281 15TH ST ROW COMCAST PERMIT rtl
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
_r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
� Di;1 J'r
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 16-ROW-1491
Job Type: RIGHT-OF-WAY PERMIT
Description: RIGHT OF WAY COMCAST
Estimated value:
Issue Date: 7/13/2016
Expiration Date: 1/9/2017
PROPERTY ADDRESS:
Address: 281 15TH ST
RE Number: 170381-0000
PROPERTY OWNER:
Name: BROWN, CLIFFORD P
Address: 281 15TH 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.
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 30
feet in each direction from the center of the cut. Repair must be shown on the plans.
FEES:
Total Payments: $0.00 ...
PERb IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
SSI '
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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: 16-ROW-1491
Job Type: RIGHT-OF-WAY PERMIT
Description: RIGHT OF WAY COMCAST
Estimated Value:
Issue Date: 7/13/2016
Expiration Date: 1/9/2017
PROPERTY ADDRESS:
Address: 281 15TH ST
RE Number: 170381-0000
PROPERTY OWNER:
Name: BROWN, CLIFFORD P
Address: 281 15TH 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.
Any utility cuts in the road must be repaired using COl Standard Detail Case X and must be overlaid 30
feet in each direction from the center of the cut. Repair must be shown on the plans.
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ry City of Atlantic Beach �C�r�n APPLICATION NUMBER
o' )� Building Department - - C - (To heassignedroy tNe Bwldidg Deparvrient.)
s a,-
800 Seminole Road J(/ I
Atlantic Beach, Florida 322335445 pp��,� N3010i6 I Co- Row -!4q
Phone(904)247-5826 Fax(904)2r -
Fo;t9s= E-mail: building-dept@coab.us ` Date routed: Z�
City web-site: http://vrww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Zg 4 1 J Department review required Yes No
Building
Applicant: .d/M C PrS Z Planning &Zoning
` - ' Tree Administrator
Project: I\ 0 F Vim/ lic Works
Public Utilities
Zp 1 L Public Safety
Fire Services
J2eviewfee$ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Of Permit Verified B
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: �gpproved. QDenied.
(Circle one.) Comments: 16L i1/,LI_ ./- / i°_ „/
BUILDING �77I�r�I li(/ ,a^U"�"i'f'/L
PLANNING &ZONING Reviewed by: Dater/�
TREE ADMIN. Second Review: QApproved as revised. QDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES - Third Review: QApproved as revised. ElDenled.
Comments:
Reviewed by: Date:
levised 05/1409
I
I
. sar City of Atlantic Beach APPLICATION NUMBER
- Building Department ECC1�t (ro be assigned by the Building Department.)
800 Seminole Road C eT. I G- Row _14� 11
Atlantic Beach, Florida 3223& 5 I"u8
Phone 904)247-5826 Fax PAr�
E-mail: building-dept@wab. ) Date routed:
City web-site: http://wnv.coab ft,
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z� 1 1 �T Department review required Yes No
-> Building
Applicant: l2c)(YM C ()CS ( Planning &Zoning
` - I Tree Administrator
Project: I\ br Wlic works
Public Utilities
ZPublic Safety
Fire Services
Review fee $- 10"-- Dept Signature 14f.rt
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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.
APPL ATION STATUS
Reviewing Department First Review: : Approved. ❑Denied.
(Circle one.) Comments: 4 " a e-1—ly
BUILDING 5 !�
PLANNING &ZONING Reviewed by: V Date: «
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
P wORKSJ Comm nts:
P BLLIIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
June 29,2016
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 112'
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
Ientesdesign@comcast.net
Rio -I�C�w -14c t l
.,k CITY OF ATLANTIC BEACH
M CONSTRUCTION PERMIT WITHIN CIN RIGHTS OF WAY AND EASEMENTS
laaaaaal
800 Seminole Road904-247-5800
\ Atlantic Beach,Florida 32233-5445 Fox 904247-5845
Date 6/29/16 Nortq
Job Address 28115'h St
Permttee:COMCAST Telephone M 904-626-2092
Permittee Address:5934 Richard S[,Jacksonville,FIL 32216--------
Iequesting Permission to C onstluct:112' U nderpruund CATV facilities at 251 15p1St Node BE041/Project 2811V St
-------------------------------------------------------------------------------------------------
Location: (Reference to Cross-Street) 15m St at East Coast Dr ------
1. Applicant declares that prior to fling 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/911/11;
Bell South Telephone Company Yes(X No ( ) Date: 6/29/16
Teco Gas Yes( No ( ) Date: 6/29/16---------
Comcast Yes( No ( ) Date: -----------------
2. Whenever necessary for the constmceon, 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(Contraclofs Project Superintendent)
located at 5934 Richard St,Jax,FL 32216 Telephone 9:904-626-2092
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 perk. Calculations showing any increase in impervious arga on own is lot or in the city Right of Way am to be
included with this aool'cation
7. This perittee 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 perittee must review,the peril 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
I�1'^jQ^�-IJ (—
Signed: / !� /� J Date: �✓' �'/�
Before me the 22Y day of C1nL - in the County of Cannot,State Of Factors.has personally appeared _
Notary Public at Large,State of Florida,County of Claval.
My commission expires: -
Personally Known: ✓
Produced Identification: r,>•..,•• gLIwA BBRRI08
t Notary Public-Stateol FhrM1
•;My Comm.Expires Dec 10,2017
: - Commission N Ff(BIW
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