1500 MAIN ST ROW 2017 i>S�lt r
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RIGHT OF WAY- COMMERCIAL RIGHT OF WAY
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: 17-ROW-3790
Description:
Estimated Value: 0
Issue Date: 5/15/2017
Expiration Date: 8/13/2017
PROPERTY ADDRESS:
Address: 1500 MAIN ST
RE Number:
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: TrueNet Communications
Address: 7666 Blanding BLVD
JACKSONVILLE, FL 32244
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
*A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
wr?,, City of Atlantic Beach �-r.0 • APPLICATION NUMBER
>� BaildlDg Department EL`� Fi= t(To be assigned by the Building Department)
sr 800 Seminole Road
•-•^�1/ Atlantic Beach, Florida 322335445
Phone(904)247-5826 Fax(904)247-58 APR 2 1 ZQII
Date routed: D�, I I I -f
E-mail: building-dept@coab.us
City web-site: http:/Mww.coab.us By;_
APPLICATION REVIEW AND TRACKING FORM
Property Address: � SDS VV),() S+ - De rtment review re uired Yes No
Building
���� � LA tbynmi.Lr�(.a-" On Planning Applicant: •� C1 f� Tree Administrator
Project: if)SkaU J�� yj � OY att) kckyJ lic Wora
1 ublic Utilities
Ctotb /t'1G.il1 S't• Public Safety
Fire Services
Dept Signature
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revises 05/14/09
>s'il'r City of Atlantic Beach APPLICATION NUMBER
Building Department �Cg'l` (To be assigned by the Building Department.)
C Y �!
800 Seminole Road E 1pp rrvv �_ G
r' Atlantic Beach,Florida 32233544 pp
Phone(904)2475828 Fax(9 47A845 1 12017
E-mail: building-dept@wab.us Date routed: Qq. (cl I l l
City web-site: hftp://vnvw.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I SM rqk�() S+ . Department review required Yes No
pp_ Building
Applicant:
Planning &Zoning
V?
l�� f� i ` ' Tree Administrator
Project: _j(lS�t(.�l 3 0 1 T1 - O Y a 2n G(,I C A-VQ < lic Wo
call A n ublic Utilities
't Public Safety
Fire Services
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
Amy 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 Reviewed by: N „e
, Date: LT
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
WOR S Comments:
4PUBLLITILITIES
—7/- 17
Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
III
#"� CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-24]-5800' A9arric Beach,Florida 32233-5445 Fax 904-247-5845
Date 4+ 017 PERMIT# I'+- "W-3"D
Job Address—rew- ISSUED BY THE CITY
Permitee: coac.s*rv+.mae,e.c MMUNIu CNS) Telephone#
PermitteeAddress: .•.mwxx.r.a%ua
Requesting Permission to Construct: P S*.SSE
Location: (Reference to Cross-Street) —
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(ED No (a Date:
Bell South Telephone Company Yes No (LD Date: ,-o,,
Ferrell Gas Yes®. No (Q1 Date: •+�%��
Comcast Yes® No (+D Date: xx
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 (Contractor's Project
Superintendent)located at Telephone M
4. Al 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 b 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
Signetl: Dale._ ]R"N ,"w�.,,- GMCE ta4C10:Y
Before me this dey of in be County of Duvet, MYCOMMISSION#GGOg989
State Of Florida,I s personally appeared t IXPWES:Ocbber2],
Notary Public at Large.State of Florida,Ceuny oto uval.
My commission expires: 0p�,'1. 7 'rip plh ''� Ikr,eeeiMU N%lay PUMe Untlemrihn�
Personally Known: or
Produced Identification:
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