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394 SARGO RD - DRIVEWAY N I`' ; '` `S, CITY OF ATLANTIC BEACH ;� A s 800 SEMINOLE ROAD j -� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DRIVEWAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-DWAY-1757 Job Type: DRIVEWAY Description: DRIVEWAY Estimated Value: Issue Date: 8/3/2015 Expiration Date: 1/30/2016 PROPERTY ADDRESS: Address: 394 SARGO RD RE Number: 171692-0000 PROPERTY OWNER: Name: HENDERSON, ROBERT W Address: 159 11TH ST 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. 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 and silt fence must surround work area. 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. Dumpster and portable toilet cannot be placed in right-of-way. PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. , '1". •10.', CITY OF ATLANTIC BEACH so 800 SEMINOLE ROAD 04 - --,'" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 4474:)5319 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 PERMIT IS .APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA BUILDING CODES. . r 4.4.14P7.4-) 7 CITY OF ATLANTIC BEACH << ` CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS • 800 Seminole Road Atlantic Beach,Florida 32233-5445 904-247-5800 Fax 904-247-5845 PLEASE SUBMICOMPLETE SETS OF PLANS WITH APPLICATION • Date 7- 22- (S COPXMIT# F I L.E Job Address 59(-{ 5 av-5 Ra ISSUED BY THE CITY Permitee: R o kjer4 -}-rr.eyvd-Ci Telephone# p ao `l- 1 o-`Ibbs Permittee Address: (5Ci 1 I4'1 1t'rre-e t Requesting Permission to Construct: dr:V.tWay (a Location: (Reference to Cross-Street) 5c .f9 p � C U-8.565 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 Yes ( ) No Bell South Telephone Company (`7 Date: Ferrell Gas Yes ( ) No (•i) Date: Ferrell G Yes( ) No (V Date: Yes ( ) No (,4 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 Department of Transportation Standards and be performed under the supervision of • . Superintendent) located at (Contractor's Project Telephone#: 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 t t t w I- a7.- 8. It is understood and agreed'that the rights and privileges r s ou - he only to extent o fith City's right, title and interest in the land to be entered upo a b "Id aody to the extent of the and the will, times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from aand 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 ompletion. OWNER / Signed• �j*/O . Dat- Befor= a this yA!_ day of in the County of Duval State If Florida,has • sonally appeared y Per"� Notary L Graham hate of Frorida Notary Public at L. .e,State o�'rida,Co rr L.I. Shirley L Graham My commission e •' Personally Knr, n: Orv.P f Expires Commission s 02 19/2018 086990 �_Nr_ - •. - •- ti ication: y v 7� _ 1/2"REBAR ASSOC.SUR. L.B.5488 : 1/2" : 61.26' fY t. N & M) _*_ i'r): L J Lri --W W al 40.7' 31.9' Z -� 1—STORY BLOCK ` w Q RESIDENCE `t I ci w ti .c:14 ti W/ 8" EA VES I m ce NO. ,394 I- Lk, � I ) c N ui Z 12.7' `` N 32' Q o si ` ! R/00K ^^ co I18.7' O v WALL ,� �'/S o o z Co 2 a , CONC.eA d y . . . . st ear N.,3 ft, 9.3' LOT 24 Z/ __ BLOCK 24 � /,�` ' te : 2 11-) / 5 , , x x x---l_ -x x T x x ___.,1 0.8 0.5' BTN. __/� 0.5 0 I I S 82'40'27" W 9.3. 16' (M) S 82°43 38 " W 93. 00 ' (R) LOT T 23 BLOCK 24 I GENERAL NOTE3' - 1. BEARINGS ARE BASED ON PLAT BOOK 31, PAGE 169 2. STRUCTURE NO. 394 SHOWN HEREON LIES WITHIN FLOOD ZONE X AS BEST DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL NO. 1 DATED 04-17-1989 (ORS INC. .S. THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS. RING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED. 4. JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT BOULt_VTRD LC%ATED BY IT1{S SURVEY. nnirNA Inn 1 n - -, nr ri in%rry n A c-rr /l\! I Cr`A! r CrDIDT1rl.IC CI IP MICL-IM T1-IF PI IRI Ir. •rs1:;.ii,;,, City of Atlantic Beach .; . Building Department `-J �'1\� > APPLICATION NUMBER ✓(/ V� (To be assigned by the Building Department. -- 800 Seminole Road /C e/ ' vy ',- ,, - Atlantic Beach, Florida 32233-5445 - ` 4. 3 e !N 7 Phone(904)247-5826 • Fax(904)247-5845 p'5 ( ) Z i) lti E-mail: building-dept @coab.us ',�� Date routed: /r City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 ? `` Sit-T7 o e _ Department review required Yes N o Building Applicant: 0 to"7) _ Planning &Zoning Tree Administrator Project: ---W)1("a• iti. — ' , ublic Wor(ys� c ublic U ii 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: APPLIC ATION STATUS Reviewing Department First Review: nlipproved. ❑Denied. (Circle one.) Comments: AdBUILDING jei d �� PLANNING &ZONING Reviewed by: �y— li Date: t 7 / i • 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 ✓/.�/ ` r,„. Building Department +� �� APPLICATION NUMBER r ;' ` 800 Seminole Road 9J5 (To be assigned by the Building Department.) t,, Atlantic Beach, Florida 32233-5445 �� /, ) ' � Phone(904) 247-5826 • Fax(904)247-5845 �`� clay �� E-mail: building-dept@coab.us �• I/ City web-site: h°ttp://www.coab.us Date routed: // APPLICATION I®N REVIEW AND TRACKING FORM Property Address: _31 `/ S20/770 1Q - Department review re uire required Yes No Building Applicant: Q I )-7) Planning &Zoning _ Tree Administrator Project: I IC - _ ' 4 / 4—__ CublicWor "ublic i i Public Safety Fire Services Review fee $ 2.S” 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: _ __ APPLI ATION STATUS Reviewing Department First Review: i IlApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING , .— Reviewed by: 4 Date: ?/3e l TREE ADMIN. __ -— — --- 1 / � Second Review: nApproved as revised. nDenied. LrC W9RKS Comments: PUBLIC UTILITIES PUBLIC S FETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. nDenied. Comments: Reviewed by: Date: Revised 07/27/10