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CC-09-12091 f 0 FPL FiberNet. an FPI. Group company Recycled Paper Christine Doyle Permit Coordinator FPL i=iberNet, LLC 9250 West Flagler Street FN/GO Miami, FL 33174 305-552-2239 tel 954-675-4794 mobile 305-485-6074 fax cbristine.doyle@ fPI.com irr gi4l0g Mme i 2 109 Miami Shores Village JUL , ---- Public Works �e artment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2007 Permit Type (circle): Utility - Telecom Permit No.e...e) Od1_1QOR Master Permit No. Owner's Name (Fee Simple Titleholder) FPL Fibernet Phone # 305-505-6811 Owner's Address 9250 W Fla ler Street City Miami State FL Zip 33174 Tenant/Lessee Name Phone # Job Address (where the work is being done) 602 NE 96th Street City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO X Zip 33138 Contractor's Company Name ,-/et) S Z SV T -/,,J Z . Phone # 369,57- V36,- if C/ Contractor's Address �OsS 5c -,J / 2 sT. City //% State /-L. Zip Qualifier Name /-‘7"--,9-,--m,--)-2jjj — Phone # -/4/Z State Certificate or Registration No. Certificate of Competency No. gg Architect/Engineer's Name (if applicable) Eddy Lopez Phone # 305-505-6811 Value of Work For this Permit $ R taw. M2 Square / Linear Footage Of Work: 1,790 Type of Work: ElAddition DAlteration X New ElRepair/Replace 0 Demolition Describe Work: Directional bore 1,790 feet of 2-1.5" HDPE conduit on the south right of way of NE 96th Street, from Biscayne BLVD west to 602 NE 96`h street as shown on attached drawings. **,************************************Fees******************************************** Submittal Fee $ , Permit Fee $ 1j7/*F 0 CCF $ 13'9T°?7CC !` Notary $ Training/Education Fee $ 4.40 Technology Fee $ 44 15 • Scanning $ QTK)Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ ^ Total Fee Now Due $ I �CJ�iJ• • See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspect y will be charged. Signature The foreg day of Owner or Agen . Contracto ing instrument was acknowledged before me this/ The foregoing instrument was acknowledged before me this/404 20 O l , by bUAi2A() (. PE 2—• , day of , 2#3_, by �,rt(4dNI Jet- who is I eraknown to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Si Pri t: -% Wit, 407)398•U153 �• who is personally known to me or who has producedR . ts/a Llc9u(fg- as identification and who did take an oath. ANTUNETTE AKILA WHITAKER MY COMMISSION # DD634382 EXPIRES January 29, 2011 Flori1allo IaryServ,ce.com Pr NOTARY P t: A,4 . Wog_ ANTUNETTE AKILA WHITAKER MY COMMISSION # DD634382 •, , EXPIRES January 29, 2011 (407) 390-0153 1-66.1.N. terOLr• 'CO. COM My Commission Expires: a129f 2dl( My Commission Expires(f//24/26/ APPLICATION APPROVED BY: (Revised 07/10/07) q 7 Plans Examiner Engineer Zoning Public Works Director r -j M AUS 12 2009 J B August 6, 2009 FPL FIBERNET Ms. Mary Bowen, Project Manager FPL FIBERNET 2530 N. Andrews Ave. Pompano Beach, FL 33064 Dear Ms. Bowen, FLAGLER DEVELOPMENT GROUP Bruce L. Baker Assistant Director Lease Management Blanket File: 785-0 Addition to Blanket Agreement Subfiles: 297-1, 302-1, 328-1, 345-1 and 359-1 Five Subgrade Fiber Optic Cable Crossings MP 297+3801' at 251h St., WPB MP 302+3649' n/so Bunker Rd., WPB MP 323+4081' n/so Glades Rd., Boca MP 345+2967' at 3`d St., Hollywood [vIP 1-59+228' at NE 96th St., Miami Please refer to past exchanges pertaining to the captioned files. The applications have been approved and we are hereby adding five crossings to the Blanket Agreement dated 4/12/00, and making revision to Schedule "A", as of 8/6/09, at an annual rental of $1,824.76, $1,824.76, $1,824.76, $1,824.76 and $912.38. Enclosed is an invoice for the prorated annual fee payments. Copies of the plans, Railway's insurance requirements for the construction and the revised Schedule "A" (report date 8/6/09) are also included. In addition to the yearly crossing fees, the Railway will require installation at each new crossing location a conduit of equal size, with two 1.5" innerducts dedicated to FEC with terminating Quazite handholes equipped with EMS locators placed within the right of way. Railway handholes to be 18" below grade with EMS locators placed on top of handhole lid. Conduits to be extended 18" within handholes, and proofed to industry standards. A letter of completion with as-builts, to be provided to FEC Railway upon final installation. This requirement has been waived for the $3,000 buyout payment received for each location. In compliance with the provisions of this agreement, and at least 72 hours prior to you or your contractors or subcontractors entering upon Railway property an FEC flagman/watchman must be scheduled, and Railway's signal and train control cables must be located by calling our Engineering and Signal Department at (800) 342-1131 ext. 2377. In addition, and also prior to any entry onto Railway property by you, your contractors or subcontractors, in compliance with the Agreement a Certificate of Insurance naming Railway as an additional insured must be submitted to the undersigned. Please be advised several communications companies have installed a fiber optic communications system within the licensed area and prior to any digging or subgrade work on the licensed premises, you must call "SUNSHINE" at 1-800-432-4770, in order that the said companies will be properly notified and in turn can locate cables and protect against damages. Inasmuch as these additional facilities constitute a change to the blanket agreement, please acknowledge your receipt and acceptance by endorsing below and retuming one copy within 30 days of this letter to the undersigned. BLB/tlm/enc Cc: FPL FiberNet Accounting Dept Amendment By: This Sityr,�ely, L. Baker Assistant Director — Lease Management d Accepted: Print Name and Title MARY BOWEN RE FPL FIBERNET CROSSING - MULTIPLE LOCATION - 8-6-09 10151 Deerwood Park Boulevard/Building 100/Suite 330/Jacksonville, FL 32256 Tel (904) 565-4128 / (904) 928-1870 / www.flaglerdev.com