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Permit 1711 Beach AvenueCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000854 Date 7/12/10 Property Address 1711 BEACH AVE Application type description RIGHT-OF-WAY PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc telephone cable ---------------------------------------------------------------------------- Owner ------------------------ COLEMAN, DELORES BUCK 1711 BEACH AVENUE ATLANTIC BEACH FL 32233 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 7/12/10 Valuation 0 Expiration Date 1f 09/11 ---------------------------------------------------------------------------- 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. Restore driveway to resident's satisfaction. 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 FLORH)A BUILDING CODES. 1711 Beach Ave ° _~ j ' ~7~k+ `" _---- '~ ! b 1719 ~ ~~~ ~ ~ 3 11 _-.--~,___-"-----~- . ~! ~.~~~~ f jl ~ 'j 1717 18 ~~ "~ --- --- -_ _-- 8" PVC Sewer Main ~ ~.. 12" PVC Water Main `, _. ...... 1 1711 __ 1710 ~` _--- I ~ , ~~ ~ , 707 1 ! ~ _ ~.__ ~k ~ ~_________.- --~ _..._._____._..___ ~ ----- ' 1675 I N ~ ~ ~ ~` _ _ _--- I ~- -- S '~_ ~__- __.-_.___ _ .-_- eet ~ i67i 0 20 40 <Double- to enter text ~`~ ' ______- '~, ~1 N A yi~.a,i;. City of Atlantic Beach `~ `~' ~~~ ~'~ ~1 ~-'-~. ~:~ ~"~~ Building Department ~~~ 4 ~ 2010 ~ ~~ 800 Seminole Road I ra Atlantic Beach, Florida 32233-5445 ~~ .,, Phone (904) 247-5826 ~ Fax (904) 2 1-~'a84~_~,- _---_~ «~ufi ar E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Depart Date routed: APPLICATION REVIEW AND TRACKING FORM J ~ ~ ~ /~ ~~+~.~ ~Q~f ~, De artment review Property Address: / Building ~j ~ ~~1~~ ~~ Planning & Zoning Applicant: ./'r / ! Tree istrator ~l ~~~ 1 u . Project: Pu lic utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required 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: Reviewing Department (Circle one.) BUILDING PLANNING & ZONING TREE ADMIN. PUBLIC WORKS PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES First Review: Comments: ~~~ Yes I No APPLICATION STATUS Approved. ^Denied. ~. ~ Reviewed by: Second Review: QApproved as revised. ^Denied. Comments: Reviewed by Third Review: []Approved as revised. ^Denied. Comments: Reviewed by: Date: 7 ~ ~ 6 Date: Date: Revised 05!14109 Public Works Plan Review Coanments Date: '~ I g I ~d Project Name/Address: ~ ~ ~ ~ ~2ach I~~ Initials• Application Permit #: ~ p - D8S`~ CheckBoz Application Tracking Comments to Add: Comment 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 ^ ri ht-of-wa for construction arkin . Provide apre-construction topographic survey prepared by a Florida Licensed ^ Professional Land Surveyor, showin 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 ^ er Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ^ ro er construction will be re uired. 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 10' minimum from ~ street or drama e feature (swale, structure ar la oon). 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 of the cut. Repair must be ^ shown on the lans. 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 800 Seminole Road 904-247-5800 ='~. ~;;_»r Atlan`tilc B`e\ach, Florida 32233-5445 Fax 904-247-5845 DateUl~e- ~LP ~U~U PERMIT# Job Address ~ ! ~ ~ L ~I:C~Ch ~ ~/ ~ . ~ ISSUED BY THE CITY Permiee: ATB~T lfka BELLSOUTH TELECOMMUNICATIONS) Telephone # 904-7779052 ext 320 Permittee Address: 7666 BLANDING BLVD JACKSONVILLE FL. 32244 ATTN: Nicole Padron Requesting Permission to Construct: TELEPHONE CABLE ~ Job ~ Q3e~lJ g ~ ~ ~~ 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: (o - I t.'v " l0 Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes (X) No ( ) Date: /o - /!~ - /U Comcast Yes (X) No ( ) Date: (n - /(~ - /U 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 Signed`.~~t.(~. ~ Date: (l' - f ~v ` fv Before me this day of in t^he County of Duval, State Of Florida, has personally appeared ~~1~ is Y.+~tl'fL~rl Nota Public at Lar e, State of Florida, ount of Duval. ~_~ My commission exp res: r /~ ~ ~~tr~ y ,~' rsona y Known or Pro a entification: ~;AJ~ ~~., BARRY D. WOODS ~'r M`/ COMMISSION # DD 612233 ~~~$ BondediThES bry PubXc Usderwrltera Yy.. ,,~s ~i!.:ay;~« City of Atlantic Beach ; - - : Building Department ` ~ =jam 800 Seminole Road ~ y I ~ t j ~ Atlantic Beach, Florida 32233-5445 L ~' ~ `' ~ ~ ~ ~ I Phone (904) 247-5826 Fax (904) 247-5845 `~~J~3 ~~" E-mail; building-dept@coab.us ~~ _.. ` City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) Date routed: ~ APPLICATION REVIEW AND TRACKING FORM Property Address: / ~~ ~ /~~' CC%~'/~ !9/L, Applicant: ~ !~ ~~/~~d ~ Th Project: L l .> ~n~ 1 d De artment review re uired Yes No Building Planning & Zoning Tree ~nistrator u Public Utilities Public Safety Fire Services Review fee: $ _ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date 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: ~4PP1 IC~TI(~N STATI IC Reviewing Department First Review: pproved. ^Denied. (Circle one.) Comments: BUILDING ~' PLANNING & ZONING Reviewed by: (~ Date: 1 ~~ TREE ADMIN. Second Review: ^Approved as revised. ^Denied. PUBLIC WORKS Comments: --- . UBLIC UTILITI PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: Revised 05114/09 LOCATION SKETCH a r~ 17TH ST m 0 ~ . w -' WORK Z F 1637 LOCATION ~ w SEMINOLE RD ATLANTIC BLVD ~ Q M EXI S7 BURI E AT&T TO REMOVE AND RESTORE 75 SD FT OF CONCRETE DRIVEWAY IN ORDER TO MOVE EQUIPMENT TO NEW JEA POWER POLE IN ORDER FOR JEA 70 PULL THE OLD POLE CALL BEFORE YOU DIG SUNSHINE STATE ONE-CALL Of FLORIDA, INC. t-aeo-aBZ-a nm TWO FULL BUS. UAYS BEFORE YOU OIG IT IS THE CONTRACTORS RESPONSIBILITY TO CONTRGT UT(L/TY COMPANIES PRIOR TO ANY CONSTRUCTION AS THE LOCATION OF UTILITIES SHOWN ON TNIS PLAT ARE APPROXIMATE ANO POSSIBLY INCOMPLETE. THEREFORE LERTiF[CATfON TO THE LOCATION OF ALL UNDERGROUND UTiL1T1ES I$ WITHHELD. 6/!5/2010 6:03: 29 AM \ ~ / \ ?1715 45-3 ?009 ;P1715) r-1 ~-i n SYMBOL LEGEND Propa~ed Exlsting Diestirlpllar AERIAL CABLE ~-~ ' B BURIED CABLE ~~~~ ~ BJ BUR JOINT-TRENCH ~ Q BST POLE -~ POWER POLE --'~ --~ ANCHOR & GUY --f- PB --F- PB PUSH BRACE ~__ ENCLOSURE ~L...J z0 ENCLOSURE MANHOLE F'~-~'~ ~ -~ PIPE/CONDUIT -" CA-MKR ~ CABLE MARKER ~/'~-~` ~~~ AERIAL SVC WIRE '" ~ B ~ ~ - ` B ` - BURIED SVC WIRE ~' `&''~" - - -~'-' ` JOINT-TRENCH SVC -------- N/A BORE N/A CUT PAVEMENT I I L--- N/A SPLICING PIT 200'@(~T) N/A TRENCH LENQDEPTH A TTSE PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF CITY OF ATLANTIC BCH i71i BEACH AV Exchange: JAX BEACH Designer: L111ey,James Phone: 904-727-1558 Authorization; 03E68157N Dwg. I of I