Revocable Encroachment �CE11�r%E
REVOCABLE ENCROACHMENT PERMIT JAN 13 Mpg
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REVOCABLE ENCROACHMENT PERMIT by the City of Atlantic Beach,Florida,a municipal corporation
or igen,zed and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and
/i71 IK-_Yt G�.0 r.V of Atlantic Beach,Florida,hereinafter
referred to as"USER". JAN 2 2 2018
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the
property for the purpose as described in the City of Atlantic Beach.
This work is generally described as �om.vrr �{' Vt W .,.A
xereise of the privilege granted remains subject to
Any facility maintained, repaired, erected, and/or installed in the
relocation or removal on thirty(30)days' notice by CITY to USER, said notice to USER shall be given by certified mail,
return receipt requested,to the following address
• 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."
• The USER,prior to making any changes from the approved plans and/or method,must obtain written approval from
1 the City of Atlantic Beach Public Works Department,for said change within 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 right-of-ways 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
as/s/ume�ddbby the USER. p
/� —ice / Date Z I p
Property Owner/Agent s' in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL �^t AAA" ,20 rS ,
The foregoing instrument was acknowledged this o� day of
by &nn (.r W ,who personally appeared before me and
(printed name Signer)
acknowledged A' dt
�edthat he/she signed the instrument voluntarily for the purpose expressed in it.
,J r�Aolh
Signature of Notary Public,State of Florida
Approved/Public Works Department:
Personally Known
Produced Identification
,� P�pre: (eMMFlaltlaf
cormse;rxcoirnrr -�7} Scott Wi isms,Pu is Works Director
sN Cg E9pres Jen 3.1025
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