443 SELVA LAKES CIR - CATV COMCAST r
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_') :' ',.`2,', CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
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':) Z 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-1188
Job Type: RIGHT-OF-WAY PERMIT
Description: CATV COMCAST
Estimated Value:
Issue Date: 6/11/2015
Expiration Date: 12/8/2015
PROPERTY ADDRESS:
Address: 443 SELVA LAKES CIR
RE Number: 172027-5010
PROPERTY OWNER:
Name: FRIEND, ERNEST M
Address: 443 SELVA LAKES CIR
PERMIT INFORMATION:
FEES:
Total Payments: $0.00
PF.RNIIT IS .APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
rt .., City of Atlantic Beach APPLICATION NUMBER
js , `..5, Building Department I I 1 CFIV,D (To be assigned by the Building Department.)
� � _ 800 Seminole Road -�
( � �•4 Atlantic Beach, Florida 32233-5445 /� i�.
Phone(904)247-5826 • Fax(904 247-5Y 1 1 2015 iiir/
i ,ii:v. ` E-mail: building-dept @coab.us Date routed:•
City web-site: http://www.coab.us By: ,
APPLICATION REVIEW AND TRACKINQ FORM is xdo
1143 5e IVY- ca ,figS i4 It(1
Property Address: 7'L-_4 r' Department review required Yes No
Building
Applicant: �d �� Planning &Zoning
� ator
Project: __ R ry
f i.... ... ies
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: /Approved. ❑Denied.
(Circle one.) Comments: 7�
BUILDING r ` H C°
00,-
PLANNING &ZONING
Reviewed by: L--- Date: • /2--
TREE ADMIN. Second Review: `
❑Approved as revised. [l Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
•
CITY OF ATLANTIC BEACH
• ' CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
1.±' H
At 800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
Date 5/04/15 G Permit#
Job Address 74 Oceansi qt./3
Permitee: CAST
l" Telephone#904-626-2092
Permittee Address:5934 Richard St,Jacksonville, FL 32216
Requesting Permission to Construct:70' Underground CATV facilities at 443 Selva Lakes Cir Node BE0431Project 443 Selva
Lakes Cir
Location: (Reference to Cross-Street) 3 z1�4" L v c nst P6r1Ccilc
I. 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: 5/(14/1;
Bell South Telephone Company Yes(X No ( ) Date: 5/04/15
Tecol Gas Yes( No ( ) Date: 5/04/15
Corn 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.
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 °3 day of K in the County of Duval,
State Of Florida,has personally appeared 13:%%.E j.4' 4(S _
Notary Public at Large,State of Florida,County of Duval. 1)
My commission expires:
Personally Known: ✓ or
Produced Identification:
o`ii °P.s. OLIVIA BERRIOS
° `�= Notar P
Y uDlic•State of Florida
'� My Comm.Expires Dec 10.
2017
iNt III'
'.'�f�� Pc Commission N FF 46000
May 4, 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 insta1170'
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