1964 Brista De Mar Cir driveway permit `s\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
!J - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-DWAY-3686
Job Type: DRIVEWAY
Description: DRIVEWAY - REMOVE CONCRTE AND REPLACE WITH
PAVERS
Estimated Value: $100.00
Issue Date: 4/5/2017
Expiration Date: 10/2/2017
PROPERTY ADDRESS:
Address: 1964 BRISTA DE MAR CIR
RE Number: 169506-1692
GENERAL CONTRACTOR INFORMATION:
Name: ANDERSON PAVERS INC
, N/A CORPORATION FEI 74-3142564
Address: 1244 ARROWLEAF TER
Phone: - -
PERMIT INFORMATION:
FEES:
Fence/ROW $70.00
WORK W/O PERMIT BUILDING $110.00
Total Payments: $180.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC: BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,r
SyLyj�JCity of Atlantic Beach APPLICATION NUMBER
n� Building Department (To be assigned by the Building Department.)
soo Seminole Road APR U5 1017 17
Atlantic Beach, Florida 32233-54451- 7-5845 -7 Phone (904)247-5826 • Fax(904), �L
o,i19% E-mail: building-dept@coab.us ;,`. Date routed: `� I
City web-site: http://www.coab.us --�_
APPLICATION REVIEW AND TRACKING FORM
Ct /"
Property Address: I q (D4 71_7�`' 1s-1 4 D lf�ar- Department review required Yes No
Building
Applicant: —1 fZC+e CSO n �0.�/E (' Planning &Zoning
Tree Administrator
Project: e(— 1 . L Jf C-_ q Iic Works
i ities
Public Safety
Fire Services
Review fee $ Dept Signature
Ali
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 i
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS 60-49-11V
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments: �' i
BUILDING �1 Am
PLANNING &ZONING
Reviewed by: = Date:
TREE ADMIN. le
Second Review: []Approved as revised. ❑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
R.O.W.Permit Attachment of for
R.O.W. Permit# issued , 20 Atlantic Beach,FL 32233
Owner's Name: Karen Longacre/ Fred Nemecheck
Property Address: 1964 Brista DeMar Circle, Atlantic Beach
Subdivision: R.E. #:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
220 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:
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 rimes 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
�'I
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 this day of 41044' 2017.
*-By:
operty Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this c5 day of Ayr 1 \ , 20 , personally appeared before me, a Notary
Public in and for said County and State, Nerve CeK the property owner of
1ollpul 9ris�a aeMG%r C rC12 , 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.
laitA, =WL
Notary Public in for said Qunty and State
Ffeafher Mooney
" State of Florida
y My Commission Bores 02101(2 1
Co wissim No.GG 68713
CITY OF ATLANTIC BEACH,FLORIDA,
a municipal corporation:
Approved:
'Z
Donald D. Jac o ' ,P.E.
Public Wor Director
File: 12/12/16
Page 2 of 2
CITY OF ATLANTIC BEACH `7 Dt,)
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach, Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date 4 April 2017
PERMIT#
Job Address 1964 Brista DeMar Circle ISSUED BY THE CITY
Permitee: Anderson Pavers Inc Telephone# 904-254-2573
Permittee Address: 1244 Arrowleaf Terrace, Jacksonville, Fl 32225
Requesting Permission to Construct: Remove and replace existing driveway with pavers .
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. Called 811
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 Larry Anderson (Contractor's Project
Superintendent) located at Address above Telephone#: 904-254-2573
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 5 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
imme lately pon completioa.
/L�/yZf He"Moor"
O "o state of Fbrda
' 0•
Signed: Date: j �r'1 11 1 my im Bow 031=
Before me this da of 1 in the County of Duval, fvi0r1rr11SS m N0.GG 68713
State Of Florida, has personally appeared ek
Notary Public at Large, State of Florida,County of Duval.
My commission expires: Cit I G 1 12-C,7-1 Personially Known:
Produced Identification:t—�OOC1 prlVerS LIQ�S�
tae•
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Karen Longacre & Fred Nemechek
1964 Brista DeMar Circle
Atlantic Beach, FI 32233
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Driveway Replacement Plan
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SURVEYORS -
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THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMSOSSED WITH THE SEAL OF THE ASOVE SIGNED.
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Driveway Replacement Plan
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