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Permit 1637 Seminole Rd rf f- ✓Ji'` CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000137 Date 2/17/10 Property Address . . . . . . 1637 SEMINOLE 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 PER M GRIFFIN 5/15/08 NO LIC INSURANCE REQUIRED ATLANTIC BEACH FL 32233 (904) 256-3182 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 2/17/10 Valuation . . . . 0 Expiration Date . . 8/16/10 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . ---------------------------------------------------------------------------- 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. City of Atlantic Beach APPLICATION NUMBER r . Building Department (To be assigned by the Building Department.) 800 Seminole Road tzti { r� 1...,i /D - Atlantic Beach, Florida 32233-544`5 0/37 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3fAl-"a, TaL Department review required Yes No Building Applicant: ZPlanning &Zoning ' � Tree Administrator Project: /j ,(�(.� eublic s tilities a eiy Fire Services Review fee $ pept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIFERVICES PUB Reviewed by: Date: FIRE Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH f CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS j - 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 Date_ bt'(,(Ccy C/ �� golu /� z PERMIT# Job Address /t(�cJ 7 J t✓'m nol e �d ISSUED BY THE CITY Permitee: AT&T(fka BELLSOUTH TELECOMMUNICATIONS) Telephone# 904-7779052 ext 320 Permittee Address: 7666 BLANDING BLVD JACKSONVILLE FL. 32244 ATTN: Nicole Padron Requesting Permission to Construct: TELEPHONE CABLE AT`#T # C 3cj,.2 0on Location: (Reference to Cross-Street) Between Orchid St. and Mayport Rd 1. Applicant declares that prior to filing this application he has ascertained the 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: -8 /0 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 Signedly_- E,(�C c �a c4,�,�>^, Date: Before me this day of in the County of Duval, State Of Florida, has personally appeared V,cc is n Notary Public at Large,State of Florida,County of Duval. M commission expires: 1./6/;2o1y '�'L"� ,��'�`----� rsona y—l9 Known• or Pro entification: "' BARRY O.WOODS MY COMMISSION#DD 812233 •, i EXPIRES:November 6,2010 tii`x Bonded Thru Notary PubHo underwriters C€tY€3f Atlantic Beach 13ai dingy Department enf �� Lrouted,- .-f �fUflE€f3i=F2 1 cra Bc�ifdirig ?artment ) 800 Seminofe goad Atlantic Beach,Florida 32233-544a Phone(904)247--582(3 - Fax 04 247 E-mall: buifdingdept cz coab.usQa City Web'-site: f;t fle�rr coab.us ca t" 1`1AR 2 ('�Q APPLICATION REVI - 11 _ KING '+ RM NOPerf Address: 1! �dG / D 2 / €fie p# iit: I3jrs2Q%u!1!Md No ldiriment -new ng Planning&Zoning • Pubiic Utir�ie-! U l s l & Public s - �, Fin;Services T-a•_.-�Y-`�-•��p ....vim--`•_.-r_�_.:.-rr_=��. _._-- ._—._—_ __.____.._. _._._— . • s_a"l1 Mer Agency Review or Permit Required Revaaw or Receelpt Da of Permit tfa ed By de Florida Dept.a€Envfraneehenfal Protection Florida Dept.caf Tr�tspocta€ian � lJ L� � IJ St:Johns River Water Uanagement Disfrict AnnyCorps fEngineers DivMAR 2 9 2010 Division o€f fcstels aphd Restauran€s Di€�isipr� AlcQhoiic Beverages ancI T-obaCCID f3€ier. Y. APPLICATION STATUS "viewingEDeParl�ent First Review. Approved. ]Denied. (Circle ane.) Commenf.- BUILDING =LAl NTNG&ZomI rlG Reviewed b Dale: v TREE ADMIN- Second Review_- []Approved as revised. []Denied. PUBLIC WORKS Comments: PUB ITJE PU C AF Reviewed by: !D Date: FIRE 5E CES Third Review: DApproved as revised. []Denied. Comments: Re'Aekeied by: Date_ disecf QvfUffi3 7