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1588 Maritime Oak Dr 2014 columns S r l J .. Xr `S, CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ROW-442 Job Type: RIGHT-OF-WAY PERMIT Description: row for columns Estimated Value: Issue Date: 11/26/2014 Expiration Date: 5/25/2015 PROPERTY ADDRESS: Address: 1588 MARITIME OAK DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: MAIER DEVELOPMENT SOLUTIONS Address: 12786 N HUNT CLUB RD DOUGLAS GEORGE MAIER Phone: - - PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: Columns are located in right-of way of Tract K: Private Road, not in City maintained right-of- way. Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. Hand dig in utility easements. Use extreme caution when compacting in utility easement. The utility easement along the south and west property lines contains major mains: 1) the combined beaches effluent force main, which affects all 3 beach cities. 2) the 18" sewer force main, which serves half of the City's sewer customers. 3) the reclaimed water main serving Atlantic Beach Country Club (ABCC). 4) the force main from ABCC's Lift Station. 5) Also contains the City's fiber-optic line. FEES: en OAPPROVED ONLY IN ACCORDANCE$WICJTOoALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD !J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. A, City of Atlantic (Beach APPLICATION NUMBED, !� BuHding Departmen' L-)ate be ass' ne the Building e ariment.) Atlantic Seminole Road ? - �� - •I`' Atlantic Beach, Florida 37_2:33-5445 Phone(904)247-5826 - Fax(904)24715845 wV✓ 1 y City web-site: http://w%rw.coab.us / Ll��� routed: 7 f APPLICATION REVIEW AND TRACKING FORM Property Address: � ®epanirrraG�rag review required lies No Building Applicant: � �/£ � Planning Zoning Tr Administrator Project: Public VVorks u is I.7fiiifle Public Safety Fire Set:; .es. . Review tee $ Dept Signature CONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT" # APPILMATION STATUS rPLANNING g Department f=irst Review: ffApproved. ❑I Denie,; le one.) C�nnrnents: �. /�n.�JS �X� ! UeG•��.P..Q I /� V �" LDING o� /7�-CT lG: !��l V 2a vim, Aa;- ►�' C.Ty &ZONING ✓yl NT�--/�t/'�� ��/ Reviewed by:--=�� 'Z�_ 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. []Denien�. Comments: Reviewed by: Date: REVISED 09252014 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 X04-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date Nov. 13, 2014 PERMIT B ISSUED BY THE CITY Job Address 1588 Martime Oak Drive - Permitee: Maier Development Solutions, LLC Telephone# 904-759-1395 Permittee Address: 12786 Hunt Club Road North, Jacksonville, FL 32224 Requesting Permission to Construct: Masonry Columns Location: (Reference to Cross-Street) Dutton Island Fast 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: TBD Bell South Telephone Company Yes( ) No ( ) Date: I BU Ferrell Gas TECO GAS Yes( } No ( ) Date: TRn Comcast Yes( ) No ( ) Date: TBD 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 reirnbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of Doug Maier (Contractor's Project Superintendent) located at Same as above Telephone#: 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 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 30 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. 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IS Ak ,,; EL.2.10 T84 C -Qs om%_______ -------------_------- - .. •' .00 246 LF OF 24'ADS - Q S.=0.10% d c \ I � / IN L=2.55 24'� / z j 1554 0 12-ADS '\• / r V"0 4 __�..-• •_ tYRDPE DRAIN C S _ W/DROPGRATE t _I EL=9.50 ..... V I EL=5.50 I P••7.x1 A1ana9er: •• .. Defiper. C.A,Mam D—by. C.Jolvvyn CrNfrale•I AUIR 1298 fwuj.d No: 12210 0- - ",W13 s—No.: 21 City of Atlantic Beach APPLICATION NUMBER Building Departmeni (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 322:33-544 REC-1-4 /91- e4fN - F Phone(904)247-5826 - Fax(904 247-5845 City web-site: http://www-c-,:)ab.us OCT 3 0 2014 L Date routed: APPLICATION REVIEW-AhTTRACKING FORM Property Address: -1-�IlarAq f. 0,04 De arlturdenrev t iew required No I A Qi=lldiia� Applicant- Tree Administrator Project: c tVoi l�-ll �—� 7--ra—n e, [Public Safety Fire Services Review fee $ Dept Signature 'C'ONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT # APPLICATION STATUS Reviewing Department First Review: �pproved. IlDem Comm S. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 141 Date: I TREE ADMIN. Second Review: []Approved as revised. ODenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Revietkf: DAPproved as revised. []Denied. Comments: Reviewed by: Date: REVISED 09252014 PUBLIC WORKS PLAN REVIEW COMMENTS Date: /o - Initials: PN ML Project Name/Address: (� pplication Permit#://<-/—6,0 fN J 7 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). ESCP Provide erosion and sediment control plans with installation details and maintenance ❑ ❑ schedule. DPLN Provide drainage plans showing site topography(flow arrows, etc.) ❑ ❑ RMRO All runoff must remain on-site. Cannot raise lot elevation without measures to retain ❑ ❑ runoff. 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. Section 24-66(b)of the Land Development Regulations requires on-site storage for LDCS 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). All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of DAPR pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of- ❑ ❑ way. (Commercial driveways—6" thick.) Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be URCT 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 and Republic Services). Full erosion control measures must be installed and approved prior to beginning any earth ECIN 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. ❑ 0 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 001 v �� Job Address: 1600 Selva Marina Drive ey 201Q Legal Description �a Floor Area o Parcel#q. t. t Valuation of Work$ 5,000 Proposed Work heated/cooled N/A non-heated/cooled N/A Class of Work(circle one): X New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): X Commercial Residential If an existing structure,is a fire sprinkler system installe irc a one): Yes No N/A Florida Product Approval#N/A For multiple products use pro uct approva orm Describe in detail the type of work to be performed: Masonry Columns at Selva Marina Drive Entrance Property Owner Information• Name: Atlantic Beach Partner LLC City 414 Old Hard Road Suite 502 State FL Zip 32003 Phone 904-264-9786 E-Mail or Fax#(Optional) Contractor Information: Company Name: Maier Development Solutions LLC Qualifying Agent: Douglas Maier Address: 12786 Hunt Club Road North City Jacksonville State FL Zip 32224 Office Phone 904-759-1395 Job Site/Contact Number Same Fax# 904-821-8188 State Certification/Registration# CGC#1510122 Architect Name&Phone#Kelly Elmore,Euthenic's 904-333-7483 Engineer's Name &Phone#Alex Acre,Taylor&White 904-346-0671 Fee Simple Title Holder Name and Address Atlantic Beach Partners LLC 414 Old Hard Road Fleming Island FL 32003 Bonding Company Name and Address N/A Mortgage Lender Name and Address N/A Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to mZconstruct'onor0rk t the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or wis suaperzod of six(6)months at any time afterwkiscommenced. Iunderstand that separate permits mt be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined thisapplication and know the same to be true and correct. All p vi Vons of laws and ordinances governing this type o work will be complied with whether speci zed herein or not. The granting of a permit does not pres me o give a thority t violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name RickWood........................................................................................................... Print Name Douglas Maier............ ............................................................................ Sworn and subscribed before me Sworp to and subscribed before me this ay of 20 this Day of O(At beJ r 20 [4 Notary I ublic Notary Public ```��ttttitrttli/*i �A SpFti�i� Revised 01.26.10 ;�oTAR . -� -71i �tY Ci0i11rt1 E'ttnire. ! .•��"•-4A- CNRIRl7Nd A rso�enu City of AirVanfic Beach _ APPLICATION!t)N IVIJIViB�P Building Depaulme6-ss i 800 Seminole Road o be ass' ne the Building e artment.) 1 _ Atlantic Beach, Florida 32_233-5445 ' ,`-�(/" Phone(904)247-5826 Fax(904)247-5845IVU 1 7 ���� �� f, City web-site: http://w%w-coab.us li Date routed: �/ f I 7 APPLICATDON REVIEW AND TRAC_ ING FOR Property Address: "? -t"n7if n4_�)7e ®eparl'; dnt review reoiUired Mer, No Buildine Applican : f4 Planninf Zoning Ir Ad,. Jsrrator Project _fi�'M' — Public V u is ! tiittie Public : y Fire Ser•j:_es. . , Review fee Dept Signatur�o -- C(INTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT APPLICATIO�� STATUS Reviewing Departmient First Review: pproved. IfD enie-; (Circle one.) Comments: BUILDING k-e�� PLANNING &ZONING Reviewed by: Date: TREE ADMIN. - ----------___-_ Second Review: []Approved as revised. ]Denied. - - -------- 4C WOR S �ae�rraee� : LIC UTILITIE PUBLIC SAF Y Reviewed by: — Dae:_____ FIRE SERVICES hied Rev ievte� []Approved as revised. []Denied. C�srrr meei s: Reviewed by: — Date: ASED 09252094 PUBLIC UTILITIES PLAN REVIEW COMMENTS Date: / / Initials: __(L) aul Project Name/Address: 0dt /�— �� Ap lication Permrt Check Box Check Application Tracking Comments to Add Box to Comment "Print" UWSU Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. MBSC Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ ❑ RTIC 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. ❑ ❑ RPZB A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ ❑ by a certified tester and a copy of the results sent to Public Utilities. STRM Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate backflow preventer installed. Backflow preventer must be tested by a certified tester and ❑ ❑ a copy of the results sent to Public Utilities. FSBR If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow requirements. At a minimum, will require a double check backflow preventer. ❑ ❑ FLM Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must be installed in a vault as noted in 1EA specifications. ❑ ❑ e CQ 7 w- ,, / a o/'�� so P1r7�2�' /, es Can �l15 rr1 a sura �i7S7-1 If 2 be&cA ❑ ❑ 62) _71�e kc' !c S'er_U S D� 7�Gf l,i cS2uo'-i" �i�fSfo�r7�i'_S ❑ ❑ 3 ❑ ❑ /C /17 i g1� Me CIV- -(s -4'6e,,-aph'c /tee ❑ ❑ 0 0 Graham, Shirley From: Kaluzniak, Donna Sent: Wednesday, November 19, 2014 11:35 AM To: Walker, Jennifer Cc: Graham, Shirley Subject: FW: Gate &columns Jenny,would you send Doug Maier a copy of the Revocable Encroachment Permit form?—thanks, Donna From: Doug [ma ilto:doug ma ier(d)comcast.net] Sent: Wednesday, November 19, 2014 11:33 AM To: Kaluzniak, Donna Subject: Re: Gate &columns Donna Can you send me the revocable encroachment permit, I will fill out accordingly and submit If possible can you release permit to allow me to commence work. I will get you an easement as requested. I will make sure columns are not placed directly over utility lines. I need to get columns up ASAP to get gates measured which then takes 6 to 8 weeks to receive. Thank you! Doug Sent from XFINITY Connect Mobile App -----Original Message----- From:dkaluzniak@coab.us To:dougmaier@comcast.net Cc:dlayton@coab.us,rcarper@coab.us Sent:2014-11-19 10:41:32 GMT Subject:Gate&columns Doug—per our conversation last week on the columns—I received a copy of the ROW permit, but need a revocable encroachment permit as well. I understand that this area is private property, but it appears the columns will be within our existing easement to the south. It's difficult to tell from the drawing provided, but I have concerns that the columns may be very close to the existing force mains and reclaimed main in the easement. Also,you had noted that there was an easement over the utility lines on this area of private property, but there is no easement shown on the plat. Since you are working on the expanded easement for the 24" WM,would you add an easement over the new utilities at the west ABCC entrance? Thanks- Donna Donna Kaluzniak, Utility Director 1 .t' 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 Nov. 13, 2014 PERMIT�� Job Address 1588 Martime Oak Drive ISSUEr ,.;HE CITY Permitee: Maier Development Solutions, LLC Telephon;# 904-759-1395 Permittee Address: 12786 Hunt Club Road North, Jacksonville,, '1- 32224 Requesting Permission to Construct: Masonry Columns Location: (Reference to Cross-Street)_Dutton Island East 1. Applicant declares that prior to filing this application he has ascertaira: the location of all existing utilities, both aerial and underground and the accurate locations are shown on ;retches. A Letter of Notification was mailed to the following Utilities/Municipalities. Jacksonville Electric AuthorityTBD Yes( ) No ( ) Date: Bell South Telephone Company Yes( j No ( ) Date: Ferrell Gas TECO GAS Yes( } No ( ) Date: _ TRn Comcast Yes( ) No { ) Date: TBD 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 facili,es and appurtenances authorized hereunder, shall be immediately removed from said street or easem, or reset or relocated hereon as required by the Director of Public Works, and at the expense of the r1ermittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department o Transportation Standards and be performed under the supervision of Doug Maier —_(Contractor's(Contractor's Project Superintendent) located at Same as above Telephone#: _759-1395 4. All materials and equipment shall be subject to inspection by the D)recto! -lublic Works or his designee. 5. All city property shall be restored to its original condition as far as prach, n 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 o` a recent survey shall be made a part of this permit. Calculations showing any Increase In imyervlour__:: is 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 retrtew 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 )rior to starting work and again immediately upon completion. OWNER / / SPEN 'gel Signed:./, � t :�/r't� Oafe: l�l� 3 � ♦ .. Before me this ! -5 day of` ,in the Cou ty of Duval, State Of Florida,has personally appeared %G K- AJ 1,r) Notary Public at Large,S at . I ridaI County Val. .:<J. off"zo�b My commission expires: Person gpGldy Q� Identification: NQ' G rQ` pq �''z4.7. OF F���`♦ R.O.W. Permit Attachment of for R.O.W. Permit# issued 2014 Atlantic Beach,FL 32233 Owner's Name: Atlantic Beach Partners,LLC Properly Address: 414 Old Hard Road Suite 502 Fleming Island, 1pt �ra Subdivision: Atlantic Beacl n Cl 0� Lot#/Block#: Tract K �2 R.E. #: Dormer's Re- Spec 19 16. Page 16-1 REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of November, 2014, 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: Masonry Columns and Access Gates 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 Hard Road,Suite 502,Fleming Island,FL 32003. 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 properly 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 Page 1 of 3 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." 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 terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this26 day ofy/�, Cp , 204.4 By: I aures Ricky Wo Managing Member Atlantic Beach Partners, LLC Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL `` On this J L day of - NVQ"k✓" , 200j, personally appeared before me, a Notary Public in and for said County and State, .?amts RJc,k ,the property owner of A&afike C w , Atlantic Beach, Florida, known to me to be the person(s) described in and who a ecu ted the foregoing instrument; who acknowledged to fire that he or she executed the same freely nd voluntarily anmentioned. r L Notary Public•State of Florida ► .S ;• ,• My Comm.Expires Feb 24,2011 _+ Commistim N FF 095292 Notary Pubitg in for said County and State "'• �t•'' ttoroedttrau�nN�oroltbwyassn_ CITY OF ATLANTIC BEACH,FLORIDA,a municipal corporation: Nelson Van Liere, City Manager 4tDougo;_n, Public Works Di- ctor For Permits where city sidewalk is impacted, City Manager approval required: Page 2 of 3