Permit R/W 403 Atlantic 2011 44 = CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
j - ATLANTIC BEACH, FL 32233
c` �., 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.
"e" . CITY OF ATLANTIC BEACH
41fb � . . • CNSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
(� 904-247-5800
• • h , 800 Seminole Road Fax 904 - 247 -5845
Atlantic Beach, Florida 32233 -5445
Permit #
Date 8/30/11
Job Address 403 Atlantic Blvd Issued BY R \THE CITY -
Telephone # 904 - 380 - 6420_
Permiee: COMCAST
Permittee Address: 5934 Richard St, Jacksonville, I 32216
Requesting Permission to Construct: 152'Underground CATV facilities at403 Atlantic Blvd Node BE0531Project:403 Atlantic
B lv 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: WA/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 #: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 t 1 ��_
Signed: w -3- , •_ Date: art (
r
Before me this • '7 day of - 7 151- in the County of Duval,
State Of Florida, has .ersonally appeared /( /t (.414405
Notary Public at Large, State of Florida, County of Duval.
My commission expires: -
Personally Known:
Produced Identification: Teel% DONNA K.VILIARREAL
la d 14 MY COMMISSION # EE 002525
ei:-; J EXPIRES: June 20, 2014
R . ti,' Bonded Thru Notary Public Underwriters
/
rt' '`�ri City of Atlantic Be ach C (To be assigned by the Building Department.)
�s ;� Building Department r 8,p .f APPLICATION NUMBER
�, �,�
� s 800 Seminole Road "- 0
Atlantic Beach, Florida 32233 - 5445 +4��
Phone (904) 247 -5826 • Fax (904) 247='584,5 '9* //
"�fs E -mail: building-dept@coab.us
Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TACKING FORM
Property Address: 44 M Department review required Yes No
Pr o p Y Building
Planning & Zoning
Applicant: Tree Administrator
C 1 1a y blic W or
Project: �/ V Public Utilities
Public Safety
Fire Services
c -:w t 4 "'40$' „ 4.1f d ' ce o
Review or Receipt Date
Other Agency Review or Permit Required 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: [Approved. ❑
Denied.
(Circle one.) Comments: p W ksx%,
BUILDING p
PLANNING & ZONING Reviewed b : �''S Date: x // 2- 2/
PLAN Y
TREE ADMIN. Second Review: []Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by: Date:
FIRE SERVICES Third Review: [1]Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09