258 PINE ST - RIGHT OF WAY■
'`- . �'11
CITY OF ATLANTIC BEACH
1
-„ ,., J 800 SEMINOLE ROAD
(C). ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
-)1319'
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 15-ROW-1555
Job Type: RIGHT-OF-WAY PERMIT
Description: MAILBOX IN ROW
Estimated Value:
Issue Date: 7/8/2015
Expiration Date: 1/4/2016
PROPERTY ADDRESS:
Address: 258 PINE ST
RE Number: 170553-0000
PROPERTY OWNER:
Name: DEL GALLOWAY. CHARLES
Address: 912 NW F ST APT 700
PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS:
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.
Full right-of-way restoration, including sod, is required. -
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
R.O.W. Permit Attachment of for
R.O.W. Permit# issued ,200_ �1 Atlantic Beach,"FL 32233
Owner's Name: CO LES VEL Mttku
Property Address: 2S13 lase e _
Subdivision: SPstr �2
Lot#/Block#: S 1' f SG-t'11t:0N 0-3
R.E.#: %'7 ocxC)
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
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 ge erally described as:m a%`am • ICIrdr#rZ ,1
,cow
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:
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 fr any of the work herein under the terms of this
permit and that all of said liabilities arrhhereby assu red by the USER. '
DATED a SIG.' D this as of ,20� '
( ,By:
Prope y 0% ner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY O DUVAL
f ,�ne 20 rsonally appeared before me, a Notary
On the h d y �, �� ` i h� rpggrty owner of
Public �i t',and or: it( C.■ w :and-St• q •-+- 1p.F,�iti the ener of
- 6Q ikott , Atlantic Beach, Florida, knower to P
described in and who execute. 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.
7.-.I 1:PLC
4 JUDITH STEEG
ary Public in for said Count, and State a�r�,�'•��P MY COMMISSION If FF 091299
�I EXPIRES:February 10,2018
CITY OF ATLANTIC BEACH,FLORIDA,a �l°�orr��`��e BondedThruBadgetNofarySenias
municipal corporation:
Approved: h �y
tic, L.�@3tper,Public Works Director A okg G R�l°if
II For Permits where city sidewalk is impacted,
City Manager approval required:
litIanson;Ciry Manager /� i-`0/li VA/1/ Jj f _
Page 2 of 2
MAP `:).-1U\NIIIG BOUNDARY SURVEY OF
LOT 519, SECTION NO. THREE, SALTAIR, AS RECORDED IN PLAT BOOK 10
PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED T0:
CHARLES DEL GALLOWAY
JOEL R. LAVENDER, PA
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
LOT 508 LOT 507 LOT 506
50.00' (PLAT)
N 23'15'36" E
Q6., 49.96' (MEASURED)
I •.. •
es, 1 ae
at o e'
MRAME b,
SHOD ti
TOO' LOT 519
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TWO STORY o
FRAME
POSTED p258
LOT 520 r. LOT 518
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in .Cm
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S 23'05'36" W
50.18' (MEASURED) CONTRA
50.00' (PLAT) -. .•
(SO•MOIL Or WAY) 4 �Y'1 L�
LEGEND: 111 AP Le
—x— - MCC
Q- CONCRETE
0-SET 1/2'RfaAR STArPED PSUMINI
.-redo I/2•RCN PPE NO DOITY1 ATCN
(UNLESS OYfAWS(NOTTD)
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Arc - M OCKTMO1Dl
—__._._._... ..._................___....._........__...__._— _.____..-... .. .. - _. __._--.___.. ._.. -—.
NOS I REVISIONS
1. BEARINGS ARE BASED ON THE-ASSUMED—BEARING CF S 07•0'00'E ALONG THE - -
NORTHERLY BOUNDARY UNE OF SUO.ECT PARCEL 1-DAIS DESCRIPTION --
2.BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE 04T111N 8000 ZONE X. .AS SHOWN CV THE 112-23-2013 i UPDATE
NATIONAL F1000 INSURANCE MAP DATED JUNE 3,2013,CC*IUUNITY NUMBER 120077,PANEL-D4DD M ---; —'-"
3. THIS SURVEY REFLECTS ALL EASEMENTS&RIGHTS OF WAY AS PER RECORDED PLAT&/OR TITLE COMMITMENT —7—
IF SUPPLIED.UNLESS OTHERYASE STATED.NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED.` '--
4: neS SURVEY IS NOT VAUD WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL.------"'•`L—"'----
JOB # 4946-A I DATE OF FIELD SURVEY: 5-29-2003 T SCALE: 1" 20'
Ray Thompson CERTIFICATE
EP - I IIEREDY TRY MAT T INS SU M
11EY WAS ME UPON NY RESPOISHE OIARCE •
OF =TRY SURVEYING, Inc. AND WITS 114(u1 6M IEOOCCAL STAMARBS AS SET MITI BY INC nOR10A
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ROMAN or PWC T:.3C11 N.3.01M!1'MS NO YAPKIYA N WAN/1R ■1017-A.ROreDA
—W 'J/911 Going the DISTANCE for You AD10NSTRAm w c CCO(PURSUANT TO sECn 1172.072."LORCA STATUTES
II VJR 4613 Philips Highway,Suite 210
lir i 111E11 Jacksonville,Florida 32207
_' f AIM (Phone)904.448.5125 REGISTERED SURVEYOR AND RAYMOND ER 0 6116 STATE Or FLORIDA
(Fax) 904-448-5178 LICENSE BUSINESS No.7469
I ALIT) SURbEYS C) CCfI'i.T;.,IC:LION SUfiVi.Y'_ C., )I IFIDI'VISICUJ5
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Gindlesperger,Toni
From: Christopher Ford [cford@newseum.org]
Sent:
To:
Friday, June 19, 2015 3:21 PM
Gindlesperger,Toni
Cc: 'Del Galloway';<Del.Galloway @wellsfargo.com>; sharon sacks; 'John Rowan'
Attachments: REVOCABLE ENCROACHMENT PERMIT for MAILBOX 258 PINE ST. ATLANTIC BEACH
FL.pdf; BOUNDRY SURVEY of 258 PINE STREET LOT 519, SEC. NO. THREE
SALTAIR.pdf; Proposed mailbox 258 Pins Street.png
Good afternoon Toni,
We spoke earlier today regarding the process for submitting a Revocable Encroachment Permit Form.Thank you so
much for the valuable information you shared with me. This information is for a home that my partner, Charles Del
Galloway (name listed on the permit), and I are renovating at 258 Pine Street there in Atlantic Beach. We hope to use an
area in the right of way area under the purview of the city for a concrete mail box.
Please,find attached the following:
1.) The Revocable Encroachment Permit
2.) Boundary Survey
3.) Image of a similar mailbox structure
I understand that there is a $35.00 fee for the application. I will call you shortly with my credit card information to take
care of that fee. Please, let me know if there is any other information I need to provide in order to get this approval
process started.
Thanks in advance,
Christopher Ford Manager I Conferences and Special Services
NEWSEUM
555 Pennsylvania Ave., N.W. I Washington, DC 20001
Tel: 202.292.6541
Cell: 202.834.0098
cford(a�newseum.orq newseum.orq
We champion the five freedoms of the First Amendment.
CONFIDENTIALITY NOTICE:This e-mail message,including any attachments, is intended only for the person or entity to which it is
addressed and contains information which may be confidential, legally privileged, proprietary in nature,or otherwise protected by law
from disclosure. If you received this message in error,you are hereby notified that reading,sharing,copying,or distributing this
message,or its contents,is prohibited. If you have received this message in error, please telephone or reply to me immediately and
delete all copies of the message.
Q,kr-cs• - � o4 -a° 4- -79(a <a
1
rsLyf�, City of Atlantic Beach APPLICATION NUMBER
S
tookipip, Building Department , IN 2 9 x`115 (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-544567 /�" lj(>
Phone(904) 247-5826 Fax(904)24 k5- / �O ' r
\ _71�;- E-mail: building-dept @coab.us Date routed: (� 3
City hweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Ar / / ? sr Department review required Yes No
Building
Applicant: Q AJ 7') Je. Planning &Zoning
` Tree i inistrator
Project: 1/� �BO 11 //-21 /moo IL J IVIMMILIAO
'ublic Utilitie
Public Safety
Fire Services
Review fee $ Dept Signature a2/,-1,\
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:
APPLIC TION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date: 7b /f
TREE ADMIN. Second Review:
['Approved as revised. El Denied.
�IC WOR 6 Comments:
• BLI UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
ri w;y� City of Atlantic Beach RECE_I V APPLICATION NUMBER
�S Building Department (To be assigned by the Building Department.)
` 800 Seminole Road JUN 2 9 2015
Atlantic Beach, Florida 32233-5445
e;)® Phone(904)247-5826 • Fax(904)247 p845
1 ,,
E-mail./ -ma . building-dept @coab.us b
Date routed: 6
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (A ,/.7) c ° 7 Department review required Yes No
Building
Applicant: D Planning &Zoning
Tree :•i inistrator
Project: ?1/97 /6 0 (0 /'71 ietinnitio
ublic Utilitie
Public Safety
Fire Services
Review fee $ 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:
(-1( !$
BUILDING
PLANNING&ZONING Reviewed by: ` Date: 774//c
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