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
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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
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