1959 BRISTA DE MAR CIR DRIVEWAY CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXr DAY INSPECTION: 247-5814
JOB INFORMATION:
3ob ID: 15-DWAY-1182
Job Type: DRIVEWAY
Description: paver driveway
Estimated Value�
Issue Date: 612/2015
Expiration Date: 11/29/2015
PROPERTY ADDRESS:
Address: 1959 BRISTA DE MAR CIR
RE Number: 169506-1666
PROPERTY OWNER:
Name: PARKER, TREVOR J,
Address: 1959 BRISTA DE MAR CIR
PERMIT INFORMA17ON: UTILITY DEPT.: PUBLIC WORKS:
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.
Full erosion control measures must be installed and approved priorto beginning any earth disturbing
activities. Contact Public Works(247-5834)for Erosion and Sediment Control Inspection priorto start
of construction.
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE �RIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: $35.00
PERMIT IS APPROWD ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND ME FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 SwniWe Ro.d _9�247 5800
Atlantic Bea�,Flo�a 322m-�5 Fa� 90447-58�
Lj
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date 5 -0 -15 PERMIT isy
JobAddress, 1 51 Er I rs*k be ISSUED*1YTHECn`r`
pennitee: C,Ilnth;� PA r U-C Telephone* 20L1— D,49 -q p ogo
V
Permittee Address� I qSj g I,�,&
Requesting Permission to Construct: paver
Location: (RefemnoetoCross_Stmet) &+uveen NA1 VI�L C-+- "Ad a100-1 K&kf'd_ C4 .
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 am 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, wims, 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 Pennittee unless reimbumement is
authorized.
3 All work shall meet City of Atlantic Beach or on Department of Transportation Standards and be
performed under the supervision of
Superintendent) located at C�\P+h 5� Din-, —(Contractor's Proect
4� All materials and equipment Shall be subj .96* Telephone#: 00Y-ft�-o7Q
act to inspection by the Director R—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 at this installation, as well as, a copy of a recent survey shall be made a
part of this permit. Calculations showing any Increase in im2ervious 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 _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 sum 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 ansing 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
siq� 44, �4y DateAlnd 4 ZV/-T
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Pmduaxi Identil C412�S��
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,Fl,32233
Office(904)247-5826 Fax(%4)247-5845
Job Address: 115 9 Re 4� & &r Permit Number:
Legal Description Lz�v J?P '�'11/01 NG`�� U K. T,4� Parcel#
Floor a ��q�F Sq.Pt
Valuation of Work$ PxopZd4;ork e t IN ..led — non-heated/cooled
Class of Work(circle one): New Addition (Eii� Repair Move Demolition Pwl/spa window/door
Uste of existing/prarosed structure(s)(drcle one): Commercial 49.�,denti.
Han existing struc lure,is a fire sprinkler system installed?(Circle one): --Vrg--No NIA
Florida Product proval#
For multiple panels use Pr—MTH—ct-ap—pr—o—varro—m—
Describe in detail the type of work to be performed: 6r lktotr br'W!A" -
Property Owner Infournsation:
Name: C1111A.ie- N'Kdr- Address: 1157
Contractor Information:
Company Name: C t)o�zqh 4m±�A+, Qualifying Agent:
Addre�: Q5 —city - State
-Spi -�77 Fu# fO�-IfA -0170�
Office Phone Int-711,6-o�va Job Site/Contact Number jcq Zip
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone
Fee Simple Tide Holder N
Bonding Company Name and Address
Mortgage Lender Name and Address
Applicatim is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencedprior to the
issuance a(apermit andthat all work will hope, d to meet the standards ofell laws mgdating con,"cam,in thisjuradiction. Thispermitbecome,nall
and-bl, wer"s 4 Imm'—whs, a,ifctownsoction or work is sus
work 'L rnded or abartdonedfor a
Wperiad of sixg months at any tip;ej.4er
totoced I odershool thal s�palh,permits ams,be securdjor Electric Work, Phun ng,M el ,pools, __ leis,
Tlenks andAhr Cmnavdofie�de. N iaA ell es,Bol
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 Y614i NOTICE OF
COMMENCEMENT.
cat
W late .=tms
the
20 15—
qotary Public
Revised 01.26.10
R.O.W. Permit Attachment of for
R.O.W. Permit issued '200 Atlantic Beach, FL 32233
Owner's Name: Q'I 124h"r,
Property Address: _JT5
Subdivision:
Lot#/Block#: u3t 8?
R.E. #:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this t day of
ftf� A � 20US, by Atlantic Beach, Florida, a municipal corporation organized and existing
uiaderte 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/Easement permit numbers noted above(copies attached).
This work is generally described as: j'?al&C bf�ve"
Any facility maintained, repaired, crected, 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:
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 my 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, my 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."
Page I 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 inure 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 further agrees that the CITY and its officers and
employees shall be saved harmless by the USER from my 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 )b dayof m=j 200,�'
w
P be�,qged',Crpr�ese,,ef�theNtary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this /3 _ day of mo� 20V�: personally appeared before me, a Notary
Public in—an—d for said County'andState, te rpro"y owner of
—'�,h�Floda,�k,,w, to 0 e person(s)
Atlantic B
described in and who executed the foregoing instrument; who acknowledged to me that he or she
executed the same freely and voluntarily and for the uses and purpos-es-therein mentioned.
%7
W�M 5
UP MMES
Notary Public in for said County 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 Liere, City Manager
Page 2 of 2
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City of Atlantic Beach
ilding Department 110),
'S.Uu Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-1,PA,9
',;V,l C-rnail buiIdmg-daPt@.ab as
Cityeb-site bft,//�Orllbus
APPUCAT90N REWEW AND TRACK9NG FORM
di;e-
Property Address: illill e a ent review required Ys No
U11-11,
Applicant: Planning &Zoning
ProjGct: Tr ee frustrator
or
tililies
Public afety
Fire Services
Review fee Dept Signature
IOther Agency Review or Permit Required Review or ReOeipf
Florida DePt Of Environmental Protection of Permit Verified Date
Florida Dept. Of TransPOrtation
St.Johns Piver Wator Management Dismof
Army COrPs Of Engineers
Division of Hotels and RestanmrAs
Division OfAlwholic Beverages and Tnh—
Other.
em
APPLIPATION STATUS
Reviewing Department First Review: Proved.
(Circle one.) Comments- *P
BUILDING
PLANNING&ZONING Reviewed by 12rl
TREE ADMIN. S6,Cond Review: ved as revised. [OnDemi.d.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by�
FIRE SERVICES Third Review: —EJAPpmved as revised. Date
Comments: 'lea,
Reviewed by: Date*
3.dO7/27110
01
APPLICATION REVIEW AND TRACKING FORM
Property Address: A�r dl;v—
De artment iew re uired ys� No
Applicant: Building
lanning&Zoning
Project: 10 roe ministmtor
P or
filitie,
Public Safety
Fire Sewl.cas
Review fee $ 2-r
Dept signature
Other Agency Review or permit Required Review or Re,ei t
Florida t of Environn, of Permit Verifi p
Florida t. of Transp,rttj,,I Protection ed Date
St jOh s ver Water Management Distnct
Army PS of Engineers
Division of Hotels and Restaurants
r"visiGn Of Alcoholic B,ges and Tobacco
Other,
PPLICATION STATUS
RaviOwing Department Final Revie :
(Circle one.) Commends: PProved ODenred
BUILDING
PLANNING&ZONING
TREE ADMIN. Reviewed by Date.
Second Revie as revised.
C WOR comment,- LJDenied,
LIC UTILITIES
,5'—70—
PUBLIC SAFE
FIRE SERVICES Third Review: [-]Appo Reviewed by. Date
Comments- ved as'evised, E30enied.
Reviewed by.
d 07/27110 Date