229 MAGNOLIA ST DRIVEWAY CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ri ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
rI
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-1058
Job Type: DRIVEWAY
Description: PAVER DRIVEWAY
Estimated Value:
Issue Date: 5/14/2015
Expiration Date: 11/10/2015
PROPERTY ADDRESS:
Address: 229 MAGNOLIA ST
RE Number: 170545-0100
PROPERTY OWNER:
Name: PERRY, BRUCE &TRACEY T.
Address: 229 MAGNOLIA ST
GENERAL CONTRACTOR INFORMATION:
Name: EXTREME HARDSCAPES OF JAX LLC
Address: 13834 SEVEN PINES DR
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control
Inspection prior to start of construction. Fully surround concrete demolition with silt fence.
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.
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:
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
jydlyij,
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ence
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 ` APPLICATION NUMBER
Building Department = fTt` (To be assi n
800 Seminole Road I MAY CL 9 od b t B/uil'ding Department)
r i Atlantic Beach,Honda 32233-9445 16
Phone(9114)247-5826 Fax(904)247-5845 / f
E-mail: buildingdept@mab.us _ Da[e routed: .9 7 /
City web-site: http://wwwcoab.us Z'
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9
� /44014f ,� X' De a nt review re aired Yes No
Applicant: XI &,776 y Pla piPOOng 8 Zoning
Tree Administrator
Protect: / r coat ✓£4S
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review I f
of Permit r Nor` t^�(_`,l/7•,�
Flonda Dept.of Environmental Proteclion
JDept.of Transportation
St.
J�
St.Johns River Water Management District Y �
Army Corps of Engineers \ A
Division of Hotels and Restaurants {/
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Reviaw: EIApproved. ❑Deni
(Circle one.) Comments:
BUILDING
PLANNING 8 ZONING
Reviewed by: • L� Date: G .�
TREE ADMIN. Second Review:
QApproved as revised. Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH �� ?
800 Seminole Road,Atlantic Beach,FL 32233 �S Q
Office(904)247-5826 Fax(904)247-5845 Mqy
Job Address: Nr6
Permit No(8y
Legal Description 's 2 Parcel#
Valuation of Work$ OD(� oop ea o q. t. 6
Proposed Work heat, coo ell non-beated/cooled
Class of Work(circle one): Nev, Addition Alteration Repan Move Demolition pool/spa window/door
Use of eaisting/prorsed.structure(s)(circle one).• Commercial Residential
If so existing structure,fs a firesprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use p uct approva orm
Describe in detail the type of work to be performed: 6'1 e �.e///,�w/}7
YJ 7�40A-/ 1%1a-"
Property Owner Information,
Name:_1t/re ilAAddress:
City._All- 'ac-o- Stat Zip 3 Phone 6
E-Mail or Fax#(optional)
Contractor Information: pp -
Company Nature: bC7I1L69c IA.00CO-tt�`.J ' �.LL- Qu,]ifygp
Address: city
�wc ,f72L7K City -�.X/- State./rA Zip
Office Phone Job Site/Contact Number Fax#
State Cert�cation/Reglstration# -
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indtd I certh that ria work w inutallafion has commenced prior ro the
issuances apermit andthat allworkwil/beperformed to meet the standard,o r 111"o'regulating consWcfion in lhujurisdiction This permit becomes null
and void n work is not commenced within sis(6J months, or itcom,trucdon or work is suspected or comft nedfor a vereod ofsis/bJ months many time after
work is commenced I understand a.nd that separate permitr must be,,cured far Elerlrieu( Rvsnk Phtmbiag,&gm, Wd7s,P004 Furnares,E-fls s Heaters,
Tanks comm nce diliI undeetc
�EAREUTINRPATGCER1COMMENNT MY RESULTYOUYINTWICE FOWROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING V&ii NOTICE OF
COMMENCEMENT.
hereb rertijy Matl have readardasamisedthis''ppplication and know the same to be true and correct Allprovwauof'lawsard adinances gm ernmu�g this
'to 0 woo will be comp/real with whether specyted herein or not. The graNing of a permit does not presame to give authority to violate or toric,/the
ravuiou ofany otherfederaJ state, or local law regulating con tion or the performar ce ofcmrstruenpr
lignature of Owner / r ��gnature of Contractor
Tint Name r Q_....._. ..00
�. -Gt,�.. .1 -Kl`-`-{...._..._......_....._.__ Print Name
Nta,y
and subscrb d f re me / Swom to and subscribed before me
Day o 20 S this �Day of 20
—`
CN%"'."' VIRGINIA PO6hLE6 •p INA HATCHER
NotaryPublic-3tafp of florid, i' CWfInYssiOn#EE 188131
-^�+'oe My Comm.Expires Jan 27,2017 a4 -= ExpNesApB 1G 2016 cruised 01.26.10
--".,?'a,s •' Commission#EE 862763 "�N„;e. ta+mem�mwra,mwp;rsrom
Permit Attachment of for dqq (nil 011a
Permit# issued 20 A antic 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
Florida, hereinafter referred to as "CITY" and _
by Atlantic Beach, Florida, a municipal corporation organized and existing under the taws of the State of
hereinafter referred to as "USER". of Atlantic Beach, Florida,
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/Emomcm permit numbers noted above(copies attached).
This work is generally described as: .ZkSj]9fGLIT.I�gl/
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 ria certified 1, return receipt requested,L
�zzto
/V�� �Ut�G 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 fianchised 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 manual 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,Stith,
discretion of the CITY, be requested to submit as-built the day of completion. drawings showing the change within thirty(30) days
after
This permit shall insure to the benefit of, and be binding upon, the USE and thea 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
Tights-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[his permit and that all of said
liabilities are hereby assumed by the USER,
DATED and SIGNED this 20 day of W Z t t_
�_�201�
By:
4(tob
rty Owner
signed in presence of otary)
STATE OF FLORIDA
COUNTY OF DUVAL np ry��
On this 2U day of /yf2l �- 20 I�;
and for said County and State, personally appeared before me, a Notary public in
Zlw MAr.v r 57 ` Cf At"'-i -- the property owner of
Atlantic Beach,Flonda,known to to be the Person(s)described is
and who executed the foregoing instrument; who
and Voluntarily and for the uses and purposes the Pd. JENNIFEq L 6ENOETTI CCUted the same finely
-� '? Notary Public-Slate of Florida
My Carom.ExPtres Aug],2015
` d= Commission u EE 1193]9
Notary public in for said County and State -N� •
Bended Through National Nalary Assn.
n^q^ro^mryy ctI,
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation:
Appro
oug L ton,Pub c Wo csDirector
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Lie-,City Manager
I
Page 2 of 2
s t CITY OF ATLANTIC 13EACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WqY AND
00, misrolEASEMENTS
n. Road
A: Z Atlantic Beach,Florida 32233-5445 904-2476800
PLEASE SUSMITOCOMPLETE SETS OF PLANS WITH APPLICATION. Fax 904-247-5845
Date
Job Addmss _ PERMITO
. --`p��, 1- 32
2
33jFISSUEDSYTHECITY.___-
Permitee: _Q_Lucr prr
Telephone#9n x yo!;-_ �O L
Permittee Adtlress: �.
.. 22 3
Requesting Permission to Construct.
,_-P4ty r o-
a1i
t
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
Bell South Telephone Company Yes(/) No ( ) Date:
Ferrell Gas Yes No ( ) Date: '
Comcast Yes'( �) o ( ) 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 of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Besor Florida Departm fit of Transportation Standards and be
Performed under the supervision of .� Avon'�� � ���
Superintendent)located at —�_ Contractors Project
4. All materials and equipments all be sub}e;,i o inspection by the e Director of Teieph ones . his des'Igoe
6. All city property shall be restored to its original condition as far as practical, in keeping with city specthcations
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 showin an increase in im ervious area on ownePs lot orb the e
R'. of Wav are to be tnctuded w'th chis amol' f'
T This permittee shall commence actual construction in good faith with )
more than 60 days from date of Permit approval, then
Public Works to make sure no changes hpermittee must re the permitlwith dategfhe Digrector of
ave 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 toss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges.
g. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWER
Signed: Dare: tf'k/'Ini JENNIFER l BENOEj
Before his day f 1 i the Coun of0 '''` Notary Public-Staia of State OFFlorida,has parzonallyappea . tY uval,NotaryPublicat Large,State of Florida,coun My Comm.Expires Aug My commission expires: d m,rC1 "� 7fry opauval. °s CommissionAEE11Personally Know : Pondetl iM1recgh llaiional Nol
Producetl Iden`uficetion'
MAP SHOWING BOUNDARY SURVEY OF
LOT 510. PLAT OF SECTION NO. 3 ,SALTAIR• AS RECORDED IN PLAT BOOK 10. PAGE 16.
OF THE CURRENT PUBUC RECORDS OF DUYAL COUNTY. FLORIDA.
CERTIFIED TO-
BRUCE A.
O:BRUCEA.PERRYAND TRACEY T.PERRY
WELLS FARGO HOME MORTGAGE,MCI. .
STEWART TITLE INSURANCE COMPANY
BUSCHMAN,AM N,PERSONS&BANRSTON
MAGNOLIA STREET
M.0- RIGHT W WAY) —
50.00' (PLAT)
N 09'53'12' E
Paaw\n'iRav sire Fanw In-iRw s"E
mace caRnw w wmnwana 50.00 (MEASURED) xo wExincAnox
150.00• (PLAT) na. ?°
k7$ ENTRY sitrOP
a 0 m
_ ' '� ., •.. N n 71{CaNG. PLDs
•' %,�• Zo S,g,
Z ^ 8.4'
a nn•
rc rn '' EXl9TC _�
a W -
TWO STORY I Q
v MASONRY %4 i
a- POSTED Y C7Z F
v^
Sao a3 ss �1'�
LOT 511 fl n'3 6.5' Nm0 nEPt .09 LOT 509
0
p s ps I J
O I I ^ o
tD
Nno 9Ao sr Z r ti In
---ID>50
scLric.
542 SF
lm ��louv I
no' ns'
(M Peg\f Io05
LOT CDI6RAClEPIE 49.94' (MEASURED) w.a riAwsiaE
N0 " A°0H NO mexvmrnnm.
S 09'47'05" W
• t](� �! ' 50.00' (PLAT) .
T�1 ,a NOT
Mr-&!5u Z,q,(?>L`r LOT 522
-t�JBGT 517E LAE.y
LEGEND:
R RADNS —%— FFxCE
C = tENCiH O e CONCRETE
NOT S
I pcpprupc npc onccn N ,.m ASSUMED .,�•,,,,,,. „f N 80'On•On"
- PC\nCrnu•-
City of Atlantic Beach RCEI °' =ro..d
BER
Building Department �}QY B 9 g Department)800 lic Beae Road AtlanticBeacn,Florida322335445 n ? . QPhone(904)247-5826 Fax(904)24T!!iM5-� - _E-mail: building-dept@coab.us `�
Cityweb-site: http.//w .coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 11d 14 . TT De a r t review re uired Yes No
Applicant: L X L Pla ning&Zoning
/ Tree Administrator
Project: r � /,1 ✓£/`�S
Public Safety
Fire Services
Review fee $ 25-- Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protecfion
Florida Dept.of Transportation
SL Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLIC TION STATUS
Reviewing Department First Review: Pkpprlved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: � - Date rr rs
TREEADMIN. Second Review:
❑Approved as revised. ❑Denied.
LIC WO KS Comments:
PUBLIC UTILITIES
.Sr&-/S
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 071Vlte
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 /e
Office(904)247-5826 Fax(904)247-5845 Mq y 9 tt
S
By
Job Address: A6 Permit Num
Legal Description cS 2 Parcel#
nor Area o q. t. q.
Valuation of Work$ OOCJ� Proposed Work heat coo ed nop-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spap window/door
Use of existing/proposedstruclure(s)(( r circle one):, Commercial Residential
iN/A
If an existing structure, s a fire sparmMsystem installed?(Circle one): Yes No N/A
Florida ProductApproval#
For multiple products use product approval form
Describe in detail the type of work to be performed: &Qe-
/3�Y) T�wtn2ox! dUOJau�x�f� ��ti4
Property Owner Information:
Name: UCZnrt/ Address:
City AfG F7CH StatQ7 Zip 392 Phone 6
E-Mail or Fax#(Optioml)
Contractor Information: ��//� p
Company Name: 4+G� c //N!(/XCA✓J� d�.J " LGL QualifyingP •.t:
Address: / Y'yv,v in�3 ,02/LC City'zrQrjo - State XV9 Zip
Office Phone 5�)r Sj'r--rte 4 Job Site/Contact Number_ Fax# AjV--712-01)/
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Applumion is hereby made m obtain a permit to do the work and installatioru:as indicated I certify that no work or iruooAation has commenced prior to the
issuance a permit and that all wmkwill be performed to meet the standards ofall laws regulating construction in du'urisdiction. Thu permil becomes nu(1
android work is not cammarced within six(6)months,or ifcorutruction w work u naled or abandoned for appee ad ofsu/6J months at any time after
work u cammeked I understand that separate permits most be secured for Electrical Work, Plumbing,Signs, Wac Pods,Putnam,Bayms,Neden,
Tanks and Air ConNltonas,do
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here certify that I have read and examined this icationandknowthesametobeoueandcorrect. Al/prwusiom of1mve and ordinmkesgovernin this
type a work wi(!be complied with whether ssppeedc red herein w net. The granting of o permit does nor presume to give authority to violate of cake(the
prwmonr of any dherfedera(,stare,or locallav regulating con tion or the performance of'res ucnon.
Signature of Owners ysignattue of Contractor
Print Name .._..._Z Y.'-bS. c—Re/'.�L(..__.._.............................- Print Name 1"'^ ..____._..__......._-_—
Sworn and subscr'be�d elf mine Sworn to and subscribed before me
t .S Day o til ( 201 this Day ofLt,tA .20 �S
IC
NotaryPoc J`"w4. VIRGINIA ROSALES QR, I n INA HATCHER
Notary Public
of Florida COrnrissprl#EE 188131
MY Comm.Expires Jan 27.2017 ` Expires April 10,201fi evised 01.26.10
,,,d,• Commission a EE 862763 eax.enNrmr,ne.,.mmsus.n+s
CITY OF ATLANTIC BEACH
0Z,
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole R---Atlantic Beach,Florida 322335445 904-247-5800
Fax 904-2475845
PLEASE SUBMIY%f COMPLETE SETS OF PLANS WITH APPLICATION.
Date
Job Address // PERMIT#
_t'La 1La lz,2 ISSUED BY THE CITY
Permitee: _ gr,.r r prrd
Telephone# 'p.t YO 5
Permittee Address: �7 9 /J�a a n o✓ f_ d R ^� 3.Z2 ;.�
Requesting Permission to Construct:
sea
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
Bell South Telephone Company Yes( No ( ) Date:
Ferrell Gas Yes(/)' No ( ) Date:
Comcast Yes( o O Date:
Yes (/ No ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
altsration 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 easemenlocated hereon as
authorized. t or reset or re
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
3. All work shall meet City of Atlantic Bea9A or Florida Departm nt of Transportation Standards and be
Performed under the supervision of y nim fia4�
Superintendent)located at�.._.a�— �"�T4, '(Contractors Project
4. All materials and equipmentshall be subte to Inspection by the Director of PubligTelepWork o7r Ims ��
5. All city h 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 showin an increase in im ervious area on owner's lot or in the c
Right of Wav are to be included with this an lication
7. This Permlttee shall commence actual construction in good faith with, 6 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
Sl9ned: cccr Date:�'t�J'loll- ^` JENNIFER L BENDE71
afore hia day f I the County of Duval, 4ti°. Notary PNNlic-Slate of Florida
State Of Florida,has personalty eppbamtl ,�,� , My Comm.Expires Aug 7,2015
Notary Public etLarge,State of Fbritla,CoLnty ofauval. �° ;".�� Commission#EE 119378
My commfission erolres: brar.df'f "l -rill �� «,.d:°
Personally Kno """"" Bonded Through National Notary Assn.
Produced Identification: F(.4�-
Permit Attachment of for
Permit# issued 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 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/Ezsement permit numbers noted above(copies attached).
This work is generally described as:_?&eA -lk5fl74om po
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 �n)pprr1, return receipt requested, to the following address:
/3t !` X245 �tneY &fir �zui�
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 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."
Pagel oft
The USER, prior to making any changes from the approved plans and/or method, most 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 li nitations/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 7-0 day of APe t L_ 2010
i
By:
perty Owner
(to be signed in presence of otary)
STATE OF FLORIDA
COUNTY OF DUVAL i�nrJ
On this Z(J day of Al/Lt 2011 personally appeared before me, a Notary Public in
and for said County and State, , the property owner of
2 z� M4L N U! a S i ,Atlantic Beach, Florida,known to me to be the person(s)described in
and who executed the foregoing instrument; who lyitj}91 ecuted the same freely
and voluntarily and for the uses and purposes ped, JENNIFER L BEN(ETrl
'•'® Notary Public-slate at FloriGa
- My Comm.Expires Aug 7.2(15
a' Commission#EE 119378
/ '��T',U` Bonded TArauso National Notary Assn.
Notary public in for said CoanTy 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 Lim,City Manager
Page 2 of 2
MAP SHOWING BOUNDARY SURVEY OF
LOT 510, PLAT OF SECTION NO. 3 ,SALTAIR, AS RECORDED IN PLAT BOOK 10. PACE 16.
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFWD To:
BRUCEA.PERRYANDTRACEYT.PERRY _
WELLS FARGO HOME MORTGADE,WC/. .
STEWART TITLE WSURANCE COMPANY
. BUSCHMAN.AHERN,PERSONS&BANKM'ON
MAGNOLIA STREET
(5Q0• RRiIT OF NAY)
50.00' (PUT)
N 09'53'lr E
aooc mol[v ` x°Uto loc,l�,.wA°",,,ol'i"� 50.00' (MEASURED) `0w oc'eir�P°".,Iw
150.00 (PLAT) na ae NHW $XS COLut #
•.
N° �}11'k7$ ENTRY 57oa('
m
n ~I cq4c, P&-P,
- •.�. ---. 20 s.ps,
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ail
rc :3 EXIST C,'
TWO STORY <
a w MASONRY i w
v POSTED / 229 n
cTaan�in•, a
LOT 511 I I per•, v LOT 509
o gar 8.4' I O1 0
0 3
o sews w o
0
0 ewR rca
O ,L' ri in
aR 5,000 sr Z -,� I;F
kmqAo 5f _ DoT 510
waxz� 5?2 5F 2:ae.s, i
P RIVE CuhIC,
iM?ER,I IOUS"
R5
Aa �.
(M Pfd{V Iou53D �e _
LOCDYER?C� 49.94' (MEASURED)
w orxmunoN Ro owmumx
S 09'4705" W
50.00' (PLAT)
• pP.61N1d�iE NoTI
ML`d5U2•c1l�L"j AL7E9iEc) LOT 522
�Pa1Ecc 51-re L_AiII
Y K®1(p 9T
LEGEND:
R . RMNS —%— . i CE
NO Ei
nrecwrc mr u.ccn .... n.c a55U,1EU .,..,.-.. ,,. M !R'00'llfl- •- ___- _ _ Pr VICI(1nIC
MAP SHOWING BOUNDARY SURVEY OF
LOT 510, PLAT OF SECTION NO. 3 ,SALTAIR. AS RECORDED IN PLAT BOOK 10. PAGE 16,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
BRUCE A.PERRY AND TRACEY T.PERRY
WELLS FARGO HOME MORTGAGE,INC/. .
STEWART TITLE INSURANCE COMPANY
. BUSCHMAN,AHERN,PERSONS&.BANKSTON
MAGNOLIA STREET
(50.0' RICHT OF WAY)
50.00' (PLAT)
N 09.53112" E
FOUND 1/x• PON N 50.00' (MEASURED) FC"NOO OENAHEAAD PIPE F
oLOCN cgMw UN UY' PON N
150.00' (PLAT) 0.0. Q6 NI:.W SXS CDLUMNs 4
Tr
•1 0',• o m
4-N 5-faac'
N V4cg4c6 PaDR
Pos,g,
w
o _ �8.3' ^
W W
a of16 D.r EC
Ofto EXIST C,' _y
a W _ TWO STORY
R
MASONRY
6 iR
F v POSTED # 229 r
a GO H 3 KgPPI2T1a oT a
rn Do
LOT 511 rn 8.4
, ^'s ' 6s' MW rccN `• LOT 509
p IS.Y ED p
3 I s1Evs I< W p
= A I o
p 6000 rc«
O �` III I LD
o nINIr�T 6Rrs 5 -5r-Oa0 00 I ED n
40'3� qAo aF Z LOT 510 rrzN
wa.K„ { AsTZ 5F 2a,.a,
PRIVE Cot4c,
11`4144 J IO04
0s'
0.tl 0.5.
1 M QE[{LjR'9U5 3D 9'0
LOT COVER44Cr0un0OiHllvicRwgvt 49.94! (MEASURED) f0VN00Io1/2DMT '0"
S 09'47'05" W N
Y pP�l ,LaC 50.00' (PLAT)
N ,E NoT
ML`A5U[�[yLY ALTEIZjE� LOT 522
r">
_ F,GT SITE t_A
S: ACCEPTED BN
LEGEND:
R - RADIUS —%— - FENCE -- -
L - U[NOTH O CONCRETE
NOISY
1. BEARINGS ARE BASED _ASSVMEU__ REAPING OF N eD•OD'Oo• w REVISIONS
ALONG THE
SOUTHERLY BOUNDARY UNE OF SUBJECT PARCEL
AlE DESUIPTION
2. BY GRAPHIC OD NSG ONLY MA CAPTIONEDDATED
IL 17. UE .WITHINCOM FLOOD ZONE ----%_- AS SHOWN 061 THE O
NATIONAL FLOOD WSURANCE NAP DATED APRIL 1>, 1989. CONMUNCIY NUMBER 120(375. PANEL _ WOf D
3. THIS SURVEY REFLECTS ALL EASEMENTS k RIGHTS OF WAY AS PER RECORDED PLAT 8/OR TILE COMWIMENT
IF SUPPUED. UNLESS OTHERNISE'STATER NO OTHER TITLE VERBICATON HAS BEEN PERFORMED BY THE UNDERSIGNED.
♦. THIS SURVEY NOT VALID WRIOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERWYNBC SURVEYOR.
JOB B 15290 1 DATE OF FIELD SURVEY: 08-06-01 DATE OF ISSUE: 08-09-01 SCALE: 1" = 20'
CERTIFICATE
2522 Oak SMOCI I- BY-1111 —1 THIS SVRNY F YWE YNDER YY REYW M&E CNARGE
Acom J.cN.'W. FIwWo 322" EEEn MEW UY TEC NICr.', SE --O AS.1 rqM B E RQIW
(v —) SO4-389-5989 AMO OF PRCFESSGNAL SWVry AMD YWiERS w GHAPIER 61017-6,FLORNI
(Fox) 904-089-6175 ADNINSIA ,%MwN(T SEEI6M 1.011,FLEBINA SIANIES
uICHAEL J LL
O
UCENSED BUSINESS / 6102 REGISTERED SURVEYOR"AHD.4 ERF .819 STATE Or FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS