1817 N SHERRY DR DRIVEWAY 2015 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-30
Job Type: DRIVEWAY
Description: PAVER DRIVEWAY
Estimated Value:
Issue Date: 1/28/2015
Expiration Date: 7/27/2015
PROPERTY ADDRESS:
Address: 1817 N SHERRY DR
RE Number: 172020-0782
PROPERTY OWNER:
Name: MCDERMOTT JR, WALTER F
Address: 1817 NOORTH SHERRY DR
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
Provide erosion and sediment control plans with installation details and maintenance schedule.
Maintain all silt on site.
Roll off container company must be on City approved list and container cannot be placed on
City right-of-way. (Approved: Advanced Disposal, Realco Recycling, Republic Services and
Shapell's.)
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.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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 F2X 904-247-5845
PLEASE SUBmrF.00OMPLETE SETS OF PLANS WITH APPLICATION.
Date— /57
PERMIT#
Job Address S kQ_iq_K ISSUED BY THE CITY
Permitee: Pleo Telephone 10
Permittee Address: lin- V
Requesting Permission to Construct:_.. Ar44az 72- _��Z If 1,k1&6 /14AW-
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 PJIUI CAL& 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 (Contractor's Project
Superintendent) located at 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. CaIGUlations showing anv increase in impervious area on owner's lot or in the citV
Right of VVaV 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 indemnifv, 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.
OWN E R
,pW 0'4 ic State of Florida
lijj�, Notary Putil
113igned�J?/ a e: Shirley L Graham
my commission FF 086990
Before m is_ ay 0 in the County of Duval, dv'
Of FV Expires 02/14/2018
State ida, h 77son y appe d REE I
r,4�a ubfic at L e st te o Flor' a,,County of Duval.
ission ir s Personally Known:
Produced IdentilicatiDn:
4 - -2 � 7 - 0
R.O.W.Permit Attachment of for
R.O.W. Permit issued 200 Atlantic Beach, FL 32233
Owner's Name: AMOWL
Property Address: 1917 IV Jll&-XKq Ott
Subdivision:
Lot#/Block 4:
R.E. 4:
REVOCABLE ENCROACHMENT PERAM
TMS REVOCABLE ENCROACHMENT PERMff, issued on this day of
, 200_� by Atlantic Beach, Florida, a municipal corporation organized and existing
under the laws of the State of Florida, hereinafter referred to as"CITY" and_AV4tArr, &Z 0PZ#tvm
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: 4'r
Pew. 4
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 USEF, said notice to
USER shall be given by certified mail, return receipt requested, to the following address:
A( 094 W- 4nAgle_ 6~ Al, 5 7,z3.9
'fhe 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 I 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 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 Iii-nitations/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- 6 day of 14"o 200-.
By:j to—A _W_-J I e4
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of 20j��personally appeared before me, a Notary
Public in and for said County and State, -5 the property owner of
, Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that he or she
execaexecu e untarily and for the uses and purposes therein mentioned.
u ,
frr
� �u ic in�r said &w� Notary Public State of Florida
ota and State Shidey L Graham
My Commission FF 086990
Expires 02/14/2018
04 0%^rN A
CITY OF ATLANTIC BEACH, FLORM,
municipal corporation:
Approved:
Ricky_L_-Garpzr,Public Works Director -Do ttq Lpow
For Permits where city sidewalk is impacted,
City Manager approval required:
Jint44ft*sQ&4 City Manager Iv'Els,011 V/M lifri-
Page 2 of 2
City of Atlantic Beach APPLICATION NUMBER
1 .4 IVE )
r"'T-E IN 7 E
Building Department (To be assigned I the Building Dep �tment.)
800 Seminole Road JA N 12 2 015 y M
Atlantic Beach, Florida 32233-
5445
Phone(904)247-5826 - Fax(904)141
lit, E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: S-Al/-/-v 7Ar Department review required Yes No
Building
Applicant: dF e7n,2- //1 0') Planning &Zoning
Tree Administrator
eru5_'1cWork_s-`)
Project:
I'LID11C Safely__
Fire Services
Review fee $ 2<' 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: �Approvecl. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:-L/IZI
TREE ADMIN. Second Review: FlApproved as revised. FIDenied.
K BLIC W Comments:
G 'C
BLIC U I S;
- _/r
1U B L51 CZS A/F E��T�Y Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 01/27/10
MAP SHOWING BOUNDARY SURVEY OF
AD
AS RECORDED IN PLAT BOOK-2L PAGE OF PUBLIC RECORDS OF DUVAL CO., FLA.
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1 CE�TJFY THPT WIVE- CHECKEE THE FLOOD KAZARD SOLNOARY q. 8P, ATLAN-01C BEACH, FLORIDA,-
City of Atlantic Beach AP-PLICATION NUMBER
RF-C IVED (To be assigned b the Building Dep �tment.)
Building Department E ED
800 Seminole Road
ON y
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)2[7--584�AN 12 Z05 Date routed: /f /S-
E-mail: building-dept@coab.us By.
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
/V S-Al I-r —Ar Department review required Yes No
Property Address
Building
Applicant:._ Z# 0 41A) Planning&Zoning
Tree Administrator
Project: ef"uTfi c Works
i=ities
P0511C 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
h /
Reviewing Department First Review: P(Approved. ODenied.
(Circle one.) Comments:
BUILDING t�w t-
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: DApproved as revised. F�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. FIDenied.
Comments:
Reviewed Date:
Revised 07/27110