289 MAGNOLIA ST RIGHT OF WAY -S '1'j rl,,
`.\I, 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 INFORMATION:
Job ID: 15-ROW-1087
Job Type: RIGHT-OF-WAY PERMIT
Description: REMOVE SIDEWALK& DWAY AND REPLACE WITH PAVERS
Estimated Value:
Issue Date: 5/22/2015
Expiration Date: 11/18/2015
PROPERTY ADDRESS:
Address: 289 MAGNOLIA ST
RE Number: 170542-0000
PROPERTY OWNER:
Name: TRUSROTT, ROBIN W&THEODORE, '
Address: 289 MAGNOLIA ST
GENERALCONTRACTORINFORMATION:
Name: EXTREME HARDSCAPES OF JAX LLC
Address: 13834 SEVEN PINES DR
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
This permit is to replace an existing driveway with same size paver driveway.
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. Silt fence is required along street each side of drive to be removed.
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.
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.
Permit Attachment of_for
Permit# issued .20_Atlantic Beach,
/FLy32233 /
Owner's Name: PropertyAddress: OW 9 &a "t/d
R.E.#: /
n
1117: Lot#/Block#:
ILI11nUlU1/I MAY 21
By_ 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".
WfFNESSETH:
That the CITY does hereby great 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 n° e(copiesbed).
This work is generally described as:
T /f� iyfWAy
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 he
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 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 most be replaced with smooth concrete left=total in color so that it matches the
existing and adjoining sidewalks."
Pagel of2
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 Emitationshequirements 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 d J day ofx}11 A� 20L.6�
By:
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this :?/ day of A , 245—personally appeared before me, a Notary Public in
and for said County a State, the property owner of
Atlantic Beach,Florida, known to me to be the person(s)described in
and who ep=ted the foregoing instrument; who acknowledged to me that he or she executed the same freely
and vo y to the uses and sea therein mentioned.
Notary Pub r m for saroun and e
tY y SMrby I Gnlwn
MY eonm,M. MFF aF W
CITY OF ATLANTIC BEACH, FLORIDA, a `� e�i0y1Mpts
municipal corporation:
APP ed:
g n,Public Works D' ctor
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Lim,City Manager
Page 2 of 2
Jl� i
Comp. By: SRW
Date: 5/1212015
if p�
Public Works Department
City of Atlantic Beach
Permit No: 15-Row-1087
Address: 289 Magnolia
Reauired Storage Volume
Criteria:
Section 24-66 of the City of Atlantic Beach's Zoning,Subdivsion,and Land Development Regulations
requires that the difference between the pre-and posldevelopment volume of stormwawter runoff be
stored on site. Volume of Runoff is defined as follows:
V=CARM2
where: V=Volume of Runoff
C=Coefficient of Runoff
A=Area of lot in square feet
R=25-yr/24-hr raiMall depth(9.3-inches for Atlantic Beach)
Predeveloomenl Runoff Volume:
Lot Area(A) = 5,000 ft,
Runoff Coefficient
Area Lot Area
Description (ft°) (ft') IT Wtd "C"
Impervious 2,140 5,000 1.00 0.43
Pervious 2,860 5,000 0.20 0.11
Runoff Coefficient(C)= 0.54
Runoff Volume
V= 0.54 x 5,000 x 9.3 I 12
V= 2,102 ft3
Postdevelooment Runoff Volume:
Lot Area(A) = 5,000 ft2
Runoff Coefficient
Area Lot Area
Descr'Pt'on ft2 (ft 1 "C., VW"C"
Impervious 2 5,000 1.00 0.43 %ISA= 42.8%
Pervious 2.860 5,000 0.20 0.11
Runoff Coefficient(C)= 0.54
Runoff Volume
V= 0.54 x 5,000 x 9.3 / 12
V= 2,102 ft3
Required Storage Volume
DV= Posidevelopmenl Runoff Volume-Predevelopment Runoff Volume
DV= 2,102 - 2,102
DV= 0 ft3
ReienWn 1639 Sea Oab Lhlve 15-R d-1053 5/12r1015
Comp. By: SRW
Date: 5/1212015
v
Public Works Department
City of Atlantic Beach
Permit No: 15-Row-1087
Address: 289 Magnolia
Provided Storage:
Elevation Area Storage
(ft) (ft') (ft')
0.0 0 0 BOTTOM
0.0 0 0 TOB
Elevation Area Storage
(ft) (H') (ft')
0.0 0 0 BOTTOM
0.0 0 0 roe
Elevation Area Storage
(ft) (fl') (ft')
0.0 0 0 BOTTOM
0.0 0 0 TOB
Inground storage=A'd'pf
A=Area= 0.0
d=depth to ESHVlr= 3.0
pf=pore factor= 0.3
Inground Storage= 0.0 ft'
Storage provided using EcoRain tanks-see file for data.
Required Treatment Volume= 0 ft'
Supplied Treatment Volume= 0 ft'
rtetenwn 1639 Sea Oab Giro 15-nadd-1053 SMWO15
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800 Seminole Road,Atlantic Beach,FL 32233 D
Office(904)247-5826 Fax(904)247-5845 IRL
Job Address: 189I_S! Wlain. , r.e0. k za Q S Permit Number:
Legal Description 0S Parcel# BY
nor o q. q.
Valuation of Work$ JOQU Proposed Work hestt. coo ed ;ou_heate&coo I
Class of Work(circle one): New Addition Alteration Repair Move Demolitions pool/swindow/ oo
Use of enistiog/proposedstrocture(s)(circle one):. Commercial Residential
If an existing structurei
, s a fire sprinkler system installed?(Circle one): Yes No N/A
Florida ProductApproval#
For multiple products use product approval form lei �/
Describe in detail the type of work to be performed: ,C¢i77a(X Lzi' e slm44ye
_A90 TaCQtf dgf u 0l v975L'v tf,0
Property Owner information:
Name: T4,r, A.,s A + i�.,1...h tJ Tc,.ac tddress: a,44 JYl naP ., 5k�rtk:�
City 9 040 a4v
E-Mail or Fax#(Optional) w 1 n
Contractor Information: f l_-
CompanyName: li/`I IrFYw£ �3 �JRr Qualifying Agent:
Address: I i# 4ea Ives City ,"Jif' State Zip
Office Phonev t!y:7W L Job Site/Contact Number ,S/IYN�C Fax# 561-2112-0jj/
State Certification/Registration# /.
Architect Name&Phone#
Engineer's Name&Phone# 44 11A-
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is here ybyy made to obtain a permit to do the work and installations as indicated I mrtify that no work w installation has commenced prior to the
issuance ofapermt/and that allwork wil/be pe da,meet the standards ofall laws regulating construction in thisjwudiction Thispermitbecomesmill
andvotd rfwwk u am commencedwithtn sir(6fmonths, or ifconstruction w work is suspendedw abandoswdfw a period ofsts/b)months at any time a/ter
work ucommenced /understand that eepwate permib must be secured for E(ernienl Wont,Phmbing,SYgns, Wd4,Pool, Furnaces,Boilers,Healers,
Tanks and Air Conditlamem,etc.
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 YOM NOTICE OF
COMMENCEMENT.
Ihereb centfy thin I have readandesamtmd this cation and know the same to be true and correct Allpronsiom oflaws and ordinances governing this
type of work wr(1 be complied with whether sped red herein w not. The growing ofa permit does nm presume to give authority to vitiate w cancel the
prmasmrs ofany other federal,state,or local taw regulating couavction w theperformance ofcomnuctim.
Signature of Ownea4,, 63 �ignature of Contractor f�f�
Print Name _......1Golai.rl.—( ...S.txa.3..�' Print Name
Swom�o and subscribed ore me i Swom to and subscribed before me
this 1. Day o 20 this 4 Day of rh c...F .20 1.
Ira
Notary Public Notary Public
rorF yJQRINA HATCHER viand 01.26.10
,.` VIRGINIA eGSALES '. _ COmad$$IOfI#EE 188131
.y { salary Public-State of Florida ?' i Exgres April 10,2016
My Comm.Expires Jan 27,2017 `?q!„h.•' e"detlTh"t10sr”^""'1p�..
',' ` Commisslon a EE 862763
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
•
800tic Biwe Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Dale M J 1 2.O I C p I PERMITi
Job Address 249 YYI nn �..I in �� HY�4.e�i p�CN. FL ISSUED ;E CITY
Pernitee: /' ate .PKrRrs 0 f�/..k Telephone# �pa' Syj- 7Z6 6
Permittee Address: / ,�� SeveN /0, UL S 1,)ed{i 1)
Requesting Permission to Construct: Alt-R) 7_ H"k. JAIffeltiA�
Location: (Reference to Cross-Street) .5/?W1//9h7 _!Mr e
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 UtilitieslMunicipalibes:
Jacksonville Electric Authority Yes(�j No ( ) Date:
Bell South Telephone Company Yes(`) No ( ) Date:
Fennell Gas Yes No ( ) Date:
Comcast Yes(—) No ( ) Date:
i
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 Rn s w (Cont mctoq,Vis_ Pro'act
Superintendent) located at /3£3✓.5ar ex i" tir VQ- Telephone#: o • c-77LiL
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 1�) 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 Occured 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 Holler 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
Sig ✓ Dere: S 7�r.� 11_
Before me oda ear of in the coon of Duval. U
Slate Of Flmida,haw pemonally appeeretlVMiPalru 1x0 -W45COIT
NotaryPublic at Large,Stare f Flcr ds,CauMy of Duval.
Mycommissionexleres: tips, aD f1NGINIA a05ALES
(� g(, Produced Identification: =+°' tF9 Notary Public.State of Florida
My Comm.Expires Jan 27.2017
„dare;` commission i EE 862763
City of Atlantic Beach APPLICATION NUMBER
Building Department Rji` LI
-f o be assigned by the Building Department.)
800 Seminole Road ' /�►w1
Atlantic Beach, Fends 32233-5445
Phone(904)247-5826 Fax(g04)247- 45 MA
E-mail: building-dept@coaous Date routed:
SWAIS
City web-site: 1tW://wvrn'_coab.us BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: rR mi-o r ` Department review required Yes No
Building
Applicant: rp�e�p�r�� Planning BZoni
p� �Q �r Tree Administrator
Project: � v *I •- L'FAMN :Public Work
r
DPJV
i•
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Vedilin
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 Bever ages and Tobaob _
Other
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ,fDenriad._
(Circle one.) Comments: 5f �—
BUILDING D0'.Aj� T �1, { , *4-w� QS 4500r--,i,
PLANNING&ZONING = Reviewed by: Date: (I"
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: `— Date:
FIRE SERVICES Third Review: ❑Approved as revised. nberid.
Comments:
Reviewed by: Date:
Revised 07MMe
�Sir" j-, to, x-21
•$-q .,Xvt rtya !1 ikI T - Qx►
City of Atlantic Beach - APPLICATION NUMBER
Building Departmentr (To be assignee by the Building Departrnent.)
F=f."EIV I '
ALM800 Seminde Road
Atlentic Beach,Flcdds 32233-5445 MAY
cpo� Phone(804)247-5825 Fax(904) 5845 :Dale routed'.
247-
E-mad: buldin9-dept�coebms
Cayweb-see: htlp://w 008b.us
APPLICATION REVIEW AND TRACKING FORM
Addreas�� � ' ` De went review aired Yea No
Property � Building
Planning 8 Zoning
Applicant res Administrator
Project: PAv WAS• ,
10
DWv sty
Fire Services
Reviewfeeg Dept Signature
Review Receipt Data
Other AgencyReview or Permit Required of Permit Verified By
Florida Dept W EnVkanaemd Protection
Fkxide Dept.N treruponadon
St.Johne fiver Water Management District
Army Corp-of Engines'
Division of Flores One Resaurer8a
Division of Alcoholic Beverages end Taba000
Diner:
APPLICATION STATUS
Reviewing Department FIrH Ravlaw: 110 �. �
(Circle one) Comments:
BUILDING � L
PLANNING B ZONINGReviewetl by:6ArDate:
h/, ,
W
TREE ADMIN. ascend Ravlaw: [)Approved as revised. ❑�e�.
PUBLICN/ORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:-.. Dete:
FIRE SERVICES Third Review: QApp oved as revised. 00enied.
Comments:
Reviewed by: Date:
ReY ed 07MMO
/ PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date:
Initiala: F
Project Name/Address: 9--'7 ltf/ft"JOLI & Application Permit M: /.S— IQp w7— I O fr 7
check Box Check
Application Tracking Comments to Add Box to
UWSU Avoid damage to underground water/sewer utilities. Verify vertical and horizontal Comment 'Prim"
MBSC location of utilities. Hand dig if necessary. If field coordination is needed,call 247-5834. ❑ ❑
Ensure all meter boxes,sewer cleanouts and valve covers are set to grade and visible.
RTIC A sewer cleanout must be installed at the property line. Cleanout must be covered with
an RT3 concrete box with metal lid. Cleanout to be set to grade and visible.
RPZB A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be tested ❑
by a certified tester and a copy of the results sent to Public Utilities. ❑
STRM Plans note the building will be unspdnkled. If plans change,any fire line installed must be
metered with a Sensus touch-read meter in a properly sized vault and an appropriate
backflow,preventer installed. Backflow preventer must be tested by a certified tester and ❑ ❑
a copy of the results sent to Public Utilities.
FSBR If fire sprinkler system is provided,contact Malcolm Clemons at 247-5839 for backflow
requirements. At a minimum,will require a double check backflow preventer. ❑ ❑
FLM Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must
be installed in a vault as noted in JEA specifications. ❑ ❑
❑ ❑
❑ Cl
❑ ❑
❑ ❑
❑ ❑
❑ ❑
soups
MAP SHOWING SURVEY OF
LOT 503, SALTAIR SECTION NO. 3, AS RECORDED IN PLAT BOOK 10, PAGE 16 OF '
THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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