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1565 Beach Ave CATV 2015 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ROW-337 Job Type: RIGHT-OF-WAY PERMIT Description: CATV Estimated Value: Issue Date: 2/20/2015 Expiration Date: 8/19/2015 PROPERTY ADDRESS: Address: 1565 BEACH AVE RE Number: 170312-0000 PROPERTY OWNER: Name: PETWAY IV, THOMAS F & LINDSEY, Address: 1911 BEACH AVE PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: Any damage to the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the plans. Full right-of-way restoration, including 3od, is required. 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 sewer main and lateral(s) in right-of-way. See attached map. FEES: Total Payments: $0.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. February 10, 2015 City of Atlantic Beach 800 Seminole Rd Atlantic Beach, FL 32233 To Whom It May Concern: I am writing to inform you that Comcast Communications is proposing to install 85' underground CATV as shown on the attached plans. Please review the attached drawings and information to provide an approved permit. If any additional information is needed, please advise. I may be contacted as shown below. Thank you. Billie Lentes Authorized Agent of Comcast Cable Lentes Design, Inc. Special Projects Manager 4550 Palmetto Cove Ln Jacksonville FL 32258 (904)-730-0068-W/F (904)-651-7642-C lentesdesign@comcast.net EL -lk� C3 I m 15 �ktAli rrZWL11_ . 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 2/10/15 Permit= Job Address 1565 Beach Ave Telephone#904-626-2092 Permitee: COMCAST Permittee Address: 59:34 Richard bt,Jacksonville, FL :32216--------------------------- Requesting Permission to Construct15' U nderground CATV facilities at 1565 Beach Ave Node BE041/Project 1565 Beach Ave -- ------------ Location: (Reference to Cross-Street) Beach Ave and 16 m St 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: 9/10/1� Bell South Telephone Company Yes (X No ( ) Date: 2/10/15 Tecol Gas Yes ( No ( ) Date: 2/10/15--------- 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 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 ny increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. ctual construction in good faith with 30 days. Ifthe beginning date is 7. This permittee shall commence a 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 tJ- signed: —Date: Before me this day of I in the County of Duval, State Of Florida,has personally ap eared �, , ,�_Ll_1-1 k�� - Notary Public at Large,State of Florida,County of Duval. my commission expires: r Personally Known:_ Produced Identification: My cOMMISSION#FF 104937 EXPIRES:June 20,2018 Bonded Thru Notary PtiblicUnderwdters 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 2/10/15 Permiti: Job Address 1565 Beach Ave Telephone#904-626-2092 Permitee: COMCAST— Permittee Address: 5934 Richard bt,Jacksonville, F-L 32216--------------------------- Requesting Perm ission to Constructi85' Underground CATV fa c litie s a t 15 6 5 B e a c h A v e N o d e B E 0 4 1 IP to je c t 15 6 5 B e a c h A v e ------------------------------------------------------------------------------------------------- Location: (Reference to Cross-Street) Beach Ave and 16 n St ------------ 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: ?/110/1� Bell South Telephone Company Yes(X No ( ) Date: 2/10/15 Tecol Gas Yes ( No ( ) Date: 2/10/15--------- 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. e notified twenty-four(24) hours prior to starting work and again immediately 9. The Director of Public Works shall b upon completion. OWNER bigned: —Date: Before me this day of -'5 in the County of Duval, State Of Florida,has personally appeared ) T,�.%\, > — Notary Public at Large,State of Florida,County of Duval. my commission expires: or EAL Produced Identification: y issioN#FF 104937 MY Z*: 20,2018 E IRES:JUne Bond Th,u tary PublcUnderwl�er5 City of Atlantic Beach APPLICATION NUMBER CEIVED Building Department (To be assigned by the Building Department.) 800 Seminole Road -5445 Atlantic Beach, Florida 32233 FEB I Phone(904) 247-5826 - Fax(C-104) 47-5845 E-rnai[ building-dept@coab.us 4y; Date routed: City web-site: http://\&fww.coaD.US APPLICATION REVIEW AND TRACKING FORM Property Address: 1#�V.;�.Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: u b I Lli.lc—Wo 20 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: f�J_Approved. ODenied. (Circle one.) Comments: orr7�e4+4?0 BUILDING PLANNING&ZONING Date: Reviewed by: 2LI-7 TREE ADMIN. Second Review: DApproved as revised- DIDenied. A LI W KS ornments: ; PUBLIC UTILITIES 4P,in,11 PUBLIC 8-AFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach APPLICATION NUMBER WC Building Department ID (To be assigned by the Building Department.) 800 Seminole Road A pJ FE8 13 2015 Atlantic Beach, Florida 32233-5445 3-37 Phone(904) 247-5826 - Fax(904)2 E-mail: building-dept@coab.us Date routed City web-site: http://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: A,811 I�Vj.Department review required Yes No 0 Building Applicant: ryn L Planning &Zoning Tree Administrator Project: —1 ic Works 3 Public UatetF 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: R2/Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by.- Date: 7-11j TREE ADMIN. Second Review: FlApproved as revised. F-]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. OlDenied. Comments: Reviewed by: Date: Revised 07127/10