900 Plaza ROW permit CITY OF ATLANTIC BEACH
"1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
rv�J 819''
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOBINFORMATION:
Job ID: 16-ROW-2568
lob Type: RIGHT-OF-WAY PERMIT
Description: dig in 1-inch conduit and install seven (7) L401 (70W LED)
SILs
Estimated Value:
Issue Date: 12/5/2016
Expiration Date: 6/3/2017
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD
SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: HENKELS & MCCOY, INC.
Alan L Lippy, ECOOOLB17
Address: 1179 S ELLIS RD QA ALAN L LIPPY
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 runoff 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.
Must replace any broken concrete or asphalt.
FEES:
Fence/ROW $35.00
YM.1;WIp yyVFA1 vl D$MI1"IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Departiment (To be assigned by the Building Department.)
800 Seminole Road I ka-R-OLO- -a��O%
Atlantic Beach, Florida 32233--445
14
Phone(904)247-5826 - Fax(go'41)2
E-mail: building-dept@wab. Date routed it Its- N,
Cityweb-site: http:/A�.coi NOV 16 2016
APPLICATION REVItWA*D-TRACKING FORM
Property Address: 9()C) �� (41—tl Department review required Yes No
Building
Applicant: Planning&Zoning
r A�dmiato,
Project: r-�Pub
C_--J-DLJ Leis) 51L� -elaulc utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Flonda Dept.of Environmental Protection
Moricla Dept.of Transportation
St.Johns River Water Management District
-Annny-Corps of Engineers
Division of Hotels and Restaurants
Dtivision of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: VAppiroved E]Denied
(Circle one.) Comments: J.461 ftdol (4WN*'*
BUILDING
PLANNING &ZONING Reviewed by: Date
TREEADMIN. Second Review: E]Approved as revised, ElDil
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. E]Denied.
Comments:
Revised 051114109 Reviewed by: Date
jc1+�`tr„ City of Atlantic Beach APPLICATION NUMBER
;Jc Building Department (To be assigned by the Building Department.)
800 Seminole Road !+, '� e
_.� Atlantic Beach,Florida 322335445 Ets4l �f w_''
Phone(904)247-M26 Fax(904)24 45
E-mail: building-dept@wab.us NOV 16 2016 Date routed: 1 b
Cityweb-site: hdp:/1www,coab.us
APPLICATION REVIdWA*D-TRXCKING FORM
Property Address: 9()D N I�A Department review required Yes No
Building
Applicant: _ 1� LnU S + NIC l� Planning &Zoning
-1 Tree Admi ator
Project: ut 1- t n�h Con Qu,� `� t nSi��� u '
li Utilities
Public Safety
Fire Services
W
gency Review or Permit Required Review or ReceiptDate
of Permit Verified Bept.of Environmental Protectionept.of Transportation River Water Management Districtrps of Engineersof Hotels and Restaurantsf Alcoholic Beverages and Tobacco
APP TION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING 8 ZONING a
Reviewed by: Date: 7( ,G
TREE ADMIN. Second Review:
❑Approved as revised. Denied.
P WORTS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revlwd 05/14/09
ATLANTIC BEACH
PERMIT RECEIPT
December 2, 2016
PERMIT DESCRIPTION: dig in 1-inch conduit and install seven(7) L401(70W LED)SILs
PERMIT NUMBER: 16-ROW-2568
ADDRESS:900 Plaza
OWNER:SEA OATS ACQUISITIONS, LLC
Fence/ROW $35.00
Totals:
$35.00
�p16
c acH
S f A AZN L S H CJO KE LS . eco
.>= CITY OF ATLANTIC BEACH
r 'r CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
vmn� ' AtlaMlc Beech,Florida 322335445 904-2475800
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Fax 904x47-6846
Date 1 — vn
Job Address PERMIT# rb—Row-
-4.QO PI ISSUED BYTHE CnY__________
Pennitee: 4�e..L.1< ,1 t'Yi r
Telephone#
Permittee Address:
Requesting Permission to CCoLinnsWct (�-gid } P,4 4,� r
-L'101._L7Q�. L O1 /l •c � 'j Qc} Imo_
Location: (Reference to CrossStreet) Crn n}c An}.• p
--r— .b f`moo i oma a f
Applicant declares that Prior to tiling 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:CgUed III $on56fat
Jacksonville Electric Authority
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas Yes ( ) No ( ) Date:
Comcast Yes( ) No ( ) Data:
Yes( ) No ( ) Date:�—
2• Whenever necessary for the ConsWction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all,or any portion of said street or easementas determined by the Director of Public
Works, any or all of said poles, wines, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be
quired by the Director o(mmsdlately removed from said street or easement or reset or relocated hereon as
authorized.
ref Public Works, and at the expense of the Permittee unless reimbursement is
S• All work shall meet City of Atlantic Beach or FI ids D
performed under the supervision of apartment of Transportation Standards and be
. Ti: H
Superintendent)located at__'S a.:e S l (Contractor's pro, cI
4• All materials and equ(pment shat)be subjec to mspectlon by the Director of Public Works or his his des �
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.
B. A sketch of pians covering details of this Installation, as well as, a copy of a recent survey shall be made a
partof this permit. Calculations showin an increase in lm ervious area on own."e lot or In the e
Right of Wav are to h Included with this ao 1' f'on
7. This perrnittes shell commence actual construction in good faith with .2n days. If the
htdaft is
more than 60 days from date of permit approval, then permittee must review the permit withthe Diirrector of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
B. 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.
g- The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER
Signed: Dale:
1
Ufa
aws efhLs day of Inihe Cou ofD
stela Of Florida,hes pereona8y appeared atY oval.
Notary Public at Large,Stela of Florida,Countyuf Duval.
My commission expires:
duced ltlengflrstlon:Personally Known:
Pro '
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECT#:8003203 N.O.: Number WO#: 23912830
CONST:8121118
SUB-STA: CIR. TREE TRIMMINGSTA:NEPTUNE BEACH N.O.:583 REOD:NONE
ENGINEER:GAYNELLE BAIN CELL
N.0.:178.5025 21P CODE 32233
CUSTOMERI
LOCATION:JOE PIETZYK 407.222.808/1900 PLAZA-SEAOATS APTS. CENTER SSSC PHONE
885.8880
S% CONSTRUCTION NOTES:
31-38 m' TYPICAL FOR ALL 7 STATIONS- N
11M03 892A,898A,898A,902A,904A,908A&908A W E
♦ INSTALL 1"CONDUIT FROM XFMR TO STAKE 101.108
N m F MAKE SECONDARY CONNECTIONS/PULL 12D HMI0 `S
m a e INSTALL(7) L401 (TOW EQUIVALENT LED)POST
21-28
t1M02 ) .."
908A f I 898A
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41.44 -•� 111-118
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45-48 - ♦ '�
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121-128 ♦
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R.O.W.Permit Attachment - of for
R.O.W.Pemmit# issued ,200_ Atlantic Beach,FL 32233
Owner's Name:
Property Address:
Subdivision:
Lot#/Block#:
R.B:#:
R.RVOCABLEENCROACCFfiVEVIENTPERMIT ::'..> ,
TMS REVOCABLE .RNCROACHMEN1' .PERMIT; issued on this day of
200, by Atlantic Beach, Florida, a municipal corporation organized and existing
under the laws of the State of Florida,hereinafter referred to as"CITY" and
of Atlantic Beach,Florida,hereinafter referred to as"USER".
. -: ` . - WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the
right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of
Atlantic Beach Right-of-Way/Easemant permit numbers noted above(copies attached).
This work is generally described as:
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted
remains subject to relocation or removal on thirty(30)days notice by CITY to the USER,said notice to
USER shall be given by certified mail, return receipt requested, to the following address:
The depositing of said-notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected a maintained in
the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe
condition.
In the event it is necessary for the CITY or the City's approved representative or other franchised
utility to enter upon the above-described property of the CTTY, the USER shall replace at the USBR's
sole expense, any and all material necessarily displaced during the action of maintaining, repairing,
operating,replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code,Building
Codes,Land Development Code,and all other land we and code requirements of the CITY,including
City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be
replaced with other materials,but must be replaced with smooth concrete left natural in color so that it
matches the existing and adjoining sidewalks."
Page I of 2
The USER, prior to making any changes from the approved plans and/or method, must obtain
written approval from the City of Atlantic Beach, Public Works Department, for said change. The
USER shall,at the discretion of the CITY,be requested to submit as-built drawings showing the change
within thirty(30)days after the day of completion.
This permit shall inure to the benefit of, and be binding upon, the USER and their respective
successors and assigns.
USER shall meet the teras and conditions of this permit and to all of the applicable State and CITY
laws and/or specifications, to include utilities locate requirements and use limitationshequirements of
public rights-o&way, and other public land. USER further agrees that the CITY and its officers and
employees shall be saved hamrless by the USER from any of the work herein under the terms of this
permit and that all of said liabilities aro hereby assumed by the USER.
DATED and SIGNED this day of 200.
By:
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of 200, personally appeared before me, a Notary
Public in and for said County and State, the property owner of
Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that he or she
to acuted the same freely and voluntarily and for them"andpurposes therein mentioned.
Notary Public in for said County and State
CITY OF ATLANTIC 13HAM FLORIDA,a
municipal corporation:
Approved:
Ricky L. Carper,Public Works Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim Hanson,City Manager
Page 2 of 2