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1251 SELVA MARINA CIR 0 REVISION 9-10-18 AECEIVEn kyrt,; 0 CITY OF ATLANTIC BEACH r '-f, A ' SEP 17 2018 800 Seminole Road Atlantic Beach,Florida 32233 BY REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date 90—/E Revision to Issued Permit Corrections to Comments Permit#f-Ale 5.70(93 Project Address 7,7751 5f.4-14 Aew/f- 012.2 Contractor/Contact Name SJ 4352"/ r/+J('E_ -- A ,_ G-d .1�,--L <-- Phone l ( 79-7 d 0 7 Email 44140 8 2d 7 / CO OL-. 6)2 , Description of Proposed Revision /Corrections:�` Permit Fee Due$ �J� � iird N/f J ;L- /AVI�/17& 5/, c U/JIzO 7�0 "I-f of 014:5' 077/1) /1 "4-7W " %y(4rt.• id ael M ( sti/f e 7 '- Additional Increase in Building Value$ ‘,29(9 Additional S.F. By signing below,I / li h a, _L C affirm the Revision is inclusive of the proposed changes. / ii -d name) ,/Af- 1-41. "e" f 7 ^7 3 Sig,:tune o Cfactor Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department A.1 /4-- Revision/Plan Review Comments Department�pReview Required: � . . - -.-- 4/ /,--2g-------*--- •iz•1.1• & Zoning 3 Reviewed By -_-As• • istrator /F—// K Public Safety Date Fire Services I ri�-L I rjCITY OF ATLANTIC BEACH s /fr F .+ 800 Seminole Road 1 a i Atlantic Beach,Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date ��g' Revision to Issued Permit Corrections to Comments Permit# vcie Project Address ! 51 ��Wit/ ,e0/4- OA: Contractor/Contact Name YJ 5 -'/ Id Phone 7/4 7, -7 , (9 7). Email D4140 8 9d �4 / �./�v�' 3 Description of Proposed Revision/Corrections: Permit Fee Du- rd. oue IA(.6 il/i3-eAlo' 6eS, c Tim Issr e#E- 4-1144:5 � ,�4Lri (12/(�• IdoM Additional Increase in Building Value$ f.2 49(9 �- Additional S.F. By signing below,I j 4 affirm the Revision is inclusive of the proposed changes. / ,, . name) r ° ^7 Sig• ure o C p actor •gent(Con actor must sign if increase in valuation) Date (Office Use Only) Approved .")K.")KDenied Not Applicable to Department Revision/Plan Review Comments (-On ICic " `'1 Q c-op y 6 f a/ Department Review Required: :fltrai�= ��s u •• &Zonin eviewed By -_ :: istrator 4111111ft F -do --1 Public Safety Date Fire Services !'S ,,,,`J r)r . • CITY OF ATLANTIC BEACH ' 800 Seminole Road 1 ' s) Atlantic Beach,Florida 32233 7.<1". :-s' REVISION REQUEST /CORRECTIONS TO PLAN REVIEW COMMENTS Date //p—ncRevision to Issued Permit Corrections to Comments Permit#Pee a23 , /2.SI Sf; �� ,� N//- , Project Address G— i(�� / o, Contractor/Contact Name 51-2 43 % -/1-)(?E- — E- xe ,SE__. _.4_ - Phone 7/1 7j---7 c (9° PI' Email 4D 8 S 7 7 i '.)(v4 C O,'z` Description of Proposed Revision/Corrections: Permit Fee Due$ iN /040 /'/ (7rdiq L--- f3,,zzgrA( /10-,m/ ' 57 z,, . - 0 t Pc9A/27 " V6, -fiiu ee_ /?,,i) f5' f-7i/t)a‘ z/ ,4tr-ff - il-lortf Idoa Mr:I/fel '— Additional Increase in Building Value $ l �� Additional S.F. By signing below,I �i &l.G C affirm the Revision is inclusive of the proposed changes. ,rd d name) r /.‘ ' -7 Sig•: ure o C t actor Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved / Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: /f G�? • &Zonin Reviewed By .—.4 istrator Public Safety Date Fire Services iyvfr'" ,='V E ` CITY OF ATLANTIC BEACH SEP 17 2 800 Seminole Road ' '{ Atlantic Beach,Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date 9'149-1/7 Revision to Issued Permit Corrections to Comments Permit#Pee IF-6TO , Project Address ( 5-( ,5;:ill t Ae.y2/' 0/?....2 Contractor/Contact Name 51)A.)"..5- -( ft)l�C-- ^ A a_- te A�C_-G Phone 7:01‘1 7, Cae) Pr Email 40 8 '..) 7,e ./.. CO OI'' CD''z Description of Proposed Revision/, �r�� J Corrections:,.� Permit Fee Due $ D it o�d ; �rAd % 47 54� 4 6Pe2d` f � 7G36) e*� ?� f.' �� )G /I /41-x- r (.Ir h)o& rn ( f7 Additional Increase in Building Value$ a? -4570 --------- ` Additional S.F. By signing below,I j ' 206, t.G affirm the Revision is inclusive of the proposed changes. � �� /4•0•1 I name) /' r.' Si:,. e o Cy"s'actor .gent(Con•actor must sign if increase in valuation) Date (Office Use Only) Approved 6,! Denied Not Applicable to Department _ Revision/Plan Review Comments Department Review Required: ,7_,// ": 2,Aidtvri, `�-..'.is &Zonin evie ed istrator Public Safety �ete Fire Services lt� !r REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organked and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and \rj Sart' 1j o d I 1 C Y- 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 for the purpose as described in the City of Atlantic Beach. This work is generally described as t_ et!no P. 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 USER, said notice to USER shall be given by certified mail, return receipt requested,to the following address 12.5 1 Set v tk tl/\4 r 0. C r C\e I Ai �c L 3 22,3"3 • 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 easement or 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 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 easements, 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 assumed by the S p Date 9 1 18 Property Owner/Agen!•.igned in p -sence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this 14 day of ? t "/V ,20 ( 1 _ 1 �,� by V1 r 5 V 8Aryc JF-- ,who personally appeared before me and (printed name o igner) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. 1Y°.,4 KATHERINE B MORGAN c��V` • Commisslon#GG 103394 Expires September 5,2021 Signature of Notary Public, State of Florida Department oaawrnroeaaonNoary��vlae Department Approval: Personally Known 1✓ Produced Identification(Type) //.41;" _ Scotti I iams,Pr, is �o -s i irector O:\Public Works\ADMIN\Revocable Encroachment Agreement.docx Revision Date:8/31/18 I'r r/Y,t y RIGHT-OF-WAY/ EASEMENT PERMIT Permit#Issued by the City of Atlantic Beach ‘,....apv°171.4): PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address / ��/2—*,a/ 4 (I/2- Phone � / 7 < P7 r D 7 D�� , 'L c y Permittee �N,s�"� �N�'� J��G4g �1t- Email �/f7LD� � Requesting Permission to Construct iSl Cts "Cel fJ` mill € gl5f/4"14r Location(Reference to Cross-Street) • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial 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 easement as determined by the Director of Public Works,any or all 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. • 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 Phone • 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 as far 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 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. • 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 ... .rivileges. • The Direct.r of P, I 1 is orks shall 'e notified twenty-four(24)hours prior to starting workand again / /�/y up'n coy- �.=ion / / Date 9 71 Permittee(signedresence of Notary Pub ic) STATE OF FLO I A,COUNTY OF DUVAL _` The foregoing instrument was acknowledged this 1 ) day of St (i-r C,\,-,k -t' ,20 _, by 0b12 ah P,rn Lo 6 (3147,,i1 1 1 ,who personally appeared before me and (printed name of Permittee) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. Notary Public State of Florida Personally Known , Javier Davila Produced Identification(Type) PL/J3L_ nature of Notary ' ,•• te*tElOf,iWon GG 130968 or„ow Expires 08/02/2021