1731 SEMINOLE RD ROW22-0028 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
LAURIN SUZANNE R 10378 6TH CT NW CORAL SPRINGS FL 33071
COMPANY:ADDRESS:CITY:STATE:ZIP:
JEA 21 WEST CHURCH ST JACKSONVILLE FL 32202
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169642 0000 OCEAN GROVE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1731 SEMINOLE RD RIGHT OF WAY SINGLE OR TWO
FAMILY RIGHT OF WAY JEA - UNDERGROUND BORE $0.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
Notes:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is
needed, call 247-5878. Any digging requires calling 811 to have ALL public utilities located.
2 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (904-247-
5814) to request an Erosion and Sediment Control Inspection prior to start of construction.
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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR 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.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 7/7/2022
PERMIT NUMBER
ROW22-0028
ISSUED: 7/7/2022
EXPIRES: 10/5/2022
RIGHT OF WAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
TOTAL:
3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
4 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container
cannot be placed on City right-of-way.
5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
6 PUBLIC WORKS UTILITY ROAD CUT INFORMATIONAL
Notes:
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.\r\r\r\r\r\r
7 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
8 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
9 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
10 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
11 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
2 of 2Issued Date: 7/7/2022
PERMIT NUMBER
ROW22-0028
ISSUED: 7/7/2022
EXPIRES: 10/5/2022
RIGHT OF WAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
H:\Applications & Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date: 10/1/18
**ALL INFORMATION
HIGHLIGHTED IN GRAY IS
REQUIRED.
RIGHT-OF-WAY / EASEMENT PERMIT APPLICATION
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address_________________________________________________ Permit Number________________________
Contractor Information
Company______________________________________________ Qualifying Agent_____________________________
Address______________________________________ City________________________ State______ Zip___________
Phone________________________________________ Email_______________________________________________
State Certification/Registration #_______________________________________________________________________
Architect_____________________________________ Phone____________________ Email______________________
Engineer_____________________________________ Phone____________________ Email_______________________
Workers Compensation Insurer ____________________________________ OR Exempt □ Expiration Date __________
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 Public Works Director, 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 Public Works Director 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 ____________________________________________________________________ (Project Superintendent)
with (Company Name) ________________________________________________Phone_____________________________
All materials and equipment shall be subject to inspection by the Public Works Director.
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 Public Works Director 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 Public Works Director shall be notified 24 hours prior to starting work and again immediately upon completion.
_______________________________________________________________________________ Date________________________
Permittee (signed in 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.
__________________________________________________________ [ ] Personally Known
Signature of Notary Public, State of Florida [ ] Produced Identification (Type) _______________________
1731 SEMINOLE RD ROW22-0028
JEA
21 WEST CHURCH ST JACKSONVILLE FL 32233
JASON CONNER (904) 568-4281 CONNJJ@JEA.COM
JAMES UMSTATTD
JEA (904) 665-6125
30
4
MIN 42"****************************
* DRAWING NOT TO SCALE *
****************************
********************************************************************
requirements prescribed in Section 471 Florida Statutes.
of the UAO and are exempt from the signing and sealing
The plans were prepared by a regular full-time employee
********************************************************************
PHONE NO:
ENGINEER:
DISTRIBUTION ENGINEERING
SCHEMATIC
PERMIT
JASON CONNER 665-8682
8 DEG
ANGLE-
EXIT
8 DEG
ANGLE-
ENTRY
STA.1
ENTRY PIT STA.2
EXIT PIT
BORE
PROFILE OF DIRECTIONAL
MAX 16" REAMER
4-6" HDPE
DIRECTIONAL BORE
ROW22-0028
171175 173176-2 17231735PV 1730174017486116
717117371743 173665
62
62-1 563201741 501746
59
76 172168
311
721729
671742 631721173864-PS90
17TH ST
SEMINOLE RDOCEAN GROVE DR17TH ST
2-4CU
2/0P
4/
0
P4/0P1/0T 2/0P2/0P2/0P
1/0T
30T 1713ABC-VABC-V50A
50A
1673
1745
50A
1733
401731
50B
1703
50C 50B64
50A
1721
50B********************************************************************
requirements prescribed in Section 471 Florida Statutes.
of the UAO and are exempt from the signing and sealing
The plans were prepared by a regular full-time employee
********************************************************************
UNDERGROUND LEGEND
THREE PHASE PADMOUNTED TRANSFORMER
SINGLE PHASE PADMOUNTED TRANSFORMER
STREET LIGHT
EQUIPMENT ADDRESS
STATION NUMBER
SECONDARY SERVICE PEDESTAL
NORMALLY OPEN POINT
NEW ELECTRONIC MARKER
EXISTING ELECTRONIC MARKER
A
H
P
NO
TWO PHASE PADMOUNTED TRANSFORMER - OPEN DELTA
6' x 12' CONCRETE MANHOLE
4' x 6' CONCRETE MANHOLE
PVC MANHOLEPVC
SECONDARY HAND HOLE OR PULL BOX
EXISTING CONCRETE CABLE RISER POLE
EXISTING WOOD CABLE RISER POLE
EXISTING SECONDARY CONDUIT
NEW SECONDARY CONDUIT AS INDICATED
EXISTING PRIMARY CONDUIT
NEW PRIMARY CONDUIT AS INDICATED
FUSE - SIZE AND TYPE AS INDICATED
UNDERGROUND RISER, SECONDARY OR PRIMARY
LIGHTNING ARRESTER CABINET
"FF" OR "SF" FAULT FITER CABINET
"F" FUSE CABINET
"S" SWITCH CABINET,
AREA LIGHT
EXISTING DIRECT BURIED PRIMARY P
NEW SECONDARY
R
OVERHEAD LEGEND
NEW PRIMARY
EXISTING PRIMARY
EXISTING SECONDARY
SPAN GUY
NEW WOOD POLE-SIZE AND CLASS AS INDICATED
NEW CONCRETE POLE-SIZE AND CLASS AS INDICATED
EXISTING CONCRETE POLE
EXISTING WOOD POLE
REMOVE POLE
DOWN GUY
HANG OR INSTALL
EXISTING
REMOVE
CIRCUIT NUMBER
STATION OR POLE NUMBER
TRANSFORMER NUMBER
25KV TRANSFORMER-SIZE AND PHASE AS INDICATED
25KV TRANSFORMER BANK-SIZE AND PHASE AS INDICATED
13.2KV TRANSFORMER-SIZE AND PHASE AS INDICATED
13.2KV TRANSFORMER BANK-SIZE AND PHASE AS INDICATED
NEW SERVICE DROP-SIZE AND TYPE AS INDICATED
4KV TRANSFORMER-SIZE AND PHASE AS INDICATED
4KV TRANSFORMER BANK-SIZE AND PHASE AS INDICATED
REGULATED OUTPUT-STREET LIGHT TRANSFORMER
RECLOSER-TYPE AND NUMBER AS INDICATED
SECTIONALIZER-NUMBER AS INDICATED
CAPACITOR-NUMBER AS INDICATED
VOLTAGE REGULATOR
SWITCH-OPEN-TYPE AND NUMBER AS INDICATED
SWITCH-CLOSE-TYPE AND NUMBER AS INDICATED
FUSE-SIZE AND TYPE AS INDICATED
H
E
TYPE AS INDICATED
CONDUCTOR SIZES AND
RO
R
EXISTING SERVICE DROP-SIZE AND TYPE AS INDICATED
UNDERGROUND SERVICE-OVERHEAD SOURCE
STREET LIGHT-TYPE AS INDICATED
LIGHTNING ARRESTER
( IN FEET )
60 30 60 120 2400
1 inch = ft. 60
JACKSONVILLE, FLORIDA 32202-3139
21 WEST CHURCH ST
PHONE NO.
ADDRESS
COMPANY NAME
DATE
ELECTRIC UTILITY CONDUIT SYSTEM
AUTHORIZED NAME
AUTHORIZED SIGNATURE
CONTRACTOR'S LICENSSE No.
JEA CONTRACT ADMIN:
E N G I N E E R I N G R E C O R D
CONSTRUCTION
:
APPROVED FOR
DATEBY
DESIGNED :
CHECKED :
APPROVED :
NEPTUNE
PRIMARY VOLTAGE
565
16
26.4
@jea.comCONNJJ
SUBSTATION NAME
CIRCUIT NUMBER/S
SWITCH MAP NUMBER/S
ENGINEER/PROJECT MANAGER
JASON CONNER
(904)665-8682
(904)568-4281
ENGINEER :
PHONE :
CELL :
EMAIL :
EMAIL :
AS - BUILT
JEA SPECIFICATIONS.
VERTICAL FIELD LOCATIONS AND THAT THE MATERIALS USED ARE IN ACCORDANCE WITH THE APPROVED
I HEARBY CERTIFY THAT THIS "AS - BUILT" DRAWING REPRESENTS THE ACTUAL HORIZONTAL AND
1 1
OPN :
MWO :
8007255
30821578
DRAWING NO. :
SHEET NO.
OF
SUBSTATION/CIRCUIT
_1_
_1731_
_2_
_1731_
3. CREWS MUST ADHERE TO MOT.
CABLE IN CONDUIT.
2. BORE SHALL BE AT A MINUMUN DEPTH OF 42". PULL 2/0T
(STATION 1)TO DWELLING AT 1731 SEMINOLE RD (STATION 2).
1. DIRECTIONAL BORE 1 - 3"HDPE FROM RISER POLE 1731
ROW22-0028