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132 BELVEDERE ST - RIGHT OF WAY ?yL�J�'J � CITY OF ATLANTIC BEACH g1 ) 800 SEMINOLE ROAD 07- ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ROW-1143 Job Type: RIGHT-OF-WAY PERMIT Description: ADD PLANTS IN THE RIGHT OF WAY Estimated Value: $0.00 Issue Date: 5/24/2016 Expiration Date: 11/20/2016 PROPERTY ADDRESS: Address: 132 BELVEDERE ST RE Number: 170588-0000 PROPERTY OWNER: Name: MOSLER, BLAISE C Address: 132 Belvedere ST PERMIT INFORMATION: PUBLIC WORKS: All trees and plants must be approved by Public Works Department. Trees must be trimmed often and grass cannot exceed 6" high. Full right-of-way restoration, including sod, is required. If not properly maintained, City has the right to remove all improvements. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WFIII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THF. FLORIDA BUILDING CODES. s,=vi,,, City of Atlantic Beach ,--ti9..,+ • •211 APPLICATION NUMBER r* l Building Department (To be assigned by the Building Department.) 800 Seminole Road I h� /� ,r.,, ., ..„ ... . r� Atlantic Beach, Florida 32233-5445 , lie'11�J)1N l 6" Row 't � 4 3 \ � Phone(904)247-5826 • Fax(904) 045 / `o;ilr,- E-mail: building-dept@coab.us ; Date routed: s 17/1 SO City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 elb GL-VE I► Department review required Yes No Building Applicant: O VJkD e2 Planning &Zoning Tree Administrator Project: PLAN rS 6� R OP. Nor,../ (IT ublic Works l lic Utilities u is afety Fire Services Review fee $ K 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: APPLIC TION STATUS Reviewing Department First Review: Approved. [Denied. (Circle one.) Comments: N, .�,/ 0� 11Z 44,�,tf^.J/V- Q� rcf" Picks cksr � A-6,1, Dui TV R.F U'A - `!(Z ) 1(1 PLANNING &ZONING Reviewed by: fi/�1✓ /1/ ' Date: TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. cc,Pli. IC WOR Comments: (a'6� TI ITIE PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 0.=vvr7, City of Atlantic Beach RECD':1(VFJ APPLICATION NUMBER :-)' -#, 'MA Building Department MAY 18 �u is (To be assigned by the Building Department.) t 44; 800 Seminole Road o ±¢ , Atlantic Beach, Florida 32233-5445 l<p- -� 4 3 �J� „s Phone(904)247-5826 •• Fax(904)247-5845 _ ', o;si9%' E-mail: building-dept@coab.us Date routed: S i I 7/1 50 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 132.. Est_vGisekc_ 7- Department review required Yes No Building Applicant: O lipk)e-12 Planning &Zoning Tree Administrator Project: P(.AN CS IN IR d r \ifk..1 -ublic Works 1•Tc Utilities Public Sa ety 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: I Qroved. ❑Denied. (Circle one.) Comments: / ‘ � /'J -ile( ''- BUILDING J PLANNING &ZONING `j J-5 //(e, Reviewed by: Date: / TREE ADMIN. Second Review: ❑Approved as revised. ❑ nied. 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 +. .. CITY OF ATLANTIC BEACH ,, 1 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS i ....k, 800 Seminole Road 904-247-5800 oit>>' Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. PERMIT# Date 5' 1-)- IL ISSUES BY THE CITY Job Address J3QCIWIL(Q Si._BlE-mail bjie �QS\U MakI'CON as�3 Permitee: t I V ias[.' Telephone# Si-a 53 ! 06 Permitee Address: 13a. exlvellik -+ J�- Requesting Permission to Construct: J- 61 1014 CUCCQAk- p kinl. � l n tom he stroe Location: (Reference to Cross-Street) &AM ? in&t NAV SOU or kt#,(6, Si". rereS -1 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 (7 No ( ) Date: Ferrell Gas Yes( ) 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, 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 lorida Department of Transportation Standards and be performed under the supervision of ews, 11o't,( (Contractor's Project Su erintendent) located at 13 `t t 'S Telephone#: 521-33'i- �j S'O5p 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. 11 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 t ,.,.�Y' w16 � O ��1e tel upon completion. _*: Permit Attachment of for Permit# issued �y� ,20_Atlantic Beach,FL 32233 ) Owner's Name: boat ( osktr Property Address: IS fiC`v eh('Q �-I- R.E.#: Subdivision: Lot#/Block#: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT,issued on this I 74t day of May 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 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: 'r15M�\jj €e� pa(t+ On Eta'!�} I K toss kg Cli tt..- 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: 13 bAuedet S .. 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 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 J�)}� day of Nil ,20ga. By: e C. lid,, . Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this 174k 1m day of 'l , 2010, personally appeared before me, a Notary Public in and for said County acid State, the property owner of IS Rely/hue Si-. ,Atlantic Beach,Florida,known to me to 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 purposes therein menti. -. Notary Public in for said County and State r' C)(/ CITY OF ATLANTIC BEACH, FLORIDA, a (.(j„,..............----------- municipal corporation: Approved: Oyam: TONT GINIXESPERGER 2 ':.- MY COMMISSION#FF 4951 fa/L-1 /I ' =,•%--, EXPIRES: 92 „z.Th Bonded Thru Notary P October 6,2001919 ?„ Notary Public Undenvr(ers Ira !r is W.r Director 0ay.`let ”' -c000v% For Permits where city sidewalk is impacted, City Manager approval required: . 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