95 ROBERT ST DRIVEWAY 2016 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-2981
Job Type: DRIVEWAY
Description: concrete driveway
Estimated Value:
Issue Date: 1/21/2016
Expiration Date: 7/19/2016
PROPERTY ADDRESS:
Address: 95 ROBERT ST
RE Number: 172235-0000
PROPERTY OWNER:
Name: REYNOLDS, JEREMY A &ANGELA,
Address: 95 ROBERT ST
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DE :'T.:
All concrete driveway aprons must be 5" thick,4000 psi, with fibermesh from the edge of pavement to
the property line. Reinforcing rods or mesh area not allowed in the right-of-way. Maximum driveway
width in City right-of-way is 20'.
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.)
Full right-of-way restoration, including sod, is required.
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 RTI
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
11 Sl\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road
off Wt Atlantic Beach,Florida 32233-5445 904-247-5800
Fax 904-247-5845
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. PERMIT#
Date SSU
_12- ISSUES:BY:THE CITY�__
E _
Job Address IRS Plo bv(� E-mail .1 6"i of,.'n
QC111 ILCOA
L_38 A y"'A,
Permitee: To,
Telephone#__
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Permitee Address:—A Rohe(+
Requesting Permission to Construct:
_ Id d r.k Ve 1A)QQ
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 Y e s No( Date:
Comcast Yes y 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 AtILantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of co I[I M Lk (Contractor's Project Superintendent)
located at &M4 TL elephon
4. W,.fp L e#: qoq-,3oq- 1q1
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
'PT P Date: Before me this day
Not
S ounty val, State Of Florida, has personally appQa
P '15- my Commission 8 90 Notary Public at Large, State of Florida, County of Duval. My
Produq Personally Known:
Identification:
MAP SHOWING BOUNDARY -15URVE-Y OF
DESCRIPTION AS FURNISHED:
LOT 18 AND THE SOUTH )� OF LOT �16, BLOCK 3 OF DONNER'S REPLAT,
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 19, PAGE(S)
16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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P.C. PCINT OF CURVATURE LEGEND
(111)=�SHOWN HEREON ARE BASED ON P.ftf. P(XNT OF TANGCNCy .�RADIUS
THE EAST AS P P'a 0; OIXTA(CENTRAL ANGLE)
BOUNDARY LINE OF LOT 16 P NT OF REVERSE CURVE ARC
SOO*00'00'E.ASSUMED :Et'
LENGTH
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COTT Or=E
P.O.C. PCN ON
(2) THIS PROPERTY HAS NOT BEEN ABSTRACTED Ep�.,: PONANENT Co.-,\X PONIT
ITUILDiNG REST�JCYkM LINE LINE RADIAL TO CURVE
FOR EASEMENTS, COVENANTS. RESTRICTIONS CA CENTER LINE A
C. &CONDITIONER
A/* RICHT-OF-WA� C=IE
(3) UNDCRCROLIND UTILITIES SERMNG THIS O.R.V. OMCIAL RECORDS'AWAME OMN PIPE
O/L ON UNE m
SHOWN DEW
PROPERTY HAVE NOT BEEN LOCATED OR BREAK LINE 'e"
(4)17 IS'114E LENDER'S RESPONSIBILITY To SCALE_jL=30'
DETERMINE FEMA F.I.R.UAP STATUS FOR 11
UFE OF THE LOAN 014 THE PROPERTY SH NATHAN R.PtRREIT-,FtLA bf�ST..NO.6900
ABOW_ SURVEYOR HEREON WILL CONFIRM .. .......7-7-11
FOR ADDITIONAL FEE. DA X OF PELD SURIEY
. - . . _ I L 6715
F8. 534 PG.-J�Z—NOr VALID wwour nic sywAnjRc&CmGlmAt RAISED-'�rAL OF A FLORIDA LICENSrD SURWYOR&jvAppERORDER ya Loll-865
C & IL, Xree Contractors
6004 SearchwoodAvve
Jax, FI- 32234
Carl Murray -2j
(904) 304-7191
Contractors Invoice
WORK PERFORMED Al
DATE YOUR WORK ORDER NO. OUR BID NO,
DESCRIPTION OF WORK PERFORMED
F
rel
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4
5
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2
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11 Matei ial is guaranteed to be as specified,and the above work was performed in accordance with the drawings and specifications prfmded fol the abov,
iork and was completed in a substantial workmanlike mann er for the agreed sum of
--Dollars
his is a DPartial EjFull invoice due and payable by:
MOM Day Yeaj
I accordance with our DAgreement Ei-Proposal No. Dated
NG3622 MOWth
----------
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 DEC 71
Phone (904)247-5826 - Fax(904) 247-5845
E-mail: building-dept@coab.us ---- Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: leeIM7— Department review required Yes No
Building
Applicant: Planning &Zoning
Tree Administrator
Project: 4!%blic D&i:>
7:P—u
�EF U t i R—ie�,:,
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:
APPLJCATION STATUS
Reviewing Department First Review: W(Approved. L—JUenied.
(Circle one.) Comments: (ee, #M1,4d tvwwak
BUILDING
PLANNING &ZONING Reviewed by:'Z_�' Date: 111f116
TREE ADMIN.
Second Review: oApproved as revised.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
i_�—' bll, City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road �3�El"V'Rn_
Atlantic Beach, Florida 32233-544P
015 41ilf
Phone(904)247-5826 - Fax(904)247 't v: 29Lfl
'119, E-mail: building-dept@coab.us 2015 Date routed:
Cityweb-site: http://vmw.coab.us,-
APPLICATION REVIEW A�NACKING FORM
Property Address: 9
Department review required —Yes No
Building
Applicant: 0!� Planning &Zoning
Tree Administrator
Project: F, VW a, V ublic
:7P_�u�57 U R r-i ti e-
Public Safety
Fire Services
Review fee $ P;_ 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:
APPLIPkTION STATUS
Reviewing Department First Review: [P'Approved. nDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: A76 Date:
TREE ADMIN. Second Review: [-]Approved as revised. []Denied.
,_,r9!ZPC WORKS Comments:
v v"-"*""J
E�UBLLIC UTILITI
PUBLIC SAFE Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10