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367 6TH ST - DRIVEWAY LAN:0e, `s f CITY OF ATLANTIC BEACH .. s) 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: 16-DWAY-459 Job Type: DRIVEWAY Description: CONCRETE TO PAVER Estimated Value: Issue Date: 3/8/2016 Expiration Date: 9/4/2016 PROPERTY ADDRESS: Address: 367 6TH ST RE Number: 169902-0000 PROPERTY OWNER: Name: BOUCHARD MARK S & SUZETTE A, * Address: 367 6TH ST 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. 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 Sunshine Recycling.) Full right-of-way restoration, including sod, is required. Permit is for replacing existing concrete driveway(existing footprint) only. 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. FEES: N14.4/PriffROVED ONLY IN ACCORDANCI '5I'gDLI. CIi'Y OF ATLANTIC: BEACH ORDINANCES AM) 'HIE FLORIDA urircnrcuromEs. ' ' SS. CITY OF ATLANTIC BEACH _ 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. „ L. , CITY OF ATLANTIC BEACH \T CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS In — — — - - — — — 800 Seminole Road 904-247-5800 o,tar' Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PERMIT U PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Date /2- 5/)-0/ ISSUES BY THE CITY -2- Job Address 2( 7 Ce �1 C T-1 A_g, E-mail $ S3our.Ao-e__6 A(L.- Ca Permitee: M iL UGi-o ,e_ Q Telephone q 0.,s-09 - 6Gv uo Permitee Address: 7(a�-` �1 .1` "fir A,f�- Requesting Permission to Construct: - - U cis,c t_ 62 t L/E.. L/ edne tia -> efr YirS Location: (Reference to Cross-Street) C� j1{/,i,e. --i- --Tw o AjG-Nt itti Ve-lonl-- CHAS 4 - 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 (Li- No ( ) Date: 2- /- /� Bell South Telephone Company Yes (✓.- No ( ) Date: Ij] / Ferrell Gas Yes( No( ) Date: E- - Comcast Yes No ( ) Date: al i 11/. 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 PAUL. CI.A,2.-1,j© (_ (Cont actor's Project Superintendent) located at co LI - -lb ufi(rom �D 1�Z-f 01 322. ( _Telephone#: L5,d� � 35 4. All materials and equipment shall be subject to i(ispection 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 notifie► a -•t - • r( 4 hours prior to starting work and again immediately upon completion. �rrrno �p Notary PutNic State of Florida Shirley L Graham ` Ex My Commission FF 086990 6zi 2 2�OWNER - � � �crr�� Expire.02/14l2018 �Q Signed: / ` -' Date: & Be ore me this day / of in Ce Co y of Duval, State Of Florida, has ersonall appeared p Y PP. Notary Public at Large, State of Florida, County of Duval. My cr sion •xpire lir Personally Known: lib • `� _ Produced Identification: i Revised 7/29/15 Permit Attachment of for Permit# issued j ,20 Atlantic Beach,FL 32233 Owner's Name: Property Address: R.E. #: Subdivision: Lot#/Block#: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT,issued on this V day of 20_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws 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 Beach Right-of-Way/Easement permit numbers noted above(copies attached). 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 • i 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 insure 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 ublic 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 --13 day of 2176 i/ L61 i' rerty er _ (to be signed in presence of the No 1 Notary L Graham hay of Florida �Y) Shirley L Graham STATE OF FLORIDA 6xpC s 0?J74'/2018 088990 COUNTY OF DUVAL On this 1.3__ day of , 20/63ersonally appeared before and for said County and State, pp ore me, a Notary Public in the property Atlantic Beach,Florida,known to me t be the person(s)described in and .o executed the foregoing instrument; who acknowledged to me that he or she executed the same freel ' v. un ly an. f , - .es and purposes therein mentioned. y :It/ i 4. Notary Public •1 for s. •ounty and State CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: /NYYuw AA. oug Layton,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere,City Manager Page 2 of 2 MAP SHOWING BOUNDARY SURVEY OF IHF WEST 35 FEET OF LOT 28 AND THE EAST 25 FEET OF LOT 30,BLOCK R, PI AT NO. SUBDIVISION "A" ATLANTIC BEACH, ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBUC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: MARK S. BOUCHARD, STEWART TITLE OF JACKSONVILLE, INC., CHASE MANHATTAN MORTGAGE CORPORATION AND WATSON 6 OSBORNE, P.A. LOT 31 I LOT 29 I LOT 27 I LOT 26 5192'(A/) I 6a, (R) r/2. I 1/2• I E/2. I 'o.0 /C 0.2• s'LP. r,n ?s' ci _ I0 0.1.y �. . . . °-- 0.4' 33.3' SS 0.3' II 7 �."t� ��1 0.,' 0.6' I I 3.32' 10.2' FRAME 9iE0 ON FLOCKS 0.6' _ 2' I I �- ll LOT 30 LOT 28 ' I I� IB LI 0 I C K 8 SNowFl •• � I DLIAIL"A" I I NoT TO SCALE am -{y EN 15' 7.2' „) ` 10.6. • 15.1' I ■ m I` 04 11.9' I - a I� O O n ]_~ 0.2- 9"c , ° °6 ~kr, Q ` PAC I I SEE I DETAIL • --- _ A/cj 6.4. I A.. 1 ('AO 10.5' 7.7 o 2.7' �fL Mt - -0S' - CO✓1) NNII ( I OE EAT( - t 2i I .n /��+ I - D.s CONC. j I h Ig •nm . R K 1' •A DETAL"B" 1 _ 23_ _�5_� NOT 10 sc. CARF 344.05'01 75• �� e.e. 5/BWRERAR 3!i IN CONC 1/�• V2' hboD uY L,TV 60' (R) o�c r•.�..c 60.02' (M) SIXTH STREET ( 40' RIGHT--OF—WAY) 1 OEVE.IAL NOTED r'\ F� 's' 1, I.AR(xfS ARE 9i0NN FOR THIS SURVEY. 2.STRUCTURE NO. 367 sIION1 IIEREON LIES WHIN 0000 ZONE x_.AS BEST DETERMINED FR04 F.E.M.A.ROOD MAPS PANES.NO.W9_L DATEDO I/ 009. A sSOCIATED SURVEYORS INC. 3.Ellis IS A SURFACE SURVEY OILY.Till FXIENT or UNSEROROUND FOOTINGS, PIPES AND UTLITES,IF ANY NOT DETERMINED. /////////// LAND A EEIGINEERING SURVEYS 4.JJRISDICTIONAL AND//OR ENNRONMENTALLY SEN4DVE AREAS IF ANY,HOE 5915 CEDAR HIL15 DOULEVART IDGIED BY RIMS SURVEY. JACKSONVILLE, FLORIDA 32210 5.THIS SURVEY WAS BASED ON LEGAL.DFSCRIP110NS FURNISHED AND THE A. 904-771--6468 PIIFA)C RECORDS%ERE NOT SEARCHED BY TlS SURVEYOR FOR EASEMENTS, TILE, 1 SCOVENANTS OR RESTRICTIONS TIAT MAY AFFECT IRIS PARCEL. '`7 / �`, 6.UNLESS OTIERWSE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION. O S V 7.NOT VALID,NTN(x1T THE SIC/RAIURE AND THE ORIGINAL RAISED SEAL OF A CLRIIFICAIE Or AUTHORIZATION NO. LH 0005488 FLORIDA II(IHSED SURVLYOR AND RATTER. LEOENO/AIMRE VIA T1ON8 I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY O'•ASSOC.IRON LYIK R.REBAR p.C.-.POOINT(Or CCUURVEEY co cl�`COVERED DIRECT SUPERVISION AND MEETS TILE MINIMUM TECHNICAL CHORD STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER FOUND IRON PIN OR PIPE (IPP.R.C. -POINT OF" REVERSE CARVE ■ FOUND CONCRETE MONUMENT(Cu.) P.C.C. -POINT OF COMPOUND CURVE 61G17-6, A AMU ISTRATION r E, CI TER p4�7 2F.S. x CROSS Cu( OR DRIL1. ROLE C/L. -CENRR UNE R/W-RIGIrt Of WAY -[..� I(R) -RECORD (M) .. MEASURED COHC.-CONCRETE 9.). 81)11 DING nE HY: CITABLE. 0. HATCHER �����LLL._/// R -RADIUS L '- ARC LENGTH ABC -NR CONDITIONER (E.T.) - SAVE 711 O.R.B.-OFFICIAL. RECORD BOOK DC -WATER METER 49,-UTILITY POLE FLORIDA CERTIFICATE NO,37/1 o.R.v.-OFFICIAL RECORD VOLUME P.EO. -POOL FOUI1wWrt •-.-CUr MOOD P.R.M.-PERMWENI REFERENCE IFOMAtENI -0.11.--FIVER HEM URLRhES JOB NO. 12814; 24185'26SO DATE 73//AtLN 2001 B.R.L.-BUILDING RESTRICTION LINE X—x C1WN LINK FENCE SCALE: 1" = 34DRAFTER-_1, fi_ J.EA =JACKSSt Mil[u�cl AUTh10R RAD Y U—U WOOD(FENCE E BEN.-CBEl EN L r ?s1,q jy. - - - -- - - j ! . ' ' y= , t CITY OF ATLANTIC BEACH IJ%WNER / BUILDER AFFIDAVIT ust9r I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITI-IIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICEN E RE UIRED BY STATE LAW AND BY COUN R MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER UILDER PERMIT. ADD c7. 1,"� G v Jb93- MkI / PHONE NUMBER }(_ l e, I PRINT AME ` �� �1ZU 2Ll SIG j / DATE Before me this �y of Duval,State of Florida. as personal appeared herin b20h the herself and of all statements and declarations are true and accurate. by /herself and affirms that Notary Public at Large,State of , ounty of ❑P :IIy Kno e d ntiflcati. 'A � Notary Si u,;,At, 4 ' ` Pk —fate of Florida Ill Shirley L Graham nr My Commission FF 086990 i F:BIACJOwner-Builder Afradavit;" ISED:4/1•i c .# Expires 02/14/2018 9 I I _ _ ■,,- ;el A Al `n f'�1 U 6. 4 .5 10. ' 1. 7 ' r i °kr "1 Si o. sx Cif_ r AI - 1 .2` 4, "Fr ' tI N • I Q7 Q • t4 I N ' VI A t. 10. 7' 20. 1 ' i ``-- . CONC. rn / 0. A\ . 1 . 1 ` . cn A `cps,' • 455 iin g� N *'• 15' 1 o. a ' r.• 366 6th St - Google Maps Page 1 of 1 Go gle Maps 366 6th St rr ; k�. �.4 k ' "d, t. ', ... ! — .. 1 'sir_ { , ¢j .,' • K e " 4111 I,..bi 1,' : . . 11' 1 iii ..t F -.,.Ins—' _ _'w •.� Google Image capture:Dec 2014 ©2016 Google Atlantic Beach,Florida Street View-Dec 2014 t w ti u) St d V:kin9s t n 367 6th u' 501 St S e,9spr4,. ..1 ..w CI Google Maps https://www.google.com/maps/place/3 67+6th+St,+Atlantic+Beach,+FL+32... 2/24/2016 Js 01-4-4).,,, 'City of Atlantic Beach TRI,...Building Department L isA VEL) APPLICATION NUMBER 800 Seminole Road I I (To be a signed by the Building Department.) LI Atlantic Beach, Florida 32233 5445 , FEB 2 4 2016 �� -�G(//7 . ,c9 Phone(904)247-5826 • Fax(904)247,5845 -.onu.%' E-mail: building-dept @coab.us City web-site: http://www.coab.us -- Date routed: 2 AV ., APPLICATION REVIEW AND TRACKING FORM Property Address: 36 7 t 7 " s-i- Department review required Yes No Building Applicant: Ocv7F r Planning &Zoning S � 'ublic istrator Project: _l a I A , •ublicW. ._ Public Safety - Fire Services • - Review fee $ 24 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: APPLIC TION STATUS • Reviewing Department First Review: Approved. (Circle one.) Comments: ❑Denied. BUILDING PLANNING &ZONING �� Reviewed by: i�� W, �K�L Date: 37j/i . TREE ADMIN. Second Review: []Approved as revised. ❑Denied. di:LIC W9R S Comments: /i v�/ PUBLIC UTI 11 2 PUBLIC S FETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: 0 • Reviewed by: Date: ill ised 07/27/10 1 JS,.-0,mrr, . City of Atlantic Beach Building Department APPLICATION NUMBER RECEIVED (To be a signed by the Building Department.) Atlantic Seminole Road �/ ��� s. Atlantic Beach, Florida 32233-5445 F (� L�S Phone(904)247-5826 • Fax(904)2 7-5849 E6 2 4 2016 9 on'9'.. E-mail: building-dept @coab.us Date routed: 2 Alf City web-site: http://www.coab.us 1BY: _ APPLICATION REVIEW AND TRACKING FORM Property Address: 36 7 11 1.?? S-7-- Department review required Yes No Building Applicant: OW F r Planning &Zoning Tr-- . •••'nistrator Project: OnCrTf .--> -�Rs •ublic W. . _ Public 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: lee *ate/ aaAenie BUILDING PLANNING &ZONING Reviewed by: i �--- Date: f 1 2/2.(, /C TREE ADMIN. Second Review: EjApproved as revised. ❑Denied. • PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY • Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: tevised 07/27/10 i I I