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315 5TH ST - RIGHT OF WAY AL 14 S\ CITY OF ATLANTIC BEACH k ';. ' , 800 SEMINOLE ROAD j-y ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 '--r-:4 01,1c RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ROW-1614 Job Type: RIGHT-OF-WAY PERMIT Description: RIGHT OF WAY - 12" CATCH BASIN FOR STORM WATER DISCHARGE Estimated Value: Issue Date: 8/3/2016 Expiration Date: 1/30/2017 PROPERTY ADDRESS: Address: 315 5TH ST RE Number: 169857-0100 PROPERTY OWNER: Name: FLYNN, JOHN M Address: 315 5TH ST GENERAL CONTRACTOR INFORMATION: Name: ED HEBERT & ASSOCIATES, INC Address: 11836 Little Creek LN Phone: 904-292-4000 PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS: Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. 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 silt must remain on-site during construction. Full right-of-way restoration, including sod, is required. Replace any broken sidewalk due to job. FEES: Fence/ROW $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. •S yL�l r S, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD u 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. SLAN:r,y, City of Atlantic Beach APPLICATION NUMBER f ' - A Building Department rEwl (To be assigned by the Building Department.) _:4,a x 800 Seminole Road /� - Atlantic Beach, Florida 32233-5445i L:! '���, ' lC7Phone(904)247-5826 • Fax(904)24 19 201 '.1/..0109',- E-mail: building-dept@coab.us Date routed: '77/8/I City web-site: http://www.coab.us BY: APPLICATION REVIEW AND TRACKING FORM Property Address: 3 1 (.54~ s 7 Department review required Yes No [- Building Applicant: 0 H E( E(�`z" � 1�SS O C Planning &Zoning �� Tree Administrator Project: R �- z _ . _ (, ,(--( j Asi, Public Works—) OW ublic UtilitieSM 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: [oved. ❑Denied. (Circle one.) Comments: te 1 #1$4talei 6N/1/4 BUILDING PLANNING & ZONING Reviewed by: J/ Date:7/2//. TREE ADMIN. Second Review: ['Approved as revised. OD ied. 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 0... �vr, City of Atlantic Beach E(�EIVE APPLICATION NUMBER �3 i� Building Department (To be assigned by the Building Department.) r- --• 800 Seminole Road JUL 1 g 2016 :�r. r / 5� �, Atlantic Beach, Florida 32233-5445 1 -Roto.-- ' (G7 ( �- Phone(904)247-5826 • Fax(904) -5845 '�-o;t19r Email: building-dept@coab.us BY:------_ Date routed: i CC.3/1 (e, City web-site: http://www.coab.us (, APPLICATION REVIEW AND TRACKING FORM Property Address: 315 7 Department review required Yes No Building Applicant: E 0 H EEp. 7" 1 S5 0Q._ Planning &Zoning cr Tree Administrator Project: Row - 1_� L' A 1 CEA B.45 itX Public Works ublic Utiliti s Public Safety Fire Services Review fee $ g Dept Signature ,Aw� 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING i Y.1.--,--- 7/20‘Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. C WORK_ ,' Comments:/ P BLIC UTILITIES 7,6 PUBSAFETY LIC Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: tevised 05/14/09 I '` � � "` CITY OF ATLANTIC BEACH i (o - Roo ( (o (4- - -- CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND ASF_MENTS 800 Seminole Road 904-247-5800 ortiu'r Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PERMIT# PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Date I -i 3_. /Cal ISSUES BY THE CITY 1 � ' Job Address _S>; S) d E-mailgnet.07:-AJP51— Permitee: \� ro 4& Telephone# ( 'O'/) ;30 - Permitee Address: 3/ CJS , Requesting Permission to Construct:1i* "LL 12" /1, __,I vitt 5,)6lwy t, ' Location: (Reference to Cross-Street) Uv `w 05) At57,..zg14 , i J 7-/ I`A Zy 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 ti ication was mailed to the f lop tilities I Munici a sties While E ectric Authority Yes ( ) No ( ) Date: Bell South Telephone Company Yes (7) it ) No ( ) Date: Ferrell Gas Yes( ) No( ) Date: Comcast Yes ( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, (Y) alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public T Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, l 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 A lanti Beach or FI. ida De.artmer -o Transportation Standards and be performed I under the su rv�sior)of 2 ii f v , ) . (Contractor's Project Sup rintendent) S' located at /I )(2 C--11j' Ili ." , ,j Telephone#D-014/02-1/0N) -C. - _fn3 4. All materials and equipment shall be subject to inspec ion by the Director of Public Works or his designee. k/ ) 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 -4-- 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 ( O 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. i 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, 1 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 L) of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified tweyt ,,( iM ii IF�i�i Ii,aialdu work and again immediately upon completion. g '= Commission#FF 925374 -�,ti� �, Expires February 7,2020 ,w..S BrdsdTl.uTmyFein.ru.no..m.I67081 OWNER i i� / Sicped: . Date:7A1/i6Before me this day of Allra '.>.4 in the C my of Duval, State Of Florida, has personally appeared \a / w�;„t......_l \--c Notary Public at Large, State of Florida, County of Duval. My commission expires: 9._ T' \ )ii1._,7 Personal/ Known: produced Identification: -c)L1\t"\-' %k0 �� Revised 7/29/15 V 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 11 day of 1 ,29//, by Atlantic Beach, Florida, a municipal corporation or zed ,a id existing under th aws of the State of Florida, hereinafter referred to as "CITY" and °TM 4 r/p1 n 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 generallydescribed as: (e` At/itit.` �i�j��Y.v- / 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 v re��ipt� rted, to the following address: sir' r'�7` reque 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 f. - - - - - The USER, prior-to-m-akro dicing any changes from the appved plans andLor_method st--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 I day of Y- ` , 2014' BY: A4LL/ liKiel-d/ ' a perry Owner o be signed in prese/e of the Notary) S ATE OF FLORIDA COUNTY OF DUVAL On this \\ day of J 1..,�--, , 201b, personally appeared before me, a Notary Public in and for said County and State, .t ,AAkh lik chow , the property owner of j. c 5 5•}• ,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 vol ' and for the uses and purposes therein mentioned. \.(4.9.LA . �.': "'%. TIMOTHY KELLY Notary Public in for said County and State h±, Commission#FF 925374 -'..4.--ii* Expires February 7,2024 ;f„t:V Bonded'Nu Try Fain Immo,WO 315.7019 CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: /�"C/‘1 / K. - ,A ••, - P. 'lie Works Director adQ b , V &c, 6o vi�.� For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere,City Manager Page 2 of 2 i 17 F .li t . , W ' . (.,11 5 i ' -mot-) 3,- \ Ifs �Ifi!! — ►, .411 0 JO Ft)/A)/0 - F:) it ', 315 5�- Sr' 1 i m/-Ai3Olci- 7 53c, -,7?c,iii9 ___176,001-37.40:- , . '' Ire;),--- -f 1111 \ • t n ,,,,ezz -,..x>. iii II --- ; IV.•V / IVr! 6 NMr 1 C -i---h v-\ „ r. ...., A- . I 1 ....1. t ' .914 I • .... :' ... . 0.". W4-7------ _______ •,. - ... \ i ..11 ' \ . . I .." . .0141 ) F&)/11)/t) 315 5Th- ST: . ,....4 l!, •ia- i icrTLA-71/41- z- 13A-r-i-i 53(p -'7.' C'10 1 as 010101Fc34/4(Pel)t°1-5.1) 7,1Uer s ' 1 ...— , .. 1 1 . „.. .....,_ ...._ sii \ _, . \ . . ,:.,. , xs\ ,\\ , 4 EN , \ „ ‘ . 4I# 111; , / \,-\ ‘\. r. t - ,` ' .-'- - \ X ' ', • ., I/p 4 HO . ) • t a....da \ , OP 401 1 --.. 5 Lo,• ''''(A)111-C.A:„ / lb JI ...••• k . i Y •e. _ - ors ate" ... . .. 4 . 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