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266 PINE ST - PAVER DRIVEWAY . •i1.,i,,i, City of Atlantic Beach RECEIVED APPLICATION NUMBER ". , Building Department j (To be assigned by the Building Department.) -. s�I 800 Seminole Road JUN J 0 2015 /�� x/,1 `46 • - •,,�;! Atlantic Beach, Florida 32233-5445 I✓W / Phone(904) 247-5826 Fax(904) 845 • / .t 3 / E-mail: building-dept @coab.us Date routed: 4 `✓ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: d44 /3 ✓ Department review required Yes No Building Applicant: d'iid'f�- 73"y' �J Planning &Zoning /� Tr •a inistrator Project: edi a rT T Lr - p,cyviej Pus A • • WO Utilitie' Public Safety Fire Services Review fee $ 2s'-- Dept Signature X_• tc_ Review or Receipt Other Agency Review or Permit Required 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: APPLIC ON STATUS Reviewing Department First Review: pproved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING !� ,�.� 7/I // Reviewed by: ; Date: TREE ADMIN. - Second Review: ❑Approved as revised. ['Denied. 110 :LICS Co, ments: �1 � •U:LIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27110 • CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS mem - -- - - - - - - -. _ of 800 Seminole Road 904-247-5800 ��a31q Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date .4,©I 5 PERMIT# Val ISSUED BY THE CITY Job Address ^ 0/44 r-e., Permitee: ty-r4�r-ce.. q,� esc� Telephone# 9O4•ca S-4- As-7_3 Permittee Address: %a,44 A-rrec.)\ec ,� � lra.0 e , ac.�Cso q u i tl.e \ Requesting Permission to Construct: �1 e. \n,c,•e l.�c� e. ,,..c.r4�a c Q aAkoivS Location: (Reference to Cross-Street) Pivf2.\c, 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: Lj% t,c `l Jacksonville Electric Authority Yes ( ) No ( ) Date: Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast 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 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 De artment of Transportation Standards and be performed under the supervision of , (Contractor's Project Superintendent) located at !.Le P,nee. Telephone#: 9 O4-1SV-aJ73 4. All materials and equipment shall be subject to inspection by the Director of Public Works 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 any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director 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 -•• again immediately upon completion. OWNER XSigne•114 .Before me this ' day of ,w1,AL-2 =vP: i my of Duval. , ,� KELLY LULU State Of Florida, has sonaJfy appeared L 1y oiriA 11 .!v �$ G Nolan/Putdic,Stale of Florida r::r- Notary Public at Large,State of Florida,Coun 1 val. .- Cnmmsson;r FF 100524 My plro,. ����a1 1 • Personally Know;: `•"! comet.expires May 17,2018. 1�`��� �_ ►� �l`1�J/� roduced Identification: R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ Atlantic Beach, FL 32233 Owner's Name: Property Address: Subdivision: Lot#/Block#: R.E. #: 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 generally described as: 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 inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terns 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 22 day of UM , 204 4y: )) C C46/ c#LiZA711.4).----) _ KELLY LULU Property Owner as".- °s ; Notary Public,State of Florida (to be signed i gnen presence of the Notary) a p �') ry,n Commission/FF 1u0524 '� My comm.expires May 17,2018 STATE OF FLORIDA . COUNTY OF DUVAL On this day of 41A-11 , 20r pe onally a peared before me, a Notary Public in and for said County and State, ��-1�! { , , 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 ze same freely and voluntarily and for the uses and purposes therein mentioned. Notary Public in for said County and State CITY OF ATLANTIC BEACH, FLORIDA,a municipal corporation: Approved: er, Public Works Director .V14.9 L 4 For Permits where city sidewalk is impacted, City Manager approval required: 4 ftrttaTIMIT, City Manager /1/1 f05-pl ✓Q h Lif ee Page 2 of 2 •y'-:.,70 0 ...:�. Impervious Surface Calculations % Formula Find square footage of the following: 500 R c3/4A) House footprint 175 11-0 ca- Driveway All sidewalks/walkways ,3 A/C pads Detached.garage/sheds 5`I Pool Decking -- Patios,terraces and/or decks So id Y7„ , Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. 5/14/2067 NOT ALL PAVERS ARE C RRA-J&. Q:„1 A7 100% IMPERVIOUS (COAB LDR 24-17... Solid surface pavers. (e.g., brick or brick appearing pavers as opposed to open grid pavers) do not qualify for any reduction in impervious area, regardless of type of base material used. ) -iiti q ''' � . } ski _. Zia IOW ._ . _ . k a 50% IMPERVIOUS (COAB LDP. 24-17... Surfaces using pervious concrete or other similar open grid paving systems shall be calculated as fifty (50) percent impervious surface, provided that no barrier to natural percolation of water shall be installed beneath such material.) Products shown are examples, others may be eligible with Public Works Director approval. = �✓ r w _ .may = R...�.•••• .:\ . - Tremron TurfBloc SF-Pima .. , , 7104,0ters.) •4_4-, Vit ,„`:, r• Impervious Surface Calculations % Formula Find square footage of the following: House footprint / 750 Driveway 563. All sidewalks/walkways /75 A/C pads q Detached garage/sheds 54f Pool Decking NoNG Patios, terraces and/or decks 8-0 d G 35/ Scoo - .47/6 Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. 5/14!2007 MAP SHOWING BOUNDARY SURVEY OF LOT 5' 8 BLOCK 'r"' AS SHOWN ON MAP OF .SECT/DA./ AJa. 3 5'•'7G r.9/.2 AS RECORDED IN PLAT BOOK /D PAGES /42 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA J 77F/ED FOR: A7A/ /E Z. F / /86/27 G. f9.e/"-2a // c//e./392i/6 77 34A/A' OF ..ae, -r10.c/v/LGL" A4.4,/ STErt//.�.P7 /Z/vEP C/T` TITLE, //c/C./ ST.:cK/A/r7 7/746 e7,4" L/.47eW4-04/1// lift SJ? SOCc, 5 O x b.. ao 50. OD" G S. c0..c0..5'. '- 0.5 X— p x , x X / •a X —y. O Sf .�-� ..Qt ups .sveo ■ r Wq7/› FL2 ?_____6` X/a p {s/DOO Z i 'PA T/0 r ;•/p• •. /6.0 {'Imo z 7.4 7 35.2• • N 0 / Sr'Y • O S TUtC o a° Q 3s• COQc/ v E 6 1r2(e(o /O / 4• Q 5/ G7 N 4' .ovo Q �, 5 / 7 ' c:,4.-e. m r 3 "z-- 4. .....002,.....002, Fs-uC6 n Y+ I' : N 0 Y h Q w eV M e Q %)%.) 5• woo0 ok /n2 �o ° 74 (, CFAD/CCF t C.r 3 b Q — :;.4 S L(°-• / `L J• \ _ r . 6. . . ca' 20000 /8 S v) o 50-00' h Jam/ 4/6' S7 2EET- (s o' 'e/M,) 3t86�..`..' . MAP SHOWING BOUNDARY SURVEY OF LOT 5/8 BLOCK AS SHOWN ON MAP OF . ' 7io t/ .JO, 3 .5:47,4 7'4/.0 AS RECORDED IN PLAT BOOK /0 PAGES /6" OF THE PUBLIC RECORDS OF DUVAL COUNTY FLORIDA CERTIFIED FOR: i4•vvj Z. 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