298 AQUATIC DR - RIGHT OF WAY IPI S, CITY OF ATLANTIC BEACH
V 800 SEMINOLE ROAD
J - = ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
�JJil�r
RIGHT OF WAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROW-2835
Job Type: RIGHT-OF-WAY PERMIT
Description: install u/g CATV from dog park entrance to Atlantic
Boulevard
Estimated Value:
Issue Date: 1/3/2017
Expiration Date: 7/2/2017
PROPERTY ADDRESS:
Address: 298 AQUATIC DR
RE Number: 177411-0100
PROPERTY OWNER:
Name: SUNRISE COMMUNITY EVANGELICAL
Address: 298 AQUATIC DR 298 AQUATIC DRIVE
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
All runoff must remain on-site during construction.
Full right-of-way restoration, including sod, is required.
Any sidewalks, curbs, and gutters that are broken must be replaced by Contractor.
See attached Utility Map.
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE will ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
� 1.A1.1j.el City of Atlantic Beach APPLICATION NUMBER
4 Building Department (To be assigned by the Building Department.)
�'l `v 800 Seminole Road y t _ a 3s
,j Atlantic Beach, Florida 32233-5
Az o S - `'�
Phone(904)247-5826 • Fax(9 247-5845
u_ Date routed: �� ��' b
Email: building dept@coab.us
City web-site: http://www.coab.us '. 2016
APPLICATION REVIEW AND_TRACKING FORM
Property Address: act A 66 L ui ID Department review required Yes No
I Building
Applicant: \(\..L 2(�� 1—a Q— C-E=M -(�-{-Ct .- Planning &Zoning
1 Tree Administrator
Project: \n \Sc�- c6 sci- N't.LA 0F u ) C A J ublic Works
Vi Dc'c' ctOV o-4 V- AO h•\\u(AV L Q\4 . C Public Utilities
Public Safety
Fire Services
Reviewfee$_
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. 41'40'4
(Circle one.) Comments: la 4410,44..4
BUILDING
PLANNING &ZONING y /� Date:/2/20%
Reviewed b : �`�
TREE ADMIN. Second Review: ['Approved as revised. ❑'-enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
,r
Cityof Atlantic Beach APPLICATION NUMBER
gc \uJ
E l/ - dTo be assigned by the Building Department.)
.� Building Department 4
r d,''' 800 Seminole Road l� �w _ a l 3S
DEC Z 0 2616
�T,� ` �r Atlantic Beach, Florida 32233-5445 �
'� Phone(904)247-5826 Fax(904)247-5845 I
.,;- % Date routed: �� `��
r. E-mail: building-dept@coab.us
Jj~
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: a GI & L-Di - Department review required Yes No
Building
Applicant: \'(\-J-- A- 1 1 - Q— �1)'11S1•11-.C--h0.-\ Planning &Zoning
Tree Administrator
Project: \( 5cCt \ S9- .12-1--A O. u )t e-AT\) I 'ubli Works
>7c,c. dA (JG-J\C -ko A_‘\u-nv L QIJCA • 4 Public Utilities
Public Safety
Fire Services
Review fee $ (-
7Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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
PLANNING &ZONING ) G �,;
Reviewed by: Date: lZ `12121114
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
0,, IC WORK Comments:
• BLIC UTILITIES
11 / 7 - /
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
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CITY OF ATLANTIC BEACH
) CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road
s1 yr Atlantic Beach,Florida 32233-5445 904247-5800
Fax 904-247-5845
Date 11-23-2016
PERMIT#
ISSUED BY THE CITY
Job Address 298 AQUATIC OR
Perm itee: COMCAST(VIA TRUENET COMMUNICATIONS) Telephone# 904.777.9052 EXT 258
Permittee Address: 7666 BLANDING BLVD JACKSONVILLE.FL 32244
Requesting Permission to Construct: RELOCATE 859'OF U/G CATV PLANT STARTING AT THE DOG PARK ENTRANCE ON AQUATIC DR HEADING EAST TO ATLANTIC BLVD.
Location: (Reference to Cross-Street)
ATLANTIC BLVD AND AQUATIC DR
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(p) No (0) Date: 11-23-16
Bell South Telephone Company Yes(p) No (El) Date: 11-23.16
Ferrell Gas Yes(p) No (0) Date: 11-23-16
Comcast Yes(ED No (p) Date: N/A
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 JAMES GRAHAM (Contractor's Project
Superintendent)located at L 6 R CONSTRUCTION/2615 DAWIN RD JACKSONVILLE,FL 32207 Telephone#: 904-525.6898
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 30 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.
My commission expires:
Personally Known: or
Produced Identification: