1020 Main St 2015 Driveway sS CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-765
Job Type: DRIVEWAY
Description: PAVER DRIVEWAY
Estimated Value:
Issue Date: 4/7/2015
Expiration Date: 10/4/2015
PROPERTY ADDRESS:
Address: 1020 MAIN ST
RE Number: 170996-0100
PROPERTY OWNER:
Name: DALCERNO, RICHARD J & SUSANNE,
Address: 212 MAGNOLIA ST
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to
start of construction.
All silt must remain on-site during construction. Install appropriate silt fence prior to removal.
Roll off container company must be on City approved list and container cannot be
placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services,
Shappel's and Waste Pro.)
Full right-of-way restoration, including sod, is required.
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:
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ~ X ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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.
r:r Cify of Aai anile. Lseit(h APPLICATION NUMBER
Building Department �EIVED (To be .assigned b the RUilding De rtmen`
R'
l 800 Seminole Road
Atlantic Beach, Florida 32233-544 5
Phone(904)247-5826 Fax(90 )24'7-ARR 022015
E-mail: building-dept@coab.us Date routed: f
City web-site http//wv~coab.us BY:
Property r6�` t F���9dc w: -- /�!/Ir ®epartment review required lies i 0
Building
Apt-Aic arot Planning &Zoning
inistrator —
K Public Works
ublic Utiliti
Public Safety
Fire Services
Review pec- , Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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
_
I Reviewing DeF,arimentFF-irstiew: [proved Denied(Circle one.) ts: n {
I BUILDING
I
PLANNING &ZONING l—
Reviewed by: Date. '� 3
TREE ADMIN. - -- ---- - --
Second Review: []Approved as revised. Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date I
FIRE SERVICES Third Review: ❑Approved as revised. []Denied,
Comments:
--_ — – Reviewed by: --Date-----_----
�visacd 0711.7/•1Q
City of Atlantic Reacil
Building Department RECEIVED APPLICATION NUMBER
I (To be assigned b
800 Seminole Road UIP Building Depart ient.)
Atlantic Beach, Florida 32233-5445 APR 0 2 2015 11
Phone(904)247,5826 - l2ax(9014) T7 ,R45
E-mail: building-dept@c0ab.us
City web-site. http//xAtvm/.coab-L1S BYE
APPUCA MH in EVERT AMID TRACKNG F00-RiMmi
Property Addrpss. 7 Depart-m-e-n-L' revievy required Ye
Building s No
Applicant: 110 ?a-6 Planning &Zoning
inistrafor
V& Public Works
ub ic Ulilitie
Public Safety
Fire Services
Review fee $ 2-S— Dept Signature
Other Agency Review Or Permit Required Review or Receipt
Florida Dept. of Environmental Protection Of Permit Verified By Date
Florida Dept, of Transportation
F--
St.Johns River Water Management District
Army C01-IDS of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STAT-USS
Reviewing Depoariment First Review: Approved. FIDenied.
(Circle one.) i"ornments:
BUILDING
PLANNING &Z0NIf`,1G Reviewed by:_ C—
TREE ADMIN. Date:
Second Nlevlelplf: [JApproved as revised. []Denied.
WORKS Comments:
TILITI-S
—Z—/
PU IC SAFETY Reviewed by: Date:
FIRESERVICES T bird Review: []Approved as revised. OlDenied.
Comments:
Reviewed by.- Date-------- - __ i
isad,
ateisad,07/27ho
CITY OF ATLANTIC BEACH APR 01
f "t CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EA EMENTS
800 Seminole Road
Atlantic Beach,Florida 32233-5445 -
Fax 904-247-5845
PLEASE SUBMIT /C-OMPLETE SETS OF PLANS WITH APPLICATION.
Date-- (�i� l�j 0
l PERMIT#
Job Address /�,�� �/� ��tlatj#C &a•yv ISSUED BY THE CITY
Telephone7 _ 2 91-6 6
Permittee Address:—)-/)—
Requesting
ddress: )-/)—
Requesting Permission to Construct: On Ve(,fjoy.
Location: (Reference to Cross-Street) f� VV
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.
1096 A Letter of Notification was mailed to the following Utilities/Municipalities: r
Jacksonville Electric Authority Yes (r) No ( ) Date:
Ferrell Gas
Bell South Telephone Company Yes_�i) No ( ) Date:
_jo�
Comcast Yes ( ) No ( ) Date:
Yes (,,,y 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 Beac or Florida Department of Transportation Standards and be
performed under the supervision of GC101ov-
(Co tractor's Pr- t
Superintendent) located at f1CIlfC' Telerhone�: b`F 72 � ,
4. All materials and equipment shall be sub ect 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.
S. 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 ttrventy-four (24) hours prior to starting work and again
immediately upon completion.
OWNER
Signed: 0 Da -L/8115—
Before me this day of YI in the County of Duval, Yf JENNIFER WALKER
State Of Florida,has personally appeared ^� ''��':
_:' DAY CO%IISSION#FF 011460
Notary Public at Large,State of Florida,((( n nnf v I. -*' EXPIRES:April 24,2017
'r'• �'� Bonded Thru Notary Publ'w Underwriters
FI py c s i expire Personally Kno ri:.gF,F
�--� P oduced Identification:
In
Permit Attachment of for
Permit# issued 20_Atlantic Beach,FL 32233
Owner's Name: Property Address:
R.E.#:
Subdivision: Lot#/Block#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT,issued on this day of ,20_,
by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of
Florida, hereinafter referred to as "CITY" and 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: --- I�(�ou jQU
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 SIGNED this�day of ,AS
By: Suoaou lbi(OAC)
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNT1Y Tl DUVAL
On this l tday of 201 e nally appeared before me, a Notary Public in
and for said County Jad State, �_�� 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 executed the same freely
and voluntarily and for the uses and purposes therein mentioned.
CXW' =Q+""f'a; JENNIFER WALKER
&Public for said County and State =• MY COMMISSION I FF 011480
Q EXPIRES:Apol 24,2017
z'�„p2 Fl.°o' Bonded Thru Notary Public Underwriters
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation:
Approved:
Doug Layton,Public Works Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere,City Manager
Page 2 of 2
MAP SHOWING BOUNDARY SURVEY OF
LOT 5, BLOCK 184, ACCORDING TO THE 1'�T OF
TION H RECORDS ATLANTIC
DIIVAI. COUNTY, � FLORIDAIN PLAT BOOK 18, PAGE 34, OF THE CURRENT IIBLIC
CERTIFIED TO: L �
RICHARD J. DALCERO, SUSAN DALCERO, f
STEWART TITLE OF JACKSONVILLE, INC. ,
WATSON & OSBORNE TITLE SERVICES, INC. ,
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Permit for paver driveway.
Susan Dalcero 904-728-6964
Project address: 1020 Main Street Atlantic Beach, FL
Removing current concrete driveway and installing a 20' wide x 32'
paver driveway.
Removing 550 sq ft of concrete and installing 640 sq ft of pavers
550-320=230. Reducing the impervious surface by 230 sq ft.