77 Levy Rd 07-00000064 Telephone Cable t
I
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J -.r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 07-00000064 Date 2/09/07
Property Address . . . . . . 77 LEVY RD
Application type description RIGHT OF WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
------- ----- ----------------------------------------------------------------
Application desc
TELEPHONE CABLE
--------------------------------- - -------------------------- - ---------------
Owner Contractor
-- ---------------------- --------- --- ------------
BELL SOUTH TELECOMMUNICATIONS
ATLANTIC BEACH FL 32233
------------ --------------- -------------------------- ---- - ------------------
Permit . . . . . . UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 2/09/07 Valuation . . . . 0
Expiration Date . . 2/09/07
------------------------------------------------------- ---------------------
Special Notes and Comments
BST JOB # 73E68001N
-------------------------------- - --------------------------- ----------------
Fee summary Charged Paid Credited Due
------- ---------- ---------- ---------- ------ ---- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
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PLAN REVIEW SHEET Routed to:
�r D.Hufstetler
Building Department Public Works&Public Utilities Departments r
800 Seminole Road 1200 Sandpiper Lane 4;iu2niaik
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233
(904)247-5800 (904)247-5834 Public Safety
(904)247-5845 Fax (904)247-5843 Faxi ?
PLAN REVIEW COMMENTS FEB 4 a 2001
Permit Application# 7 - n D o & /
Property Address 7 7 Li!�✓X "Q AD
Applicant: /So���'� -
Project: zf-lf-42A66a
This permit application has been: /•
Approved as noted by the w ` Department.
;�-�110 7 Final application approval must come from the Building Department.
l/ Reviewed and the following items need attention:
d�
Please re-submit 2-copies of all revisions. Please re-submit your
revisions to the Department requesting them.
Building Dept, Public Works and Utility information at top of page,
failure to notify the correct department may delay your permit from
being issued.
Reviewed By: Date:
Date Contractor Notified:
\ .r1 rjf,
CITY OF ATLANTIC BEACH
1J y� CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
`. �,•;y} Atlantic Beach, Florida 32233-5445 Fax 904-247-5845
Date IU�
PERMIT#
ISSUED BY THE CITY
Job Address 1.
Permitee: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-777-9052 EXT 233
Permittee Address: 7666 BLANDING BLVD., JACKSONVILLE, FL. 32244 ATTN: ANGELA LINDSEY
Requesting Permission to Construct: TELEPHONE CABLE Jib
Location: (Reference to Cross-Street) Between "cqA s --4- ma PC+
1. Applicant declares that prior to filing this appl on he has ascertained 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 ( X) No ( ) Date:
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas Yes ( X) No ( ) Date:
Comcast Yes ( X) No ( ) Date:
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 Permittee 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 CLINT STRICKLAND (Contractor's Project Superintendent)
located at Telephone#: 904-393-4958.
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 this permit
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) hours prior to starting work and again
immediately upon completion.
OWNER 6e
/10 Signi Date: �3�1
Before me this <n UG_ day of the County of Duval, oaY'P'• M.Alexandra Solano
State Of Florida,has personally appeared �.
Notary Public at Large,State of Florida,County o Duval. .=Commission#DD470953
My commission expires: ,n er Lac k 2 , 2OO�jExpires September 12,2009
Personally Known: ^� or E :.0 P'Bond/ed T/r���nsura�n� ���
Produced Identification:� �� l�f rN '>�?,�_ -n12-� -1:]-la ��