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850 SEMINOLE RD CATV COMCAST CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ROW-2108 Job Type: RIGHT-OF-WAY PERMIT Description: CATV FOR COMCAST Estimated Value: Issue Date: 9/10/2015 Expiration Date: 3/8/2016 PROPERTY ADDRESS: Address: 850 SEMINOLE RD RE Number: 170389-0000 PROPERTY OWNER: Name: CITY OF ATLANTIC BEACH Address: 800 SEMINOLE RD PERMIT INFORMATION: UTILITY DEPT: PUBLIC WORKS: 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. Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. All silt must remain on-site during construction. 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. FEES: PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 Total Payments: $0.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Flodda 32233-5445 Fax 904-247-5845 Date 9/01/15 Permit# Job Address 850 Seminole Rd Permitee:COMCAST Telephone#904-626-2092 Permittee Address: 5934 Richard St,Jacksonville, FL 32216--------------------------- Requesting Permission to Construct:525' Underground CATV facilities at850 Seminole Rd Node BE0447Project 800 Seminole R d ------------------------------------------------------------------------------------------------- Location: (Reference to Cross-Street) Plaza St near 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: VA1/I Bell South Telephone Company Yes(X No ( ) Date: 9/01/15 Tecol Gas Yes( No ( ) Date: 9/01/15--------- 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--7109-7) 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. Of 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part this permit. Calculations showing any increase in imgervious area on owner's lot or in the city Right of Way are to be included with this armlication. 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 q . signed: Date, Before me this day of- 1-��in i0e County of Duval, State Of Florida,has personally appeamd Notary Public at Large,State of Florida,County R-Duval. My commission expires: Personally Known: or Produced Identification: - - - - - - - - - .,."PAY OLMA BERRICIS Notary Public-State of Florida i. My Comm.Expires Dec 10,2017 f9z Commission# FF 46800 0 E mW Thrmo ft"1111111111111111y I --- - - 1& vw 8" PVC WATER MAIN 6" PVC WATER MAIN