130, 134, 138 SANDY BEACH LN - RIGHT OF WAY rsslI::L`1 j���
;_ P•. CITY OF ATLANTIC BEACH
:_-- .;,,,-'3')14,1 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road
-41? i Atlantic Beach,Florida 32233-5445 904-247-5800
Fax 904-247-5845
PLEASE SUBMITCOMPLETE SETS OF PLANS WITH APPLICATION.
Date 4 t - I(
ik
PERMIT#
Job Address 4i' 0 —11 13 � 1_411,,,e._
ISSUED BY THE CITY
Permitee: a,
Telephone#_ 9 o y - 3 3 y- I a.o i
Permittee Address: '
Requesting Permission to Construct:__X__s.+.& I
2R .�
✓erc „N. d..i vim. •�-L,
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 ( ) No ( ) 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 a ppurtenances 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 . ewe- p f4+-.
Superintendent) located at 1 Nv% ...-4- (Contractor's Project
Telephone 4
4. All materials and equipment shall be su ect to inspection by the Director of Public Works or his designee.
oy- 33 V- �to
o L
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 nt
part of this permit. Calculations showin. an increase in im.ervious arearon ov ner'sylot or be
the cita shall mad
Rio ht of Wa are to be included with this application.
7. This permittee shall commence actual construction in good faith with days. the more than 60 days from date of permit approval, then permittee must review the perlm t with hen Diirrectorr of date is
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 a
exercises by the holder of the aforesaid rights and privileges. ttempted
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again •
immedia -1y upon completion.
OWNER ' ,
KYLE MURRAY•Signed: ,�% /7 ,) (i �1 MY COMMISSION 0 EE166723
Before me this Date
�/ day of �, in the County of Duval, - EXPIRES Awl 02,2016
State Of Florida, has personally appeared
I�osf�iFOta� po,e, ,,, �,,,
Notary Public at Large,State of Florida,County of Duval.
My commission expires:
Personally Known: f4f...._
Produced Identification:
Permit Attachment of for
Permit# issued ,20 Atlantic Beach,FL 32233
Owner's Name: tv.A.ckits Vim.4.6.4 Property Address: 130 —'! 13 S- S (�{�mac. I •.it
R.E. #:
Subdivision: 6 t.,A, {� Lot#/Block#: )-0 4- II-( 2 3 13 lack_
Z
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 13t,K.Les 1444)4J 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: 11n s4g (t P,k 3 **. A • -
� R
�
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:
-fl , Y►AnPovk CU, A'-+ f.wlt RewgL, 1-I. -kzz33
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 bythe USER.
D ' ED and SIGNED this/ 7E4- day of , 20
t
By: f _ , s,
Property Owne f
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNT OF DUVAL
On this day of '� r __rr
y 4 , 2015, personally appeared
and for said County `and State, y pp �'� before me, a Notary Public in
the property owner of
,Atlantic Beach,Florida,known to me to be the person(s)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 purposes therein mentioned.
iiiiviiit4 KYLE MURRAY
(": '. ••: MY COMMISSION 0 EE185723
Notary Public in for said County and State �•t EXPIRES April 02.2016
Ib�)�a-o,a� r�x,a.�.�,,ae�nom
CITY OF ATLANTIC BEACH, FLORIDA, a 9A,z___- '7
municipal corporation:
Approve•
J./ C (.. ,1/4.„,z7..., 2.......___
Doug 40 on,Public Work/Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere,City Manager
Page 2 of 2
April 14, 2015
Ms Donna Kaluzniak
Public Utilities Director
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach, FL 32233
Dear Ms Kaluzniak,
I have submitted a building permit application for a house at: Blk.#2,Lot#3-#2-#1;
#130, 134, 138 Sandy Beach Lane, COAB Beaches Habitat will not be installing a fire
sprinkler in this structure. In addition, pursuant to our HOA documents, we will be
installing an irrigation system.
Please give me a call (904-241-1222, or 334-1202) if you require any additional
information.
Sincerely,
Robert Peterson,
Construction Manager
f'e r,Yl i f 4-7` a ! 5 - - rte I 1 '' `-) ' /d90)
/08? I<28;-
NOTICE OF COMMENCEMENT FILE ca/
State of Florida Tax Folio No.
County of Duval
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved :38-2S-29E-7.41 B De Castro Y Ferrer Grant PT Recd OR/16531-2248
(Block 2-Lot#1-#2- #3)
Address of property being improved:#130,#134,#138 Sandy Beach Lane,Atlantic Beach, FL 32233
General description of improvements:construct 2 story single family attached triplex
Owner: Habitat for Humanity of the Jacksonville Beaches Address: Atlantic Beach, FL 32233
Owner's interest in site of the improvement: 100%
Fee Simple Titleholder(if other than owner):
Name:
Contractor:201 Mayport Construction Management LLC (FL State Certified General Contractor#CGC1506666)
Address:2768,Atlantic Beach, FL 32233
Phone No.: 904-334-1202 Fax No.: 904-241-4310
Surety(if any):
Address: Amount of bond$:
Phone No.: Fax No.:
Name and address of any person making a loan for the construction of the improvements:
Name:
Address:
Phone No.: Fax No.:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served:
Name: Robert Peterson, do 201 Mayport Construction Management, LLC
Address:2768 State Rd A1A,Atlantic Beach, FL 32233
Phone No.:904-334-1202 Fax No.:
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Phone No.: Fax No.:
Expiration date of Notice of Commencement(the expiration date is one(1)year form the date of recording unless a different date is
specified):
Warning to owner: Any payments made by the owner after the expiration of the notice of commencement are considered improper
payments under Chapter 713,Part 1, Section 713.13, Florida Statutes,and can result in your paying twice for improvements to your
property. A notice of commencement must be recorded and posted on the job site before the first inspection. If you intend to obtain
financing,consult with your lender or attorney before commencing work or recording your notice of commencement.
THIS SPACE FOR RECORDER'S USE OWN •
Signed: _ Dat : 5
Before me this//7` day of in the co n of Duval,
State of Florid, has personally appe red (9NNti �
Notary Public at Large, State of Florida, County of Duval
My commission expires: O
Personally Known: or
Produced Identificatio :
•
'11; KYLE MURRAY
•
•`? MY COMMISSION#EE185723
Doc#2015089380,OR BK 17138 Page 232, •'' -� ' EXPIRES April 02,2016
Number Pages:1 •,q!.„ .
Recorded 04/21/2015 at 08:32 AM, (407)�e o+sa Fwrid.MOferyServ+ee com
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00