The URL can be used to link to this page

1894 SELVA MARINA DR ACC19-0015 PAVER DWY PERM DRIVEWAY PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ACC19-0015 800 SEMINOLE ROAD ISSUED: 3/14/2019 "'3�r ATLANTIC BEACH. FL 32233 EXPIRES: 9/10/2019 INSPECTIONMUST CALL • • 914 BY 4 PM FOR ' • ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' CODE, ' OF BEACH CODEOF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1894 SELVA MARINA DR DRIVEWAY SINGLE OR TWO PAVER DRIVEWAY $8008.00 FAMILY DRIVEWAY TYPE OF ZONING: :D • • • GROUP: 169462 0130 SEVILLA GARDENS UNIT 01 COMPANY: ADDRESS: • ADDRESS: SAUCERMAN RALPH J 1894 SELVA MARINA DR ATLANTIC BEACH FL 32233-5620 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LIST OF • • ;Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. 1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL Notes: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(904-247 -5814)to request an Erosion and Sediment Control Inspection prior to start of construction. 2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. Issued Date: 3/14/2019 1 of 2 DRIVEWAY PERMIT PERMIT NUMBER ACC19-0015 r CITY OF ATLANTIC BEACH ISSUED: 3/14/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 9/10/2019 3 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. 4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 5 PUBLIC WORKS CONSTRUCTION SITE MANAGEMENT INFORMATIONAL Notes: Provide construction site management plan,including location of silt fence,dumpster,portable toilet. Right-of-Way Permit is required if using right- of-way for construction parking. 6 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL Notes: Maximum driveway width within the City right-of-way is 20 feet. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00 TOTAL: $79.00 Issued Date: 3/14/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) u 800 Seminole Road 0_ Atlantic (C' Atlantic Beach, Florida 32233-5445 ll// 1� Phone(904)247-5826 - Fax(904)247-5845 -7 E-mail: build in 2-1 de t coab.us Date routed: C�� JLn City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (2) l 4 SELm AlW-wq Department review required Yes No Building Applicant: (�� ND--{'_ annin & o n i Tree Administrator Project: �`" ��V� ublic Works Public Utilities Rc-�:N1Q v C- Co QCg-C--ye Public Safety Fire Services Review fee $ Dept Signature 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 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS � Reviewing Department First Review: Approved. []Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed Dater — 1 TREE ADMIN. Second Review: A roved as revised. Denied. �p ❑ []Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES 2 PUBLIC SAFETY Reviewed by:� Date:J FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application Updated 1019118 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED E GRAY �;:i��• IS REQUIRED. Phone: (904) 247-58826 Email: Building-Dept@coab.us (/'�� JobAddress:tO ggjy i�,J�ID2 niq TJC_J tj 1� � Permit Number:_ - Vcxa Legal Description RE# Z.--0113 Valuation of Work(Replacement Cost)$ �O Heated/Cooled SF Non-Heated/Cooled • ClassofWork: ❑New ❑Addition Niteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial Xsesidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes KNo • Will trees be removed in association with oronosed ro•ect? ❑Yes must submit separate Tree Removal Permit No Describe in detail6th�eptype of work to be erforme (CX� (251Z ts�f�hN,f�COPCKL--TE t7Qt��&(qJ UDI �OILt t'�=1=�l t o"S F'ao �5 C C C7i l�k� f A�7f�CJ u f�D C u421ZE�/C,T( (�1 7 i20f S Florida Product Approval# for multiple products use product approval form Property Owner Information Name Address 9� S-P �2 City AMW7C State 1Q Zip, 22�::i Phone Woz'- E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Qualifying Agent Address City State Zip Office Phone Job Site Cont Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt❑ Expiration Date Application is hereby made to obtain a permit to do the w rk and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that a work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS, FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT Y UR P IN, TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO 1VTEND TOO TA IN C N CONSULT WITH YOUR LENDER OR AN KRNEBERE RE I R CE OCOMMNCEMENT. (Si ture o caner or Agent) ( r) Si ne and swo to(or of it )b fore me this day of Signed and sworn to( e this day of Or n��L #FF924951 MYCEXPIRES:Ocloher6,10atur tf Notary) Public underwMers a Bonded ThN No.zry [ ) [ ]Personally Known OR Personally Known OR [ ]Produced Identification C` � [ ] Produced Identification Type of Identification: ��e -7 w 0,4 -J`7 �_Type of Identification: **ALL INFORMATION Owner Builder Affidavit HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 ED),119' Phone: (904) 247-5826 Email: Building-Deot-@ccIab.us PERMIT#: I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1"CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. . IV. PENALTY;UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IFA PERSON ISA LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT. V. ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: 5i2f(ta— I' I&(Zj&r , 6 z Owner Name: " // P�ho/nne Number: qJ 6 Mailing Address: J �`� fL c' y: OJZ4fRRUTje&ach State: FL— Zip: Notarized Signature of Owner (� The egoing ins rument was acknowled ed bef e me thiday of I- 20", in the State of Florida, County of Signature of Notary Public fu [ ] Personally Known OR [ ] Produced Identification Type of Identification: Z60 J -- IN GIRDLESPERGER SAY COfAfAiSSION#FF 924951 l` EXPIRES:October 6,2019 Updated 10/24/18 g;,nded Thru Notary Public Underwrters Revision Request/Correction to Comments "ALL INFORMATION ' `'"'%• HIGHLIGHTED IN r City of Atlantic Beach Building Department GRAY IS REQUIRED. t, 800 Seminole Rd, Atlantic Beach, FL 32233 r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I�Wtcl -00US ❑ Revision to Issued Permit OR corrections to Comments Date: Project Address:�,q9`i/ Sc it )!3 // oeyiul ai Vz? dZZ.�7-AZT 4' Contractor/ContacttNLame: Contact Phone: �}IU Email: J,' E,-5 G2 Description of Proposed Revision/Corrections: '-�-� -C� D 5<2-a w AL1 A5 a 7-7 Com-E-.) lyL l�Iti1�j (c �¢ �—i L- 'A�4001 I A�1 '454 t4 C, affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? X No ❑ Yes(additional s.f.to be added: ) • Will proposed revision/corrections add additional incr s in building�Irto original submittal? ;SNo El*Yes(additional increase in building v iue: I ) (Contractor must sign if increase in valuation) r *Signature of Contractor/Agent: % (Office Use Only) /Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building_ a:n ng&Zon nig Reviewed By Tree Administrator ublic Works Pu 1c 1 1 les J �r cj Public Safety Date Fire Services Updated 10/17/18 Scott Williams Public Works Director Resubmittal Permit #: ACC19-0015 The following changes and additions to this application are proposed in response to your concerns. 1. erosion control measures Appropriate silt fencing will be placed according to drawing 1 identified by in blue on drawing. 2. All run off will be contained on property. 3. Roll off container will not be used. Dump truck will haul away waste. 4. All disturbed right-of-way sod not used will restored. 5. Silt fence identified in item 1. No dumpster will be used. Portable toilet will not be required works may use house facilities. No right of way parking will be required for construction equipment we have plenty of owner yard. 6. Right-of- way Permit Application for maximum 20' driveway has been submitted. Please advise me of any alterations are required so that I can submit the revisions for the listed Permit ACC19-0015. Sincerely, Ralph Saucerman 1894 Selva Marina Drive Atlantic Beach, FL 32233 410 562-1204 Captsauc@aol.com City of Atlantic Beach APPLICATION NUMBER jS (To be assigned by the Building Department.) Building Department FES 25 20� ' 800 Seminole Road F` ._C)0 Is Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5846•_ E-mail: building-dept@coab.us Date routed: _I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (S l 4 �ELVA 1 V/1AP.11jA Department review required Yes No Building Applicant: (�7 ��---2_ annin & oni Tree Administrator Project: Q�� ublic Works Public Utilities Rs'\' v C QC_4&T& Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date Florida Dept. of Environmental Protection 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: APPLICATION STATUS Reviewing Department First Review: ❑Approved. [Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed at i TREE ADMIN. Second Review: Approved as revised. [—]Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: „� �r Date: / FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 CITY OF ATLANTIC BEACH Std` Department of Public Works 1200 Sandpiper Lane Atlantic Beach, FL 32233 -011 9%' (904) 247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 3/4/19 Applicant: Ralph Saucerman Permit#: ACC19-0015 Email: captsauc@aol.com Review Status: DENIED Site Address: 1894 Selva Marina Drive THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS Correction Items must be submitted to the Building Department at 800 Seminole Road. Submittals that respond to only one or a few correction items will not be accepted. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions must be submitted to the Building Department and must respond to EACH department review. PUBLIC WORKS CORRECTION ITEMS: • Provide construction site management plan including location of silt fence, dumpster, portable toilet. Right-of-way Permit is required if using right-of-way for construction parking. • A Revocable Encroachment Agreement must be submitted. • Maximum driveway width within the City right-of-way is 20'. APPROVED PUBLIC WORKS CONDITIONS OF APPROVAL: 4' ,/,� —,f! f f— If following comments will be printed on your permit as Conditions of Approval) ��°O``'' / • 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 Erosion and Sediment Control Inspection prior to start of construction. • All runoff must remain on-site during construction. • Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Shapells, Inc., Republic Services, Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk Removal, All American Roll Off, WCA Waste Corporation). Container cannot be placed on City right-of-way. • Full right-of-way restoration, including sod, is required. • Provide construction site management plan including location of silt fence, dumpster, portable toilet. Right-of-way Permit is required if using right-of-way for construction parking. • Maximum driveway width within the City right-of-way is 20'. Scott Williams, Public Works Director swilliams@coab.us/904-247-5834 Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding". The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud. The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings. The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. Page 1 of 1 0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\ACC19-0015(Owner-Saucerman).docx Revision Request/Correction to Comments **ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 _ `01!�% Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I`\ 'e h _UUP ❑ Revision to Issued Permit OR 'Corrections to Comments Date: Project Address: _ /�S_`7 y �r�it )q ///LI ejiu.4 P21 t1to P Wycl— 3zL33; Contractor/ContacttName: /1 Contact Phone: 4/() s � Zo7 t Email: e—Iq ao L_ (-Y7 Description of Proposed Revision/Corrections: S U cn L-L 5 -7 TyCts Azov �- I affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? X No ❑ Yes(additional s.f.to be added: ) • Will proposed revision/corrections add additional incr s in buildi g I -to original submittal? �No ❑*Yes(additional increase in building v tue:A A (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: (Office Use Only) VApproved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Buildin anning&Zoning_� " Reviewe By Tree Administrator ublic Works MAR 0 6 2019 y �✓ Public Utilities Public Safety Y,-___� Date Fire Services Updated 10/17/18 1 -3 --) ) a) o -a9j 3dw CI cam; \A'S J 1 S s►� e .•a��' � ,j I EAS o' Fe 1 10.2' -- --- i a w 4t >o .� Q ;28'-- rn fD �CO`ZREO" � c $ IGT• � is LOT 4 4.C' m TWO STORY PAD 2D LVW FRAME LO a.0 POSTED 01894 I 3 - V (y M 1' i '' 8004 , v -� Z Z 62' clgl"CY 0 (!1 LOT 5 PA.-:Ms r � 15-DR-A^7ACE \ � EA�E�F?!i Nat• ao' ac' t N 08`16'04' W 81,83' (MEASURED} LB '( N OB'07'53" W 41x1 SGS 8!.94' (PLAT) ,fLOT 6 APPROVED SLVILLA CONDWfNILMS PHAS"c t (RECREATIONAL AREA) (OFMAL RECORDS VOLUME 4. PAGE IC-01) ) LEGEND: V O ��l4a PC - POW OF=VATURC a -rotxo CIS'wa+PrT PT - POW OP TANgNCY NO AE rl-rATcU .^RC - PONT OF RENERSE (UPIM OTHERWISE NOTED) CJRVATtltt' ■ CURVATURE -4,14•CON=M UG JLID;T PLD --PONT DF COUPOU!a . CENDITPIQI COY=REQ -xX- � FENCE 1REVISIONS -• , Ray Thompson • SURVEYING, Ino. . DATE D`SCA,P 71 Cl: i Going(hs DISTANCE for You America's Cho ]�ce4813 Phiilps Highway,Sul{e 21Q i�Lv i I Jacksonville,Florda TITLE COMPAWY (Phone)90444 .5125 (Fax) 904-44178 JOB # 22450 DATE OF FIELD SURVEY: 4-11-2013 SCALE: 1' = 20' NOTES: .,^ CERTIFICATE ., r ��c uc wnoT rw TMS PLAT 9EAft;tlC Of -_ .B:.ML�I4— 1 NEREay CERTIFY NAT T1( fkA9{ ~ lCcJt UY HFSP.')N',f"JL" CHARGE ,un urrTe Tut uw.uiw S•A?!e _ SET FCRTH DY THE:LOMA REVOCABLE ENCROACHMENT AGREEMENT '� City of Atlantic Beach "`ALL INFORMATION HIGHLIGHTED IN GRAY : Y 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED. REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as"CITY"and Ralph J. Saucerman 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 removal of current cement driveway and replacement with pervious pavers 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 1894 Selva Marina Drive, Atlantic Beach, FI • 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 I' II' es ar heoebyFassumed by the USER. Date Pr erty O erV*j t(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The fgoing instrument was acknowledged this day of I V \4� 20 by Ce C fyx a who personally appeared before me and inted Aame of gn ) a� ckn wledged that he/ he ne the instrument voluntarily for the purpose expressed in it. TONI GINDLESPERGER ' MY COMMISSION#FF 924951 a EXPIRES:October 6,2019 Department Apprgval: ,,,6; h Bonded Th u Notary Public Underwriters Signature of Notary Public,State of Florida [ ]Personally Known /� �( [ ]Produced Identification(Type) Z &S-730- 4 `-t- - 17Z -0 Scott Williams, Public Works Director H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.dooc Revision Date:8/31/18 RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION "ALL INFORMATION City of Atlantic Beach HIGHLIGHTED IN GRAY IS 800 Seminole Road,Atlantic Beach,FL 32233 REQUIRED. Jl PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES (� Job Address Ia9'-ry� 1�1aprn1>pICi ermitNumber Contractor Information Companyy to rsasv— FAL014 I,iCGR A'f Qualifying Agent Address PN4 �9 0JA MflP—t PJA e- City &i LNirl c7RACH State R.— Zip �ZZ�✓-3 Phone1 D �Z — IZ,D4 Email L� R��UC QOC- C2>f1� State Certification/Registration# Igh Architect Phone Email Engineer ��----�� Phone Email Workers Compensation InsurerOR ExemptnExpiration Date • 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 Public Works Director,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 Public Works Director and at the expense of the Permittee unless reimbursement is authorized. • All work shall mee City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of f�y I-( . s{a(�CP(Z(1/��k� (Project Superintendent) with(Company Name) .S2L. Phone • All materials and equipment shall be subject to inspection by the Public Works Director. • 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 Public Works Director 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 ex enses arising in ny manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • Pu lic Works ec r shall be notified 24 hours prior to starting work and again immediatel�on omplet' n. g44-1 ye'� Date ML- Per ee sig in pr s ce of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL ThefopWingin trument was acknowledged this C _day of .20 y-1V ' k S: by e—("', who personally appeared before me and (pri ed name of Permittee) ackno Ltat a/she n the instrume voluntarily for the purpose in it TONT GINDLESPERGER :. MY COMMISSION#FF 924951 EXPIRES:October6,2019 Bonded Thru Notary PuClic Undenxrte s ] Personally Known Signature of Notary Public,State of Florida [ ] Produced Identification(Type) H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 CN �10 1�.-0 W Y1./!10 c �� --------------- IF ~ I 20'x20••r.Y'r2EA� / Q + 3.D �8. 10.2• ��-t__ <W 4 tea• a 4�' � � vv �.y �. 'A.�•.l N ,C 4.1 < �5 LOT 4 pl�rp" ,. 2S m Two STORY ul W FRAME , 4 4.0' POSTED #1894 3 N w 14.0* S a i C)c C.7 d C.0' 4�j .oPoDA � 10.51 ri `'�. D N l a3' etiiuiEy 0 i co 11 � / — — — LOT 5 :PAv�ts Jis Gaa;Hnce ` � I EA_E',I�tr Lat• N 081004' W 81.83' (MEASURED} Le '( N 08.07'53" W 4,u LOT 6 81,94' (PLAT) 7 0z, �5 �� t S"LLA C0h901fNJUMS PHASE t (RECAEATONAi ARCA) (OFMAL ROADS VXUTWE 7254.PACE 1091) LEGEND: EL dO - , •REBAR PC - POW of WRV*TUAe D7° Ft - POW or TANGUOY • -sasa,fr RON rrr tlo xer1>FTGAnw+ :Trc Parr,of REV41M (UN.173 OTHIAMISL NOM) CJAVA1UAc i-i x4'CONOM-M UM&INT PGG - POWT OF CO&WOUND Al.- - Art CON I DI CURVATURE —X— s FrINCE Q ' C0.4CRETE REVISIONS Ray Thompson DATE OSCYiiPTClJ SURVEYING, Inc. ---- 3 Gotng tha DISTANCE for You yy>tOrica's "tots e 4813 Phitlpa Highway,Sul►e 210 �+ Vvis'i.7 ///��VV vvvv JackaonvM9,Florida 32207 T I TL-B 'COMPANY (Phone)804.448.5125 ! (Fax) 904-44&5178 J08 22450 DATt OF FIELD SURVEY: 4-11-2013 SCALE: 1" = 20' � j NOTES: CERTIFICATE .. acao,.cc .-c aac:n rw 7mr PLAT WMt&C OF-- .�. -- -- I... ... CERT1fY THAT TN INiQr ICER Uy AESPONSi•3L CriiWCF _ --�.�............ `\ ---------------- 9c: d 1 -- - Pn ._ " 0 N o :zr 1t,�, � ILe• •a, �a � v m � o i CD�ED y LOT 4 tai' rn •.n' m TWO STORY PAD �^ 2-5 I w FRAME ..o POSTED 41894 I Root .r 53• (IT cHi4.4Er D — —— — -- \ LOT 5 15 MAIM-. ��Eur?lr `al• aD' z.o' N 081 6'04' W81.83' (MEASURED) u N LOT 6 fl8'o7'S3" W $1.94' (PLAT) SEVI LpNALRE GOND � . t (RECREA(O TQ4-L RECORDS VOLV1)E 1454.PAGE 1001) LEGEND; 0 -law REM CC . POW OF CURVATURE s -F*JM ifr WM"t Pi . Paw or TA1 MOY tu GO C@11PYIATCH 4AC - Pox;OF REVS M am ni"St NOTED) WWOURE 1--4'r4'CO.NOM-M lR7VNL.T PCD - PC4tt OF COU!'(XM AM cokl)MCKM CURVAIURL —x— s McE 0 - CO.IXAM Ray Thompson REVISIONS SURVEYING, Inc. 0'r ; orscalvncu I Go1ng the DISTANCE for YouAmerica S 01110ke A913 Phiilps Highway,Sul{e 214 f Jacksonville,Fiodda 32297 T I TL-E C OMPAN.y (Phone)804448.5925 l' (Fax) 844-44MJ78 .106 W 22460 DATE.OF FIELD SURVEY: 4-11-2013 SCALE: 1" = 20' NOTES: CERTIFICATE acao,ure uc aacn iw TWr PLAT w_&k f. EW-_S..U4Va��_ l HEREYI•CMrry T•_' . �' ICER UY RES..ON518L.CliAsTG't 9:36 AM Mon Feb 25 ■d s 9 100%.1111111110_ o tremron.com TREMRON HOME PRODUCTS INSPIRATION CATALOG COMPANY RESOURCES PERVIOUS PAVERS OLDE TOWNE PRODUCT CODE: PV21340E THICKNESS: 2-%"(60MM) DIMENSIONS: 6"X4",6"X6", 6"X9" SF PER CUBE: 124 CUBE WEIGHT: 3330 LBS FINISH: STANDARD PERVIOUS PAVERS PHOTOS Is there anything I can help you with today? GREED COLLECTION MANAGE STORMWATER RUN-OFF 4X8 PERMEABLE PRODUCT,- DIMENSIONS THICKNESS SF PER CUBE CUBE WEIGHT PERMEABILITY EC03143 4'x8" 3-1/8" 96 3300 LBS 9.6% AQUA PAVER i PRODUCT Y DIMENSIONS THICKNESS SF PER CUBE CUBE WEIGHT PERMEABILITY EC03145 5"x9-7/8" 3-1/8" 92 2925 LBS 8.8% SF RIMA 1 `. PRODUCT." DIMENSIONS THICKNESS SF PER CUBE CUBE WEIGHT PERMEABILITY EC04020 8"x8" 3-1/8" 99 2900 LBS 7.5%-10% OLDS TOWNE PERMEABLE PRODUCT A DIMENSIONS THICKNESS SF PER CUBE CUBE WEIGHT PERMEABILITY EC03144 6"x4",6"x6".6-x9" 2-3/8" 90 2350 LBS 10.5% rl TURF BLOCK 4 .I 1i �+ 4.;_1. PRODUCT 9 DIMENSIONS THICKNESS SF PER CUBE CUBE WEIGHT PERMEABILITY ! ' f 4 EC04040 23-5/H"x15-3/4" 3-1/8' 94 2200 LBS 40% 4X8 PERVIOUS PRODUCT k DIMENSIONS THICKNESS SF PER CUBE CUBE WEIGHT PERVIOUS PV21040E 4"x8" 2-3/8" 120 3120 LBS YES OLDE TOWNE PERVIOUS PRODUCT# DIMENSIONS THICKNESS SF PER CUBE CUBE WEIGHT PERVIOUS PV21340E 6"x4",6"x6",6"x9" 2-3/8" 124 3330 LES YES MAP SHOWNG BOUNDARY SURVEY OF LOT 5. SEVILLA GARDENS UNIT ONE. AS RECORDED IN PLAT BOOK 45, PAGES 6 do 6-A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: MICHAEL A. GIDDINGS QUICKEN LOANS, INC AMERICA'S CHOICE TITLE COMPANY CHICAGO TITLE INSURANCE COMPANY SELVA MARINA DRIVE (low MONT Or WAY) S 09'29'05" E 85.98' (PLAT)(CHORD) S 09'40'220 E a&GW tLai (MEASUREDXCHORD) Im WNL Lft R '1414711' L .44.t4' 4144 . •.. 17,4t' +i (RAYX0010) M w 30ra>Dpr dA 1 i. ♦t 4 No s 11 vv . �- 11.4 .. Comm v '.1ti7t1RY� �• LOT 4 � 1Q TWO STORY rA0 taJ FRAME • in POSTED X1894 3 N A / I • 01 - � � by .111, I Z Z 1.Z b S0 b Y N H LOT 5 POOL A 14 OMMACE + FASVMT 0.1' � N 08168040 W Le — -- — — •( N 08'07'53" w 81.83 (MEAS M 4144 �j 81.94' (PLAT) LOT 6 d ' alp'Mrd SEWIA caw�Dowr+x= 101+AK , (Onlcuc O4 VO K 73K PAW,o.,) LEGEND. 0 -wT 1 "aN PC I or 01411A41WAx 0 •IOMO�1 nAen vw R r /OMT W TAMS T (ua Ve"M) PM C W n N ■-4W Co11 WX 1101AW M" P POW OF[M"JW AA MR 00011010 Q1RwN1M . ft%AWt Ray Thompson REVISIONS SURVEYING, Inc. DATE DESCRIPIM QoI It DISTANCE forYou 0w e wO 4613 Ph"HW y,SuIN 210 Amw"� - I Jaaaonvft,Florld.32207 T I TLB COMPANY (Phone)004.4464126 (Fax) 904-146.6178 JOB 22460 DATE OF FIELD SURVEY: 4-11-2013 SCALE: 1" - 20' NOTES: CERTIFICA N TES: A1<C U� ane IWC[ �I._WARM 0I --inL'lIE1fE_�___ I Mao-:"14� wtw nupcolo s aura[A= TME COWRY @WX MY�a!Or lint-►AM:O. mo MR1L sT iT FORM w 1110 FW OI oa9YaeA^,Ocwr�}Aflwoao.Y TM[ CAP7100M 1.NM Ws 1�INM FLAOD =K 1L'r N"ffr 4 p117p1�'ot� 14606 AS S1OM ON 1K MAIW&11600 NAEMLM MAP. DATM AML 17 1444, C01 WIT M NAM 130071 M1411 31 IM SUW49Y �ocn AIL USDOM IW OW a WAY O RAT 4kVW 7=0MOS1101T/S1N4L M U�O1S4D�STAIM 10OTeM 11W AYMSIV9� WOPSW 4c luwwV VAD w1M011T A MCNWAHAS KEN POWORM ND [l[ MNA10 IM 1E018 MD144 STATE OF FLONDA AMD AUIFIEN110A11D nECTMW KAL 7469