464 Sargo Rd driveway permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXr DAY INSPECTION: 247-5814
308 INFORMATION:
Job 113: 16-DWAY-1 829
Job Type: DRIVEWAY
Description: remove and replace concrete driveway
Estimated value:
Issue Date: 8/26/2016
Expiration Date: 2/22/2017
PROPERTY ADDRESS:
Address: 464 SARGO RD
RE Number: 171541-0000
PROPERTYOWNER:
Name: REYNOLDS, MATTHEW B
Address: 3534 SHINNECOCK LN
GENERAL CONTRACTOR INFORMATION:
Name: BARNES CONSTRUCTION LLC
BARNES CONSTRUCTION LLC ROBERT BARNES,CGC1520388
Address: 3317 Royal Palm DR
Phone: - -
PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS:
Ensure all meter boxes, sewercleanouts and valve covers are setto grade and visible.
A sewercleanout 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 concrete driveway aprons must be S"thick,4000 psi,with fibermesh from edge of pavement to the
property line. Reinforcing rods or mesh area not allowed in the right-of-way. (Commercial driveways-
6"thick).
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 runoff 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 Recycling,Republic Services,Shapell's,Sunshine
Recycling and Waste Pro).
Full right-of-�,ja restoration,including sod,,is
rg�uireudj k OF xI EAN r IDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Maximum driveway width within the city right-Of-way is 20'(circular driveway width is 12' maximum).
FEES:
Fence/ROW $35.00
ENG REV RESIDENTIAL BLD $25.00
Total Payments; $60.00
PERAUT IS APPROVED ONLY IN ACCORDANCE WIM ALL CITY OF ATLA"C DEA,CH ORDINANCES AND ME FLORIDA
BUILDING CODES.
City of Atlantic Beach DeCEF11VI- APPLICATION NUMBER
Building Department 2ft (To be assigned by the Building Department.)
800 Seminole Road Iilo-OWA - Itlaq
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-W. Date routed: 0 Ito
E-mail: building-dept@mab.us
City web-site: http://�.Wab.us
APPLICATION REVIEW AND TRACKING FORM
A AT'IN I
y
a PLI Boil
be a
-a:gned b th
OW
D te r ted 00
ism, required
Property Address: Li l44 Sat aD Do artment rev!e*7 YesT N-0-1
0
uApplicant: Q)CL41\11 Planning &Zoning
Tree Administrator
Project: blic o a
Public Uti ifies
6-(AW" Public Safety
;Fire 4SeNices
Review or see Date
Other Agency Review or permit Required oflPermitVerified"Bly
Flonda 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
t er:
APPLICATION STATUS
Reviewing Department First Review; JAApproved. ElDenied.
(Circle one.) Comments: -let Allkw4l 4tix&k
BUILDING
PLANNING &ZONING Reviewed by Date:
TREEADMIN. Second Re7vow. DApproed as revised O�Ded
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. E]Denied.
Comments:
Reviewed by: Date:-
Revised 05MV09
City of Atlantic Beach APPLICATION NUMBER
Building Department (to be assigned by the Building Department.)
800 Seminole Road
Date muted: 0%`1
Atlantic Beach,Florida 32233-5445
Phone(904)24MW6 Fax(904)2 84AUG
E-mail: building-dept@wab.us
City welb-site: h1tp:/h�.00ab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: "i 1101A sal Department review required Yes No
building
Applicant: %CL((\a Co rm�f J_ck On Planning&Zoning
- Tree Administrator
Project: CtA*Ab�L (II-Ad (0,64 &MU9,0L I:J!p1blic 8:
6_(Aw" C-Public;Uto'll—tL111:3
Public Safety
Fire Services
Review fee $
Review=1,*,, Data
Other Agency Review or Permit Required of Permit
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
-Amny Corp.of Engineers
Division of Hotels and Restaurants
DiZvision of Alcoholic Beverages and Tobacco
Other:
APPYCATION STATUS
Reviewing Department First Review: E(Appmved. ElDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: rh
TREEADMIN. Second Review: DApproved as revised. []Denied.
AP -WORKS ) Comments:
P
PUBLIWTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05f14109
BUILDING PERmrr APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach Fl,32233
n
Office:(904)247-5826 - Fax;(904)247-5845
Job Address: Ro&-o PermitNurnber: 110_014M - 11�q
Legal DescriptionLr2A S.K./O&,VA 40V4K��A�,11 RE# 1715-W- QMQ
Valuation of Work(Replacement Cost)S.—Heated/Cooled SIT Non-Iteated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
'gg
• If an existing structure,is a flue sprinkler systeati installed?(Circle one): Yea & N/A
• Submit a Tree Removal Permit Application if my trees arcto be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Y"OV V
CL 45(AP W
Florida Product Approval# or multiple products uw product approval f"
Property Oivner Information
Name: 40.5 Address:jf,51.15H,*4W,!5,C66k /,,I.
_4J& 31450 Phone
city b122A��Wl St�ateZp,�
E-Mail
OwnerorAgcnt (IfA9-tN—.fAt(.�.1A�yLW.RN.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTffE OF COMMENCEMENT.
Contractor Information:
Name of Compton ;�At C Quali ng Agent: AE.- &)?A(e�5
C1 144iV-State Zip
ione Job Site/Contact Number I & 42!& 9 10
State Certification/Registration# C&C. ,(5Z63eFj Mail ,&o jVASr0Ajfi7g4yC-
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation rient, In.. Lease Employees ExpTmbon_Mae
6�edfq,a
.bme
lission#FF 239347
Expim June 10,2019
I h e re by c e n ify t h a nandknowthesamelobetmeand�rrect. Allp 0
h whether spec ed herein or not. ne
';,7a7," onst ..tion or the
o 81PI, of any otherfe eral, state, or local law e
Rev.3/14/16
CITY OF ATLANTIC 13EACH
CONSTRUCTION PERMIT WITHIN CITY
RIGHTS CFWAY AND EASEMENTS
110 Seminole Reed! 904 247-5800
Aftntio Beach,Florda 32233-5445 F.. 904-247 5845
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. PERMIT# ll6_0WA4— %U-I
Date 4arWJ_57- Z49 .20/& ISS.UESBYTHECITY_
Job Address +�W 5,9840 ARD E-mai
Permitee: &RAMrS CaA&="IJ V�Al /_/_C Telephone# &61c� 79 A*7
Permitee Address .93/7 A011/1"M &.272 U12R. "V119C-k56 VA-4C E. -32240
Requesting Permission to Construct:. 4@�Ldzq- d 940A Zamem'All
Location: (Reference to Cross-Street) OU-rl A-56
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 No ( Date:
Ferrell Gas Yes( No( Date
Comcast Yes( No( Date:
2. Whenever necessary for the constnuction, 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 Pe"itee unless reimbursement is authorized.
3. All work shall meet City ofgantic Beach or FI ida Departme t of Transportation Standards and be performed
under the supervision of 4fQA3 7' &* ff"IZILZ (CO t t ' P ict Su i t dent)
nac or _2enn an
g3!g
Z4_9,(_
located at=Z J:kjVq& finei" LIZ, Telephone# - .18
4. All materials and equipment shall be subject to inspection by the Directorof 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
SigRe
,5 d.;� A�_Q�614 Before me this 0 day
0 in
f in a crid h s personally appea
MAIM,
0,�
commission expire 0 MAU i tt rge, State of Florida_Qauatyef-D,�y
�ersonally K
, �nown:
11.20 Produced IrfPnti na I
Revised 7129115
Permit Attachment of fi)r
Permit#-im� '20 Atlantic Beach,Fl,32233
0wria'sName4t77MIERWAN,�aS PropetyAddess: W611 59R86 ;R24,D
Subdi vision: #/Block#: 14t Z Z
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, hercinafter referred to as "CII-i" and of Atlantic Beach, Florida,
hereinafter referred to as"USER".
W]TNESSETH:
That die 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 show(copies attached).
This work is generally described as:
Any facility maintained, repaired, erected, and/or instafled in die exercise of the privilege granted remains
subject to relocation or removal on thirty(30)days notice by CITY to the USER,mid 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 my facility erected or maintained in the
exercise of the privilege herein granted and shall at all times maintain gaid 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 requiremearts of the City Code, Building Codes,
Land Development Code,and all other land use and code requirements of die CITY,including
City Code Section 19-7(h)which states"Driveways that cross sidewalks:City sidewalks my not be replaced
with offier materials, but most be replaced with smooth concrete left natural in color so that it matches the
existing and adjoining sidewalks."
Page I 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. TheUSERshall,atthe
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 ot 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 we lunitationsherluiremems 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 my of the work herein under the terms of this permit and that all of said
liabilities me hereby assumed by the USER.
DATED and SIGNED this day of 0t4r4V&&A7' 20/ 0
134,
P
STATE OF FLORIDA
COUNTY OF DUVAL
On this _j �6
_O�7— dayof 1AA4nn+ 20A personally appeared before me, a Notary Public in
and tor said County ana State,.-j),ZV*
,j,jjA,_45_ the property owner of
—qLLL '9 wv" 4 A t C Beach,Florida"
wo to me to be the persoms)described in
and who executelt1he foregoing mostrumirmt; who acknowledged to me that he or she executed the same freely
and voluntarily and for the uses and purposes therein mentioned.
MAAYJANI 14RNII
"or P1
Notary Public. �11..or .....
m-d
Notary Public in for said County and State Commission 0 FF 991500
My Comm Expires mar 11.'20
We, 2121,
CITY OF ATLANTIC BEACK FLORIDA, a
municipal corporation:
Appmved:
ic)Vortcs Director
'4fX' VC-.
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Lim,City Manager
Page 2 of 2
t MAP SHOWING SURVEY OF
LOT 22. BLOCK 18, REPLAT OF ROYAL PALMS UNIT TWO A AS RECORDED IN
PLAT BOOK 31. PAGES 16. 16A. 16B. 16C AND 16D OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
kk
LoT 2 c
LOT 23 =kLE: I' 2T
7
it It
AWLA
93.00
8274S590
24.8'
4L
o
a 24 WOO
STORY
BRICK
LOT 3 VINYL SIDING 00
RESIDENCE
No. 464 IN c)?;
IE
,,T 4
NOTES: LOT 21
1. TlIS Is A 801JMDARY �RWY.
2. GEM
�S=YGS ARE BAK) ON T4E I I
MG11T OF WAY OF WW I I
"A). KING SOUT11 716'02' EAST. AS I
PER PLAT. t
M BUILDING
PER PLAT,
t
THE PROPERTY SHOWN HEREON APPEARS TO UE 1N THIS SURVEY W I AS MADE FOR THE BENEFIT OF
FLOOD ZONE -X- (AREA OUTSIDE OF THE 0.2X ANNUAL MATHEW B. REYNOLDS.
PuAkl�c ri Anmn, "I,% le .......