1822 SEMINOLE DRIVEWAY City of Atlantic Beac
Building Department APPLICATION NUMBER
800 Seminole Road [Date
be assigned by the Building Atlantic Beach, Florida 32233-5445 9 D epartment.)
Phone(904)247-5826 - Fax(004)247-5,34._5 117-71
E-mail: building-dept@coab.us
City web-site: http://www.coab.us routed:
ADPL ICAT90N REVIEW AND TRACKING FOS
ry
Property Address: Lr
®epartrnent review require d Yes No
Applicant: Building
Planning&Zoning
Tree Administrator
ublic Works
Utl I I
Public Safety
.r Fire Services
Review fee $ 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
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Revievuing Department (First Review:
(Circle one.) Comments:
Comments. ❑Denied.
BUILDING
PLANNING &ZONING
Reviewed by:
TREE ADMIN. Date:
Second Review: DApproved as revised. -
PUBLIC WORKS Comments: ❑Denied.
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
FIRE SERVICES Third Review: Date:
Approved as revised. ❑Denied.
Comments:
Reviewed by:
Date:
ised 07/27/10
i CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road
904-247-MOO
'ru'u' Atlantic Beach.Florida 32233.5445 FAX 904-247.5645
E SUBMIT(3)COMPLETE SETS OF PLANS WITtt APPLICATION.
e �Vic_
PERMR e
Job Address'V2sanw,ae%"/iatric e..e,Ft.3Vt233 FLssuEo 9Y THE clTv
Permitee: cr.oe e«uwcso r a rarm i :Swa Fraan T6 ak 1104 70Fa0io
Permittee Address: eM Ch~Ave 206o JaMsorMh•n 32217
Requesting Permission to Construct: "'O•,0"rob+"wM0rmeechoa Uge..r yr4wararaNrwlp.e�mer+�n wawenaa,..ora+na..ap
Mrvewtay,a+en fonrreU b.3.3d111«'aD MrcO Mambo.inrraaaE m M nab W M MMuay.Nre.YW ex a 101L 4'a4dr ee M taro pa d hart JWa Onwr be"
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 t)tiliti Mmunicipalities:
Jacksonville Electnc Authority Yes(�) No ( ) Date: - >
Bell South Telephone Company
Ferrell Gas Yes( ) No ( ) Date:
Comcast Yes(-�) No ( ) Date:
2. Whenever necessary for the construction, repair, irtprovement, 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 seld 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 r,.r■ (Contractor's Project
Superintendent)located at one"n'�"'"°" 'bn,atasa.ab n 3nrr Telephone# 9N7a"r"
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.
g. A sketch of plans covering details of this installation,as well as,a copy of a recent survey shat be made a
part of this permit. Calculations showing env Incre"s in impervious area on owner's tot or in the chr
R-"ht of Way are to lie Included with this apDlicatton.
7. This permittee shall commence actual construction in good faith with x 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 twenty-four (24) howl prior to signing work and again
immediately upon completion.
RHONDA YVONNE POTTER
OWNER MY COMMISSION#FF056305
'•..;fand!�i EXPIRES September 22.2017
Before me Vft day or RI ate (407)3011-0153 FbndaNcta Service.com
Stab Of Florid,,has personally appeared
Notary Public at Large,State of Elorids.Courtly
My commission expires: Y ;PQ J—7 P �11f:�i���+�1 Kno;� ^<•
MAP SHOWING BOUNDARY SURVEY OF
LOT 4, BLOCK 1 , AS SHOWN ON MAP OF
SELVA MARINA UNIT NO. 9
AS RECORDED IN PLAT BOOK 36, PAGE 20, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA.
CERTIFIED TO: DONALD H• SCHMITT, JR.; NANCY JO SCHMITT; KENDALL TITLE SERVICES INC.;
WESTCOR LAND TITLE INSURANCE COMPANY; FREEDOM MORTGAGE CORPORATION
SCALE: I"=30' DATE: 02/10/15
I
LOT 5 f
S89.57'19 E(P) I
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(ACT)
o
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c mS89'57'19"W(P) 100'(P) I
LOT 3
N
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SATURBIA DRIVE
(COUNTY ROAD NO. 2280, 100' R%W)
THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN BEARINGS BASED ON PLAT AS SHOWN
ON THIS MAP THAT MAY BE FOUND IN THE PUBLIC.RECORDS OF THIS COUNTY. UNDERGROUND FOUNDATIONSAJITIUTIES NOT LOCATED
TWP I AT CWr%VJKI UC'DC^kl IC Iwl Tuc •I , nnn —.-..-- n.— -.. ........... — --- ..._..- -.--- - --