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2019 SELVA MARINA DR 2015 PAVERS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXr DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ROW-2206 Job Type: RIGHT-OF-WAY PERMIT KS Description: PAVER DRIVEWAY AND SIDEWAL Estimated Value: Issue Date: 9/29/2015 Expiration Date: 3/27/2016 PROPERTY ADDRESS: Address: 2019 SELVA MARINA DR RE Number: 169506-1080 PROPERTY OWNER: Name: WHALEN, PETER R & CARLA DE, INA DR Address: 2019 SELVA MARINA DR 2019 SELVA MAR 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. POOL- Wellpoint (if used) must discharge into vegetated area 10' minimum from street or drainage feature (swale, structure or lagoon). A separate pool permit is required; if pool construction is planned. Roll off Container Company must be on City approved list and container cannot be placed on W*.((Np FLORIDA PION R�MeW )pVb)Md'9Ad0ht 11HYAHN .eo"E'. -27j-�f-�' CITY 0 F ATLANTIC BEACH 800 SEMINOLE ROAD X ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Waste Pro.) Full right-of-way restoration, including sod, is required. Paver driveway and sidewalk must match dimensions of existing without resubmittal. 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. Permit Attachment of for Permit# issued 20 Atlantic Beach,FL 32233 Owner's Name: Property Address: R.E.#: Subdivision: Lot#/Block REVOCABLE ENCROACHMENT PE"IT 'a P1 THIS REVOCABLE ENCROACHMENT PERMIT,issued on this/4P dayof,� e(' 20�6 by Atlantic Beach, Florida, a municipal corporation ed a:�q '74 sting under the laws of the State of Florida, hereinafter referred to as "CITY" and U)A erl 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:_ Aq ile Dr/ve_wq Li 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 certifild mail, Teturn. receipt requested, to the following address: Vq e M40 2,6 19 S /)IS &) 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." Pagel of2 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 4 k___�day of 5e �M 20 By: 166 Property Owner (to be signed in presence of the Notary) STATE OF FLOREDA COUNTY OF DUVA-L On this 014 e#r FV_ I . day of CS-ep-t , 20 1!!�personally appeared before me, a Notary Public in and for said County and State, -DavAL I rtD1ZT;K 5 the property owner of AAIU�. ,Atlantic Beach, F16rida, 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. Notary Public in for said County and State 4e. DAYNA K wwj" M My y COMWSSION#FF 217841 CITY OF ATLANTIC BEACH, FLORIDA, a -`p-_ EXPIRES:August 7.2019 BwWed Thru W"Pubk Lhiderw*rs municipal corporation: A Dot�9ayton,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere, City Manager Page 2 of 2 'S "Vj CITY OF ATLANTIC BEACH PLEASE SUWMkP*CPMPLETE SETS OF PLANS WITH APPLICATION. Date T15 [PERMIT" ISSUED BY TH PERMIT# Job Address--2-,,, ISSUED BY THE CITY Permitee: pe--kr WA,? Tefephone0=oV54/5-0,/70 Permittee Address: �0/ 7 '5-ellIg M /7 1 q,-Y ', ­Z�l V6, Requestin. ermi Sion to Construct: 41 9 /( Location: (Reference to Cross-Street) Vq 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 AuthoFity Yes No Date: Bell South Telephone Company Yes No Date: Ferrell Gas Yes No (1/ Date: Comcast Yes ( No Date: 2. Whenever necess ary 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 I-- Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities an,' )ces authorized hereunder, shall be immediately removed from said street or easemer" led hereon as required by the Director of Public Works, and at 'the expense of bursement is authorized. 3. All work shall meet City of Atlantic Beaz5 or Rork'- ds and be performed under the supervision of It' P , t Superintendent) located at s rojec 4. All materials and equipm ent shall be-s OL 2Z 3L ubject to in iee' 5. All city property shall be restored to its original co. ations and the manner satisfactory to the city. 6. A sketch of plans covering details of this installatio, de a' part of this permit. Gallaulations showing any incir, Right of WaV are to be included with this applicatic 7. This permittee shall commence actual construction in S more than 60 days from date of permit approval, then', Public Works to make sure no changes have occurred in 8. It is understood and agreed-that the rights and privileges City's right, title and interest in the land to be entered upon at all times, assume all risk of and indemnify, defend, and savE ;n from and against any and all loss, damage, and cost of expenses aris or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four ..L)r to starting work and again immediately upon completion. OWNER Signed: Date: l—/7—/`� �Wp, Notary Public State of F:Iodda Nonc My C, Before me this _day of in the County of Duval .4p Nancy E Bailey State Of Florida,has persdrially ap ared eA1V5-0,& W&4@r— My commission EE 156116 Notary Public at Large,State of Florida,County of Duval, E��,,J :Expires 02108/2016 ]VILcocarnission expires: Personally Kn VLVL- VJ 6 ip 76. Produced Identification: -­Ytc,A� �- &,-� LOT 41 DIC G S 42 za s 03,4916' E x 109.01Y (PLAT) I.J 9 JE. A-A jug 0-r to fummumm I am PIPE S OY4f3W 1OM2%r (MEASURED) !==r -PLS c "c V 4 AD§ x 4s -.Z: u) ?Sff a- -W SET Iff VERAR -ACM 1.8 670r y STAMPED SM MASONC)� R AUE - POSTM 2019 c; CA -V ^ �- < 93 LLJ LOT 39 3c SAS ZL:r t.- F- 30 UPI w mc! T ILE Wo 11 ss ��- 5 cc n u"n in P 113! < b 0 on" ---r- 24.'r W m zts 9"ly w co wr i, nxm I,=WE low ;7 Wq, FILE COPY nOZOWS Syr PIPE N 03-44W w SLUVED low 75-00 (PLAY) ,--'SELVA MjnA-DRIVE OF WA wit LEGM- R L REMSIONS PLAT BEARM OF m asno-W E ALCHC TW SION �.PARCEL AS SHOM ON %ZX%,LAT WUE ME 2. Ap L W gl� =(;S.PAZ ISM OF WAY AS PER WCORM PIAT ft/01 IM COM"rn"T 3.IM SUW&Y UTSE VERFCATMAS HAS SEN pfj*MFa"gy TK toVERSKPIM ......... IF swPum r SM OF TW CSTWVM SURWYM r4._Un_SUW&Y NOT VAUD WNW ! , I , ''' SCALE: 'I 10 - 10-27-99 mi( 11 1,, J(jB 9810 RD SURVEY: --------- CMITnCATEMOLT TAS gnw-y WS MADE WEER My CHARM AS zt= v=-CANIA 7-SW CMk Strmt 322D4 APO a.rt01409 jxkswniIC6 Fkx OF To FLOWA STAMTES. (P—)W4-389�WW 904—SW--M75 1� . IiM:K�-L I A" STATE CpF FLORIDA RMSIERED gArjESW AND"-w LJOBISED frjKjcz-Tpi tr-nnm cZ1 r) q1 dp JF 4w dap to I'd Ile, City of Atlantic Beach APPLICATION NUMBER Building Department IRECE JVED � (To bejr the Building Department.) 800 Seminole Road 22_6� Atlantic Beach, Florida 32233-5445 SEP 18 2015 Phone(904)247-5826 - Fax(904)247-5845 ' I Date routed: E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: C>261 q SfjlV'L Department review required _�Yb_s No Building Applicant: Planning &Zoning T���Ir�istrator Project: U s u ic Uti'ties it aev Pu ic aey �7ire 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: [OApproved. [-]Denied. (Circle one.) Comments: 1'�e -lee ot, BUILDING PLANNING &ZONING Reviewed by: e ate: '71f vi TREE ADMIN. �ov s vis Second Review: [-]Approved as revised. Denied. __-�U=BLICW�ORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. OlDenied. Comments: Reviewed by: Date: 1,evised 07127/10 City of Atlantic Beach APP Building Department C N VEL) FFjjj LICATION NUMBER 800 Seminole Road (To bytne the Building Department.) SEP I SEP 18 2015 Atlantic Beach, Florida 32233 5445 22_6� Phone(904)247-5826 - Fax(904) 45 E-mail: building-dept@coab.us Date routed. City web-site: http://www.coab.us L . I APPLICATION REVIEW AND TRACKING FORM Property Address: ,26 __j�o Department review required Nies Building Applicant: Planning &Zoning Trea,l�duiijoListrator Project: rl ub s JUSFUtijities rublic Safety Fire Services Review fee $ 25'- Dept Signature Other Agency Review or Permit Required Review or Receipt Date — of Permit Verified BV Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management 671—strict Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: ______APPLLCATl0N STATUS 7 Reviewing Department First Review: 4Approved. F]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by.-___)��V, Date:—?/2-1//J__ TREE ADMIN. Second Review: []Approved as revised. RDenied. C mments: B-LIC UTILITIES iT PU LIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. [–]Denied. Comments: Reviewed by: Date: ;ed 07127/10