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1275 SEMINOLE RD - RIGHT OF WAY CATV (--- ✓J.` f CITY OF ATLANTIC BEACH 'it ..il , 800 SEMINOLE ROAD `..1) =" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 .1>i---- --I') RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ROW-1178 Job Type: RIGHT-OF-WAY PERMIT Description: CATV TRENCH - BETWEEN SELVA MARINA AND PARK TERR W Estimated Value: Issue Date: 6/8/2016 Expiration Date: 12/5/2016 PROPERTY ADDRESS: Address: 1275 SEMINOLE RD RE Number: 171895-0000 PROPERTY OWNER: Name: TODD, WILLIAM T Address: 1275 SEMINOLE RD GENERAL CONTRACTOR INFORMATION: Name: COMCAST COMMUNICATIONS Address: 5934 RICHARD ST Phone: - - 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 i 1 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA BUILDING CODES. I 51 ir,,, City of Atlantic Beach APPLICATION NUMBER Building Department MAY ((To be assigned by the Building Department.) A A� � 800 Seminole Road 2 4 2016 1 Atlantic Beach, Florida 32233-5445• I 1 (o- ow 11.7 Op Phone(904)247-5826 • Fax(904)247-5M.5 - \'�o,t Jr E-mail: building-dept@coab.us Date routed: /z /i43 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 Z75 113OLe- kc. Department review required Yes No Building Applicant: O „ S�" Planning &Zoning Tree Administrator Project: C (c`CV --t—R,ENj°- ublic Work ublic Utilities Pu lic sate y 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: de.c /" 4 t I BUILDING G�(y Y(T� PLANNING &ZONING Reviewed by: d,°C6h Date: /74 �p TREE ADMIN. Second Review: JApproved as revised. OD vied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. DDenied. Comments: Reviewed by: Date: Revised 05/14/09 • riyvi,,, City of Atlantic Beach ' r ' TE j I APPLICATION NUMBER tf a1 Building Department (To be assigned by the Building Department.) L 800 Seminole Road MAY '4 [U 1t) O r,, ��� r� Atlantic Beach, Florida 32233-5445 1 6- R ow 11 17 0 Phone(904)247-5826 • Fax(904)247-5845 \-1)1..0109%- E-mail: building-dept@coab.us -__ , Date routed: -5/z3// / }, City web-site: http://www.coab.us 6 APPLICATION REVIEW AND TRACKING FORM Property Address: I Z7 S .E.,M 1 N cam- kLJ Department review required Yes No n Building Applicant: � 0 fv\,e 4&Z Planning &Zoning ` Tree Administrator Project: C ( --v V [R, Qt+ �ublic Work -�ublic Utilities Public Sale Fire Services Review fee $ Dept Signature t"r......_ 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: , " �,o BUILDING PLANNING &ZONING Reviewed by: ( ate: (� TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. ,P0,-LICWOR Comments: P BLIC UTIL /ja P�ItS//�cAjjFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 1 " 1555 1566 0 •0 1535 1452 11 31 4 1420 1yi 4 m / .. 1542 15- 1 n -A-164 1505 J 1\ ` o m 'OG ,ti y 11535 1528 �' �® •-161 1540 , 1421 0 •A A 'e° laC• o SE`s,mo4P,OR 1525 1514 '�� N n 1530 41; Q' � 4 10. ��� 1365 •1 153 1500 �tG�' u o I o 7.1 1515 0 ♦' * �. 1250 on 1345 .p.- . . n d 1520 1220 -1.0 r .•: 1305 o 13 C1, G g,.; 1220 0 ', 1505 QJ 1275 I, g 1510 '�o •,i O _ c -A-15: 6"VC SEWER MAIN 12 • 1210 \- 363 °' 1215 ° 357 1500 • 152 =' 341 2" PVC WATER MAIN 1207/ 373 �i 0 _I .. 0 4 0 ° �,,.�;,� G _ 12TH ST wO� •S ► j':� 0 '2.,,I i ,, W 1201 377 - ,il� A-149 360 352 336 • '`:'1= ° /A-104 370 1175 380 " 389 0 1140 1 ° 0 339 o ° 1 ° 351 349 341 359 359 355 1151 , A' 390 395 ° o 0 1130 �1 " . 6A 11Th►Si ;41.;:t o. m oa o ° RCP H-A-1 1• ,-.....---"'".z.,' .o ,r,o oa �' 24 0''-�0 `' 338 5 MH_ ,21 y.: MH - �' i 6"RCP .�`'. .�:_-�'----0 „I ° 1 342 taacce: r ..� - J 354 350 � . 374 364 358 G•' 388 70 398 396 392 380 1090 a v r,' SLAN 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 05/19/2016 PERMIT# Job Address 1275 Seminole Rd. ISSUED BY THE CITY Permitee: Comcast/FCCG Telephone# 602-318-5808 Permittee Address: 731 Duvall Station Rd., Suite 107, Box 402, Jacksonville, FL 32218 Requesting Permission to Construct: Begin project proposed UG CATV facitilities, trench 67 ft. SW, bore DW 32 ft., trench 11 ft., bore DW 24 ft.,trench 37 ft., bore DW 27 ft.,trench 32 ft.,trench SE 20 ft.to proposed UG CATV facilities. Location: (Reference to Cross-Street) Work will take place between Selva Marina Rd. and Park Terrace W 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: 05/19/2016 Bell South Telephone Company Yes( No ( ) Date: 05/19/2016 Ferrell Gas Yes( No ( ) Date: 05/19/2016 Comcast Yes(X No ( ) Date: 05/19/2016 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 Southeast Utilities GA (Contractor's Project Superintendent)located at 5131 Doolittle Rd, Jacksonville 32256 Telephone#: 904-624-3716 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 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. 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