535 ATLANTIC BLVD - RIGHT OF WAY PERMIT d ` , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
~! ;3 1) 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: ROW17-0033
Description: 2" plastic gas main, W side of Sylvan, S side of Sturdivant
Estimated Value: 0
Issue Date: 12/21/2017
Expiration Date: 3/21/2018
PROPERTY ADDRESS:
Address: 535 Atlantic Blvd
RE Number:
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: RAW Construction LLC
Address: 710 Lewis Boulevard South Tallahassee, FL 32305
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.
fay>;i, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
it----___,
800 Seminole Road ( ��"y ��
�' Atlantic Beach, Florida 32233-5445 I��`i�" \ J�3
______)
Phone(904)247-5826 Fax(904)247-5845
!_ ,,,1� - E-mail: building-dept@coab.us � �7 Date routed: ! '9\ at ,aot-i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 635 F`t`"r k;L 61Q3 Department review required Yes No
Building
Applicant: [CC.,0 Q--ecp\es GS Planning &Zoning
Tree :•ministrator
Project: l" (Aa5 CS yralPN ca1, S- &2 -
�a,� '
•
j�
� ` � S�� Srtl�c.?c
Public Utilities
{. ublic Safety
S1kr-66)ar i- Ste- Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required 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. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING — y /oZ�0'17
Reviewed b . Date: /
TREE ADMIN. 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
ri"�,''f City of Atlantic Beach APPLICATION NUMBER
JS ry • lt1 Building Department (To be assigned by the Building Department.)
800 Seminole Road ��`J" �,���
J rfa-.n f)
,v. � Atlantic Beach, Florida 32233-5445
�,, Phone(904)247-5826 • Fax(904)247-584DEC 1 2 2017 } ird\4 „,;=. E-mail: building-dept@coab.us Date routed: )'� 3ol-1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 535 (,: A�cq-,_-c. 6R-;3 Department review required Yes No
_ Building
Applicant: ( fLv Q-ev0-ez Gs Planning &Zoning
Tree A.ministrator
Project: air e6.5.1;G CSS yral.,-‘ of SPO
U) -s' : .�...__e_I
O c,-1 li4"�r j Public Utilities
/- V ank S�resz�. ublic balety
S � Fire Services
Review fee $ f / Dept Signature tt '.
Review or Receipt
Other Agency Review or Permit Required 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:
APPLI TION STATUS
Reviewing Department First Review: Approved. I (Denied. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING 3/CC/, ul�- 1 / 7
Reviewed by: Date.
TREE ADMIN. Second Review: I (Approved as revised. Denied. Not applicable
:10,_ ORKS Comments:
°PUBLIC UTILIT
4 — 3 —/ 7
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
ON*�r�i
Yuro • Engineering/ Permitting
vgt • Development Services
Associates, i.[.c • Property Management
Construction Management
• g
• ADA Consulting
))11)>N1)�111\�
December 8, 2017
City of Atlantic Beach
Permitting
800 Seminole Road
Atlantic Beach, FL 32233
RE: TECO Peoples Gas—Sylvan Drive & Sturdivant Street- Gas Main Installation
Atlantic Beach, FL
Dear Sir,
Attached for your review, please find the following information for the above referenced project:
• Two (2) copies of the signed& sealed design plans
• One (1) copy of the Right-of-Way permit Application
Please review the attached information at your earliest convenience and contact me if you have any
questions or if you need any additional information.
Sincerely,
1%rK
Michael J. Yuro, P.E.
President
Cc: Mr. Landon Meahl— TECO Peoples Gas
145 Hilden Road,Unit 108, Ponte Vedra FL 32081
(904)343-0929 * myuro@miyuro.com
CITY OF ATLANTIC BEACH
_...., .
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
' PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. '
Date: December 6, 2017 PERMIT# 7 /� . ,
Job Address: Sylvan Road & Sturdivant Street ISSUED BY THE CITY `�- 3�
Permitee: TECO Peoples Gas - Landon Meahl,Project Manager Telephone# 904-443-7308
Permittee Address: 4040 Philips Highway, Jacksonville, FL 32207
Requesting Permission to Construct: 2"plastic gas main along the west side of Sylvan Drive and south side of
Sturdivant Street (See attached plans for additional information)
Location: (Reference to Cross-Street) Atlantic Blvd &Sturdivant Road
I. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes (X) No ( ) Date: 11/13/17
Beaches Energy Service Yes (X) No ( ) Date: 11/13/17
AT&T Distribution Yes (X) No ( ) Date: 11/13/17
Comcast Yes (X) No ( ) Date: 11/13/17
2. 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 of 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.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supervision of Jeff Winters (Contractor's Project Superintendent) located at
jeffwintersraw(a�gmail.com Telephone#: 850-363-3219
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. 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.
6. 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.
7. This permittee shall commence actual construction in good faith with 45 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.
8. 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.
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER
Signed: .`-!`e'v-;t/t/ y�� 4LL Date: ILS 7,72c /r
Before me`this ""ii—f.--, day of L is+)iA7in the County of Duval,
State Of Florida,has personally appeared Lc-.�cki..yx 0.1%.t�r; VI
Notary Public at Large,State of Florida,Countyof Duval. ''''''
.a- KATHY S.MARSH
Mycommission expires: L'-'--�-- ° '= e;•.
P �5 �C.�<', Personally Kn o: Notary Public-State of Florida
..p -` of"c3-`I-, \. v�c��.'1 Produced Identification: • Commission A GG 006863
"(----MQ.--t- ` �'l� 8� F��� My Comm.Expires Jun 28.2020
Bonded through National Notary Assn
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