1505 E. PARK TER - RIGHT OF WAY FOR PAVERS CITY OF ATLANTIC BEACH
;) 800 SEMINOLE ROAD
ti#1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
pJi}c)r
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROW-2305
Job Type: RIGHT-OF-WAY PERMIT
Description: PAVER WALKWAY
Estimated Value:
Issue Date: 10/8/2015
Expiration Date: 4/5/2016
PROPERTY ADDRESS:
Address: 1505 E PARK TER
RE Number: 171951-0000
PROPERTY OWNER:
Name: ANDREWS, DAVID & HOPE, *
Address: 1505 E PARK TER
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.)
Full right-of-way restoration, including sod, is required.
I'I;R\II I IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
4 ` , CITY OF ATLANTIC BEACH
M s) 800 SEMINOLE ROAD
j?% ATLANTIC BEACH, FL 32233
\: INSPECTION PHONE LINE 247-5814
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE W1T11 ALL CITY OF ATLANTIC BEM II ORDINANCES AM) 11IE FLORIDA
131 [HMG CODES.
City of Atlantic Beach ��c��1 v � ��. �' ,• APPLICATION NUMBER
ii----..0..Alp;-.2„,*. ,.'\ Building Department (To be assigned by the Building Department.)
)s� 800 Seminole Road - •-
KV- �r Atlantic Beach, Florida 32233-5445 G 1 ���� ��_ Q y 2�Q 3
Phone(904)247-5826 • Fax(904)247-5845 /
D; yr E-mail: building-dept @coab.us _ Date routed: /Q�//
City web-site: http://www.coab.us !!!
APPLICATION REVIEW AND TRACKING FORM
Property Address: /4 d 5"/ore Tr I Department review required Yes No
/�� WI/` Building
U
Applicant: 4 Planning &Zoning
Tree Administrator
Project: `(J nit Amy - A eiLe ublic Wor c
u c Uti i ie
Public a ety
Fire Services
Review fee $ / Dept Signature ,C-r-"
Other Agency Review or Permit Required Review or Receipt
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:
BUILDING /
PLANNING &ZONING C�����■.f. ! Ir
Reviewed by: Date: o/
TREE ADMIN. Second Review: A roved as revised.
' ❑ pp ❑Denied.
WORKS Co ments:
�i
PUBLIC UTILITIES
/o- /— /
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach pU�---__ APPLICATION NUMBER
J3 "". � Building Department l j,_ E2_ (To be assigned by ON Building Department)
9 800 Seminole Road J5'_ Q r 23 Q, Atlantic Beach, Florida 32233-5445 OC I � 1 COiS
Phone(904)247-5826 Fax(904)2 7-5845
E-mail: building-dept @coab.us By: routed �Q
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /S�a %re Tr I Department review required Yes No
Building
Applicant: Qit) /1/1 a Planning &Zoning
Tree Administrator
Project: W /r'/L/ OA - A ��/�, blic Wor s
u c Uti i ie
Public atety
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: -4d ieid 4011/0
144
��✓
PLANNING & ZONING
Reviewed by: G y ti Date: °�7fr
TREBADMIN. Second Review: ['Approved as revised. Denied.
PUBLIC WORK Comments:
PUBLIC U S�
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
R.O.W. Permit Attachment of for
R.O.W. Permit# issued ,200_ Atlantic Beach, FL 32233
Owner's Name: /47)kYYA)5
Property Address: /5"-Q ,R7-4 T r F
Subdivision:
Lot#/Block#:
R.E. #:
REVOCABLE ENCROACHMENT PERMIT �,�
THI +VOCABL ENCROACHMENT PERMIT, issued on this j' ' day of
, 20 , by Atlantic Beach, Florida, a municipal corporation organized existing r the laws of the State of Florida, hereinafter referred to as "CITY"and I y g
of Atlantic Beach, Florida,hereinafter referred to as"USER".
�'L At i,4,41-
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: M V Z... W a
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:
Are Peek itfre-be K4i^
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 Zq day of ,64Q r , 200,
By: al, • • c
'' op; y Owner
(to ,e signed in presence of I e Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this 30 day of T"' , 200—personally appeared before me, a Notary
Public in and for said Coun and State, , the property owner of
, Atlantic Beach, Florida, known to me to be the person(s)
describ-3 in and who executed the foregoing instrument; who acknowledged to me that he or she
e ted the same -- , and voluntarily and for the uses and purposes therein mentioned.
i
•
of Y°('4,, Notary Public State of Florida
Notary Puilic 'n for County and State a �, Shirley L Graham
My Commission FF 0869n+
Yid.J`Fvo•F Expires 02/14/2018
CITY OF ATLANTIC BEACH,FLORIDA,a
municipal corporation:
Appr• .•
D oug an,Public Works Di ctor
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
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
�wFt Atlantic Beach, Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE`SETS OF PLANS WITH APPLICATION.
Date % 1 3 Cl / 2_ U J S PERMIT#
Job Address I S /�� /�r I R rip F R._ '-/t 5 ISSUED BY THE CITY /�/
Permitee: I-10 1 E /(� D Imo-i.�� Telephone# C/C y- "/( S -2257
Permittee Address: , �U NV-1( -M12— �A
Requesting Permission to Construct: G/1-:-/v) 6:1-4 r Iv AG /g ni A y G/co M CITY
Si p i?; /3.-1 Ci ( YM/ D Pi4T1 0 Ail t45
Location: (Reference to Cross-Street) b/)/ /v G L AO A 1)
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.
fiQLL�Q 8// G�
A Letter of Notification was mailed to the following Utilities/Municipalities: 0 //;
Jacksonville Electric Authority Yes( ) No ( ) Date:
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas Yes ( ) No ( ) Date:
Comcast 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 (Contractor's Project
Superintendent) located at Telephone#:
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
Rir°,t of Wa Ile included with this appfin itHn
7. This permittee shall commence actual construction in good faith with 30 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.
OWN
( q
Signe : !,. ' L Date: ` •�O •(f (J V 6 2 2 `6
Before s day of in the County o Duval,
State •AZT da,h.s perso�4lly a•+eared
•a' Pu• i•at L-rge, . e of Florida,County of Duval.
M ••mmi i.ne pires e■_ � ` =I • .:
Produc-• lO1Yfifioatiottotary
S' Public State of Florida
1 rl°y L Graham
• ; 4•
My Ccmmisaion FF 086990
gzPirec 02/14/2018
N 5/0E406144 /416/14 / ‘HT-7-61 6&Low c c 1
t i/ 6 (gel) /x 3, 5 = 31 .5)
� / ry s � I�Fw,9�K r� /��c/� ��
MAP SHOWING SOUNDAR SURVEY OF
LOT 4 CLOCK 4 ACCORDINCI TO THE PLAT OF
SELVA RSA Urktfr NOR,
AS RECORDED IN PLAY ROOK 27 , PAGE(S) 6 AND 6A OF THE CURRENT
PUBLIC RECORDS OF DUVAL. COUNTY, FLORIDA.
JTI ED T'3
• n3.1::CE 2- ANDREWS, SUSA.. DR WS.,
FIRST XMEAICAN 1.1112. wi {ANC CO 4PAt k. i AND.GIB1L L AR TI TIE SERVICES.
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C. S �` '°2t$'.WW' ir 100.000" { i
SEMINOLE ROAD
` =ZS. 4E:FERENCE JOB N4'S. 38040;48204 710??' ,' 'p-or- )''
/5.-O c /M K TT/
Impervious Surface Calculations % Formula
Find Square Footage of the Following :
House footprint 2, TI
Driveway /, 6,70
All sidewalks and walkways / O
A/C Pads
Detached Garage/Sheds
Pool Decking e717/
Patios, terraces and/or decks 171q0
Add the total square footage of the areas listed
above then, divide the sum by the total lot area of
property
New S i Obvv I G 1<
co x3, 5
60 94.
4or 4g64 M75 /
JO' bb