333 AHERN ST 16-ROW-976 RIGHT OF WAY . r
N � a'S, CITY OF ATLANTIC BEACH
IJ 800 SEMINOLE ROAD
s)
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�JF3l
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROW-976
Job Type: RIGHT-OF-WAY PERMIT
Description: CONSTRUCT 157' UNDERGROUND CATV
Estimated Value:
Issue Date: 5/4/2016
Expiration Date: 10/31/2016
PROPERTY ADDRESS:
Address: 333 AHERN ST
RE Number: 169745-0000
PROPERTY OWNER:
Name: BTMJS LLC
Address:
GENERAL CONTRACTOR INFORMATION:
Name: COMCAST
Address:
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
All silt must remain on-site during construction.
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 WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 'I IIE FLORIDA
BUILDING CODES.
91/4,e CITY OF ATLANTIC BEACH
s " 'a 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 5/26/16 Permit#
Job Address 333 Ahern St
Permitee:COMCAST Telephone#904-626-2092
Permittee Address:5934 Richard St,Jacksonville, FL 32216
Requesting Permission to Conslruct:157' Underground CATV facilities at 333 Ahern St Node BE0537Project 333 Ahern St
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: r,/901 ti
Bell South Telephone Company Yes(X No ( ) Date: 5/26/16
Tecol Gas Yes( No ( ) Date: 5/26/16
Com 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.
LA-
OWNER t
Signed: /.— Date: 1-4-c9(.0•I l.0
Before me this , day of—eN)rt I _ in the County of Duval,
State Of Florida,has personally appeared j�rltAt l ok\•4-KS _
Notary Public at Large,State of Florida,County of Duval.
My commission expires: h9• IO. P- or
Personally Known: �/
Produ
•• �, OLIVIA BERRIOS
4 ;r°. •'t Notary Public -State of Florida
•: th• • •_ My Comm.Expires Dec 10,2017
Commission # FF 46800
( Bonded Through National Notary Assn.
, "',%: City of Atlantic Beach APPLICATION NUMBER
t� Building Department (`��j-��, (To be assigned by the Building Department.)
- � 800 Seminole Road I j�.. T ` CO�� Atlantic Beach, Florida 32233-5445 C�j�E-4 ) lO — Row 9L-1
,. Phone(904)247-5826 • Fax(904)247D1k62 7
"-t�--9 - E-mail: buildin de t coab.us 20 6 Date routed: 4
City web-site: http://www.coab.dpv, /
APPLICATION REVIEW AND TRACKING FORM
Property Address: 33-3 - N ERN Department review required v'es No
Building
Applicant: C O M C & -S---C Planning &Zoning
Tree Administrator
Project: Rkc-'N (—{-Z -- 0 F / AV 4 -ublic .1 • k
1'•u• is 'tilities
- •• icSaey
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: -_ -- —
APPyCATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments: ��y _ „ ,,
BUILDING S�&- ; ""tom Lt y /"
PLANNING &ZONING ,' // /
Reviewed by: Yl Date: /�l C
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied.
mi 40003: IC,WORS
PUB UTILITIES
P BLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
PUBLIC UTILITIES PLAN REVIEW COMMENTS
— -/�
Date: � 7"" 7 Initials: t
/.� — � — 976
Project Name/Address: -?---53 � Application Permit#:
Check Box Check
Application Tracking Comments to Add Box to
Comment
UWSU Avoid damage to underground water/sewer utilities. Verify vertical and horizontal C7 j
location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834.
M BSC
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ ❑
RT1C A sewer cleanout must be installed at the property line. Cleanout must be covered with
an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. ❑ ❑
RPZB A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be tested ❑ ❑
by a certified tester and a copy of the results sent to Public Utilities.
STRM Plans note the building will be unsprinkled. If plans change, any fire line installed must be
metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ ❑
backflow preventer installed. Backflow preventer must be tested by a certified tester and
a copy of the results sent to Public Utilities.
FSBR If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow
❑ ❑
requirements. At a minimum, will require a double check backflow preventer.
FLM Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must
❑ ❑
be installed in a vault as noted in JEA specifications.
❑ ❑
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s ow--`ire, City of Atlantic Beach RECEIVED APPLICATION NUMBER
d a Building Department
r f,� (To be assigned by the Building Department.)
800 Seminole Road
-6.. z �� Atlantic Beach, Florida 32233-5,45 APR 2'1 2016 1 — ROW ._ 9�
6
/ Phone(904)247-5826 • Fax(914)247-5845 n
JR �/ E-mail: building-dept @coab.us 1':�________ Date routed: 4 _. /
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 333 3 /\ i4 ERN) Department review required Yes No
Building
Applicant: e_ 0 M C&-S{ Planning &Zoning
Tree Administrator
Project: R.kG, (4, - a F -• A y 4 blic I • k
_7-*u• is I ilities
-I• lcSatey
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: [14Approved. []Denied.
(Circle one.) Comments: ,4.0 iiitG/ _ / 604/04 BUILDING ry�//l
PLANNING &ZONING
Reviewed by:� Date: #4!7-'/
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['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
April 26, 2016
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 install 157'
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
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