1600 Selva Marina Drive 16-ROW-1613 Pete's Turn LAN
'f'I rJ�'
�� - ' CITY OF ATLANTIC BEACH
Ss.
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROW-1613
Job Type: RIGHT-OF-WAY PERMIT
Description: Pete's Turn - extend utilities to property from right of way
Estimated Value:
Issue Date: 7/29/2016
Expiration Date: 1/25/2017
PROPERTY ADDRESS:
Address: 1600 SELVA MARINA DR
RE Number: 169399-0000
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS, LLC
Address: 414 OLD HARD RD SUITE 502
GENERAL CONTRACTOR INFORMATION:
Name: RPC GENERAL CONTRACTORS
Address: 248 LEVY RD QA PETER JOSEPH RODRIGUEZ
Phone: 904-241-4416
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
All concrete driveway aprons must be 5" thick,4000 psi,with fibermesh from the edge of pavement to
the property line. Reinforcing rods or mesh area not allowed in the right-of-way.
All silt must remain on-site during construction.
Full right-of-way restoration, including sod, is required.
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10
feet in each direction from the center of the cut. Repair must be shown on the plans.
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities.
Hand dig if necessary. If field coordination is needed,call 247-5834.
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1
concrete box with metal lid. Cleanout to be set to grade and visible.
System development charges and connection fees must be paid prior to setting meter and establishing
PkitkiicelS APPROVED ONLY IN ACCORDANCE W1711 ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
(i; CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
•
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FEES:
Fence/ROW $35.00
NSF FEE $25.00
Total Payments: $60.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND TILE FLORIDA
BUILDING CODES.
rs1:�v;,,, City of Atlantic Beach
APPLICATION NUMBER
S .,l}'. Building Department o be assigned bythe BuildingDepartment.)
1 , `v 800 Seminole Road ����� g p )
� � Atlantic Beach, Florida 32233-5445 1 tO— 12-0.0 — Ito 13
Phone(904)247-5826 • Fax(904)247-584 JUL 19 2016
�o E-mail: building-dept@coab.us.....)
Date routed: I I 8 1 Ik7
City web-site: http://www.coab.us BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 'DDO Stiva litad•►na 0 r. Department review required Yes No
Building
Applicant: c-PC C- U-a\ Lo imlackolS Planning &Zoning
Tree Administrator
Project: l k'ii Q S '.Q Q,j D fJ.2.( •F(DM -ublic Works
dW Public U i i -
"u: - ,
Fire Services
Review fee $ ,2c Dept Signature )(c.
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:
APPLI ATION STATUS
Reviewing Department First Review: pproved. ❑Denied.
(Circle one.) Comments:
CBUILDING ODstN - u,r�r7 CoAJ/ikeri c w1 Ctri
PLANNING &ZONING Reviewed by: 4/1"v Date. 712,11)(
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
1111C WORK Comments:
��BLICUTILITIES
PUBLIFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
1
S1..m.,,, City of Atlantic Beach APPLICATION NUMBER
S r n� Building Department "'" ' E I V E (To be assigned by the Building Department.),- --.;.i�. ., 800 Seminole Road
-• ! Atlantic Beach, Florida 32233 5445 -��• Lnil 1 b" Q( ) — <<p 13
Phone(904)247 5826 Fax(904 247-5844 19 016
'•J"L01119r E-mail: building-dept@coab.us I - Date routed: I I ' I IQ7
City web-site: http://www.coab.us BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: I V O O Sc-`V o f cti Q Q c- Department review required Yes No
Building
Applicant: ?PC_ - A n-ck,1 Cc ntfucA0rS Planning &Zoning
, Tree Administrator
Project: -�Xtt-n'n l l'fik t�1;Q S 'O P,{ D p.�-AN "V(JM -ublic Works
OW Public U i i -
-u. -_ - ,
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: nApproved. ['Denied.
(Circle one.) Comments:
die to ,w4
BUILDING
PLANNING &ZONING Reviewed by: Dater/�� (o
TREE ADMIN. Second Review: Approved as revised. ❑D led.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
tr,�t,,r` CITY OF ATLANTIC BEACH
, f, CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND FASFMENIS ____ _______-__
‘ffiriv 800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PERMIT# Ib— -c7,)— Ito 13
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION.
Date Ju,i u 13, PO I 1p ISSUES BY THE CITY
Il
Job Address IWO ,SelVa Aar'OA-.DY ( V.4-e's ru.rn) E-mail ( r1 n @ rp,e. Corn
Permitee: 1t k. (1ener&J C -frac(-vrci Lilo . Telephone# q -ate - 1� (p
.
Permitee Address: o��g (ivy /��- ct, n hG dGh , L 3 ip3 :
/
Requesting Permission to Construct: Fx-cEr4oF, utzt,z-l.fiS To efLoctsz,-tY Fao fv, ct.W
Location: (Reference to Cross-Street) Note a on l a.nt-ic Feat, Dr.
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both
aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes ( 4 No ( ) Date: GAS
Bell South Telephone Company Yes (X No ( ) Date: e/r
Ferrell Gas Yes(X) No( ) Date: 6A 1
Comcast Yes(NQ No ( ) Date: CA 5
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder,
shall be immediately removed from said street or easement or reset or relocated hereon as required by the
Director of Public Works, and at the expense of the Permitee unless reimbursement is authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of Oannj Iodvto u.' s (Contractor's Project Superintendent)
located at NO-0 SC(va Mait'ina Dr, (--Pt-it's Turn Telephone*: 90q- 5«0- 1 e(03
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. 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.
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of
11 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.
7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is more
than 60 days from date of permit approval, then permittee must review the permit with the Director of Public
Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. 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.
9. The Director of Public Works shall be notified twenty-four(24) hoursipjprIostaxtinauiin aLy.,"401-101 iately
upon completion. I ,��,." MOWER SNOW
, x , y Mlle-State of Florida
=-'? • My Comm.EMOmo M ff 1NOO ty
OWNER 1
1 ',.e • boat ThmIllejligul gully Ma.
Signed: A Date: uTure meznisill'‘ —lb day
of cul in the County of Duval, State Of Florida, has personally appeared
Qo b 'a •nei Notary Public at Large, State of Florida Cou of Duval. My
I commission expires: A .50 a 3, a0 r7 ersonall Kn
J Produced Identification:
Revised 7/29115
I
- - - -- -- - -- - - - - -
_ Permit Attachment of for -
Permit#_ issued ,20_Atlantic Beach,FL 32233
Owner's Name: Property Address:
R.E.#:
Subdivision: Lot#/Block#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT,issued on this day of ,20_,
by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of
Florida, hereinafter referred to as "CITY" and itfeCacner4l Caniruc-4vKS 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 of the City of Atlantic Beach for the purpose as described in the City of Atlantic
Beach Right-of-Way/Easement permit numbers noted above(copies attached).
This work is generally described as: Exygc/461.oif of U'f .L j1 7q PaoPFA27'( F(W '
R .U.w.
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 the USER, said notice to USER shall be
given by certified mail, return receipt requested, to the following address:
€?4g Levy 1Zd., A-Flantic Beach, F. 3a-�2)3
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the
exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition.
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."
Page 1 of 2
•
The USER, prior to making any changes from the approved plans and/or method,must-ebtain-wriitcn
approval from the City of Atlantic Beach,Public Works Department,for said change. The USER shall,at the
discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30) days
after the day of completion.
This permit shall insure 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
rights-of-way 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.
DATED and SIGNED 1601 day of ia,�u _ 201(p.
By:
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this 1601 day of dUil , 20 j personally appeared before me, a Notary Public in
and for said County Uand State, Rob &I-one, , the property owner of
ec4lt.ni-ic boa Cou C lith ,Atlantic Beach,Florida,known to me to be the person(s)described in
and who executed the fgoing instrument; who acknowledged to me that he or she executed the same freely
and voluntarily and for the uses and purposes therein mentioned. ,,,,,,,,,
p '., JENNIFER SNOW
i+p -y'• Notary Public•State of Florida
My Comm.Expires Aug 23,2017
".''� ¢ ° Commitimial Assn.
Notary Public in for said County and State z ' Bonded Through
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation:
Approved:
/d
,?\ 4><--
ublic Works Director
ay.".to 'A . Tace.,6 0 'f'
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere,City Manager
Page 2 of 2
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