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132 BELVEDERE ST JEA POLE � I r, / CITY OF ATLANTIC BEACH 4! 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: 16- ROW -1023 Job Type: RIGHT -OF -WAY PERMIT Description: JEA POLE Estimated Value: Issue Date: 5/10/2016 Expiration Date: 11/6/2016 PROPERTY ADDRESS: Address: 132 BELVEDERE ST RE Number: 170588 -0000 PROPERTY OWNER: Name: Atlantic Beach Pinnacle Properties, LLC Address: 132 BELVEDERE ST 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. FEES: Total Payments: $0.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ``', CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS illy • 800 Seminole Road 904 -247 -5800 fi i ov Atlantic Beach, Florida 32233 -5445 Fax 904- 247 -5845 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date 141.9 2../ r 7 / 6 9 l PERMIT # Job Address l 3 2 I sr ISSUED BY THE CITY Permiee: TF 1T Telephone # 66.1,5 — 7 7c7' ? Permittee Address: Z,/ L i-.//.S /` &4(.4,-"A < IL i Requesting Permission to Construct: (/) /c 3' le,rs s S Pe le _ (Z) Pay 1 137, / De if' SOS C' ( cam k. / 0e) /6', (Reference to Cross - Street) Pa ✓' 67L, 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 ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast 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 of Florida Department of Transportation Standards and be performed under the supervision of i( s�b•,OScsn (Contractor's Project Superintendent) located at 74 L✓, deli/ rrt1 .c,t. ]U x Telephone #: 6 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 (0 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 Toss, 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: Produced Identification: ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL PROJECT #: 17229 N 8003205 WO #: 23626378 CONST: 05/06/2016 CIR. TREE TRIMMING SUB -ST N.O.: 565 REQ'D: YES CELL ENGINEER: Robert Simpson N.O.: N/A ZIP CODE: N/A CUSTOMER! SVC PHONE LOCATION: 133 BELVEDERE ST./ POLE REPLACEMENT 565 CENTER: SSSC N.O.: 665.7793 \_- 1/I l Ica_, 1 is 1 ' t STA 1, P# 133 BELVEDERE ST./ REPLACE 45/3W ! SOC li w • ,` WITH 50 /HC SET DEEPER., HANG NEW 50KVA, 0 T o RELOCATE STREET LIGHT. RELOCATE RISER, 2 16 REPLACE 1/0T TO STA 2. SET PULL BOX IF NEEDED. o rs STA 2, P# 131 BELVEDERE ST./ REPLACE 35/4W. SET ■ 1 o e I DEEPER, REMOVE GUY WIRES. o MOVE BOTH POLES CLOSER TO PROPERTY LINES. „ ! \° k j ,sz +N l \ C')' rS3 '" / .. cn " SOC �.) ^� ,_ 0 1st 317 ioo m om, ,� ., tie VI 1008 / / 2/. ��► o ! % ♦ N N(VNN ♦ ! • momn— NNNN ` gsoc 2 `�� o I IIII j �\ & rrss � a N jt , 2 OV tj CSC ■ N N \ CY S ♦ / o Vl NN / .. ,. ! NN ,- '2/O VI ro) NN N STA2 � '�� ; ' k I - +� 2 ° Q G �1NN ,' j r9s • Mr- 44 NN / a Q NQ 120 208V r 91 ■ !� 1 in 0 1 00 So 6 , ;r �" �8 r r9 00 B c 2� p ♦ SOS " lik 100C ,,� _I, .. t ,, .4 cy,, ill 1 et 0 Iv co t 4 ,, I 4 37 - ' c r a e-�"P " r 'y 7 a x ,. J a� • iriti • City of Atlantic Beach / 1 ED APPLICATION NUMBER Building Department i (To be assigned by the Building Department.) 11 800 Seminole Road ' MAY Q 3 2016 - /did . M23 Atlantic Beach, Florida 32233 -5' Phone (904) 247 -5826 Fax (904) E-mail: building-dept@coab.us Date routed: g©/ City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /32 , /vc de,IDt ° 7 Department review required Yes No Building Applicant: J Planning & Zoning T ree Administrator Project: L t D Z ,11111W r - Public Safety Fire Services :Rev' view fee $ .. > 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: J 10€ 4 t 001 4V4 BUILDING PLANNING & ZONING Reviewed by: `( S Date: 76/ (o TREE ADMIN. Second Review: ['Approved as revised. ❑ ; -nied. PUBLIC WORKS Comments: PUBLIC UTILITIES • PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach f r �T APPLICATION NUMBER f Building Department ! L (To be assigned by the Building Department.) it 800 Seminole Road j M ' )' Q 2016 _ �� - 0L3 Atlantic Beach, Florida 32233-5445 , / 74" Phone (904) 247 -5826 Fax (904) 24?-f845 E -mail: building- dept @coab.us Date routed: " i City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /g2 4/VC dF/L J l Department review required Yes No Building Applicant: Planning & Zoning / Tree Administrator Project: j • re C, ublic Public Safety Fire Services Review fee $ Dept Signature 4- 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: pproved. ['Denied. (Circle one.) Comments: BUILDING 5 L ' C ( 1 Lr -7Y PLANNING & ZONING Reviewed by: , V — Date: 5. l f6 TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. /VO KS Comments: PUBLIC UTILITIES s -3 -• PUBLIC SAFE Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. (Denied. Comments: Reviewed by: Date: Revised 05/14/09