549 VIKINGS LN - PAVER DRIVEAYt
I 'L`I
�S� rev,
f� '! � > \4 A CITY OF ATLANTIC BEACH
r, A i s) 800 SEMINOLE ROAD
op)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-2130
Job Type: DRIVEWAY
Description: PAVER DRIVEWAY
Estimated Value:
Issue Date: 9/17/2015
Expiration Date: 3/15/2016
PROPERTY ADDRESS:
Address: 549 VIKINGS LN
RE Number: 170703-0250
PROPERTY OWNER:
Name: GURNEY CHARLES LANCE FAMILY, *
Address: 12 FULLER ST 12 FULLER ST
PERMIT INFORMATION: UTILITY DEPT.:
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
PER\11T IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rX� APPLICATION NUMBER
'.U`irf City of Atlantic Beach
!s ,•ice Building Department ', �Tt�
,a S�P .[ i (To be assigned by the Building Department.)
r �:' .' 800 Seminole Road ,' t} '1
X41. -r Atlantic Beach, Florida 32233-5445 _ 4 Q Z05 / ,20/1 . 2/3e
Phone(904)247-5826 • Fax(904)247-5845_ /
~ t:.D;;i� E-mail: building-dept @coab.us Date routed: /,-C.
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 5I9 V s L47'3c Department review required Yes No
Building
Applicant: OA) e i Planning &Zoning ___
Tree Administrator ---
Project: eeneiirg 7? A viletS c-ubic no '
vetr is
Public Safety
Fire Services
•
Review fee $ Zf Dept Signature 5-7 v�
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: 14roved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING ''�-�
Reviewed by: Date: 74715"
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
I� WO S Comments:
UC� IC UTILITIE
/ —I 0-15
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
•ised 07/27/10
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: Q l (O ( �5 Initials: )6 (Y‘-------
Project Name/Address: CjLAscl V 4 ) Application Permit#: /5 —_b
Check Box Check
Application Tracking Comments to Add Box to
Comment "Print"
UWSU 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. ❑ ❑
•
MBSC
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. V A
RT1C 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. ❑
RPZB A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be tested ❑ ❑
by a certified tester and a copy of the results sent to Public Utilities.
STRM Plans note the building will be unsprinkled. If plans change,any fire line installed must be
metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ ❑
backflow preventer installed. Backflow preventer must be tested by a certified tester and
a copy of the results sent to Public Utilities.
FSBR If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow
requirements. At a minimum, will require a double check backflow preventer. ❑ ❑
FLM Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must
be installed in a vault as noted in JEA specifications. ❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
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
by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of
Florida, hereinafter referred to as "CITY" and
hereinafter referred to as"USER". of Atlantic Beach; .Florida,
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
Beach Right-of-Way/Easement permit numbers noted above(copiespattached).scribed in the City of Atlantic
This work is generally described as: �� Y L r
.1 c W f,
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 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 9 day of 7' , 20/6--
Property caner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this ! day of , 24.5-Personally appeared before me a
and for said County and State, � Notary Public in
the property owner of
,Atlantic Beach,Florida,known to me to be the person(s)described in
and who exec -: e f. •;ig instrument; who acknowledged to me that he or she executed the same freely
and vol • 41 ly and fo the u es and purpo .. therein mentioned.
Notary Public in for said County : Id S .tlk
o40,F<,e; Notary Public State of Florida
CITY OF ATLANTIC BEACH, FLORIDA, a Shirley L Graham
My Commission FF 086990
municipal corporation:
oFw Expires 02/74/2018
Approved:
Doug Layton,Public Works Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere,City Manager
Page 2 of 2
�,'N' CITY OF ATLANTIC BEACH
_.1 ____=2 `" = 1� s CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road
;tr.O. z Atlantic Beach,Florida 32233-5445 904-247-5800
Fax 904-247-5845
PLEASE SUBMICOMPLETE SETS OF PLANS WITH APPLICATION.
Date Q " 1 — l'
1�!i I i PERMIT#
Job Address ,J '7 1 VI 1 iJC;�J La IJ j Au., � ISSUED BY THE CITY
Permitee: jq VIA 0r—}z,0 �ZLr3
) Telephone* �C41— C' j y_ 3 0 C,
Permittee Address: .S 1 1 v iki V t''3 L Aft ( Pi_ 3 2z33
OrtVe-
Requesting Pe�rmissio to Construct: 1�.�► P VC-r3 "aqv 54411 1
2 • riV c — �—c - let cc_
Location: (Reference to Cross-Street) ►kt*J°�J La "-- ' Mc A4-
V cot 1.
1. Applicant declares that prior to filing this application he has ascertained the location of all existin
both aerial and underground and the accurate locations are shown on the sketches. 9 utilities,
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority
Yes ( ) No 4
Yes ( ) No Date:
Bell South Telephone Company i Date: 1 1 V
Gas Iv-
Ferrell
Comcast Yes ( ) No (s Date: 1J
Yes ( ) No (V 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,
hereunder, shall be immediately removedf om said lstreet orheasemetnt orreset orrrelocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement a is
authorized.
3. All work shall meet City of Atlantic Beach or Florid D-partment of Transportation Standards and be
performed under the supervisi of ''
Superintendent) located at ' V;t■ (Contractor's Project
4. All materials and equipment shall be subj- 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 showins 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 he permit tlwith the Diirrector f
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.
® � rotor NZ, Notary Public State of Florida
ti :;
Shirley L Graham
igned: /��. Date: ! L �� •,/3 MY Commtssion FF 086990
efore me t is day of , 0+'ft° Expires 02/14/2018
State • - .rids • y l th��OUnfy of Du
,has ersonallyap�-ared
Not.. Publi . ..rge,S:te • .rids,County o Duval.
My corn to io - pires: a
- -. Personally Known:
ID 'reduced Identification: ii( 3.19--l�
r a'`
(1-.0Anj-,6 City of Atlantic Beach ' .�;, Building Department I�j-eD APPLICATION NUMBER
800 Seminole Road I '1
SEP (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445 O ?015 /��- +ib Ail A 2 i3�
-` � Phone(904)247-5826 • Fax(904)247-58
''�D; 0/ti E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 5/9 VizA9s Leg Department review required Yes No
��"" 11 ,p Building
Applicant: OA) -h i lam. Planning &Zoning
7-0 Tree Administrator
Project: OD/) C/2€/ E. p y leS ublic or
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:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments: ice 1, 441�, /di*
BUILDING YY�/G � ,(y (e a
PLANNING & ZONING f
Reviewed by: c Date: 941/--r--
TREE ADMIN. Second Review:
[]Approved as revised. ❑Denied.
UBLIC 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
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 at day of_
by Atlantic Beach, Florida, a municipal corporation organized and existing under the aws of the State of
Florida, hereinafter referred to as "CITY" and 1/�,, ��0� 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: TAW.r i Vt il
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:
LCY The depositing of said notice of cancellation the United States mail shall constitute the notice and the burden is upon USER to keep the CITY informed of USER's proper address. a of
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 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 9 day of Syr , 2046--
deo
Property •wner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this —1 day of , 20ersonally appeared before me, a Notary Public in
and for said County and State,
the property owner of
,Atlantic Beach, Florida, known to me to be the person(s)described in
and who execu -: '►e f•• :•' g instrument; who acknowledged to me that he or she executed the same freely
and vol • . ly and fo, the u -s and purpo therein mentioned.
Notary Public in for said County :nd Sta
et Pot. Notary Public State of Florida
CITY OF ATLANTIC BEACH, FLORIDA, a a : Shirley L Graham
t _ N, My Commission FF 086990
municipal corporation: oo,f.PP Expires 02/14/2018
Approved:
Q(c /—
Dgyton Publ' orks Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere,City Manager
Page 2 of 2
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,� �•;; CITY OF ATLANTIC BEACH
• ,,r °2 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
_ 800 Seminole Road
r00.• `z Atlantic Beach,Florida 32233-5445 904-247-5845
PLEASE SUBMICOMPLETE SETS OF PLANS WITH APPLICATION. Fax 904-247-5845
TO
Date q. ` % l
Job Address ��) I c . PERMIT#
_ v 1 ICI ( tf J Af ISSUED BY THE CITY
Permitee: � Ot 0 rr--}mod ------/----1-2-;— ?� 3
Telephone# d — G I y- ( 3 C y
Permittee Address: -S--9
1 V �i V•,S La we Q i t t L 3 72_33
Requesting P Armissio to Construct: Cr•Veu.ex 0.
VCrs �*,s4,,1 — rc - la Cc..2t ` r1V t-
Location: (Reference to Cross-Street) VI�1'N°S 3 L--a "-- c IVQ N4-CA 1.
1. Applicant declares that prior to filing this application he has ascertained the location of all existin
both aerial and underground and the accurate locations are shown on the sketches. 9 utilities,
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority 1 Ar
Bell South Telephone Company Yes( ) No Date: �v
Ferrell Gas Yes( ) No J Date: 1./
Comcast Yes ( ) No ( Date: At
Yes ( ) No ( Date:—w
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 Florid D-partment of Transportation Standards and be
performed under the supervise of '� 2�
Superintendent) located at . ,k;,1. n � 1 rp. (Contractor's Project
4. All materials and equipment shall be subj�t. to inspection by the Director of Public pWorks �s designee.e5. 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 showins an increase in im•ervious area on owner's lot or in the cif
Right of Way are to be included with this a lication.
7. This permittee shall commence actual construction in good faith with 'I
more than 60 days from date of permit approval, then permittee must review the perim thwi h 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.
OWNE =0000`4 Notary Public State of Florida
Shirley L Graham
igned: !Y � A ` My Commission FF 088990
Before me t is da of Dafe: '� �o� Exp,res ovtanote
State • y i th Counfy of Du ::4 -0•
'da,has ersonallyap�'-ared
Not.. Publ' _ -rge,S =te •L. ida,County o Duval.
My corn io - 'lres: V
i ` A. — Personally Known:
-roduced Identification: ��r
-
?'N-L'.r F fyq ;n
PROPERTY ADDRESS: 549 VIKINGS LANE ATLANTIC BEACH,Florida 32233
SURVEY NUMBER: FL1207.2521
FIELD WORK DATE:7/31/2012 REVISION DATE(S):(reu.1 8/1/2012)
FL 1207..2521
BOUNDARY SURVEY
DUVAL COUNTY
o
3/4'FIPh
Q7,,O NO ID•' %,' F
N ■ S F�(
TABLE: 6>0 (� V
L I 5 67°28'00'E 1 27.85'(P) S 6)°2�23"
5 G7°26'02'E I 27.79'(M)
L2 N 22°32'00°E 30.00'(P) ` "� S �MJ
N 22°32'00'E 30.00'(M) \ P
•
�0- � • I NO •
LOT 24 ���g Op.
BU. 1 4.,,4-, ,O2
43.0)
ti
o tiry S�'O
°N N LOT- 25 p0^M
,S
iillE.,
, o 'e.S y9 ��INO IO :' ��e p ry`' LOT 2e
•
• t, is hryRr
PND.PR NAIL • t:.y+• 2 ,\`�O ID 0 P.C. �/ ��� N 6)�° B �.: •s oFP ��
•
.��'," 3414'�S'� ` `
• 40i� , N
O ID
FOP
.�.�- sow
o�, !ice
�� ��
I hereby certify that this Sketch of Survey of the
hereon described property has been mode under
my direction, and to th hA of my knowledge and
belief, it Is a true v • -••: epresentation of o
survey that meets\ y�crninimY/. , 3:chnica/
standards set !o by tl4gg¢7ori�i."-aoord Of
Professional Lon cur e r as de bed in Chapter 3u >s 30
5✓--17 of the Fl ��Code.
,'mothy L. 6lackm GRAPHIC SCALE (In Feet)
State of FI rofesefOraYtSurve se, and Mapper 1 inch = 30' ft. % 1��••
J` FLORIDA !=/
NqG SUR\'EtC)9.
Use of This Survey for Purposes other than Intended,Without Written Verification,will be at the User's Sole Risk and Without Uability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
FLOOD INFORMATION:
By performing a search with the local governing municipality or www. 1.6'WOOD FENCE OVER 10'EASEMENT
fema.gov,the property appears to be located in zone X.This Property was
found-in THE CITY OF ATLANTIC BEACH,community number 120075,
dated 04/17/89.
CLIENT NUMBER:RS12-699 DATE: JOAN M /f 1 O �,,�8/1/2012 `h �5t
BUYER:CHARLES LANCE GURNEY AND ELLEN K GURNEY (904)699-5170 ti•••*°waTV oow
JOANMORTON @WATSONREALTYCORP.COM
SELLER:JAMES SUTTON WWW.JOANMORTON.WATSONREALTYCORP.COM
CERTIFIED TO:CHARLES LANCE GURNEY AND ELLEN K GURNEY;THE r A gr A
LAW OFFICES OF ROD SCHLOTH,PA;OLD REPUBLIC
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