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275 SAILFISH ROW23-0011 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: AT&T dba Bellsouth Telecommunications DBA ATT ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: BLUE STREAK LLC dba Blue Streak Telecommunications 8200 NW 41st St #318 Doral FL 33166 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170579 0000 SALTAIR SEC 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 275 SAILFISH DR RIGHT OF WAY COMMERCIAL RIGHT OF WAY AT & T AREAL AND UNDERGROUND FIBER # REAR OF 275 $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 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. 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 3Issued Date: PERMIT NUMBER ROW23-0011 ISSUED: EXPIRES: RIGHT OF WAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 PUBLIC UTILITIES ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL Notes: MUST FIELD VERIFY ALL WATER & SEWER LINES 3 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. 4 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 5 PUBLIC WORKS DUMPSTERS/ROLL-OFF CONTAINERS INFORMATIONAL Notes: Dumpsters and roll-off containers must be used in compliance with Section 16-8 and must comply with all standards, per City code. 6 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 7 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\r 8 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 9 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 10 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 11 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 12 PUBLIC WORKS AS-BUILT INFORMATIONAL Notes: Contractor must submit As-Built plans to City within 30 days after completion of project. 2 of 3Issued Date: PERMIT NUMBER ROW23-0011 ISSUED: EXPIRES: RIGHT OF WAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT TOTAL: 13 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL Notes: All data needed for GIS when project is complete. 3 of 3Issued Date: PERMIT NUMBER ROW23-0011 ISSUED: EXPIRES: RIGHT OF WAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 RIGHT-OF-WAY!EASEMENTPERMITAPPliCATION“ALLINFORMATIONCityofAtlanticBeachHIGHLIGHTEDINGRAYIS800SeminoleRoad,AtlanticBeach,FL32233REQUIRED.PERMITTEERESPONSIBLEFORNOTIFYING811ANDOBTAININGUTILITYLOCATESJobAddressREAROF725ATLANTICBLVD.ATLANTICBEACH.FLAT&TAO2J9BDPermitNumber____________________________ContractorInformationCompanyBELLSOUTHTELECOMM,LLCDIBIAAT&TFLORIDAQualifyingAgentJAMIEBIRMINGHAMAddress9400HISTORICKINGSRDCityJACKSONVILLEStateFLZip32257Phone(904)655-1878EmailG10982@ATT.COMStateCertification/Registration#___________________________________________________________________________________Architect________________________________________Phone______________________Email________________________EngineerJAMlE_BIRMINGHAMPhone(904)655-1878EmailG10982@ATT.COMWorkersCompensationInsureriTiAT&TORExemptExpirationDate•Permitteedeclaresthatpriortofilingthisapplicationtheyhaveascertainedthelocationofallexistingutilities,bothaerialandundergroundandtheaccuratelocationsareshownonthesketches.•Whenevernecessaryfortheconstruction,repair,improvement,maintenance,safeandefficientoperation,alterationorrelocationofall,oranyportionofsaidstreetoreasementasdeterminedbythePublicWorksDirector,anyorallsaidpoles,wires,pipes,cablesorotherfacilitiesandappurtenancesauthorizedhereunder,shallbeimmediatelyremovedfromsaidstreetoreasementorresetorrelocatedhereonasrequiredbythePublicWorksDirectorandattheexpenseofthePermitteeunlessreimbursementisauthorized.•AllworkshallmeetCityofAtlanticBeachor FloridaDepartmentofTransportationStandardsandbeperformedunderthesupervisionofRONBIRD(ProjectSuperintendent)with(CompanyName)AT&TPhone(904)3038190•AllmaterialsandequipmentshallbesubjecttoinspectionbythePublicWorksDirector.•Allcitypropertyshallberestoredtoitsoriginalconditionasfaraspractical,inkeepingwithCityspecificationsandthemannersatisfactorytotheCity.•Asketchofplanscoveringdetailsof thisinstallation,aswellasacopyofarecentsurveyshallbemadeapartofthis permit.Calculationsshowinganyincreaseinimperviousareaonowner’slotorintheCityright-of-wayaretobeincludedwiththisapplication.•Thepermitteeshallcommenceactualconstructioningoodfaithwithin7days.Ifthebeginningdateismorethan60daysfromdateofpermitapprovalthenpermitteemustreviewthepermitwiththePublicWorksDirectortomakesurenochangeshaveoccurredintheareathatwouldaffectthepermittedconstruction.•Itisunderstoodandagreedthat therights andprivilegeshereinsetoutaregrantedonlytotheextentoftheCity’sright,titleandinterestinthelandtobeentereduponandusedbytheholder,andtheholderwill,atalltimes,assumeallriskofandindemnify,defendandsaveharmlesstheCityofAtlanticBeachfromandagainstanyandallloss,damageandcostofexpensesarisinginanymanneroftheexerciseorattemptedexercisesbytheholderoftheaforesaidrightsandprivileges./ThePublicWorkpyctorsh/benotified24hourspriortostartingworkandagainimmediatelyuponcompletion.Datej/-23Permittee(signedinpresenceofNotryPublic)STATEOFFLORIDA,COUNTYOF DUVAL1/Theforegoinginstrumentwasacknowledgedthis____ _ ____ _dayofftvC,h20___ __ __ _by‘-SA/Ee’”1’1FEI_OCZcZCwhopersonallyappearedbeforemeand(printednameofPermittee)rMARIEMIERacknowledgedthathe/shesignedtheinstrumentvoluntarilyforthepurposeexpressedinit.‘‘NotaryPublic,StateOfFloridan/q4**CommissionNo.HH300807- .%.s’MyCommisSiOflExpires:$ii5i2026(p.,,PersonallyKnownSignatureofNotaryPublic,Stateof Florida[1ProducedIdentification(Type)_____ _ __ _ ___ ___ _ __ _ ___ ___H:\Applications&Forms\Wordoocuments\201801001Right-of-wayEasementPermitApplication.docxRevisionOate:10/1/18ROW23-0011 ROW23-0011 Total Aerial Cable: 50'Total Buried Cable: 44'Total # Of Poles: 01Total # Of Cabinets: XXTotal # Of Handholes: XXTotal # Of Down Guys: XXTotal # Of Anchors: XXTotal # Of SidewalkPanel Break & Restores: XXEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATT EX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATT EX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATT EX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATT EX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATTEX_ATT SYMBOL LEGENDPROPOSEDEXISTINGDESCRIPTIONAERIAL CABLEBURIED CABLEBST POLEPOWER POLECONCRETE POLEANCHOR & GUYENCLOSUREENCLOSUREMANHOLEHANDHOLEPIPE/COUNDUITN/AN/AN/ABORECUT PAVEMENTSPLICING PITFIBER OPTIC CABLECABINET TYPES(VRAD, XBOX)POWER UTILITYGAS UTILITYWATER UTILITYCATV UTILITYSEWER UTILITYSTORM UTILITYTWO FULL BUS. DAYS BEFORE YOU DIGCALL BEFORE YOU DIG1-800-432-4770DIAL 811 orFLORIDAwww.call811.comCAVALLA RDATLANTIC BLVDSAILFISH DR E725 ATLANTIC BLVDWORK LOCATIONBy Toni Gindlesperger at 3:53 pm, Mar 20, 2023 REAR PARKING LOT44' BURIED CABLE0+000+070+440+22S/W S/W 19' CLEARANCEOVER ROAD50' AERIAL CABLE7'12'5'10'POLE #24150-219'8" HOANEW ATT POLE35-5HOA 20'6"CAVALLA RDSAILFISH DR E