998 CAMELIA ST - RETAINING WALL ,0 S, CITY OF ATLANTIC BEACH
kk .s 800 SEMINOLE ROAD
5t ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J.131S�
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROW-1588
Job Type: RIGHT-OF-WAY PERMIT
Description: retaining wall
Estimated Value:
Issue Date: 7/10/2015
Expiration Date: 1/6/2016
PROPERTY ADDRESS:
Address: 998 CAMELIA ST
RE Number: 170994-0000
PROPERTY OWNER:
Name: WILDEROTTER, NORMAN A
Address: 998 CAMELIA ST
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.
Retaining wall is in right-of-way. Will more than likely have to be removed for future
construction in right-of-way.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACI1 ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
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 / day of 7U 20
by Atlantic Beach, Florida, a municipal corporation organized and existing under thews of the State of
Florida, hereinafter referred to as "CITY" and ,/0 -,, IASI f1.*.Z _.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: ;1/1 j L,/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 Yir,il return receipt re uested, to the following address:
6ia i r .
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 teens 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 S day of 'U 2015
By: Airif
P ope Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this j St day of CU , 2(1 personally appeared before me, a Notary Public in
Gfor said County and State, D f V(c FL , the property owner of
C A.•)t "Cil 1 (N, ,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.
LArklli,N. JENNIFER WALKER
i, , MY cOMMIS510N b FF 0114&)
or Public in e.r said County and State a EXPIRES:April 24,z0»
Bonded TFru NotxiY pubic UnCem�r�ors
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation:
Approv
AWdlir
rr
Doug .ylton,Public Works-Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere,City Manager
Page 2 of 2
I
=� ' n, CITY OF ATLANTIC BEACH 111-0
/111 JUL O i
°�I� = CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND
J
EA MENT‘,...
800 Seminole Road _ _ _
`.o;c�P Atlantic Beach,Florida 32233-5445 904-247-5: 0 z.
Fax 904-247-5845
PLEASE SUBM! COMPLETE SETS OF PLANS WITH APPLICATION.
Date I-4( ( a 02 d 1 c
1 / PERMIT#
�
Job Address 9r$ y(c%'o< Fir fi- ,(A.Q ?a ISSUED BY THE CITY
Permitee: ACYPIANK ('d;ii-eralrer— Telephone* —3�2 -Q6 g
Permittee Address: �m • a 1 - L -Jr 40`3
.ail A� ` ► " _- �
Requesting Permission to Construct: `
Location: (Reference to Cross-Street) 42 fit,
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 oles 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
Superintendent) located at (Contractor's Project
4. All materials and equipment shall be subject to inspection by the Director of PublicPWork 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.
6. 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 an increase in im.ervious area on owner's lot or in the cit
Right of Way are to be included with this application.
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 perlm t with the Diirrector 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.
OWNER :.,:."�'' JENNIFER WALKER
.". MY COMMISSION#FF011480
/111
1 ��� :;� EXPIRES:April 24,2017
Signe. Date71 1 S ~a•...;
g •� ` cr F `' Bonded Thai Ab(sry Public Unde w(der. r
Before me this day of in th Co ty f Duval
State Of Florida,has personally appeared
Notary Public a Large,Stat-of Florida Count .f D val.
'�r`' r i 'o .'es: rate✓A'
:,L�'t. witil .��-— �. Produced Identification: PL..Known:
(------ MAP OF SUPVEY
"50UNOARY"
DEgCRIPTION:
Lor 5 IN BLOCK 182 OF "SECTION 'H" ATLANTIC BEACH" ACCORDING TO
THE PLAT THEREOF AS RECORDED IN PLAT BOOK 18 AT PAGE 34 OF THE
PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA.
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-4 8096 BEd VER CREEK DRIvE, JACKSONVILLE. FL. 32210 REVIEMED BY: MCF
FoumiArzcor PHONE (904) 779-2052 FAX (904) 779-7784
VINAI. t ,,, CERTIFICATE NO. LB 7261
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Norm Wilderotter(904-314-0685)
998 Camelia Street
Structure dimensions: 2 feet tall by 24 feet wide
Date of construction: June 2, 2014
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Not Wiiderotte!-(904-314-0685)
998 Camelia Street
Structure dimensions: 2 feet tall by 24 feet wide
Date of construction: June 2, 2014
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;,.:—.iL;;,,.;� City of Atlantic Beach RECEIVE APPLICATION NUMBER
Building Departmen [ (To be assigned by the Building De pa e
?�.
/ ':• 800 Seminole Road ( g y g p }
Atlantic Beach, Florida 32233-5445 JUL 0 2 2015 Q6-1 Phone
to ��'a
n (904) 7
� o e(90 }24 5826 Fax(904) 47 5845
E-mail: building-dept @coab.us Y: Date routed: 7 /A/'
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: _ 91 CI ?flu/, t ... Department review required Yes No
Building
Applicant: O -yi f £ Planning &Zoning
Tree Administrator
Project: �T79� f✓J/l wa /f blicWorl
• ublic Utilities
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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING W� L
Reviewed by: �i� Date: 4
7 /S
∎111=11■■■
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
�.,�, •` City of Atlantic Beach APPLICATION NUMBER
IN Building Department . (To be assigned by the wilding Department.)
'% 800 Seminole Road ' p
Atlantic Beach, Florida 32233-5 45 JUL 0 2 2015 • �� / ��
Phone(904)247-5826 • Fax( 247-5845
�_Url1,�Y E-mail: building-dept @coab.us Date routed: Ac"
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9' $ CI77?I/id .. Department review required Yes No
,p Building
Applicant: Q 71L / Planning &Zoning
Tree Administrator
Project: Ti /✓ Oa /f ublic Work
u c Utilities
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: oved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: c l'' L Date: 74(/J
TREE ADMIN. Second Review:
❑Approved as revised. ['Denied.
LIC WOR S C.mments:
/�/�
to PUBLIC UTILITIES
P.BLI A ETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10