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
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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
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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
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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