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2317 SEMINOLE RD - RIGHT OF WAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 " ;3 �% INSPECTIONPHONE LINE 247-5814 RIGHT OF WAY - COMMERCIAL RIGHT OF WAY MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ROW17-0026 Description: AT&T Job 83E68185N Fiber Cable and Fiber Cabinet Estimated Value: 0 Issue Date: 11/28/2017 Expiration Date: 2/26/2018 PROPERTY ADDRESS: Address: 2317 SEMINOLE RD RE Number: 168908 1216 PROPERTY OWNER: Name: MEISER CARROLL K Address: 2317 SEMINOLE RD ATLANTIC BEACH, FL 32233-5925 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Danella Construction Corp. of Florida, I Address: 6756 Phillips Industrial LN JACKSONVILLE, FL 32277 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. oil City of Atlantic Beach ',E • APPLICATION NUMBER r* Building Department ? (To be assigned by the Building Department.) 3 4-74 800 Seminole Road NOV 4 6 2017 a , '" (')0 (c)*� Atlantic Beach, Florida 32233-5445 f + • Phone(904)247-5826 • Fax(904)247-5845 , + , s ?)" Email: building dept@coab.uss ' Date routed: t(/ to/I7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: x311 emir p (�, CJ) Department review required Yes No Building Applicant: P}-1- CDGhp((a on-s Planning &Zoning Tree Administrator Project: Q 6-Liublic Utilitie e Lj L /Co))r , 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. nDenied. nNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:----( Date: 7 TREE AD N. Second Review: ❑Approved as revised. nDenied. ❑Not applicable U-BLICWORKS " Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 „11..m-,„ City of Atlantic Beach APPLICATION NUMBER 1:41fr,v, Building Department i'' 1 r, (To be assigned by the Building Department.) fl\ � 800 Seminole Road 1 >' • - ' Atlantic Beach, Florida 32233-5445 ; o I' �� (D J.0 Phone(904)247-5826 • Fax(904)247-5845'JV 6 2017 (1 / E-mail: buildin -de t coab.us I`. ;' Date routed: l J,31� 9 p @ t 44 City web-site: http://www.coab.us '+ APPLICATION REVIEW AND TRACKING FORM Property Address: x311v,,n�joc��,�,;� �cq � ,u�� Department review required Yes No Building Applicant: (DG tea ( , �,bn vr�-� Planning &Zoning Tree Administrator Project: p.�� k-PI erw 5l -�; rca�l� «Xy e�� ri / '`ublic Utilitie Me ) LJ L Ceric - /cabPublic a ety Fire Services Reuie,W`=fee $- Dept Signature,_.r ” "_ 7 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: APPL CATION STATUS Reviewing Department First Review: Approved. ['Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: C, Date: /1k(C7 TREE ADMIN. Second Review: Approved as revised. I _Denied. Not applicable •U. ORKS ommegts: 'BLICUTITIE PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 RIGHT-OF-WAY/EASEMENT PERMIT i .- Permit#Issued by the City of Atlantic Beach 1`1 vi CO a h PERMITTEE,RESPONSIBT;E FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address 2317 Seminole Rd (across from) Phone 904-727-1566 Permittee AT&T Job 83E68185N Sergio Martinez Email sm948n@att.com, bp9757@att.com Requesting Permission to Construct Place approx 25'fiber cable, 30"x48"handhole,4'x5'concrete pad with cabinet. Please see plans for additional information. Location(Reference to Cross-Street) Seminole Rd @ Seminole Landing Rd, across from 2317 Seminole Rd • 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 Richard Yeater (Project Superintendent) with Company Name Danella Construction.Corp of FL Phone 004-268=0361 • All materials and equipment shall be subject to inspection by the Director of Public Works. • All city property shall be restored toits original condition as far as practical,inkeeping 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-ofway are to be included with this application. • The permittee shall commence actual construction in good faith within 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 interestin the land to be entered upon and used by the holder,and,the holder will,at all tines, 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 completion. �-- f f/ k// � � � Date 7Z , Permittee(signed in presence of Notary.Public) STATE OF FLORIDA,COUNTY OF DUVAL . I The foregoing instrument was acknowledged this _day of N C)U e IIIb€r ,20 1 7 f by Si 0 t nI l 1 (te+ it eZ .,who personally appeared before me and (printed name of Permittee) acknowledged thathe/she signed the instrument voluntarily for the purpose expressed in it. Letp a+ -L 3- Personally Known C/" Signature of Nota` `Public,StateofFlorida Produced Identification(Type) T nBRENDA A.PAUSCHE MY COMMISSION#FF937851 EXPIRES:November 19,2019 ,'. 6. r"mar:lir iril 111'all vMHA #°C i, i.. Ni at • + � •: �'F233 0 A . __ ,.. , , M Y 232' .y ol . C•• .• 232 ff 11 . 232 ' 1 i I, s Q 32.x.... ii 1 11 12319. • •ii A _ • t231 +3 • M • • 8"GRAVITY SEWER MAIN = r y I 1 s,�-; Y -- r M 1 , : ` r .. • Cf 1 L. B93 >. 33. • ° "`14� , 8" PVC FORCE MAIN _ It I. .l 'T. • «� wirisiy. .,--, _.:OCEANSIDE DR > t YEA / + , i it 40, 8"PVC WATER MAIN a lir e , 1 . .4 t t. _ .. ' , tcli :f;. , - ). .: ,`k '.a ,3 " • ';. 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