1748 OCEAN GROVE DR - RIGHT OF WAY si, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Or, Y, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 15-ROW-2553
Job Type: RIGHT-OF-WAY PERMIT
Description: PAVERS
Estimated Value:
Issue Date: 11/5/2015
Expiration Date: 5/3/2016
PROPERTY ADDRESS:
Address: 1748 OCEAN GROVE DR
RE Number: 169616-0000
PROPERTY OWNER:
Name: RAY. TERRI
Address: 1748 OCEAN GROVE DR
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
I'I I ftEI`pr 1 ROVED ONLY IN ACCORDANCE WTI II ALL CITY OF ATLANTIC BEACH ORDINANCES AND 'I I11: FLORIDA
Ill-+I CODIS.
.
r • '-?, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Full right-of-way restoration, including sod, is required.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 'HIE FLORIDA
BUILDING CODES.
R.O.W. Permit Attachment of for
R.O.W. Permit# issued ,200_ Atlantic Beach, FL 32233
Owner's Name: ' V\ .
Property Address: `'74'C OLPc.." �-C
Subdivision:
Lot#/Block#:
R.E.#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
007 , 20Qcby 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: r41c...t crulke d � w'
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 ��C day of CJ a" ,2011S
By: c$
Property p rty Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY O OC.A F DUVAL
On this 8 day of 2,0014ersonall appeared before
Public in and for said County and State, 1"i c._ y pp me, a Notary
the property owner of
t`Z4� .c■(tbdp D r Atlantic Beach, Florida, known to me to be the person(s)
descri -d and who executed the foregoing instrument; who acknowledged to me that he or she
execu ed e s. e-ly an f, v n luntarily and for the uses and purposes therein mentioned.
- / M'rky TONI GINDLESPERGER
Notary Public in for sai:• County . TStat. 't L EXPIRES: cto 0 FF924951
,-�-••,,, EXPIRES:October 6,2019
Bonded Thru Notary Pubic Undembn
CITY OF ATLANTIC BEACH, •RIDA, a rt
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
J
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PERMIT#
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION.
Date ‘v 7— k ' ISSUES BY THE CITY
Job Address 1-1•-\‘t . (..�G1n Gc-ou(' E-mail Asarn \ ('au C 1 CAo.,id • lam~
Permitee: , r'-\ Telephone# -lo (,, C . .' d
Permitee Address: 1'-)W6 tYrGf'' Grove p
Requesting Permission to Construct: -O4L u,,r or4.0k° ckt-`it I,"(,,,, " cc(`‘4 L-C w , j
r �, � e ie yr.,->N G� ��
Location: (Reference to Cross-Street) \1 "( (. t '' GrO 3 `� v� (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.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes (`i.) No ( ) Date:
Bell South Telephone Company Yes (.) No ( ) Date:
Ferrell Gas . Yes(.4 ) No( ) Date:
Comcast Yes (1,.) 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 Permitee unless reimbursement is authorized.
3. All work shall meet City of Atlantic Beach or Florida Departm t of Trans q tation Standards and be performed
under the supervision of (\\\� a�X 1�1' T k u\'QCd�t r s Project Superintendent)
located at Nr∎( .,_3Lfc Telephone#: . -.k`&
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 /C--
Signed: ( , C"---.. Date: "-' !►Before me this —l_D day
of ]C1 in the County of Duval, Sta - • .r'.. . .e • ,I -'se-red
r. .4 m o•• — Q Notar •„,.1,t�.,a argue`z; .'7. a,I ounty of Duval. My
corn #sion expir gyi' _:, , MY COMMISSION•FF 924951 P:rsonally
Known:
A� .%.7a EXP=':I'V. :;fidWitifichtion:
_I�/��►+ ripr •
, - 'Ala' , . 7/29115
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• "'!� wP^-.1'�'{.4 P`n .i.SZ-_i�.y ..sw-..._�J.. _ a... ✓taa._�s.Y.; -. _ i. .�
ORDERED BY: , i•
; The Law Offices of Rod Schloth 4 ,�-
2187 S Third St .
Jacksonville Bch, FL 32250 a. -�``' '-
. 904-372-9351 . ._ •
beach@ rod-law.com _ .. -`!` ;
1 PROPERTY ADDRESS: 1748 OCEAN GROVE DRIVE ATLANTIC BEACH,FLORIDA 32233 ' SURVEY NUMBER: FL1409.0062
FIELD WORK DATE a mt REVISION DATE(5)caEV.o 9rsrlo+q Z W NO DUMPSTER REQUIRED
a Lam 0 NO TREES REMOVED
z 6 NQ PORT-A-POT
TABIP: W .:.
FLBOUI�OARYSURVEY L 1503'46'42'E 30.00(0) =g a ': REQUIRED
OWALCOUNTY s oa•4e2r E 29.77'(N+) c?W 0
L-2 5 03.46.42'E 30.Oa(D) s N I FULL RIGHT OF WAY
... ,........-- •"".--,r 04.48.25-E 30.ar cM) t Z...
RESTORATION BY OWNER
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EXHIBIT B. TREE&VEGETATION INVENTORY Application#TREE.....
For the removal of 25 trees or less associated with major development,redevelopment or renovation of or addition to single-
family or two-family structures,or the removal of 25 trees or less associated with the renovation of or addition to all other non-
residential uses,use the grid below to create a Tree&Vegetation Inventory. Note the scale on the bottom of the page. Plot the
boundaries of the subject property,as well as existing and proposed structure(s). Label all adjacent streets. Note the location of
trees to be removed with an"X'. Note the location of trees to be preserved with 1 I . Note u-e proposed location of replacement
(mitigation)trees with "O'. Number all trees,whether to be removed,preserved or replaced,and list on EXHIBIT C. Tree&
Vegetation Mitigation Worksheet.
ORDERED Br. `: ,
I
The Law Offices of Rod Schloth , 1
2187 S Third St
Jacksonville Bch, FL 32250 ` ;,
904-372-9351
beach®rod-law.com
1
PROPERTY ACORE'SS:1748 OCEAN GROVE DRIVE ATLANTIC BEACH.NLOEE)A 32133 SURVEY NUMBER M.140i.0362
MELD WORK GATE:ennm. REVISION DAMS):owl c,venom
R.140Yi0112 TAe1L NO .
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5 04.4825'C 30.00 NO
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1
X0-4.;, City of Atlantic Beach �'�--
11V-+ APPLICATION NUMBER
�,*� Building Department � 1 yet) (To be assigned by the Building Department.)
•�� �;f- ';.,.-,.k� 800 Seminole Road � - ' �
r-` .. r Atlantic Beach, Florida 32233-5445 OCT 2 9 2415 /c-ha) �S S
P Phone (904)247-5826 • Fax(904) 645
aT Cer E-mail: building-dept @coab.us Date routed: /6/20.3
City web-site. http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 7 VS 616,1 16 e(f. Department review required Yes No
Building
Applicant: o X) ' 1/ _ Planning &Zoning
Tree Administrator
Project: Alen_Vil..5 / /- � ubl. r
�kajc�.ltilitie5)
Public Safety
Fire Services
Review fee $ Dept Signature
i ____
Review or Receipt
Other Agency Review or Permit Required of Permit Verified 13x____ 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: Approvedd.. // ❑Denied.
(Circle one.) Comments: he �tdd ,ifotett,i
BUILDING
PLANNING & ZONING �--� ,,LL
Reviewed by: kV/ Date: t 7
TREE ADMIN. Second Review: A roved as revised.
n pp nDenied.
LIC WORKS) Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. nDenied.
Comments:
Reviewed by: Date:
'evised 07/27/10
sL'tIN) City of Atlantic Beach
APPLICATION NUMBER
* Building Department � p (To be assigned by the Building Department.)
�
800 Seminole Road OCT � �
vo Atlantic Beach, Florida 32233-54, ..
Phone(904)247-5826 • Fax(96••
%4o;t a E-mail: building-dept @coab.us \
Date routed: I
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /•7 '/ ���/ii- f V Department review required Yes No
Building
/ I 9
Applicant: o &) ') ) _ Planning &Zoning
Tree Administrator
Project: lj � /,9v' ,e� /9re -.�� A . • -.
u. tilities
Public Safety
Fire Services
Review fee $ 2 Dept Signature %r \
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.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: � � Date: (i/3/f'
TREE ADMIN. Second Review: ['Approved as revised. ❑Denied.
.1031 IC WOR, S C. ments:
asUBLIC UTILITIE711
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10