720 Triton Rd ACC17-0062 Rev Pavers ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
ON
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
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800 Seminole Rd, Atlantic Beach, FL 32233 f
Olt 9' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: AC�1 UOG;
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❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: ler7�20 J
Project Address: d
Contractor/Contact Name: 20 �/! ' Pf VdO 0
Contact Phone: (/7 /�JO �oG �� .� Email: z cC)n
Description of Proposed Revision/Corrections: /fJ
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I ZUr^�//r fD, Cl/�O affir the revision/cor ection o comments is incl sive f//�he prop�o``s'e� ges.
(printed name) �S 4& SC&W CSS p-e� ����C�6: ull0Vr;
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• it roposed revision/corrections add additional square footage to original submittal? 0
LYNo ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
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_ anning&Zonin Reviewed By
Tree Administrator
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Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
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 f f //-��
Erol''" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT M AW V
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❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: �Q
Project Address: 420 d
Contractor/Contact Name: 20 7 / Prada rl 0
Contact Phone: 1/7 /JO,�C'o� .� Email: ZOrI Z .1/ C (0)
Description of Proposed Revision/Corrections: 4ol,7 /
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I ZUrYI/�T� �D. Cl//1affirrp the revision/cor ection o comments is incl sive99f��he propppo``se�d c nges.
(printed name) S Sa412V CSS
• it roposed revision/corrections add additional square footage to original submittal?
LYNo ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No []*Yes (additional increase in building value:$ ) (contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due �•��
Revision/Plan Review Comments(_FJd)QC J J& jp/c4' ✓!n R144 (20W
Department Review Required:
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—� ann"pT— ing&Zonin Reviewed By
Tree Administrator
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Public Utilities 7,/0 -17
Public Safety Date
Fire Services Updated 10/17/18
RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION "ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
800 Seminole Road, Atlantic Beach, FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 7 (/ l r/ �0 f'J Permit Number
Contractor Information
Company z l 20 Vionr.e��/,6ualifyingAgent
Address city%C,(�w n J/'/ / State �L zip�K�
Phone_ y � �� — Email 77 01X i��� 0/ C()
State Certificatio Registration#
u ,q v70�J p r
Architect Phone C f 7 t� 2Email 'r) 0V
Engineer Phone cVEmail
" �ac:e ir1C�
Workers Compensation Insurer OR Exempt❑ Expiration 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 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 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
expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
• The Public Works Director shall be potified 24 hours prior to starting work and again immediately upon ompletio .
Date
Permittee(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of S. () n C'---1 v ( 20
by 2:0,- C4- f'f G [C( 3'l who personally appeared before me and
(printed name of Permitte
2coedged thahe/sh Ined thZinrument voluntarily for the purpose expressed in it. ' ='R ---
"; ;; TONI GINDLESPERGER
- �1Vr.�ena;roin;i:' p9.'"F1
Personally Knowrl -- - -- —__
Signature of Notary Public,State of Flo Ida [ ) Produced Identificati o ,, , ER
MY COMMISSION#FF 924951
� S:October 6,2019
H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx e�j' e:on a ru Notary Public Underwriters
Revision Request/Correction to Comments **ALL INFORMATION
SJr� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
r
' 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
Z_-7
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: V
Project Address: 420 e�
Contractor/Contact Name: 20 "{, z Pf 1941" ri 0
Contact Phone: )3V—,�71 Email: ZO/'/, q'o )'"C" CC)11 I
Description of Proposed Revision/Corrections:
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DC{til affirm the revision/cor ection o comments is incl sive f//t�he prop,o``se`,d c nges.
(printed name) �S ��' S ?�le CtS 16Ql ��� C�6 (�lO���'
• Will o-roposed revision/corrections add additional square footage to original submittal? J vv
No ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No ❑*Yes (additional increase in building value:$ ) (contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved /Denied ❑ Not Applicable to Department Permit Fee Due$
6 -
Revision/Plan Review Comments &-V'4 1044446rya'
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Department Review Require
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Public Utilities
Public Safety JUL 01 2019 Date
Fire Services APPROVE® Updated 10/17/18
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CITY OF ATLANTIC BEACH
Department of Public Works
. f
1200 Sandpiper Lane
. yN
Atlantic Beach, FL 32233
(904) 247-5834
PUBLIC WORKS REVISION PLAN REVIEW COMMENTS
Date: 7/3/19 Applicant: Zornitza Prodanoff
Permit#: ACC17-0062 Email: zorrygp@gmail.com
Review Status: DENIED Site Address: 720 Triton Road
THIS REVISION 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:
• The impervious areas are currently over the 45% allowed by City code.
• No driveway permit was ever approved.
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 MAYBE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL
PLANS SUBMITTED FOR REVIEW.
Page 1 of 1
O:\Public Works\ADMIN\PLAN REVIEW COMMENTS\ACC17-0062(Owner-Prodanoff-Revision).docx
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SLK 14 N 85'59'04'' W 80.68' �mp o
< INFORMATION SHOWN ON PLAT, NOT 'VERIFIED LOT 2
DEARS TO BE SERVICED BY CITY *ATER AND SEwER i� ! BLK 14
OWNERSHIP NOT DETERVINED I
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>reoy cert ` _ rthFg. dory survey of the
?on desc . .�prQ' y ` beef, made under
d•rec* d r" es f my krlow:edge
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r� dards of Proct}ce 3:.
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"eyors & p-3'Rrr!' C?: r 5.1- 17 of the
da Acmrrr :, e cor * GRAPHIC SCALE (In Feet) \\
I; ,[ T•,0, 1 inch = 30' ft.
WILLIAM E. LUCAS
a;e of Florida Professional Surveyor and Mapper
I fc�ncr Nm. .5789
REVOCABLE ENCROACHMENT PERMIT
REVOCABLE ENCROACHMENT PERMIT by the City of Atlantic Beach,Florida,a municipal corporation
organized and existin under the la of the State of Flo 'da,hereinafter referred to as"CITY"and
i. �`f� C J , 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
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 720 "rri'toN Roact
• 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
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
assumed by the USER.
Date 61o2420 ..J
Prope wner/Agent(signed in pr sence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of (� sP ,20 ,
by - ZC rn/r 4-2a Pro C ,who personally appeared before me and
rinted name of Signer)
ac ow dged t the she igned the instrument voluntarily for the purpose expressed in it.
�41
Signature of Notary Public,Sta of lorida
Approved/Public Works,,Department:
Personally Known
Produced Identification(Type)
TON!G;NDIESPERGER Scott OWanis, Public orks rector
?_ MY COF.iM.ISS10N#FF 924951
EXPIRES'.October 6,2019
Bonded Thru Notary Public Un de wr ters