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1251 Selva Marina Ci - Permit RES17-0138 CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Reach,Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMM[ENTS DataEV orrections to Comments Permit#RE M---Ok 5QIZ Revision to Issued Permit L,/C Project Address n5\ <CCJU,�, v4t,�A, Contractor/Contact Name V,-ej I Phone 0�0-1— 5-A-5--791.6 Email A e- kL4— Description of Proposed Revision/Corrections: Permit Fee Due$ Additional Increase in Building Value Additional S.F. Bysigningbelo 1_ (11o� efl affirm the Revision is inclusive of the proposed changes. (rmtaWd Signature�of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department /iP Revision/Plan Review Comments Department Review Required: Building Reviewed By TDW-AdMIQ istrator P lic Works I 1b;S Pub Tic�Safety Date Fire Servioes -7 Y OF ATLANTIC BEACH AUG 3 12018 Ill 800 Senninole Road Atlantic Beach,Florida 32233 REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMAIENTS Dat*Q,�� Revision to Issued Pemit L�/Corrections to Comments Permit# Project Address Contractor/Contact Name _tAjk,,_,v, S � or--,� Phone 01,0-1- 5L-A.5--70!& Fouil A e.(�7) -"o��i k'A� Description of Proposed Revision/Corrections: Permit Fee Due S C, 'J 0- (A I 4� Additional Increase in Building Value$ Additional S.F. Bysigningbelo j �.j affirn,the Revision is inclusive of the proposed changes. (printed narne) q(-3 Z.I L4, Signal=of Contractor/Agent(Connector must sign if increase in"[nation) Vate (Office Use Only) Approved Denied Not Applicable to Department Revision/Plar,Review Comments Department Review Required: Bull 'n Ifeviewea By- ST istrator P blic Wo i ities ubic Safe6ty Date Fire Semmes RIGHT-OF-WAY/EASEMENT PERMIT Permit#Issued by the City of Atlantic Beach PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address—l'?-51 So)ua Phone q64- 2Z4-5-718 Permittee —r-f-3 A A lAr ,sl:� Opt A yJ t7e Email 914-V S FWk Requesting Permission to Construct !P,�1-,-r0PA-eA �Cetn C Q Coro Location(Reference to Cross-Street) e \v a &C�_,,^,0L C , ro\e a .0 ?1_V"Wap • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both serial and underground and the accurate locations are shown on the sketches. • Whenever necessary for the construction,repair,improvement,maintenance,safe and efficient operation, alteration or relocation of all,or any portion of said street or eterement as determined by the Director of Public Works,any or all said pola,wires,pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or met or relocated hereon as required by the Director of Public Works and at the expense of the Permiftee unless reimbursement is authorized. • All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Project Superintendent) with Company Name aks,��f cc, 2,V)c,,r C104 -7 9-7 • All materials and equipment shall be subject to inspection by the Director of Public Works. • All city property shall be restored to its original condition�fiw as practical, in keeping with City specifications and the manner satisfactory to the City. • 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. • The permittee shall commence actual construction in good faith within I D days. If the beginring date is mom than 60 days firom date of permit approval then permittee most 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. • 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 harrindess the City of Atlantic Beach from and against my and all loss,damage and cost of expenses wising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • The Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again mediately upon cofp_ia�on. rlsi.A. Date 41 il ) PeA�fsigti;rl in pbesen(c ojN&awAbl STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrurrient was acknowledged this day.f FAPV�L —20_L7_ by 0,'V\( II-AyLk �D I.-�41R k_V who personally appeared before me and (printed niiihe of Permittee) acknowled that he/she signed the instrument voluntarily for the purpose expressed in it. Personally Known Signature of Notary Public,State of Florida Produced identification(Type) tIX19Ww"ftSWtd.3 Wlflm" ------------ -A0 ------------- HIM Ili III,"!mp fl 1 111 3��E ic3i III Aliq Z zz. 01 c 0 M -q m Hill Ill A 11 mmm J�� MM 1 000... I I I �!,��T zz. NW z 0 m fill U 11 1 1 1 U) 05 > 0 z Ok A, 0 m z r z 0 2 X w 10 E5 0 x M [to m mmmuwni Magi 0 11-1111-0 MARIA III A Jill I -11 8, .0..... Mz m F All z- z fill Ion LAI 'ED - -------------- oil I I I I J'J p- CITY OF ATLANTIC BEACH ;-j 800 Seminole Road Atlantic Beach,Florida 32233 OC ' 63 2917 REVISION REQUEST I CORRECTIONS TO PLAN REVIEW COMMENTS D 1,:� Revision to Issued Permit Corrections to Comments V/Permit#Li Date Zl� Project Address- r c, Contractor/Contact Name- �'1,6-) Phone IOL4- Email A 0- Description of Proposed Revision/Corrections: Permit Fee Due $ Additional Increase in Building Value Additional S.F. By sig i g below, I Ql�l vA-- affirm the Revision is inclusive of the proposed changes. 'ow' (printed name) S. ture of re of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) -017 Approved Denied Not Appficable to Department Revision/Plan Review Comments Department Review Required: d�Jaw r_' RevieVCrB�y-;91-7- Tree Administrator r7u—b-1icWor-k`s-> Pubric Utilities 62- Public Safety W Wte Fire Services 7f F65 -�O b S11 CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach,Florida 32233 REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMMENTS Date Z-'40 Revision to Issued Permit Corrections to Comments V/Permit#Resl-2- 01�� Project Address- L1,5-t Contractor/Contact Name L A Q- cc� Phone 10"- Email Description of Proposed Revision Corrections: Permit Fee Due$ 50. Ob La� eLv c,�((a rc� I A.- 'i ID-11 1 C.V-.1 j,-� Additional Increase in Building Value $ Additional S.F. By si i below,I Q.�)&--v— e.,.Or LA-- affirm the Revision is inclusive of the proposed changes. g low" (printed name) 2- of Si ture of Contractor/Agent(Contractor must sign if increase in valuation) !Date (Office Use Only) 2017 17 Approved Denied Not A Dficable to DepartMent Revision/Plan Review Comments Department Review Required: rRil—di ni Reviewed By Tree Administrator Public'Utilities 10-/0-17 Public Safet 1,y Date Fire Services