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385 Plaza ROW18-0017 right of way permit 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 INFORMATION: PERMIT NO: ROW18-0017 Description: replace 146-ft. of damaged underground CATV along Plaza Estimated Value: 0 Issue Date: 5/30/2018 Expiration Date: 8/28/2018 PROPERTY ADDRESS: Address: 385 PLAZA RE Number: 170020 0000 PROPERTY OWNER: Name: OBRIEN CHRIS R Address: 385 PLAZA ATLANTIC BEACH, FL 32233 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. NS�,:�,�;1 ' City of Atlantic Beach APPLICATION NUMBER Building Department (To be assi ned by the Building Department.) y 800 Seminole Road MAY 16 2010 y Atlantic Beach, Florida 32233-5445 1 — 061 Phone(904)247-5826 • Fax(904)247-5845 f i E-mail: building-dept@coab.us Date routed: `l City web-site: http://vvww.coab.us ` — APPLICATION REVIEW AND TRACKING FORM Property Address: J 0 S T `�l� Department review required Yes No Building Applicant: Q l f.)(Y1 MN a�CGPlanning &Zoning Tree Administrator Project: JI,v Pu lic Works C T C LOA- Public Utilities U 4 ��J P ��Lj 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. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by ,vi Date: 'r;; 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 ate:Revised 05/19/2017 rsy��f�JCity of Atlantic Beach APPLICATION NUMBER � Building Department (To be ass' ned by the Building Department.) 3 jl 800 Seminole Road ,r-� U r Atlantic Beach, Florida 32233-5445 MAY 16 2013 _ t�fJ Phone(904)247-5826 • Fax(904)247-5845 �C E-mail: building-dept@coab.us Date routed: J City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 0 S P -1:7 q Department review required Yes No _ Building Applicant: Q �.�."� (� Mit t1 C�t'h`�� Planning &Zoning ( ' (,, (' Tree Administrator Project: f 1 I l�l.� 't� ...T t (�'t- L �l(��i;'yu�1/ Pu lic Works v Public Utilities C T V q Lakk ) ��C(�� 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. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONINGYip— Date: 2_ Le Reviewed by: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUB ORKS Comments: JP BLIC UTIL% S S—Z3—f PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 RIGHT-OF-WAY / EASEMENT PERMIT Permit#Issued by the City of Atlantic Beach PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address 385 Plaza Dr Phone 904-777-9052 ext 280 Permittee Comcast(via TrueNet Communications) Email chodges@truenetcommunications.com Requesting Permission to Construct Replacing 146' of damaged U/G CATV along Plaza Dr. (SeePLans). Location(Reference to Cross-Street) Sherry Dr • 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. U"/)-- Catherine Hodges Date 5/2/18 Permittee(sign n 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) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. 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