366 PLAZA - RIGHT OF WAY Vis " A -J _� CITY OF ATLANTIC BEACH
`'' s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
s%' 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: ROW17-0020
Description: Replace 196' of damaged U/G catv plant along Plaza
Estimated Value: 0
Issue Date: 9/25/2017
Expiration Date: 12/24/2017
PROPERTY ADDRESS:
Address: 366 PLAZA
RE Number: 169973 0000
PROPERTY OWNER:
Name: FOGG MICHAEL L
Address: 366 PLAZA
ATLANTIC BEACH, FL 32233-5442
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.
Permit Conditions
'5'74411,4.
a City of Atlantic Beach
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Permit Number: ROW17-0020 Description: Replace 196'of damaged U/G catv plant along Plaza
Applied:8/30/2017 Approved:9/18/2017 Site Address:366 PLAZA
Issued:9/25/2017 Finaled: City,State Zip Code:Atlantic Beach,Fl 32233
Status: ISSUED Applicant:<NONE>
Parent Permit: Owner: FOGG MICHAEL L
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 INFORNIATIONAL
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
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01.A.N;yr, City of Atlantic Beach APPLICATION NUMBER
�s Building Department
(To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 I . )( 1— 00W)
Phone(904)247-5826 • Fax(904)247-4416 3 1 2017
os 0 E-mail: building-dept@coab.us 4 Date routed: 8/307
City web-site: http://www.coab.us •gy,
APPLICATION REVIEW AND TRACKING FORM
Property Address: '3 Gj n 0.7_0 Or Department review required Yes No
Building
Applicant: 17Ue{- Planning &Zoning
Tree Administrator
Project: -tel aI2 1 UPackit., J 0/6 cvi' clic
lic Utilities
1 to
e is Public Safety r l
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: i[ Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by,44C1140....4,_____ Date: 'WI/
TREE A MIN. 11
Second Review: ['Approved as revised. ❑Denied. ❑Not applicable
PUBLIC W 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
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
' so•\ 800 Seminole Road '� -7_
Atlantic Beach, Florida 32233-5445 �OL) / ()030
Phone(904) 247-5826 • Fax(904) 247-5845 Il
9'r E-mail: building-dept@coab.us Date routed: U 130))7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 ��ciZc;, ‘)r' Department review required Yes No
Building
Applicant: 1- 1id- ({vr ) Planning &Zoning
Tree Administrator
Project: �tpi QCT 1 ��amc q�i 0/6 C[x�1 V�LQrk3�
u a l o icao, J Pak Utilities
Public Safety
Fire Services
Review fee $ Dept Signature 11 �
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. I (Denied. ['Not applicable
(Circle one.) Comments:
BUILDING c,
PLANNING &ZONING Reviewed by:c4 � Date: ` ('
TREE ADMIN. Second Review: El Approved as revised. Denied. I )Not applicable
P ORK' Comments:
441.1111111Mi- B
PUBLIC SAFET Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. INot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
r
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6.1
'S Lfr -.\•3„ RIGHT-OF-WAY / EASEMENT PERMIT
v ::
119.- V Permit# Issued by the City of Atlantic Beach
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 366 PLAZA DR Phone 904-777-9052 EXT 223
Permittee CAOMCAST(TRUENETCOMMUNICATIONS) Email amccabe@truenetcommunications.com
Requesting Permission to Construct Replace 196' of damaged U/G catv plant along Plaza Dr.(SEE PLANS)
Location(Reference to Cross-Street)Sherry Dr
• 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.
11 • 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
immediately upon • ''ple ' n.
Ashley McCabe // 7, 1
''t1 Date 8-24-17
Permittee(signed in presence of Notary Pub ic)
STATE OF FLORIDA,COUNTY OF DUVAL 15t1
The fore oin instrument was acknowledged this " day of 04 ,20 11 ,
a �, ���
by US r lIG � l,^4X.I ,who personally appeared before me and
(p ted name of Permittee)
• . owledged that he/she signed the instrument voluntarily for the purpose expressed in it.
ill ( , i
Personally Known 7
i• .reVir otary Publi ate of<lcyidk _ _ — _ _ _ _ _ .rolLucjd Identification(Type)
.`;P"`''0e% DONNA JEAN LOWERY
I E . Notary Public-State of Florida I
:14 ,�'dc My Comm.Expires Sep 22,2017
•1, F dr,° Commission# FF 056416