620 Beach Ave pavers sidewalk 2015 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
X 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: 15-ROW-827
Job Type: RIGHT-OF-WAY PERMIT
Description: sidewalk-pavers
Estimated Value:
Issue Date: 4/27/2015
Expiration Date: 10/24/2015
PROPERTY ADDRESS:
Address: 620 BEACH AVE
RE Number: 170123-0000
PROPERTY OWNER:
Name: FRISCH, MARK & MEREDITH,
Address: 620 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: MCANENY BUILDERS LLC
Address: 1010EASTADAMSST LEONARDWMCANENY
Phone: - - I
PERMIT INFORMATION: PUBLIC WORKS:
All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from the edge
of pavement to the property line. Reinforcing rods or mesh area not allowed in the
right-of-way.
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.
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.
4 If.I'.
CITY OF ATLANTIC 13EACH
CONSTRUCTION PERMIT WITHIN Cl
TY
EMENTS
800 Semi�n
ole Ro�d
Atlantic Be2ch,Florida 32233-5445 904-247-5800
PLEASE SUBMII�*COMPLETE SETS OF PLANS WITH APPLICATI APR 10 904-247-5845
Date 11ho/f !r y
Job Address ISSUED By THE CITY
AmA &ta
Permitee:
sy Telephone*_
Permittee Address: 10/0 15.
Requesting Permission to Construct:
54- -P
"J
Location: (Reference to CrOSS-Street) 4-
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 A& 166-014:5 iVPr.,P0S6-&,
Bell South Telephone Company Yes ( ) No ( ) Date: CAAttt--%3�&C�,
Ferrell Gas Yes ( ) No ( ) Date:
Comcast Yes ( ) NO ( ) Date:
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 o
authorized. f the Permfttee unless reimbursement is
3. All work shall meet City of Atlantic Beach or Florid@ Department of Transportation Standards and be
performed under the supervision of '401e%m,
Superintendent) located.at (CO tractor's Project
4. All materials and equipment shall be subject to inspection Telephone St3-1'978
5. All city Property shall be restored to its original condition a by the Director of Public works or Is esignee.
and the manner satisfactory to the city. s far as r ctical, in keeping with city specifications
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; showinq any increase in impervious a-ea on owner's lot or in the cit
7. uded with this application. _V
I his 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 under-stood 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, darn2g.e, 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
immediately upon completion. starting work and again
OWNER H 9 0
Signed: ql,L7 - --- --
Before me this Date: ...........
day Of thEkQount f D my COMMISSION#FF 011480
State Of Florida-,has personally in JENNIFER WALKER
N0t2Vy Public red
Large,State 0 lori a, ou t uuvaT--F EXPIRES:Apfil 24,2017
n x if k Bonded Thru Notary PU01C Wd6WW5
k
:.—j3,�Personally Known
oducedIdent
[cation:
Permit Attachment of for
Permit# issued -1 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 Beach4 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 th� City of Atlantic
Beach Right-of-Way/Easement permit numbers noted above(copies attached).
This work is generally described as:
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 fi-anchised 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 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 720 .
By:
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of 20—, personally appeared before me, a Notary Public in
and for said County and 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.
Notary Public in for said County and State
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
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GK'y oi_Atlantic rn'each APPLICATION NUMBER
pari.-rnenf.
Building De (To be assigned by the Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-544 APR 1015 927
Phone(904) 247,5826 - �'qx(90 ?47-"-- 4S -
E-mail: building-dept@coab.us Y: Date routed.
City web-site� http://wwwcoab.LJS
APPUCATON PREVMMW ANDO TRACKNG FORPM/i
Pvopeily Addrpss.
Department revi-ew ro�qtfu:�d Yes No
Building
Applicant: Planning &Zoning
T���rator
I Publ �A n
ic
Public Safety
Fire Services
Reviewfee Dep-i Siona-b-ire
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Perm-it Verified By
Flodda Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of AJcoholic Beverages and Tobacco
Other:
DaAte
ate'Managem ent District
gineers
and Restaurants
ic Beverages and Tobacco
APPL�CA TION STAT US
Reviewing Department First Review: �Y-Approvpd. nDenied.
(Circle one-) C-ornments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: 41 IS4"I A
TREE ADMIN. '01______ - - -
Second Review: DApproved as revised. ODenied.
PUBLIC WORKS Cornments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: [:]Approved as revised. E]Denied.
Comments:
Reviewed by.- Date
wised 07/27/10
City of Atlantic Seach APPLICATION NUMBER
Building Department
(To be assi2ned by the Building De artment.)
800 Seminole Road /0
'05',
APi� i A) _
Atlantic Beach, Florida 32233-5445 2
Phone(904)247-5826 - Fax (904)241&� - — I
E-mail: building-dept@coalb-us Date routed:
Cityweb-site littp://www.coab.LIS
_j
APPLOCAT0N REVIEW AND TRACKING FORM
Property Address: 42-40- Department review required Yes -No
Building
Applicant:
__�_Ganning &Zoni—ng -
4
46 4TrRrator
ublic W
ic Utiliti
Public Safety
Fire Services
Review fee $ Dept Signature Z41—
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit Verified By
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels an�__Restaurants
Division of Alcoholic Beverages and Tobacco
Other�
APPLICATION STATUS
Reviewing Department First Review: VApproved. F]Denied.
rr
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:.
Date:
TREE ADMIN_
Y, Second Review: []Approved as revised. DDenied-
Ic WOV
�k ornments:
"S
0r
Date
4UBLI UTILI S
PUBLIC SA ETY Reviewed by� Date-
FIRE SERV/11C7ESTT1hiMrd Review: DApproved as revised. []Denied.
Co
Comments:
Reviewed by.- Date:
_�vised 07/27/,10