2400 SEMINOLE RD - RIGHT OF WAY PERMIT j �‘ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
15—,,,;, ATLANTIC BEACH, FL 32233
'01.tis) 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: ROW17-0017
Description: Replace 309' of damaged U/G plant along Seminole Rd..
Estimated Value: 0
Issue Date: 9/25/2017
Expiration Date: 12/24/2017
PROPERTY ADDRESS:
Address: 2400 SEMINOLE RD
RE Number: 168354 0010
PROPERTY OWNER:
Name: GATSBY LAND TRUST
Address: 839 PONTE VEDRA BLVD
PONTE VEDRA BEACH, FL 32082
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
1 $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
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.0 Permit Conditions
7.._
V City of Atlantic Beach
..:L.,-,15.).?
Permit Number: ROW17-0017 Description: Replace 309'of damaged U/G plant along Seminole Rd..
Applied:8/30/2017 Approved:9/20/2017 Site Address:2400 SEMINOLE RD
Issued: Finaled: City,State Zip Code:ATLANTIC BEACH,FL 32233
Status:APPROVED Applicant: <NONE>
Parent Permit: Owner:GATSBY LAND TRUST
Parent Project: Contractor:<NONE>
Details:
Permitted for Comcast via TrueNet
LIST OF CONDITIONS
SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS
DEPARTMENT CONTACT REMARKS
1 9/20/2017 ON SITE RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site during construction.
2 9/20/2017 RIGHT OF WAY RESTORATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Full right-of-way restoration,including sod,is required.
3 9/20/2017 ADDITIONAL COMMENTS PUBLIC INFORMATIONAL
WORKS
PUBLIC WORKS Scott Williams
Notes:
Any damage done to infrastructure must be repaired by Contractor.
4 9/20/2017 UNDERGROUND WATER SEWER INFORMATIONAL
UTILITIES
PUBLIC WORKS Kayle Moore
Notes:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field
coordination is needed,call 247-5834.
5 9/20/2017 UTILITY MAP INFORMATIONAL
PUBLIC WORKS Kayle Moore
Notes:
See attached Utility Map.
Printed: Monday,25 September, 2017 1 of 1 j
sv; City of Atlantic Beach
• tY r �':; APPLICATION NUMBER
Building Department7.
800 Seminole Road (To be assigned by the Building Department.)
il
. a Atlantic Beach, Florida 32233-5445AUGff,,
Phone(904)247-5826 • Fax(904)247-5845 3 , M �� — wl�
Ij E-mail: building-dept@coab.us
Date routed: 8 /.3011-7
City web-site: http://www.coab.us ------._
APPLICATION REVIEW AND TRACKING FORM
Property Address: you SeinioaQ t200J Department review required Yes No
Building
Applicant: Ake.W_i...0 ;- Ca/Y1(.0 k—) Planning &Zoning
J Tree Administrator
Project: ` ka , • I Public Works
A.( S �;^O� x_ (Q dub is tifitiejs
(� Public Safety
Fire Services
Review fee $ Dept Signature . . .
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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. DDenied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed byf Date: r ll
TREE ADMIN.
Second Review: []Approved as revised. ❑Denied. ['Not applicable
'UBLIC WOR Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
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RIGHT-OF-WAY/ EASEMENT PERMIT
,..1
4��;tl�%' Permit# Issued by the City of Atlantic Beach
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 2400 SEMINOLE RD Phone 904-777-9052 EXT 223
Peimittee COMCAST (VIA TRU ENETCOMMUNICATIONS) Email amccabe@truenetcommunications.com
Requesting Permission to Construct REPLACE 309' OF DAMAGED U/G PLANT ALONG SEMINOLE RD. (SEE PLANS)
Location (Reference to Cross-Street)OCEAN FOREST DR N
• Permittee declares that prior to filing this application they have ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches.
• 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 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.
• All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of TIM SLAYARD (Project Superintendent)
located at SEU
• All materials and equipment shall be subject to inspection by the Director of Public Works.
• 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.
• 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.
• The permittee shall commence actual construction in good faith within 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.
• 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.
• The Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again
.77ediately .on e
��'/c pi
Perms e
Datee(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
56,
The foe oing instrument was acknowledged this 0 dayy ofAt+ 20 17
by (1 V, /"'e
,who personally appeared before me and
rinted name of Permittee)
acknowledged that he/ he signed the instrument voluntarily for the purpose expressed in it.
j Digitally signed by ASHLEY /
I ` Date:2017.08.21 06:02:05-04'00' Personally Known ✓
at re i f Notary P !• c,State of Floridaw,,�,,,;�,,,e.,.. Produced Identification(Type)
yP )
Lommsz05t
N BOWERY
;y\i`l;) City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
L SJ 800 Seminole Road AUG 31 2017rrll
� 00
? Atlantic Beach, Florida 32233-5445 L� U � ' 1-1
, \ V Phone (904)247-5826 • Fax(904)247-5845 d
-tolos f- E-mail: building-dept@coab.us ----_ _ Date routed: / 1I-7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 03 eiyi ,kk , Department review required Yes No
Building
Applicant: ( 4 C- CaMC0A-) Planning &Zoning
l Tree Administrator
Project: {P,\a o 3O t c �v v 1iQ U/(�14n.�. Public Works •
�( Pubic tiej
sZ,„,rnoU2- e_ 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: proved. Denied. fNot applicable
(Circle one.) Comments:
BUILDING ��
PLANNING & ZONING Reviewed by, "_ ` ate: (,�`S fi7
TREE ADMIN.
/ Second Review: nApproved as revised. Denied. ❑Not applicable
UB,�_�'�►/ i-KS Comments:
' =`_ �� =
BL UTILITIES
PUB
PUB IC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. I Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017