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800 CAVALLA ST ROW22-0046 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: COMPANY:ADDRESS:CITY:STATE:ZIP: GULF COAST CUSTOM CABLE 10915 U 92 SEFFNER FL 33584 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 800 CAVALLA RD RIGHT OF WAY SINGLE OR TWO FAMILY RIGHT OF WAY FIBER OPTIC CABLE AND FIBER CABINET $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 DRIVEWAY APRON INFORMATIONAL Notes: All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh are not allowed in the City right-of-way. 2 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. 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: 1/5/2023 PERMIT NUMBER ROW22-0046 ISSUED: 1/5/2023 EXPIRES: 4/5/2023 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 ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 4 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. 5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 6 PUBLIC WORKS UTILITY ROAD CUT INFORMATIONAL Notes: 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.\r\r\r\r\r\r 7 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 8 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 9 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 10 PUBLIC WORKS AS-BUILT INFORMATIONAL Notes: Contractor must submit As-Built plans to City within 30 days after completion of project. 11 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 12 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL Notes: Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5878. Any digging requires calling 811 to have ALL public utilities located. 2 of 2Issued Date: 1/5/2023 PERMIT NUMBER ROW22-0046 ISSUED: 1/5/2023 EXPIRES: 4/5/2023 RIGHT OF WAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ROW22-0046 RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION City of Atlantic Beach **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. 800 Seminole Road, Atlantic Beach, FL 32233 PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address 800 Cavalla Rd Contractor Information Company Gulf Coast Custom Cable Address10915 East US Hwy 92 Phone (813 ) 2 05-9096 Permit Number __________ _ Qualifying Agent_B_e_n _S_e_e _________ _ CitySeffner State _F_L_Zip33584 Email be n.see@gccustomcable.com State Certification/Registration #_c_u_c_12_2 _s_3a_s ____________________________ _ Architect _________________ Phone _________ Email _________ _ EngineerAlpine Communication Phone(772) 828-8945 Emai1mmallwitz@alpi necc.us Workers Compensation lnsurer@American Interstate Insurance Co of Texas OR ExemptOExpiration Date ____ _ •Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerialand underground and the accurate locations are shown on the sketches. •Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration orrelocation 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 Ray Auston (Project Superintendent) with (Company Name) IQ Fiber DE, LLC Phone_(2_3 _9_) 7_7_1_-3_2_4_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 themanner 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 2 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 ofand 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.•T.he Publ!?W.ojc� shall be notified 24 hours prior to starting work and again immediately upon completion. 7'✓,;, � Mark Mallwitz on behalf of Gulf Coast Custom Cable Date_l_0�/1_2�/_20_2_2 _____ _,r;; rmi tf:!e (signed in presence of Notary Public) STATE OF FLORIDA, COUNTY OF DUVAL The foregoing instrument was acknowledged this !J::\ibMg, \\,,.,, cl: r...(printed name of Permittee)•who personally appeared before me and acknowled ed that he/she signed the instrument voluntarily for the purpose expressed in it. ,•fl"''' EN IFERCOLEMAN lif-M��--J N t/'A"\i MY COMMISSION# GG 975650W·:A·�Y EXPIRES: May 10, 2024 '••�k¥.f�?,t•·· Bonded Thru Notary Public Unde!wrlters ,r:J Personally Kno""51iiiii�iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii-'I[ ] Produced Identification (Type) ________ _ H:\Applications & Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date: 10/1/18 ROW22-0046 9/23/20212:40:48 PMREVISIONDESCRIPTION: REVISION LAST ofSTANDARD PLANS FY 2022-23 SHEETINDEX ROAD WORK END PRESENT WHEN WORKERS DOUBLED SPEEDING FINES AHEAD WORK ROAD CLOSED SHOULDER RIGHT ROAD WORK END PRESENT WHEN WORKERS DOUBLED SPEEDING FINES AHEAD WORK ROAD ROAD WORK END AHEAD WORK ROAD ROAD WORK END AHEAD WORK ROAD CLOSED SHOULDER RIGHT 102-602 1 211/01/21 TWO-LANE AND MULTILANE, WORK ON SHOULDER 6" White (See Note 7) BL/3 L/3 NOTE: of the "Shoulder Closed" sign (W21-5a). "Worker" sign (W21-1) may be used instead 9. When there is no paved shoulder, the distances for work on the median. with associated work zone sign spacing 8. Omit "Shoulder Closed" signs (W21-5a) along place for 3 days or less. omitted when the work operation is in 7. Temporary pavement markings may be hours or less. work operation is in place for 24 distances may be omitted when the associated work zone sign spacing Work” Signs (G20-2) along with the Present” signs (MOT-13-06) and “End Road 6. The “Speeding Fines Doubled When Workers use a lane closure. and work zone speed is greater than 45 MPH, 5. For work less than 2' from the traveled way egress. to accommodate work vehicle ingress and work area), use a flagger or lane closure (excluding establishing and terminating the through traffic lanes in a one hour period 4. When four or more work vehicles enter the or less. devices for work operations 60 minutes Engineer may omit signs and channelizing 15' from the edge of traveled way, the 3. Where work activities are between 2' and channelizing device spacing values. See Index 102-600 for “L”, “X”, "B", and B = Buffer Length X = Work Zone Sign Spacing 2. L = Taper Length shoulder. of divided roadways, with work on the and Multilane Roadways, including Medians 1. This Index applies to Two-Lane, Two-Way XXX 10' Min. X X X XXX SYMBOLS: Work Zone Sign Work Area Channelizing Device (See Index 102-600) Lane Identification and Direction of Traffic W21-5a W20-1F W20-1F W21-5a W20-1F (See Note 6) MOT-13-06 (See Note 6) G20-2 WITH WORK ZONE SPEED OF 45 MPH OR LESS SHOULDER WORK LESS THAN 2' FROM THE TRAVELED WAY TWO-LANE ROADWAY (See Note 6) G20-2 (See Note 6) MOT-13-06 SHOULDER WORK BETWEEN 2' AND 15' FROM THE TRAVELED WAY TWO-LANE ROADWAY (See Note 6) G20-2 (See Note 6) G20-2 W20-1F ROYAL PALMS DR By Toni Gindlesperger at 10:01 am, Dec 06, 2022 before you dig.LOCATION MAPVICINITY MAPPROPOSED FIBER OPTIC NETWORK & CABINET INSTALLATION298 ROYAL PALMS DRATLANTIC BCH., FL 32266INDEX OF SHEETS001 OF 005 - COVER002 OF 005 - PLAN003 OF 005 - CROSS SECTION004 TO 005 OF 005 - TYPICAL DETAILSPROJECT CONTACTSPERMITTINGJURISDICTION:*CITY OF ATLANTIC BEACHNCallKnow what's below.COVER, LOCATION MAP, VICINITY MAP, PERMITTING, INDEX OF SHEET, PROJECT CONTACTIQ FIBER DE, LLC:PROJECT MANAGERCONTACT:RICHARD FALLONRICHARD.FALLON@IQFIBER.COMPHONE: (407) 625-2640CONSTRUCTIONMANAGERINFO:RAYMOND AUSTINRAYMOND.AUSTIN@IQFIBER.COMPHONE: (239) 771-3248NAME VENDOR: ALPINE COMMUNICATION CORP.ENGINEERING& SURVEYINGCONTACT:MARK MALLWITZPHONE: (772) 828-8945EMAIL: MMALLWITZ@ALPINECC.USSITE NUMBERDESCRIPTIONDATENO.BY REVISIONS001SCALE:PLOT DATE: FILE NAME:SHEET NUMBERSHEET TITLESITE ADDRESSBUSINESS UNIT NUMBERSITE NAMEDRAWING DATE:CHECKED BY:CADDED BY:SPACE RESERVED FOR PROFESSIONAL SEALSENG-PLN-10050 REV(-) DATE:6/17/14 Alpine Communication Corp.595 N. Nova Rd., Suite 208Ormond Bch., Fl 32174(386) 615-3316Eng i n e e r i n g E x c e l l e n c e Since 1980CONSULTANT25 NORTH MARKET STSUITE 300AJACKSONVILLE, FL 32202PERMITTEE298 ROYAL PALMS DR03/29/2022NTS001 OF 005COVERFL 32266 - USADUVALATLANTIC BCH.298 ROYAL PALMS DRCABINET PERMITTING 03/29/2022-A.C.C. / R.R.SEC.: 38 TWP.: 2 RNG.:29298 ROYAL PALMS DR1 RR By Toni Gindlesperger at 10:07 am, Dec 06, 2022 ROWROWEOPEOPEOPEOPROWROWROWEOPEOPEOPEOPEOPEOPEOPEOPEOPEOPEOPEOPEOPEOPEOPCROYAL PALMS DR.CAVALLA RD.60'60'19'30'7'26'1'±5' SIDEWALKGRASS AREAEXIST. 38' ASPHALTWITH CURBEXIST. 22' ASPHALTEXIST. (4) CABINETSEXIST. H.H.EXIST. CONC. POLEINSTALL NEW CABINET WITH36'' X 47'' CONCRETE SLABSEE DETAIL SHEET #005PLANNSITE NUMBERDESCRIPTIONDATENO.BY REVISIONS002SCALE:PLOT DATE: FILE NAME:SHEET NUMBERSHEET TITLESITE ADDRESSBUSINESS UNIT NUMBERSITE NAMEDRAWING DATE:CHECKED BY:CADDED BY:SPACE RESERVED FOR PROFESSIONAL SEALSENG-PLN-10050 REV(-) DATE:6/17/14 Alpine Communication Corp.595 N. Nova Rd., Suite 208Ormond Bch., Fl 32174(386) 615-3316Eng i n e e r i n g E x c e l l e n c e Since 1980CONSULTANTPERMITTEE25 NORTH MARKET STSUITE 300AJACKSONVILLE, FL 32202298 ROYAL PALMS DR03/29/20221" = 50'002 OF 005PLANFL 32266 - USADUVALATLANTIC BCH.298 ROYAL PALMS DRCABINET PERMITTING 03/29/2022-A.C.C. / R.R.RR 38' ASPHALT3' GRASS4' SDWK4' GRASS60' R.O.W.ROYAL PALMS DR.NOTES: CONTRACTOR TO MAINTAIN 12" MIN. VERTICALCLEARANCE TO ALL EXIST. UTILITIES.SECTION A-A N.T.S.FACING NORTH1' +/-ASPHALTEOP REFERENCE ELEV. = 011' GRASSPROPOSED CABINET7'CROSS SECTION DETAILSITE NUMBERDESCRIPTIONDATENO.BY REVISIONS003SCALE:PLOT DATE: FILE NAME:SHEET NUMBERSHEET TITLESITE ADDRESSBUSINESS UNIT NUMBERSITE NAMEDRAWING DATE:CHECKED BY:CADDED BY:N.T.S.SPACE RESERVED FOR PROFESSIONAL SEALSENG-PLN-10050 REV(-) DATE:6/17/14 Alpine Communication Corp.595 N. Nova Rd., Suite 208Ormond Bch., Fl 32174(386) 615-3316Eng i n e e r i n g E x c e l l e n c e Since 1980CONSULTANTPERMITTEE25 NORTH MARKET STSUITE 300AJACKSONVILLE, FL 32202298 ROYAL PALMS DR03/29/2022003 OF 005CROSS SECTION FL 32266 - USADUVALATLANTIC BCH.298 ROYAL PALMS DRCABINET PERMITTING 03/29/2022-A.C.C. / R.R. CABINET DETAILSITE NUMBERDESCRIPTIONDATENO.BY REVISIONS004SCALE:PLOT DATE: FILE NAME:SHEET NUMBERSHEET TITLESITE ADDRESSBUSINESS UNIT NUMBERSITE NAMEDRAWING DATE:CHECKED BY:CADDED BY:N.T.S.SPACE RESERVED FOR PROFESSIONAL SEALSENG-PLN-10050 REV(-) DATE:6/17/14 Alpine Communication Corp.595 N. Nova Rd., Suite 208Ormond Bch., Fl 32174(386) 615-3316Eng i n e e r i n g E x c e l l e n c e Since 1980CONSULTANTPERMITTEE25 NORTH MARKET STSUITE 300AJACKSONVILLE, FL 32202298 ROYAL PALMS DR03/29/20221" = 50'004 OF 005CABINET DETAILFL 32266 - USADUVALATLANTIC BCH.298 ROYAL PALMS DRCABINET PERMITTING 03/29/2022-A.C.C. / R.R.RR 2" SCH. 40 P.V.C.2" SCH. 40 P.V.C.ELECTRIC METERBREAKER BOXELECTRIC METERBREAKER BOXBREAKER BOX2" SCH. 40 P.V.C.36" MIN.2400 PSI @ 28 DAYS CONCRETESLAB, HAND POURED, NO STEEL.22 CUBIC YARDS36" MIN.36" WIDTH47" DEPTH BB6"2400 PSI @ 28 DAYS CONCRETESLAB, HAND POURED, NO STEEL.22 CUBIC YARDS2400 PSI @ 28 DAYS CONCRETESLAB, HAND POURED, NO STEEL.22 CUBIC YARDSSECTION "B"3"x6" OPENING CENTEREDFOR (2) 2" CONDUITS18"±26"±18"±4"±23±4±3"x3" OPENING CENTEREDFOR (1) 2" SCH. 40 P.V.C.CONDUIT3"x3" OPENINGCENTEREDFOR (1) 2" SCH.40 P.V.C. CONDUIT23'±3"6"3"7'±EXISTINGRIGHT-OF-WAYEXIST. E.O.P.1'±CABINET DETAIL / CONCRETE SLABSITE NUMBERDESCRIPTIONDATENO.BY REVISIONS005SCALE:PLOT DATE: FILE NAME:SHEET NUMBERSHEET TITLESITE ADDRESSBUSINESS UNIT NUMBERSITE NAMEDRAWING DATE:CHECKED BY:CADDED BY:N.T.S.SPACE RESERVED FOR PROFESSIONAL SEALSENG-PLN-10050 REV(-) DATE:6/17/14 Alpine Communication Corp.595 N. Nova Rd., Suite 208Ormond Bch., Fl 32174(386) 615-3316Eng i n e e r i n g E x c e l l e n c e Since 1980CONSULTANTPERMITTEE25 NORTH MARKET STSUITE 300AJACKSONVILLE, FL 32202298 ROYAL PALMS DR03/29/20221" = 50'005 OF 005CABINET DETAILFL 32266 - USADUVALATLANTIC BCH.298 ROYAL PALMS DRCABINET PERMITTING 03/29/2022-A.C.C. / R.R.CONCRETE SLAB DETAILSCALE: 1" = 20'RR Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: _______________________________________________________ Permit Number: ____________________________ Legal Description ________________________________________________________________ RE# _________________________ Valuation of Work (Replacement Cost) $_________________ Heated/Cooled SF ___________ Non- Heated/Cooled_____________ Class of Work: □New □Addition □Alteration □Repair □Move □Demo □Pool □Window/Door Use of existing/proposed structure(s): □Commercial □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) □No Describe in detail the type of work to be performed: Florida Product Approval #______________________________________________ for multiple products use product approval form Property Owner Information Name ______________________________________________ Address _________________________________________________ City ____________________________________ State _______ Zip _______________ Phone ________________________________ E-Mail ______________________________________________________________________________________________________ Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) _________________________________________________ Contractor Information Name of Company _______________________________________ Qualifying Agent _______________________________________ Address________________________________________________ City___________________ State ________ Zip_______________ Office Phone ____________________________________ Job Site Contact Number _______________________________________ State Certification/Registration # ____________________ E-Mail_______________________________________________________ Architect Name & Phone # ______________________________________________________________________________________ Engineer’s Name & Phone # _____________________________________________________________________________________ Workers Compensation Insurer _____________________________________ OR Exempt □ Expiration Date ___________________ 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 RECORDING YOUR NOTICE OF COMMENCEMENT. ___________________________________________________ (Signature of Owner or Agent) Signed and sworn to (or affirmed) before me this ____ day of ___________,________, by ____________________________ ________________________________ (Signature of Notary) [ ] Personally Known OR [ ] Produced Identification Type of Identification: ______________________________________ ___________________________________________________ (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: ______________________________________ **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. Fiber Optic Cabling and Fiber Cabinet installed in City right of way 298 Royal Palms Dr ROW22-0046 R/P OF PT OF ROYAL PALMS UNIT 2A LOT 1(EX WEST 42.17FT) BLK 26, Section 38, T 2 S, R 29 E 171717 0010 N/A Gulf Coast Custom Cable Ben See 10915 E US Hwy 92 Seffner FL 33584 813-205-9096 CUC1225385 ben.see@gccustomcable.com Alpine Communication 772-828-8945 American Interstate Insurance Co of Texas ROW22-0046 10/12/22, 3:25 PM Ticket https://exactix.sunshine811.com/tickets/view/94a3f21a-4a63-11ed-acb9-120689bad721#tab2 1/2 DESIGN TICKET FOR UTILITIES AND PERMITTING Ticket : 285206790 Rev:000 Taken: 10/12/22 15:25ET State: FL Cnty: DUVAL GeoPlace: ATLANTIC BEACH CallerPlace: ATLANTIC BEACH Subdivision: Address : 298 Street : ROYAL PALMS DR Cross 1 : CAVALLA RD Within 1/4 mile: N 10' Locat: 298 ROYAL PALMS DR : Remarks : PROPOSED INSTALLATION OF NEW FOC CABINET WITH CONCRETE SLAB FOR IQ FIBER IN RESPONSE TO RECEIPT OF A DESIGN TICKET, SSOCOF PROVIDES THE ORIGINATOR OF THE DESIGN TICKET WITH A LIST OF SSOCOF MEMBERS IN THE VICINITY OF THE DESIGN PROJECT. SSOCOF DOES NOT NOTIFY SSOCOF MEMBERS OF THE RECEIPT BY SSOCOF OF A DESIGN TICKET. IT IS THE SOLE RESPONSIBILITY OF THE DESIGN ENGINEER TO CONTACT SSOCOF MEMBERS TO REQUEST INFORMATION ABOUT THE LOCATION OF SSOCOF MEMBERS' UNDERGROUND FACILITIES. SUBMISSION OF A DESIGN TICKET WILL NOT SATISFY THE REQUIREMENT OF CHAPTER 556, FLORIDA STATUTES, TO NOTIFY SSOCOF OF AN INTENT TO EXCAVATE OR DEMOLISH. THAT INTENT MUST BE MADE KNOWN SPECIFICALLY TO SSOCOF IN THE MANNER REQUIRED BY LAW. IN AN EFFORT TO SAVE TIME ON FUTURE CALLS, SAVE YOUR DESIGN TICKET NUMBER IF YOU INTEND TO BEGIN EXCAVATION WITHIN 90 DAYS OF YOUR DESIGN REQUEST. THE DESIGN TICKET CAN BE REFERENCED, AND THE INFORMATION ON IT CAN BE USED TO SAVE TIME WHEN YOU CALL IN THE EXCAVATION REQUEST. 10/12/2022 3:25:07 PM SBF02 HAS DECLARED EXTRAORDINARY CIRCUMSTANCES *** LOOKUP BY MANUAL *** : Grids : 3019B8124B Work date: 10/12/22 Time: 15:23ET Hrs notc: 000 Category: 6 Duration: UNKNOWN Due Date : 10/14/22 Time: 23:59ET Exp Date : 11/11/22 Time: 23:59ET Work type: DESIGN Boring: N White-lined: N Ug/Oh/Both: U Machinery: N Depth: UNK Permits: N N/A Done for : DESIGN Company : ALPINE COMMUNICATION Type: CONT Co addr : 595 N NOVA ROAD Co addr2: STE 208 City : ORMOND BEACH State: FL Zip: 32174 Caller : JENNIFER FLESCH Phone: 386-675-6840 BestTime: Email : JFLESCH@ALPINECC.US Submitted: 10/12/22 15:25ET Oper: JEN Chan: WEB Mbrs : AC1095 CAB457 CJB771 JE1583 JEA PGSJAX SBF02 10/12/22, 3:25 PM Ticket https://exactix.sunshine811.com/tickets/view/94a3f21a-4a63-11ed-acb9-120689bad721#tab2 2/2 * Responses are current as of 10/12/2022 03:25 PM No COMCAST CABLE COMMUNICATIONS AC1095 CATV ANDREW SWEENEY (904) 738-6898 HFC HELP DESK (855) 962-8525 No CITY OF ATLANTIC BEACH, FLORIDA CAB457 SEWER, WATER BILL PITTMAN (904) 247-5875 CHRIS WALKER (904) 247-5878 CHERYL KOMOREK (904) 247-5834 No BEACHES ENERGY SERVICES CJB771 COMMUNICATION LINES, ELECTRIC, FIBER ROBERT ALIP (904) 247-6252 BEACHES ENERGY SERVICES EMERGENCY CENTER SYSTEM OPERATOR (904) 247-6171 BEACHES ENERGY SERVICES EMERGENCY CENTER SYSTEM OPERATOR (904) 247-6171 No JACKSONVILLE ELECTRIC AUTHORITY FIBER JE1583 FIBER JEA DEVELOPMENT (904) 665-5703 JEA LOCATES (904) 665-8001 JEA LOCATES (904) 665-8001 No JACKSONVILLE ELECTRIC AUTHORITY ELECTRIC JEA ELECTRIC JEA DEVELOPMENT (904) 665-5703 JEA LOCATES (904) 665-8001 JEA LOCATES (904) 665-8001 No TECO PEOPLES GAS JACKSONVILLE PGSJAX GAS JOAN DOMNING (813) 275-3783 TECO-PEOPLES GAS CUSTOMER SERVICE (877) 832-6747 Yes A T & T/ DISTRIBUTION SBF02 TELEPHONE DINO FARRUGGIO (561) 683-2729 DINO FARRUGGIO (561) 683-2729 DINO FARRUGGIO (561) 683-2729 Extraordinary circu mstances per 556.10 5(8)(a), F.S. exist, cal l utility owner / oper ator provider for thi s location. Ex. Circum Service Area Utility Type(s)Contact Alternate Contact Emergency Contact Positive Response