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411 LEVY RD - RIGHT OF WAY CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j 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-2348 Job Type: RIGHT-OF-WAY PERMIT Description: att cats cables Estimated Value: Issue Date: 10/14/2015 Expiration Date: 4/11/2016 PROPERTY ADDRESS: Address: 411 LEVY RD RE Number: 172331-0000 PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: A Right-of-Way Permit must be obtained for (parking in right-of-way if needed). Full right-of-way restoration, including sod, 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. FEES: Total Payments: $0.00 PERMIT IS APPROVED ONLY IN ACCORDANCE NV'ITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rSyi,y;�J City of Atlantic Beach APPLICATION NUMBER Building Department Pt) 7 (To be assigned by the Building Depa nent.) `� 800 Seminole Road r✓6 Z9l 5 /‘ U`v' ' - ) Atlantic Beach, Florida 32233-5445 �?t� /w W K , Phone(904) 247-5826 • Fax(904)247-5845 \4;i19'' E-mail: building-dept @coab.us / Date routed: MA/LC C City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: $`i [._ V Rd Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: /?O l.L) c blic Wor ub is Utilitie 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: ja 47%144 6yyyjyyy j- BUILDING PLANNING & ZONING Reviewed by: L-- Date: l°/d li TREE ADMIN. Second Review: Approved as revised. enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. nDenied. Comments: Reviewed by: Date: Revised 07/27/10 ,s==L'.r City of Atlantic Beach `▪ Building Department - APPLICATION NUMBER (To be assigned by the Building Depa ent.) = � 800 Seminole [j le Road OCT- % • Atlantic Beach, Florida 32233-5445 6 2Q /‘ 40 ( .1zvi Phone(904)247-5826 • Fax(904)247-5845 ,s !)!,‘• v !)!,‘•!)!,‘• /0/4/1,5—E-mail: building-dept @coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: $11 (iv ?l Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: • LLJ blic Wor 'ub is Utilities Public afety Fire Services Review fee $ Dept Signature SGT_ Other Agency Review or Permit Required f Review Fie ermit or RVerified eceipt B� Date o 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: 1 oved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: i° /cf.- TREE ADMIN. Second Review: A roved as revised. ❑ pP ❑Denied. P. :SIC WO KS Comments: BLIC UTILITIES /0-7/ PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 411 Levy Rd.Atlantic Beach,FL 32233 Permit Number: Legal Description 17-2S-29E.40 PT GOVT LOT 4 RECD O/R... parcel#172331-0000 Valuation of Work$30•x.00 Proposed d Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential i If an existing structure, s a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed:upgrade LTE antennas on an existing cell tower Property Owner Information: Name:New angular wireless PCS Address:1101 Greenwood Blvd City Lake Mary State PI Zip 32746 Phone 407474-666e E-Mail or Fax#(Optional)kdweri smnitlitk lc.mm Contractor Information: Company Name:Out to Bid Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has conmmenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiotionn This permit becomes null and void rf work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a per►od olds(6)months at any lime oiler work is commenced I understand that separate permits nmst be secured for ElearicaT Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Healers, Tanks and Air Conditioners,etc WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby cer#fy that I have read and examined thisapplication and blow the same to be true and correct. All provisions of laws and ordinances governing this th type of work will be complied with whether specified herein or rat The granting of a permit does not presume to give authority to violate or cancel the provisions ofarry other federal state,or local law regulating construction or the performance of cornstnaron. Signature of Owner Signature of Contractor Print Name [In > i1(/ \Al iA Li Print Name Sworn to and subs ri>3ed before me Sworn to and subscribed before me this ')O Day of Cat- ,201 S this _Day of ,20 Notary Public / ,� Notary Public Revised 01.26.10 °11:742'•, KRISTIN DWYER ,.,4 Commission#FF 157040 r Expires September 4,2018 �• rh , Bolded TM Troy F gin Insurance 800385.7018 yul smartl ink September 30, 2015 City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach RE: 10020470 Mayport Building Permit Application To Whom It May Concern, Enclosed you will find the following: (1)Building Permit Application (4)Sets of Signed and Sealed Construction Drawings for (4)Sets of Signed and Sealed Structurals Thank you, Kristin Dwyer kdwyer @smartlinkllc.com 407-274-6658 www.smartlinkllc.com ■ ...,, • ,. - - . I, .. •;' ... • , - .,,, ,_ • 111. * 711F1 .. t . 'v t 0111111 x __. .... . . .. • .• , 4 .., 1,. . 1 I .'...k ..•, a . . , ,. _. 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