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591 Selva Lakes Cir DWAY21-0023 Paver Dway, Walkway, PatioOWNER:ADDRESS:CITY:STATE:ZIP: REAVES FRANKLIN BINGHAM 591 SELVA LAKES CIR ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: CITYSTONE, INC 9339 CRAVEN ROAD JACKSONVILLE FL 32257 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 172027 5538 SELVA LAKES UNIT 02 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 591 SELVA LAKES CIR DRIVEWAY SINGLE OR TWO FAMILY DRIVEWAY PAVER DRIVEWAY, WALKWAY AND PATIO $11000.00 LIST OF CONDITIONS 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. 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. 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. 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. 1 of 2Issued Date: 5/17/2021 PERMIT NUMBER DWAY21-0023 ISSUED: 5/17/2021 EXPIRES: 11/13/2021 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL: $125.00 3 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off 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 RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 6 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking and debris must be removed from job site by Contractor. 7 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 2 of 2Issued Date: 5/17/2021 PERMIT NUMBER DWAY21-0023 ISSUED: 5/17/2021 EXPIRES: 11/13/2021 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION DESCRIPTION ACCOUNT QTY PAID PermitTRAK $125.00 DWAY21-0023 Address: 591 SELVA LAKES CIR APN: 172027 5538 $125.00 PUBLIC WORKS PLAN REVIEW $25.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 ZONING PLAN REVIEW $100.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL FEES PAID BY RECEIPT: R15819 $125.00 Printed: Monday, May 17, 2021 9:38 AM Date Paid: Monday, May 17, 2021 Paid By: CITYSTONE, INC Pay Method: CREDIT CARD 456662331 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R15819 I I I I I I I I I ~+; CENTRALSQUARE DWAY21-0023 11,000.00 Building Permit Application City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 Phone : (904) 247-5826 Email: Building-Dept@coab.us Updated 10/9/18 **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. Job Address: S:'tc 5t:lv• L •UJ C, tu.le. Permit Number: __________ _ Legal De scription L.67 7 / J StLIIP. L.At,S uw1r TWO 'PU'( bPo!<: '#~, l>AGes II, RE# _________ ____: "'flAII B Valuation of Work (Replacement Cost) $ _______ Heated/Cooled SF _____ Non-Heated/Cooled ____ _ • Class of Work: □New □Addi tion □Alteration □Repair □Move □Demo □Poo l □Win dow/Door • Use of existing/proposed structure(s): □Commercial □Residentia l • If an existing structure, is a fire sprinkler syste m installed?: □Yes □No • Will treelsl be removed in association with orooosed oroiect? □Yes I must submit senarate Tree Removal Permit\ □No Describe in detail the type of work to be performed : /AJ'i7fJru... 'PlrVe~~ t>,J 1>fl.\\/6w.lk1-f ) W~W~ ~ ~ . Florida Product Approval # ___________________ for multiple products use product approval form Property Owner Information Name F@l!AIU.ii-.J S. 'NA-tie$ Address 5'/ I 5elw-I.Jes Cn City ~C:: '.i,«Ac;b State ':t-l-Zip 3 2,2,., ~ Phone ~Oc/-70,:,~l,a 7 E-Mail . b•M!\· r:t, ... u ~ tr""•= D, c:,,-.... Owner or Agent (If Agent, Power of Attorney or Agency Le tter Required) ___________________ _ Contractor Information Name of Company , ch~>~(, e Qualifyi ng Agent uJ'fJ'\{;<H-k® A-1 CA~ Address G\33,Cl (&~ Citv:'1cv:K~ocrci\\i slt; EL Zip~r Office Phone Qt.o\.\., 481~--~ 'l.~ Job Site Contact N~ber ~4 ~,,.~ State Certification/Registration# S\?isci<-\ 1) '2-. E-Mail S1q(,~ (,l\-'t;~ .. W0\ Arch itect Name & Phone# __________________________________ _ Engineer's Name & Phone#-~---~~-------------------~~-~-~-- Workers Compensation In surer ~~'L\ \)6C luC>OO OR Exempt □ Expiration Date \2-l\~Q.oi.v Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or in stallation has commenced prior to the is sua nce 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 se parate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS , FURNACES, BOILERS, HEATERS, TANKS, and A IR COND ITIONERS, etc. NOTICE: In addition to the requirements of this permit, there may be additional restrictions appli cable 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 AFF IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with a ll 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 RECORDING YOUR NOTICE OF COMMENCEMENT. (Sig ner or Agent) Signed and sworn to (or e me thi ( day of A p (2 i '-I __:::l-cc...=_:')~''---':..>111' Jl..!.....:'4--.+----'c.._._,_.L.....:.::...:....:.__:_i =-~- ~:;:;.t ,ij:.:·-.. fif<if{r:\ \~~~j Commission # GG 30487 5 ?'f ~r r-.':;-/ My Co_(Tlm. Expires Jun 9, 2023 , ····· ···Bonded through National Notary Assn. Signed and swo ore me this d-[ day of (\.e ll,,-L, ' ~:.:::_______,, l'I'. ~--, c, ..J ..,., 14,u. 1 " A LL-A .rr fl I'-fJr ~ JS-.,.,,.., ...-1~-v- . .. :,:;,,, •i;:;·... ALBERT MORENO ff ~Y:\ Notary Public -State of Florida [ ] Personall y Known OR \~~.JIJfi Commission# GG 304875 Li-Produced Identification ··-1..'?.:.~':/ My Comm. Expires Jun 9, 2023 "ty°pe of Identification: 'F<..-;____:__"'=-_,... __ Bo .. n•de .. d•th,.ro•ug.,.h•N ... at•ion ... a.,1 N,.o.,ta•ry .. As•sn ... ,l DWAY21-0023 Building Permit Application i, City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us Uodated 10/9/18 .. All INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED . Job Address: 5'q l <SQ,\ \/(.A, L0Ji'.t5 (c;Af/cµri{c,,:\3etUh, Fh ~2 ~!~it Number: ________ _ Legal Description t> cwe,r l:as+o..lkv-h-co RE# _________ _ Valuation of Work (Replacement Cost) $ 111 POcJ Heated/Cooled SF ____ Non-Heated/Cooled ____ _ • Cla ss of Work: }(New □Addition □Alteration □Repa ir □Move □Demo □Pool □Window/Door • Use of existi ng/proposed structure(s): □Commercial }(Residential • If an existing structure, is a fire sprinkler system installed?: □Yes □No • Will 0 Describe in detail the type of work to be performed: (' Florida Product Approval # __________________ for multiple products use product approval form Prope · Nam ...:.....JL...llal!!...!..L.1.t-LL.L......1.1:1,,,,d,o!~;.a....-------,--Address 5 q I S e I VCi\. '-'°' ~ t. S (, r City-++---+".....,u....a..~""""'"."""Jjlt"-'--1.--~:---State F:b Zip 3 2 2 31 Phone 9 0 '1'~ t Og-'?(? 07 &Ma 1 Owner or Agent {If Agent, Power of Attorney or Agency Letter Required) __________________ _ Contractor Information Name of Company C,·!:y Steae. ,ac..., Qualifying Agent WeH,~fon Af ca,n+av<'Cv Address q 3 3 q U'Qu/0: n 'R, ol City JO, c.\s f, CQ v ~ (le_ State ~ L Zip :3 2, '2, 2 1: Office Phone Q o 4 ~ 9,7S -'"j2~Q Job~e Conta~ Nu~er ~~Of:l -7~=-0=!8 State Certification/Registration# S't-35?0 4 3:2., E-Mail o .(::f \µ~ C:1 ·hes -±a11R O 0 2.!Q..__ I Architect Name & Phone# ________________________________ _ Engineer's Name & Phone#-------.------------------------,..-------- Workers Compensation Insurer O $ '2, l l3 '7 ;·} 0 C>QO OR Exempt o Expiration Date ~ 'L-'l,\ -20U Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or i nstallation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all t he 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 ATTO ~ Signed and sworn to (or a · of ¥· \ _..,,Q.o~:w _:,..~~iµy~...n...__::::,~ I I Personally Known OR bdJ>roduced ldentificati~·orn---1~..., ... ~r/-,_,,,.~~"/r'-~ f ype of Identification: ---.ld--#-l...=....:=-=-=--=:.:...:::::::..,,_---"...<:~-- (s· Signed and sworn to ( or affi · (\pr', \ . ?o ' I I Personally Known OR ~duced Identification Type of Identification : --,::b~..::a..L.-"'--~--'----'"""--'e..:::-...O<L.....::..c.- DWAY21-0023 Building Permit Application City of Atlantic Beach Building Department 800 Seminole Road , Atlantic Be ach , FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us Updated 10/9/18 **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. Job Address: _.._...L.1'-----'.....,.....,"'-,._,.~....__.......,...,,,,o<..:.:,.._ _________ ___,! Permi t Number: ___________ _ Legal Description 1..67111 Stc..lJP. LA"t'$ uw1T T WO 'PLM'l,po!<, ':4~, l>A<it's II, RE# __________ _ "A ,ra Valuation of Work (R ep lacement Cost)$ Heated/Cooled SF _____ Non-Heate d/Cooled ____ _ • Clas s of Work: □New □Ad d iti on □Alteration □Re pai r □Move □Demo □Pool □Window/Door • Use of existing/proposed structure(s): □Commercial □Re si dentia l • If an existing structure, is a fire sprinkler syste m installed?: □Ye s □No • Will trees be removed in association with ro osed ro·ect? □Yes must su bmit se arat e Tree Removal Per mit □No Describe in detail t he t ype of work to b e perfo r m ed : JAJt;TAt.,,.,.., 'PlrVee.~ ctJ l>A-1\ll&c.l~ ) w~c.c.Jct...-t ~~ Fl orida Prod uct Approval# ___________________ for multiple products use product approval form Property Owner Information Nam e F @!MIU.li.J e. fffA1>eS City ~c. ']kAc;b State -:tt.. Address 5'1' I 5e/v,... /...c.A ,s Cn Zip 3 Z.2-'5~ Phone 'toq ,70,-,lfl,o ? E-Mail bau,,. U.-...CS ~ ~•; 0, c.,,,._ Owner or Ag ent (If Agent, Power of Attorney or Agency Letter Required ) ____________________ _ Contractor Information Name of Company ________________ Qua lifying Age nt _______________ _ Address City ________ State ___ Zip _____ __: Office Phone _______________ Job Site Contact Number _________________ ~ State Certification/Registration# E-Mail ______________________ __: Architect Name & Phone#------------------------------------ Engineer's Name & Phone#------------------------------------ Workers Compensation In surer ---------------~OR Exe mpt o Exp i ration Date _______ _ Application is hereby made to obtain a permit to do the work and installat ions as indicated. I certi fy that no work o r instal lat ion has commenced prior to the issuance of a permit and that all work will b e performed to meet t he stan d ard s of all the laws re gu l ating construction in this juri sdiction. I understand that a separate p ermit must be sec ured for ELE CTR ICAL WORK, PLUMB ING, SIGNS, WE LLS, POOLS, FURNA CES, BOILERS, HEATERS, TANKS, and AIR CO NDITIONERS, etc. NOTI CE: In addition to the requirement s of this permit, there may be additional restrictions applicable to this property that may b e found in the public records of this county, an d there may be additional p ermits required from other governm ental entities such as w ater management districts, state agencies, or federal agencies. OWNER'S AFF IDAVIT: I certify th at all the foregoi ng information is accurate and that all work will b e done in compliance with al l applicable laws r egulating co nstruction 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 A RECORDING YOUR NOTICE OF COMMENCEMENT. ~ Signed and sworn to (or . [) ( day of AP/2 i '-, _:_h~?-:._!I_..J_.,lf;l'J . ..L.:.j~J:--__:__..!!.._.,_,__,_==:....:._.:.....:_~_ f\p~,·1.., .sv..+ ore me this '9, [ day of -;u.,.J ...-,14,u,~ AuA..rrfliLPr 3£~-J_VJl.'.....:::!:~~-t±:~~fo;~,....,r~>"'l,-vi6'V' ,-J~v •i;4.••... ALBE.RT MORENO f f~Y:\ Notary Publ ic -Stat e of Flori da [ I Personally Known OR ;,'-;00?f Commiss ion # GG 304875 Li.Produced Identificat ion ···?.~~if_.. My Comm. Expires Jun 9, 2023 "Ty"p e of Id entification : 'F<.-;___""'=--.;,,--B•on""'d.,ed""'t.,hr.,.ou_,g .. h •Na.,.ti.,on""a•I N ... o.ta""ry•As""s•n.,l DWAY21-0023not signed or filedNOTICE OF COMMENCEMENT State of_Flo_rida __________ _ Tax Folio No. _____________ _ county of _D_u_v_al __________ _ 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 be ing improved: Replace exsistinf,I Driveway, Walkway, and Porch with pavers Address of property being improved: 591 Selva Lakes Cir, Atlantic Beach, Fl. 32233 General description of improvements: Replace exsistinQ Driveway, Walkway, and Porch with pavers Owner: Fraklin Reaves Address: 591 Selva Lakes Cr, Atlantic Beach, Fl, 32233 Owner's i nterest in site of the improvement: ______________________________ _ Fee Simple Titleholder (if other than owner): ______________________________ _ Name: _________________________________________ _ Contractor: _CityS_· _tone ________________________________________ _ Address: 9339 Craven Rd , Jacksonvile, Fl, 32257 Telephone No.: _(904 __ ) 8_7_5-4_280 ______ _ Fax No: ____________ _ Surety (if any) ______________________________________ _ Address: ________________________ Amount of Bond S _________ _ Telephone No: __________ _ Fax No: ____________ _ Name and address of any person making a loan for the construction of the improvements Name: _________________________________________ _ 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:----------------------------------------- Address : ________________________________________ _ Telephone No: __________ _ Fax No: ____________ _ In addition to hi mself, owner designates the followi ng person to receive a copy of the Lienor's Notice as provided in Sectio n 713.06(2) (b), Florida Statues. {Fill in at Owner's option) Name: ________________________________________ _ 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 Signed: ________________ Date: _______ _ Before me this ____ day of in the County o f Duval, Stat e Of Florida, has personally appeared ________________ _ Notary Public at Large, State of Florida, County of Duval. My commission expires: ____________________ _ Personally Known: _____________________ or Produced Identification: ____________________ _ DWAY21-0023 RIGHT-Of-WAY/ EASEMENT PERMIT APPLICATION Oty of Atlantic Beach 800 Seminole Road, Atlantic Beach, FL 32233 PERMITTEE RESPONSIBLE FOR NOTIFYING 811 ANO OBTAINI NG UTILITY LOCATES ••AU INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. Job Adc:fress591 Selva Lakes Cr •• Atlantic Beach, A. 32233 Permit Number __________ _ Cc,nb actor Information CompanyCityStone Inc. Address 9339 Craven Rd Phone(904) 875-4280 Qualifying Agent Wellington Alcantara CityJacksonville State Fl Zip32257 Email office@city-stone.com State Certification/Registration #_59-_350483 __ 2 __________________________ _ Architect __________________ Phone. _________ Email _________ _ Engineer _________________ Phone. _________ Email __________ _ Workers Compensation lnsurerFJ0521136130000 OR ExemptOExpiration Date 12/12/2021 • • • • • • • • • 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, milintenance, 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 iPPYrtenam:es autooriied 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 Wellington Alcantara (Project Superintendent) with (Company Name) CityStone Phone.-'-(904 __ ) _759-04 __ 7_8 _____ _ 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 rncrease 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 w ithin ___ 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 privi leges herein set out are granted only to the extent of the City's right, title and interest in the land to be ent(lred YJ>Qn 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 _n ner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. r sh · ed 24 hours prior to starting work and again immediately ~p2n completion . ------=+-'=--~---------Date Y/2 ~/ 2 / STATE OF FLORIDA, COVNTY OF DUVAL :\ / -t~ The foregoing instrument was ac.knowledged this __ o<._o __ day of _..,.A-'+'p~c-~ ..... ,,__ __________ ___,. 20 -Z 1 by We\ I 1 '<:9\-o~ ~\can\-~,<\ (printed name of Permittee) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. /'~'ti!~ ,!,(j;;,.... NATHANIEL ROBERTSON {f~h Notary Public • Statt of Florida \\Wi,'.l commission # HH 0714)1 '• ..... ~ .. rf .. ....-My comm. Exptrts Dec n , 1024 Signafure of Notary Public, State of Florida [ ] Personally Known [vfl>roduced Identification (Type) _r_-_L_O_t.. _____ _ H:\Applications & Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date: 10/1/18 REVOCABLE ENCROACHMENT AGREEMENT City of Adantic Beach 800 Seminole Road. Atlantic Beach, Fl 32233 ••ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. REVOCABLE ENCROAOfMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the I-.ws of the State of Florida, hereinafter referred to as "CITY" and fi!/f?JKLJN 'E>. '":Re ;rve. ~ 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 Paver lnstalation -----------------------------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 CllY to USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address 591 5elVa Lakes er, Atlantic Beach, A, 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 ea.sement 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 eft 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 liabilities are hereby assumed by the USER. Property Owner/Agent. (signed in presence of Notary Public) Date /Yltt~ ) 1 ..1 o ~ I STATE OF FLORIDA, COUNlY OF DUVAL I The foregoing instrument was acknowledged thi s _ _.3'--_ day of __ ___.4,r:..p.1u\~.------'' 20 Z,\ Signature o tary Public, State of Florida for: the purpose expressed in it. ENRIQUE A. FLORE S Notary Public. State of Florida Commission# GG 328087 Department Approval: My comm. exp,res Apr. 25. 2023 -----'~-~ [ ] Personalty Known [~ Produced Identification (Type) t\o~ ~\lK-t ~ (~ Scott Williams, Public Works Director H:\Applications & Forms\Word Oocumenn\20180831 Revocable Encroachment Agreement.docx Revision Date: 8/3J/18 DWAY21-0023 I l I l I I I - - - - - PR O P E R T Y A D D R E S S : 5 9 1 S E L V A L A K E S C I R C L E 1 0 ' X 1 0 ' . l 0 7 ' 7 0 J . [ . A _ E A S E M E N T I 1 4 l ~ I ~ ~ · 1!=> - ~ ~ - - - I .i:i,. --- - - - - - • - - ~ - - - fi'I.P t/2•r- C O V E R E D ' \ ( 9 . 0 ' ) (1.2')1, ( 8 . 9 ' ) • _ C O N C . ~ r - - - : - - i i , , - F / . P 1 / 2 " ....... ".'-0 f.O _ ; r . ~ (1.0') --.-_ - '!-a-.,, I ~ .fi'I.P 1/2'' ,-~ I I ~ I ~ I '."tJ 0) I ~ .. I 2 • - ~ ~ . . ~ . . , ( 1 5 . 7 ' ) 2 0 . 2 ' · · t - . , ' - - · ~ . . . . . , T W O S T O R Y ~ . ~ v . . , , . r r r r ' 0 N C . ' " ' " I V £ . U r ( " · - F R A M E D U P L E X . · . . . , / ' " 1 1 . . . I C , r ( # 5 9 1 _ T W O S T O R Y 1 , 2 F R A M E D U P L E X # 5 9 5 L o r 7 2 1 . 0 ' 1 - - - - " t ' - - - - ( 1 5 . 8 ' ) ' . ' . C O N C . . D R I V E I 1 I - - - l I C ~ ~ ~ ~ a ; : : ~ ~ I , t : : 3 ~ ' - - - ~ ~ DWAY21-0023 MAP SHOWING BOUNDARY SURVEY OF: LEGA L: LOT 7 1 , SELVA LAKES UNIT TWO, ACCORDING TO PLAT T HEREOF RECORDED IN PLAT B OOK 43, PAGES 11 , 1 1A AND 11B, OF TH E CURRENT PUBLIC RECORDS OF D UVAL CO UNTY, FLORIDA. I I I I I I I 1_ . I~ FIP 1/2" _;; (1.2') PROPE RTY A DDRESS : 591 SELV A LAKES CIRCLE (8.9') LOT 71 2.2· 1 o ·x 1 o· LOT 70 J.E.A. EASEMENT L4 0 ~ --- COVER ED (9.0') 6.5 CO NC. 1'N O STORY FRAME ouPLEX #591 F IP 1/2 " (15.7') ~ WATER METER (15.8') 1/2 " LOT 74 LINE BEARING LEN G L1 N06.45'0 0"W p 35.00 ' No5•45•o o "w M 3 5 .00' L2 N83"15'00"E p 105 .00 N83"08'53"E M 105.07 L3 No 5·45 •oo"w p 35.00' N06.47'48"W M 3 5 .41' L4 N83.15 '00"E p 105.00 N83.22 '25"E M 10 5.10 CUT SURPEY CERTI.FIEJJ TO: NOTES I . LEGAL DESCRJP'TION PROVIDED BY CLIENT 2, THIS SURVEY REPRESENTS A BOUNDARY SURVEY TO SHOW ABOVE GROUND IMPROVEMENTS; UNDERCROUNO IMPROVEMeNTS OR INSTAL!ATIONS NOT LOCATED EXCEPr ASSIIOWN. 3. USE OP THIS SURVEY ~'OR PURPOS~::S OTHER THAN THAT WIIICII rr WAS INTENDED. w m 10UTWRrrrEl'I VERlFICATION. WILL BE ATTIIE USER"S SOLE RISK ii. w m10UT UABIU'TYTO THF: SURVEYOR. NOTHING H~;RWN SH,\IJ, e~; CONSTRUED TO GIVE ANY RI GHTS OR OENEPITS TO ANYONE OTHER TI I AN THOSf: THE SURVEY WAS PREP,\RED FOR. 4. TIIIS SURVEY WAS M ,\DE WITiiOUT TI IE BENEFIT OP ABSTRACT OF TITLE. NOTICE: THERE COUW BE ADDmONAL EASEMENTS, COVEN,\NTS AND RESTRICllONS OR OTHER MATTERS OF PUBUC RECORD THAT MAY AFFECT THIS PARCEL. 5 . BEARINGS SHOWN ARE BASED ON THE l'ROPER'TY Ul'IB: N. 06•4SOO' W. 6 . PROPERTY HEREON LIES IN Fl.OODZONE X ACCORDING TO FEMA nooD I NSURANCE R,\TE MAP N0.12031C04011 B DATED 06-03-13 . FRANKLIN A MERICAN MORTGAGE COMPANY , IT S SU CCESSORS AND/ASSIG NS AS THEIR INTERES TS MAY A PPEAR FRANKLIN BIN GHA M REAVES OSBORNE & S HEFFIELD TIT LE SERVICES, LLC F IRST AMER ICAN T ITLE INSU RANCE COMPANY ,~~ R • RADIUS ' ~~-U :fo ~k/ O N Po INT Al3BREVMTIONS \ \\i)ll~ll,(!11, J OB/ FL-16-798-1 L I S ~;~~=OY WAY ~*"\~&--;;£l&}};, 'l,,% 6 ~ ~ '111( t11·v c y o 1·s M •MEASUREO FIELDDAT,\ ~ ~·"-.;,;·* C A/C • AIR CONDmONING U~IT :=-:-.r-~9~6?ft: ·: : ~ ID • IDENTIFICATION -~ ;: * : 0:: -~ PH: 904-619-0308 PRM • PERMANEl'rf REf""ERENCf: '.3ll·• : Jt.J ":':;:i"• _..;:; _________ -I 2121 CORPORA TE SQUARE BLVD, S TE 130 MONUMENT wx◄• coNcR~;rai '-~,;:._ STATE OF _: If-~ J..uas o. ELSON ~-~·-··. l '=~---$~ JACKSONVILLE, FL 32216 4"CHAINLINKFENCE -· -· -0 •. ·--~.~-· ~-'".f' ,' .usr FIELD JUT'I: oa/26/16 LICENS ED BUSI NESS #IJ 102 6"WOODFENCE "f✓'/, .°3!;'R:'~~~,, ' SICNnTTRE IUrE: 09/02/16 ONPOINTLANDSURVEYORS@GMAIL.COM ◄"WOOOFENCE /~ ''j171'/"1,-,,1\\,(-;,\~· JaP SCALI: t ' = 20· ~-------------------------------,--------------"' l I 1 I t t I I_ . I !=' •-Iii: PJ'.P 1/2e~ (1.2') ! I .... IJl,:1 I I 1· (1.01) __ Q:: -·, p / <1.! fl'J'P 1/,2• J-I ~ I ~ I ~ , ~ ~ f h-. .. P E f E R T Y A D D R E S S ; 5 9 1 S E L V A L A K E S C I R C L E l J J - . - - C f ) s lJ J ~ ,. ' ) ' , ~ , , . .~~I. J / • . / ; 0 7 ' 7 0 1 0 ' X 1 0 ' J . £ . A . E A S E M E N T L ~ . ½ t o . , . _ - " " ~ _ . . . . , - - - . - C O V E R E D ' \ ( 9 . 0 ' ) ( 8 . 9 ' ) C O N c . / : : K : 1 7 1 · - r ' 1 2 e : ! . - ~ X f ~ T W O S T O R Y F R A M E D U P L E X C O N C . D R N E - . 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