1306 Beach Ave 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 NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 17-DWAY-2953
Job Type: DRIVEWAY
Description: remove concrete driveway and replace with brick pavers
Estimated value: $13,230.00
Issue Date: 1/24/2017
Expiration Date: 7/23/2017
PROPERTY ADDRESS:
Address: 1306 BEACH AVE
RE Number: 171839-0000
PROPERTY OWNER:
Name: GREENE, C CAMERON & KIM SMITH,
Address: 1306 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: Kettell, Inc.
,TBA
Address: 1860 Mayport RD
Phone: 904-372-7226
PERMIT INFORMATION: 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 RT1
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 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.
Full right-of-way restoration including sod is required.
FEES:
Fence/ROW $35.00
STATE DCA SURCHARGE $2.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CRY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
D ATLANTIC BEACH,FL 32233
D
INSPECTION PHONE LINE 247-5814
STATE DBPR SURCHARGE $2.00
Total Payments: $39.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach Iq�;.�,;,,�''", �.. ,' ==10
UMBER
Building Department P P� ding Department.)
800 Seminole Road JAN 0 9 2017
Atlantic Beach,Florida 32233-5445 .JPhone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us -- �af�l�}
Cityweb-site: http:lhwnv.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1300 De,aa.Vyt fNQ. *Sewi�s
ent review re uired Yes No
�.L 'T '
Applicant: KQ�`I1 .rrtC . Zoning
nistrator
Project: ay 9 ( l�( r L(A)d-t l
itie
ety
s
i2eview fee $ Dept Signature
kOtherAgencygency Review or Permit Required Review or Receipt Date
ofPermit Verified Bept.of Environmental Protectionept.of Transportation River Water Management Districtrps of Engineer;of Hotels and Restaurantsf Alcoholic Beverages and Tobacco
APPLICATION STATUS
Reviewing Department First Review: FVgpproved. ❑Denied. 61-10-14
(Circle one.) Comments: f� kyr
BUILDING ?J7
PLANNING &ZONING
Reviewed by: Date
TREE ADMIN.
Second Review: ❑Approved as revised. ❑De 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
City of Atlantic Beach APPLICATION NUMBE2--
- -Building Departmentf -
t 800 Seminole Road �+'�'� �"' (To be assigned by[he Building Department.)
Atlantic Beach,Florida 32233-54 Ir�td
Phone(904)247-5826 - Fax(go 47JAX 0 9 2017 j ) ----�
nu E-mail: building-dept@coab.us �./ Date routetl: OtIQ�I If�I�'
Cityweb-site: http://www.coab.us By;
APPLICATION REVIEW AND TRACKING FORM
Property Address: _ B00 ;Fire
rtment review required Yes No
g
Applicant: KL#-�61 71AC, ng &Zoning
dministrator
Project: Pawj (�rt�� bl�U-ll
UtilitieSafetyrvices
Review fee $ 2s-- x
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept.of Environmental Protection
Permit Verified B on -
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 ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Date: I t I t Z
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied.
IC WORK - Comments:
PUBLIC UTILITIES
— T —/ ,7
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
v
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R-O.W. Permit Attachment of for
R.O.W. Permit# issued , 20 Atlantic Beach, FL 32233
Owner's Name: rgQ"Ie— ,(� �
Property Address: / o& P.O6 V/
Subdivision: R.E.#:
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, hereinafter referred to as "CITY"and
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: �EOlAd w2?4(,.. r one a-t dA' ,au
f c —�
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:
NiUb �ruul. ilvs .c 1 .. �rt Py�,t GL 3223 3
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 i of 2
r
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 inure 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 YL
this5"g- day of tee. cru _ 20 1 7,
By: )F-� "1 J "'-c
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
�-
On this Jr day of -J q� , 20�, personally appeared before me, a Notary
Public in and for said County and State, the property owner of
, 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.
Not �Public in for said County and State
RM
N A.SNYDERplip State of Florida.Expires Aug 20,2018alon i FF 152906*Nauaal wary Asan.
CITY OF ATLANTIC BEACH,FLORIDA,
a municipal corporation:
Approved:
Donald D. Jptobofitz, P.E.
Public Works Director
File: 12/12/16
Page 2 of 2
tv Lor s 6630 I *o d
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-- l_-- ---- Xp
POUNDS M72 MPE 84.20x PIPE B bM
( 84.30' FIELD )
13th STREET
1S A BOUNDARY SURVEY. (40' RIGHT OF WAY)
.S SHOWN ARE PER FIELD MEASUREMENT.
WILDING RESTRICTION LINES PER PLAT.
H PROTRACTED FROM PLAT.
THIS SURVEY WAS MADE FOR THE BENEFIT OF
COMMONWEALTH LAND TITLE INSURANCE
)PERTY SHOWN HEREON APPEARS TO LIE IN FLOOD COMPANY; HOFFMAN h McGEACHY, P.A.; C. C
AS WELL AS CAN BE DETERMINED FROM THE FLOOD GREENE AND KIM S. GREENE: FIRST UNION W
ICE RATE MAP COMMUNITY PANEL NUMBER 120075 CORPORATION AND THAT THIS SURVEY WAS M.
REMSED APRIL 17, 1989 FOR THE CITY OF ATLANTIC COMPLIANCE WITH THE MINIMUM TECHNICAL ST
FLORIDA SET FORTH IN CHAPTER 61 C17-60 OF THE F!
ADMINISTRATIVE CODE.
11IE %INAl RE MD
I .w lfAsP .
�iRR0
lPtiNIS DONN W. BOATWRIGHT, P.S.N.
O,AYAIIID a PEaPosEs RECHECKED — JUNE iB, 1998 PLA. REG. SURVEYOR AND MAPPER N
W BOATWRIGHT LAND SURVEYORS. INC. °A
t"= BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
r 800 Seminole Road,Atlantic Beach FL 32233
Office: 904247-5826 • Fax: 904)247-5845
Job Address: I3oti 1 JeaA At Permit Number: 1 +-0WAN —ajS�
Legal Description RE#
Valuation of Work(Replacement Cost)S Z 0 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition teratio� Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esrdenti
• If an existing structure,is a fire sprinkler system installed?(Circle one): es NoN/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of o me Removal
Describe in detail the type of work to be performed:
�iEmnv� Cmtx,fe� �,'J�a,L�� ro�ut.� wl�'�. hrl�E Oeur�.s
Florida Product Approval# for multiple products use product approval form
Property Owner Information / n-- , /
Name: (0 rn.Dit2P Address: 13(9(D V�wA .HVA
City h' 6P.a.Irtt Statel Zip 3zZ;3 Phone
E-Mail (ar,k'm (g. Ce•..ut1- . AL4
OwneroIAgent (If Agent Foraof AvonemAgency Leta Retitd)
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 NOTIdE OF COMMENCEMENT.
Contractor Information: I'//
Name of Company: t Quali g Agent: YM I(� /[�/r/•e 7
Address: C City AWIL^b,
c StatglZip3ZZ33
Office Phone Z Job Site/Contact Number 9n4- 3 97-lauX ^ l4(nG_
State Certification/Registration# /U E-Mail '•
Architect Name&Phone# �
Engineer's Name&Phone#
Worker's Compensation '
xempt usurer se oyewExpiration Date
I
' mby made to obtain a permit to do the work and installonons as indicated. I certify that no work or installation has
a ee ofa permit and that all work will be performed to meet the standards of all laws regulating construction in this s�rypn
mes null and void if work is nat commence33 within six/6)months, ar if constntction or work is suspended or abon rr ei);r(g
months atony time after work is commenced lundersto that separatepermas most be securedfor Electrical Work, bjto gg �'
pLs,Furnacas,Boilers,Heaters,Tanksand9ir Conditioners,etc.fsropertyOwner: �iw✓ � r.Ll.a�`+� Sinature of Contractor: "'r''f J.'ary" 5 c2,D/ 7 Before me[hi Day of( Ioo
CNotary Public 0r 1,Or
e that I have read and examined this application and know the same to be true and correct. Allprovisions
g Ferning this type o work will be complied with whether spa i(t'ed herein or not. The granting of aper tE'gt authority to violate or cancel the provisions of any other federal, state, or local law regdahng cons11 t(S/Jr
construction.
Rev.3/14/ 6
CITY OF ATLANTIC BEACH
- - n CONSTRUCTION PERMIT WITHIN CIN RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5600
�[ Atlantic Beach,Florida 32233-5445 Fax 900.247-5845
Date f /7/,l PERMIT# l4"0W Ay- ag53
/
Job Address �/y
I&A ,t fg-t�Q- ISSUED BY THE CITY
(3/D+tg '�y,(ti(/{�.
Permitee: (rJ1�PM//� 1�• ,f T/ellephone# Ggo/ygY5 970
Permittee Address: I �!)V ✓,JJfh/� f"AAArf &-&1A / L t �,,T,3 3
Requesting Permission to Construct:Ae/)YfG C6/1(/Y�� Gi�✓Lwe..r W�, y7t'/� Yd?i �'S
-f
Location: (Reference to Cross-Street) 13
f�t
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: y �
Bell South Telephone Company Ye No ( ) Date:
Ferrell Gas Yes X No ( ) Date:
Comcast Yes,X 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 (Contractors Project
Superintendent) located at �Sf(�R I�1c.44: i hA/ 3'2233 Telephone#: 90i/ 372 7z2(e
4. All materials and equipment shall be subjlai5t 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.
S. 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�t
Signed: Iy� +O /d-/vf.^Q Date: I "f / 7
Before me this day o in the County of Duval, ysNAXaa MIN 01OXII PaPON
State Of Florida,has Personally appeared
Notary Public at Large, to of Florida,County of Duval. 906ZS1 ii F uolsslwwo0 ,a
My commission expires: a l Y 910Z'OZ any sandx3'ww03 AN;.
Personal) Known: epPoU to Weis-oivind AreWN
Y or
Produced
�Identification:_ 04 ligams'Y NY3f
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