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298 AQUATIC DR - ROW REPLACE DAMAGED ( .11:1-1P.1-.0e) CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD yr ATLANTIC BEACH, FL 32233 ''.1-01119 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: ROW17-0019 Description: Replace 859' of damaged U/G catv plant Estimated Value: 0 Issue Date: 9/25/2017 Expiration Date: 12/24/2017 PROPERTY ADDRESS: Address: 298 AQUATIC DR RE Number: 177411 0100 PROPERTY OWNER: Name: SUNRISE COMMUNITY EVANGELICAL FREE CHURCH INC Address: 298 AQUATIC DR ATLANTIC BEACH, FL 32233-3844 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. I 0 01 1'uJ• Permit Conditions City of Atlantic Beach Permit Number: ROW17-0019 Description: Replace 859'of damaged U/G catv plant Applied:8/30/2017 Approved:9/18/2017 Site Address:298 AQUATIC DR Issued:9/25/2017 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233 Status: ISSUED Applicant:<NONE> Parent Permit: Owner:SUNRISE COMMUNITY EVANGELICAL FREE CHURCH INC 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 UTILITIES 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 UTILITIES Kayle Moore Notes: See attached Utility Map. Printed: Monday,25 September,2017 1 of 1 • .4 f .. .. j 0 f i' i O -. •n w 4 6 e '41) iY • . 764 tail . 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'r t � ` "1 {....T. i. , r :, tr)'s #.... 411 (` fi�r iv:::AL---.", - m ' 6 Sit..4t1/4.1..21t1 . i ... , in V, - -. . _. S. • .�-.� ,aPlt s�1 N 1!!11 c- �A _ Q io L ' 9- o f41,111r ` 1 4 i �''- .� Irl_ y E 1F g JAQVp11G • DR r ,-- av ' `'• ) it . : ~Q'1 •* ii y of — 1 lr 1 '�. - 1` j �G� PJC •" �� i i i_ 'fi r < ` P te . . ` , .-___.r.•_.___________-_________._______,-.----7--- _•Y N a _ ; -iS f, 16414 �.�-„,°.e- o MI -q 3T.,3:. ” / )7 Et QL._-_ S t t�J, - „.• _ • • ✓ 1-s . o .. f, ,f44 tl, Qy. .. " 'F imirld 4 H .,.r•I i # t 0 1 ~. Q I �yq� 13 U �t • C• �i• `� p,; 49 : :� .VVI +'fin' .F •^ 4 S a 5`tom. `� ;" ' V "wiliii ` V:,tt 'a !!!=�Rr� GP �� {S raTCCT • tt��yyyy}} ATLANI • ow-IN 4, City of Atlantic Beach APPLICATION NUMBER Building Department ` 800 Seminole Road (To be assigned by the Building Department.) :5, Atlantic Beach, Florida 32233-5445 I�'" ��O Phone(904)247-5826 • Fax(904)247-5845 AUG 3 20'r on E-mail: building-dept@coab.us Date routed: 3 b))i City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM • Property Address: p G�i G or. Department review required Yes No Building Applicant: —17- r Czm � Planning &Zoning p Tree Administrator Project: gepI aCe O 5 ' Of t om�iyJ u/b .' `' V Oaf* J blic Utiliti- 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: Approved. ['Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Gam/ Reviewed by �.`. Date: y -!117 TREE ADMIN. Second Review: ['Approved as revised. ❑ pp ['Denied. ❑Not applicable Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 hire, City of Atlantic Beach n_,;.; .riE. APPLICATION NUMBER '' # '' (To be assigned bythe BuildingDepartment.) �r ..;� Building Department g p > A °. +, 800 Seminole Road AUG 3 1 2017 ROW I i— OD` 9 6 �. Atlantic Beach, Florida 32233-5445 L 1 • Fax(904)247-5845 Phone(9 uil 247-5826 /3 b)1-1 -�Jj y, E-mail: building-dept@coab.us .- Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: i?� 9R (1-?„6.-1_; G o('. Department review required Yes No Building Applicant: . k)e-{-C r CxDmCci k-. Planning &Zoning e J Tree Administrator Project: 1 ace 859' dCt omt c 1)// �'1 ,• blic Utiliti- V D,ar* Public Safety 1 Fire Services 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. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING _, k44___ (Reviewed by: Date/( (7 TREE�Ar IN. Second Review: ['Approved as revised. ❑Denied. ['Not applicable P 10'" ORKS Comm nts: I•UBLI UTI PUBLIC SAF (T7 Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 f%'L'i?j A RIGHT-OF-WAY / EASEMENT PERMIT X. '`,;t„r Permit# Issued by the City of Atlantic Beach PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address 298 AQUATIC DR Phone 904-777-9052 EXT 223 Permittee CAOMCAST(TRUENETCOMMUNICATIONS) Email amccabe@truenetcommunications.com Replace 859'of damaged U/G catv plant along Aquatic Dr and Atlantic Blvd.(SEE PLANS) Requesting Permission to Construct Location (Reference to Cross-Street)ATLANTIC BLVD • 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 mei a el i ocomletion. �/ /�It Date e Z5 )7 Permittee(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL a 5-13 The fore oing instrument was acknowledged this day oftiklA ,20 t 1 , by ftSAI\ ,who personally appeared before me and ( ted name of Permittee) . owledged that he/she Signe. the instrument voluntarily for the purpose expressed in it. (� ��V���_� Personally Known ” otary Public, Florida Produced Identification(Type) CONNA JEAN LOWERY _�; ,. : Notaly Public• State of Florida If *4 My Comm.Expires Sep 22,2017 -J,;':oc«' `o? #CommissionFF 056416 ,.