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403 Atlantic Blvd 2011 CATV Comcast CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 904-247-5800 800 Seminole Road Fax 904-247-5845 Atlantic Beach,Florida 32233-5445 Date 8/30/11 Permit# Job Address 403 Atlantic Blvd Issued BY R\THE CITY - Permitee: COMCAST Telephone#904-380-6420_ Permittee Address: 5934 Richard St,Jacksonville, FL 32216--------------------------- Requesting Permission to Construct. 152' Underground CATV facilities at403 Atlantic Blvd Node BE0531Project .403 Atlantic 8 Iv d ------------------------------------------------------------------------------------------------- Location: (Reference to Cross-Street) Sherry Dr near Atlantic Blvd------------ 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: R 0n/11 Bell South Telephone Company Yes(X No ( ) Date: 8/30/11 Tecol Gas Yes( No ( ) Date: 8/30/11 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 JTim Solomon(Contractor's Project Superintendent) located at 5934 Richard St, Jax, FL 32216 Telephone 4:904-626-2092 _ 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 Signed: Date: =`1a-1 r Before me this day of in the Count of Duval, State Of Florida,has ersonally appeared /aF/�%t 2 _ Notary Public at Large,State of Florida,County of Duval. My commission expires: _ Personally Known: Produced Identification: VILLA MY COMMISSONA EE 002525 EXPIRES:June 20,2014 Bonded Thru Notary Public Underwriters CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J =" ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002598 Date 9/13/11 Property Address . . . . . . 403 ATLANTIC BLVD Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc CATV ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAMBERT, JOSEPH OWNER 314 PLAZA ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . RIGHT OF WAY PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 9/13/11 Valuation . . . . 0 Expiration Date . . 3/12/12 ---------------------------------------------------------------------------- Special Notes and Comments Full right-of-way restoration, including sod, is required. Protect all catch basins within this area. ---------------------------------------------------------------------------- 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.