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Permit Sailfish Drive R/wCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000880 Date 7/22/10 Property Address SAILFISH DR 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 S/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 7/22/10 Valuation 0 Expiration Date ------ - 1/19/11 - --------------- 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. ,. ,* ' ~,`;~ rr'"i'~~~ City of Atlantic Beach ~°`~~~; . }~,., ~~~ Building Departrnent - `~~/~ `~ t j 800 Seminole Road ~'~ ' 1 r~~~~' ; - °"'`~~~° ~' Atlantic Beach, Florida 32233-5445 ~~~ ,, Q ~Q. '" `~ . Phone (904) 247-5828 Fax (904) 2 5 fit] "~• "~~,tl~'" '' E-mail: building-dept@coab.us `'. City web-site: http://vuww.coab.us APPLICATION .NUMBER (To be assigne}d by the Building Department.) 1 ~ ~ ~~~ Date routed: ,_T/ y~f~ APPLICATION REVIEW ANt~ TRACKING FORM Property Address: ~ ~ Applicant: ~ ~ ~,c Project: Review fee $ De ctment review re uired Yes No Building Planning & Zoning Tree inistrator ubiic Works is t.Ftr~tie5 Public afety Fire Services __ 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: APPLICATION STATUS Reviewing Department First Review; pproved. ^Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: !~f ~' ~ TREE ADMIN. Second Review: []Approved as revised. Denied. p W Comments: f t S '~' /e PU LIC AFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ^Denied. Comments: Reviewed by: Date: Revised 05/14/09 ;~. `~, ,.~ ~ ~ ,, .,,. ,1rjJ1 City of Atlantic Beach ~~' ~~ `~ . ~ APPLICATION NUMBER ;~ Building Department ~ ~ ~, (To be assigned by the Building. Department.) ~ ;ty ,~ r 800 Seminole Road Atlantic Beach, Florida 32233-5445 ~, ~` ,;, ~~ `" ~p/u .~; /~ -- /( ~ f~~ (904) 5826 Fa 247 904 h 247-5845 '"*~ "~!~tt v~ x - ) one ( P E-mail: building-dept@coab.us q Date routed: City web-site: http://www.coab.us `;;;` _ ~, , APPLICATION REVIEW AND TRACKING FORM Property Address: ~ -~ Applicant: ~~~ j,>r7J~'1 Project: Review fee $ De artment review required Yes No Building Planning 8~ Zoning Tree inistrator ublic Works P is Utilities Public afety Fire Services 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: APPLICATION STATUS Reviewing Department First Review: Approved. _ ^Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Dater ~ 4 TREE ADMIN. Second Review: ^Approved as revised. ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: Revised 05/14/09 Public Works Plan Review Comments Date: ~' ~ ~ I lQ Initials• ./~ Project NamelAddress: ~~-~ `~ S~ ~~ ~ Application Permit #: ~~'~~~~ ~~ CheckBog 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 draina e feature (swale, structure or 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 iii Y 800 Seminole Road 904-247-5800 ~~ ~ ~r}'r Atlanti/clBeach, Florida 32233-5445 Fax 904-247-5845 Date~,y~ u~ I ~, ~O ~V PERMIT # ISSUED BY THE CITY Job Address .5ai tfish ~br .~ Permiee: ATBT (fka BELLSOUTH TELECOMM UNICATI NSA Telephone # 904-7779052 ext 320 Permittee Address: 7666 BLANDING BLVD JACKS ONVILLE FL 32244 ATTN~ Nicole Padron Requesting Permission to Construct: TELEPHONE CABLE AT '~ T ~' J,~e ~ SOUyn 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 ail 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: 7 - /3" /D Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes (X) No ( ) Date: •7 _ /3 " Comcast Yes (X) No ( ) Date: 7 - /3 - ~- 2. Whenever necessary for the constn-ction, 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. Alf 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 ,,,,QQ,_ 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 __ ee- p SignedV[~?'C4 1 Q.dl~.ef-rti Date: 7-i3-~o Beforo me this day of in the County of Duval, State Of Florida, has personally appeared jlJ, ~.;~ r~s~t.n Notary Public at Large, Stats of Fbrida, ounty of Duval. commies' nsxpiros: ~l~b~Zi/A ~~y ~G..>~r-Lc._..-.~ rsona now ~ or Pr J~ion: BARRY Q W000$ tr1Y COI~IIS310N ! 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