420 BEACH AVE - DRIVEWAY BUMPER ,
rr.\1.1-fir
b' 1 * CITY OF ATLANTIC BEACH
s:: •� v9 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
v • - INSPECTION PHONE LINE 247-5826
\J;31>Y
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-1897
Job Type: DRIVEWAY
Description: BUMPER FOR DRIVEWAY (PREVENT FLOODING)
Estimated Value:
Issue Date: 10/22/2015
Expiration Date: 4/19/2016
PROPERTY ADDRESS:
Address: 420 BEACH AVE
RE Number: 170163-0000
PROPERTY OWNER:
Name: KOERNER TRUST, BEVERLY A
Address: 420 BEACH AVE
PERMIT INFORMATION: PUBLIC WORKS:
Notify Public Works at (904) 247-5834 for completion inspection.
Full right-of-way restoration, including sod and asphalt is required.
Curb may not cause ponding of storm water in street.
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.
rfi iir,4 City of Atlantic Beach -C��
Building Department v j APPLICATION NUMBER
800 Seminole Road qUG (To be si d by the Building Department)
':' Atlantic Beach, Florida 37.233 544� j 2015
e q
Phone(904)247-5826 Fax(9017.5845 . s 4 -. 4 7
,.;+ E-mail: building-dept @coab.us
City web-site: http://www.coab.us �-- Date routed: . IV .5--
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2 0 ,,OP
eke
Department review required Yes No
O ,, l Building --
Applicant: Planning&Zoning
Tr— ifistrator =
Project: __01 1 Public •
IIII
MailIZITZ
v r F/0 Oe • Safety
Public Safet
�
_-
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:
APPLICATION STATUS
Reviewing Department First Review:
Approved. ❑Denied. 5.0*
(Circle one.) Comments:
BUILDING 9.iHcN�'�
��� a°mss
PLANNING &ZONING g
Reviewed by:
TREE ADMIN. Date: 2 /L /S
Second Review: []Approved as revised. ❑Denied.
`PUBLIC WORKS ‘ Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review:
['Approved as revised. ['Denied.
Comments:
Reviewed by:
Date:
vised 07/27/10
7
/
I.An,. City of Atlantic Beach `'
'� �` �--- APPLICATION NUMBER
Building Departments�T
J ° 800 Seminole Road (To be)ssi d by the Building Department.)
l Atlantic Beach, Florida 32233-5445
BUG 4 0 2015 J r– f�g 7
Phone(904)247-5826 • Fax(9047-5845
'.��,�rti E-mail: building-dept @coab.us Date routed: e 7/15--1✓
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 0 gegeif 4-6 Department review required Yes No
Building
Applicant: _ 0 lit-nl f e., Planning&Zoning
�� �� Tr-- ,••.• istrator
Project: _.1 i1 / vE w Public ■ • s
..
1-;--ixfv 9i r 0.00.4.47 •• Public Safety
Fire Services
Review fee $ Dept Signature 'w`--___
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING w,� �— _
Reviewed by: Date: /7 y//J
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied.
oil IC WO'KS omments:
PUB . C U ILI I
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
/ , .
�h, AUG 07
- -A` CITY OF ATLANTIC BEACH
�, ;,, 3 IF ;,I CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND SEMENTS
•
y .
"' "'`" 800 Seminole Road
�a;n>%' Atlantic Beach,Florida 32233-5445 247-5800- —
Fax 904-247-5845
PLEASE SUBMICOMPLETE SETS OF PLANS WITH APPLICATION.
Date lsl/$T- 7•a cis-
PERMIT
�� E�/v , -- #
v ISSUED BY THE CITY
Job Address I
Permitee: �°`s404,3, , r�,,e4Lf2
Telephone#
Permittee Address: �0(4-j ir/�
Requestingiss Construct: O� '�04?e -� -,13- 6../•Q 49P -u/ / 7-0 tEYy4/��r ,c� i c, oh- .7415pol exr
y—
Location: (Reference to Cross-Street) ,� vw�F,J 7- ' 4"-.. --4 S2
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
Bell South Telephone Company Yes( ) No ( ) Date:
Ferrell Gas Yes( ) No ( ) Date:
Comcast Yes( ) No ( ) Date:
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 Flprida Department of Transportation Standards and be
performed under the supervision of ;,/o104/ a 6
Superintendent) located at (Contractor's Project
4. All materials and equipment shall be subject to inspection by the Director of PublicpWork or his designee. `/572.
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
\ ■ ` /
Signed .G: i.< ,Q4mJh� Da :�pI.j/- 20/� .
n= .re '--this G'�� day of V in the County of Duval,
ae Of Florida,has personally appeared
Notary at Large,State of Florida,County of Duval.
';y c• iss •n -xpires: ,
IV_1 I A��` A S;mid P�rsonalfy Known:
Produced Identi icatiorll./
617576
Statement CATE4 4e46- / 5 TERMS
TO
IN ACCOUNT WITH
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CURRENT OVER 30 DAYS OVER 60 DAYS
TOTAL AMOUNT
atadams•DC51112 01-11
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S HO WING BO UND AR Y S UR Vii: Y OF
LOT 2 E X CEP T Fri E: ..;•./E',-•,'7 c.:.:. F EE T, & C.(....',. ?—., :13 !•,:i : V.; : ::: :c .i:3, L., 7"LAN-1 i C
FAC;-i ACC3RD■NC7 T',"". THE P! Al Tlitt•-_.:.,-- ,--k": rc',_ ,;' :.-)1-.1,) :N H.4, T BOOK 5,
PAGE: 69, OF THE C.LJRR -NT PLJBLIC RE:',ORDS OF 12,1 '‘IA _ COUNTY. FL OR IDA.
NOTES: 20' 50'
iiwi;00' 10'
I. ANGLES ESTABLISHED IN THE FIELD.
2. FIELD WORK COMPLETED 4/9/93. .
GRAPHIC SCALE
SCALE r • 20'
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•
7 ,, CITY OF ATLANTIC BEACH AUG 0 7
N :1 � CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND V
— 800 Seminole Road SEMENTS
DP. z. Atlantic Beach,Florida 32233-5445 �^
PLEASE SUBMICOMPLETE SETS OF PLANS WITH APPLICATION, Fax 904-247-5845
Date 1l�1/$T- 7.4R0/5- Z 4-7--`7 S S
Job Address 0���E/JC// I/6- PERMIT#
ISSUED BY THE CITY
Permitee: .i016' 404-,,Q11/L�2
��� 0/4C Telephone
Permittee Address: e e"''`,
Requesting permission to Construct: e679 T- a-ve-ee
4&--,44,0 0p-,7 J � I--,re-x6:76` !�w .,C_ dGPj ,dam -d _ __
Location: (Reference to Cross-Street) a::: ::7-'4"•6-'1-1 M.
1. Applicant declares that prior to filing this application he has ascertained the location of all existin g 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
Bell South Telephone Company Yes( ) No ( ) Date:
Ferrell Gas Yes( ) No ( ) Date:
Comcast Yes( ) No ( ) Date:
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
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized. as
3. All work shall meet City of Atlantic Beach or Flprida Department of Transportation Standards
performed under the supervision of �y /fws and be
Superintendent) located at {Contractor's Project
Telephone
4. All materials and equipment shall be subject to inspection by the Director of P blic Works or his designee.
5. All city property shall be restored to its original condition as far as practical, in keeping �� _
and the manner satisfactory to the city. gee.
plug with city specifications
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be ma
part of this permit. Calculations showing an increase in impervious area on owner's lot or in the city
Riht 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
■
Signed. Z..: e` 1# -..P9,�'!J� .
=- • this Da !*<,y- '7- 20/5 .
day of j LJ II in the County of Duval,
- - Of Florida,has personally appeared
Notary Publj at Large,State of Florida,County of Duval.
•1;'A /1a1 II Ta�i P�rsonall Known:
1/ i - S. , mr Produced Identi icatiorA./
617576
DATE TERMS Statement 4
- • .
IN ACCOUNT WITH
/SeVirtfris•d PA-)Grki„,-5
1 ?*751-i ,45-A
, .
_13 A-rice- 4-If i 1
-------__L___ LA91 Or L" CSa Oil p
I
417 Gil i 4/6- 0 t/4.
1 ,
40 -W-t-r-M--4_0____4—
. AittFexatiLL iciS t be
1 ,Ii50, I
CURRENT
1
OVER 30 DAYS OVER 60 DAYS
TOTAL AMOUNT 1111
I ....-
Madams.DC5012 1)1-11