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Permit 349 W Dutton Island Rd is y CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 a: Application Number . . . . . 09-00001162 Date 8/21/09 Property Address . . . . . . 349 W DUTTON ISLAND 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 (9 04) 256-3182 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 8/21/09 Valuation . . . . 0 Expiration Date . . 2/18/10 ---------------------------------------------------------------------------- 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 . Complete right-of-way restoration, including sod, is required. Erosion control measures required. Significant portion of work in COJ limits (north of Dutton Island Road) . Separate COJ permit required. ---------------------------------------------------------------------------- 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 s Building Department (To be assigned by the Building Department.) /-,t,,1,7 ,� �� a'� Ys 800 Seminole Road 4R, Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) ��~ E-mail: building-dept@coab.us Date routed: / Q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant: �� Planning &Zoning Tree Administrator Project: bon r � Public Works L is 'litie ublic Safety Fire Services „ - t Revlew, g r De tp„, i nature' 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: is.� �t �..)- 11--c��.. �1� �t' � BUILDING / S YQ 1►•V� PLANNING &ZONING p vie ed by: Date: V-1 G� 1 TREE ADMIN. Second Review: ❑Approved as revised. rDenied. PUBLIC WORKS Comments: �lshIT7CG �1�. (ookk I �. U , 'All PUBLIC UTILITIES 1, W tvt S�Rrww%)t CO's PR>1'y" I PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 y of Atlantic Beach / APPLICATION NUMBER Cit Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-544 , Phone(904)247-5826 Fax(904)2 845 �� E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW A TRACKING FORM Property Address: L14 /`� �� / Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: �. � Public s is litie ublic Safety Fire Services f 1+ r " Sa1;t ;a' dr pe� fgt�� ur 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 by: Date: ., TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBL OR S Comments: BL U I IT PUBL SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [—]Denied. Comments: Reviewed by: Date: Revised 05/14/09 DILLARD'' 6"pvc water main J U w 1 U i 8"pvc sewer main 8"pvc sewer main J - -- - - ----- ---- ----- 6"pvc water main .. a rrrrrrrrrrrr rrrrrrrrrrrr rr rrr � �Brrrrrrrrrrrrsrrrrrrrrrrrrrrrrrrrrarrr- rrrrrrrrr rrrrrrrrrrrrrrr®rrr 24"outfall line E24-outfall line 6"pvc water main DUDL Y 24"outfall line ................--------------------------- ---- --------------------------------- �t+ , +8------- -------- --- -� Y6:'Pvc water main 6"pvc water main 8"pvc sewer main 6"pvc water main 8"pvc sewer main 6"pvc water main 8"pvc sewer main UUMLY -- 6"pvc water main r16er main w a z d 6"pvc water main UTTONISLAND 24"outfall line 6"pvc water main 8"pvc sewer main -- ----- - --` 8"pvc force main 8"ci water main 8"pvc sewer main 6"pvc water main O a 6"pvc water main 8"pvc sewer main 6"pvc water ma 6" pvc water main 6" pvc water main 8" pvc sewer main 6"pvc water main ---— --- 8"pvc sewer main 6" pvc water main 8"pvc sewer main $"pvc sewer main BERT- _-- ------------ 4"sewer force main 6"pvc water main 6"pvc water main 8"sewer main —) o ui worker r r railr 8"pvc sewer mai 6"pvc water main lain 8"pvc sewer main 6"pvc water ma 6"pvc water main . ---- -- Ll Lpvc water main 8"pvc sewer main L!Lp�vcsewermain �Rq 8"pvc sewer main 6"vc sewer main 6"pvc water main 8"pvc sewer main 6"pvc water main 10"vc sewer main - - 6"pvc water mainsewer main 6"ci water main 6"pvc water main 8"sewer main -- STANLEY--- - __.e_—._... 6"pvc water main U LU 8"pvc sewer main w 6" v w 8"pvc sewer main p c water main ------a--a-as---a-s-sr--r�� ...... ------- �� .��a.�� ------use - -d"v.QW.ISLAWQ.- �--s----a��a��aa., Nj " 6" vc water sewer main main 24"outfall line $"pvc sewer main ,f 6"pvc water main - 24"outfall line - - - - ----— - - DUDL Y - 6 - ------ ------ "water main 8"pvc sewer main STEWART 6"pvc water main W pvc se=main 7i7N8"pvc sewer main ___ „r main N. ..�... ........ i . 8”pvc sewer main --' 6"pvc water main 24"outfall line DUDL Y i� 8"pvc sewer main WART 6"pvc water main main ------------ 8"pvc sewer main I J ui -- -- -'. Q 6"pvc water main - -- -- 6"pvc water ma 8"pvc sewer main 8"pvc sewer m 8"pvc sewer main 4"sewer force 6" pvc water main 8"pvc sewer main water main y 8"pvc sewer main - _. 4"pvc water main ---- 8" pvc water main -- ;saliasrd clear 8"pvc sewer main a ------------ fn 6"pvc water main 't 6"pvc water main 8"pvc sewer main 8"pvc sewer main 8" pvc water main -- __ 6"pvc wa w -- W 8"pvc sewer ma -- -- -- > _ 8„ w Y 24 _ 1:]6"water main _ STE - * i 8"pvc;sewer mai► r4>a1ar�' CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 V1» Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date_J U O u 99, a 009 [PERMIT# ISS Job Address ,3119 D upon T'S l and DK UED 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 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: 7 -09-69 Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes (X) No ( ) Date: 7.09.09 Comcast Yes (X) No ( ) Date: -7• 09 - 01 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 �e Signed`.(`L4�C f Q CLr%,e Y-, Date: 7 -09 Before me this day of in the County of Duval, State Of Florida,has personally appeared t�f,comic Y��Q1zar� Notary Public at Large,State of Florida,County of Duval. My commission expires: 1 /aoly , �N r• >��--� rsona y Known- or Pro u e entification: •tiY BARRY G.WOODS yaz MY COMMISSION#DD 612233 s� EXPIRES:November 6,2010 "' P( ,•• Bonded Thru Notary Public Underwriters