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600 JASMINE ST - RIGHT OF WAY , a ,, -4--s J CITY OF ATLANTIC BEACH 0 800 SEMINOLE ROAD J 7 ATLANTIC BEACH, FL 32233 ,\ INSPECTION PHONE LINE 247-5814 -,-01119r. RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-ROW-2947 Job Type: RIGHT-OF-WAY PERMIT Description: road and sewer improvements between 6th and 9th Streets on Jasmine Road Estimated Value: Issue Date: 1/20/2017 Expiration Date: 7/19/2017 _ PROPERTY ADDRESS: Address: 600 JASMINE ST RE Number: 170919-0540 PROPERTY OWNER: Name: ASTON TRUST ET AL, NANCY L Address: 1895 KINGS CT GENERAL CONTRACTOR INFORMATION: Name: COASTAL ATLANTIC INC Kenneth Alan Massey,CGC052009 Address: 1639 BEACH BLVD APT 102 QA KENNETH ALAN MASSEY Phone: - - PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (247-5814) to request an inspection from Public Works 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 (Advanced Disposal, Realco Recycling, Shapell's Inc.). Container cannot be placed on City right-of-way. Full right-of-way restoration, including sod, is required. Any utility cuts in the road must be repaired using CO1 Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the plans. All runoff must remain on-site. Cannot raise lot elevation. Existing sewer stub-out is 8". PERMIT IS APPROVED ONLY IN ACC'ORDANC'E WITII AI,I, CITY OF Al I.ANTI(' REACH ORDINANCES AND THE El(RiDA BUILDING CODES. e CITY OF ATLANTIC BEACH r s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 j.2-J3319'� All water services to be poly with corp. stops at main. Manhole cover to be hinged-style. See mark-ups on Sheet C4. FEES: UTIL REV COMMERCIAL BLDG $25.00 Total Payments: $25.00 PERMIT IS APPROVED ONLY IN ACCORDANCE wrru .ALL CITY OF A LAN-11C BEACH ORDINANCES ANI) 771E FLORIDA BUILDING CODES. 41.M../r City of Atlantic Beach APPLICATION NUMBER (4' ,4...,* \?, Building Department �^ (To be assigned by the Building Department.) /i► -p 800 Seminole Road C l ' ..., �1 Atlantic Beach, Florida 32233-5445 e}!, 11. — `—OL3_ `I `t4 Phone(904)247-5826 • Fax(904)247-58AN 0 6 20111 I ��J;3 Vit' E-mail: building-dept@coab.us Date routed: D 1 \ © l.c' l all 11 City web-site: http://www.coab.us • APPLICATION REVIEW AND TRACKING FORM so r(-i- of Property Address: j CtS l Sl..k_ b'e -Fl4 Department review required Yes No Building Applicant: COCAS-Vi\ Va(141 L t . Planning &Zoning Tree Administrator Project: (D Ck(1. (KO& S Q_W R-{ k IA VIM.A' 40- ) ublic Work's Public Utilities Public Safety Fire Services ; eview 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: iApproved. �i,,/ ['Denied. (Circle one.) Comments: / -lee � �z41 49rAWA BUILDING PLANNING &ZONING Reviewed by: // Date: /�rlf2 t TREE ADMIN. Second Review: I 'Approved as revised. ❑Den'•d. 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,,tvlfi, City of Atlantic Beach APPLICATION NUMBER ; • •\,,, Building Department (To be assigned by the Building Department.) /1 • 800 Seminole Road • ^ _ p � .7.11" Atlantic Beach, Florida 32233 5445 1 "[ C���"' ` i 4 Phone(904)247 5826 Fax(904)247-5845 "!J;;i9%� E-mail: building-dept@coab.us JAN O 6 2017 Date routed: D i k O (Q O City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM S.,4114- 6 WS Property Address: j(J ('l f\ beirlD1644244 b Department review required Yes No Building Applicant: e-Oas t\ t Q - Planning &Zoning Tree Administrator • Project: DCt.& at_ & 56.09_{ ;v��(llJQ Ak Public Works Public Utilities Public Safety Fire Services 'Review fee $ 5 Dept Signature .-A✓` 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: APPL ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: �paiw 45 N Apra, RD/15704JS � BUILDING /T /�rj A/WS, PLANNING &ZONING Reviewed by: )CVL. I /�/i ��`'� Date: l• Y 17 TREE ADMIN. Second Review: A ❑ pp as revised. ❑Denied- ' OFICWOR Comments: roved PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 ' . ,5� CITY OF ATLANTIC BEACH \� CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS • v~ 800 Seminole Road 904-247-5800 F�u�t Vr Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 Date I //� / I r) PERMIT# v-A ISSUED BY THE CITY Job Address J/VAMiMr �, ;u. y 6 - C.�IYs7aaV /�cL N-,Lc IN( Permitee: I�/a r=7---c4. A. NSA Telephone# >l4 4 G Ir Permittee Address: 16 3(-• $ V� �� � 3 z Z j 0 Requesting Permission to Construct: t�L + 5'•Cw l u-&{`P_CV a+4.3p.c' A-C. t4 u,jy Location: (Reference to Cross-Street) ( :or- 5 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 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 t , 1.r..i\s5,_� (Contractor's_ Project Superintendent) located at 10 3q g.a-NC \ 3Lvp Telephone#: Y�`1 k6 S 4 3 z 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 �i=> 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 twent -four (24) hours prior to starting work and again immediately upon completion. OWNER Sig. // ,/ Date: Bee, e me this day of in the County of Duval, State Of Florida, has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: or Produced Identification: x y 33 y • T y, ' .1. 1y :y ZI 1 a �I 94 • a j1„______.4„,:____ f .g,—7,t_ , ITI:41 • '''., ...,/,- ,-% ' ....; -,,-, '. ''' I. --..r:—... —.74 iali — .IA4' ' A . • „ti A ,J1 a • #� :;,..1,v r app` .tor , i. " ,,�F,� Y P : Nt.` #',str 4s, , i . . - lT k ht. H-A 9 2•,,- Wail 1 • gTla 4 r ,/Y' �y' N wild': :1:r....., I ���, 7 A. 831 }~YJr ..- 8" PVC SEWER MAIN "r -,' -.„'+.6,./A,,,,.1,. ,-, .. • , 21 , , 1 iii dirilirfil. . li w 6" PVC WATER MAIN ,gal. c 1, ���TTT 1 7.1 (n•L.7 /t a -x i Z £ • .' 111 w rtiIf l t" 8" PVC SEWER MAIN .•• ,• . 1!co..r4 '•` t i• .I , Ii Ott,, r- +� 11: _ t i I r * v. 1 613d ,1,4iii TR'r* E?! ' 11 .+ , } �.' 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