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683 STURDIVANT A.T.&T. PERMIT y CITY OF ATLANTIC BEACH j 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 ]OB INFORMATION: Job ID: 15-ROW-678 Job Type: RIGHT-OF-WAY PERMIT Description: OPTIC CABLE Estimated Value: Issue Date: 4/22/2015 Expiration Date: 10/19/2015 PROPERTY ADDRESS: Address: 683 STURDIVANT AVE RE Number: 170612-0500 PROPERTY OWNER: Name: Address: GENERAL CONTRACTOR INFORMATION: Name: AT&T Address: Phone: - - PERMIT INFORMATION: PUBLIC WORKS: Place conduit on Seminole minimum of 48" depth between bores. FEES: Fence/ROW $0.00 Total Payments: $0.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITV OF ATLANTIC' BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PUBLIC WORKS PLAN REVIEW COMMENTS Date: 3 p)-3' ��� Application Permit#: Project Name/Address: ZO 0 3 STIP d l da v z3-4. Check Box to Application Tracking Comments select CORRECTION ITEMS: CSMP Provide construction site management plan, including location of dumpster and portable toilet. Right- of-Way Permit is required if using right-of-way for construction parking. ❑ DPLN Provide drainage plans showing site topography(flow arrows, etc.) ESCP Provide erosion and sediment control plans with installation details. ❑ IMPS Provide impervious surface calculations for entire lot(existing and post construction). ❑ ection 24-66(b) of the Land Development Regulations requires on-site storage for increased run-off if LDCS adding 400 SF or more impervious surface. Provide Delta volume calculations and on-site retention ❑ required per Section 24-66(b). (See attached information sheet.) MEET Recommend Owner/Contractor meet with Public Works Director to discuss proposed construction. all 247-5834 to make an appointment. ❑ REPM Revocable Encroachment Permit must be obtained. ❑ RMRO II runoff must remain on-site. Cannot raise lot elevation without measures to retain runoff. ❑ RWPM Right-of-Way Permit must be obtained for use ❑ TSUR Providea pre-construction topographic survey prepared by a Florida Licensed Professional Land urveyor, showing 1'contours. ❑ ONDITIONS OF APPROVAL TO PRINT ON PERMIT: II concrete driveway aprons must be 5"thick,4000 psi, with fibermesh from edge of pavement to the DAPR property line. Reinforcing rods or mesh are not allowed in the right-of-way. (Commercial driveways— ❑ 6"thick.) Full erosion control measures must be installed and approved prior to beginning any earth disturbing ECIN ctivities. Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start ❑ f construction. OSRO �11 runoff must remain on-site during construction. ❑ PCTS If on-site storage is required, a post construction topographic survey documenting proper construction ill be required. ❑ tRS l—Wellpoint(if used) must discharge into vegetated area 10' minimum from streetI ture (swale, structure or lagoon). A separate pool permit is required.off container company must be on City approved list and container cannot be placeay. (Approved: Advanced Disposal, Realco Recycling, Republic Services,Shappel's aright-of-way restoration, including sod, is required.utility cuts in the road must be repaired using COJ Standard Detail Case X and must in each direction from the center of the cut. Repair must be shown on the plans. P4act co--hu , � �� c�� ,« cL-� rl/1r ►--) a- ,, ��Tw�� woe— s 3�P�a CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS v 800 Seminole Road 904-247-5800 ^'!Dill Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date 03/02/2015 PERMIT# Job Address Alonq Sturdivant St. and Seminole Rd. ISSUED BY THE CITY Permitee: AT&T—JOB 53E68229N Telephone#Wk904-330-3808 EMAIL: RBonts(a)-ucseng.com Permittee Address: 7011 A C skinner Pkwy, Jacksonville FI. 32256 Requesting Permission to Construct: JOB#53E68229N At&t proposes to place the following telephone facilities within right of way as follows: 581' of 48 strand fiber optic cable (Buried environment).2 Parkinq lot bores Location: (Reference to Cross-Street) Siminole 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: TECO Yes (X ) No ( ) Date: 03/02/2015 Ferrell Gas Yes () No ( ) Date: Comcast Yes (X) No ( ) Date: 03/02/2015 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 JEFF FENLON (Contractor's Project Superintendent) located at 11711-1 PHILLIPS HWY, JACKSONVILLE, FL 32256_Telephone#: 904-268-0361 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 Signed: Date: Before me this day of in the County of Duval, State Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. 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