1657 SEMINOLE RD RIGHT OF WAY CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATI)N:
Job ID: 15-ROW-1049
Job Type: RIGHT-OF-WAY PERMIT H SEM/OCEAN
Description: PARKING ON ROW FOR CONSTRUCTION VE
Estimated Value:
Issue Date: 5/6/2015
Expiration Date: 11/2/2015
PROPERTY ADDRESS:
Address: 1657 SEMINOLE RD
RE Number: 169564-0030
PROPERTY OWNER:
Name: SMITH, MARK
Address: 1015 ATLANTIC BLVD STE 99
GENERAL CONTRACTOR INFORMATION:
Name: INTRACOASTAL BUILDERS CORP.
Address: 14286 -19 BE BEACH BLVD APT 242 QA MATTHEW
LAWRENCE REIMER
Phone:
PERMIT INFORMATION:
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.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE UBM (3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date I Zz- PERMIT#
Job Address ! 59-7 Z?FM I N ISSUED BY THE CITY
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Permite& _��N LION-5 01';Telephone# qQLk SZ/
Permittee Address: I-J�W iozo -1�4em-AC A-yaj&-) 3�2_5-0
Requesting Permission to Construct: 'FAV_k-1QGL OQ IZ,O- \,%)-
Location: (Reference to Cross-Street) SCM kQQL�6 0(,CAt�_) ?�L_v
I 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:
Bell South Telephone Company Yes ( ) No ( Date:
Ferrell Gas Yes ( ) No Date:
Comcast 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 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 MA,-T-1 H VFVJ )Z-F- i M ONO— (Contractor's Project
Superintendent) located at /0 2--,0 '_1-4VT0_OA27-- 007'� �5;Z2-';_0 —Telephone#: q0450�( -i3L1S_
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.
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 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 /'50 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) hours prior to starting work and again
immediately upon completion.
OWNER JUSTIN VonRAGEN
Signed. Date: Cq 1-27—J My COMMISSION*1T0&%W
EXPIRES:JAN 27,2018
Before me this day Of�O I�% _in the County of Duval,
State Of Florida,has personally appeared a,,+�N t�
Notary Public at Larg State Tf Florida C unty of Duval.
my co"Ision e4pir:s. Personally Known:
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