501 Levy Rd ROW23-0055 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
KRILICH RICHARD 501 LEVY RD 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:
172333 0000 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
501 LEVY RD RIGHT OF WAY SINGLE OR TWO
FAMILY RIGHT OF WAY
A T & T - CONDUIT AND
FIBER CABLE BORE $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 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: 1/3/2024
PERMIT NUMBER
ROW23-0055
ISSUED: 1/3/2024
EXPIRES: 4/2/2024
RIGHT OF WAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
TOTAL:
2 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.
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
4 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\r
5 PUBLIC WORKS CONSTRUCTION SITE MANAGEMENT INFORMATIONAL
Notes:
Provide construction site management plan, including location of silt fence, dumpster, portable toilet. Right-of-Way Permit is required if using right-of-
way for construction parking.
6 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
7 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
8 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
9 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 2Issued Date: 1/3/2024
PERMIT NUMBER
ROW23-0055
ISSUED: 1/3/2024
EXPIRES: 4/2/2024
RIGHT OF WAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ROW23-0055
RIGHT-OF-WAY!EASEMENT PERMIT APPLICATION**ALLINFORMATIONCityofAtlanticBeachHIGHLIGHTEDINGRAYIS800SeminoleRoad,AtlanticBeach,FL32233REQUIRED.PERMITTEERESPONSIBLEFOR NOTIFYING811ANDOBTAININGUTILITYLOCATESJobAddress501 LEVY RD AND111LEVYRDATLANTICBEACHAT&TAD2QHLZPermitNumber___________________________ContractorInformationCompanyBELLSOUTH TELECOMM,LLCD/B/AAT&TFLORIDAQualifyingAgentBRITTANYWEINBRENNERAddress9400HISTORICKINGRDCityJACKSONVILLEStateFLZip32257Phone(9D4)327-5823Emailg10982@att.comState Certification/Registration#_______________________________________________________________________________ArchitectPhoneEmailEngineerJE_PROSSERPhone(904)327-5823WorkersCompensationlnsurer[]AT&TORExemptLExpirationDate•Permittee declaresthatprior tofilingthisapplicationtheyhaveascertainedthelocationofallexisting utilities,bothaerialandundergroundandtheaccuratelocations areshownonthesketches.•Whenever necessaryfortheconstruction,repair,improvement,maintenance,safeandefficientoperation, alterationorrelocationofall,oranyportionofsaidstreetoreasementasdeterminedbythePublicWorks Director,anyorallsaid poles,wires,pipes,cablesorotherfacilitiesandappurtenancesauthorizedhereunder,shallbeimmediatelyremovedfromsaidstreetoreasementorresetorrelocatedhereonasrequiredbythePublicWorksDirectorandattheexpenseofthePermitteeunlessreimbursementisauthorized.•AllworkshallmeetCityof AtlanticBeachorFloridaDepartmentofTransportationStandardsandbeperformedunderthesupervisionofRONBIRD(ProjectSuperintendent)with(CompanyName)AT&TPhone______________________________•AllmaterialsandequipmentshallbesubjecttoinspectionbythePublicWorksDirector.•Allcitypropertyshallberestoredtoitsoriginalconditionasfaraspractical,inkeepingwithCityspecificationsandthemanner satisfactorytotheCity.•Asketchof planscoveringdetailsofthisinstallation,aswellasacopy ofarecentsurveyshallbemadeapartofthispermit.Calculationsshowing any increaseinimperviousareaonowner’slotorinthecity right-of-wayaretobeincludedwiththisapplication.•Thepermitteeshallcommenceactualconstructioningoodfaithwithin60days.Ifthebeginningdateismorethan60daysfromdateofpermitapprovalthenpermitteemustreviewthepermitwiththePublicWorksDirectortomakesurenochangeshaveoccurredintheareathatwouldaffectthe permittedconstruction.•Itisunderstoodandagreedthattherights andprivilegeshereinsetoutaregrantedonlytotheextentoftheCity’sright,titleandinterestintheland tobeentereduponandusedbytheholder,andthe holderwill,atalltimes,assumeallriskofandindemnify,defendandsaveharmlesstheCityofAtlanticBeachfromandagainstany andallloss,damageand costofexpensesarisinginanymanneroftheexerciseorattemptedexercisesbytheholderoftheaforesaidrightsandprivileges.•ThPublicWorksDirectorshallbenotified24hourspriortostartingworkand againimmediatelyuponcompletion.______________________________________________________________Date___________________Permittee(signedinpresenceofNotaryPublic)STATEOFFLORIDA,COUNTYOFDUVALTheforegoinginstrumentwasacknowledgedthisJRdayof_____________________________byfr’41,,brrim,r(printednameofPermittee)acknowledgedthathe/shesignedtheinstrumentvoluntarilyforthepurposeexpressedinit.natueofNotaryPublic,StateofFloridaEmailg10982@att.Com20p3whopersonallyappearedbeforemeand[PersonallyKnownProduced Identification(Type)MARIEMflNolaryPublic,Slate0CnmmissionNoHH3r—MyCornmsionExpwe8?lS/2O2fiH:\Applications&Forms\wordDocuments\201801001Right-of-wayEasementPermitApplication.docxRevisionDate:10/1/18ROW23-0055
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
NPANNX:
Designer:
Phone:
Project #:
CITY OF ATLANTIC BEACH
904246
PROSSER, JEFFERY A
904-327-5823
A02QHLZ
601 &F-111 LEVY RD
5PRINT OFSheet #:1
VICINITY MAP
NOT TO SCALE
PROPOSED WORK
SYMBOL LEGEND
ExistingProposed Description
AERIAL CABLE
BURIED CABLE
AT&T POLE
POWER POLE
GUY & ANCHOR
DBOREN/A
PIPE/CONDUIT
HANDHOLE
MANHOLE
TT
LEVY RD
PROPOSED WORK
MAIN STSTOCKS STHIBISCUS STVIOLET STROSE STORCHID STWORK AREA 1-601 LEVY
SEE DRAWINGS 2-3
WORK AREA 2-111 LEVY RD
SEE DRAWINGS 4-5
CITY OF ATLANTIC BEACH
MAYPORT RDCONSTRUCTION NOTES:
APPLICANT RESPONSIBLE FOR ALL UTILITY LOCATES AND PROPER MOT
WHILE WORKING WITHIN AND/ OR ADJACENT TO THE ROW.
ALL WORK WHILE WITHIN THE ROW SHALL MAINTAIN PROPER
CLEARANCE AND BE INSTALLED IN ACCORDANCE WITH FDOT AND
COUNTY SPECIFICATIONS, INCLUDING DIRECTIONAL BORES. IF THE
WORK SPACE EXTENDS ACROSS A CROSSWALK, THE CROSSWALK
SHOULD BE CLOSED USING THE INFORMATION IN INDEX NO. 660
ALL DIRECTIONAL BORES SHALL BE IN ACCORDANCE WITH THE FDOT
STANDARD SPECIFICATIONS FOR ROAD AND BRIDGE CONSTRUCTION
SECTION 555, DIRECTIONAL BORES AND THE FDOT UTILITIES
ACCOMMODATION MANUAL.
ALL DISTURBED AREAS WITHIN THE CITY ROW SHALL BE SODDED WITH
THE SAME SOD. SEED AND MULCH IS NOT ACCEPTABLE
ANY DAMAGE TO THE EXISTING INFRASTRUCTURE, INCLUDING
IRRIGATION, SIDEWALKS, CURBING AND UNDERMINING ARE TO BE
RESTORED TO COUNTY DETAIL PRIOR TO FINAL INSPECTION. SIDEWALK
PATCHING IS NOT ACCEPTABLE. ALL CONCRETE REPLACEMENT MUST BE
JOINT TO JOINT.
MAINTAIN EROSION AND SEDIMENT CONTROL ALONG LENGTH OF
TRENCH; OR CURB INLET PROTECTION. ANY DEBRIS SHALL BE REMOVED
FROM THE CURB AND GUTTER. SAFETY FENCING SHALL BE USED
BETWEEN SIDEWALK AND ANY OPEN TRENCH.
MOT(S) TO BE USED:102-601
TOTAL AERIAL CABLE:832'
TOTAL BURIED CABLE: 510'
TOTAL NUMBER OF BORES (ALL TYPES): 2
TOTAL NUMBER OF CABINETS:0
TOTAL NUMBER OF HANDHOLES: 1
TOTAL NUMBER OF GUYS: 0
TOTAL NUMBER OF ANCHORS: 0
KNOW WHAT'S
BELOW.
CALL BEFORE
YOU DIG.
IT IS THE CONTRACTORS
RESPONSIBILITY TO CONTACT
UTILITY COMPANIES PRIOR TO
ANY CONSTRUCTION AS THE
LOCATION OF UTILITIES
SHOWN ON THIS PLAT ARE
APPROXIMATE AND POSSIBLY
INCOMPLETE. THEREFORE
CERTIFICATION TO THE
LOCATION OF ALL
UNDERGROUND UTILITIES IS
WITHHELD.
TWO FULL BUS.
DAYS BEFORE
YOU DIG
R
HandholeHandholeTYPICAL HAND HOLE DIMENSIONS
-Structure Is To Be Installed Flush-
With Existing Ground Line
TOWNSHIP - T23S
SECTION - S29
RANGE - R29E
MAINTAIN VERTICAL AND
HORIZONTAL SEPARATION
FROM ALL WATER AND
SEWER INFRASTRUCTURE
18" MIN
18" MIN
5'
MIN
5'
MIN
ROW23-0055
SW 6' W
SW 6' W
SW 6' W
BOC BOCBOCBOC
BOC
BOCBOCBOCBOCBOC
BOCBOC
411
251
490VIOLET STMEALY STP A
JEA 50-3
#253657
NEU - 23'9"
ATT - 24'1"DE
ATT -19'4'SLACK
ATT18'2"
PULL - DE
BOC - 17'
P A
G
G
G
G
G
G
G
G
G
W
W
W
W
W
W
W
W
DW 25118'
EXISTING HAND HOLE 30X48BOCBOCP B
103'
181'
P B
JEA 45-3
NEU - 23'9"
ATT - 19'10"DE
ATT -19'4'SLACK
ATT18'2"LASH
PULL - DE
BOC - 17'
P C
JEA 45-3
NEU - 23'9"
ATT - 19'10"DE
ATT -19'4'SLACK
ATT18'2"LASH
PULL - DE
BOC - 17'0+000+13
UP POLE +22'
7
P C
BOC68'
B
B
BDW 411DW 1543DW 2517TREE T
R
I
M35'
P G TR E E T
R
I
M40'
22
7
22
CLR
17'1"
CLR
17'3"
21
R/W
R/W
R/WR/W
R/WR/WR/WR/W
FID #136594733
HIBISCUS STLEVY RD
CLR
17'6"
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
NPANNX:
Designer:
Phone:
Project #:
CITY OF ATLANTIC BEACH
904246
PROSSER, JEFFERY A
904-327-5823
A02QHLZ
601 &F-111 LEVY RD
5PRINT OFSheet #:2
MAINTAIN VERTICAL AND
HORIZONTAL SEPARATION
FROM ALL WATER AND
SEWER INFRASTRUCTURE
18" MIN
18" MIN
5'
MIN
5'
MIN
22 352' PROPOSED AERIAL FIBER CABLE 048CT LASHED TO EXISTING AERIAL STRANDS
7 EXISTING AERIAL CABLE
21 13' PROPOSED BURIED FIBER CABLE 048CT TRENCHED @30"SEE DWG #3PROPOSED
BURIED CABLE
ROW DIMENSIONS
R/WC/LR/WALL WIDTHS VARY
LEVY DR
64'
32'32'
19'26'19'EOPEOPNA
30"
SW 6' W
BOC
BOC
BOCBOCBOC
BOCBOCBOC
BOCBOCSW 6' W
251
STOCKS DRDW 490501 461
MAIN ST7
G
G
G
G
G
G
G
G
W
W
W
W
W
WTREE T
R
I
M85'
P G
P G
JEA 55-1
NEU - 27'1"
CATV-21'8"
ATT - 20'3"LASH
BOC - 17'
P F
JEA 45-3
NEU - 23'11"
ATT - 19'3"LASH
BOC - 17'
137'
P E
P F
P D
P D
JEA 50-3
#481
NEU - 30'+
ATT -
22'11"LASH
BOC - 17'
P E
JEA 50-3
#481
NEU - 30'+
ATT -
22'11"LASH
BOC - 17'
128'147'
B
B
B
B
B
B DW 589DW 501DW 4617
22
7
22
R/W
R/WR/WR/W
R/WR/WR/WR/W
FID #19866214
SW 6' W
MAIN STLEVY RD CLR
17'6"
CLR
17'6"
CLR
17'6"
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
NPANNX:
Designer:
Phone:
Project #:
CITY OF ATLANTIC BEACH
904246
PROSSER, JEFFERY A
904-327-5823
A02QHLZ
601 &F-111 LEVY RD
5PRINT OFSheet #:3
MAINTAIN VERTICAL AND
HORIZONTAL SEPARATION
FROM ALL WATER AND
SEWER INFRASTRUCTURE
18" MIN
18" MIN
5'
MIN
5'
MIN
SEE DWG #2Aerial Clearance Detail
18'
min.
N/A 26'N/A
--BOCBOCPROPOSED
BURIED CABLE
ROW DIMENSIONS
R/WC/LR/WALL WIDTHS VARY
LEVY DR
64'
32'32'
19'26'19'EOPEOPNA
30"
22 412' PROPOSED AERIAL FIBER CABLE 048CT LASHED TO EXISTING AERIAL STRANDS
LEVY RD
LEVY RDMAYPORT RDMAYPORT RDMAYPORT RDMAYPORT RDDW
1
4
8
0DW 201500
R/W
BOC
BOCBOCBOCBOC
BOC
BOC
SW 6' W SW 6' WR/WR/WR/WR/WR/WR/W 0+00BBB
B
DW 1
5
0
0
3+601+862+462+64DW 1650DW 1500FID #136594733
167
WWW
W
PROPOSED HAND HOLE 24X36
PLACE HH OVER DUCT
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
NPANNX:
Designer:
Phone:
Project #:
CITY OF ATLANTIC BEACH
904246
PROSSER, JEFFERY A
904-327-5823
A02QHLZ
601 &F-111 LEVY RD
5PRINT OFSheet #:4
MAINTAIN VERTICAL AND
HORIZONTAL SEPARATION
FROM ALL WATER AND
SEWER INFRASTRUCTURE
18" MIN
18" MIN
5'
MIN
5'
MIN
SEE DWG #51 477' PROPOSED BURIED FIBER CABLE 576CT WITH 213' PULLED THROUGH EXSTING BURIED CONDUIT/ AND 264' BORED@36"/TRENCHED@30"
6 28' PROPOSED BURIED FLEX PIPE 4" DIA/BORED @30"/TRENCHED@30"
7 36' PROPOSED BURIED FLEX PIPE 4" DIA/BORED @30"/TRENCHED @30"
B
Road Bore Detail
min.min.min.
26'BOCBOC36" RD / 30" D/W30"30"
PROPOSED
BURIED CABLE
ROW DIMENSIONS
R/WC/LR/WALL WIDTHS VARY
LEVY DR
64'
32'32'
19'26'19'EOPEOP8'
30"
BORE
SIZE
4"
BACKREAMER
SIZE
4"
DW 951650
95
BOC
BOC
BOC
BOC
BOC
SW 6' W
SW 6' W
SW 6' W
ORCHID STBOC74
R/W
R/W
R/WEXISTING HAND HOLE 30X48
FID #136594733
5+101
LEVY RD
W
W
W
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
NPANNX:
Designer:
Phone:
Project #:
CITY OF ATLANTIC BEACH
904246
PROSSER, JEFFERY A
904-327-5823
A02QHLZ
601 &F-111 LEVY RD
5PRINT OFSheet #:5
MAINTAIN VERTICAL AND
HORIZONTAL SEPARATION
FROM ALL WATER AND
SEWER INFRASTRUCTURE
18" MIN
18" MIN
5'
MIN
5'
MIN
1 246' PROPOSED BURIED FIBER CABLE 576CT PULLED THROUGH EXSTING BURIED CONDUIT/BORED@36"SEE DWG #4PROPOSED
BURIED CABLE
ROW DIMENSIONS
R/WC/LR/WALL WIDTHS VARY
LEVY DR
64'
32'32'
19'26'19'EOPEOPNA
30"
10/6/20221:23:55 PMREVISIONDESCRIPTION:
REVISION
LAST
ofSTANDARD PLANS
FY 2023-24 SHEETINDEX
Median
11102-601
TWO-LANE AND MULTILANE ROADWAY,
WORK BEYOND THE SHOULDER11/01/20 c. 15' or more from the traveled way.
b. More than 2' behind the curb,
a. Behind an existing barrier,
Offset Zone:
SYMBOLS:NOTES:
Work Area
Lane Identification and Direction of Traffic
3. Use Index 102-660 when Work Area encroaches a Sidewalk.
vehicles cross the Offset Zone in any one hour period.
and terminating the work area) requires that two or more work
2. Use Index 102-602 when the work operation (excluding establishing
including Medians of divided roadways, with work beyond the shoulder.
1. This Index applies to Two-Lane, Two-Way and Multilane Roadways,
MULTILANE ROADWAY SHOWN, TWO-LANE ROADWAY SIMILAR