302 OCEAN WALK DR S - DRIVEWAY PAVER y \\`-'',A CITY OF ATLANTIC BEACH
... �� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r'
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-2271
Job Type: DRIVEWAY
Description: PAVER DRIVEWAY
Estimated Value:
Issue Date: 10/6/2015
Expiration Date: 4/3/2016
PROPERTY ADDRESS:
Address: 302 S OCEANWALK DR
RE Number: 169463-0510
PROPERTY OWNER:
Name: RINER, HOWARD H & GEESLIN MARY, *
Address: 302 S OCEANWALK DR
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
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.)
Full right-of-way restoration, including sod, is required.
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.
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FEES:
Fence/ROW $35.00
Total Payments: $35.00
•
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
R.O.W. Permit Attachment of for
R.O.W. Permit# issued ,200_ Atlantic Beach, FL 32233
Owner's Name:
Property Address:
Subdivision:
�r(
FIU Lot#/Block#:
R.E. #:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
, 200_, 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:
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 inure 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 0,1 1i' day of c 20
By: ;LA,
Pr e y Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this 9 day of , 20/ ersonall a
Public in and for said Coun�and State, P y Ppeared before me, a Notary
the property owner of
, Atlantic Beach, Florida, known to me to be the person(s)
descr'•e. • and who executed the foregoing instrument; who acknowledged to me that he or she
ex: u d the same fr-
L ___.
, • d voluntarily and for the uses and purposes therein mentioned.
ki
Notary 'ublic in or sa • , our a
and , _,. `Y`'�`
f tkit ,-1 r p,,,„ Notary Public State of Florida
e. Shirley L Graham
CITY OF ATLANTIC BEACH,FLO Il , 'q eo oti;aiio;8°ssaso
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
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
ism -
-
800 Seminole Road
Atlantic Beach,Florida 32233-5445 904-247-5800
Fax 904-247-5845
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. PERMIT#
9.-c.) - �rj� ISSUES BY THE CITY
Date 9.
Job Address 30 eecid ' ,i,/rs" 4a/ -S E-mail - - _ . 01.,
A ,p,�oh
Permitee: i/c e. e t/` Cm y)
Telephone# -- ..3 - 5� / .a .Z
Permitee Address:
Requesting Permission to Construct: P,010.,,04 S J)/ .1..lf-s.c � s 1-A, 4.
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 ✓ , - 01 q - 1�r
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas p y Yes (•) No ( ) Date: 9 -a y. /s—
C well Yes( ) No( ) Date: 9 - :1 9 - /s—
Yes(1/) No( ) Date: 9 --.19 -,,f
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 Permitee 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 / M� �
located the at supervision
/n ` z.tj (Contractor's Project Superintendent)
/3 z'�i./ /1/4.z/0 1 0,4 &I-Ai J/. Telephone#: 9,1 y - 33 y—/Ua,Z
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 Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again immediately
upon completion.
OWNER ro Notary Public State of Florida
•
o Shirley L Graham
Signed: Date: o'1�d'Belo,- -f, s Ex=�re 2/14/2078 086990 day
of in the County of Duval, State Of Florida, has personal y appe.r-•
�
, �, I Notary Public at Large, State of Florida, County of Duval. My
com on o Ares
�0_ �. Personally Known:
lb Produced Identification:
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5�:\,y;1 City of Atlantic Beach APPLICATION NUMBER
�:~ Building Department
„� (To be assigned the Building Department.)
r r 800 Seminole Road ! P!--‘-- -.41j--4-,11.7174‘ ! - A), _ 22 11
�� Atlantic Beach, Florida 32233-5445 +
Phone(904)247-5826 • Fax(904)247-5845 r
Pto.rii9 E-mail: building-dept @coab.us StP 2 9 2OiJ Date routed: 46
City web-site: http://www.coab.us
q �
APPLICATION REVIEW AND TRACKING FORM
S
Property Address: ii z oCinilto rg 4' Department review required Yes No
Building
Applicant: a GV n�4, Planning &Zoning
/e �JYIVE, (/U� •Tre- =•. strator
Project: Y� -u. • � s —)
Pub . Utiliti-
Public Safety
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: [Approved. ❑Denied.
(Circle one.) Comments: '-4€ /►7l"ft#1 4/044
BUILDING
PLANNING &ZONING I � Date: c% /
Reviewed by: ,`� ,c<
TREE ADMIN. Second Review: QApproved as revised. �enied.
U Comments:
PUBLIC tiTICITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
,:0-A, � City of Atlantic Beach
�� 1��+r��� " -- APPLICATION NUMBER
,S r ,tti► Building Department F' C -�J`j
1+J,) (To be assigned by the Building Department.)
800 Seminole Road y
�. Atlantic Beach, Florida 32233 5445 SEP 2 9 20 j5 /�I �W/� �r
Phone(904)247-5826 Fax(904)247-5845 �„
' o;; u� E-mail buildng-dept @coab.us Date routed: gp�9 ��
City web-site: http://www.coab.us _ I
APPLICATION REVIEW AND TRACKING FORM
cc
Property Address: di z QG f, '3 f-/X 4 Department review required Yes No
/' ' Building `--
Applicant: Q L n�# Planning &Zoning
,, j Tre- strator
Project: ?i9Viie / V [N� A 'u• • A • s
Pu. • Utiliti-
Public Safety
Fire Services
Review fee $ 2 3 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: I i roved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: 'e, GL--- Date: /J—
TREE ADMIN. ,/3"0/
Second Review: ❑Approved as revised. ❑Denied.
P4 ri C WORK Corn ents:
,,i%�� --
•UB UTILITIES
C
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
evised 07/27/10