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23 CORAL ST - PERMIT (:)' ; '':. s, CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD h,,,, Y'}--- ATLANTIC BEACH, FL 32233 U INSPECTION PHONE LINE 247-5814 SINGLE FAMILY DWELLING NEW MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-SFR-1644 Job Type: SINGLE FAMILY RESIDENCE Description: new home construction Estimated Value: $400,000.00 Issue Date: 8/31/2016 Expiration Date: 2/27/2017 PROPERTY ADDRESS: Address: 23 CORAL ST RE Number: None GENERAL CONTRACTOR INFORMATION: Name: PILLAR LLC PILLAR LLC, CBC1258802 Address: 2232 Corporate Square BLVD Phone: - - PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $690.00 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $1,380.00 STATE DCA SURCHARGE $20.70 STATE DBPR SURCHARGE $20.70 SEWER SDC-SYSTEM DEV $4,050.00 imisi IS :U'I'ROV l I) ONI,I" IN ACCORDANCE. 1l 1111 ;1I.I. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COUI•:S. .fit r r _....✓( . \s, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 9 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 WATER CONNECT/TAP & $800.00 METER WATER CROSS CONNECTION $50.00 WATER SDC-SYSTEM DEV $1,140.00 CHG Total Payments: $8,301.40 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r51.,tv.ik City of Atlantic Beach APPLICATION NUMBER �s . Building Department (To be assigned by the Building Department.) l 800 Seminole Road ,� -,- Atlantic Beach, Florida 32233-5445 (Q^SFR b t" Phone(904)247-5826 • Fax(904)247-5845 Off"12 D ta Dl •�'�o;�i9s- E-mail: building-dept@coab.us Date routed: tQ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: a 3 Coca/ SkIQ'L--kD- .__,s,1 t review required ��' No i- Buil•_,;,; M1 p�� L 4 Plannin• &Zonin•AIIIIIM Applicant: �� 1 �.Vi1S�(�L"hJ�l `� Tree Administrator Project: n ti-J ‘R0 M& CD(1S'\( 4.AL-ii 00 _ 4Pub ic tilities a 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 411 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI TION STATUS 4 Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: BUILDIN Q- u �` 6 Q� / PLA ' , ' : ZONING Reviewed by: Date: O TREE ADMIN. Second Review: ❑Approved as revised. ❑De led. 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 ,SrS_.A.P J '' ,� `S, CITY OF ATLANTIC BEACH r - ' f PUBLIC UTILITIES _r si -61#0 V 1200 Sandpiper Lane ATLANTIC BEACH,FL 32233 r-013191' (904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: 7- 2,5--16 Project Address: 23 do/441-( S`(ELCET No. of Units: I Commercial Residential ✓ Multi-Family New Water Tap(s) &Meter(s) Meter Size(s) r 1 New Irrigation Meter Upgrade Existing Meter from to (size) New Reclaim Water Meter Size New Connection to City Sewer Name: Applicant Address: City: State: Zip Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# /6 - ,F2 - /4 if i( Water System Development Charge $ I I t/Os 00 Sewer System Development Charge $ v SD, i) Water Meter Only $ Reclaim Meter Only $ Water Meter Tap $ t, 00 (notes) Sewer Tap $ Cross Connection $ 5( , 06 Other $ TOTAL $(o, OLIO, CO APPROVED: Kavle Moore,PE 16NA'\ (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED 1� `' j , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD Me J ATLANTIC BEACH,FL 32233 OFFICE COPY (904)247-5800 `�J;i 1=J BUILDING DEPARTMENT REVIEW COMMENTS Date: 8.3.2016 Permit#: 16-SFR-1644 Site Address: 2232 Corporate Square Blvd., Site Address: 23 Coral St.,AB JAX Review: 1 Phone: 904-545-4993 RE#: Email: shawncsh (a� r-pillar.com Homeowner: Chris Griffith Applicant: Pillar Construction,LLC Email: chris-griffith@csx.com Correction Comments: These comments are from 1 of 5 Departments that are reviewing this application. Applic ion is dis ucs: . axed window,CPD NO. 8814,Certification expired April 30,2016; single hung window, CPD NO. 12775,expired July 20,2016. Generally the window FL#s submitted don't look like the information that was submitted. he #LF for siding is a number for Hardi panels, not la• sidin l. ` , arc• 'S.-1 3. : i s is ies of the Ene Dis la Car• nee• o •e filled out completely. 1 <c S?I'- 6, 4. Submit HVAC duct work ay out plan, cop S'.5.,t 6 Submit 2 co s ies of a ca u , • • y. 9-•/6 6. • ► i • de th of the footer o 1 • : .e S-1 detail 1/S-1 ?'-&`/L' . trrect the printing pro• em on the structural pages,some o t e detail notes are upside down and backwards.Not acceptable. Resubmit 2 copies of S-1,S-2, S-3. Mike Jones Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233-5445 Ofc (904) 247-5844 Fax (904) 247-5845 6"-‘Q)1-tc!/ Q-ev f.t-./ c.o m P• 1- x-/' 16 1 07 13-16; 10:46AM;From:B_And_G_P I umb i ng To:9042475845 ;9042233750 # 2/ 2 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: .--.7,1 ,r ��1 , 174,� , .c/fid /,s 7 gis Permit Number: A— S'P'A•-/6yeil Legal Description Parcel# � eJ oor! • ea o q. t o ,t _ Valuation of Work g- ll. -.0. Pro oscd `Wort: heated/cooled a' P ��/ nn-heated/cooled, Class of Work(circle one): C)---- 9.5,i,..6._..i.d.t.i__..,.._ (, 7a -1 �' ) Addition Alteration Repair Move Demolition pool/spa window/door21 G Use of existing/proposed structures)(circle one): Commercial C7If an existing structure,is a fire sprinkler system installed? (Circle one): - s No C1,1.!../_ Florida Product Approval# sCr eT/2„e-/,�. 3 q'�j? For multiple products use product approval form •— S.F, Describe in detail the type of work to be performed:_ /./,v .C77-a6(62:-/7-7^ P'ronerty Owner Information: Name: a.; ,w.::,_., -r_- /.0 Address: /��e'r�s-i .�si�c'�c" (--•City .W74,..-7 .,' : Gt~'. ,-.‘„ State /Zip, Phone �2v// G /� 7Fs -S" E-Mail or Fax#(Optional) •-1.-• ' - .4.Cont ractor Information: 1 i Company Name:_,,, .r- t' 47--, / �/ Address: ,-,.-1..p? e4-77 -7`--, ,rqualifying Agent: rf S�'� �,! ,/,.'"";1 .;vY�I s' -;':?:,,,,,e-'-'r I r1".' _City ..*.e..e1:r�.i-_-e //s State /' Zip 5? /Le Office Phone c.,/ sv/5- ri ' Job Site/Contact Number ' State Certification/Registration # . Q Fax# Architect Name& Phone# . : r,- :',,•• ,--!- d'•'/,,,7- �G".,•?- -- - / ?ngineer's Name& Phone# - , ;,-,-/G, ; �,ti,. - 4 'ee Simple Title Holder Name and Address i rri 'fit ��`�'�` ° 3onding Company Name and Address ilortgage Lender Name and Address iS y`T" pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the suance>ofa permit and that all work will he performed to meet the standards of all laws regulating construction in this Jurisdiction. This permit becomes null nd void if work is not commenced within sir(G)months, or if construction or work is suspended or abandoned for a"period of six(6)months at any time after ork Is commenced I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, furnaces, Boilers, Healers, 'inks and Air Conditioners,etc. 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 NOTICE OF :'COMMENCEMENT. tereby cert!' that I have read and �• Jyexamined this a plication and know the same to be.true and correct, /111 provision• • and ordinances governing this 7e of-work will he complied with whether sp cci ted herein or not• The granting ovislo s of any other federal,state, or local la egulatin.; onctructton othe performance of conctructiotr eSttn, o give a !Ito,. , . viol. • 4,,,/ „, m mature of Owner �"' u.- ;�/ � .. Signature of Contract �, a W.a o rli Int Name I. , `ame „•..••....Giiii ; l i Print Name am to nd subscribe. before me - o.'F•_o s. �" ay of u Sworn to and subseri ed before me ,- N s o I . 20 .J this Sr'17ay of G ' Awa 1. ..A.&�.2...de) I' anpp 1 / ��T , / S O �- tary Pu. r,. t, AKER N , c./ :. _0 ,T. Commission H FF 9$9863 ' 'J dr ." L ".1 'v I ;�": My Commission E^Aires .. . _'t�sfi3 `: NOTICE OF COMMENCEMENT OFFICE COPY // (PREPARE IN DUPLICATE) Permit No. /C' fe-1 h �� Tax Folio No. State of County of j7, Ira/ To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: /c-1Qo?- O 9' 'o?.S -o?fl E �G t cove /‘95—re? -aaoo Address of property being improved: o7� Co-,R/si/ At4', 7'c beat/ General description of improvements: 44J, Owner �iC.� � ✓L Address y/ i ceo,ri rfltt2 ' ,�l .���a►'vi a fccac/ Ae 7 .7 7_7 Owner's interest in site of the improvement "7-V7-se--" Fee Simple Titleholder (if other than owner) Name Address Contractor ,//icr ,</C. �orS/ G/4 Address i . ori- e//0/ Phone No. Fax�/-Sz1S-- `�91�T Fax No. Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name /5/6, T („ sr��7exone-ror,-c4-‘-s) Address (/'ll&U Gl 5 zci,(#1,7 fs-ii.vix .S/�; 4si ' ,�ia-� Phone No. 97- - 79 7_..pS,2 / Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may/be served: Name ����✓J ( �O�"}/�HG�,Z'' Address a7oZiye /:6,--70-a_ /Q4/ f4,e A sW/,‘ Phone No.90G/SYS- rf Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY ,WNAir / Signed: ! DATE 7/5 � Before me this da of 'st / I the County 99f puval.State of Florid-,has•erso Ily appeared C�I/rS ioe,c� , • i herein by himself/herself a d affirms that all statemerp.ai„Y HALEY ELISE BAKER are true and accurate *" Doc#2016159924,OR BK 17632 Page 760, :� ,u Commission N FF 989863 '= Number Pages: 1 �;; My Commission Expires Recorded 07/13/2016 at 09:45 AM, May 08, 2020 Ronnie Fussell CLERK CIRCUIT COURT DUVAL • COUNTY RECORDING$10.00 Notary Pub&at Large,State of F l�{\ , County of Q11 V0. NLly commission expires: M4.y 2024 personally Know or Produced Identification OFFICE COPY DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLORIDA BUILDING CODE Review Result (circle one): Approved Disapproved Approved pp w/ Conditions Review Initials/Date: /71 Y'' 316 Development Size Habitable Space 3,)tio s,F Non-Habitable 7.3 9 S, F Impervious area Miscellaneous Information Occupancy Group R-3 Type of Construction U 0 Number of Stories 2, Zoning District g- 6- Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions/Comments: i���lrr, City of Atlantic Beach APPLICATION NUMBER JS r , Building Department (To be assigned by the Building Department.) 1;, -` ii' 800 Seminole Road ,�� ;, Atlantic Beach, Florida 32233-5445 5 Q. 1W-t9 Phone(904)247-5826 • Fax(904)247-5845 1 \c;;ig% E-mail: building-dept@coab.us Date routed: ail a l a Q I b City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: a 3 COCOLt 5-keg-LA- _ D- ...„,„iii;_ t review required Yes No 1,_ Buil,..uio, "li"IIIIIIIIIIIM Applicant: r% N.--t \M&tiWn L-L-C / Plannin• &Zonin• _- Tree Administrator _- Project: n O L. `\O M k CD(1Sk t (A J'h of 1 ' - _ / Pub is tilities__AIMIE 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: / pproved. ❑Denied. (Circle one.) Comments: • BUILDING PLANNING &ZONING Reviewed by. ia� 0, Date: 913//, TREE ADMIN. Second Review: A roved as revised. ❑ pp El Denied. 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 1 • LAJ`ti-i City of Atlantic Beach APPLICATION NUMBER �;'r. - •" Building Department r v ,� (To be assigned by the Building Department.) .: ;/�'s 800 Seminole Road rovE. K:).v. _. , Atlantic Beach, Florida 32233-5445 t t0— S•FQ"' ( (094 Phone(904)247-5826 • Fax(904)22016\0;;19% Email: building dept@coab.us 2 2 Date routed: 09-1 -01Z00110 City web-site: http://www.coab.us BY: APPLICATION REVIEW AND TRACKING FORM Property Address: Q1 COca1 Skf 2LA- D- • _ •• .- t review required Yes No p Buil.:,;,,; Applicant: ` %1\a-1 C DAS\WAD' LLC Plannin. &Zoning Tree Administrator Project: n Q.W ‘NO,Ak COf1S\f tkCii 0n tali c Pub is tilities 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 g rat Distract 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: J4 oGCg � ,40,'j BUILDING oda ` PLANNING &ZONING r Reviewed • . „r _ , ,_ _ Date: l -i ` 4 TREE ADMIN. Second Review: VA roved as revised. pp ❑Denied. PUBLIC WORKS Comments: Jet 4 �/ 6enteei- PUBLIC UTILITIES / PUBLIC SAFETY Reviewed by: A7e- I/ a--- Date: 744//4 FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: 2evised 05/14/09 I .S rv. CITY OF ATLANTIC BEACH f' DEPARTMENT OF PUBLIC WORKS `J 16 1200 Sandpiper Lane A J Atlantic Beach,FL 32233-4318 J S) TELEPHONE:(904)247-5834 `) -f FAX:(904)247-5843 www.coab.us r�JRI9'e CONTRACTOR: DATE: 7-25-16 Pillar Construction, LLC !i / / / i PERMIT# 16-SFR-1644 1 2232 Corporate Square Blvd. ADDRESS: 23 Coral Street Jacksonville, FL 322167/2','G Atlantic Beach, FL 32233 4,A4Email: shawn@cshr-pillar.com PERMIT APPLICATION FOR NE HOME Your permit application has been ' d by the Public Works Department for the reasons listed below. Please submit this information at your earliest convenience in order that we may approve your application. If you have any questions,please contact Scott Williams,Deputy Public Works Director at 904-247-5834 or email swilliams@coab.us. PUBLIC WORKS CORRECTION ITEMS: (Submit the following information to the Public Works Department) ,* Provide detail on how water gets to retention areas(gutters or roof runoff). ✓** Provide a detailed plan of water retention (elevations,water flows and depth). 1** Provide a survey of existing property with imperious areas. 1** Provide cut sheets on pavers and installation method for 50%credit. .1** A Revocable Encroachment Permit must be obtained. -1** All runoff must remain on-site. Cannot raise lot elevation without measures to retain runoff. V** A Right-of-Way Permit must be obtained. PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will he printed on your permit as Conditions of Approval) ** 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. ** If on-site storage is required, a post construction topographic survey documenting proper construction will be required. **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. cc: Toni Gindlesperger, Building Department r ►L!��'i Jb CITY OF ATLANTIC IC BEACH DEPARTMENT OF PUBLIC WORKS 12(1Sandpiper Lane ` `' 1 .+ .A:; Atlantic Bunch,FL 32233-4318 ' f) TELEPHONE:(904)247-5834 '��' ! z FAX:(9041247-5843 www.coab.us rr�JFo '' CONTRACTOR: DATE: 7-25-16 Pillar Construction, LLC PERMIT# l6-SFR-1644 2232 Corporate Square Blvd. ADDRESS: 23 Coral Street Jacksonville, FL 32216 Atlantic Beach, FL 32233 :) Email: shawn(cpcshr-pillar.com PERMIT APPLICATION FOR NEW HOME Your permit application has been denied by the Public Works Department for the reasons listed below. Please submit this information at your earliest convenience in order that we may approve your application. If you have any questions,please contact Scott Williams, Deputy Public Works Director at 904-247-5834 or email swilliams(a),coab.us. PUBLIC WORKS CORRECTION ITEMS: V' 371 0I (Submit the following information to the Public Works Department) e) ** Provide detail on how water gets to retention areas(gutters or roof runoff). r7 D'' t ** Provide a detailed plan of water retention(elevations,water flows and depth).(9w ** Provide a survey of existing property with imperious areas. Ar(-a (` ** Provide cut sheets on pavers and installation method for 50%credit. ./ c� ** A Revocable Encroachment Permit must be obtained. , fi" !. _ ** All runoff must remain on-site. Cannot raise lot elevation without measures to retain runoff. 1 .714.- ** OB** A Right-of-Way Permit must be obtained. kr-re.aq PUBLIC WORKS CONDITIONS OF APPROVAL: (The Ibllowing comments tt•il/be printed on your permit as Conditions of Approval) ** 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. ** If on-site storage is required, a post construction topographic survey documenting proper construction will be required. **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. cc: Toni Gindlesperger, Building Department 1 Perrone, Jennifer C. From: Perrone, Jennifer C. Sent: Monday, July 25, 2016 11:43 AM To: 'shawn@cshr-pillar.com' Cc: Williams, Scott; Gindlesperger,Toni Subject: Plan Review Comments for 23 Coral Street Attachments: Plan Review Comments 16-SFR-1644.pdf Permit application#16-SFR-1644 for 23 Coral Street is currently denied by Public Works. Attached are the plan review comments. Please submit required information at your earliest convenience in order that we can process approval for our Department. Thank you, Jennifer Perrone Administrative Clerk City of Atlantic Beach Public Works Department 1200 Sandpiper Lane Atlantic Beach, FL 32233 Phone (904) 247-5834 Fax (904) 247-5843 email: jperrone@coab.us 1 a I �� CITY OF ATLANTIC BEACH _ ,•1 - CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS r, ' lir800 Seminole Road 904-247-5800 wow, Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PERMIT# PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Date 7/ /1 ISSUES BY THE CITY Job Address? e6--,--el/ 57rfJL, evel,Q T.P.gE-mail a/tS_13,•, 1/.6CS,C,epr'-, Permitee: ez4 S ii Telephone# 91/4/ 6/p 7r5"3"-- Permitee r 3Permitee Address: f/ OCear7 A-ezG ,d,„; di,'• 46/ `/, J 7 Requesting Permission to Construct: ,6' " �i� 'ie.SX,,i/7 — ��,!/tl d";:e...re' Location: (Reference to Cross-Street) t v V ?5i?'4 - 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 (t‹ No ( ) Date: -', Bell South Telephone Company Yes ( y No ( ) Date: FFerrell mcast Gas Yes( ) . No( ) Date: 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 Florida Department of Transportation Standards and be performed under the supervision of — (Contractor's Project Superintendent) located at 01,-41,- 2€o,,a,r 5, /g/da/, Telephone#: goi/S 'S 909,9 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. 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 • ht, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, sume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and `ci mloss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder (cg,5.a the aforesaid rights and privileges. to W LL01 'o e Director of Public Works shall be notified twenty-four(24) hours prior to starting work and again immediately y: ••° on completion. d c y W 2 E ) >4E0 Lu'i= 2 OWNER _o Signed: C � Date://6 Before me this �/� day ,,►�,w.,,,y of in the Count uval, State Of Florida!hispersonallyappeared 1.� ''w+ // C � pp ed �, a , -C.r Notary Public at Large, State of Florid • • y• Duval. My S, commission fres: kjj p�,2)10 -- .'- now • 4,1',,P Produced Identification: Revised 7/29/15 - - - - Permit Attachment- - - -- of- - - - - dor -- -- — - - - - - - - - Permit# issued ,20_Atlantic Beach,FL 32233 Owner's Name: C,4-,C C?541-- 3P Property Address: , Co,rct.�S�. M. TeX�..?d,73? R.E.#: /,‘,f5-11,moa Subdivision: Lot#/Block#: -44/o2 / E REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT,issued on this Sr day of Ai,/ ,2041 by Atlantic Beach, Florida, a municipal corporation organized and existing under a law of the State of Florida, hereinafter referred to as "CITY" and (,fins �n-441L of Atlant. 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: MK/ 4"e �osi 5.4.6/1.,---• 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: 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 malting 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 � y of ,,,7/ , 20g By: / 4%, , Property Owner solg"'U�i P riY • - HALEY ELISE BAKER ;�(J, (to be signed in presence of the Notary) `►/" . • Commission# FF g8g863 11J ,!iil� a= MY Commission Expires "",,4.:0" May 08, 2020 STATE OF FLORIDA COUNTY OF DUVAL On this____ ay of , 20/'personall appeared before me, a Notary Public in and for said Co did State, t 1.e." j' ci the property owner of Co-ex4sf ,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 mentioned. Notary Public in for said County and State CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: • Approved: Kayle Moore,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: • Nelson Van Liere,City Manager Page 2 of 2 R.O.W. Permit Attachment of for R.O.W. Permit# issued ,200_ Atlantic Beach, FL 32233 Owner's Name: al;`cs 4 Property Address: J? Subdivision: si+-v-P Lot#/Block#: ,ed/Z. /O - .Z R.E.#: /69 59.0 oo�C) REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this ,7c*day of .,./7 , 2014 by Atlantic Beach, Florida, a municipal corporation organized and exiling and the laws of the State of Florida, hereinafter referred to as"CITY" and C/").5 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: p�v,;i-,r S / .4'e.— a/l,'Ve 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 b certified mail, return ecei t requested, to the following address: 9/ dee ore) .22e zr r: ,M 2 44arc l L� 3Aa f . 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 /S --da of '-- � ,244. By: IA I Property Owner (to be signed in prese •- o the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this ,1 day of —ly 2 20k personally appeared before me, a Notary Public in and for said C unty and State, CO/s4 6 the property owner of a?? C40. 1/S , 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 mentioned. Wyatt FkuAcla, ::°7J;., HALEY ELISE BAKER 11 Notary1 •lic in for said County and State ;_ Commission # FF 989863 3, ire" My Commission Expires S441,;;° May 08, 2020 CITY OF ATLANTIC BEACH,FLORIDA,a • — municipal corporation: Approved: 6tearref14:-%r' je►A Public Works Director 'pone J RcQ6oyi,—a, E. For Permits where city sidewalk is impacted, City Manager approval required: Sanson,City Manager NEcso,v ✓*, t/fee Page 2 of 2 pl."Itie. CITY OF ATLANTIC BEACH j`'; CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS li L r 800 Seminole Road 904-247-5800 :y"r. Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date 70`-7 ,0,75—,0,70/‘ PERMIT# Ar z'�atsx / ISSUED BY THE CITY Job Address �/ _,/,‘,..-ice ../,-"! Permitee: 9. S ‘-e:/�/��/ "' Telephone# Permittee Address: 9/ �Cec''i ,LS%-e"e r" 4/4 ‘,9,4/04---/%/ e ze/ �- --r'27----r'27--05.-, � Requesting Permission to Construct: , 29' S ?4Ve /� 4' '-"47"--r ' 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/Municipalities: Jacksonville Electric Authority Yes( No ( ) Date: / 2 / 'ono Bell South Telephone Company Yes 10 ( ) Date: 'MIE§r0/6 Ferrell Gas Yes( ) N_( ) Date: Comcast Yes(/ )----No ( ) Date: ,`0i6 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 Permittee 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 _1;(014.4,7•76r-e-,7%./24 (Contractor's Pro,e Superintendent) located at "4//w-1-sr 5/iH c,4 Ir—•• Telephone#:O9 SSS 9Yg 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. 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. OWNERIffelik'',1 zrin HALEY ELISE BAKER / Commission#FF 989863 0147/45 �;;,,.P.,a My Commission Expires Signe•. ...,—/,414 Date: '';�.���;..' May 08, 2020 Before me this //` day of 4+1 in the County of Duvall State Of Florida,has • O'onally appeared r rrS 1 w c�,,"i1"' - Notary Public at Larg ,State of Florida,County of Duval. _ d"L b � My commission expires: tk)-\i a3, 1C2.. personally Known} Produced Identification: 1 'trn 6S �t,, Comp. By: SRW • Date: 7/25/2016 Public Works Department City of Atlantic Beach Permit No: Address: 23 Coral Street Required Storage Volume Criteria: Section 24-66 of the City of Atlantic Beach's Zoning,Subdivsion,and Land Development Regulations requires that the difference between the pre-and postdevelopment volume of stormwawter runoff be Istored on site. Volume of Runoff is defined as follows: 1 V=CAR/12 1111 Where: V=Volume of Runoff C=Coefficient of Runoff li A=Area of lot in square feet R=25-yr/24-hr rainfall depth(9.3-inches for Atlantic Beach) Predevelopment Runoff Volume: Lot Area(A) = 5,500 ft2 Runoff Coefficient Area Lot Area Description (ft) (ft2) "C" Wtd "C" Impervious 1,131 5,500 1.00 0.21 Pervious 4,369 5,500 0.20 0.16 Runoff Coefficient(C)= 0.36 Runoff Volume V= 0.36 x 5,500 x 9.3 / 12 V= 1,554 ft3 Postdevelopment Runoff Volume: Lot Area(A) = 5,500 ft2 Runoff Coefficient Area Lot Area Description ift21 (ft2) "C" Wtd "C" Impervious 2,438 5,500 1.00 0.44 %ISA= 44.3% Pervious 3,062 5,500 0.20 0.11 Runoff Coefficient(C)= 0.55 Runoff Volume V= 0.55 x 5,500 x 9.3 / 12 V= 2,364 ft3 Required Storage Volume DV= Postdevelopment Runoff Volume- Predevelopment Runoff Volume DV= 2,364 - 1,554 DV= 810 ft3 Retention Coral Street 23 7/25/2016 v'''''' Comp. By: SRW7/25/2016 viti Date: � r Public Works Department City of Atlantic Beach Permit No: Address: 23 Coral Street Provided Storaqe: Elevation Area Storage (ft) (ft) (ft3) 11.5 123 0 BOTTOM 123 x 1 12.0 375 125 TOB 125 X 3 Elevation Area Storage (ft) (ftZ) (ft3) Left side 75 X 3 0 BOTTOM Right Side 50 X 3 0 TOB Elevation Area Storage (ft) (ft2) (ft3) 0 BOTTOM 0 TOB Inground storage=A*d*pf A=Area= 375.0 d=depth to ESHWT= 8.5 pf= pore factor= 0.3 Inground Storage= 956.3 ft3 Required Treatment Volume = 810 ft3 Supplied Treatment Volume= 1,081 ft3 I I I Retention Coral Street 23 7/25/2016 23 cod i,ded- /b yr /4), _r_ric Adr11 cr'a i 37 t / I k J rX3 • /e3 K / ' 17/ ; ` 1Y-25r- 0 1( itY 4/ ICJ1\r- l p, diatij o • zr-f/ce r14 :2 qez 7 -/6 7r 3 zit' , meql•rG Pre 6g/hv6�6' //11/1= TREMRON , . L WE MAKE IT EASY 0 ,rte .. • . ,..4 > • • ,:.?I._i ,..-"Illi:. .:1111:..,,1'. . '7,4. ..;:;:: r.t'011 I1� ,Illlllllll l!ii,1.1_1'. ..7... li 11 • ` a :n Yy I'. 7 \ \, '''N\. ' ''.'' 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It j n ONl • d C " c m9 ao, t • ^ r O^ o J c • 4 7 �p�,} 3 f � S. n o 3 :.'. . s m a ��' u • •y.' !S ' + o c o E d C N K .r / s=%> p,i, City of Atlantic Beach APPLICATION NUMBER 11 r Building Department (To be assigned by the Building Department.) i ,�i,� ` 800 Seminole Road C E I V E -6,440-7Atlantic Beach, Florida 32233-5445 ` P— S Fe-- l Lo y T Phone(904)247-5826 • Fax(904)247- 5 JUL2016 D �''1.u;s19' E-mail: building-dept@coab.us u 2 2 t Date routed: �'a�`a D l b City web-site: http://www.coab.us BY: APPLICATION REVIEW AND TRACKING FORM Property Address: a 3 Conal S-trt.L.A- D- •_, .. - t review required Yes No C)% ��" Built.;,;,.ow Applicant: T %k\U4 WASA WADI) LC- Planning &Zonin• Tree Administrator Project: (1 Q.6J twpA.11 CDOS-k 1 atii N 1_►i Pub is tilities Public Safety Fire Services Review fee $ r° Dept Signature 12--19\ 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: APP ICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING ; 47-, /� 'C Reviewed by: 7/24/i Date: ( / TREE ADMIN. Second Review: [Approved as revised. ODenied. i ift.0 r WOR{�S C mments: 7BL C UTILITIES PU LICZSAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 I S ,1 . 2 o a) Fdo -Fd czs i d i > 5, (,)A_ � O = ;,A 4t CXRa.-- o 'c 7:C � � -a o L. N. j T. , , L, s. U R O • .� d 4:2 c a - o I F • E E C j a> O N v ,aC U v) -a.� • 8 CL x 4 QQ a. 3. __ - `' - O E' N = °' 4 U m �- W a) o Ce 0 w a N i �. V) V S• 't: A A Ll. o i C LL CCO O z �, C o L E .J> O • 1 O a. = w d v E v c1 L 1- Z as-a s�,o u �. l t k '' i' a \ . 0 d ' •S. 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N z z z 3o5 oo N • tri a ani 0 _ o E 'ci .-.„ hU = = U .= •--, UU U V OFFICE COPY 111111111111111110 July 12, 2016 904-545-4993 Shawn@cshr-pillar.com CONSTRUCTION DESIGN I BUILD I REMODEL NEW CONSTRUCTION PROJECT .— SHAWN GRIFFITH OWNER Address - 23 Coral St. Atlantic Beach Fl. 32233 ILLAR O 904-545-4993 Occupancy Class- Group R-3 =CONSTRUCTION © shawn@cshr-pillar.com DESIGN BUILD I REMODEL PAYERS CBC1258802-CGC60445 Building Code- Florida Residential Code 2014 2232 CORPORATE SQUARE BLVD. JACKSONVILLE,FL 32216 Index: • (1) City of Atlantic Beach Building Application • (1) City of Atlantic Beach Construction Permit within City Rights of Way and Easements • (2) copies of Product approval sheet-City of Atlantic Beach o (1) copy of all detailed documentation • (2) copies of signed/sealed Florida Energy Efficiency Code (Energy Calculations) • (2) copies of signed/sealed General Truss Engineering Criteria • (2) copies of signed/sealed Architectural/Engineering plans • (5) copies of site plans (three additional) Respectfully sub 'tted, ' D I © Gvn Shawn Griffith - Pillar LLC. Construction & Remodeling JUL 1 3 2016 2232 Corporate Square Blvd Jacksonville, FL 32216 CBC1258802; CGC60445 0.......1( 7--13-16; 10:46AM;From:B_And_G_Plumbing To;9042475845 ;9042233750 # 1/ 2 1 1 July 13, 2016 904-545-4993 Shawn@cshr-pillar,com CONSTRUCTION DESIGN I BUILD I REMODEL FAX COVER SHEET • FAX#904-247-5845 I • Attention: TONI GINIDLESPERGER o Please attach to plans dropped off this morning. • Building permit application • Address-23 Coral St. Atlantic Beach Fl. 32233 Respectfully submitted, 0Shawn Griffith- Pillar LLC. Construction & Remodeling • 2232 Corporate Square Blvd Jacksonville, FL 32216 CBC1258802; CGC60445 OFFICE COPY CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS mos 800 Seminole Road 904-247-5800 ott yy Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PERMIT# PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Date ' � /,‘ ISSUES BY THE CITY Job Address 23 Ccr/ 51 ?7 �c��% �i��3E-mail C.Cn'S r i�i �ic-c 1 Lam'' Permitee: L 4/2-'S Telephone# yay 6/0 7.fSr.T Permitee Address: f/ 4«aoi 4.rzG A6 /971. Ad / Requesting Permission to Construct: /O.4'Ai'" �s�'�S1�iIG/i�� "' /f''r/v— sar/t4' Location: (Reference to Cross-Street) 670.4V,AVei 4444'' 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 ( J} 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 Florida Department of Transportation Standards and be performed under the supervision of , 424,..s/ 6 - a%,�.�2. (Contractor's Project Superintendent) located at n/Zig ems- AM?errporafk , t✓J• Telephone#: �JOycrc c�19f 4. All materials and equipment shall be sul5ject 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. 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 • ht, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, sume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and °C m m f loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder Y`" 'a the aforesaid rights and privileges. x W LL9c N e Director of Public Works shall be notified twenty-four(24) hours prior to starting work and again immediately u„,, .,„2, on completion. J C y 0 W 78;2 E ,,. W" o ° OWNER E > ie Signed: t Date:/6 Before me this ,w 'j day « of ,r. in the Count luval, State Of Florid , s personally appeared N "4It Notary Public at Large, State of Florida Caunty Duval. My 3. a commissio xpires: y 0�'202,0 nown `. Produced Identification: Revised 7/29/15 OFFICE COPY Permit Attachment of for Permit# issued ,20_Atlantic Beach,FL 32233 • Owner's Name: Ch.,s(7 ?_ Property Address: a3 Co+rat S54 tGX .70.77 R.E.#: /�9S'4'04466 1 Subdivision: Lot#/Block#: "./ /p,2 / E REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT,issued on this C day of kl,/ ,204( by Atlantic Beach, Florida, a municipal corporation organized and existing under a law of the State of Florida, hereinafter referred to as "CITY" and art S icn ii<<,11... of Atlan ' 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: //4,,,i %gyp 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: 9/ e(e•b, , .e•ze 4. 4T%% ,e4/ , 7 Orr . 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 OFFICE COPY 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 moray of 4-„/7 20/f B Y: HALEY ELISE BAKER Property Owner ,.,a (to be signed in presence of the Notary) ,* '"�* Commission i FF 989883 ?:, My Commission Expires °����;;,;,`, ` May 08, 2020 STATE OF FLORIDA • COUNTY OF DUVAL On this S"— ay of / , 20&personally appeared before me, a Notary Public in and for said Co y dnd State, (:1//,-,�4,'4_'r/—the property owner of 7;61.-KA/,_ '/ ,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 mentioned. Notary Public in for said County and State , CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: Kayle Moore,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: C Nelson Van Liere, City Manager Page 2 of 2