357 12TH ST - RIGHT OF WAY PAVERS CITY OF ATLANTIC BEACH
r f 800 SEMINOLE ROAD
=". ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROW-2530
Job Type: RIGHT-OF-WAY PERMIT
Description: PAVERS - PARKING AND WALKWAY
Estimated Value:
Issue Date: 12/4/2015
Expiration Date: 6/1/2016
PROPERTY ADDRESS:
Address: 357 12TH ST
RE Number: 171989-0115
PROPERTY OWNER:
Name: BONEY, ANN
Address: 357 12TH ST
GENERAL CONTRACTOR INFORMATION:
Name: MCANENY BUILDERS LLC
Address: 1010 EAST ADAMS ST LEONARD W MCANENY
Phone: - -
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 right-of-way restoration, including sod, is required.
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.
Dumpster and chemical toilet may not be on right-of-way.
PERMI1 IS AI'I'RO1'ED ONLY IN ACCORDANCE NVI III 1I. . CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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r CITY OF ATLANTIC BEACH
_ : A� s) 800 SEMINOLE ROAD
•
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Provide details of pervious paver proposed before start of construction confirm type. Pavers
must be installed by manufacturer's recommendations.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL (;ITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA
BUILDING CODES.
S!:lll�y City of Atlantic Beach
r ��� Building Department APPLICATION NUMBER
•s 1 800 Seminole Road RECEIVED (To be assigned by the Building Department.)
.; �r Atlantic Beach, Florida 32233-5445 (5 — Row -Zs3
\ Phone(904)247-5826 • Fax(904)247-;:t 2 7 2015
• v;{ E-mail: building-dept @coab.us Date routed:—1 INW.
City web-site: http://www.coab.us BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address:as 7 l Z' Department review required Yes No
Building
Applicant: C\INc ; N EN� 60, Planning &Zoning
Tree Administrator
Project: B• 11116 4 ► P ••• A •_.
PpkRK`AD V Q r , AL &) Public a a
A PublicUle '
v e
Fire Services
Review fee $ 'Lif' Dept Signature _,
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept. of Environmental P rotection
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:
APPLIC ATION STATUS
Reviewing Department First Review: lepproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: h" Date:?° 2-?
TREE ADMIN. Second Review: ❑Approved as revised.
❑Denied.
WOR_ •mments:
BLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
,,s drf;:),. City of Atlantic Beach RECEIVED APPLICATION NUMBER
rj "/fr. ,�,% Building Department (To be assigned by the Building Department.)
r -. �, 800 Seminole Road OCT 2
uit - .r Atlantic Beach, Florida 32233-5445
7 2015 �s ' Row -Z5 2 Q
Phone(904)247-5826 • Fax(904)21 - :45 `,
40109%- E-mail: building-dept @coab.us I._. Date routed:A OM
City web-site: http://www.coab.us .
APPLICATION REVIEW AND TRACKING FORM
Property Address:as- 1 � ( Department review required Yes No
6u, Building
Applicant: 1 E N Elv t. L Q..S Planning &Zoning
ill Tree Administrator
Project: B• \ ,_ • p. A ^
int LK A Public Utilities- Public ae—m— -
Fire Services
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. It Denied.
(Circle one.) Comments: J4l #tj#i Gw Caosa e( J
BUILDING
PLANNING &ZONING OEI• I D Reviewed by: f Date: / 190( I
TREE ADMIN. Second Review: as revised. t;:enied.
UBLIC WORKS Comments:
—rue aM
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: `O t----- Date: /Z/1/, ----
FIRE SERVICES Third Review: ['Approved as revised. 'e-vied.
Comments:
Reviewed by: Date:
tevised 07/27/10
i
„t- CITY OF ATLANTIC BEACH
A
llflllll• c `,,
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road
904-247-5800
-vs vr= Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT 2)COMPL TE SETS OF PLANS WITH APPLICATION. PERMIT# ISQw Z.-53 Q
Date tjLS ISSUES BY THE CITY
Job Address 35 7 I Z?� S rzEi�� ( TLAaic.� E-mail LL ry\c-A Li F(V 41T, me 1
Permitee: MCA-d,„)c N 1 'RBI L-�6-n$ Telephone# 90%4
Permitee Address: i Cl 10 E AS t (aQQ me S
Requesting Permission to Construct: •?4.1 �NZ.NC K `7a2(LI NS Sfr;1CL
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. C n
A Letter of Notification was mailed to the following Utilities/Municipalities: r VI • O i- Y
Jacksonville Electric Authority Yes ( ) No ( ) Date: VV
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 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 LEc>>J Amp C IC\N L (Contractor's Project Superintendent)
located at )t3 1 s� (!\ T ADp i,,..,< ST�A� 3ZZotTeleiShone#: C)0 i{ z I _-oa y
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 'Z 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.
' .. ee, JENNFER WILLIAMS
OWNER ¢+ ;A1 * MY COMMISSION:i FF 158293
EXPIRES:September 9,2018
�r0 oc F030- Bonded T¢ru Bidget Notary Serrkes
Signed: 7 Date: LOI'L2I'I')Before me this 1-2''x'1 day
of • ',0"..,:,.. n t e County Duval, State Of Florida, has personally appeared
•j L.-"/ - Notary Public at Large, State of Florida, Coutnyto Dinitil. VI n rill y
commission pir-s: L q
ersor� no n: C �
Produced Identification: 6a
Revised 7/29/15
R.O.W. Permit Attachment of for
R.O.W. Permit# issued ,200_ Atlantic Beach,FL 32233
Owner's Name: _ z a c.{
Property Address: 'SS"7 I z T7 i l
Subdivision: SG LU tr,A
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
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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 2:2..uk day of OCitt),,Y' ,200.
By: , ,iG .,..
' opert 0 er
(to be sign.d in prese Oof the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this !2na day of 0CA' le , 20j5, personally appeared before me, a Notary
Public in and for said County and State, Any y
.757 p2.wA �',pnt , the property owner of
SfVett , Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that he or she
execu d the e freely and voluntarily and for the uses and purposes therein mentioned.
4.\ t;av n1�c IFER WILUAMS
a `l,�, * MY COMMISSION#FF 158293
. � EXPIRES:September 9,2018
ary P blic said County and State "r,,�aFvo.cr Bonded Thru8U Notary Services
CITY OF ATLANTIC BEACH,FLORIDA,a
municipal corporation:
Approved:
Doug Layton, Public Works Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere, City Manager
I
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