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178 RIGHT OF WAY r_)' '- '' `s CITY OF ATLANTIC BEACH r ''r. 800 SEMINOLE ROAD J --— ' s'' ATLANTIC BEACH, FL 32233 r 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-1031 Job Type: RIGHT-OF-WAY PERMIT Description: UNDER GROUND ELEC Estimated Value: Issue Date: 7/21/2016 Expiration Date: 1/17/2017 PROPERTY ADDRESS: Address: 178 BEACH AVE RE Number: 170210-0000 PROPERTY OWNER: Name: 178 BEACH AVE LLC Address: 6 E BAY ST SUITE 500 PERMIT INFORMATION: PUBLIC WORKS: All silt must remain on-site during construction. Full right-of-way restoration, including sod, is required. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERM"' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 16 ?otQ— /&3'/ s�_'vp,..y City of Atlantic Beach i ;.;� j • �1 Building Department ; h - '�. T� APPLICATION NUMBER (To be as i ed by the Building Department.) 800 Seminole Road SAY 0 Z�i6 � - �� �r Atlantic Beach, Florida 32233-5445 j Phone(904)247-5826 • Fax(904)24{I;5845 fr,,___ ` �;;��� Email: building-dept@coab.us !':• '!' Date routed: 3 City web site: http://www.coab.us • ` — APPLICATION REVIEW AND TRACKING FORM Property Address: / 7iitiette L, 4V Department review required Yes�'�. q No Building == Applicant: Q CO)e) -e Planning &Zoning //'' Tre- inistrator U�- e..7- -/ Project: 9 1 `f C✓- -/C �, 47,:_ r'�a�'?' v,r1,,,,, ny Safety Fire Services =_=- Review fee $ if Dept Signature 5( Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection hid co Florida Dept.of Transportation > o Q IN St.Johns River Water Management District ++"",!, 00 Army Corps of Engineers W N Division of Hotels and Restaurants Z ci Division of Alcoholic Beverages and Tobacco - IIIOther: APPLI TION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING S PLANNING & ZONING Reviewed by: Date /21'�6 4V-A-Al" TREE ADMIN. Y Second Review: QApproved as revised. ❑De0d. -- ' ' IC WORK ' Comments: =BLI ,UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: vised 05/14/09 /6 —6 — 10 - /d3/ J��sy,`p;,V, City of Atlantic Beach I CF Building..;0 Department IVE� APPLICATION NUMBER 800 Seminole Road I (To be as i ed by the Building Department.) �r Atlantic Beach, Florida 32233 5445 I MAY 0 4 2016 cPhone(904)247-5826 • Fax(904)247.5845 o;; ga E-mail: building-dept@coab.us _ Date routed: 3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / 71 le ke L !�/ J� Department review required Yes No r Building Applicant: 0 (e )£,e Planning &Zoning Tree Administrator Project: l/t- . k c.:-/- -/ /4, C. Pu• W. 4:111E1:=.1`""'-S Public Safety 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: ,/` /_ BUILDING Jei L� (it e4 PLANNING &ZONING s/� 5-4-4 c Reviewed by: Date: TREE ADMIN. Second Review: ['Approved as revised. ODe ' d. j IC WORK$' Comments: �LI TILITIE 5-7-4 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ODenied. Comments: Reviewed by: Date: Revised 05/14/09 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 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date 5 - 3 -- /60 �1 PERMIT# y 7g Job Address / 3t ft C K 4 ISSUED BY THE CITY Permitee: DAIU 67?6.1-R1 5 -17((.setek 11 At/6 LL,C Telephone# #oY-65 -33'J,� Permittee Address: 17 ' 134460 At / /¢(3 F( c3aa33 Requesting Permission to Construct: plizedxsokrii -"PkaLI04to Fag all4irizhze4h ere 6*e,r-vice -:-e, ye. mas es,- //Ate 0 Aar. Location: (Reference to Cross-Street) Zero -e- teik-i4 A 0-6., 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 C -- Su.g/6b, ,+,e Yes( ) No ( ) Date: Bell South Telephone Company - . Yes ( ) No ( ) Date: Ferrell Gas pr PO r "fro 4 pie ft 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 or Florida Department of Transportation Standards and be performed under the supervision of Al AR l< ('oit4T4ECL (Contractor's Project Superintendent) located at/o/S ,P/h, fec CAqdw ,' .)3 Ze 1 Telephone#:9df!-$77'-/51a 4. All materials and equipment shall be subject to inspbction 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 cid Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with La 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 y immediately upon completion. OWNER 1 7g egteeue v LLL iti ' . MYIMI3ASION#FF�78589 • . Signed �. D te: tit 20,kjt b , -+ EXPIRES:November 20,2018 e ,,'...,` Bonded Thru Noisy Pubic U .-miters is Before me this day of 6 in the . my ocff el, State Of Florida,has personally appeared �- . `" ' r'1 �, `t .. 4 Notary Public at Large,Sta o F�IQrid.,goon ty of!teal. I My commission expires: V U' rr> . 1 ( • all Known: ' Produced Identification: I GJe poley 1j u/ /daal ex` I'4. Q ,k%'� Se /lee. ex, 1f/ /0 31-„ 62/i.c f BEACH AVENUE �r' 34''..-,i7°�o�epiA (*Cell"' o,q 6 vta-1.`,c4 . Moak Penn CO __ �_ 4 Cu 104 7- litor Ye. 4 -i .1' • #178 /" � 2 Story LOba'n.n a 1Wood Shingle A.hL I ��_ Why u 11 ata--4 . D U L 7 -f o E CE 1,1) u —v ki-r: IIAI PQrArI a, r I r Ce.Pe t-�e`4 6 - hEG . n.wn.. I / i — i On i rr� i .' Jr i SCALE:1/4"= 1'-0" i 2' 5' i V 3' 10' Date: Ford-Edwards Residence } Garden Room CV...w. .-vao's 178 Beach Ave — landscape DocIgn,Inc. L-1 3002 South 3rd Street or Atlantic Beach, Florida Jacksonville Beach.Florida 32250 1 1 I 1 f aimmum IIIIIG VIIRMY MINT OF FILE COPY . L°'' Sr_54/T7-1/ , MON ON OF AS N RAT ooze , Q l'/' r4aS Gme mix wows alit or at cram:FLOW WFR1EW �4/9LA .tc.1.111 .;.vsrs 5(2aspl't�' �r.AB�' y T ree 41/. K,Ko Ept.�./A-KD5 /C-4C N 4 V E-. 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