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90 OCEAN BREEZE DR - RIGHT OF WAY S r\.r`l rf 1' . s J CITY OF ATLANTIC BEACH ,.,, : --4.-„,,,; .0 800 SEMINOLE ROAD J yr;14ATLANTIC BEACH, FL 32233 \ - INSPECTION PHONE LINE 247-5814 .'N-- 0131911" RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job IQ: 16-ROW-1157 Job Type: RIGHT-OF-WAY PERMIT Description: REPAVING AND ADD A PAVER SECTION Estimated Value: Issue Date: 5/26/2016 Expiration Date: 11/22/2016 PROPERTY ADDRESS: Address: 90 OCEAN BREEZE DR RE Number: 168908-8255 PROPERTY OWNER: Name: WALSHAW, LARRY E * MICHELLE, * Address: 90 OCEAN BREEZE DR 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 right-of-way restoration, including sod, is required. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA BUILDING CODES. ,r,s-1 j,,, City of Atlantic Beach ;, .0 APPLICATION NUMBER ': ' •;‘?,. Buildin De artment 9 p !i -j (To be assigned by the Building Department.) " f800 Seminole Road �5.r Atlantic Beach, Florida 32233 5445 MAY Z�,C I((� -RCM A 9 „ i 157 \ Phone(904)247-5826 • Fax(904}.247-5845 U 1 • "L Entlr'' E-mail: building-dept@coab.us Date routed: S AC) /I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 90 ()CeoA Ei-eez e CILA->(. Department review required Yes No C50_ec rte. (6 reez•e Glc,. Building Applicant: f—t0 M 0 U0 et A-SSo C_ Planning &Zoning Tree Administrator Project: Re a� f n a q i u lic Works—7.j PP �Icc Ut_illtle) O VC_f^ �C1 c 4©n P—ublic 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: VIApproved. ({❑Denied. (Circle one.) Comments: hi G�J /„ eef'v''` BUILDING J77`� Nl PLANNING &ZONING Reviewed by: A‘,..„,,,,,, Date: s-72 TREE ADMIN. / Second Review: DApproved as revised. I lenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 • rti-tv1,jr, City of Atlantic Beach RECEIvEi J APPLICATION NUMBER 4, --.;\ Building Department (To be assigned by the Building Department.) 800 Seminole Road MAY 19 201I Department.) �� �•• Atlantic Beach, Florida 32233-5445 I(n —Row t 57 Phone(904)247-5826 Fax(904)247- ) -� 0;119%' E-mail: building-dept@coab.us — - Date routed: 3/19 /I (Q City web-site: http://www.coab.us r APPLICATION REVIEW AND TRACKING FORM Property Address: 90 Ocean (Jreez e o Department review required Yes No HO C3C ea--e‘- ( r n-,��5e Cr Building Applicant: HO M P-Ol�A er s t« ��� �p 0 Planning &Zoning Tree Administrator Project: Re -- Iic Works Qv the Q 11 '•• is Utilities PaV e r Q ad,C 410 n ' •lic Safety Fire Services Review fee $ Dept Signature 7 — • 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: 161A/pproved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONINGReviewed b / ./ Date: 201t'L TREE ADMIN. Second Review: ['Approved as revised. Denied. ,; WORKS Comments: BLIc/UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 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 public 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 day of ,20_. By: /1 / / , ( (2‘11- drat 44e‘ji_ PrI Irt3'Owner (to I e signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL / On this 2&day of , 204ersonally appeared before me, a Notary Public in and or Countytate, , the property owner of —sae, ['O �` C c-- ,Atlantic Beach,Florida,known to me to be the person(s)described in and who executed the foregoing instrument; who acknowledg me that he or she executed the same freely and voluntarily and for the uses and purposes therein mention •' Notary Public in for said County and State , , CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: •:v'''' TONI GINDLESPERGER Approved: 'I MY COMMISSION 4 FF 924951 r'v drdc EXPIRES:October 6,2019 'f ,1 • Bonded Thru Notary Public Underwriters Kayle Moore,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere,City Manager Page 2 of 2 S-4' ' �� CITY OF ATLANTIC BEACH iffiM I`' _ CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS -- ---------_ ____------- ------------ ----- 800 Seminole Road 904-247-5800 cut!r Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. PERMIT# Date ISSUES BY THE CITY Job Address 6 GEA'v Q,& Q.2 i ti E-mail tnie_icoalie W j 4-) o iYtlni Q.Parn Permitee: 11414 Or 40z-ion' i3, = InM�loll,Wds1141,14 ssTelephone# . _ Permitee Address: q 0,--xvv spa-2i, 1b ,✓ -I Q(& I cov.ez- Requesting Permission to Construct: �P-�Q ej• oizA ("ex,s1n i ,e0A4 in,lie.,/ lI,eM( hyoaeed) • Location: (Reference to Cross-Street) -SETh?Iv0/t ?oACI 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: 1 Jacksonville Electric Authority Yes ( ) No (X) Date: Ni Bell South Telephone Company Yes ( ) No ()1.) Date: '444 Ferrell Gas Yes( ) No( )c ) Date: n/ Comcast Yes( ) No (yJ Date: "M 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 AAantic Beach or Florida Department of Transportation Standards and be performed under the supervision of Ajvd J1) )l q of/64,0E3 (Contractor's Project Superintendent) located at 50n C le,noet a[,Y Ur Yin;q /.a,�1 3i5yR Telephone#: 90/i-,237-,2304 4. All materials and equipmertt 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. n10ivE 7. This permittee shall commence actual construction in good faith with 45- 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 us. teu c hold of the aforesaid rights and privileges. ;�qwc, � � �, ,.. s MY COMMISSION$FF 924951 9. The Director of Public Works shall be notified twenty-four(24) hours prior to sta :,.t. ei: artdillt ailQ4lq e 4ely upon completion. Rn� 9or�dedThNNoaryPuWieU Underwriters OWNER �- OCA 4 �- 0/t— Signe.: _ �0 Date��4/G Before me this I i day of rn.• k. in the County of Du - States for.a, has ersonally appeared "7.,Co t (p otary �...4 Large, tate of Florida, County of Duval. My commission expires: Qom_ �► -c-i Personally Known: 'T G.t- , -S 4 4 -o 'Z-'S $ -0 duced Identification: Revised 7/29/15 h `�„ CITY OF ATLANTIC BEACH A llCONSTRU_CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS man ;lair I _-- - 800 Seminole Road �! 904-247-5800 orti,r 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 dC CAN /31 --.547 ,L ?e)&ve ave3 E-mail /h,nine/11+3cc?Aimed,e . Permitee: dei Al.iy lit3A 1nahQ(,v 4thitikz. CDx-5 Telephone# 11o41ti14(7-oort Permitee Address: 9v Off- A 36. ,D i ve a,c17, Intogeti I-L. 32z33 • Requesting Permission to Construct: f-Pptie.p Tjys,-a.“_4 T►oN LSA_ .� /,0" 6,16•A,60 /3,44645 • Location: (Reference to Cross-Street) _ „vv fE 204ci 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: N • Bell South Telephone Company Yes ( ) No (),) Date: N Ferrell Gas Yes( ) No()` ) Date: N • Comcast Yes ( ) No (�) Date: N A 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 Xev IN F f— (Contractor's Project Superintendent) located at 6.9801 kEth I Al *)j7 G f 3ZIASTelephone#: 9oy`-sys-6o417 4. All materials and equipmdnt 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 Signed: Date: Before me this day of in the County of Duval, State Of Florida, has personally appeared Notary Public at Large, State of Florida, County of Duval. My commission expires: Personally Known: Produced Identification: Revised 7/29/15 Permit Attachment of for Permit# issued ,20_Atlantic Beach,FL 32233 Owner's Name: Otiepiti E 4 Property Address: of-nn, Atbi.. AL t eAf R.E.#: Subdivision: 0 Cr &lay Lot#/Block#: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT,issued on this day of ,20_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and OteriV & yHu,4 of Atlantic Beach, Florida, hereinafter referred to as"USER". 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 described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: _EfvST ll.t C-ettei*TE Avers Mid a (r)Pii1 i 44d5 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: 1414.1410,) 9C) Qfl / P De. �B _ 32233 . 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 May 18, 2016 Scott Williams, Deputy Public Director Sent via email swilliams@coab.us City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 Re: Revocable Encroachment Permit For: Ocean Breeze HOA Dear Mr. Williams, This letter is provided to the City of Atlantic Beach with reference to our request to install pavers upon City Easement at the entrance of our community Ocean Breeze. I am Michelle Walshaw, President of Ocean Breeze HOA, and I have been authorized by the residents of this neighborhood to agree to the terms set forth in the "Revocable Encroachment Permit" submitted. Collectively, we are aware should the City of Atlantic Beach require access in, under or around the decorative pavered area, our HOA is responsible to replace said paver material and any labor required at our own expense. Thank you for your assistance in providing me with the necessary information and forms necessary to complete our request. 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