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625 Atlantic Blvd ROW permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD U ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 —Olt RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NOIT DAY INSPECTION: 247-S814 JOB INFORMATION: 3ob ID: 16-ROW-2131 Job Type: RIGHT-OF-WAY PERMIT Description: repair parking lot with pervious pavers Estimated Value: $20,000.00 Issue Date: 10/17/2016 Expiration Date: 4/15/2017 PROPERTY ADDRESS: Address: 625 ATLANTIC BLVD RE Number: None PROPERTYOWNER: Name: MONAHAN, JR JOHN J Address: 619 ATLANTIC BLVD GENERAL CONTRACTOR INFORMATION: Name: Atlantic Coast Sales & Service, Inc Bradley Knox Clark CGC1509284 Address: 5909 St Augustine RD Phone: 904-396-4005 PERMIT INFORMA71ON: 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 RTI concrete box with metal lid. Cleanout to be set to grade and visible._ 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-way restoration,including sod, is required. FEES: 611111010eiROWOVED ONLY IN ACCORDANC43MAL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 STATE DCA SURCHARGE $2.25 STATE DBPR SURCHARGE $2.25 UTIL REV MODIF OR ROW $25.00 Total Payments: $64.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE nORIDA BUILDING CODE& –jCft of A lantic Roach APPLICATION NUMBER---- Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 11Q-1DW- Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@cmb.us Date routed: City web-site, http://wwwuoab us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant: Sak4 lanning&Zoning I ree Administrator Project: (qa:tf ublic Works Public Uttfljfie8�;) Public Safety Services wu Review fee Dept Signature Other Agency Review or Permit Required Rei—Rocept of Permit Veriffed By Date Florida Dept. of Environmental Protection Florida Dept.of Transportation _�t Johns River Water Managernei Army Corps of Engineers Division of Hotels and Restauran—ts Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review: MApproved. ElDenhed. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by:,si -—Dater IN%� TREEADMIN. Second Review: EIAPProved as revised, ElDenied. PUBUCWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Revieseed by: Date'. FIRESERVICES Third Rei EIAPproved as revised ElDenied. Comments: Reviemd by: Date Revised 07127110 tiantic Rparh - - - - - - - - - - ty_� A&C!Building Department El (To be assigned by the Building Department) 800 Seminole Road Atlantic Beach,Florida 32233-= Vt=l LV Phone(904)247-5826 Fax( )247- 5 SEP 2 3 2016 1&P-Dw- a i;2i I E-mail: building-dept@coahus re Date routed: 09 CitYv,elb-site: htIP://�.coa1b.us By, APPLICATION REVIEW AND TRACKING FORM Property Address: ewcl Department review required Yes No Building Applicant: A±W:!�( Aus+ Sakis q&r- tannin &Zonm Tree Administrator Project: (!WM( plkdW� Wi-N Pf4v;out Pu lic Works P"A'(S Public Utilities Public Safety Fire Services #M Review fee !L_ Dept Signature Other Agency Review or Permit Required Review or Receipt Of Permit Veriffed 8 Date Florida DOPt.of Environmental tection Florida Dept. of Transportation St Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Ncohofic Beverages and Tobacco Other APPLICATION STATUS Reviewing Department First Review: gApproved. MiDended (Circle one.) Comments: #&low BUILDING v'Ow C n rc U g'e 'L 0 p n IN e G D "a a brent F C 0 re m Re ev nt 0 a PLANNING&ZONING w g App, Ile ad Reviewed by: Date7Z331y' L& TREEADMIN. Second Review: ElApproved as revised.. [EDID led. S PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Revie"d by- Date:- 'o , T v.m pp, FFIRESER\ACES FTh,,dRev!m: [01APproved as rwised. 013enled�. Co.., t.. Comments: Revievved by Dato- ROVIS"07127/10 it tl:p::=ment --- ECEIV - - - - - - - - ii —APPLieAMON-NUMB Building D EC 0 a assigned by the Building Department.) "U g 800 Samm' it. AB i 11.n.(g i Pho 04 )247-V5SEP 2 3 2016' E_..,l buJ Date routed: Q9 b4l 1/0 CitYweb-site: http://�.mab.us BYL APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant: AtW"( -tDas+ sakis 4-sw- iannin &Zonin Tree Administrator Project: (Qa�r Wi-N Pf4v;oa Pu lic Works Public Utilities Public Safety Fire Services pm ,Review fee Dept Signature Other Agency Review or Ponmi Required Review or Receipt Of Permit Verified Date Florida Dept.of Environmental Prot 'on Florida Dept. of Transportation St.Johns River Water Manag ant District Army Corps of Engineers Division of Hotels and Restaura Division of Alcoholic Beverages And Tobacco Other: A CATION STATUS Reviewing Department First Review: Approved. ODenied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by:—Y4�1'�A----Darte:.. �Flf-71),i; TREEADMIN. Second Review: ElApproved as revised. ElDenied. C CWORK Comments: "WOR PU Uflb-TTIES - 2 P LIC 6AGA;0' Reviewed by:—Date:— FIRESERVICES Third Review: ElApproved as revised. ODeni,d. Comments: Reviewed by: Date:- 11mvised 07127/10 CITY OF ATLANTIC BEACH CONSTRUCTION PLR—M IT—WITHIN CITY RIGHLS OF WAY AND EASEMENTS - - - 800 Seminole Road Atlantic Beach,Flord.32233-5445 904-247-5800 Fax 904-247-5845 PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION, PERMIT# 110-90W_� Ila) Date_Vg,-�_ .. ISSUES BY THE CITY Job Address__(.7 C11 E-mail — i 0 C Permitee:..1can yhorl'ah'Fo Telephone#h*'-I) 3JFr-- 6767 Permitee Address:..132gy &�uda (14 C.o�r Jeti, F71� ?,, , 5 Requesting Permission to Construct: elvl�,i?r RV T4 4/�q 112 77 _,t:js Location: (Reference to Cross-Street) 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 I 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 construction, repair, improvement maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or aiement as determined by the Director of Public Works, any or all of said poles, wines Pipes,cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from s�id 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 93 A .1 located at 5969 12 _(Cl%rac�tor's Pr ' t S erintendent) .nt shall be subject fia in'sPection by the Director of Public Works or his designee. 4. All materials and equipnre Telephone 3'!;?61L–,0Pe'C.6 5. All city prol: 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 armf increase in Impervious area on owner's lot or in the city Rialit of Way are to --11-- -11-in's application. 7. 1 his permatee small 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 am 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, E surne all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder the aforesaid rights and privileges. a Director of Public Works shall be notified twenty-four(24) hours prior to starting work and again immediately 91. ...... L on completion. 1 m 5 ?6 88 j��t1-`,6 ('-,I k4-� OWNER Sigm;d: Date: Before me this day of 2 rj��,n the,rt'�,'�u,,(IStt, Of — Florida, has personally appeared Notary Public at Large, State of Florida, County of Duval. My comin Con expires: —�. Personally Known: Z 5 4415 -0 Produced Identification Revised 7/29/iS Permit Attachment of for permit# issued- 20 Atlantic Beach,FL 32233 Owner's Name: Property Address: R.E.M Subdivision: Lot#/Block#: REVOCABLE ENCROACMIENT PERmIT TRIS REVOCABLE ENCROACHWNT PERmrr,issued on this day of.20� by Atlantic Beach, Florida, a municipal corporation ,g,,iwd and — Florida, hereinafter refi�rred to as "MY, and existing under the laws of the State of hereinafter relbrred to as"USER". of Atlantic Beach, Florida, WITNESSETH: That the CrFY does hereby giant the USER Permission on a revcablo basis as described hemin the right to enter upon the Property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach R'ght-of-Way/Faaemmu Permit numbers noted above(copies attached). This work is generally described as: Any facility mimunned, "Psured, erected, and/or installed in the exemise of the privilege grimed remains subject to relomdon or removal on thirty(30)days notice by CITY to the USER, said notice to USER shall be given by certified mail, retarn 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 MY informed of USER's proper address. The USER shall promptly make any and all necessary repair, to my facility erected or maintained in the exercise of the privilege herein granted and shall at an 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-descxibed property of the CiTy, the USER shall replace at die USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing, or adding to of the milifies and facilities of the CITY or franchise utility provider. The fizilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code,and all other land we and code requirements of the MY,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 mumal in color so that it matolies; 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 Deparmurn,for mid change. The USER shall,at the discretion of the CITY, be requested to submit as-built drawings showing the change within durty(30) days after the day of completion. This permit shall instre 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 spmifications, to include utilities locate requirements and me limitations/requirements of public rights-of-wayandother 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 tennis of this permit and that all of said liabilities are hmby assumed by the USER. DATED and SIGNED this Z�ti dayof ;e4C14e`e- 20/( BY-Ig0 (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAI�� On this zc1day If 2 !e�Imlly ap�peared before me, a Notary Public in and for mid I ty 14d State, the property owner of 8 tlurm,Fleac le)Z. 1-rtQ 18���_ Atlanfic Beach,Florida,known to me to be the pmon(s)described in and who executed the foregoing instrument;who acknowledged*me that he or she executed the mine freely and voluntarily and for the uses and purposes therein nal Notary Public in for said County and State CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: kayk,mo.-,�Pubh.Wrlo Director 0141 For Permits when city sidewalk is impacted, City Manager approval required: Nelson Van Lim,City Manager Page 2 of 2 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904) 247-5826 F�(904) 247-5845 Job Address: 625 Atlantic Boulevard PermitNumber: Legal Description 10-8 20-2S-29E SALTAIR SEC I Parcel#170663-0000 Valuation of Work$ 200—w-0-0 Propos�d Work heated/cooled N/A non-heated/cooled 0 Repair Move Demolition pool/spa window/door Class of Work(cinle one): New Addition Alteration (�Ti) Use of existing/pr osed structure(s) cimle one): ornmercial Residential If an existing struNum,is a fire sprUer system install ii�iDone): Yes No �_�A Florida Product Approval# N/A For multiple products use_ProiI.­c_ta­pp­rov_aTr5-rm— Describe in detail the type of work to be performed: Repair existing Parkiniz I ot Pronerty Owner Information: Name: Sean Monahan —Address:13754 Bermuda Cay Court City Jacksonville State — E-Mail or Fax 4(Oprtional -Llorida Zip jj�225 Phone(904)318-0769 Contractor Information: Company NanneAtlantic Coast Sales&Service, Inc. Qualifying Agent:Bradley K.Clark Address:5909 St.Augustine Rd., Suite 2 City Jacksonville, State Florida Zip 32207 Office Phone(9904)396-4005 Job Site/Contact Numb"(904)874-4891 _-Fax#(888)599-5713 State Cenification/Registration# CGC 1509284&CCCO57666 Architect Name&Phone#Thomas Duke of Thomas Duke Architects(904)356-3335— Engineer's Name&Phone#Matthew Lowe of Lowe Structures, Inc.(904)992-OT7-7 Fee Simple Title Holder Name and Address N/A Bonding Company Name and Address N/A Mortgage Lender Name and Address N/A Application is hereby made to obtain a permit to do the work and installations asindicated I certify that no work or installation has commencedprior to the Issuance ofapermit and that all work will beperformad to meet the standard,of It laws regulating construction in thisjucisdiction. This permit becomes null and void[fwark is not commenced within six(6)months, or ircomiruction or okhrenntisdarabansionedfora Wperiod q'sisp),months at any tiwger work is commenced I understand that separate permits must be securadjurloledrica Work, Plumbuiti,Signs, ells,Pools, a--,Boilers He ers, Tanks andAli,Conditioners,eta 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 ATrORNEY BEFORE RECORDING YOVIi NOTICE OF COMMENCEMENT. I hem�certify that I how,read andesamined this lication and know the same to bt,,we and correct. Allprouinow oflaws and ardbumees gowerning this prou , work will be compiled with whether speciX herein or not. The grarating of a permit does not resume to giw out ity to violate or cancel the isions atany otherfederal,state, or local law regulating co traction or the performance ofconstruct p. unt. Signature of Owne Signature of Coutr.�­ Print Name Print Name ...................... ------- Sworn to and subscribed before me Sworn to and subscribed before me this 16ODay of Se 201r- this L01Day of 2016 N Pubfi. EleMbed,R Shannim Myc*mm&ManFF*8sa13 Exp�ba"je - � MAP SHOWING SURVEY OF LCTS 762, 763, 764, PLAT OF SECTION No. 1. SALTAIR AS RECORDED IN PLAT BOOK 10, PAGE 8 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FWRlr)A. I?W00D PRIVACV� PENCE LOT 775 LOT 776 LOT 777 �V2"�POPE, (74.97'FIELD) URIC 314"IRON PIPE RECAP 75.00 1 CAP GO A LINK CFENCE NOTES: 74.5' `,C-5'SETWEXN BUILDINGS THIS IS A BOUNDARY NO BUILDING RESTRI I STORY PER PLAT "Soffity&FRAME STORY ol BUILDING ANGLES AS PER FIEL MASOINRY a FRAME I NORTH PROTRACTED FROM PLAT. 2 BUILDING A.B.0 a D DENOTES FIELD ANGLES. No. 625 A-89'50'25" 8-90-04'4 1 C-90-0620" SUH-DINGS ATTACHED BY ON 119-56'34" 2 1 WDOIC WALL cro 74.1' -1:0 O.se s LOT 761 .c; CONCRETE WALK 0 7' - I LOT 765 a 8-N ASPHA 0 C; DRIVE WCHAIN LINK PENCE! w CONCRETE w .0011CRETE, of z W FOUND Vlel;(;PIPE-1 75.00' \,UKD od RAIL IN NOCAP [7506!FIELD) RAIL ROAD TIES AT L ANTIC B 0 U L E VAR D 100'R/W(PAVED) THE PROPERTY SHOWN HEREON APPEARS TO L.IE IN FLOOD ZONE 'X' AS WELL AS CAN BE DETERMINED FROM THE 'FLOOD INSURANCE RATE MAP' FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO EDWARD P. AND DOROTHY E. FRY, JST PERFORNIIIINCE BAM AND CHICAGO TITLE INSURANCE COMPANY THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM TECHNICAL STANDARDS OF THE FLORIDA ADIGNISTRATIVE CODE CHAPM 21-HH-6 AND THE FLORIDA LAND TITLE ASSOCIATION. THIS SURVEY NOT VALID UNLESS D HT, ONN W BOATWRIQ S' SEALED WITH AN EMBOSSED SEAL REVISED*OCTOBER 7,1992 FLORIDA REG. LAND SURVEYOR No. 3295 OF SURVEYOR SIGNED HEREON SCALE- ["=20' BOATWRIGHT LAND SURVEYORS, INC, DATE: SEPTEMBER 25, 1992 DRAWN BY D.FREEMAN 1711 5th STREET SOUTH FILE2 92-668 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET_.L OF-L MAP SHOVWNG SURVEY OF LOTS 762, 763, 764, PLAT OF SECTION NO. I SALTAIR AS RECORDED IN PLAT BOOK 10, PACE 8 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. EGPOOD PRIVACY PEARCE LOT TT5 LOT 776 LOT 777 FOUND42""PIPE, (74.97'FIELD) FOUND SAIR IRON PIPE NOCAP 75.00 (NO CAP 0.1, A I B INK c FENCE S'SETWEEN NOTES: B`CNIARNI LINK FEftCJ BUILDINGS 0 BUILDING RESTRICTION LINE AS THIS IS A BOUNDARY SURVEY. W I STORY N PER PLAT. STORY 1MASO, BUILDING ANGLES AS PER FIELD SURVEY NRY& FRAME k NORTH PROTRACTED FROM PLAT. BUILDING A,B,C 8 D DENOTES FIELD ANGLES. No. 62 5 A-89'58'25" It 90-04'4 1 BUILDINGS ATTACKED By IDA 89'56'34" A` Z L CA 90-0620" VOOD WALLATTA .. 0 74J' a:0 LOT 761 CONCRETE WALK LOT 765 60 ASPHALT 00 DRIVE C'*CHAIN LINK PENCE 0 w CON�RETE Ld Ir w" oft,I,Vc co w z 0 00' _j FOUND V2"I" PIPE-� 75.00' .04 NAIL IN NO CAP (75.06!FIELD RAILROAD TIES AT L ANTIC B OU L E VAR D 100' R/W (PAVED) THE , PROPERTY SHOM HEREDN APPEARS TO LIE; IN FLOOD 24M "X" AS WELL AS CAN BE DETERMINED FROM THE 'FLOOD INSURANCE RATE MAP* FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO ErWARD P. AND DDROIM E. FRY, IST PERFOWAINCE RANK AND CHICAGO TITLE INSURANCE CCMpANy THAT I HAVE SURVEYED THE LANDS AS SH" IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM TECHNICAL STANDARDS OF THE FLORIDA ADMINISTRATIVE CODE CHAPTER 21—HH-6 AND THE FLORIDA LAND TITLE ASSOCIATION. LAI DONN W. BOATWRIGHT, E38' THIS SURVEY NOT VAUD UNLESS SEALED WITH AN EMBOSSED SEAL OCTOBER 7,1992 FLORIDA REG. LAND SURVEYOR No. 3295 OF SURVEYOR SIGNED HEREON REVISED SCALE, I"f2O' BOATWRIGHT LAND SURVEYORS, INQ DATE.-_sE_PTEmBER�251992 DRAWN 13Y D�FREEMAN ITII 5th STREET SOUTH FILE: 92-668 JACKSONVILLE BEACH, FLORIDA 241-am SKEET-.L OF-L Dlo�os'O"to Property Coro�r no to OH TT.. DI.V.�to p r.polt,col�tl Sloevrolk Dtooer�,Oo to�k Of Sidm&k Dimension to Pronorty--Corner n -IH 2 LIJ Dimension to Property Corner Dlo,.V.n to B;k of Sid,welk e. T 5' Sidewalk ATLANTIC BOULD REVtSIONS DE�RIPTION I 6ATE I E City of Atlantic Beach PROJECT NO. 1607.01 FSHEET No 1-1-E-IE- moN.4,Z4N AWAILE" No. .IE 11 .11 DATE MY 7, 2016 I K SCALE PARKEVOOP77ON772 A 7 29-0' 5' Sidewalk ATLANTIC BOULEI REVISIONS DESCRIPTION I DATE I DES City of Atlantic Beach 4 ARD PROJECT NO. 1607.01 SHEET MONAH" JEWELERS NO. DATE MY 7, 2016 CE-1- PARKLva OpTioN 2 SCALE