258 Ahern St ROW24-0013 PermitOWNER:ADDRESS:CITY:STATE:ZIP:
COMPANY:ADDRESS:CITY:STATE:ZIP:
JEA 21 WEST CHURCH ST JACKSONVILLE FL 32202
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
258 AHERN ST RIGHT OF WAY COMMERCIAL
RIGHT OF WAY
JEA - INSTALL 50/2W POLE
AT 299 ATLANTIC BLVD for
RAGTIME
$0.00
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 RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required. Full site to be grassed.
2 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Grass any disturbed areas in ROW
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: 5/31/2024
PERMIT NUMBER
ROW24-0013
ISSUED: 5/31/2024
EXPIRES: 8/29/2024
RIGHT OF WAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
TOTAL:
3 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
4 PUBLIC WORKS DEBRIS INFORMATIONAL
Notes:
Roadway must be kept free of debris, mud, dirt, etc. during and after project by Contractor. All holes that have been dug and any property that has
been disturbed must have barriers and flags placed during project by Contractor.
2 of 2Issued Date: 5/31/2024
PERMIT NUMBER
ROW24-0013
ISSUED: 5/31/2024
EXPIRES: 8/29/2024
RIGHT OF WAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
l Class of Work: New Addition Alteration Repair Move Demo Pool Window/Door
l Use of existing/proposed structure(s): Commercial Residential l If existing structure, is a fire sprinkler system installed?: Yes No
l Will tree(s) be removed in association with proposed project? Yes (Must submit separate Tree Removal Permit) No
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
Name PhoneProperty Owner Information
(Signature of Owner or Agent)
Job Address
Legal Description
RE#
Valuation of Work (Replacement Cost)Heated/Cooled SF Non-Heated/Cooled SF
Describe in detail the type of work to be performed:
Florida Product Approval #(For multiple products use Product Approval Information Sheet)
Address City State Zip
Email Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
State Certification/Registration#
ZipStateCityAddress
PhoneName of CompanyContractor Information
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 city/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 YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Job Site Contact NumberEmail
Qualifying Agent
Signed and sworn to (or affirmed) before me this ________ day of
________________, _________ by __________________________
Signature of Notary ______________________________________
[ ] Personally Known OR [ ] Produced Identification
Type of Identification: ____________________________________
Worker's Compensation Insurer OR Exempt Expiration Date
PhoneArchitect's Name
Engineer's Name
FOR INTERNAL OFFICE USE ONLY
PERMIT # ____________________
**ALL information required to process
Email
PhoneEmail
(Signature of Contractor)
Signed and sworn to (or affirmed) before me this ________ day of
________________, _________ by __________________________
Signature of Notary ______________________________________
[ ] Personally Known OR [ ] Produced Identification
Type of Identification: ____________________________________
H:\Applications & Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date: 10/1/18
**ALL INFORMATION
HIGHLIGHTED IN GRAY IS
REQUIRED.
RIGHT-OF-WAY / EASEMENT PERMIT APPLICATION
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address_________________________________________________ Permit Number________________________
Contractor Information
Company______________________________________________ Qualifying Agent_____________________________
Address______________________________________ City________________________ State______ Zip___________
Phone________________________________________ Email_______________________________________________
State Certification/Registration #_______________________________________________________________________
Architect_____________________________________ Phone____________________ Email______________________
Engineer_____________________________________ 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 ____________________________________________________________________ (Project Superintendent)
with (Company Name) ________________________________________________Phone_____________________________
All materials and equipment shall be subject to inspection by the Public Works Director.
All city property shall be restored to its original condition as far as practical, in keeping with City specifications and the
manner satisfactory to the City.
A sketch of plans covering details of this installation, as well as a copy of a recent survey shall be made a part of this permit.
Calculations showing any increase in impervious area on owner’s lot or in the City right-of-way are to be included with
this application.
The permittee shall commence actual construction in good faith within _______ days. If the beginning date is more than 60
days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no
changes have occurred in the area that would affect the permitted construction.
It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City’s right,
title and interest in the land to be entered upon and used by the holder, and the holder will, at all times, assume all risk of
and indemnify, defend and save harmless the City of Atlantic Beach from and against any and all loss, damage and cost of
expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
The Public Works Director shall be notified 24 hours prior to starting work and again immediately upon completion.
_______________________________________________________________________________ Date________________________
Permittee (signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this ___________ day of ________________________________________, 20 _________,
by _______________________________________________________________________, who personally appeared before me and
(printed name of Permittee)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
__________________________________________________________ [ ] Personally Known
Signature of Notary Public, State of Florida [ ] Produced Identification (Type) _______________________
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1ST ST
OCEAN BVAHERN STEAST COAST DR__________________
ORACLE
PROJECT #:8008880 ________________________PERMIT
N.O.: __________________
MAXIMO
WO #:31365058 _______________
DATE REL
CONST:Date
____________________________________________________SUB-STA:NEPTUNE __________
CIR.
N.O.:563
____________________________________________________ENGINEER:RICH HEALD _______________
CELL
N.O.:885-0769
__________
PHONE
N.O.:665-8849____________________________________________________
CUSTOMER/
LOCATION:258 AHERN ST __________________SVC
CENTER:SSSC
__________
TREE TRIMMING
REQ'D:NONE
__________________ZIP CODE:32233
ENGINEERING DESIGN
/
STA 01 257
REMOVE EXISTING OH BANK
INSTALL PARALLEL 4/0Q TO STA 03
CUT IN #2 AL TO STA 04
RECONNECT EXISTING SECONDARY
STA 04 258
INSTALL 50/2W POLE
INSTALL RISER BRACKET
STA 02 65
REMOVE 2/0P TO STA 03
STA 03 85
REMOVE EXISTING XFMR BANK
INSTALL 167/50 OPEN DELTA
RECONNECT EXISTING SECONDARY