Permit 74 W 4th St 2011 Comcast CITY OF ATLANTIC BEACH
a s)
800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
" INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001713 Date 3/01/11
Property Address . . . . . . 74 4TH ST
Tenant nbr, name . . . . . . 74 RIGHT OF WAY
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
COMCAST
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Owner Contractor
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COMCAST COMMUNICATIONS
5934 RICHARD ST
JACKSONVILLE FL 32216
(904) 380-6423
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Permit . . . . . . UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 3/01/11 Valuation . . . . 0
Expiration Date . . 3/01/11
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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 .
Note address correction: 74 W. 4th St.
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Fee summary Charged Paid Credited Due
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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
i� 800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
Date 1/10/11 Permit#
JOU AOuress I,+-+ At I55ueu D T M I r7C l.1 I T
Permitee: COMCAST Telephone#904-380-6420_
Permittee Address:5934 Richard St,Jacksonville, FL 32216---------------------------
Requesting Permission to Construct: 118' Underground CATV facilities at 74 4-St NodeBE039/Project 310MayportRd
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Location: (Reference to Cross-Street) Royal Palms Dr and Penman 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: 9/1011
Bell South Telephone Company Yes(X No ( ) Date: 2/16/11
Tecol Gas Yes( No ( ) Date: -------2/16/11---
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 impervious 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.
OWN�R �J.Xx-+
Signed: - Date: 1 I JOBSITE COPY
Before me this t day of \• _ ih h�County of Duval,
State Of Florida,has personally appeared � � = n L _
Notary Public at Large,State of Florida,County of Duval.
My commission expires:
Personally Known: or
Produced Identification: DONNA C.VILIARREAL
w; MY COMMISSION#EE 002525
EXPIRES:June 20,2014
j Bonded Thru Notary Public Underwriters
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