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1748 Live Oak Ln 2015 driveway \ �I\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 r ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5814 DRIVEWAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-DWAY-729 Job Type: DRIVEWAY Description: PAVER DRIVEWAY er Estimated Value: Issue Date: 4/20/2015 Expiration Date: 10/17/2015 PROPERTY ADDRESS: Address: 1748 LIVE OAK LN RE Number: 172020-0202 PROPERTY OWNER: Name: CUTLER, CHRISTINE & LACY, Address: 1748 LIVE OAK LN PERMIT INFORMATION: UTILITY DEPT.: 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. c� J� Iii I p 1' n ? CITY OF ATLANTIC BEACH DEPARTMENT OF PUBLIC WORKS " 3 S af,�1 1200 Sandpiper Lane Atlantic Beach,FL 32233-4318 -� �('/� TELEPHONE:(904)247-5834 FAX:(904)247-5843 t www.coab.us f3 � v 1</ Owner: DATE: 3-31-2015 Robert Lacy PERMIT # 15-DWAY-729 1748 Live Oak Lane 9 Atlantic Beach, FL 32233 W PERMIT APPLICATION FOR PAVER DRIVEWAY Your permit application has been led by the Public Works Department for the reasons listed below. Please submit this information at your earliest convenience in order that we may approve your application. If you have any questions, please contact Doug Layton, Public Works Director at 904-247-5834 or email dla3qongcoab.us. PUBLIC WORKS CORRECTION ITEMS: (Submit the following information to the Public Works Department) **Pr ide erosion d sediment control ans with installati details; scope o work is ear. **Provid etails of pro sed pavers. **Recommen caner/Contrac meet with Public orks Director to dis ss proposed construction. Cal 47-5834 to sc ule an appointmen PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will be printed on your permit as Conditions of Approval) S _ VILE UPI �'_�L._� COPY cc: Jennifer Walker, Bldg. Dept. CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS w V 800 Seminole Road 904-247-5800 Fax 904-247-5845 Atlantic Beach,Florida 32233-5445 PLEASE SUBMIT(3) COMPLETE SETS OF PLANS WITH APPLICATION. Date_ -1?h 7 / was — PERMIT# ISSUED BY THE CITY Job Address /7 y� G/r/� d�i�C G//� Permitee: Telephone# Permittee Address: Requesting Permission to Construct: �I✓.0 A� 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 Yes No ( ) Date: 31;7 11.5- Bell /SBell South Telephone Company Yes No ( ) Date: / S� Ferrell Gas Yes (''� No ( ) Date: 1 Yes (/S No ( ) Date: Comcast 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 L (Contractor's Project Arr �, Telephone#;-. yDH v?SYA5_Z3 Superintendent) located at 1 Lf,�4t 7 .�o�--s—� 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. o. 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 imt�ervious area on owner's lot or in the city Right of WaV are to be included with this app{Icat�on. 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. B. 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 I/ 2� '\ 7 a Signed: �n Dte. Befora me this ay or n the unt o Duval, State Of Florida, has personally appeared Notary Public at Large,Stat i o ty of Duva_ duC Personally Known: 9 ^ tJl ires: FF 0 f4Ex1 { v V Q --I W 3 5 S�`✓�� �O ENNIFERWAL ad entification: L' MY COM EXPIRES.April 24,2017 Bonded Thr Public Underwdter10 s u Notary F R.O.W.Permit Attachment of for Atlantic Beach,FL 32233 200 R.O.W.Permit# issued — Owner's Name: �4SER� mem Property Address: 17419 WVe 0,4/t L/f/`'C Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, 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 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: Akan ; P zfgee 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 land use and code requirements of the CITYthe current requirements f the City �anclBudingmg Codes,Land Development Code, and all other 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(3 0) 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 this day of . 200–. By: /�r — Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this 2-ly of K'1 11�yr \ Ppersonally appeared before me, a Notary Public in and for said County and State, e property owner of X I-Im 18 d kk l- , Atlantic Beach, Florida, known t e 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. JENNIFER WALKER ` r`E MY COMMISSION#FF 011480 EXPIRES:April 24,2017 &PubNficintraid County and State • e d d mN Notary Public unaerwnle� r,e CITY OF ATLANTIC BEACH,FLORIDA,a municipal corporation: Approved: Ricky L. Carper,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 r N 3 � � srcoy dry. • .�.�. .• :C•ONG:� H i 'CONC. pi�Tlp' ii PAT/A? -- q2 -- / 7.1� •'•'�' '70 '9^ = O\ I lk I s r o,e v �!1 w 3RICK RES/DEN« 1� 17.48 .1 19.2' PVA aL c o,v c• _• PA TIO �• .ITTAC.4F0 a' :C O I' N: 'C . X35 �.3."lie L. S. FQ,/,v0 ifZ ,''c n N �,KOLlr10 ,/tij",RON fE /974 jo ,vow MA t GN,c j' '"&^/G,4770)v. y.,q,PYRPeV f, A :6 60CM 7'"j /NGS )VO r,E: ,e ECE+EGKED APFZiL /9, l97ATa 5140W FINAL SUPV4y AS"oc.I INC. HEREBY CERTIFY THAT 1 HAVK GUltVKyI1D THU L.ANDO AAz �� AmoVH c.Arr�o*+ .-....ar rim' a it+:� o" r AM'..I otic S_ ach APPLICATION NUMBER viulding Departmert'r: (To be assigned b the Building Department.) E 800 Seminole Road �Atlantic Beach, Florida 32233-ZEE]Phone(904)247-5826 - Fax E-mail: building-dept@coab.uDate routed: City web-site http://www.coab — l t�A �:tny Ae>7dmsss:17 /� �j OQ,/ L�'J Department review required lies No Building Planning &Zoning 1.Tr inistrator ublic or --- u c �I i ' ------- Public afety Fire Services Review fee $ Detot Signature Review or Receipt Other agency Review or hermit Required of Permit Verified By ©ate 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: APPUC:9ATION STATUS I'�eviewineg Depariment f=irst Review: ❑Approved. -- Denied. -- - - ----- (Circle one.) Comments: BUILDING SE-E r177Ae OP PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. rDenied_ PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: avfised 07/27/'10 City of Atlantic C°eeeG7 T APPLICATION NUMBER .:; ', Building Department � r��iv �' (To be assigned b the Building Department.) 800 Seminole Road Z -., Atlantic Beach, Florida 32233-5445 MAR 3 0 2015 Phone(904) 247-5826 Fax(904) 247-M-15 E-mail: building-dept@coab.us Date routed: BY City web-sitehttp//vtvvvvcoab.us • fog APPUC A ON REVIEW AND TRACKING FORM Property Andres,:! 7 / 1,w 4te Com? Department review required rtes No Building Planning &Zoning Applicant: _ _ Q(�U_`71 i--- —___ _------ Tr inistrator Public Wor P roje(_t: Public afety Fire Services Review fee $ /5�— 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING l PLANNING &ZONING Reviewed by: �✓ Date. 34 / (� TREE ADMIN. - - Second Review: ❑Approved as revised. ❑Denied. oe'cl E WORKSRKS Comments: IC S� PUBLICSAEY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: -vised 07/.27/-10