1285 LILY ST - R.O.W. PERMIT J Vi
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'AZ Oil 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: ROW17-0028
Description: REPLACE 279' OF DAMAGED U/G PLANT ALONG LILY ST
Estimated Value: 0
Issue Date: 11/29/2017
Expiration Date: 2/27/2018
PROPERTY ADDRESS:
Address: 1285 LILY ST
RE Number: 171030 0010
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Comcast Business Smart Office dba Comcas
Address: 1701 John F Kennedy BLVD
PHILADELPHIA, PA 19103
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.
�5L.�,��; : City of Atlantic Beach APPLICATION NUMBER
J PIP.
Building Department (To be assigned by the Building Department.)
r _ 800 Seminole Roadiii
Q\ i r ��
! -0 Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
A oil !.)' E-mail: building-dept@coab.us NU ; S nee routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I Z85 LI Ly ( Department review required Yes No
Building
Applicant: C0 M.@ Pk-S T Planning &Zoning
C� Tree Administrator
` `
Project: PLAQC Z7 j ( p + blic Work>
/ ublic Utilities
PrrAGGi 0/G1 p( j Public Safety
!!! ( Fire Services
Review fee $ Dept Signature " 1Co"
?Or
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: 'vApproved. ❑Denied. Renpplicable
(Circle one.) Comments:
BUILDING l'
PLANNING & ZONING Reviewed by: G!/, vt-c ----- Date: (t(247
TREE ADMIN. Second Review: El Approved as revised. ❑Denied. ❑Not applicable
P WORK Comments:
UB TI
/f -• f "7 -/
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: vApproved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
c,ATIfjJ, City of Atlantic BeachAPPLICATION NUMBER
� t� Building Department (To be assigned by the Building Department.)
;, 800 Seminole Road Y_._ s, 10W i 7 --0 8;, Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax(904)247-5845 NOV 1 6 201?J;31�'' E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I Z85 LI Ly J ( Department review required Yes No
Building
Applicant: CO MC A-S i Planning &Zoning
Tree Administrator
Project: R Pcicic— Z79 1 O ( Cublic Work
� / ublic Utilities
‘-� r-'lV\AACC(� � / p( -�`7'J 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. I 'Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed byje Date://.1717
TREE ADMIN. Second Review: Approved as revised. ❑Denied. I 'Not applicable
PUBLIC WORKS 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
rtL'LY
�S ft
',.-., RIGHT-OF-WAY/EASEMENT PERMIT
.'x_,;l„r Permit#Issued by the City of Atlantic Beach
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 1285 LILY ST Phone 904-777-9052 EXT 280
Permittee COMCAST (VIA TRU EN ETCOM MU NI CATIONS) Email chodges@truenetcommunications.com
Requesting Permission to Construct REPLACE 279' OF DAMAGED U/G PLANT ALONG LILY ST. (SEE PLANS)
Location(Reference to Cross-Street)W PLAZA ST
• 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
immediately upon completion.
Date
Permittee(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of ,20
by ,who personally appeared before me and
(printed name of Permittee)
ac .ovle,:ed t at he/she -': ed the instrument voluntarily for the purpose expressed in it.
It/ Or %4 I - y si. -. by ASHLEY
t. 2017.0; I.:02:05-04'00' Personally Known
Signatur of I,tary Public, ate of orida Produced Identification(Type)
4..<4 s
>- —A RIGHT-OF-WAY/EASEMENT PERMIT
4 Permit#Issued by the City of Atlantic Beach R O W7-00 l Z()
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 1285 LILY ST phone 904-777-9052 EXT 280
Permittee COMCAST (VIA TRU ENETCOMMUNICATIONS) Email chodges@truenetcommunications.com
Requesting Permission to Construct REPLACE 279' OF DAMAGED U/G PLANT ALONG LILY ST. (SEE PLANS)
Location(Reference to Cross-Street)W PLAZA ST
• 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
immediately upon completion.
Date
Permittee(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of ,20
by ,who personally appeared before me and
(printed name of Permittee)
ac •.wledge I that he/s,- . d the instrument voluntarily for the purpose expressed in it.
Digit- y s ned b _ - Y
Dat 2017,•.. 1 06:02:05-1•'10' Personally Known
Signa o otary Public,St. - s Florida Produced Identification(Type)
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1285 LILY ST
CITY PERMIT
PLAN VIEW
0 20' 40'
:4
PROJECT START
PROPOSED U/G CATV
I I
FACILITIES TIE INTO
I
EXISTING CAN
FACILITIES
I
py�� XXFF��qq ®® 4 E
I Q I CATV PEDESTAL1 ® l/4P E/P
CROSS SECTION
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CATV FACILMSOD
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I '
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—60•—
POWER O 14' E/P
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—•—
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I PROJECT FINISH
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PROPOSED U/G CAN
I I
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R/W
FACILITIES TIE INTO
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I j PROPOSED U/G ri
CAN FACILITIESIES
20'
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y
D/W _
E/P
C/L
I
E/P
I �
�--- -- -- -J -- ---JR/W
WEST PLAZA ST
1285 LILY ST — CITY
®�
E CjH' FL
SUBJECT-
PROPOSED U/G CATV
TY:
COUNCITY
DU VAL
STATE:
FLORIDA
C OM C A S T
' `J
L1TLt1NTIC
FACILITIES ON LILY
WEST PLAZA ST.
ST do
SHEET NO.:
4 OF 4
DATE:
11/13/2017
PROPRIETARY AND CONFIDENTIAL
RIGHT—OF—WAY
PERMIT
CIFA:
MAP:
FLBE00033
5934 Richard St
F05BK2
DRAFTED BY:
COMCAST
Jacksonville, FL 32216