Permit 2355 Oceanforest Dr. W CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000352 Date 4/06/10
Property Address . . . . . . 2355 W OCEANFOREST DR
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
ATT PROPOSED SPLICE PIT
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Owner Contractor
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LUCAS, JIM BELL SOUTH TELECOMMUNICATIONS
2355 OCEANFOREST DR. PER M GRIFFIN 5/15/08 NO
ATLANTIC BEACH FL 32233 LIC INSURANCE REQUIRED
ATLANTIC BEACH FL 32233
(904) 256-3182
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Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 4/06/10 Valuation . . . . 0
Expiration Date . . 10/03/10
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Special Notes and Comments
USED ADDRESS FOR LOCATION ONLY THIS IS
AN ATT SPLICE PIT
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 .
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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 Affantic Bead
Bui[ding Department ? A'i'LICATIOtJIttiI�ER
300 Seminole Road s,�i _ r (To be assigned by fine E3�Edng t epar4ment)
._ A€ianfie Beach,Florida 32233-5�?45 �(
Prone(904)247--5525 - Fax(904)247 845 /G/ -
R,3�' E-mail. ouriFdin
�� � g-c(eP€Qcaaf�.us fy'
-- Date routed: Z f p
City web-si€e: hftPy1WW nr coab.us ;.
APPLIGAT16 N REVIEW AND TRACKING FORM
Property Address- C�A,-�a
€7e rhnenli vieAr re[taired Yes No
App ca : Budding
i C G ------- Planning&Zoning
Project: f� 1 T inisirator
Uff "
Public Safety
Fire Services
Ether Agency Review orPermit Rec fired Review or Receipt
of Permit�ter"r€red B Date
Florida Dept of� ranmental Pro€ec€ion
Florida Dept of Transportation
St Johns River W.L-r Management District
Army Carps of Engineers 2
Dvision of hotels and Restaurants 92010
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
-ROVIO uing Department First:Review-
APproved. QDenied.
(Circle one.) +Comments: l
BUILDING
T� Y'
v �
PLANNING&ZONING
l
Reviewed by: Dater �/�o
TREE ADMIN.
Second Review.- Reviewed
as revised. []Denied_
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review:
QAPprrnred as revised. QDenied.
Comments:
Rc-vietkred by: Date_
Wised 0SM41G9
Public Works Pian Review Comments
Date: Initials-
iA
31011 j0
Projeet'Name/.address: OCean�M,cS )� Application Permit
AApplicafion Txac"1 ng om3n n s
. � �ainauieia`t
Provide impervious surface calculations. ❑
Provide erosion and sediment control plans with installation details and maintenance ❑
schedule..
Provide drainage plans showing site topography (flow arrows, etc.) ❑
Provide construction site management-plan, including Right-of-Way Permit if-using 0
right-of-way for construction parking.
Provide a pre-construction topographic survey prepared by a Florida Licensed ❑
Professional-Land Surveyor, showing 1' contours.
Section 24-66(b) of the Land Development Regulations requires on-site storage for
increased runoff. Provide Delta volume calculations and on-site retention required ❑
per Section 24-66(b). (See attached info. Sheet)
If on-site storage is required, a_post construction topographic survey documenting ❑
proper construction will be required.
A Right-of-Way Permit must be obtained for use ❑
A Revocable Encroachment Permit must be obtained. ❑
Pool—Wellpoint(if used)must discharge into vegetated area 1.0' minimum from
street or drainage feature (swale, structure or lagoon).
All concrete driveway aprons must be 5 inches thick,4000 psi,with fibermesh from
the*edge of the pavement to the property line. Reinforcing rods or mesh are not ❑
allowed in the ROW(Commercial driveways—6"thick).
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 ofthe cut...Repair must be ❑
shown on the plans. .
P -Roll off container company must be on City approved list and cannot be placed
on City right-of-way: ❑
❑.
. ❑
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
iiia r
J 800 Seminole Road
Atlantic Beach, Florida 32233-5445 904-247-5800
Date----,,3 Fax 904-247-5845
PERMIT#
Job Address ISSUED BY THE CITY
Permitee: AT&T BELLSOUTH TELECOMMUNICATIONS Telephone
Permittee Address: V i (lP
HL .Fa19s
Requesting Permission to Construct: TELEPHONE CABLE AT`t"T Q3e g 95n
Location: (Reference to Cross-Street) Between Orchid St. and Ma ort 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
Ferrell Gas Yes ( ) No ( ) Date:
r3
Comcast Yes (X) No ( ) Date: 5 -!5 —
Yes (X) No ( ) Date: 3-a5 - /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
located at (Contractor's Project Superintendent)
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 _ ()
Signed" L�(3 e �Q C�.��. "� Date: 3 -,�),5- U
Before me this— -
�.Z_ day of��County of Duval,
State Of Florida, has personally appeared
Notary Public at Large, State of Florida, County of Duval.
My commission expires:
rsonal yy Known-T � �—
Pro u e entification: or
Y BARRY G.WOODS
MY COMMISSION#DD 612233
EXPIRES:rnNovember
�yPblieamiecwdrwrs
<< -10' CRY Of Atlantic Beach f
-'
Building De a
n�. 9 P rlrnent APPLICATIC3N NUMBER
�. 800 Seminole Road
Atlantic Bear(},Florida 32233-5?45 E y CTs'be assigned by the Building Depaftenf.)
Phone(904)247--5826 - Fax
ltlu�' E-mail: buffdin 247 845
g-dept@caais.us
City web-slfe-- httP:11Ww11 coab.us - Date routed.-
Z f Q
PMPerty Address:IV. LA �S,T ,.
fie Tient review ce uired `des No
APP11cant: - Building
u Planning&Zoning
Project: �� 1 T inisirator
UtIC"
Public Safety
Fire Services
-. Revlew dee�
UT jp
Other agency Review or Permit Rewired Review or Receipt
Florida DePt of Erwimnmental Protection of Permit berified B Date
Florida Dept of Transportation
St Johns River Wafer Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages anal Tobacco A R 292010
Other_
Y
APPLICATION sTATUS
Reviewing Departanent First Reviews:
(Circle one.) Approved.Comments.-
BUILDING
PLANNING&ZONING
Reviewed by: Date: Y 1
TREE ADMIN.
Second Review. ElApproved as revised. [Denied_
PUBLIC WORKS Go mnents:
T
LI s ETY Reviewed by: Date:
� �n
FiR RVICES Third Review:
❑Approved as revised. ODenied.
Comments:
Revietived by:
Dada_
VI Cl NI TY
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--------• N/A BORE
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N/A CUT PAVEMENT
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200'Q(M N/A TRENCH LENQDEPTH
:EANFOREST OR
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2355
NOTE:
PERMIT IS BEING REQUESTED
FOR SPLICE PIT ONLY.
NO ADDITIONAL WORK
WILL BE REQUIRED AT THIS LOCATION.
PROPOSED
SPLICE PIT
CALL BEFORE YOU DIG
F _—--------------R/W------------------
I
I SUNSHINE STATE
ONE CALL
OF FLORIOA,INC.
I
I 1-800-432-4770 a
I I
TWO FULL I BUS.DAYS BEFORE YOU DIG i
IT IS THE CONTRACTORS RESPONSIBILITY TO CONTACT
D/W 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 UNCERGROUNO
UTILITIES IS WITHHELD. I
I
ATTSE
2349
PROPOSED
FACILITIES
ON RIGHTI
CITY OF ATLANTIC BEA
I
W OCEANFOREST DR
I C
I
Exchange:
JAX BEACH MAIN
I
I Designer:
Lilley,James
TO S OCEANWALK DR Phone:
904-727-1558 ,
Authorization:
03EG8095N
Dwg. _ of I