1921 SELVA MARINA DR - DRIVEWAY � e> CITY OF ATLANTIC BEACH
w J 800 SEMINOLE ROAD
A
r�t.1 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-1790
Job Type: DRIVEWAY
Description: concrete to paver driveway
Estimated Value:
Issue Date: 8/5/2015
Expiration Date: 2/1/2016
PROPERTY ADDRESS:
Address: 1921 SELVA MARINA DR
RE Number: 172020-0856
PROPERTY OWNER:
Name: WARFLE JR, DAYTON F
Address: 1921 SELVA MARINA DR
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.
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.
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.)
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINAN('FS AND TIIF Fl ORIDA
BUILDING CODES.
-
r_/ CITY OF ATLANTIC BEACH
, s.s.
800 SEMINOLE ROAD
-r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-z-01119
Full right-of-way restoration, including sod, is required.
- •
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
N
Permit Attachment of for
Permit# issued ,20_Atlantic Beach,FL 32233
Owner's Name: Property Address:
R.E.#:
Subdivision: Lot#/Block#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT,issued on this 9 day of ,20
by Atlantic Beach, Florida, a municipal corporation organized and existing under the lifws of the State of
Florida, hereinafter referred to as "CITY" and of Atlantic Beach; Florida,
hereinafter referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to
enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic
Beach Right-of-Way/Easement permit numbers noted above(copies attached).
This work is generally described as: 4 ij A i 4
F/it
Any facility maintained, repaired, erected, and/or installed in the exercise o p t • ,ted remains
subject to relocation or removal on thirty(30) days notice by CITY to the USER, said i'= 4 ER shall be
given by certified mail, return r eipt requested, to the folio • g address:
192/ ‘11 /� kr� c, Al,
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the
exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition.
In the event it is necessary for the CITY or the ity's-approved repr$stative or other franchised utility to
enter upon the above-described property of the CITY, the USSI&hall eplace 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
FILE COPY
,
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 from any of the work herein under the terms of this permit and that all of said
liabilities are hereby assumed by the USER.
X DATED and SIGNED this v( day of_ , 20�0
By: �=� 1 ' -
Prop- V•wrier
(to be signed in presenc of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this Z7 day of , 20( personally appeared before me, a Notary Public in
and for said County State, 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 the same freely
and voluntarily and for the uses and purposes therein mentioned.
0 lit&j4
Notary Public in for said County and State + KELLY L teu
`.,�Notary Public,State LULU
Florida
iw R Cammiss on#r F 100524
CITY OF ATLANTIC BEACH, FLORIDA, a MY Comm.expires May 17,2018
municipal corporation: •■••••110'IMMININI
Approved:
0 ‘ AOPL____,
Doug . on, 'lie W.. ks Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere,City Manager
Page 2 of 2
,
it'-,. CITY OF ATLANTIC BEACH
maim == A'-2 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
J .,4-,-"p7.54.5-
-C,1
' _ 800 Seminole Road !r—
U '� 904-247-5800
y Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
7 5845
PLEASE SUBMICOMPLETE SETS OF PLANS WITH APPLICATION. JUL 2 7
Date U
{y� PE', t)T#
Job Address 1 9 at% Je. , C en'..ra, r . ISSUED BY TFIL�RY --_ _
Permitee: N* tiCtlA0-eNts. 11 Telephone# 90(4- a s 0 -.25.1
3
Permittee Address: }a 4 4 N.V.Nc-ou)k ea,. -C
Requesting Permission to Construct: k1trnoc)e. CA. (ipt\cx,
Location: (Reference to Cross-Street)
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 C J ∎l e t 31` e,;,t.. '*)
Y
Bell South Telephone Company es ( ) No ( ) ate:
Ferrell Gas Yes( ) No ( ) Date:
Comcast Yes( ) No ( ) Dat-
Yes ( ) No ( ) P- e:
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 . ., o Ls. (Contractor's Project
Superintendent) located at ta.'lkl Arecxzkec,_C'T.4.‘-4-47.0.0
4. All materials and equipment shall be subject to inspection b/th D ector of1 Public pWorks r Miss designee. �3
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 and again
immediately upo =n pletion.
OWNER X 0
r . + . KELLY LULU
Signed: / •:1 /�0 �� ` Notary Public,State of Florida
Before me this / day of AP i he .0 affil l , Comm(ssiontt FF 100524
State Of Florida,has personally appeared P / V-L-Y "�"
P y PP I a�*z�MO/ ►tt! My oomm:expires May 1y,io1s
Notary Public at Large,State of Florida,Co n, -
My c issiigp expires: 0,G1 / Personally Known:
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?�P E GRAPHIC SCALE (In Feet)
SW• 1 inch = 40' ft.
Use of This Survey for Purposes other than Intended Without Written YerirKadon,will be at the User's sake Risk and Without Liability to the Surveyor.
Nothing heron shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
FLOOD INFORMATION: i
By performing a search with the local governing municipality or www.
+fema.gov,the property appears to be located in zone A.This Property
I was found in the CITY OF ATLANTIC BEACH,community number 120075,
`dated 08/15/87.
1 - TANSY MOON DEBBIE LUPOLE
. , _ REALTOR° REALTOR°
I CUENT NUMBER: DATE: 12/20/2011
904.537-4313 904-703-5172
!BUYER:DAYTON F.WARFLE,JR.AND KATHY LYNN WARFLE TANSYNOON®AOLCOM *U.LUPOIE•CC
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,.`;l `,, , City of Atlantic Beach REC�,wFD APPLICATION NUMBER
;,, Building Department (To be assigned by the Building Department.)
; ' 800 Seminole Road
j`,) Atlantic Beach, Florida 3223315445 JUL 2 8 2015,,: /J--) 6d 147 . /7}0
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept @coab. BY; Date routed: 7 AV S
City web-site: http://www.coa . ____
APPLICATION REVIEW AND TRACKING FORM
hA 6WJL Property Address: a/ J /1ar arin&_ v.epartment review required Yes No
Building
Applicant: i_i_ r�_ j�V'cgs
Planning &Zoning
Tree Administrator
�/--T-
Project: _ i_4(//4) - ri 9 -.1. is r■or'
f
P A ale Pu.irTety —_-
Fire Services
Review fee $ ZS Dept Signature X
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:
APPLII TION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: % "Vi !'i/'� Date: 2/7,19-J---
TREE ADMIN. Second Review: roved as revised.
❑APp ❑Denied.
LIC Comments:
PUBLIC UTILITIE
7—
PUBLIC SAFE Y Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/90
City of Atlantic Beach APPLICATION NUMBER
-. „ - Building Department (To be assigned by the Building Department.)
'`' 800 Seminole Road JUL 2 S
f v 206 lc=j G4),q /79e
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(•ey 47-5845
:'� �� E-mail: building-dept @coab.us • —_ Date routed 7/2 l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
6 W
Abr Property Address: /
701/ SM/4-7114 an.at, epart ment review required Yes No
Building ==
Applicant: indbje4r-r■n____A_Ill S Planning &Zoning
Tree Administrator ==
Project: Dy-iyeth) C dyy�1 k re -4 - • is ►►or,
ram mum,
PA vEte Pu.c'a ety
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: VApproved. ['Denied.
(Circle one.) Comments: Jee thois
BUILDING
PLANNING &ZONING Reviewed by: 11P/"S.'�� Date: 7/2/ 5"---
—
TREE ADMIN. .I
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