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1021 Atlantic Blvd 953-975 ROW19-0039 Emergency Repair 01-Alir!., RIGHT OF WAY PERMIT PERMIT NUMBER alp) CITY OF ATLANTIC BEACH ROW19-0039 z: 800 SEMINOLE ROAD ISSUED: 11/6/2019 �40.219r ATLANTIC BEACH, FL 32233 EXPIRES: 2/4/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1021 ATLANTIC BLVD 953- RIGHT OF WAY COMMERCIAL emergency repair replace 975 RIGHT OF WAY storm drain, asphalt, curb, $65000.00 sod TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 177602 0040 SECTION LAND COMPANY: ADDRESS: CITY: STATE: ZIP: MIRANDA CONTRACTING 8442 W. Beaver St. JACKSONVILLE FL 32220 OWNER: ADDRESS: CITY: STATE: ZIP: EQUITY ONE ATLANTIC NORTH MIAMI 1600 NE MIAMI GARDENS DR FL 33179 VILLAGE INC BEACH 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. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PU REVIEW BUILDING MOD OR ROW 001-0000-329-1007 0 $25.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 TOTAL:$50.00 Issued Date: 11/6/2019 1 of 2 f EPERM} 1-t1JV`� RIGHT OF WAY PERMIT IT NUMBER .. oCITY OF ATLANTIC BEACH ROW19-0039 iti �" ISSUED: 11/6/2019 800 SEMINOLE ROAD "—psi�`' V ATLANTIC BEACH. FL 32233 EXPIRES: 2/4/2020 Issued Date: 11/6/2019 2 of 2 Building Permit Application Updated 10/9/18 ` � City of Atlantic Beach Building Department **ALL INFORMATION e)-fair 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us ` IS REQUIRED. Job Address: Atlantic Boulevard and Royal Palms Drive(behind Culhane's) Permit Number: R-Ow ` ` -w35 Legal Description 1021 Atlantic Boulevard,Atlantic Beach,FL 32233 RE# 177602 0040 Valuation of Work(Replacement Cost)$65,000.00 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration 171Repair ❑Move [Memo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): V1Commercial ❑Residential • If an existing structure, is a fire sprinkler system installed?: Yes ❑No • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) IZfNo Describe in detail the type of work to be performed: removing old CMP storm drain and replacing with 24"HP storm drain,then patching the disturbed limerock,asphalt,curb,and sod/pine bark mulch back. Florida Product Approval# for multiple products use product approval form Property Owner Information Name Equity One(Florida Portfolio), LLC Address One Independent Drive,Suite 114 City Jacksonville State FL Zip 32202 Phone 904-598-7000 E-Mail anngallaher@regencycenters.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Miranda Contracting,LLC _ Qualifying Agent James A.Garrison Address 8442 West Beaver Street City Jacksonville State FL Zip 32220 Office Phone 904-388-1121 ext.303 Job Site Contact Number 912-276-3099 State Certification/Registration# CUC057069 E-Mail smartin@mirandacontracting.com Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Insurer FFVA Mutual Insurance Co. OR Exempt❑ Expiration Date 8/15/2020 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all 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 IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR'IN Y s UR N'TICE OF COMMENCEMENT. dlestrift. AritsoLoi (Signature of Owner or Aget71 a ) (Signature of Contractor) Signed anci sworn to(or affirmed)before me this 5 day of nd sworn do or affirmed _before me this IP day of Y uevt0�— by \� CTA l� � Ogned �� 1 , �r �e� WEND HIL te. �i� P iL * Commission#GG 24u468 ignature o otary) (Signature of Notary) u}, '7 `oma Expires November 20,2022 Sabrene Martin 4-or r°P Bond•d TNu BudNt Notary Unica Notary Public,State of Florida {Personally Known OR [t rsonally Known OR Expiration Date;05/02/2020 [ ]Produced Identification / [ ]Produced Identification Commission Number,FP9a794$ Type of Identification: AA Type of Identification: 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 Atlantic Boulevard and Royal Palms Drive Permit Number Contractor Information Company Miranda Contracting,LL Qualifying Agent James A.Garrison Address 8442 West Beaver Street City Jacksonville State FL Zip 32220 Phone(904)388-1121 Email rmorgan@mirandacontracting.com State Certification/Registrationf #CUC057069 A ect r, � CYll((A) L n.krr(hn , Phone Email E I eerVt• . \ c%'\ O. `C,(VrfOr.4-n3 Phone Email Workers Compensation Insurers FFVA Mutual Insurance Co. OR Exempt❑Expiration Date 08/15/2020 • 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 Russell Morgan (Project Superintendent) with(Company Name) Miranda Contracting,LLC Phone(912)276-3099 • 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 ) Q 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 shalLbe notified 24 hours prior to starting work and again immediately upon completion. Date 11 / 5 a01 q Permit signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL "n ��T���,,A The foregoing instrument was acknowledged this � day of w Vv`1 'kifx ,20 vl by vrarYfP.,S Go 2sz tSGn ,who personally appeared before me and (printed name of Permittee) Ssbrene Martin acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. Notary Pubic,State ofRorida Expiration Date; 20 Commission Number,FFSERNS 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 k:. '.v,._, :.'..''.- FP:1000057 ,_ ,, . 1,1,f. . ;if„v,,,,e, ,..1,...77.,...9-----.......",,,,,,-..ii,..itim _.,.`-'---_--515-967 '959957 6 if:f '.\\vs .k' •,,;;:;.i-,,, / e:' ,.. 1 k:.;.•. ,,OM i ":..1 , 1 _ _. -.:. ':'''''''' ' L!,`. . :: k-'1013 ,,L'''''',- ' 7.:,,,• :71- ,, - 711, .... . r.,) . 4 k,.1,, 1PH.,..,,.._: •,z. .4:4! .114.,,&.4, 1111 4° 4 . ' ' "k-s':.,"‘.. - ,, a; .- .;'. '''.-A. . .• ',71;;:,:, 'et:4) ..., ,:.L.-c.'' ......':::' .t.i.?.. ' '..,'---pc; -'cre ,; 1,, , t.7 rzo: sP or •,r)- •.; .42,0 iiL , -*- - . - F.n 11F., .''',....,a. • 411111r. ' ftt 'i s • .,..,...":" . ,I -' -i li-,1 ! 1 t\A„ Iii, 1':',.,.i7-4,;i:. .: „,,,1 ::0_,.. ..,-;,A,, t,F1-j •Cal 0441 !.4 , - el:, iip --40 , ap il i. le _.,..--t_i—-_. 1.,;., -, ji . .- ,ii:.-xi ..' .,440 IN.; The pink line is the City storm that runs through there. Remove CMP and The green/white dashed line isthe gravity sewer; and replace with 24" The solid green is potable water(water main), so we have all three behind Culhane's (and power too). HP. Reconnect to existing manholes. ttc, ,„,. .,. . :, ,, .•:, . JZ,,,,, '..,:,,..y., saves rt • .. - 1 I/ `./: - i:4.'7‘ n 'rR;� r� ..;,,, .;_.... T �,:. J tw. r 1 a aft . , , 1 95 .#•. li _, Ki 1 t► ��,A98�� Intj ! 97 F . i - -. 1 h. iw t , ,102 3 9.7 9 987 =• g 9117)--561195.5i, �� w .''' ,�- t, < # 753 I.' r. X00'1 993 .__ _ 005 -� T 959957 1-e , ..K ' 007 r71 i1t�!=f_',r''.� 1_�i'�„�1 - . 1� 'f: 7_�• �-{�y,�l�{,Fyyf �[ , ,,,,. . . . ` 'j i^`\ +it' *Y' '" +.;. -' • � ' '1011 ia., , p. I , . 4 ' , it. fillk a kw �` ' 10'15 `' 1. 7 yjl e. ! ` "' `,, _ ,h _ .___ _Iv 1. - r -101.1'.' I '4- /;f • '` .. .:":>.4." f'4y , y .. - . ;„ -,tb +( ,I L 'LLX39 Q B ^wry r - 11— [I: fL. - t. v � ''V r � 'l I, � 1 • --'1:4 1.• • , r Ag,: � 1 7 ''''''• A. ,� i + N { 7''',_:11._7- 4,,,,,....:,... ,_,_,..,_„II:: ,.' .,„_,;,...*,, ,,,, , ....4, _.., , _ ,.... ,, i. . , . ..,,, .., 4,p.„ .., The pink line is the City storm that runs through there. The green/white dashed line is the gravity sewer; and Remove CMP and replace with 24" The solid green is potable water(water main), so we have all three behind Culhane's (and power too). HP. Reconnect to existing manholes.