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1601 SEMINOLE RD MEDIAN - PERMIT ROW18-0011 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 RIGHT OF WAY - SINGLE OR TWO FAMILY RIGHT OF WAY MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMA17ON: PERMIT NO: ROW18-0011 Description: 16th & Seminole-bore 48"for 4590'of AT&T fiber cable Estimated Value: 0 Issue Date: 4/30/2018 Expiration Date: 7/29/2018 PROPERTY ADDRESS: Address: 1601 SEMINOLE RD MEDIAN RE Number: 1695570000 PROPERTY OWNER: Name: CITY OF ATLANTIC BEACH Address: 716 OCEAN BLVD ATLANTIC BEACH, FL 32233 GENERAL CONTRACrOR 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. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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 City of Atlantic Beach Permit Number: ROW18-0011 Description: 16th&Seminole-bore 48"for 4590'of AT&T fiber cable Applied:4/18/2018 Approved:4/26/2018 Site Address: 1601 SEMINOLE RD MEDIAN Issued:4/30/2018 Finaled: City,State Zip Code:Atlantic Beach,FI 32233 Status: ISSUED Applicant:<NONE> Parent Permit: Owner:CITY OF ATLANTIC BEACH Parent Project: Contractor:<NONE> Details: LIST OF CONDITIONS SEQM ADIDED,,DATE REQ61'REDDATEI SATISFYDATE, TYPE STATUS DEPARTMENT CONTAcT �REMARKS 1 4/25/2018 UNDERGROUND WATER SEWEq INFORMATIONAL UTILITIES PUBLIC WORKS Kayle Moore Notes:,77 Avoid damage to underground water and sewer utilities. Verify vertical and�orizontal location of utilities. Hand dig if necessary. If field coordination is needed-call 247-583.4., 2 4/25/2018 UTILITY MAP INFORMATIONAL PUBLIC WORKS Kayle Moore Notes: See attached Utility Map., - 3 4/25/2018 A DITIONAL COMMENTS PUB��INFORMATIONAL I I UTILITIES PUBLIC UTILITIES Kayle Moore Notes: All.util_(ti'es must be,fielf&verifiecl bef6r4,,directional clrill�'17,1`; 4 4/26/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes:', All runoff must remalmon-site during corfstruction. 5 4/26/2018 R 11 HT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Nofes-�, Full,right-of-way restoration,including sod,is required. OL Printed: Monday,30 April,2018 1 of 2 W V �Permit &�Oi, 1w City of Atiliantit 66, -J- alch- 6 4/26/2018 ADDITIONAL COMMENTS PUBLIC INFORMATIONAL I I WORKS PUBLIC WORKS Scott Williams Not Contractor will 1�6ie� nsible for anv clamage to infraittqcture or streets'caping. Printed: Monday,30 April,2018 2 of 2 19 City of Atlantic Beach ��.�-'�,:"APPLICATION NUMBER Building Department Oy-the-Building Dep6ftrne­6t.)- A R 2013 P 800 Seminole Road APR 19 2013 Atlantic Beach, Florida 32233 44 Phone(904)247-5826 - Fax(90 );,77-5845 )4 E-mail: building-dept@coab.us Dat e routed:.17 Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM C 11,0 0 1 'St(V�Lft&k_ t"� C-Las e OLafeS6 Property Address: Department review required Yes No �) Building Applicant: JL'C clk� Planning &Zoning Tree Administrator Project: L( �p P�a (_L 4 �_i() F� . )k-T.A--T Public cl, to Public Safety Fire Services 8 e -fee $ CLept 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: VApproved. []Denied. [:]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed bIV, ate: D TREE ADMIN. Second Review: F]Approved as revised. F ]Denied. E]Not applicable rFz1_'F0't1F_�_1CW_d_RkS4 Comments: �P ............... PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F�Approved as revised. [:]Denied. ONot applicable Comments: Reviewed by: Date: Revised 05/19/2017 17 City of Atlantic Beach APPLICATION NUMBER , -7 Building Department (To be 6ssigne'd by the B`uilding Department.) 800 Seminole Road APR 19 W3 Atlantic Beach, Florida 32233- 5 Phone(904)247-5826 - Fax(90,4),1�247-5845 E-mail: building-dept@coab.us Date: routed: City web-site: hftp://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM C I ko 0 t 6t(V�Lftbu_ t"s (-LC&w- oLuto�S) Property Address- Sejv.,�pb�S_ Department review required Yes No Building Applicant: CA, ICCk��1) Planning &Zoning Tree Administrator Proje Oct: P2.b I Lc_ A c t Public Safety Fire Services R 'iew fee DOp ev Other Agency Review or Permit Required Review or Receipt Date Florida Dept. of Environmental Protection of Permit Verified By 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: APPI,ICATION STATUS Reviewing.Department First Review: VfApproved. [-]Denied.' [:]Not applicable (Circle.one.) Comments: BUILDING. PLANNING &ZONING Reviewed by-4� C_/1 Date: TREE ADMIN. Second Review: FApproved as revised. [:Ibenied. ONot applicable P WORKS Comments: I E�,,UTI� . TIE, L 7-1c S F E Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. DIDenied. ONot applicable Comments: Reviewed by: Date: Revised 05/19/2017 7�� 16 &ZA.1.3 31t.,O. k �394� 390 386 380 376 372�364�358 354 350 344 340 336 4`3 0 .310 309 882 877 255 901 10 lu U 33 327 323 310 61 343 337 3 0 890 885 393 389 385 377 371 369 363 35 151 849 R4A L 859 171 885 838 3 826 0 130 875 338 - 374 370 366 362 358 354 348 344 825 871 390 Oro 5 321 317 814 81 185 165 145 125 830 851 25 391 387 77 37, 365 359 353 345 341 333 804 1 1 i 831 824 IL - — 110 3 6 7 1 01 332 326 --- 1�3 14 310 7 1 1 m 360 358 352 348 346 340 336 716 a 7 1 1 7 800 394 ".Q 8o 378 374 325. 711 — 3 3�1 7:24 741 353 347 337 iqq 331 327 out$ 697 760 q7'1 369 36 9200 7:23 379 230 222 214 67 675 672 659 664 6 654 647 358 352 348 342 338 336 332 24 320 316 651 M 386 382 372 368 364 m 51 645 644 631 620 out% 41 M) 317 3 625 610 - 345 341� 335 1 m — 395 387 379 373 590 122 587 1 ollu 631 1, �270 260 57f� 574 555 602 316 31 IID 530 55 0 3 VVI 334 332 326 322 ..1 559 559 541 544 2 354 350 342 53 525 580 59, 386 382 378 370 364 36 1 541 525 ---- 517 81 3 460 560 345 337 33 321 315 311 520 2/5 225 511 541 361 353 0 385 381 377 373 - 130 44 550 an 395 200 m m 465 320 310 300 459 0 530 3 2- 360 358 354 35 346 2 328 9 38') �3 2 407 L 436 6cul 4m (eii tj 4?u-jo <�-- VIV(44-W p JV4 ffo 1,(,o 00 ;k 1685 1656 1653 116734 330 320 a 0 1674 It 1 6 41 1710 1 '07 1690 1675 1668 1671 75 1671 - 1641 1884 1 1667 2 1670 1665 1670 4 661 1665 1635 1655 1660 1-655 1638 1656 1659 652 1651 1600 1655 1632 1549 1652 65 1643 0 1633 1637 1648 1645 1626 7 1633 1627 1644 6- 1625 1629 1620 1633 1622 78 161 1611 1614 1605 1611 0 I 1619 0 1621 1627 1639 16 1601 1 1595 1 A61 1601 1600 0 325 315 305 292 1 r, n 1582 1551 1549 1575 1 5 6 1549 1 5 54 1515 ran 1536 15 -9 1 1575 1585 330 31 0 1 207 46 1565 1570 1565 1464 126; 1475 Zt$U 1560 1452 1475 1456 1449 1460 1401 1600 1555 0 1420 1450 1440 1433 41 1417 1550 1545 1445 1420 7 1393 10 3 1535 1528 1421 1 aou 1540 71 4 1359 1355 1360 1360 1345 133 1335 P, 1525 1514 m 13 0 1 oe_u 1530 1:365 1251 1 10 135 130 1303 1515 uuu 1320 1322 19An 1345 0 1520 1220 1305 1225 130. 'D 015A 4 1-1 47A 15 1296 1 1257 i r%nr, 1220 1270 141 u 1249 1510 , 1275 1215 1250 1241 1242 23e I\ . 363 125 1251 gm 12912 RIGHT-OF-WAY EASEMENT PERMIT APR 1 7 2018 -F�7:1 Y, ,Jul Permit#Issued by the City of Atlantic Beach OJU I PERAHTTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address 1637 Seminole Rd Phone 904-777-9052 ext.258 Permittee—AT&T/Rebecka Bonts for Tony Pelle-grini Email RBONTS@truenetcommunications.com Requesting Permission to ConStructAT&T Job 83E6822ON proposes to place 4590'of fiber cable bored @ 48"min depth Location(Reference to Cross-Stre 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) withCompanyName � Danella Construction Corp of FL phone 904-575-0070 • 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 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. D q116 /&�� ate Permittee(signedilqresence of Mtary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this (0 dayof Apr'it 20 by —rnn�4 PALq—ayl,,�� who personally appeared before me and (pririted name of hrmittee) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. Personally Known \1i §ignature of Notary Public,St Produced Identification(Type) IRN- BUNDA A.PAUSCHE My COMMSSION#FF937851 d01T EXPIM:November 19,2019 0FF6'