1 Ahern St ROW18-0017 right of way permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'-roll �%� 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 INFORMATION:
PERMIT NO: ROW18-0016
Description: replace 323-ft. of underground & overhead CAN
Estimated Value: 0
Issue Date: 5/30/2018
Expiration Date: 8/28/2018
PROPERTY ADDRESS:
Address: 1 AHERN ST
RE Number:
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: TrueNet Communications
Address: 7666 Blanding BLVD
JACKSONVILLE, FL 32244
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.
City of Atlantic Beach APPLICATION NUMBER
ys �l Building Department (To be assigned by the Building Department.)
800 Seminole Road LJ
Atlantic Beach, Florida 32233-5445 MAY 16 2013
Phone(904)247-5826 • Fax(904)247-5845 ( �
�LO;3 yr E-mail: building-dept@coab.us Date routed:
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: xl\,-v in ST Department review required Yes No
Building
Applicant: -TV aQ (V�A �rry�(Yl.�-tlL� C� Planning &Zoning
r Tree Administrator
Project: �� U t b
ir Utilities
,::--LL)v9 ', U_� C Z u .
U Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: �r����� _Date: t
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑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
Sr1,`JjJrCity of Atlantic Beach APPLICATION NUMBER
j� Building Department (To be assigned by the Building Department.)
.` 800 Seminole Road fl J
_ �r Atlantic Beach, Florida 32233-5445 V
Phone (904)247-5826 • Fax(904)247-5845 II
E-mail: building-dept@coab.us 1,AAy 16 2018 Date routed: S l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: XA\,-y V, J` Department review required Yes No
Building
Applicant: _T_f LAA_ ( I QNCl Ylflt�-t/L�C4��/� Planning &Zoning
Tree Administrator
Project: U LA fA d.J4 (l)L,14ubli ork
d 9-r4U_ l u I.
0v
CZ v 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:
APP ATION STATUS
Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: �!�✓_/ ` Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. []Not applicable
PU WORD KS / Comments:
4BLIC UTILITIES
s-23-ice
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
RECEIVED
�r
RIGHT-OF-WAY/ EASEMENT PERMIT
Permit#Issued by the City of Atlantic Beach F Owl �_C04AY 15 2018
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
131
Job Address 1 Ahern St Phone 904-777-905�2.Z4�% 9 Department
Permittee Comcast(via TrueNet Communications) Email chodgesptruenetcommunications.com
Requesting Permission to Construct Replacing 323' of U/G and 3' of O/H CATV along Ahern St.
Location(Reference to Cross-Street) Beach Ave
• 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 Salyard (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.
CCatherine Hodges Date 5/15/18
Permittee(signed i Bence 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)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
Personally Known
Signature of Notary Public,State of Florida Produced Identification(Type)
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