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1275 SEMINOLE RD - DRIVEWAY ,› N " ,'s f CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DRIVEWAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-DWAY-1329 Job Type: DRIVEWAY Description: paver driveway Estimated Value: Issue Date: 6/16/2015 Expiration Date: 12/13/2015 PROPERTY ADDRESS: Address: 1275 SEMINOLE RD RE Number: 171895-0000 PROPERTY OWNER: Name: TODD, WILLIAM T Address: 1275 SEMINOLE RD PERMIT INFORMATION: 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 prior to beginning any earth disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to 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. PERDII"I IS APPROVED ONLY IN ACCORDANCE Willi ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA ,, \s , CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ct.)\ ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 -.=�JJ379� Need to submit catalog information for impervious pavers. FEES: Fence/ROW $35.00 , Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITII :1I.1. CITY OF A'1'I.A\"I IC 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 SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date ? L-i,✓I e� ?�v l C r, PERMIT# Job Address ) 5 \ e-tA.t U' p) Lk- : `� ISSUED BY THE CITY Permiee: E ,�,1 ` ' T��� c� �o�_CX Telephone# 3O4 &v' 5 3- i j Permittee Address: 275 � v�U1v � : eAC . ) FL 322;53 Requesting Permission to Construct: Cur c,w[ &t' (x' �L vri rn;7t� c-1,1,1;5 tyuc € v . pcc_rxvT s P‘,- K Location: (Reference to Cross-Street) C L r Le 1//;�s--�' 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 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 MC-J1A-V`eA-I 5toVte (Contractor's Project Superintendent) located at td '3`i iemc(&. P i vii j j-e x.11 F ?,2?i{�, Telephone#: 904- i i 5)27 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. 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 1,0 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 Pu .c Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It i Tod cee that the rights and privileges herein set out are granted only to the extent of the Ci 's 1jt title r t in the land to be entered upon and used by the holder, and the Holder will, at all times, assume ()tend 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 FILE Signed:4e1Afteet- Date: `5 1 s /- (rV Before - this day of i �4.� 1 the County of Duval, l.L St. : •f-lorida,h. per-. ally appeared • .':ry P,.lic at La ge, • - of Florida,County of Duval. sion ex.ire � ,r�, � p ��e I WO r ,�deRtifll+°9iic State of Florida �� Shirie L Graham 1` My Commiaeion FF 086990 Itoi op* cxifv�02/14/2018 R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ Atlantic Beach, FL 32233 Owner's Name: "kiAkiareS 6- Tok g Property Address: VI-1S S t,o Cei Subdivision: Se,t i& ft& v,a( Lot#/Block#: Lo- /i5to c-Ft 1 R.E. #: lit 09 5 —0000 REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 200, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and ill yr a 1-01/ iA 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: co vt,s+ruic__-{],moo veuv-z. covtStr�c�-f 2-cQ v� e-v-S 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 mail, return receipt requested, to the following address: 1215 S efr,uK vle RcL. 1-I et- -k c 6e5cG1ii PL-- '3 2233 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." 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, 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 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 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_ 54 day of , (r►-we , 204w By: -)1,t 4Q Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OFD VAL On this (day of 200_, personally appeared before me, a Notary Public in and for said County and State, , the property owner of , Atlantic Beach, Florida, known to me to be the person(s) descri•-• in and who -.e_ cuted the foregoing instrument; who acknowledged to me that he or she - -• ted th- sam fr- . 6 voluntarily and for the uses and purposes therein mentioned. `�I_. A. • Notary Public in for -.id k ounty and State =oor 0 _ Notary Public State of Florida Shirley L Graham CITY OF ATLANTIC BEACH, FLORIDA, a ' - E My xpires 02/14/2018 086990 of•�� municipal corporation: Approve• l ' - ',- •- , Public y/orks Director u!. L ' For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 ArcIMS Viewer iN ill*.T r ii, / 4.a . / // \ / /17 \ • / WS , /111116‘ \\ ND t .1, • (1) / 6 \ 1� Ce►.MW171MCpMie ae&R 1 -r-0- 17-0 t:s 4,-6c1:6\kkes it, (,,,,,,,t, , ®1 v it,1-\--Ptn, , C e f e u- c, 7 i,-.3 o, N a & S E . • of 'off - NTS http://maps.coi.net/WEBSITE/DuvalMapsSQL/MapFrame.htm 6/11/2015 ArcIMS Viewer f Ar "II M}y L• a J6 1 N �. / _ , air $ter ' ` 4.1‘ T 1- 0 / . .._., ' ,iii 1 G♦ . r A ,e d ' ', fie . 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'-___'___� _ _--_ ___�------_ . _ '________ _-_____________ __--_-___- -_ '--_' _-_'- – -_'--_-_-----_ -__---_--_ _-__-_--'__ __-_-_ — _____ - �� -- ------__--_--_' '| __-_--_--_� _--'__-_'_--___ -_--_'__-_ � ____ _____ ________________ _ _ ______ � ___-�___- __---___-___--__' _-_ _-_--- _____' _-----_- __-_____'___' ____ / d City of Atlantic Beach �`,t,lr4. �.__ APPLICATION NUMBER vs !'�;r .:.; Building Department 11l t (To be assigned b the Building Department.) �= 800 Seminole Road �U \; 0 Atlantic Beach, Florida 32233-5445 N 0 8 2015 /Cr �)�fl 3Z F Phone(904)247-5826 Fax(904)247-5845 r / I. J E-mail: building-dept @coab.us I City web-site: http://www.coab.us Date routed: / // j APPLICATION REVIEW AND TRACKING FORM Property Address: 0 73-- Je/1t I j✓Q/g- Ed Department review required Yes No Building Applicant: o ld yj g 4. Planning &Zoning �� -" �J Tree Administrator Project: �t✓�r �i/E ail ' .lic Work (4l y . -ubic ii Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of LIIeruIdBy Date 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 Beverages and Tobacco Other: —___________— APPLICATION STATUS Reviewing Department First Review: �✓AAppproved. ❑Denied. (Circle one.) Comments: BUILDING Or , PLANNING&ZONING 41110 Reviewed by: ` L Date: G�J�� TREE ADMIN. Second Review: DApproved as revised. lenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY __ Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: _____ Reviewed-________� Reviewed by: Date: Revised 07/27/10 .1 i.'' City of Atlantic Beach JUN D APPLICATION NUMBER CJ '. . ,\ Building Department ZQ� (To be assigned b the Building Department.) � s� 800 Seminole Road : � �` � /3Z Atlantic Beach, Florida 32233-544 Phone(9 )247-5826 • Fax(904 j�t �� E-mail: building-dept@coab.us Date routed: 6/ //5- City web-site: http://www.coab.us !!! APPLICATION REVIEW AND TRACKING FORM Property Address: /c75 Sim I"/V0!t; /`J Department review required Yes No Building Applicant: 0 id 7') g 4 Planning &Zoning / Tree Administrator Project: 7)A vg r / IL !/,/Ay u lic Wor uc Utili Public Safety Fire Services Review fee $ 25— Dept Signature < • \ Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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 Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: roved. ❑Denied. (Circle one.) Comments: BUILDING // PLANNING &ZONING Reviewed by: �' .>‘..--e— Date: t71//r- TREE ADMIN. ❑App Second Review: roved as revised. ❑Denied. .:LIC W KS Comments: • :LIC9UTILITIEES AL SA SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10