1890 LIVE OAK LN - DRIVEWAY A '' sty CITY OF ATLANTIC BEACH
• =; f 800 SEMINOLE ROAD
+J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-54
-1=—
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-2121
Job Type: DRIVEWAY
Description: PAVER DRIVEWAY
Estimated Value:
Issue Date: 9/21/2015
Expiration Date: 3/19/2016
PROPERTY ADDRESS:
Address: 1890 LIVE OAK LN
RE Number: 172020-1418
PROPERTY OWNER: •
Name: FEDERAL NATIONAL MORTGAGE ASSO
Address: 3900 NW WISCONSIN AVE
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.)
PtilIIi+ighttufMotyirtntbratice+t;citatlu ingsad)isirequrisedF A l l.:AN FIC BE.. (n ORDINANCES AND ruE Fl ORIDA
BUILDING CODES.
-s,:cri;: City of Atlantic Beach ,ZPi ' .E--I APPLICATION NUMBER
. • \ Building Department (To be assig ed by the Building Department.)
'i 800 Seminole Road F■�- -�� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247=5845
,:`/..)a3»`i• E-mail: building-dept @coab.us i.12-`- —_.�_ Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: `f94' / 'v . 444 L-4 Department review required Yes No
Building
Applicant: 6 I6-)-) t 1� Planning &Zoning
Tr-- A.is istrator
Project: PA Vk_/e. i v tdi •ublic Wor
d• • • til• •- .
Public Safety
Fire Services
Review fee $ 2 Dept Signature --_"'\
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 TION STATUS
•
Reviewing Department First Review: [ Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: ' �' Date: 74( /i.
TREE ADMIN. Second Review: as revised.
'Approved ['Denied.
isreeim :+� • Comments:
P BLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
used 07/27/10
f
CITY OF ATLANTIC BEACH
,-=� „� t s CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
tis�... 800 Seminole Road _.._.._,_,_..... ___._______..... _.. .�_._.-
" <' 17s, 7 Atlantic Beach,Florida 32233-5445 904-247-5800
Fax 904-247-5845
PLEASE SUBMITCOMPLETE SETS OF PLANS WITH APPLICATION.
Date IM 5—
PERMIT#
Job Address I & Live �...f _ ISSUED 8Y THE CITY
Permitee: 41 11/4/L.1(-eel 6:w.ce-c.f IL Car"37'`/.•417/4 Telephone* 5' 4f 2 ?tt —///y
Permittee Address: 1(6 4i. Arc ae 9/,s Ade I/ io t'7 s zog
/
Requesting Permission to Construct: /6"49 ve.( m74' ,exg tf?t ■r..e^` t
ti G' -' e .. a - ✓ * It V ee'..c
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: yv;f( ea(( a i i
Jacksonville Electric Authority
Bell South Telephone Company Yes(
Ferrell Gas Yes (� No ( ) Date:
No ( ) Date:
Yes(/) No ( ) Date:
Comca
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 Department of Transportation Standards and be
performed under the supervision of • vz- 9L
Superintendent) located at /$'p-o `;,,e,( Contractor's Project
QA-ez_ c-r.. Telephoned: QOb Z?If-Iiiq
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 Direct() : 'ublic Works shall be notified twenty-four (24) hours prior to starting work and again
immedia - y upon om. e ion.
OWf R (2 - tiS .- ‘
Signed: , Date: 11- I S 9lOZ/b MO sandx? 45i1 i5
Before me is d of in the County of Duval, 066990�d uo!ssiwwo0,�w , Yn
k State 0 ' or'.- as persona ' -.,ea ed u1eueJ0 �(aIa'yS ;�
Nota , •ub c at -rge, ate ,f Fl o a,County of Duval. epuo�j ao®ieis�!w�d tieloty an•
My • -xpires Personally Know
`/1 tAtt %wt.. Produced Identification:
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 20_
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: ,A C# . kASh.,
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
I
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
rights-of-way and other public land. USER further agrees s and employees of s shall
be saved harmless by the USER from any of the work herein under the terms of this permi nd that all of said
liabilities are hereby assumed by the USER.
DAT : and SI D this O day of t-1...„Ls 20143
By: / 411111■
'rop< Own
(to be signed in pres- . the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of 1 , 20personally appeared before me, a No
and for said County nd State, y Public in
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
• vo i and for the uses and purposes therein mentioned.
9LOZl4l20sanclxa +o�iO',
066.,80!�uoissiwwoo AW as
N o .-. '. fo s Co and State °
wet.*Jo 1�(a��iyg i S
epuow to alelS 0119nd 1ueloN na Ali
CITY OF ATLANTIC B dr , FLORIDA, a
municipal corporation:
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
MAP SHOWING SURVEY OF
.ti' P, SE '-VA MARINA UNIT N0. I[ L AS RECORDED IN PLAT 8001( 37, PAGE 25 OF
r1E CURRENT PUBLIC RECORDS 0= DUVAL COUNTY, FLORIDA.
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1 ; nfREBY CERTIF%THAI THE PROPERTY SHOWN HEREON IS IN FLOOD ZONE "A" AS
n Anel Yh•fV .I�h /
City of Atlantic Beach '' ?'.-.r�' +' 1-' VED APPLICATION NUMBER
� Building Department
800 Seminole Road SAP (To be assig`eed by the Building Department.)
2ot5 1,5�� 1 • 2/Z /
u,.; �� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 __
''�oniu'f' E-mail: building-dept @coab.us Date routed: A.
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
,
Property Address: I a OA Z 71 Department review required Yes No
'• , Building
Applicant: e 4[2Y g 4 Planning &Zoning
Tree Administrator
Project: ,A Vi R. 1.VL I r ublic Worl
CIMIllir Utilities
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: —
i APPLICATION STATUS
•
Reviewing Department First Review: [Approved. ❑Denied.
(Circle one.) Comments: Jet 111 ,dt€ etwoc
BUILDING
PLANNING &ZONING '
Reviewed by: 1,11114111w /Z� Date: J
/�
TREE ADMIN. Second Review: QApproved as revised. 1�Ienied.
PUBLIC WORK Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved 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 /✓'day of I .11--,20
by Atlantic Beach, Florida, a municipal corporation organized and existing under of the State of
Florida, hereinafter referred to as "CITY" and ite44, 4' ,( 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: Cs",-.►a'6t ce4iwe /i4m4,cv• ,WS.i i, (7
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:
/I f p L;i1 guy
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.
DAT : and SI ED this % day of t 4.•.....L .e , 20 t9
By: ' /11h.
'rop. Own-141ft
(to be signed in presen • the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL 5
On this day of 1 , 20 personally appeared before me, a Notary Public in
and for said County end 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
a vo and for the uses and purposes therein mentioned.
BLOUOL20sai!dxg Aoiioty�
le
066980 dd uo!s!wwo0/yy s �,
�o •��. n fo sa Co and State weue,J 1/COPS :3,_ o=
epuold JO aletS o!IQed tietoN 'd Ax('
CITY OF ATLANTIC B:e ' , FLORIDA, a
municipal corporation:
Appro
—I: ‘411W
Doutr on,Public orks Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere, City Manager
Page 2 of 2
1
r , ,
41 , CITY OF ATLANTIC BEACH
•
1;=..�`-3 1i._ CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
J ' y_ v~ 800 Seminole Road
:...Dr;loP i Atlantic Beach,Florida 32233-5445 904-247-5800
Fax 904-247-5845
PLEASE SUBMICOMPLETE SETS OF PLANS WITH APPLICATION.
Date g/3//f
S q PERMIT#
Job Address t 8/0 z...av e 67...t: �e_ ISSUED BY THE CITY i
Permitee: A i Iv.L.i e-ed .r..c,.-e..'f t Cov$f/M,1•.4.1 Telephone# ?Oil 2 ?if —///
Permittee Address: /1'6 Al. /BSc pa (J lvo� y
°^ t Vro� , tit 3 208 Z
Requesting Permission to Construct: /Qer..ovis.( m-te' c fiLi &mac. m pv
4"4 fG,aAce A..�.,�'_ ✓/ i00 tt,e/'s �� ��•��� /
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: 'Oy;l( at 11 g 1 1
Jacksonville Electric Authority
Bell South Telephone Company Yes( No ( ) Date:
Ferrell Gas Yes(� No ( ) Date:
Comcast Yes O) No ( ) Date:
Yes (1) 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 Department of Transportation Standards and be
performed under the supervision of . vti. Qt,,,,
Superintendent) located at /r?-p LA.` (Contractor's Project Vit
4• All materials and equipment shall be subject to inspection by he Director of PblicpWork 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 Directo : 'ublic Works shall be notified twenty-four (24) hours prior to starting work and again •
immedia - upon om ie Ion.
OM R /U r
Signed: Date: n•y• t S (2. tj
d-• of 910Z/4NZ0 sandx w+ot
Before me .is 3 0
in the County of Duval, 088990 AA uoissiwwo0 All ,o
State 0 ' or*.= as persona a.-ea ed Lueye�0 �au!4S
Nota . 'ub rge, ate , Fl.-;,"_,County of Duval. *Now ao eieig o�Ignd tie�oN ►�,,,�.�
My c. ., -xpires:�i ,`= Personally Know
Produced Identification:
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lit • ..4,t. .-I • - • ••;t4..
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