2012 337 12th St utility jea pole CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r
Application Number . . . . . 12-00000108 Date 2/01/12
Property Address . . . . . . 1200 SANDPIPER LN
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
JEA 337 12TH STREET UTILITY POLE
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Owner Contractor
------------------------ ------------------------
CITY OF ATLANTIC BEACH OWNER
PUBLIC WORKS BUILDING
800 SEMINOLE RD
ATLANTIC BEACH FL 32233
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Permit . . . . . . RIGHT OF WAY PERMIT
Additional desc . . JEA UTILITY POLE
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 2/01/12 Valuation . . . . 0
Expiration Date . . 7/30/12
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Special Notes and Comments
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 .
Full right-of-way restoration, including sod, is required.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000108 Date 2/01/12
Property Address . . . . . . 1200 SANDPIPER LN
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
JEA 337 12TH STREET UTILITY POLE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF ATLANTIC BEACH OWNER
PUBLIC WORKS BUILDING
800 SEMINOLE RD
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit RIGHT OF WAY PERMIT
Additional desc JEA TEMP POLE
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 2/01/12 Valuation . . . . 0
Expiration Date . . 7/30/12
----------------------------------------------------------------------------
Special Notes and Comments
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 .
Full right-of-way restoration, including sod, is required.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1220
1215
1210
co
357
363
319
PVC WATER MAIN
341
8" PVC WATER MAIN
8"PVC SE��ER MAIN
12TH
360 352 320
336
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECT#:12121009 N.C.: 11-00002988 WO#: 20984`117 CON ST 1-24-2012
CIR. TREE TRIMMING
SUB-STA: NEPTUNE N.O.: 563 REaD:NONE
CELL
ENGINEER:HGALE N.0.: 904.219.9714 — ZIP CODE: 32277
CUSTOMER/ Svc PHONE
LOCATION: 337 12TH ST.,ATL BCH(X-ST.SEMINOLE RD.) . SOUTH
CENTER. N.O.:904.665.4191
STA 001 - INSTALL NEW 45-3 WOOD POLE#337, 25 kVA TRNSFR AND REFEED EX. SECONDARY BUS.
VEHICULAR TRAFFIC SHOULD BE OPEN AT ALL TIMES ON 12TH STREET. JEA CREW TO PROVIDE MOT FOR
THIS PROJECT AS NEEDED PER ATLANTIC BCH REQUIREMENTS.
PLEASE CONTACT CITY OF ATLANTIC BEACH 247-5800(24) HOURS PRIOR TO BEGINNING WORK ACTIVITY.
`3
T
4PS
C)
4W
4j ' 1220
50B
351 401 315 tit
363 4 319
STA 001 -INSTALL NEW 45-3
JIJ 401
WOOD POLE#337,25 kVA
X-FRMR(B PHIS).REFEED I/oT
I/oT C> EX.SCNDRY BUS. uj
T tj m Ln
ca
Ln Ln
()p
Ln
2 2CU 2-2CU
...... ---------
I/oT CAUTION BURIED UTILITIES IN AREA
IJOT
314
4 320
4 4 352 336 333
360 39 331 335 4
370 1 349 341 4
35 4 4
355
4
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 90C247-56CO
Fax 904-247ZZ
Atlantic Beach.Florida 32233-W5
Date .0
PERMIT S
Job Address337 ISSUED BY THE CITY
Permitee: Alik Telephone# L
Permittee Address: i--
Requesting Permission to Construct: 0i i4�s.i=4WQQJ Po U . X-AWR f#Allw-ii4e Aete-s
Location: (Reference to Cross-Street) N/A P--(c%e-:rQ A
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: u6E
Jacksonville Electric Authority Yes( No Date:- -a ri ICE C U,
Bell South Telephone Company Yes No Date:
Ferrell Gas Yes No Date:
Comcast Yes No Date:
2. Whenever necessary for the construction, repair, improvement, maintenan6, 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 of 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.
3. All work shall meet City of tlantic a9t) Pr.F,'Ion'd Departmentpf Aqrsportation Standards and be
performed under the supervisio Of Eafl at- ak4 J E�- r (Co 'S P )ject
Z I(In,Y!56
Superintendent)located at al #:
4. All materials and equipment s all 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.
5. 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 inil)ervious area on owner's lot or in the city
Ricilit of Wav are to be Included with this application.
7. This permittee shall commence actual construction in good faith with A6-Q—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
jNE R
Siqn . Date: 40
BeforeWhis y of in the County of Duval,
State orJorida,has tpersonally pe ed
IV ;.Stt
Notary PAiblic at Large,State of F a a,
County of Dugual.
My commission expires: All PEGGY CARTER
P O"ily n,.,r,.
ersonally Known: or My COMMISSION#I)D 964 706
EXPIRES:Aprif 27,2014
Produced Identification:
BOWed Thru Nd"Pubk uf&rwrkers
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be asisigned by the Building Department)
aOO Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-deptQcoab.us Date routed: Z-1
City web-site: httP-#www.ccab.us
APPLICATION REVIEW AND TRACKING FORM
cg'
Proper�r Address: 33,7 12- Department review required Yes No
Building
Applicant Planning &Zoning
Tree A r
Project 12- 016"!5- ROME-woft---"
Public Safety
[Fire Services
Other Agency Review or Permit Required Review or Receipt
-of Permit Verified By Date
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: proved. ElDenied.
(Circle one.) Comments: �00
BUILDING
PLANNING &ZONING Reviewed by:./4110`7 Date:
TREE IN. nd Review: ElApproved as revised. E]Denied.
P OR S �C' m ents:
P 8 UTI
_/Z-
PUB IC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. FIDenied,
Comments:
Reviewed by: Date:
ftvl"d 07727/10
City of Atlantic Beach APPLICATION NUMBER
Building Departrnent (TO be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http,./ANww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 33-? 12- Department review required Yes No
Building
Applicant: Planning&Zoning
Tree Administrator
Project:
Public Safety
Fire Services
or Receipt Date
Verified By
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. FIDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date: '/,*k
TREE ADMIN. Second Review: []Approved as revised. F 1�;nied. V
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 07127/10