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1886 Seminole Rd - Driveway 1 L'i-\i‘i-firl \ J ` S, CITY OF ATLANTIC BEACH • ,� si 800 SEMINOLE ROAD j �° ATLANTIC BEACH, FL 32233 \ \,,..___ INSPECTION PHONE LINE 247 -5814 x11119 DRIVEWAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814 JOB INFORMATION: Job ID: 15 - DWAY - 2980 Job Type: DRIVEWAY Description: paver driveway Estimated Value: Issue Date: 1/13/2016 Expiration Date: 7/11/2016 PROPERTY ADDRESS: Address: 1886 SEMINOLE RD RE Number: 172020 -0524 PROPERTY OWNER: Name: WATSON REALTY CORPORATION Address: 7821 DEERCREEK CLUB DR PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: 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. Sidewalk to run thru driveway. 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. Chemical toilets and construction parking not allowed in City right -of -way. 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. PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. j y \-I ' r'Z ' CITY OF ATLANTIC BEACH ', " 800 SEMINOLE ROAD J ir ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 \03319'' 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. 1..A r,,, City of Atlantic Beach ' P �., APPLICATION NUMBER 4' Af Building Department 1D (To be assigned by the Building Departmen it is 800 Seminole Road , Atlantic Beach, Florida 32233 -5445 SEC 81 2 015 25"-A k1, � - d 9 0 Phone (904) 247 -5826 • • Fax (904) 247,5845 7 won , > , E -mail: building- dept @coab.us Date routed: �G ��. City web -site: http: / /www.coab.us _„/ APPLICATION REVIEW AND TRACKING FORM Property Address: /fro jf MIA/0 le Department review required Yes No Building Applicant: a) EG Planning & Zoning Tr • .strator Project: 7A-Vc,gS i VV Y1/7 4iic Work ublic Utilitie Public Safety Fire Services Review fee $ Z3 Dept Signature X 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: r' Approved. ❑ Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: rf Date: (/ ( G TREE ADMIN. Second Review: ['Approved as revised. ['Denied. . ,F:LIC WO S Comments: UBLIC UTILITIES Z -- ,— PUBLIC SA ET Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 ,.s- -L, City of Atlantic Beach 1� � APPLICATION NUMBER Building Department (To be a r `\ 800 Seminole Road 0 � jT , assigned by the Building Department v •- , Atlantic Beach, Florida 32233 -5445 FC 1 ��� /j ion - �°o � � / Phone (904) 247 -5826 • Fax (904) 247 =5k45 ?�� / \<!___. E-mail: building-dept@coab.us ' Date routed: 2 Af ./J City web -site: http: / /www.coab.us \ ;/ APPLICATION REVIEW ANDtRACKING FORM Property Address: /ff iffrtimdie Department review required Yes No Building Applicant: O /A) `� 6.e Planning & Zoning / � _ Tr -- A • •• trator Project: ihicigS �- l l/ W I" • • I • • - blic Utilities Public Safety 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: Jet 4#44r 6m4e4k BUILDING PLANNING & ZONING � Reviewed by: ..#4,,,,.......,_ Date: /� /I TREE ADMIN. Second Review: ❑Approved as revised. 1 enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: I Reviewed by: Date: Revised 07/27/10 :' -.;4:'i4;..... jai. ii .. I .: , I _ fy C wry 7 W - I _ `' Y !. N• N , . , j ,'Po/ I yzr • � .S n u G . • ti e ) • <.. • _ �. �, • a ..�- r . . -: , 9.. , -,,::: - y a - - e. . - - -.' .------'-- ::.•..." ¢ p o i o - r ,.• t : .Vb : '....:-. ': .,•-"... .:.'-- . -c..:••• ..... • ; •••;-• '',.... ..:::....- ..,....:••,::;::::::::'. .........- • :.1!! : jl CITY OF ATLANTIC BEACH , �� CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road Atlantic Beach, Florida 32233 -5445 904- 247 -5800 Fax 904 - 247 -5845 PLEASE SUBMIT (2) COMPLETE SETS OF PLANS WITH APPLICATION. PERMIT # Date / - S 0 6 l c ISSUES BY THE CITY Job Address / S� { S ; /V o 1 e Ri E -mail Permitee: Telephone # l S j(�/ • Permitee Address: • V S e M; A0 e R j Requesting Permission to Construct: h� i �l 1 " , et c/ 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. A Letter of Notification was mailed to the following Utilities / Municipalities: 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 Permitee unless reimbursement is authorized. 3. All work shall meet City of tlan is Beac r Flor d a Depa ment of Transportation Standards and be performed under the s pervision of �, j p- F 3 (,A c /- , € e (Contractor's Project Superintendent) located at /6 R". S e�.t �,t�U / f? C! Telephone #: / S'9(f9 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 priorti;"tiryrNgEligmmediately upon completion. * .) * MY COMMISSION gFF121992 / EXPIRES: September 11, 2018 / OWNER ' Bonded Ttru Budget Notary Services Date: /Z -2945 Before me this 4fr/./ da of j)ce, ,'Lfn the County of Duval, State Florida, has personally appeared y Notary Public at Large, State of Florida, County of Duval. My commtsion expires: Personally Known: Produced Identification: BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: i � 8'(Q ' t? ,, 1 Jo _ ' Legal Description ,� Ai _ , Permit Number: Valuation of Work $ oor A ea o q o Parcel # 0 Proposed ork heated /cooled t n - heated /cooled Class of Work (circle one): New Addition Alteration Repair p Move II emolitioi pool/spa window /door Use of existing /pro osed structure(s) (circle one): Commercial • Han existing structure, is a fire sprinkler system installed? (Circle one): esies� ti, No Florida Product Approval # N /A For multiple products use product approva orm - Describe in detail the type of work to be performed: Pro erty Owner Information• Name: City Address: E -Mail or Fax # (Optional) State Zip Phone Contractor Information: CONTRACTOR EMAIL ADDRESS: _ Company Name: Address: __ Qualifying Agent: Office Phone Cit State State Certification/Registration # Job Site/ Contact Number _ Zip Fax # --- Architect Name & Phone # Engineer's Name & Phone # Fee Supple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated I cert that no work or installation has commenced ri issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period ofsix 6) months at any time a work is commenced. I understand that separate permits must be secured for Electrical Plumbing, Signs, Wells, Pools, Furnaces, Boiler Hea ter Tanks and Air Conditioners, etc. es null ters, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CON U OVEMENTS LT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OF •sereb ct th I hav r and examinis a licat pion k the e e nd correct. provisi of laws and ordinances governin th' �e of wor will b e complied ead with whether ed sp ied herein or and no t. The gasamnting to b of a true permit a does not pr esume t o ive out ovisions of any other federal, state, or local law regulating construction or the r performance of construction. /' g horny to violate or cane the gnature of Owner i eeeca,.. 4, , # .- eo Signature of Contractor �� /o' 647)7% nt Name lrVif 1 !�/I1 1 ...., �c ?( TSoc , L� #i L,A4224 -a .' life klaa Print Name * � , ' 1 �� fore me Q 0 _S� Day of _ �. 20 1 Befog e this sp of 2 era ■ � P� vo II ° e% P ENNY MELEESE GROOM T1 � 43;:':4..).% `�� PEN MISSION E GROOM 2 0 ary Pt1,b , >, , * • 0 ' # MY C OMMISSION t FF 121992 �' �j ��_. �� ` � , u!i EXPIRES: September 11, 2018 s oi-r ' n;iTES: September 11, 2018 of FL�``O Bonded Thru Budget Notary Services �f Bonded Thru Budget Nofary Services Revised 01 ')4 1 n P 44.tzio4 / 6 6 .1 /r L9ij,4 y ozwo Z 4- /00 9 hvide fb K r f — 4 176 4 1 \ 9 1( C yr 1. 1111Y iczy garo F04- Ake / qr 7, tiolte &col K jr x iro z I K.e bY Jie t ha- floil4 e vitir UZb XI e 10 rite_ stj Ty /- Permit Attachment of Permit # issued 20 Atlantic Beach, FL 32233 Owner's Name: / L M. 1 d ,43rProperty A ddress: l i S e _ r RE. #: ��r�cnL Q • Subdivision: Lot # / Block #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, by Atlantic Beach, Florida, a municipal corporation issued on this jAday of ganized and exi tin 20/C-- e o f g under the laws e ch; Florida, oof Florida, hereinafter referred to as "CITY" and • hereinafter referred to as "USER ". of Atlantic Beach Fri WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right t enter upon the property of the City of Atlantic Beach for the c Beach Right of- Way/Easement permit numbers noted above (copies purpose in the City of Atlantic This work is generally described as: 1 Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted rem 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, to of the utilities and facilities of the CITY or franchise utility providerpg� operating, replacing, or 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 approval from the City of Atlantic Beach, Public Works Dpartment, said change. The USER sha , at g discretion of the CITY, be requested to submit as -built drawings showing the change within thirty (30) days after the day of completion. the US R shall, at the This permit shall insure to the benefit of, and be binding upon; assigns. ER and their respective successors and USER shall meet the terms and conditions of this e and/or specifications, to include utilities locate requirements t and l u e l to ions /e State and CITY laws rights -of -way and other public land. USER further agrees that the CITY and its officers and saved harmless by the USER from any of the work herein under bons /requirements of public liabilities are hereby assumed by the USER. the terms of this permit an d that o all of said DATED and SIGNED this t;( f/- day of Eeze„, ,, 20 ,L� By: Property Owner �RY P� * •••.e PENNY MELEESE GROOM (to be signed in presence of the Notary) //)-11-75") * : t � j * MY COMMISSION # FF 121992 s 17 I EXPIRES: September 11, 2018 STATE OF FLORIDA �� f9 OF FLO Bonded ThruBudget Notary Servket COUNTY OF DUVA L L�riRO7AN o/� �// ,�rA� _ n., , _ G On this d °, d of QsLC� oft .61-- `--"'� � _ "mot. and for said County and State, F , 20 personally appeared before me, a Notary Public in "lc , L rc ,:� i�! Ts c,�; �.sz the � �m� , Atlantic Beach, Florida property owner of me and who executed the foregoing instrument; who acknowledged to me that he or hetexecut d the sam freely y and voluntarily and for the uses and purposes therein mentioned. d the s Notary Public in for said County and State CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approv- • • Or/ Doug a on, Public Wor s Director For Peiuiits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere, City Manager Page 2 of 2 • e • .• r • • MAP SHOWING BOUNDARY SURVEY OF: LOT 12, BLOcii I, SE_VA MARINA UNIT NO. 9, rS RECORDED IN PLAT BOOK 36, PAGE 20 OF Ti E CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 1 /0 ' 1 ~i 114.1)1 !L • i "A ,. 1 'I IV t �VI 110 tOlsi r I y 1 � �y. r cLaS I I • 1 F r7 , ,,t r e:iY I. I N. Ob ° og' / ° k/. • 9/.00/ ` �r .1 . 11 [ }0,(' . .. Fen /° Ln. J .. "iAme ,41• l , i v an C nk \ \ \ I it �, a�ered ar (r) 1%, [ ?d• L1 Pollo ( -+ /.r tt.a' /e.a' �+ ' ..\ � DoT 13 m3 1 LOT I I . '• . -- ._ / ORP COG7V/M4 /,uvo • ' , �� . 0 10` 14 `o 114 n RES /OF.VCC , �, . vo 'C 4' I - F • • ./ ∎. nr • 4 d Rote ' rv.s � l ., • •l am i C .V L"-......,..., I 14 N Frond )4'Anr, `' Fde.� /,ten , �;,oer�r[d7) . � • � ; r..eri.aP) . s 9/. A°' 9/.00• 00 / • ..:'. .IX! rye' al iazcn' ■ }l i ( SE INOLE TO, • NOTES, ell aRIN49 ARE BASED 014 TH• West 1 '° ✓ � Rf6HT - OF - WAY LINE OF 66 MOLE AS I3EI 5.00 °01t''41•p, • pV PLAT f E19 EMSNS9 - NAT AA FFEC T T1114 P R OP ERTY �, BY ZONING OR RECORDED IN T PUBLIC C aEC0RDS TNIS COUNTY iHAT RE NOT SHOWN ON TI SURVEY THIS PROPERTY LIES 114 FLOG. ZONE 'X' BY FL000 MAPS REVISED APR1 17, 19E9, COMMUNITY PANEL Na IZ0075 OODf.I7 • • • • 1 HER1BY CERTIFY T0: BILLIE K. HARTLEy • A89oCIATES/ • CANDTITLE GROUP INC.; COMMONWEALTH LAND TITLe. INS. C ; HARREU. MORTGAGE, INC. THAT T IS SURVEY MEETS THE MINIMUM TECHNICAL STAN DS AS SET FORM BY THE FLORIDA BOARD OF !� PROF _SIGNAL LAND SURVEYORS. PURSUANT TO SECTION . • 472.02 FLORIDA STATUTES AND CHAPTER 6/6/7 ®URDEN AND FL A 'p RVC. y � ORI i' ADMINISTRATIVE COOS 1 el S ORs INC. a. _ i '.. j, • OfCSSIONAL IMO SURVEYOR 4707 F RIM /L 3RUCE OC/ROEAw, ✓.L? / aosr o,r7ce BOX s0c�0 I DATE: JOIE' (°, /994 O 1103 501201 nn STRUT SCALE / " 20 xx)/ 32250 C 1103 NNLLr B 5 (001) 149-7201 rAx,(ONI 241 -1251 • • TNIS. SURVEY NOT VALID UNLESS THS PRINT IS 8 1171 THE SEAL OF THE ABOVE S /CNED. Z00/ZCO•d ZZOE11 �� - .11107 A17V311 NOR.l.VA1 1 1886 Seminole Rd - Google Maps Page 1 of 1 Go gle Maps 1886 Seminole Rd , 44 _ . 1.000 00 1 1 10111" * . 1115r mmapporassonara Google Image capture: Nov 2014 © 2016 Google Atlantic Beach, Florida Street View - Nov 2014 'tgth St Z 1$8b Ser 0 d https: / /www.google.com /maps /place/ 1886+ Seminole +Rd, +Atlantic +Beach, +... 1/4/2016