1560 Selva Marina CATV 1 , CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ;r 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:
]Ob ID: 15-ROW-1057
Job Type: RIGHT-OF-WAY PERMIT
Description: CATV COMCAST
Estimated Value:
Issue Date: 5/13/2015
Expiration Date: 11/9/2015
PROPERTY ADDRESS:
Address: 1560 SELVA MARINA DR
RE Number: 171988-0000
PROPERTY OWNER:
Name: WESTBROOK TRUST, TRACEY STEIN
Address: 1560 SELVA MARINA DR 1560 SELVA MARINA DR
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
Absolutely no parking on median. Shallow water line.
Full right-of-way restoration, including sod, is required.
Any utility cuts in 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.
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.
See attached map.
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1690 1675 1650 M M 1647 167 M 166 M " 671 57167 " M
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CITY OF ATLANTIC BEACH APR 0
-:� CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road _
Atlantic Beach, Florida 32233-5445 904-247-5800
Fax 904-247-5845
Date 04/14/2015
PERMIT#
Job Address 1560 Selva Marina ISSUED BY THE Cl
Permitee: Comcast/FCCG Telephone# 602-318-5808 17.,
Permittee Address: 731 Duval Station Road Ste 107, Box 402 Jacksonville Florida 32218
Requesting Permission to Construct: Proposed undeground CATV facilities from projects start to project finish (see plans)
Location: (Reference to Cross-Street) Seminole Road
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 No ( ) Date: 04/14/2015
Bell South Telephone Company Yes No ( ) Date: 04/14/2015
Ferrell Gas Yes No ( ) Date: 04/14/02015
Comcast Yes No ( ) Date: _(41 A1201,9 _
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 (Contractor's Project
Superintendent) located at Telephone#:
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.
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 illy incfease iri 1"i ervlous area on owners iot or in thecity
-e to be included with this anplication
7. This permittee shall commence actual construction in good faith with 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 R
Signed: Date: 04/14/2015
Before me this a of rl in the County of Duval,
State Of Florida,has personally app ed avl C IroV
Notary Public at Large,State of Florida,County of Duval. _ = KI BERLY ANN STERRE'.
My commission expires: 01/11/2019 MY COMMISSION#FF18816•.
Personally Known: °
or ?oFN EXPIRES January 11,2r,i;
Produced Identification: (407)39e-0153 FlondallotaryService.com
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