2045 SELVA MADERA - DRIVEWAY r, . Ja
r ;, -, s f CITY OF ATLANTIC BEACH
ri A . 800 SEMINOLE ROAD
\\,, ....7 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
' ''4JJ319�
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-1409
Job Type: DRIVEWAY
Description: CONCRETE TO CONCRETE
Estimated Value:
Issue Date: 6/29/2015
Expiration Date: 12/26/2015
PROPERTY ADDRESS:
Address: 2045 SELVA MADERA CT
RE Number: 169506-1642
PROPERTY OWNER:
Name: POTTER TRUST, STEVEN A
Address: 2045 SELVA MADERA CT
GENERAL CONTRACTOR INFORMATION:
Name: REDSTONE BUILDERS
Address: 2105 EVENTIDE RD QA JUSTIN CORBETT BOHANNON
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from the edge of
pavement to the property line. Reinforcing rods or mesh area not allowed in the right-of-way.
(Commercial driveways —6" thick.)
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.
IM 1 r snti b(O ,is' ik#1Wi { iAtidtir,h1 Ve etMrS arbNlet ft+k' :1 Ntligt1516Nn TIIE:_FLORIDA
S
�' - '' CITY OF ATLANTIC BEACH
r,s; - _ ;� 800 SEMINOLE ROAD
J _.}:" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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:
Fence/ROW $35.00
Total Payments: $35.00
0
PERMIT IS APPROVED ONLY IN ACCORDANCE WIT' ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
. ,
� `°ia CITY OF ATLANTIC BEACH
__: .. CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
•
--.,-;;. ,• 800 Seminole Road
.�DRI9P. Z Atlantic Beach,Florida 32233-5445 904-247-5845
PLEASE SUBMICOMPLETE SETS OF PLANS WITH APPLICATION. Fax 904-247-5845
Date _ 13
PERMIT#
Job Address
ISSUED BY THE CITY
Permitee: Z 2 R .l (5
Telephone#_ X04-- 5.1/. 0,3?a.
Permittee Address: .2 , - 6:0 e C - R6
V .4. -t.s!'xe FL 32oR
Requesting Permission to Construct
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existin utilities,
both aerial and underground and the accurate locations are shown on the sketches. g
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority
Bell South Telephone Company Yes (S) No ( ) Date:
Ferrell Gas Yes (V) No ( ) Date:
Comcast Yes ( ) No ( ) Date:
Yes (,/j No ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficie nt 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
performed under the supervision of be
Superintendent) located at J�`��J�" is1•�"'"°
All materials and equipment shall be subject to inspection by the Director clot of Public Works Contractor's Project
4. Telephone#: ��,_SSi—d3aZ
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. k or his designee.
6. A sketch of plans covering details of this installation, as well as, a copy p ens
part of this permit. Calculations showina an increase in im.ervi us area ron owner's ylot or n the city
Right of VVav are to be included with this a lication.
7. This permittee shall commence actual construction in good faith with /O days. If the beginning is
more than 60 days from date of permit approval, then permittee must review the permit with the D redctor of
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 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. g
OWNER
/ �� � r pit. Notary Public State of Florida
XSigned: `�►� �� ^. Shirley L-Graham
igne : this day of Date: C4 My Commission FF 086990
State • lorida,has personal .I i y --i he v.u�ivl�buv@tpiree oa�i4raeie
ared
N ,ary b c at L_ ge,S -te'IF .rya,County of Duval.
My c. 'rill :io�•ires:
—�.= Personally Known:
Produced Identification:
III
tl LI X11 _ A
From: irth__host @rallsunshine corn
Subject: Response to Sunshine State One Call ticket 152510775
Date: June 3,2015 at 11:01 AM
To:
The following facility operators have responded for this locate request:
Ticket 152510775
FL:DUVAL County,ATLANTIC BEACH City
2045 SELVA MADERA CT
CITY OF ATLANTIC BEACH, FLORIDA
-Marked
JACKSONVILLE ELECTRIC AUTHORITY
-No Conflict-utility is outside of the requested work site
A T&T/DISTRIBUTION
-Marked
COMCAST CABLE COMMUNICATIONS INC
-Marked
The most up-to-date response status can always be gathered at
http://www.online811.com/IRTHOneCall/or by calling 1 -(800)852-8057.
MAC SHOWING SURVE . 31=
l DT 7G
S6 G\/4 / /ox?Te -' C)Ah r Two
AS RECORDED IN PLAT BOOK 40 PAGES 3Z•` 374 OF THE CURRENT PUBLIC RECORDS OF
DuvAL COUNTY, FLORIDA.
CEI T i ri g1 Tv: ROC�EI5, TOWERS, 64ic.EY , Es• f 6AV , 5UnlrRUsr MORTGAGE, WC.,
AND 5TevEN 4. Po -re s La -Ey. . wrrE .
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1) Bearings d shown
la hereon re based st
the RAgpcd Plat, as cecor ad t Plat
t i • tArl Book qv , Pages 37 ter. gh/A,• CO nr, inclusively of said Public :ecorde.
M ii l / �
2) [ is ahovn hereon are for
' Si (:, ∎i 0 drainage, utilities and severe,
�� �) M mlf' t Z O� unless otherwise noted hereon.or,p m m
3) NOTIC[: There may be additional
•• d X D • restrictions that are not recorded
-�' on this plat that may be found in
5.6785X3 the Public Record's of said County•
a�` 42 75��I•) 4./7��E1 �l• APPRox. toGiizc, (Florida Statutes 177.091).
Y l^ l l y__ AS S�1LEO FiPOM
4 -50-37'05- ( /Qj) \ PE.M•.a. F/RM I) This survey was sade vithout benefit
Q=50 \ of an abstract or title. therefore,
St��V,4 � 1 MAP there could be additional to,
/- 4 t7EA 9A C 7 covenants and restrictions or other
. (50-R/w] . natters of public record that say of
. ' say not affect this parcel.
REV/SEO FLOOD ZOAJ 4U6- 24, 1989. . -
I HEREBY CERTIFY THAT THE LANDS S•C"•"N NFFREON LIE WITHIN ZONE ' 1-K.AS SHOWN ON F.I A.FLOOD HAZARD BOUNDARY MA•r!ell• .
COMMUNITY NO.I2OD75;6ATED 4-12-13.9 ■--�
NOT VALID UNLESS EMBOSSED WITH A SURVEYORS SEAL
CLARY & ASSOCIATES, INC. LEGEND
I HEREBY CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER PROFESSIONAL LAND SURVEYORS
MY RESPONSIBLE SUPERVISION AND DIRECTION.THAT THERE ARE NO ■ CONCRETE MONUMENT
ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN 3830 CROWN POINT ROAD
HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY JACKSONVILLE.Fl OHI!)A 32217
x-x FENCE
THE FLORIDA BOARD OF LAND SURVEYORS.PURSUANT TO SECTION (004)260-2703
0 IRON PIPE SET
472.027.FLORIDA STATUTES
• SIGNED AUGUST 19 , • a ���� 3._ "" �`' • IRON PIPE FOUND
SCALE 0 ' 30 ���" & "f�, P.L.S. CERT. NO.Q x CROSS CUT
mkt:AQC44 PC:LO1I6DC J ��� r
W.O. No. . _lQ2� CHK. By ur.K.S_B_,.a2 F.B. J(C1�J _ P.G. 33.37
ol.l.w;.,, City of Atlantic Beach ✓U l m
APPLICATION NUMBER
s � e Building Departmentb N 16, / (To be assigned by the Building Department.)
800 Seminole Road 20/5 / 2
, `. Atlantic Beach, Florida 32233-5445
/5-�� �� - 7/
/
Phone(904)247-5826 • Fax(904)24�45
k�_ r Email: building-dept @coab.us \ Date routed: /4/�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: C20/5. %...11 _Arate,-227dirdecirartment review required Yes No
THST N Puilding Applicant: Q 6 i (dse5 Planning &Zoning
Tree Administrator
Project: Om e n,�c7J i VEw4y or
is iii
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:
APPLI TION STATUS
? Reviewing Department First Review: A roved.
pp ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING ifs 1.--,,--- // ��
Reviewed by: Date:
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied.
,LIC VVOR S Comments:
•UBL C UTILITIES
PUB I l
SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
r;r :
f,..... City of Atlantic Beach -1;i tr - Building Department �, APPLICATION NUMBER
,a, h, (To be assigned by the Building Department.)
i. 800 Seminole Road . 9,S ;Atlantic Beach, Florida 32233-5445 _
i Phone(904) 247-5826 • Fax(904)247-5845 l _ , Q
E-mail: building-dept @coab.us 4i-
"�''-'r' Date routed:
City web-site: http://www.coab.us .-.
APPLICATION REVIEW AND TRACKING FORM
Property Address: C2d IS. jeA/. f i- . •rtment review required Yes No
�� T W / 1 _Building
Applicant: Q� 0 �, ��,/ (�C i�eS Planning &Zoning
Tree Administrator ==
Project: _ 0 /-) TE
c,�W Y/ 1"1(4,/'9 '� . or
-...r..migeffla .11111 .11111111111.
Public Safety
Fire Services -_
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By 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: r4pproved. ['Denied.
(Circle one) Comments: et /I �/_ ,J 4
BUILDING �J �j ►�'�ili�i
PLANNING&ZONING it.___by: (!'�� Date: /,"/1
TREE ADMIN. ,/ _V- __
Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ~
Comments:
Reviewed by: Date:
Revised 07/27/10