469 11TH ST - RIGHT OF WAY PERMIT i
Jv's� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
510v ATLANTIC BEACH, FL 32233
J;; 9. 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-3411
Description: construct antenna on water tower
Estimated Value: 0
Issue Date: 6/27/2017
Expiration Date: 9/25/2017
PROPERTY ADDRESS:
Address: 469 11TH ST
RE Number: 172026 0000
PROPERTY OWNER:
Name: CITY OF ATLANTIC BEACH
Address: 800 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Verizon Wireless
Address: 14055 Riveredge Drive
Tampa, FL 33637
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.
11
City of Atlantic Beach APPLICATION NUMBER
(51--tviy:
�411- , Building Department (To be assigned by the Building Department.)
4i 800 Seminole Road 1
.j
Atlantic Beach, Florida 32233-5445 11- (tDOI -34 II
Phone(904)247-5826�• Fax(904) 247-5845 Date routed: �3 IO 3 I Wil
-
CityE-mail: buildin de t coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Li 10C1 \1n- Si r LL* Department review re.uired Yes No
,, 1 ruildin:
Applicant: \)i �tOC V3ic645 .y ► !�!'•!-rG,
Tree Administrator
Project: a ciLia.1, cwk-to n a 'D W rt ' J I .u.lic Works
v 4 Public tilities _-
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: ` rpioved. I 'Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING (24 -1
Reviewed by: -._-= K. " Date:
TREE ADMIN.
Second Review: I 'Approved as revised. I (Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
f-----
CITY OF ATLANTIC BEACH
S�'i 800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
y
FAX(904)247-5845
\
\
JJ3l2 ,
• REVISION REQUEST SHEET OR
i CORRECTIONS TO REVIEW COMMENT
Date: `1- +�11Received by: i('3 v'K �A-S Resubmitted:
Permit Number: 11-9.--Dv.)- 14 I(
Original Plans Examiner: Project Name:
Project Address: Li to a. I A-Si .
Contractor: Contact Name: c-C)b
Contact Phone : 3 <(0 -Lt(Z) —112 404 Contact e- ail:
Revision/Plan Check/Permit Fee (s)Due: $
Description of Proposed Revision to Existing Permit:\
OctAS (: `-1 SQ kj>
�
1 Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below. I(print name) affirm that the above revision
is inclusive of the proposed changes.
•
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
/ Office Use Only
Date: 642 0 1 ♦� Approved: v Rejected: Notified by
Plan Review Comments:
Department review required Yes No
C uildinq .
Planning &Zoning
Tree Administrator Plans Examiner
c Utilities j 6(2pVI
Public Safety
Fire Services Date Created 4/13/16 Rev.3
City of Atlantic Beach •
(10-Avi:rj,, APPLICATION NUMBER
�� Building Department - - -, (To be assigned by the Building Department.)
800 Seminole Road pn1 c,
J
' � Atlantic Beach, Florida 32233 5445 11- °AO `' �l I
Phone(904)247 5826 Fax(904)247-58•-AR U 6 2017 '
-:-.401119',1-:-.401119',1E-mail: building-dept@coab.us Date routed: 031f
0 3 +ZON-
City web-site: http://vwvw.coab.us '
APPLICATION REVIEW AND TRACKING FORM
Property Address: Li toct \ Department review required Yes No
euildin.
'I '���.
Applicant: \)1.41,00\)1.41,00 �S
� Wt KS :�., �..�y-�f:►i
Tree £dministrator
Project: a&( t,i1U a nk tam ' ) ko aka !ru.lic Works
0.4 f / Public ==
� 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: !! &-7-4-17
9 p �✓IApproved. ❑Denied.
(Circle one.) Comments: 4 if*daf ,i rj
BUILDING
PLANNING &ZONING Reviewed by: A Dater
TREE ADMIN. Second Review: ['Approved as revised. ['Den' .
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
CITY OF ATLANTIC BEACH
� Sj1f800 Seminole Road
� j JUN 03 2017 Atlantic Beach,Florida 32233
'" BY.
(904)247-5800
a��r. -'' FAX(904)247-5845
,q.
•
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: (4 ( 1 I- Received by: �l'3 V K 1,�(3S
Permit Number: 1 3-9.-ow- -14 1 1 Resubmitted:
Original Plans Examiner: Project Name:
Project Address: LI lD t& L 0A--
Contractor: A-Contractor: Contact Name: b
Contact Phone : 315(q — Lt0S-1-60 0:4 Contact e-mail:
Revision/Plan Check/Permit Fee (s)Due: $
Description of Proposed Revision to Existing Permit:
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below. I(print name) affirm that the above revision
is inclusive of the proposed changes.
•
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
Office Use Only
Date: G Approve Rejected:
Notified by:
Plan Review Comments:
Department review required Yes No
Buildin. air,,
Planning &Zoning
Iv wera, .�
Tree Administrator Plans Examiner
•
Public Safety
Fire Services Date Created 4/13/16 Rev.3
0�'a'�i'ir, City of Atlantic Beach APPLICATION NUMBER
L'+--• — Buildin De artment
:�\�,� 9 P (To be assigned by the Building Department.)
`• /A 800 Seminole Road n
A Atlantic Beach, Florida 32233-5445 MAR G b 2017 11- C-00 —34 LI
Phone(904)247-5826 • Fax(904)247845 I
-191111r- E-mail: building-dept@coab.us ' :,,. • Date routed: 0310 3
City web-site: http://www.coab.us ---
APPLICATION REVIEW AND TRACKING FORM
Property Address: y to"l 1 I J{ LE+ Department review required Yes No
"" `` ,, �uildin:
K
Applicant: \ t, L'to W � 5
Tree Administrator
Project: QCIA-L(1U A,J1k�,�,(�Ofj wcuk-a 4,77;u.licWorks _-
A IJ Public Utilities _-
�'1 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:
•
APPLI ATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: )✓, Date: 3/ /6��
TREE ADMIN. Second Review: ❑Approved as revised. Denied.
d% WORKS Comments:
P BIZ UTILITIES
PUBLIC SAFETY Reviewed by: Date: •
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
i L :
al .:,-It. ,\ e CITY OF ATLANTIC BEACH
Sty JUN'1..310 . flZ
800 Seminole Road
Q 201 Atlantic Beach,Florida 32233
r-2_, . c)
~�- V Y
Telephone(904)247-5800
N.s!
FAX(904)247-5845
• REVISION REQUEST SHEET OR
ii I CORRECTIONS TO REVIEW COMMENT
Date: CilI 111- Received by: �l'3 v�k 'ABS
Permit Number: 1.1-Q-0 W- 'a y (1 Resubmitted:
Original Plans Examiner: Project Name:
Project Address: LI l0 ct 11 -Si
Contractor: Contact Name: b
Contact Phone : '3 (q —LtOS-1-004 Contact e-mail:
Revision/Plan Check/Permit Fee (s)Due: $
Description of Proposed Revision to Existing Permit:\
,(-Los-e_6 p e S L tA S23)
Additional Increase in Building Value: $ . Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below. I(print name)
is inclusive of the proposed changes. affirm that the above revision
•
•
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
/ Office Use Only
Date: / z,1 � -7 Approved: 14+x/`_ Rejected:
((( Notified by:
Plan Review Comments:
(A rat '1 A(040---
Department review required Yes No
Buildin•
Planning &Zoning
Tree Administrator Plans Examiner
' • -c utiliti-. (2_ 7
Public Safety G--/?_/7
Fire Services Date Created 4/13/16 Rev.3
Kimley>>>Horn
RECEIVED
January 16,2017 NAA - 3 •
Suite 200
1920 Wekiva Way
Building Department 3341t1Palm Beach,Florida
Laura Roberts City of Atlantic Beach, FL
SBA Communications Corporation
8051 Congress Avenue
Boca Raton,FL 33487-1307
Re: Proposed Verizon Wireless Antenna Installation
Mayport Road Water Tower
469 11th Street
Atlantic Beach,FL 32233
To whom it may concern :
In accordance with our agreement, Kimley-Horn and Associates, Inc., has
performed an evaluation for the the addition of one(1)Verizon Wireless antenna
X7CQAP-665-VRO-IPB and one (1) antenna mount and four(4) coax cables to
the existing water tower referenced above.
The proposed Verizon antenna, mount and coax cables will not add more than 5
percent gravity load or 10 percent lateral load to the water tower, water tower
handrail nor its foundation when compared to the original loads or the wind
surface area of the water tower. Per the 2014 Florida Building Code: Section
1103, existing structural elements whose stress due to gravity loads is not
increased by more than 5 percent and whose stress due to lateral loads loads is
not increased by more than 10 percent,may remain unaltered.
It is therefore, based on the above reasoning, that the water tower can safely
resist the proposed Verizon Wireless antennas.
Please call me at(561)845-0665 if you have any questions.
Very truly yours,
KIMLEY-HORN AND ASSOCIATES,INC. O�
CA 00000696 ,h
` \1111E11/0f, `'
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Ock
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. , No. 70645 w
Arnoldo A.Artiles,P. - , : STAT OF ' ,
FL P.E. 70645 ,` p -/G-( o
•
•TEL 561 845 0665 /f'I'l/l(!1 i 19 P
FAX 561 863 8175
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;` i4-;� CITY OF ATLANTIC BEACH !`g-e '� 414 o 5. a+ I, (0:%/1
'w..--.=—. EV:^4.6' r)
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
h:!rig at' Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)CO PLETE SETS OF PLANS WITH APPLICATION.
Date 2 /2 n 1
/9 l PERMIT# VI—V-QLh-" • M I
Job Address �jt/ L // fi7.—e-e ISSUED BY THE CITY
Permitee: P
Y /'+ Z d`, 41/.p Telephone# -7(� " Vow-r) dD
Permittee Address: //LO•F.S5 ,e r o1 vr---,
Requesting Permission to Construct ,O/ c---e iA 1..P,,, ,.-, ,- c5.A a 42.r• 'fir i,/,er--
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.
RE rp N ,4;
as mailed to the following Utilities/Municipalities: J 74
Jacksonville E ec ric uthority Yes ( ) No ( ) Date:
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas Yes ( ) No ( ) Date:
iflh'omcast 2017 Yes ( ) No ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
ilUlldirJtlertttg8 pip $ypn of all, or any portion of said street or easement as determined by the Director of Public
Works, ' r burr'' 1l"�2ff said poles, wires, pipes, cables or other facilities and appurtenances authorized ity
O. �'�hereund iia�ANtel'fbamediately 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 /73 <) (Contractor's Project
Superintendent) located at Telephone#:
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 / (51O 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 i )
\NN"t11111 li?i����/y�
Signed: \._. is ( � e,:t!Erl %1/ 'iii
Before me this day of .. .# tFugf Duval,
State Of Florida,h p rsonally appeared ? 5 ;' i,.' ,, ,r
NotaryPublic at Large,State of Florida,Coitnty dt ) •.1. •.o s
My commission expires: _ _d= Personally Known:
•-•:-.- .Y$N c dict ificaUon:
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