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1840 S MEALY ST - ATT CABLE ROW ' yh , CITY OF ATLANTIC BEACH 41 s 800 SEMINOLE ROAD v)\. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 'r1.J;119 RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 30B INFORMATION: Job ID: 16-ROW-403 Job Type: RIGHT-OF-WAY PERMIT Description: ATT CABLE Estimated Value: Issue Date: 2/24/2016 Expiration Date: 8/22/2016 PROPERTY ADDRESS: Address: 1840 S MEALY ST RE Number: 172374-0150 PROPERTY OWNER: Name: CERQUEIRA,ATILLION & CATHERINE, * Address: 36 W 6TH ST 1 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. 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: Total Payments: $0.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. , lAktr,,„ . 'City of Atlantic Beach APPLICATION NUMBER Building Department IR '"- '`- jFD (To be assigned by the Building Department.) tment.)4 • s '`'rfr City of Atlantic Beach �s:P `+,rig Building Department APPLICATION NUMBER � .- : _I`. '. 800 Seminole Road `r►`f EIVED (To be assigned by the Building Department.) v - Atlantic Beach, Florida 32233 45 .� P • hone(904)247-5826 • Fax(':04)246!7 2016 E-mail: building-dept @coab.0 Date routed: 2 �/6 City web-site: http://www.coa,, APPLICATION REVIEW AND TRACKING FORM Property Address: d / f/i� Department review required Yes No Building Applicant: Planning &Zoning /f Tree Administrator Project: // 6/1/b-li, r6 p,;" 6/4/1 mismon■ .:.,010111 _- Public Safety • Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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 • 'r Reviewing Department First Review: roved. ['Denied. (Circle one.) Comments: BUILDING 56,6. �7`Aeff�fl Ger-g-(7 /14,91° PLANNING & ZONING 2G '/� Reviewed by: �C Date: L 1 F I TREE ADMIN. — Second Review: A ro ❑ pp ved as revised. ❑Denied. 11, IC WOR S Comments: of- PUBLU UTILITIES /7 PUBLIC SAFETY • Reviewed by: Date: FIRE SERVICES Third Review: I !Approved as revised. ❑Denied. Comments: Reviewed by: Date: wised 07/27/10 j CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 Date 2-16-16 PERMIT# ISSUED BY THE CITY Job Address_ Permitee: AT&T JOB#63E68155N(a�1840 MEALY ST Telephone#Wk904-330-3808 EMAIL: RBONTSUCSENG.COM Permittee Address:7011 A C SKINNER PKWY: ATTN: REBECKA BONTS Requesting Permission to Construct: JOB#63E681 55N p 1840 MEALY ST At&t proposes to place 623' of fiber cable buried 24" min depth. (1) 30"x48" handhole , (6)2" conduits bored a 36" min depth. And (1) 2"conduit bored Ca 48" min depth. Location: (Reference to Cross-Street) Mealy Dr. 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: 2/16/16 Ferrell Gas Yes (X) No ( ) Date: 2/16/16 Comcast Yes(X) No ( ) Date: 2/16/16 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. My commission expires: Personally Known: or Produced Identification: 2027 2027 6"P WM 379! F,•,,.,!L ' MH-A-796B MH-A-796A ....... 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