1515 Ocean Boulevard 2014 Driveway (3) CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000737 Date 7/23/14
Property Address . . . . . . 1515 OCEAN BLVD
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
salt rock driveway
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Owner Contractor
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OSSI DEVELOPMENT, INC. OSSI CONTRACTING LLC
1112 THIRD STREET, SUITE 4 13349 STONE POND DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 610-3195
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/19/15
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
ENG REV BLDG MOD OR ROW 50 . 00
STATE DBPR SURCHARGE 2 . 00
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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.
CITY OF ATLANTIC BEACH
s %l CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
0S , Ole Road 904-247-5800
1l}r tlantic each,Florida 32233-5445 Fax 904-247-5845
Date l
PERMIT#
Job Address 5 Ahl V1,J
ISSUED BY THE CITY
Permitee: ,5 t(CFelephone# 12:712Zd
Permittee Address: t 1 1. 3 e
Requesting Permission to Construct: !— /Vf_6
Location: (Reference to Cross-Street) ��`� �(� 3[ �' �� 4f ke
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 idapartnent of Transportation Standards and be
performed under the supervision of o r
(Cacto 's Project
Superintendent) located at = w Telephone#:
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 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.
OWNER
Signed: Date: J
Before met ' day of in he ounty of Duval,
State Of F da,has personally appeared
Notary P is at Large,State of Florida,County of Duval.
My co ssion expires:
Personally Known: or
Produced Identification:
R.O.W.Permit Attachment of for
R.O.W.Permit# issued ,200_ Atlantic Beach,FL 32233
Owner's Name:
Property Address: /,Sri,5- 010AW as
Subdivision: r
Lot#/Block#: 3
R.E.#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this _7_ day of
20q by Atlantic Beach, Florida, a municipal corporation organized an existing
undeiffid laws of the State of Florida, hereinafter referred to as"CITY"and
of Atlantic Beach,Florida,hereinafter referred to as"USER". lie ffimmW_F
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:
pf V
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 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 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 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 SIG D this day of 20V
By:
Property er
(to be si ed in presence of the Notary)
STATE O FLORIDA
COUNTY OF DUVAL
On this day of 20(-4personally appeared before me, a Notary
Public in and for said County aid State, , the property owner of
Atlantic Beach, Florida, known to me to be the person(s)
desexibed—i't d who executed the foregoing instrument; who acknowledged to me that he or she
ecuted e s me fre ly v ntarily and for the uses and purposes therein mentioned.
1C In or sal my and State Y° Notary Public State of Florida
Shirley L Graham
` My Commission FF 086990
CITY OF ATLANTIC B ,FLORIDAared'� Expirss02/14/201a
municipal corporation:
Approv
sh�l v
Ricky L. Ca r,Public Work Di ector
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim Hanson, City Manager
Page 2 of 2
PUBLIC WORKS PLAN REVIEW COMMENTS
Initials: PN ML
Date:
Project Name/Address: �� j OC ifdh Application Permit#:
Check Box Check
Application Tracking Comments to Add Box to
Comment "Print"
IMPS Provide table of impervious surface calculations for entire lot(existing and post ❑
construction). �—�
4*A
ESCP Provide erosion and sediment control plans with installatio details and maintenance ❑
schedule.
DPLN Provide drainage plans showing site topography(flow arrows, etc.) ❑
CSMP Provide construction site management plan, including Right-of-Way Permit if using
right-of-way for construction parking.
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional
Land Surveyor, showing 1'contours.
LDCS Section 24-66(b) of the Land Development Regulations requires on-site storage for
increased run-off if adding 400 SF or more impervious surface. Provide Delta volume ❑ ❑
calculations and on-site retention required per Section 24-66(b). (See attached information
sheet.)
PCTS If on-site storage is required, a post construction topographic survey documenting proper ❑ ❑
construction will be required.
RWPM A Right-of-Way Permit must be obtained for use ❑ ❑
REPM A Revocable Encroachment Permit must be obtained. ❑ ❑
PLWP Pool–Wellpoint(if used) must discharge into vegetated area 10' minimum from street or
drainage feature (swale, structure or lagoon).
DAPR All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of
pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of- ❑ ❑
way. (Commercial driveways–6"thick).
URCT Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be
overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the ❑ ❑
plans.
RWRS Full right-of-way restoration, including sod, is required. ❑ ❑
ROFF 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)
ECIN 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.
MEET Recommend Owner/Contractor meet with Public Works Director to discuss proposed ❑ ❑
construction. Call 247-5834 to make an appointment.
❑ ❑
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J1J. , City of Atlantic Beach RECEIVED APPLICATION NUMBER
�s Building Department (To be assigned by he Building Department.)
`} 800 Seminole Road MAY 0 S 2014
Atlantic Beach, Florida 32233-544
Phone(904)247-5826 • Fax(90 ,5845
E-mail: buildin de t coab.us — Date routed:
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ldCtAb .611( Department review required Yes No
/
Building
�� V�`��7'�'��4 Planning &Zoning
Applicant:
Tree Administrator
Project: utiliti
Public Safety
Fire Services
Review fee $ � � Dept Signature
Other Agency Review or Permit Required Review or Receipt Dateof 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: S
TREE ADMIN. Second Review: f--]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
City of Atlantic Beach IED APPLICATION NUMBER
Building DepartmentF77-5845
(To be assigned by he Building Department.)
c
• 800 Seminole Road p 8 2014
tlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904) '7
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1J�1(a Department review re uired Yes No
Building
Applicant: �.:Ss �/0�m4 Planning &Zoning
Tree Administrator
"FireServices
Project:
y
Review fee $ �� Dept Signature _
— _ Review or Receipt Date
Other Agency Review or Permit Required 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: s 4_/yTREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
P C VtlOR Comments:
UBLIC UTIL
( Date:
PU LIC SAFET Reviewed by:
FIRE SERVICES Third Review: @Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09