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552 PELICAN KEY - RIGHT OF WAY 6 ; ',, CITY OF ATLANTIC BEACH Al ' 800 SEMINOLE ROAD j . . ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 kt Jf319� RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ROW-1456 Job Type: RIGHT-OF-WAY PERMIT Description: REPLACE EXISTING DWAY AND SIDEWALK WITH PAVERS, Estimated Value: Issue Date: 6/29/2015 Expiration Date: 12/26/2015 PROPERTY ADDRESS: Address: 552 PELICAN KEY RE Number: 172027-5576 PROPERTY OWNER: Name: FARRA, GABRIEL & ANN D, * Address: 552 PELICAN KEY PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: This permit allows replacement of existing concrete drive, sidewalk and porch with pavers. No additional areas, causing an increase in impervious surface, are requested or permitted. 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. Surround work area with silt fence. All silt must remain on-site during construction. Any sidewalk must continue as concrete through pavers. 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). Dumpsters, portable toilets and parking are not allowed on right-of-way. Full right-of-way restoration, including sod, is required. PERMIT IS APPROVED ONLY IN ACCORDANCE WITI1 ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. --- \ CITY OF ATLANTIC BEACH '.` \S s-) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �Ji31 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. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERNIIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC LANTIC BEACH ORDINANCES AND 771E FLORIDA BUILDING CODES. ht s�oc �, r 61r'� \f ,l p� ipl`°i cbNi• 'A7",,, CITY OF ATLANTIC BEACH ® ' -„ <'''1'a Y CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EA,, ,.. 800 Seminole Road ■ .. "LvrctF�. z. Atlantic Beach,Florida 32233-5445 — ■ i PLEASE SUBMI COMPLETE SETS OF PLANS WITH APPL C Ip F. 904-247-584 _-- . Date ..... joN •14 JUN 1 ' Job Address ► PERMIT# By AN :J :�� _ ISSUED BY THE CITY Permitee: , for ' r22 Telephone# p Permitfee Address: • ' 2- 1 � et-i1 • Requesting Permission to Construct: Location: (Reference to Cross-Street) I."► MI n -1-0-i-I •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: 2. Whenever necessary for the construction, repair, Yes ( ) No ( ) Date: alteration or relocation of all, or any portion of said street or easement as determined by the Direct Improvement, maintenance, safe and efficient operation, Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances hereunder, shall be immediately removed from said street or easement or reset or relocated Director heof reon Public required by the Director of Public Works,:and at the expense of the Permitfee unless reimbursement is authorized. d hereon as 3. All work shall meet City of Atlantic Bea h or Florida Depa ment of Transportation S reimbursement e performed under the supervision of r fandards and be Superintendent) located at - 4. All materials and equipment shall be s jec to inspection by the Director of Public (Contractor's Project Telephone#: `��, 5. All city property shall be restored to its original condition as far as practical, in keeping with and the manner satisfactory to the city. Works or his designee. 6• A sketch of plans covering details of this installation, as well as, a copy of a recent surve c h ll beimade a part of this permit. Calculations showin. ` an increase in fruit area on owner's lot or bn the Right of Wav are to be included with this a lication. 7. This permittee shall commence actual construction in good faith with more than 60 days from date of permit approval, then permittee must review the permit with the Director Public Works to make sure no changes have occurred in the area that would affect If the beginning date is 8. It is understood and agreed•that the rights and privileges herein set out are granted only to the of ect the permitted construction. City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Bea extent of the against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted pt all exercises by the holder of the aforesaid rights and privileges. Beach from and 9. The Director of Public Works sha .e mpfed immediately u;.n co pl,tio� notified twenty-four (24) hours prior to starting work and again OWNER Be for- /A / I' D 1/ "l ;�J '+'oyy JENNIFER WALKER for' me this �/ day of ( / ,f >''.A MY COMMISSION#FF 011480 State Of Florida,ha in the Count t of Duv *••t'' • ` EXPIRES:April 24,2017 p-rsonally appeared x/63 ` �. ' Notary Public atL Large,State,:f lori a,fount of Duva , i.1rY ti :t ps Bonded That Notary Public Underwriters ��>♦I , LLB ices: iff T'. or.y'. J Produced Identification Personally Known: Permit Attachment of for Permit# issued ,20 Atlantic Beach,FL 32233 Owner's Name: Property Address: R.E.#: • Subdivision: Lot#/Block#: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this J day of _ by Atlantic Beach, Florida, a municipal corporation organized and existing under e laws of the 2e of of Atlantic Beac Florida, hereinafter referred to as "CITY" and hereinafter referred to as"USER". h; FloriFlorida,a, 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 Beach Right-of-Way/Easement permit numbers noted above(copies attached).purpose described in the City of Atlantic This work is generally described as: Qj+ 1 7` ii rho Any facility maintained, repaired, erected, and/or installed in the exercise of the rivile e subject to relocation or removal on thirty(30) days notice by CITY to the USER, said noti 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 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 approval from the City of Atlantic Beach,Public Works De plans and/or method, must obtain written discretion of the CITY, be requested to submit as-built drawings showing the change within USER shall, d the s after the day of completion. riy( ) days This permit shall insure to the benefit of, and be binding upon, the USER and their respective success ors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and C and/or specifications, to include utilities locate requirements and use limitations/requirements of u CITY laws rights-of-way and other public land. USER further agrees that the CITY and its officers and employees public be saved harmless by the USER from any of the work herein under the terms of this permit and that shall liabilities are hereby assumed by the the USER. all of said DATED and SIGNED this=d�day f_ %�(� S 20L. By. Fl -PU 00 - Z$o--Sla-- 2g Q Proper Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY QF DUVAL On this , ctay of_��/I�C, and for aid County ' 2� ersonally appeared before me, a Notary Public -� 1 � � , i d State, �� >�j� Y c in the property owner of and who executed the foregoing •r , H ent; who acknowledged�too known to me to me that he or she the person(s) same in and voluntarily and for the uses and or she executed the same freely purposes therein mentioned. ,vi+^v JENNIFER WALKER Notary Public in for said County and State :.: : MY COMMISSION i FF D11480 ;a:,.Y a EXPIRES:April 24,2017 CITY OF ATLANTIC "4 „;i ° Boyd Thru Notary Public Undenvnters LANTIC BEACH, FLORIDA, a municipal corporation: Approved: Doug Layton,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: i I i Nelson Van Liere,City Manager t I I I Page 2 of 2 E i 1 1 0 J'1543 MAP SHOWING SURVEY OF LOT 90, SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43, PAGES 11, 11A AND 11B, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. • • egiv.i.s/7- •-fr. irkocAA/ / • _..,..,- A°4").° /pip " `D r � �, . / 0/0.0,-/Z "6,- �J � . - -CH=2/.33 ' \ L !- . : -�ay.•, 0. Coge �O /(,14 L r �1 . .._..:.. ,.,; dog %i �' _� i, ' t„ - h ; '`=J. `ti` e• l V .W j .•, ‹it... • Or sPoA/* i%/\:"........."---..._.... 21 NO SF� ff N (�( 0 a ny G/rf 3� D "`�.. di srA,w:,• ......,... . .G. 07' e, 09157 : _ : _ 0A, • *:- -*. ,-••••:-.: • • : --• -.— —._, s A Apgx" • • •• . Velit) oi,, ,r „,,,,, .. . , p ....... de ,.„, ,,. , , . th, P, • fo, /(‘ ' 1 q . _._ --71--f•-•,(1°f6j II �B �, "4 d 0 No��Sv/c A 8i APE CTIO tiE's 5' 25 'Ot'o"144—) Avovo $y P�Ar. �8 /04444/47/T +r Thy/S PiP�4-7e7 J G/E s /r4' ALoo7? Aitoij/. 6•�. `/a�8� pF- merit/�t/i AL fizow>miC+ 45'y/`FLOOD /MA's QEf//s!Z AA*. /B /°9•. YflrlGw9 040~.4./ 77 �s = ( �3a� �Eme �°'f't�.Ct�.t/iTY . Qi/EL NO. /2007? j'3 A4477Q44( 1t De'7C V e77CRL 1::-.472444.. it i3 .Pi c/6 S ..5•1 P 4r 43ooK ,-8, s1-4T City of Atlantic Beach JUN 2 �s i . Building Department 2015 APPLICATION NUMBER 800 Seminole Road; (To be ssign b the Budding e rt e t.) ' • ��"1 � Atlantic Beach, Florida 32233-5445 / ��` Phone(904)247-5826 • Fax(904)247-5845 '�o; �s� E-mail: building-dept @coab.us Date routed: 61-1 4_lye City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 552- Pa-14AV KitY Department review required Yes No rZf E FI�1M Building Applicant: Planning &Zoning Repac _ •eT - • inistrator Pro j ect• „ m pa W Q Public Utilities Pu. c a e y W/ pWc'Yf. 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: [Approved. U Denied. (Circle one.) Comments: BUILDING c5:47 - °"”" ��—r s- PLANNING&ZONING f� Reviewed by: � �--- Date: 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. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 -•��i,-j., City of Atlantic Beach tr�� } O",_ �\ Building Department —�� TT APPLICATION NUMBER j -. -, A . 800 Seminole Road ��fN L (To be sign h the Bu'Iding ep rt e�t. r Atlantic Be Beach Florida 32233-5445 2?r�J§ I I 1.�� i�� ) Phone(904)247-5826 • Fax(904)247-5845 , _r_u; tYr E-mail: building-dept @coab.us . MI° City web-site: http://www.coab.us �`� Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: 552' PLI CAN KeY Dep __uir artment review re q ed WI No Applicant: ° ,�21 / Building _- Planning&Zoning - 131e_P_Le_e4`e �Af T -e a:ministrator Project: n -- chA)44: emi4 IK____wr—co ppru, ra,......„.•mw !rs' 4 Public Utilities 1111111111111._- EmmEmilm„ LA)/ pew ye. Review fee $ Z,S Dept Signature__�_ Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection _II _II _II _11111.11111111111111 Florida Dept. of Transportation St. Johns River Water Management District MMMIIIMMMMIIMIIIIIIIII Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: IIIIIIIIIIIIIIIIIMMIIIIIIIIIIIIII APPLICATION STATUS Reviewing Department First Review: 7Approved. (Circle one.) ['Denied.. BUILDING Comments: PLANNING&ZONING t.,/, ��- Reviewed by: .0,'� Z k3-- TREE ADMIN. Date: Second Review: []Approved as revised. ❑Denied. LIC VT/OR,S C.mments: PUBLIC UTILITIES 2Z— / P BLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: revised 07/27/10 PUBLIC UTILITIES PLAN REVIEW COMMENTS Date: la(j-4-I Initials: Project Name/Address: S-SA-. Pc 1A01,0 Application Permit#: 1 5- -IQ() - 1 Li/cc Check Box Check Application Tracking Comments to Add Box to Comment "Print" UWSU Avoid damage to underground water/sewer utilities. Verify vertical and horizontal ❑ ❑ location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. M BSC Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. 121 ❑ RT1C 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. 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 unsprinkled. 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. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ •