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Permit 1211 Plaza Comcast CATV 2011 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 777", ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 11-00001556 Date 1/24/11 Property Address . . . . . . 1211 PLAZA Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc CATV ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COMCAST COMMUNICATIONS 5934 RICHARD ST JACKSONVILLE FL 32216 (904) 380-6423 ---------------------------------------------------------------------------- Permit UTILITIES PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 1/24/11 Valuation . . . . 0 Expiration Date . . 1/24/11 ---------------------------------------------------------------------------- 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 . Avoid storm sewer on south side of Plaza Drive . ---------------------------------------------------------------------------- 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 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 Date 1/10/11 i-L I� P �Y- Penn it# Jou muuless -W-1--riaza Ul Issueu 0 T M%1 r1r_t1l I T Permitee: COMCAST Telephone#904-380-6420_ Permittee Address:5934 Richard St,Jacksonville, I-L 32-216--------------------------- Requesting Permission to Construct: 184' Underground CATV facilities at 1211 Plaza Dr Node BE042/Project 1195 Plaza Ln ------------------------------------------------------------------------------------------------- Location: (Reference to Cross-Street) Atlantic and Pine ------------ 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(X No Date: 1/10/11 Tecol Gas Yes( No Date: -------1/10/11--- Com cast Yes( No Date: ----------------- 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 Tim Solomon(Contractor's Project Superintendent) located at 5934 Richard St,Jax, FL 32216 Telephone#:904-626-2092 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. Calculations showing any increase in irrivervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 30 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: - &K L=.A —Date: Before me, da f Duval, ,y of '=_7,- in the County State Of Florida,has personally appeared Notary Public at Large,State of Florida,,County of Duval. My commission expires: )�I i f ,*I 1�� Personally Known: V' - or Produced Identification: WNN K_VI MYCOMMISSIO....— 'PIRES-june 20.2014 EX Bonded Thru N;ia�Public undr!!e� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 41 Phone(904)247-5826 - Fax(904)247. 140, !J' E-mail: building-dept@coab.us 7/ Date routed: III-LZ City web-site: hftp://www.coab.us APPLICATION REVIEW A D ACKING FORM Iroperty Address: 21 4;_ Department review required Yes No Building kpplicant: A-'y T) Planning &Zoning Tree Administrator 3'roject: Public Works ic Utilities Public Safety Fire Services Review fee, Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: Q�Approved. []Denied. (Circle one.) Copnents- ptft_ BUILDING A VO-) 4-2A PLANNING &ZONING Reviewed by: Date: 'h')l TREE ADMIN. Second Review: F�Approved as revised. DDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]APproved as revised. F�Denied. Comments: Reviewed by: Date: Revised 05/14109 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 ,r E-mail: building-dept@coab.us Date routed: z City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2- Department review required Yes No Building Applicant: �Ty)l /1 '9 Planning &Zoning Tree Administrator —Y Project: .,'-�7PGblic Utilities,.:,> �_u__blic Sii6ty Fire Services 7�1 'b.............I..... W -i Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: YApproved. FDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: FlApproved as revised. FDenied. P Comments: L U ILIT S TILIT Reviewed by: Date: PUBLIC SAFE FIRE SERVICES Third Review: ElApproved as revised. F]Denied. Comments: Reviewed by: Date: Revised 05/14/09