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1703 PARK TERR E - DRIVEWAY �O CITY OF ATLANTIC BEACH :,,. - 800 SEMINOLE ROAD tJ � ' r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 \J;Il-)r RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ROW-1035 Job Type: RIGHT-OF-WAY PERMIT Description: DRIVEWAY PAVERS Estimated Value: Issue Date: 5/27/2016 Expiration Date: 11/23/2016 PROPERTY ADDRESS: Address: 1703 E PARK TER RE Number: 172020-0240 PROPERTY OWNER: Name: LEE, JENNY CLARE & MICHAEL D, * Address: 1703 E PARK TER GENERAL CONTRACTOR INFORMATION: Name: EASTERN SHORES CONSTRUCTION Address: 1015 ATLANTIC BLVD QA ROBERT ROY LEINENWEBER Phone: - - 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. Maximum driveway width 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, Shapell's, Sunshine Recycling and Waste Pro). Full right-of-way restoration, including sod, is required. ifi2EISi: is APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t3ss, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j V ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 "f Fence/ROW $35.00 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALl. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ',' ~�`> ' CITY OF ATLANTIC BEACH J CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS amu. y,-\ , ,...,ryt?',i I_i__ _. v__-____, _ ._ — ' _r _,, 800 Seminole Road ".— '�__ •;,, i:. Atlantic Beach,Florida 32233-5445 904-247-5800 Fax 904-247-5845 PLEASE Sub (2) OMPLETE SETS OF PLANS WITH APPLICATION. PERMIT# Date__ 2 i J ISSUES BY THE CITY Job Address 1 o3 R-114- f U Y'U ..Ct 0 t../ E-mail 1 er V\e e)laeL 5 -U., y•t.--- Permitee: e J vl C" (Li) 4 (u4:v:, 4 Telephone# -m- -G .:.-.,4<---1$"142t, Permitee Address:i t C Y`3‘z:.rb(, 13,1,44_.t ci L,L 2/4) -.c., ? . l 31 Z. 73 Requesting Permission to Construct:__br ievkiA t � tiro i... _ �'' ale (, G,e.,(t V Location: (Reference to Cross-Street) 4/"t'- k.-e f/G-e4_ ti l-L Y .}-r Q.e- 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:isrv.a B I Jacksonville Electric Authority Yes ( I No( ) Date: Bell South Telephone Company Yes (/j No ( ) Date: Ferrell Gas Yes( if 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, snail 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 ofAtlantic Beach or Ficrida Department of Transportation Standards and be performed under hie supervision of 1(,0ti‘4'‘-' t,¢-„r. , 0.v located at .. n0 3 (r►rM1;/_ ,ofru.t.a- (Contractor's Project Superintendent) fir";, Telephone#: 4w1-SH3-"uti"lg3 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. t. 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 ifilay aria to be included with this application. 7 This permittee shall commence actual construction inttood faith with than 60 days from date of permit approval, then permittee must review t�perdamit with the Director of Public s. If the beginning date is more 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. t` C-AVei 0.-t,- OWNER Signed: �ti.--�� ,'J/ (� I _ Date: ` 17 Betore me this_�"� day of �►i 4 in the County of Duval, State Of Florida, as personally appeared — �• �.', D• Ut Notary Public at Large, State of Florida, County of Duval. My JENNIFER L Os ,fission expires. jn 2a� r Personally Known. Notary pubic,Stated Florida Produced Identification: Comm.My Expiru Jun.3Q,10169 �, g Revised 7129/15 Commission No.FF 130213 ✓✓ � Permit Attachment of for Permit# issued ,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 day of by Atlantic Beach, Florida, a municipal corporationt te_ p organized and existing under the laws of 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 purpose as described in the City of Atlantic Beach Right-of=W'ay./Iiasement permit numbers noted above(copies attached). This work is generally described as: C-0 A Cr t +1" ftd-441-,C Any titcility 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 give!! 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. rite tiieilitics 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 lefi natural in color so that it matches the existing and adjoining sidewalks." Page 1 oft 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 aim 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 die 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 G-1 day of n d2By: '�LC� Property Owner t;ClAce I a.l e.L.- (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On thisday of_� tJ and fo'rp:said-yyoo�,unt and State, , O��Q personally appeared before me, a Notary Public in L703 1 tr L-1-t<t�1d� ,Atlantic Beach,Florida,kI ., the property owner of nown to me t be the person(s)described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purpo es therein i taiQf d. J. JENNIFER L OSTWAID Notary Public in for said County and State State of Roride My CNota nPubic� Expires Jun.3Q 2018 Commission Na FF 138213 ('11 Y OF A'T'LANTIC BEACH, FLORIDA, a municipal corporation: Approved: Kayle Moore,Public Works Director For ['omits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere,City Manager Page 2 of 2 I I • g I • ..', , , g9 ,'4•-; ?Fe• II , ;?...s; I g g < 4'4 c3z,•il i iiLLug ! ..... A -4 c C;siii, ,, a il ;4,420= a. 14 g 31•A , 22 ri 0•., 1•J: §X I • ; §.1 Fg gli §1 I • • .„,..: I I --":" _.. . ,.. : :• I • 5 : : - • A • r.z•,___ 15 ; .. • I 0 I % , 1 ----— :, 1 a . . • ' I :,.. a I 11-4 I P , iT: , ,__ ,_ _ ... I o,...,,, • •, v5'ORS • t VS.ROL •••• t L ., -I t •C1 ; I---- 1 t! . : • ' . : ; o • \ : • I • "I'. et • .1 • -.....-:—. .-- .\ • : I ..„. I ',.. ••-•-• . . . .—....-........L.— — —.---t-• .IL-..L....—.— _ _ —._ --I. Z§ r,12 ii 8 a C'' NJ k, t . Of CO at o e CD co •...''..i,• t I !.• .1 -%. -") 0) z.-2, ,..-1V.i .•‘ 1 Z. r.. o (7) • F:.i., I 4 g . . ;..t "••0 n, _ 0 a a co • ;-.. . ?0 7-40 • a-.4 c, < City of Atlantic BeachAPPLICATION NUMBER Building Department -RECEIVED (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 MAY 0 3 2016 I (Q / /035 , Phone(904)247-5826 • Fax(9041347-5845 / o;;l�� E-mail: building-dept@coab.us Date routed: ©/(Q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / 7g3 �/),-,� Tc Department review required Yes No Building Applicant: jft, - At, , i. •. 'Manning &Zoning Tree Administrator Project: )v,'Vé. W/ _ ?11)( ,ES ublic J ublic i i 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: /l W CO 41 ikt BUILDING PLANNING & ZONING 5-4/6 Reviewed by: / /� Date: TREE ADMIN. Second Review: A roved as revised. pp ❑Denies. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Si.qyrv. City of Atlantic Beach ' • -48 BuildingDepartment -48e L., APPLICATION NUMBER I A MAY '4V:et)D (To be assigned by the Building Department.) • = _ :•�j si*P 800 Seminole Road Atlantic Beach, Florida 32233-5445 3 2016 lQ - // / 3 5- Phone(904)247-5826 • Fax(904)247-5845 -t E-mail: building-dept@coab.us Date routed: fO/6 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / 703 / 7 TJ, Department review required Yes No Building Applicant: /F. / op Lir &Zoning Tree Administrator Project: )Y/1/1_, Wig — •Pol Wprks2 (15ublic 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: APPL CATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: _�/ Date: cif-Ai TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. C Wbociyi Co► ments: UBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09