325 Royal Palms Dr ACC19-0069 Shed/Pergola ACCESSORY PERMIT PERMIT NUMBER
`O CITY OF ATLANTIC BEACH ACC19-0069
800 SEMINOLE ROAD
ISSUED: 9/17/2019
0;t 19' ATLANTIC BEACH. FL 32233 EXPIRES: 3/15/2020
MUST CALL INSPECTION • • • 1 i . PM FORiINSPECTION.
CODE,ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
' OF ' CH CODE OF 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.
• . ADDRESS: DESCRIPTION: VALUE OF •
325 ROYAL PALMS DR ACCESSORY SINGLE OR TWO 10' x 12' SHED and PERGOLA $3500.00
FAMILY ACCESSORY
TYPE OF
ZONING: :D •
i • GROUP:
171329 0000 ROYAL PALMS UNIT 02A
COMPANY: ADDRESS:
• ADDRESS: '
BLIVEN STEPHEN A 325 ROYAL PALMS DR ATLANTIC BEACH FL 32233
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 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,1Dog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way.
I
Issued Date: 9/17/2019 1 of 2
ACCESSORY PERMIT PERMIT NUMBER
' CITY OF ATLANTIC BEACH ACC19-0069
800 SEMINOLE ROAD ISSUED: 9/17/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/15/2020
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
5 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $70.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.35
WORK WITHOUT PERMIT 455-0000-322-1000 0 $180.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $468.38
Issued Date:9/17/2019 2 of 2
rSJ:L`J�7� City of Atlantic Beach APPLICATION NUMBER
jS Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
os E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (��j�( (_ Department review required No
uildin
Applicant: vL� ��� anning &Zonin
Tree Administrator
Project: S'
;� 6�C��� r� is or
ublic Utiliti
Pu is a ety
Fire Services
Review fee $ Dept Signature
W
Other Agency Review or Permit Required Review or Receipt of Permit Verified t 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: PApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDI
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: lql Date: ' d
oq
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denie . ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application ."OWU ffy Updated 1019118
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us // IS REQUIRED.
Job Address:3Z5 hOYM_ �ALMs DR.', ATLA#•JT« &ActI', FL 32233 Permit Number:
Legal Description-31 1 IT Z5-29 E ",?A%-M5 UN IT 2A L,OT 11 6Ll4_ 14 RE#
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
• Class of Work: XNew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial gResidential OFFICE COPY
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will trees be removed in association with proposed roiect? ❑Yes must submit separate Tree Removal Permit No
Describe in detail the type of work to be performed: (�00c>T2,)cTw,,J c f ( X12� TfryL Co Ns r(Zu( 7t(;,_) of
Florida Product Approval# for multiple products use product appr�al form a
Property Owner InformationQ (n
e� v � � ye , VNam � � Pn
City Q}�a�-�.c arc State FL Zip _322-3,5 Phone `loo (o}2) -G,32.Z L5 w—
E-Mail S1ok*Nvfy, �iEJ�gVA4\ ca +h 0 Cu a 0
Owner or Agent(If Agent, Power f Attorney or Agency Letter Required) U ❑ U [
LU Contractor Information ❑ Z cc z
Name of Company CLQ—�AF nW tJF4 Qualifying Agent ® LL Q
Address City State Zip trt; Z
Office Phone Job Site Contact Number O W
State Certification/Registration# E-Mail _ ❑ w .1.
Architect Name& Phone# } a aC Ix
Engineer's Name&Phone# _ w _; C
LL
Workers Compensation Insurer OR Exempt❑ Expiration Date LU U N W w
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal i1on has w
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regglating OC
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 IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORD 1,7 GOU TICE OF COMMENCEMENT.,,J ;
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed) before me this day of Signed and sworn to(or affirmed)before me this I day of
�J Y 7U1 by ie l�eifl{iAiVP�
pt"' JyJ1 by ��P�tl1
111A,-
(Signature of Notary) (Signature of Notary)
JACK
Commission n##GG2025
( ]P rsonally Known OR ,�;� leI E�p
Wtfels T I� iow 9614
[ oduced Identification T f \
Type of Identification: `'` � iC S `�CG f xx Type of Identification: Y(_ (Jn r \�ce r15-e-
OFFICE COPY
rs.= 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 1nn ��ww "/�
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: -0- (9- G�i(GC1
❑ Revision to Issued Permit OR Corrections to Comments Date: ki
Project Address: - C� t V Ct✓L ccx f
Contractor/Contact Name:
n d � !
Contact Phone: (�77 3 `(0 3 Zz Email: SUV
Description of Proposed Revision/Corrections: AUG 2 q 2019
1'� v (
Car
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?
PNo ❑ Yes (additional s.f. to be added: )
• Wiil proposed revision/corrections add additional increase in building value to original submittal?
o []*Yes (additional increase in building va ue: $ ) (contractor must sign if increase in valuation)
*Signature of Contractor/Agent: `
(Office Use Only)
Ly'Approved ElDenied LlNot Applicable to Department Permit Fee D
Revision/Plan Review Comments
De tment Review Required:
anning &Zoning Reviewed By
Tree s rator
Public Works
Public Utilities glU'l q
Public Safety Date
Fire Services Updated 10/17/18
r'
J
CITY OF ATLANTIC BEACH
OFFICE C0PY goo SEMiNOLE ROAD
,J ATLANTIC BEACH, FL 32233
(904) 247-5800
ZONING REVIEW COMMENTS
Date: 8/19/2019
Permit#: ACC19-0069 Site Address: 325 ROYAL PALMS DR
Review Status: DENIED REM 171329 0000
Applicant: Property Owner: BLIVEN STEPHEN A
Email: Email: SBLIVEN63@GMAIL.COM
Phone: Phone: 9046736322
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Comments:
Setback: Pergolas are required to be at least 5 feet off side and rear lot lines. Please revise accordingly.
Shed Height: Please show the overall height of the shed from grade.
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.
erm �' #1)(6 lq-(146ICE OF COMMENCEMENT OFFICE COPY
State of Florida Tax Folio No.
County of Duval
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 31-1 17-2S-29E; Royal Palms Unit 2A; LOT 11 BLK 14
Address of property being improved: 325 Royal Palms Drive;Atlantic Beach,FL 32233 _
General description of improvements: Construction of a 10'X12' shed, and construction of a 12'x15' Perqola
Owner: Stephen A Bliven Address: 325 Royal Palms Drive;Atlantic Beach,FL 32233
Owner's interest in site of the improvement: N/A
Fee Simple Titleholder(if other than owner): _
Name:
Contractor: er �TPDIr�Pir� I - yl tU�-V-
Address: 325 Royal Palms Drive;Atlantic Beach, FL 32233
Telephone No.: (904)673-6322 Fax No:
Surety(if any) N/A
Address: Amount of Bond$ _
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: N/A
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served: Name: N/A
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name: N/A
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
ST
Doc#2019179247,OR BK 18884 Page 1625, ;ned:� Date: yT_t 2-01
Number Pages:1 More me this day of kA I Xt'ln the County of Duval,State
Recorded 08/01/2019 01:18 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Florida,has personally appeared Se r1
COUNTY )tary Public at Large,State of Florida,Countyof Du lii?v?moo, MARISSAL.ORDA
RECORDING $10.00 y commission expires: M45
rsonally Known: '-A :a`-` 2022
FOF�4°` Bonded Thru No Public Underwriter,
rroduced Identification: �N
Tq AJV?� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 18\C, CL lJ l(', /'� L(1 O0 /U
Atlantic Beach, Florida 32233-5445 �
Phone(904)247-5826 - Fax(904)247-5845 l
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: tm
review required YesNo
Applicant: — ninreemnsrator
Project:
ubli,Utiliti
Pubic afety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date L�
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. []Not applicable
(Circle one.) Comments: � Denied.
BUILDING �� � 1 4-
1 9 Sc� 4 S ed def y
PLANNING &ZONING Reviewed by: ate: t- (cf– (�
TREE ADMIN. Second Review: �pproved as revised. []Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
N
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SLMY 14 ... BLOCK 14
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ALL
s ir„ Revision Request/Correction to Comments "*HIGHLI HIGHLIGHTED
IN�s HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
s
800 Seminole Rd, Atlantic Beach, FL 32233
fill r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:2C-0- (`(— Gfi(GCl
❑ Revision to Issued Permit OR Corrections to Comments Date: kicl,,
Project Address: ;j CO( IC, �G �v�4 �f-t V ��� 'A✓ .c �ccic �(
C,I 1 `\
Contractor/Contact Name: J1�PY\f t�� �i 1���V\ �1 -r in
Contact Phone: 1 3 -(03ZZ Email: NVQ =- -' ` �• Cep
-AUG 2 9 2019
Description of Proposed Revision/Corrections:
- , " Cl� iCl 6k
I ' e 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?
,zNo ❑ Yes (additional s.f. to be added: )
•
Wr�ill proposed revision/corrections add additional increase in building value to original submittal?
,Ao ❑*Yes (additional increase in building va ue: $ ) (contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
Approved Ll Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
De ment Review Required:
uildin
Revie ed By
Tree tsra*tor
Public WorksC^
Public Utilities �`�
Public Safety Date
Fire Services Updated 10/17/18
f,S---��`l f✓r
Sze CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
'J —r ATLANTIC BEACH, FL 32233
(904) 247-5800
ZONING REVIEW COMMENTS
Date: 8/19/2019
Permit#: ACC19-0069 Site Address: 325 ROYAL PALMS DR
Review Status: DENIED REM 171329 0000
Applicant: Property Owner: BLIVEN STEPHEN A
Email: Email: SBLIVEN63@GMAIL.COM
Phone: Phone: 9046736322
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Comments:
Setback: Pergolas are required to be at least 5 feet off side and rear lot lines. Please revise accordingly.
Shed Height: Please show the overall height of the shed from grade.
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.
City of Atlantic Beach APPLICATION NUMBER
�s r� Building Department (To be assigned by the Building Department.)
• 'i 800 Seminole Road
" Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 t
�; yr E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '? � LP $Depamentrtreview required Yes No
ildin
Applicant: rming &Zonrn
I n Tree Administrator
Project: o1 �1 is or
ublic Utiliti
Pubic afety
Fire Services
Review fee $ Dept Signature `n 1
Review or Receipt �1 v
Other Agency Review or Permit Required of 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 by, Date:
TREE ADMIN. Second Review: [—]Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
REVOCABLE ENCROACHMENT AGREEMENT
"ALL INFORMATION
City of Atlantic Beach
�.y HIGHLIGHTED IN GRAY
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
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 costruction of a shed and a Pergola
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 325 Royal Palms Drive;Atlantic Beach,FL 32233
• 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
li bilities are hereby assumed by the USER.
Date 2a1
Property ner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this�_day of N409r 120 1 ,
by S V-e-!'1 &n RV v`,'n who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
CABAROZI
41 Comm ACK ssion#GG 247125
partment Approval:
Expires August 9,2M
Signature of Notary Public, State of Florida .R► �'' s"AWTMuTmyF*kaur.nceaoo-s8W&?019
[ ] Personally Known
[ Produced Identification(Type) nSR Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
401-6 ��
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 325 Royal Palms Drive;Atlantic Beach,FL 32233 Permit Number f'K.(i 1q—W bq
Contractor Information
CompanN(/. omeown)r Qualifying Agent Stephen A Bliven
Address 325 Royal Palms Drive City Atlantic Beach State FL Zip32233
Phone(904)673-6322 Email sbliven63@gmail.com
State Certification/Registration# N/A
Architect Phone Email
Engineer NSA Phone Email
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 Stephen A. Bliven (Project Superintendent)
with (Company Name) Home owner Phone(904)673-6322
• 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 5 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.
• he Public ork it for shall be notified 24 hours prior to starting work and again immediately upon completion.
`� DateA.L/C40SJ 1 . 201!9
Permittee( igned in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this ( day of 20 1�(
by �' �?P rl Q)iyeo whop wiaflv anpeared before me and
(printed name of Permittee)
.. .. JACKSCABAROZI
'
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. .=Cmnission#GG241125
=•:;. ,P;'Expires August 9,2022
Bonded T%TroyFoie Insurance SWU5.701!
[ ]Personally Known
Sig ture of Notary Public,State of Florida [ifroduced Identification(Type) 'Fjt,6?a�k� kC
H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.dou Revision Date:10/1/18
City of Atlantic Beach APPLICATION NUMBER
a. � Building Department (To be assigned by the Building Department.)
r 800 Seminole Road C Cly -oo (0
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 I
J;3 qr E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
c
Property Address: L _ Department review required Yes No
uildin
Applicant: oc'D �� anning &Zonin
Tree Administrator
Project: t-� �� is or
ublic Utiliti
Pubic afety
Fire Services
Review fee $ Dept Signature
W
Other Agency Review or Permit Required Review or Receipt of Permit Verified t 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. P<ot applicable
(Circle one.) Comments:
BUILDING
001
PLANNING &ZONING
Reviewed by: Date: g– —/
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
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This document also describes the mllltary spec 4At 0TH 4AL- acc. 6_611Tt+ �,•acacc c azo<.v
version of this anchor: N-60T"H-Mil 4 1b
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aircraft cable
E
k Diameter: 51611 (8 {2.S cm)
Length: 5' (i.s rn)
freaking strength:
s 9,800 11) (4s.6 kN) w
Available in stainless steel .
as special order
LOAD CAPACITY
Pullout strength at MINIMUM DEPTH 4' (.t,2 r„
9 B.
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40 0 kN 263 9 kfd 15.6 kN 9.79 kN 5.56 kN
-------------------------
American Earth Anchors
Contact �us for CUSTOM I WORK 866-520-851.1.
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-- �- The best screwyou V401 halfe in the d€rt":
Cabled n
Bullets and Arrowheads
LOAD CAPACITY
Pounds
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SOIL CLASSIFICATION aa � 3se � � s '� Vis: �� 4 4 3 �
per ASTM D 2.871 F <
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f+a aan 2,00'0 Lb 1,100 Lb 2,00 [b 1,100 tb 3s,500 1b 3,150 1b 3500 lb 5,€00 [3 9,00 Lb 14,000 1b
Sandy gravel .i,M0 tb 1,100 Ul 1,800 Lb 1,100 th 2}200 tb 2,200 tb 2,200 tb 3,000 Lb 6,55€ 0 Rib 11,000 th
Very dense sanci
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@2037 American Earth Anchors aE ericanealrthaElCi ors.com it'Zti34c'3mericanea.com 356-520-83511
8/512013 Arrowhead&Bullet Cabled Anchors
1 -508-520-8511 (tel: 1 -508-520-8511 )
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Contact Us (https://arnericaneartlianclioi-s.com/iiidex.php?clD:::245)
(https://arnericaneartlianchors.com)
Al-nIE-wican Earth Anch(-%)rs
The best screw you will have;in tie dirt!7M
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Arrowhead & Bpallet Cabled Anchors
Cable-style anchors come in three basic styles.
'typical applications: Soil, sand, asphalt, underwater; militaty
Steel Arrowhead Anchors
• Anchor size: 3" or 4"
• Securing method: Thimble, cable clamps, Guickvise, anchor disk
• Cable lengths: 3' 4' 5' 10' Custom lengths available
• Galvanized steel anchor
• Galvanized steel aircraft cable
• Stainless steel cable available as special order
Shop steel arrowheads (http://americaiiea.americommerce.com/store/c/31-Steel-Arrowheads.aspx)
https://anit3ricanearthanchors.com/products/cah1A-anr.hnrr-ArrnwhPn(i-hi mpti 1
8SD018 Arrowhead&Bullet Cabled Anchors
Technical Specifications '
View/download PDFw
Dimensions, holding strength, installation
3-36TH
7hw`6/e
cob i* ,�ym»s ,
391
<btt.po://mmericaoeartbaoobnza.cum/iudeo.9bp/dowoload file/3O6/> 3^anchor/3'uabka/thimble
3-60CC <bttpa://ammzivaueaztbaucboza.oOm/iudex.pbp/dowoluad file/4O0/> 3^ anchor/5' cable
/cable clamps
3 60Q (bttpo://amezioaoeartbanohoza.com/index.php/download_file/345/> 3" anchor/5' cable
/Quickvioo
3'120Q7 <httpa://amecicaneaztbancboca.com/iodex.pbp/dowoluad_file/345/> 3" anchor/ 10'
cable/C>uiukviue
3-36Q)V-Disk (bttpa://amezioaueaztbancbozo.00m/iodex.pbp/dowoload_file/337/) 3" anchor/3' cable
anchor disk
(h#po:Vemnhqsn*arthanchom.nom/index.php/downlood_fi|e/34503-36AT
(bttpo://amezioaneartbanobozo.00m/indeu.pbp/dowoload_file/2O6/) 3" anchor/3'uub|e/anti-
theft loop
4ST-48TH (bttpa://amezicaoeaztbaooboco.00m/index.pbp/dowoload_file/309/) 4" anchor/4' cable
/thimb|e
4ST-60CC (bttpo://amerioaoeartbanohoza.00m/index.php/dm^oload_file/310/) 4" anchor/ 5' cable
/m/bka o|ompo
4ST-68QV (bttpo://amezicaueactbaoobozo.com/iodex.php/dowoload_file/311/) 4" anchor/5' cable
/C)uiukviaa
4ST-120Qy(https://arnericanearthanchors.com/itidex.php/download—file/3110 4" anchor/ 10' :ab|a/Quiohvoe
(httpo:Vomehouneadhanchum.uom/index.php/dmwn|oad_5|e/311/)
Aluminum Arrowhead Anchors
~ Anchor sizes: 4" G 8" 10"
" Seouhng methods: Thimble, cable u|annpn. Ouiokviae
° Cable lengths: 48" 60" 72" 120" Cuohznnlengths available
" Heat-treated 356 o|unninunn alloy
, Galvanized steel aircraft cable
|`ono:xomo,icanoun»unohu,x.00m/p,uuucto/oum*a^ohvm'a,mwheou'uunoV u/s
$1512019 Arrowhead&BLI110t Cabled Anchors
- Stainless cable available as special order
# Also available as Military Spec anchors J
(/prod ucts/m 11-s pec-a nchors-g rou nd/)
Thimble
Cabk! Clat"wn
vf
)le
Shop alUnlinUm arrowheads (http://americanea.americonimerce.com/store/c/32-Mil.-Spec-Ai-rowheads.aS).)x)
Technical Specifications
View I download PDFs,
Dimensions, holding strength, installation
(Each PDF also covers the Military Spec rnodel)
4AL-.48TH (https://americaiiearthanctiors.com/izidex.php/dowriload—file/3'74/) 4" anchor/4'cable
thimble
4AL-60CC (https://americanearthanchors.com/index.php/download—file/375/) 4" anchor/5' (Able
cable clamps
6-60TH (htt.ps://americanearthanchors.com/index.php/download—file/388/) 6" anchor/5' cable
thimble
6-60CC (https://america.nearthanchors.com/index.php/download.-file/387/) 6" anchor/5' t.-.able
cable clamps
6-1.20Q'V (httpn://americanearthanchors.com/indox.php/download--fil.0/389/) 6" anchor/ 10'cable
Quickvise
8-60TH (littps://americariearthanchors.com/index.php/download—file/391/) 8" anchor/Tcable/
thimble
8-60CC (tit tps ar(LOri cane-tar thanchors.com/index.plip/down load—f i lo/3 9 0 B" anchor/5' cable/
cable clamps
10-72TH (https://aiiiericanearthanchors.com/iiidex.php/download—file/393/) 10" anchor/6'cable
thimble
10--72CC (https://americanearthanchars.com/index,php/dowziload—file/392/) 10"anchor/6'cable
cable clamps
https://aiiiericanearthanchors.com/products/cable-atichot-s-arrowhead-buIlet/ TF,
8/5/2019 Arrowhead&Bullet Cabled Anchors
Anodized Aluminum Bullet Anchors
Bullet specialty: Tough or stony soil
• Anchor size: 3"
• Cable lengths: 36" 60" 120" �
• Securing method: Thimble, cable clamps, Quickvise, anchor disk
• Galvanized steel aircraft cable
• Stainless steel cable available as special order
Shop bullets (littp:Hamericanea.americommerce.corn/store/c/33-BuIlets.aspx)
Bullet quick reference product numbers:
3AL-36QV
3AL-36TH
3AL-60CC
3AL-600V
3AL-120QV
Learn more about arrowheads and bullets by visiting these pages:
- 'Technical Specs (/products/cable-anchors-arrowhead-Bullet/technical-specs/)
• Securing Method (/products/cable-anchors-arrowhead-bullet/securi ng-method/)
• Accessories (/products/cable-anchors-arrowhead-bullet/accessories/)
• Installation -Arrowhead & Bullet (/products/cable-anchors-arrowhead-bullet/installation/)
= Examples in the Field (/products/cable-anchors-arrowhead-bl.11let/examples-field/)
• Price List (/products/cable-anchors-arrowhead-bullet/price-list/)
IN THIS SECTION:
Penetrator TM Screw Anchors (/products/ground-anchors-penetrators/)
Arrowhead Anchors-Steel (/proriucts/arrowhead-anchors/)
Arrowhead Anchors-Aluminum (/products/arrowhead-anchors-aluminum/)
Bullet Anchors(/products/bullet-anchors/)
Military Spec Anchors (/products/mil-spec-anchors-ground/)
Helix Anchors(/products/helical-anchors-helix/)
Installation Accessories(/products/installation-accessories/)
Custom Design (/products/custorn-anchors-ground/)
Fast Ask(/products/fast-ash/)
I.ttps://amoricanearthancliors.com/products/cable-anchors-arrowhead-bullet/ 4/5
81512019 How to Anchor a Shed I American Earth Anchors
1 -508-520-8511 (tel: 1 -508-520-8511 )
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Contact Us (https://americaneartlianclioi-s.conn/index.php?clD--245)
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Sheds , Gazebos
Shed Anchors
Wondering how to anchor a shed? Customers primarily use the following heavy-duty, easy-to-install, and load-
tested anchors to successfully secure sheds to the ground:
1. Arrowheads (https:/Iamericanea.americomnierce.com/store/c/31-Steel-Arrowlieads.aspx)
2. Mullets (https://americanea.arnericornrnerce.com/store/c/33-Builets.aspx)
3. Penetrators (https://americanea.americommerce.com/PE26-anchor-26-inch-Penetrator-with-l-inch-hex-
head.htm) (PE2.6 with brackets.)
For cabled anchors, you'll use a drive rod to drive the anchor into the soil. The anchor's cable tail follows it down,
and when at depth, the cable is pulled back to rotate and lock the anchor.
Popular cable tie-off methods include thimble loop, cable clamps.
Download the Shed Anchor brochure here for installation options. (/ir7dex.php/download_file/view/5"/2/188/)
httr)s://an)ericanearthanchors.com/which-anchnr-,;hnidrl-i-i saichnrici 11A
8/5/7.019 How to Anchor a Shed I American Earth Anchors
To determine which anchors have the holding capacity that will meet your requirements, download this
load capacity chart. (/index.plip/download file/view/339/'1$8/)
For complete details on each anchor we sell, download anchor specs here. (/technical-specs/product-
dimensions/)
Shop Shed Anchors Now (https://americanea.ai-nericom!-nerce.com/anchors-for-sheds)
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te-d A ' rs arrowhead and bullet anchors.
Drive with harrut-ier or impact wrench.
Anchor sheds into asphalt or soil with 3 anchor types
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Shed Anchor Kits
Browse these two options:
Shed Anchor Kits -Arrowhead (https://americanea.americonimerce.com/shod-aiiclioi,-kit.-steel arrowlieaci.aspx)
Shed Anchor Kits - Btillet (https://arnericanea.aniericornmet-ce.com/shed-anchor-l<it-alurTiintirn-bullet.aspx)
Shop Shed Anchors Now (https://americanea.al-nericonii-nerce.com/anchors••for-stiecis)
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815/2019 How to Anchor a Shed I Arnerican Earth Anchors
IN THIS SECTION:
Anchor Selector(/which-anchor-shoulcl-i-use/anchor-applications/)
Art Sculptures, Statues (/which-anchor-should-i-use/art-sculptures-statues/)
Dt,cks&Steps (/which-anchor--should-i-use/decks/)
Doha Tie Down (/which-anchor-should-i-use/dog-anchor/)
Erosion Control (/which-anclior-sl-iould-i-use/erosion-control/)
Farming-Animal Shelters (/which.-anchor-should-i-use/farm-anin)al-shelters/)
Footings(/which-anchor-shoEild-i-use/penetrators-footings/)
Frozen Ground (/whicl-i-anchor-should-i-use/frozen-ground-ice/)
Greenhouses(/which-anchor-•should--i-use/earth-anchors-greenhocises/)
Hunting Blinds (/which-anchor-should-i-use/ground-anchors-hunting-blinds/)
Hurricanes, Storms (/which-ancl-ior-should-i-use/hurricanes-stonlis/)
Inflatables (/which-anchor-should-i-use/inflatables-bounce-houses/)
Picnic Tables(/which-ar)cl-ioi--sl-Iould-i-USE'/picnic-tables/)
Portable Buildings,Trailers(/which-anchor-•should-i-use/mobile-hoi-ne•-tie-down-poitable-buildings/)
Recreation (/which-anchor-shotild-i-use/recreation/)
Residential (/whicri-ancl-ior-si-iould-i-use/residential/)
Retaining Walls(/�vhich•-anchor-shot-ild-•i-rise/retaining-walls/)
Sand -Beach (/which-anchor-should-i-use/sand-beach/)
Sheds, Gazebos(/wl-iich-anchor-should-i-use/sl reds/)
Soccer Goals(/which.-anchor-should-i-use/soccer-cdoal-anchors/)
Solar Ground Mount(/which-anchor-shot.ild-i-use/solar-panels/)
Storage Containers (/which--anchor-sl-iould--i-use/storage-containers/)
https://aniericanearthanchors.com/which-anchor-,hniilrl-i-iicn/chAHQ/ o n
8/5/2014 How to Anchor a Shed i American Earth Anchors
Swing Sets (/which-ancl-ror-should-i-use/swing-set-anchors/)
Tents-Large, Fabric Structures (/which-anchor••should-i-use/temporary-strt.lctures/)
Tents-Small, Pop-Ups (/wliich-anchor-should-i-use/tent-anchors/)
Towers, Poles,Antennas (/which-anchor-should-i-use/poles-towers-antennas/)
Trampolines(/which-anchor-should-i-use/ground-anchors-trampolines/)
Underwater(/which-anchor-should-i-u:;e/hmderwat(;r/)
Vineyards (/which-anchor-should-i-use/anchors-vineyard-trellis-posts/)
Ziplines-Climbing Nets(/which-anchor-should-i-use/ziplines-climbing-nets-trapeze/)
Shop Now (http://americariea.americommerce.com/)
(littps://americaiiearthanchors.com/index.php/downloacl file/339/)
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