
Location: (Reference to Cross-Street) Elva Marina Drive and Seminole Road
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 (X) No ( ) Date: 7-17-2014
Bell South Telephone Company Yes(X) No( ) Date: 7-17-2014
Ferrell Gas Yes(X) No ( ) Date: 7-17-2014
Comcast Yes(X ) No ( ) Date: 7-17-2014
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. be
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards dContractor's
performed under the supervision of Douglas Maier Telephone
Project Superintendent) located at Same as above
#: 904-759-1395
hall be
4. A11 materials and equipment ssubject to inspection by the Director of Public Works or his designee.
its original condition as far as practical, in keeping with city specifications
5. All city property shall be restored to
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.
Right of Wa- ire to be inchtded with this annllcation.
7. This permittee shall commence actual construction In good faith with 5 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
red upon and used by the holder, and the Holder will, at all
City's right, title and interest in the land to be enteof
times, assume all risk ofdamage,and I mnify,costdefend
ofex, and save penses ar singr in any manneess the r of the exercise or attempted
l
against any and all
exercises by the holder of the aforesaid rights and privileges.
ain
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting`;o`P SPF �ii��
immediately upon completion �vc �iYT7►r°rS L!.0
ir+ Q zp ��ARY.. f
A�� L Date: - c�� 1 ;•�
OWNER: Signed Z Q': txt
Before me this 2 day of
the County of Duval, _�It �,C,gnr4*p15
State Of Florida,has personally appeared Jti e I��6 0Gf { No. i sT
Notary Public at Large,State of Florida,County of Duval. Personally Known: G •'Q\
f�fy-o mis ion a Tai es: Produced Identification: �i��`� pus\:\•'*
�����TF for t�0o��\
R.O.W.Permit Attachment of for
R.O.W.Permit# issued ,200_ Atlantic Beach, FL 32233
Owner's Name: Atlantic Beach Partners, LLC
Un—
Property Address: 1600 Selva Marina Drive
Atlantic Beach, FL 32233
Subdivision: Atlantic Beach Golf&Country Club
Lot#/BlockR.E.#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this 5th day of
August , 20(1_4 by Atlantic Beach, Florida, a municipal corporation organized and existing
under the laws of the State of Florida, hereinafter referred to as"CITY"and Atlantic Beach Partners, LLC
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: Atlantic Beach Golf& Country Club Entrance Tower
i
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 ggiven by certified mail, return receipt requested, to the following address:
414 Old Ha Road Suite 502, Fleming Island, FL 32003 (904) 264-6553
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
1
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 I
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
i
City Code Section 19-7 (11) 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." (i
Page 1 of 2 !
The USER, prior to making any changes from the approved plans and/or method, mast 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 insure 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 limitationsh•equirements of
public rights-of-way and other public land. USER fiu•ther 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 S day of
BY:
_ �i
roperty Owner, _Mfn4q.hy M e eh&Q.1 ,q-r 14411L ��' arfnees GLC_
(to be signed in presence of t Rotary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of � E 2-0/ , X88, personally appeared before me, a Notary
Public in and for said,County and State, _7axne6 1�c-��c-, lnlo the property owner of
!'OC12,, �V6( rnaVt;vua O , Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that lie or she
executed the same fi•eely and voluntarily and for the uses and purposes therein mentioned.
S.%0'R0'
Notary Public in for s�dCou�ntyandState ti r } s��
myCOY pm
CITY OF ATLANTIC BEACH, FLORIDA, a 4•r� '
municipal corporation:
Approve
Ricky . Carl r, Public Wo 's ire for
For Permits where city sidewalk is impacted,
City Manager approval required:
N
City Manag r
Page 2 of 2