2236 BAREFOOT TRAC - PAVER DRIVEWAY J' ;#-- �
SS1
CITY OF ATLANTIC BEACH
- .--, f 800 SEMINOLE ROAD
\ °"� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
`��Sil>j-
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROW-2718
Job Type: RIGHT-OF-WAY PERMIT
Description: PAVER DRIVEWAY
Estimated Value:
Issue Date: 12/18/2015
Expiration Date: 6/15/2016
PROPERTY ADDRESS:
Address: 2236 BAREFOOT TRAC
RE Number: 169463-0588
PROPERTY OWNER:
Name: MONS,NARAYAN C & JENNIFER LYNN, *
Address: 2236 BAREFOOT TRAC
GENERAL CONTRACTOR INFORMATION:
Name: ANDERSON PAVERS INC
Address: 1244 ARROWLEAF TER
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 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.)
PERMIT IS APPROVED ONLY IN ACCORDANCE 11'1'111 A1.1. CITY OF ATLANTIC MACH ORDINANCES AND THE I LORIDA
BUILDING CODES.
,
ri \ `% CITY OF ATLANTIC BEACH
A s) 800 SEMINOLE ROAD
J'A = 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
a
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEAC11 ORDINANCES AND THE FLORIDA
1 BUILDING CODES.
..o''44!:,,,7 } CITY OF ATLANTIC BEACH IECEOVEIE
:Il CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF
ai— - ., fwg,.
800 Seminole Road ��lJ AND EASEMENTS
z. Atlantic Beach,Florida 32233-5445 0 580
PLEASE SUBMICOMPLETE SETS OF PLANS Hoax �047i584
LANS WITH APPLICATION. I
Date •v • 0
PERMIT#
Job Address a �
ISSUED BY THE CITY
Permifee: 0 •
..` Telephone* 9 O _as
Permittee Address: t a.4'4 'k 'ea -T- -sS'I
t . 1 l
Requesting Permission to Construct:
1 - ► AL,
ik
Location: (Reference to Cross-Street) A j r
1. A� - •. aa•
Applicant declares that prior to filing this application he has ascertained the location of all exist -
both aerial and underground and the Accurate loc tions are shown on the sketc es.
i ,... e
�n `\ \1 �. n�•, + g utili ies,�Co m
A Letter of Notification was mailed to the following Utilities/Municipalities: eC�,4 Cp - � `�
Jacksonville Electric Authority
' ' " tt In Al ) No r ( ) Date:
Bell South Telephone Company
Ferrell Gases ) No ( ) Date:
Comcast Yes ( ) No ( ) Date:
2 Yes ( ) No ( ) Date:
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 s
required by the Director of Public Works, and at the expense of theme ifs
authorized. as
3. All work shall meet City of Atlantic Bea h or Florida Deg yement is
p-rt ent ci it c- _ Ada as rds and be
performed under the supervision of • a-
Superintendent) located at .2x- L , "�. (Contractor's Project
4. All materials and equipment shall be subject to inspection by the Director of Public pWork or his d
-•- 9 oil-as�l-a..t?3
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. designee.
6. A sketch of plans covering details of this installation, as well as, a copy y
part of this permit. Calculations showin• an increase in im.ervious area ron owner's lot shall
in the city
Right of Wa are to be included with this a.•lication.
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 fl�
✓ .0:4,„ Commission LOUISE ADOLPH
Signed: s Commission#FF 094228
7fr Before !this (�� day of Date: ll 111�� - }' •4 Expires February 19,2018
State Of Florida,has personally appeared �n t e County of Duval, ''�q` `''• &od'dm"T�Fin lum,,.eoO-3ssapig
Notary Public at Large,State of Fl Pida,Coupl f�,TIT
My commission expires: fell uiyy l
`i; sonallyKno.
'roduced Identi9ca .
cl a _ „
•
Permit Attachment of for
Permit# issued Z0 Atlantic Beach,FL 32233
Owner's Name: Property Address:
R.E.#:
• Subdivision: Lot#/Block#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT,issued on this
by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of
Florida, hereinafter referred to as "CITY" and
hereinafter referred to as "USER". of Atlantic Beach; Florida,
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 Beach Right-of-Way/Easement permit numbers noted above(copies attached)escribed in the City of Atlantic
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 from the City of Atlantic Beach,PublidWorks Department, n
discretion of the CITY, be requested to submit as-built drawings showing chase e within thirty shall,at the
after the day of completion. g thrrty(30) days
This permit shall insure to the benefit of, and be binding upon, the USER and their respective successors
assigns. and
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 ublic
rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shll
be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said are hereby assumed by the USER. and
DATED and SIGNED this I i ' day of_ „t,m,
\ t-` 20is.
By' i
P ' • rty •caner
( • be signed in presence of the Notary)
THURLEY LOUISE ADOLPH
:• Commission#FF 094228
STATE `"' r►�;�= Expires February 19,2018
OF FLORIDA e«wwrm Troy Fan Ins
COUNTY OF DUVAL 800 '°"
On this day of ND Vhf Y! � to•
and for said County 20 IS:personally appeared before me, a Notary Public in
P for said C ty nd State, �Idl/(
Atlntic Beach,Florida,known to me t be the person(s)described in
and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freel
and voluntarily and for the uses and purposes therein mentioned. y
Notary Public in for said County and State 17(,( .( --A0 vi,-1,_
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
Page 2 of 2
.:(!...A1 P,:.-;. , City of Atlantic Beach RECFT\T
,,• ;l 3 Building Department APPLICATION NUMBER
"` 800 Seminole Road ( • be assigned by the Building Department.)
� .,_,:�: NOV 2 0 2015 ( -Row
u Atlantic Beach, Florida 32233-5445
_� ,,,.
Phone(904)247-5826 • Fax(904)247-58- r
A.o;t E%• E-mail: building-dept @coab.us �Y'--- .--_
City web-site: http://www.coab.us I---��ate routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 22 3 4 Tritri bar 71---- Department review required Yes No
Bui
Iding
Applicant: de �•Sf/1 r!'t r Planning &Zoning
Tr .nistrator
Project: A qtr i YE l�-2I9.
•ublic Safety
Fire Services
Review fee $ 2! Dept Signature 1,1/*�
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:
APPLI ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: 1"---- ` Date: 4 /2_i1't 5--
TREE ADMIN.
Second Review: DApproved as revised. ❑Denied.
.'�.of WOR Comments:
•UBLIC UTILITIES
j/- zoo
PU LIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: [Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
vised 07/27/10
City of Atlantic Beach
�s' APPLICATION NUMBER
,.' Building Department =CEI'VEI assigned by
A I c be assi ned b the Building Department.)
v 800 Seminole Road
' ; Atlantic Beach, Florida 32233-5445 NOV 2 0 2015 ( -Row -Z7 a
Phone(904)247-5826 • Fax(904)247-5845
a'i• E-mail: building-dept@coab.us BY:_ Date routed: 9
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 22 3 6 Tritrf eir `j Department review required Yes No
Building
Applicant: a e.$£n trrf Planning &Zoning
Tr istrator
Project: PA ( r-J yip/
is ti i ie
ublic Safety
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. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: ` e ( !-- Date:
TREE ADMIN. 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:
Revised 07/27/10