716 Ocean Blvd ROW permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
lot)
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NE)IT DAY INSPECTION: 247-5814
305 INFORMATION:
3ob ID: 16-ROW-2087
Job Type: RIGHT-OF-WAY PERMIT
Description: RIGHT OF WAY- FCCG COMCAST
Estimated Value:
Issue Date: 1013/2016
Expiration Date: 4/1/2017
PROPERTY ADDRESS:
Address: 716 OCEAN BLVD
RE Number: 170235-0000
PROPERTY OWNER:
Name: CITY OF ATLANTIC BEACH
Address: 800 SEMINOLE RD
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.
See attached Utility Map.
Full right-of-way restoration, including sod,is required.
Any utility cuts in the road must be repaired using C01 Standard Detail Case X and must be overlaid 10
feet in each direction from the center of the cut. Repair must be shown on the plans.
FEES:
Total Payments: $0.00
PERMIf IS APPROVED ONLY IN ACCORDANCE W[TH ALL CITY OF ATLANTIC BEACH ORDWANCES AND THE FLORIDA
BUILDING CODES.
7"an'
"'"IdIng Dapa
800 S_'r-I-Roa
A nbc 3 -.h 4 F
re(
Ph. 904)2 7 247-TSECP E191
Eb Id d
City Wait. htip
APPLICATION REVIEW AND TRACKING FORM
Property Address: (42 00JEA/0 WD De a view re uired Yes No
Applicant: /Coav-)&�ST nn[i 9 oning
L)C
I roe Administrator
Project: ublic Wo
J lic Ull I is
U G
Fire Services
Review fee Dept Signature
NOther Agency Review or Permit Required Review or Receipt
Florida Dept.of Envimnmental Protection of Permit Verifted IS Date
Florida Dept.of Transportation
St.Johns River Water Managernent District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division otAl�hcqlc Bever... nd TM.—
Other.
M
APPLICATION STATUS
Reviewing Department First Review: grApproved. DDenled.
(Circle one.)
BUILDING Comments: -'.ez A*4W
PLANNING&ZONING
Reviemd by- Cat 1�1z, ?'D
TREEADMIN, et,5
Second Review: DAPProved as revised. E] ied.
PUBUCWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:.
Date-
FIRESERMCES Third Review: EJAPProved as revised. E]Denied,
Comments:
Rerriewed by
Date
Revised 07/27/10
Cthnitt
B'"Idmg Depa
800 Sainn".1.Roa
b. . cr
AB h F
V
Ph.r.(904)2 7-5
E_.,l InnIdnig d
City b_.t. Mp
APPLICATION REVIEW AND TRACKING FORM
Property Address: 612 0—'� E(-k/D De artment review re uired Yes No
Applicant: uilding
MCA--,T Planning&Zoning
Tres Administrator
Project: U a
U a
PU ic e�
Fire Sorvi6iss
4im
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
Rondo Dept.of Envimnmental Protector, of Permit Verified B Date
Flonda Dept,of Transportation
St.Johns River Water Managarrent Distict
Amy Coi-ps of Engineers
Division of Hotels and Restaurarris
Division otAlmholic Beverages and Tobacco
Other.
APPLXrATION STATUS
Reviewing Department First Reviaw: VApproved. ODenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: A� �q�Date: '2�?-
TREE ADMIN. Second Review: ElApproved as revised. ElDenied.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date,—
FIRE SERVICES Third Review: EJAPProved as revised. ElDenied.
Comments:
Reviewed by Date
Revised 07/27110
City j"flanfir Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
4A 800 Seminole Road
Aflardic Beach, Florida 32233-5445 co-Ro VJ 5�7
Phone(9)4)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
Citywebsite hftpll�coabus
APPLICATION REVIEW AND TRACKING FORM
Property Address: -7 1(P C&_Pv,_) &vE) - . . ant review 3required Yes No
Applicant: lrco& eofy\CA�ST Plannn &Zoning
' I Tree Administrator
Project: UG rLIA�ry c
u Ic
Public Safety
Fire Services
Review fee $_ Dept Signatur—e
Other Agency Review or Permit Required Review or Recall'
Florida Dept.of Enviromw I�Prote�ton of Pemnit Verified By Date
Florida Dept.of Transportation
St.Johns River Water Management District
_;�M_y Corps of Engineers
Division of Hotels and Restaur—ants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: �06_
grJApproved. DDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Rwiewed by: —Date: 10 �k
TREEADMIN. Second Review: E]Approved as revised. E]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Revievved by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied.
Comments:
Re%,ievved by: Date:
R.vhW 071VII0
CITY OF ATLANTIC BEACH [ (�' -JZOLAD - Zot�7
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
Boo Seminole Road
9�247-5800
Allergic beach,Florida 32233-�S Fax 9IW247�845
Date EERM T*
,SSU,:I�
Job Address 716 Ocean Blvd,Atlantic Beach to 11:THr�Cl�
Peanitee: FCCGIComcast Telephone# 602-318-5808
Perinniftee,Address: 13453 N. Main St. Suite 206, Jacksonville Florida 32218
Requesting Permission to Construct: Proposed UG CATV facilities. PLolect begins on W side of Ocean Blvd,trench DIN
N 81 ft hare mad 5Z ft tratich NW 715 ft to and pro ect
Location: (Reference to Cross-Stra,,t) Between 6 th St and 7th St
I. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both Serial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilkies/Municipalities:
Jacksonville Electric Authority Yes( No (>0 Date:
Bell South Telephone Company Yes No Date:
Ferrell Gas Yes No Date:
Comcast Yes No IX) 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 David McElroy (Contractor's Project
Superintendent) located at 13453 N.Main St.Suite 206,JacksonvillLI'lorida 32218Telephone#: 602-318-5808
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. At[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 pernnit. 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 permitlee 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 pennitted 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 Ouxal,
state Of Florida,has toorionally appeared -
Nobtry Public at Large,State of Florida,County of—D-al
My commfssion expirse:
PeroonaNy Kh�: or
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