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801 ATLANTIC BLVD 17-ROW-3764 permit 04-26-2019 - r.\,\J r f- .fir' . J' � CITY OF ATLANTIC BEACH ", x_',„ CITY 800 SEMINOLE ROAD 3 -" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 `��0.31911' RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-ROW-3764 Job Type: RIGHT-OF-WAY PERMIT Description: place 216 feet of buried CATV along Royal Palms Drive Estimated Value: Issue Date: 4/25/2017 Expiration Date: 10/22/2017 PROPERTY ADDRESS: Address: 801 ATLANTIC BLVD RE Number: 177641-0000 PROPERTY OWNER: Name: JAX FEDERAL CREDIT UNION Address: 562 PARK ST GENERAL CONTRACTOR INFORMATION: Name: TrueNet Communications , TBA Address: 7666 Blanding BLVD Phone: - - PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: All runoff must remain on-site during construction. Full right-of-way restoration, including sod, is required. Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the plans. Any damage to sidewalk and/or roadway must be repaired by Contractor. Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. See attached Utility Map. FEES: Total Payments: $0.00 PERMIT IS APPROVED O\I.l IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA BUILDING CODES. s ,Alprjc City of Atlantic Beach APPLICATION NUMBER S � Building Department (To be assigned by the Building Department.) 800 Seminole Road E` 1 p ��v "� Atlantic Beach, Florida 32233-5445 +"� �" 11—' G-O 1 — 3I COL' Phone (904)247-5826 • Fax(904)247 45 h --./..0.219'i-_ E-mail: building-dept@coab.us �aR I tl 201 iDate routed: V�` 3' 11 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: V--O�Vc-\ PUVrhS Pc , `k-0 \- 0V51. Department review required Yes No (( .� Building Applicant: int NLA CA)-n n�l.(ll c11)01 S Planning &Zoning Tree Administrator Project: Q\a(A, a 1lp P.0-1._-k o ,t./ /__tI Public Wor s , \ ) ublic Utilities " C-A� a ti)(1 4)4.q t PA 1'm, Qi . Public Safety S u-,ni cck k Wlk:L 6\q(,f, 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: VApproved. ❑Denied. gf--647 (Circle one.) Comments: i AgAra Conn e4 BUILDING PLANNING & ZONING . Reviewed by: ,1 al fDate: _ TREE ADMIN. Second Review: A roved as revised. ❑ pp ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 C1 `�;� City of Atlantic Beach APPLICATION NUMBER ,-:� Building Department I{1 :� 5-..`m (To be assigned by the Building Department.) 800 Seminole Road �� Atlantic Beach, Florida 32233-5445 -DUO — 3 (p Phone(904)247-5826 • Fax(904)247-5 : i;; , �# 2017 ; D;319% E-mail: building-dept@coab.us Date routed: VL{'i 3l 11" City web-site: http://www.coab.us , BY:_______ APPLICATION REVIEW AND TRACKING FORM Property Address: 'Y-O*Ct -(34 tMS Pi , 4 , 61Ud. Department review required Yes No Building Applicant: 'GlutNLA CA fltLN. cct:01 . Planning &Zoning ^I Tree Administrator Project: (`CLL L. Q IV) ��L* c hL,Ld Pub`c Wor , ` � t (LAN I�blic Uti ides a-tT V a oa cit Pa`o-1 Qi" Public Safety 5 /l'rb t l-k- M-Wl- L 6\qd. Fire Services Review fee $ Dept Signature X 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: I aApproved.I ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 'v' 1 Date: 'Ark TREE • WIN. Second Review: []Approved as revised. Denied. P = .WORKS _ Cortaments: ,'UBL UTe_kT17 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ]Approved as revised. ❑Denied. Comments: Reviewed by: Date: revised 05/14/09 s's1 'r4t CITY OF ATLANTIC BEACH EMI CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS i 800 Seminole Road 904-247-5800 tatfrv Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 Date 4-5-2017 Q �' PERMIT# fr v La - ISSUED BY THE CITY Job Address 801 ATLANTIC BLVD Perm itee: COMCAST(VLA TRUENET COMMUNICATIONS) Telephone# 904-777-9052 EXT 223 Permittee Address: 7666 BLANDING BLVD JACKSONVILLE.FL 32244 Requesting Permission to Construct: PLACE 216'OF BURIED CATV FACILITIES ACROSS AND ALONG ROYAL PALMS DR.(SEE PLANS) Location: (Reference to Cross-Street) ATLANTIC BLVD 1. 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(0) No (ED Date: 4/572017 Bell South Telephone Company Yes(0) No (a Date: 4/52017 Ferrell Gas Yes (1:1) No (ID Date: 4/5,2017 Comcast Yes a No (p) Date: WA 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, anyder sF;or\all of said poles, wires, pipes, cables or other facilities and appurtenances authorized 1� L-_haefe6i �aH be immediately removed from said street or easement or reset or relocated hereon as !4,;J - . �_ required by they Director of Public Works, and at the expense of the Permittee unless reimbursement is .�. authorized. IAPR 1 1' shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of RUSTY CHANNELS (Contractor's Project Supedntencr6n)located at FTS Telephone#: 904.759.0211 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. 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 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. 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 A-JAINIK y/( ,)Signed: Date:/ ��Before me this I f day of ,• the ou'ty of Duval, State Of Florida, •!s persona ly appeared \ AL.e . 1 Notary Public at Large,State of Florida,County 0 Duval. My commission expires:/ ;;,�,•••., JENNIFER JOHNSTON Personally Known: 1/ or ° ,• •`i MY COMMISSION#GG 042984 Produced Identification: ;� "" ;•= EXPIRES:October 27,2020 ••'°„t°�+' Bonded lbw Notary Public Underwriters 0 ,,,_ , .., , runt iiiik -''' ' -.4h. ! ig• -. •lir . ' • r i , il' r A j•P ' I g .kr• .'No r• , :LIP. • ' t. . ... - • 7 ;cc. .- Actv 1 ,• .• . -. .,, .. -I ,., •,. ,.k tr) ,. i i 4 ' ' 'MI 4.s i0.3 ii11101 ., 100 , g .. • 'ill Ici ar a . i'i' •• •• . •••" . 'i . 4.4 .. I I 3', • I '. . B. 1 ''.1.,„•3 ....-., . • , , /' I i 1 tit • I • li ,... i4 . . il CM 32DIS 0 1.0 t. is .. • ";;;,.. .‘1 V 3.) . n i fll-' '• I .'3! '1 ,11/1114.10 . . cc, '• ' 4°°' ." - ' C..11 .. --"‘, • f ...1 , .S t •to, IP • .,'3, .' 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