1941 BEACH AVE - DRIVEWAY PERMIT Sy1\fj'
� f. J1
N' `' ` *'s f CITY OF ATLANTIC BEACH
�� s) 800 SEMINOLE ROAD
,: 7 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: 16-DWAY-124
Job Type: DRIVEWAY
Description: CONCRETE
Estimated Value:
Issue Date: 2/4/2016
Expiration Date: 8/2/2016
PROPERTY ADDRESS:
Address: 1941 BEACH AVE
RE Number: 169693-0000
PROPERTY OWNER:
Name: DREW ET AL, WILLIAM CARL
Address: 1632 S BAYSHORE DR MALLOY, JENNIE S T/C
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.
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.
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.
Consider desirability of troughs. Will collect sand and not drain out well.
PERMIT IS APPROVED ONLY IN ACCOKuAriL Willi ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
[s.1 sty 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 APPLICATION NUMBER
(S Building Department ---fro be assigned by the Building Department.)
. ,, 800 Seminole Road K i IVED / - ,b/169
Atlantic Beach, Florida 32233-5445 1O - 12 V
•
Phone(904)247-5826 • Fax(904)247-5845 JAN 19 2016
N.0E19)- E-mail: building-dept @coab.us Date routed: / /9 /0
City web-site: http://www.coab.us _ w
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 91/ z tcl ,1V Department review required Yes • No
Building
Applicant: I/ Planning &Zoning
Tree Administrator
Project: (]or)CrcrE I -/ V E WA Wor
lic Utili ie
Public Safety
Fire Services
Review fee $ Zs 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
STATUS
Reviewing Department First Review: Wnoved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: 40/1/(-• 12.._—_ Date: //241/
L
TREE ADMIN. Second Review: roved as revised.
❑App ❑Denied.
•.'lC WORK Comments:
BLI UTILITIES
l
—19
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
,.L L•QC.tX f.D 1 buer- _.C..
.0 4 Y, CITY OF ATLANTIC BEACH,Alt
® q r CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
� % - I, .��
800 Seminole Road 904-247-5800
.\.(Agars Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PERMIT#
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION
Date 1 /`!.l //,6 ISSUES BY THE CITY
Job Address /9 et/ /3/54e-4- .¢ue_. E-mail L.14 uc.ula?Re 2A)Ad iwg t
Permitee: tse4,t, ,f 12.41 /- V-Al 180 11,46 q/L_S/ t.-Telephone# yeer-47- _y sz6C
Permitee Address: //,2/S . 7. Soil/US 74.)dca.Viat 314.>"AV_ S M
siduaavj -1 �� •A 2_1,q4
Requesting Permission to Construct: ,• ;_, _„ A • ,
f C I.:_ IIbL
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascert. i 9 he 41%.fQlOcis ► �lities, both
aerial and underground and the accurate locations are shown on th= dlhes.
A Letter of Notification was mailed to the following Utilities/ unicipalities:
Jacksonville Electric Authority Yes v4 No ( ) Date: Inr
Bell South Telephone Company Yes
(x.) No ( ) Date: / iY
Ferrell Gas Yes( ) No( ) Date:
Comcast Yes (X No ( ) Date: /44,4‘
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 S0_4A) cdDLL,IALS (Contractor's Project Superintendent)
located at ! y/ ,& a.-w A.V5, Telephone#: f 6S-7— $q//
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
1 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.
li 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.
,e.:.:Toet, PATRICK RICH
MY COMMISSION 1 FF 054075
'` *
OWNER EXPIRES:September 15,2017
/ t J�4 Of 134'fiIf eMM11ru8udgbNot*ry Services
Signed: `�� Date: lly1lV Before me this /Y day
of -s- in the County of Duval, State Of Florida, has personally appeared
___e_pat- 4;cu Notary Public at Large, State of Florida, County of Duval. My
commission expires: q/S// 7 Personally Known
Produced Identification:
City of Atlantic Beach APPLICATION NUMBER
" �ol Building Department DD� (To be assigned by the Building Department.)
r { 800 Seminole Road 1E -V ` T
e Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904 247-5
-"„0;319%- E-mail: building-dept @coab.us E�16 Date routed: / /9 /f(/
City web-site: http://www.coab.us / -
APPLICATION REVIEW ANii D:T CKING FORM
Property Address: / 91 / öttcA ,l✓G Department review required Yes No
Building
Applicant: I// :PAY • Planning &Zoning
Tree Administrator
Project: (Of)CT E 7'E. 2 C/ YE WI is Wor
lic Utili 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:
APPLICATION STATUS
Reviewing Department First Review: 14proved. ❑Denied.
(Circle one.) Comments: -fee .#4(�i / / m'! +��f/�
BUILDING �`t �jjt (.O
PLANNING &ZONING C �— ��
Reviewed by: Date:A "
TREE ADMIN.
Second Review: ElApproved 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:
07/27/10
oit1 ter' 4 A-�a
CITY OF ATLANTIC BEACH
A
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
litl� = { — — —
800 Seminole Road
904-247-5800
ul:►y: Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PERMIT#
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION.
Date ISSUES BY THE CITY
Job Address //y/ /3f„4,G - 4u E-mail Gf Uck 0-11a2nJ i(.41K,L.S',ctx-t
Permitee: C'is�/,C- /t t/ /4012,t) 4.46&a fI...LTelephone# /0 o?3_G f 9-6.
Permitee Address: //a/S S7. 3ojM)s 7.-,tAovs-over-la14y N- S4c swvv�ll� P-L A 21. 16
Requesting Permission to Construct: ,• _ . • _= •
OVLE
Location: (Reference to Cross-Street)
•
1. Applicant declares that prior to filing this application he has ascert• j :* he • fit'• If 1O16xis ,► lities, both
aerial and underground and the accurate locations are shown on th_ > ;I,hes. Li
A Letter of Notification was mailed to the following Utilities I / nic..-li i-
Jacksonville Electric Authority Yes (X No ( ) Date: inr
Bell South Telephone Company Yes ()c) No ( ) Date: i
Ferrell Gas Yes( ) No( ) Date:
Comcast Yes (. No ( ) Date: ///y/!`
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 Ste) (ei-L.iAL S (Contractor's Project Superintendent)
located at /qct/ ik/s.4€41 Avg, Telephone#: 441- 6k7- 44!/
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.
PATRICK RICH
MY COMMISSION t FF 054075
OWNER '�* gEX PI�RES:September15,2017
( l �� a ee�4T- MyMO NgpyWas
Signed: `�� Date: lly/1M,Before me this /Y day
of -II" in the County of Duval, State Of Florida, has personally appeared
Notary Public at Large, State of Florida, County of Duval. My
commission expires: q �// 7 Personally Known
Produced Identification:
Revised 7/29/15