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2009 Seminole Rd (vault) CITY OF ATLANTIC BEACH SJ 800 SEMINOLE ROAD r� ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 03-00026530 Date 7/21/03 Property Address . . . . . . 2009 SEMINOLE RD Tenant nbr, name . . . . . . 16 FIXTURES/REPIPEF Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- GRAY, AMY ATLANTIC COAST PLUMBING & TILE 2009 SEMINOLE ROAD 323 9TH AVENUE NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 247-9845 (904) 249-5381 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 147 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 147 . 00 147 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 147 . 00 147 . 00 . 00 . 00 r 1 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH�PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL N CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Job Address: Owner of Property. ,7j?/ Y Plumbing Contractor: Contractor's Address:—, Telephone: Ftx: , L!�3 State License Number: How many of the following fixtures (re-piped or new): Sinks 'Showers Wator Llavatory water Heaters Hose Bib .—J -Bathtubs / —Dishwas:hers Sewer Urinals / _Disposals ----Other 27 -Closets /.--_Washing Machine Pails —..—Floor Drairis, __4__Re-Pipe (List tixtures being re-piped) I ('Minimum Total Fixtures: d x $7.00 + $3 (minimuni P,ri-nit Fee- $3 -00) Signature of Contractor: Installation of plumbing and fixtures must be in accordance with the most re:;cnt edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247-5821(i800 Seminole Read - Atlantic Beach, Florida 32233.F44 , Phone: (904)247-$800- Fax: (904) 247-5845 . http:/,,www.ci.atl:indc-hcach-fl.tic CITY OF 1st.�c �eac( - ��Cvci�a 800 SEMINOLE ROAD -- ---.- - ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 February 10 , 1998 Jackie Hiens 2009 Seminole Road Atlantic Beach, Fl 32233 Dear Mr. Mens: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Re: 2009 Seminole Road aka: Unit 200, Seminole Dunes Condominiums RE: 169723-0020 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 16, Section 16-3 (b). All garbage, trash or other discarded items for pick-up by sanitation must be placed in recepticales in front of your home at Seminole Road. You are hereby notified that unless the conditions above described are remedied with 24 hours from the date of your receipt hereof this case will be turned over to the Code Enforcement Board. Under Florida Statues 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/gah cc: Public Safety Director Jim Deming via Certified Mail cec: 7260 A-i�� - R vo o C' f ff� CITY OF ATLANTIC BEACH v 800 SEMINOLE ROAD s� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Q)j 11 Application Number . . . . . 09-00001388 Date 10/07/09 Property Address . . . . . . 2009 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 ---------------------------------------------------------------------------- Application desc RE ROOF FL 5444 .4 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GRAY, AMELIA COWFORD ROOFING, INC. 2009 SEMINOLE ROAD 2037 GILMORE ST ATLANTIC BEACH FL 32233 STE 300 JACKSONVILLE FL 32204 (904) 626-9534 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . RE ROOF FL 5444 .4 Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4000 Expiration Date . . 4/05/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1 •15.:1,1 f• CITY OF ATLANTIC BEACH oe_ iI F7I - fi 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 •7 I I I 1 {I t OFFICE:(904)247-5826•FAX NO.:(904)247-5845 _ BUILDING-DEPT@COAB.US its BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SQ.Fr.UNDER ROOF 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: Y`oc> ! 6q L/ , L 11REPAIR ❑POOL/SPA ❑YES /A P(./ Z `-'1 ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: Coorrekp 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: / 17.STATE OF FLORI A LICE N E NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.AD RES C 26.ADDRESS: � �� L 32Z�I17 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: (v2n� 3q I 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: (IF OTHER THAN OWNER) BONDING COMPANY: MORTGAGE LENDER: 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: r YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONT OR (If Agent,Power of Attorney or Agency Letter Required) (Quay y) Signed: 1 Date: 001 �0 �� Signed: r/ I _ Date:6o Before me this�day of b 2009 in the county of Before me this / ` day of 0G h� 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared 0- r'[42=!j 57 . 6.e-Z(-c,rd herin by himself hersel and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. '' true and accurate. Notary Public at Large,State of F,County of_ Notary Public at Large,State of moo" /d 6L,County of �Gc✓a / Personally Known 1 ❑lPonally Known QL� ❑Produced Idents _ Produced Identification- 7-1"3 Notary Signature: ®��' otary Signature: `Commission#DDS01293 Expires: DEC. 21 2009 " .°:�iri ,; DONNA LBARTLE�. Bonded T}wu Atlantic Bonding Co.,Inc . ' MYCOMMIS80tDD85s526 EXPIRES:March 30,2.0°.3 I BLDG01 Permit Application Bldg:REVISED:12/18/2008 Bonded Thru Notary Public U�:len�-IIVS FEB-18-2001 06:33 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE Portrait No. Tax FoAa N State of_ l i �'. d�� County of To whom it may conoem: The undersigned horoby informs you that improvements will be mado to certain real property,and in accordance with Section 719 of the Florida SteRutus,the following information is stated In this NOT1cE OF COMMENCEMENT. . Legal description of property being improved: 6bKvy� OM IAbilln Address of property being improved: 96617 .Vfyl(Wt & 9D A7UA/-r,(6 661VU—PL. General description of improvomants: OF, Owner / of a(,-4 Address or 0 0 f S 1414 L Fi RD Owner's irftmst in site of the Improvement Fee Simple Titleholder(I other than owner) N Address ontractor CLjkl oeJ� Roo ptWF G. Address S;�24 5�7v� �� Phone No_ !2c &2L-5L Fax No. Surety Of any) C2 Address Amount of bond$ Phone No. Fax No. Name and aWress of any person making a loan for the oonstruaron of the Improvements. Nama hir?ltiA— Address Phone No, Fax No. Name of person within the Stade of Florida,other then himself,designated by owner upon whom noUms or other documerIts may be served: ` Name (�Ov,,-C— Address Phone No. Fax No. In addition to Nrnsetf,owner designates the following person to receive a copy of the tJenor's Notice as provided in Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option). Name nn L,--4- Address Phone No Fax No. Expiration date of Notice of Commenoement(the expiration date is one(1)year from the date QT recording unless a different date is specIfcd): THIS SPACE FOR RECORDER'S USE ONLY OWNER -- --- 9eaae me this say of in dw P yrD ra orrTasds h%m-r:o�Qyappeared M "OF?LOMA {jbC A 2(x19[4_205.UF't 8K f OlJ „ age 1306. RMD►r (rf'o�1 HQ�nmY�UC'•g� Number Pages:t Mmeo�C49 ae(panC etrmr aA zt kxncrrt:and dedaratb lees Tamm L. Casaus M Recowd 10/0P2000,at 02:03 P , ar'vve s -S�^« Qzrjr s or#DD501293 JIM FULLER CLERK CIRCUIT COURT DU'VAL COUNTY ^n Expires: DEC. 21. 2009 PECOROING$10.00 ( W it " Bonded Tbgu ALlimdc Hondkig Co.,tna N layry"V�Dric at LaStato of �� C amty of --v1` 111 r rv-+ 91 0 �r Pro H nar�tlon CITY OF ATLANTIC BEACH r J 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 r1,319�' Application Number . . . . . 09-00001402 Date 10/12/09 Property Address . . . . . . 2133 SEMINOLE RD UNIT 006 Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 condnsr 3 . 5 ton / 1 air handler 42K ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- NASLUND, DAG WAYCHOFFS AIR CONDITIONING 2133 SEMINOLE #06 9539 103RD ST #46 ATLANTIC BEACH FL 32233 AND HEATING JACKSONVILLE FL 32210 (904) 838-9052 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . 1 CONDSR / 1 AH Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/10/10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. hIi:R Cai�F} �,i:Lts�iJ1�T` hTi�+iFIE;R� , Citv of atlantic Beach *** CUMCT,'ER R1MM *** Our: BR-3HLEY ivoe. +1C Orawer: 1 Date: 10/12/09 K " Receiut no: 23% Description auantity adount 2W9 IQ? BP BUILDING PERMI(5 1. �$8i. � Tender detail $87.0 CC C*DIT CORD Q7.02 Total tendered S87.4B Total oaveent Trans date: 10112IN Tine: 12::12:41 Oct. 12. 2009 12:26PM WAYCHOFF'S AC No. 7333 P. 1 CITY OF ATILANTaC BEACH Date: / i oL 0 c Property Address: 2 d (U ®weer: Telephone#: '�b 1 Contrsac7or: l Telephone Contractor Address: F ��xt ��• �aaS 1 Contractor Signature: arab a to erPorm said work in accordaacc 1001, considarntion oY pane given for doing tiro work ns described in Ilm aboVe stAtement. Y with tha attached pines and specifications which ar3 a pan haraorand in accordance with the City OYAtlantic Beach ordinances and star,dnrds Of ood ractice lictad tttaraia. If other construction is bio done on chis buildutg Type of lKeatarg Fuel: or site,list the buildulo permit number: Electric a Gas: —LP — Natural Central Utility ❑ Oil d Other-S eeiry MECHANICAL F.(�CllllpM ENT TO BE INSTALLED 1�AT[Jl�OF WORK ae— geat _Space _Recessed _✓n(ial _Floor uK-1krsidential lAir Conditiolung' Rooln �eatlrtl ❑ Commercial ❑ Duct System: MWI%J,_ Tbrckness Maxirnuin capacity cfm El New$tritdlrtg ❑ Refi[igeration O Cooling Towel,Capacity gpin ❑ 1 �cjsting Building ❑ Fire Sprinklers'Nilmber of Meads lunber) q/lZeplacemeut of Existing System a Elevator: _- Manlift Fsc*tor ((Number) o Gasoline Pumps (Nluuber) ❑ New histellatiorl ❑ Tanks (Number) (No system przvionsly installed) ❑ LPG Coutaintrs C7 ()nfired Pressure Vessel ❑ FXtell810u or Add-on to Existing System t7 $oilers p Other•Specify ❑ Gras pipes U Other-Spmit - LIST ALL EQMMENT Apprm•ing AIR COTdDITIOMNCr,RETRIGERATION EQU&NI 6NT Bc CONDENSOR danufactttrer Ton's Agmicy )Number Units Dasctipdon model& Approving Number Units P kiLTATING—FURNACES,ROILF.Rs,rMEPLACLrS&AIR HANDLER'S\4anufxeturar BTU's provin Descri tion Model# � . 1 � Scriol Approving TANKS pioninal C."6tY Typc Liquid Car No. Agenc Contained Manufacturer ' lioK�i4tau do J)inrn5iorts �D-80 Semiad o Atlantic Seach,Florida 32233-5445 i .) Pbone: (904)247-5800 O h8.T3 (904)247-5045 o htk�):/h .ci.Atl): Antic-beach.il.us Revised 1104 Oct. 12. 2009 12:43PM WAYCHOFF S AC No. 7334 P. 1 1 T This combination qualifies for a Federal Energy D. Efficiency Tax Credit when placed in service CERTIFIE - between Feb 17,2009 and Dec 31,2010. Cert#0fic-'ate of Produc!'!�tings _._ AHRI QedWec-Refer�en,ca-Numbier:_35-1.4.635—.—.._Date:1.0/1�/ 09..—_-.— --- — — — -- Product: Split System: Heat Pump with Remote Outdoor Unit_- ' ource Outdoor Unit MoidalNu 4TIZUM 4420 Indoor Unit Model Number: 4TEW5561 Manufacturer:TRANE Trade/Brand name:X915 WEATHERTRON Manufacturer responsible for the rating of this system combination Is TRANE Rated as follows to accordance with AHRI Standard 210/240-2006 for Unitary Air-Conditioning and Alr-Source Heat Pump Equipment and subject to verification of rating accuracy by AHR"ponsoredr independent,third party testing: Cooling Capacity(Btuh): 44000 EER Rating(Cooling): 12.50 SEER Rating (Cooling): 15.25 Heating Capacity(Btuh)@ 47 F: 42000 Region IV HSPF Rating(Heating): 9.25 Heating Capacity(Btuh)@ 17 F: 27200 A'following a rating Indicates a voluntary rerste of previously published data,unless a000mpanled with a WAS which Indicates an Involuntary rerale. DISCLAIMER AHRI does not endorse the product(&)listed on This Ccr4licate and makes no representations,warranties or guarantees as to,and saaumes no responsibirny for, Me products)listed on this Certificate.AHRI expressly dlsrfalms all liability for damages of any Idnd arising out of the use or performance of the produci(s),or the unauthorized alteration of data listed on this Certificate Certified ratings are valid only for models and configuretlons listed in the directory at www.anddlredory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products orAHRI.This Certificate shelf only be used for individual,personal end confidential reference puryosea The eontenis of this Certificate may not,in whole ar in part,be reproduced:copied:dissominsled,entered Into a computer databasa.or otherwise utdi2ad,In any form or manner or by any means,except For the user's individual,personal and confidential reference. CERTIFICATE VERIFICATION � Healing,an ping, Healing,and The information for the model tiled on this certificate can be verified at www,ahridircctory.org,dick on ON tL Refrigeralion Inifilvle 'verily Certificela'link and enter the AHRI Certified Reference Number and the date on which the certificate Wtla issued,which is listed above,and the CeNlleale No.,which is fisted below. 2009 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 12899822736395.0909 J3 CITY OF ATLANTIC BEACH s f 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 Application Number . . . . 09-00001888 Date 11/23/09 Property Address . . . . . . 1637 SEMINOLE RD Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------- Application desc att telephone line --------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BELL SOUTH TELECOMMUNICATIONS PER M GRIFFIN 5/15/08 NO LIC INSURANCE REQUIRED ATLANTIC BEACH FL 32233 (904) 256-3182 ------------------------------------------------ Permit . . . . . . DRIVEWAY PERMIT Additional desc . Permit Fee . 00 Plan Check Fee . 00 Issue Date . . . . 11/23/09 Valuation 0 Expiration Date . . 5/23/10 ---------------------------------------------- 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 . ---------------------------------------------------------------------------- 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. cuoGtfrs CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 1. n 800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date November 10 2009 PERMIT# ISSUED BY THE CITY Job Address 1637 Seminole Rd Permitee: AT&T (fka BELLSOUTH TELECOMMUNICATIONS) Telephone# 904-7779052 ext 233 Permittee Address: 7666 BLANDING BLVD JACKSONVILLE FL. 32244 ATTN: MALLORY WOLTERS Requesting Permission to Construct: TELEPHONE CABLE Job#03E68016N Location: (Reference to Cross-Street) Country Club Lane and Seminole 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: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( X) No ( ) Date: Comcast Yes ( X) 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 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 [Ju0 Signed: Pul Before me this daY of u State Of Florida, has personally appeared Notary Public at Large,State of Florida,County of Duval. FIL My commission expires: Copy Personally Known: or Produced Identification: Mallory Wolters Truevance T:904.777.9052 x 233 _ at&t Permit Coordinator 7666 Blanding Blvd F:904.777.9514 Jacksonville,FL.32244 emwolters@truevance.com Date: November 10,2009 RE: (03E68016N) To Utilities in Proposed Work Area: This is to advise that BellSouth Telecommunications will be performing work as indicated on the attached job order. Please advise if you have any objections to the work as proposed. For additional information you may contact Mallory Wolters at 904-777- 9052 x 233. JEA-Permits Distribution Eng.,4t'Floor 21 W. Church Street Jacksonville,Fl. 32202 Ferrell Gas 922 9TH St. South Jax Beach, FL. 32250 Comcast Cable 5934 Richard St. Jacksonville, Fl. 32216-5967 Attachment(s)