154 BEACH DRIVEWAY AND APRON CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'41 Olt 19
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-792
Job Type: DRIVEWAY
Description: PAVER DRIVEWAY AND APRON
Estimated Value:
Issue Date: 4/16/2015
Expiration Date: 10/13/2015
PROPERTY ADDRESS:
Address: 154 BEACH AVE
RE Number: 170209-0000
PROPERTY OWNER:
Name: HUDSON,
Address: 159 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: EASTERN SHORES CONSTRUCTION
Address: 1015 ATLANTIC BLVD QA ROBERT ROY LEI NENWEBER
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
Any concrete in 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.
All silt must remain on-site during construction.
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.
No clumpster on right-of-way.
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
11C'16bMut1j& 19b AND "'HE FLORIDA
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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.
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CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WI APR 03-7
THIN CITY RIGHTS OF WAY DEASEMENTS
800 Seminole Road
Atlantic Beach,Florida 32233-5445 By 904-247-5800
PLEASE SUBIVI�]�*COIVIPLETE SETS OF LINS WITH APPLICATION.
ERMIT#
Date F .UED BY THE
Job Address L PERMIT#
LV ISSUED BY THE CITY
Permitee: 1�kofq_( Telephone
Permittee Address: 0 'S N+14-0� qG,Ll
Requesting Permission to Construct: Dt_� 4 t L-)1M 4
Location: (Reference to Cross-Street) 1<_,A JA^
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
Bell South T Yes ( ) No Date:
Ferrell Gas I elephone Company 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 appu.rtenances 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 Beagh or FI rida Department of Transportation Standards and be
performed under the supervision of y4low- aA4.^p"e/-
Superintendent) located at - (Contr ctor's Project
4. Ail materials and equipm TeIerTh_o_ne-#: (��qS-,q g,-1S,.
ent 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
part of this permit. Calculations showinq anV..increase in impervious area on owner's lot or in the city
.Right of'Way are to be included with tnts application.
7. This permittee shall commence actual construction in good faith with
review the permit with the Director of
more than 60 days from date of permit approval, then permittee must days. If the beginning date is
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
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
M.S TA,04 Y/,
Signed:
Before me this da
—ta "40 in the County of Duval,
State Of Florida,has lyapMa-re -C—
Notary Public at Large,!&�Ko%of F unt val.
MY commission expires.S- Z
OF*. Personally Known:
Produced Identilication:
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11i,11(im
E OF ASPWALT
�47ERVN�
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BEACH
WA=U� EDGE OF ASPHALT
:RCUS VIRGIMW FLU RI.GHT OF WAY
K) RISMRATION
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OC. BY OWNER
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0tv of AdL.�Jrriic Seach
kmilding Lgeparihnenf CEI APPLICATION NUMBER
800 Seminole Road (TO be;;sqigned by BUilding Department)
Atlantic Beach, Florida 3223 b44.5APR 0 7 ZoI5
'826 - I::a (90/1) 247
Phone(904)247,5 7!F`
'i7, E-mail I)uiId0g-dept((§)coab_ y:
City web-site. http 11www co Date routed
APPILOCATOO H REVEM A Nj PD TRACKUNG RDRIM
PvopL vty Aollirlress,, Departm-e-n-1- -equired 'Yees
Building
< Plannina &Zoning
Tree Administrator—-
ublic Works
iC Utilitie
/71f 6 A/ Public Safety
Fire erVices'______
P,eviemt I-ee Dept, Signature
Other Agency Review orPermit 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
I 10 N S T A T 1155
APPOCA 'V,
Revietrving Depariment
First Review: oApproved. nDenied,
(Circle one,) Cornrnen-is:
BUILDING
PLANNI114G &ZONING
Reviewed IDY
Date: ro
TREE ADIVIIN Second Review: [�]Approved as revised, I_jDenied,
IC WORIJ Comments:
L I C/J TI L I TI FS
I D U B*IJF�r Reviewed by: Date
FIRE SERVICES
Third Review: [:]Approved as revised- OlDenied.
'ornrnents:
Reviewed by: Date:
lised 07/27/10
C FY tic Seach
i' of Aflan ------- APPLICATION NUMBER
Building Departrflent RECEIVPD (To bp assigned by ie BUilding Department.)
800 Seminole Road
""Of,
V
Atlantic Beach, Florida 32233-544�i APR 0 7 2015 7f
Phone(904)247,5826 - F�,qx(90,1�2477-IiI345
j_T E-mail: building-dept@c0ab-us Date rout
Cityweb-site httpHwvvw.coabA1S@X:.____ _
APPLOCAT00 H REOEYAW AND TRACKNG FORPM/i
Pvoreriy Addres�;: _Departj:��_
F nt review requ red Yes No
Building
C _T"
-ark: Planning &
Tree Aclministrator--
V9 -A)A ublic Works
ro A/X, . Utilitie
Public Safety
Fire Services
Review'fee Dept Signature
Offier Agency Review or Permit Required Review or Receipt Date
Florida Dept.of Environmental Protection f Permit Verified By
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 Depariment First Review: r;;<Aj_-)lxoved FAIDenied.
(Circle one.) Comments:
A"rrq c-46 b
i BUILDING
PLANNING&ZONING
TREE AWAIN. Reviewed by: Date:
Second Review: DApproved as revised Denied-
Reviewed by.WDen
roved as revised
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date-
FIRE SERVICES Third Review: DApproved as revised. DDenied.
Comments:
Reviewed by: Date:
-Wisad'07/27/10
Permit Attachment of for
Permit# issued 20 Atlantic Beach,FL 32233
Owner's Name: Property Address: OC;FA4,,�
R.E.#:
Subdivision: Lot#/Block#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT,issued on this_LQ�'day of PC�J 20 JS
by Atlantic Beach, Florida, a municipal corporation organized and existing under t—hTlaws of the St'ate of
Florida, hereinafter referred to as "CITY" and Ca*.rfi 50W 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 light 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
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:
1�_q Oc_e4 qgn4p�c -
06Lh a233
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 pen-nit 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 finther 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 an of said
liabilities are hereby assumed by the USER.
DATED and SIGNED this day of
Apita- 120145
10111��111,1 III it, ,ll
By:
wn
Pr k er
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
1\1 'ot
_WKIT 2 personally appeared before me, a Notary Public in
On this
and f 3*ra0' a'11i" bN and State,
Z`R� the property owner of
Atlantic Beach, Florida,known to me to be the person(s)described in
and wh qu d�ke instrument; - knowledged to me that he or she executed the same freely
and aAFy an and rp es t e mentioned.
T r
Jonds
Notary Public in or said Coun an tate Shirley L Graham
- My Commission FF 080990
CITY OF ATLANTIC BEACH, FLORIDA, 0 Expires 0211412018
municipal corporation:
Approv :
Doug La WPublic Wo Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere,City Manager
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