Cornell Ln JEA ROW 2012 City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
i 800 Seminole Road _ C�
Atlantic Beach, Florida 32233-5445 13��
Phone(904) 247-5826 • Fax(904)247-5845
E-mail: building-depta@coab.us Date routed: 1')_�
'1
City web-site: http://www.coab.us
APPLICATION REVIEW AND `RACKING FORM
Prop rty Address: / L/ � L/y Department review required Yes No
T— Building
Appli ant: Planning &Zoning X
''C )! �QMn-e Tree Administrator
Project: -2--SOV (VU / L&a;CCelLIQ .am Public Works
ce 4rn CtT�,nW4A4
Public Utilities
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.
(Q ircle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
T EEADMIN. Second Review:
---__\ QApproved as revised. ❑Denied.
PU LIC WORKS Comments:
PUB IC UTILITIES
PU13LIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127110
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CITY OF ATLANTIC BEACH 2 t—CZ
CCNSTRUC T iON PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
904-247-5800
800 Seminole Road
- / Atlantic Beach,Florida 722:x5445 rax 9C4 247-585
Cate 0 i 20 ! ZPERMIT#
ISSUED BY THE CITY
Job Address &-J- I go Z '
Pernitee: �)E-ATelephone 4 Y Vj /
Permittee Address: c
Requesting Permission to Construct: % J C) p�
0
Location: (Reference to Cress-Street) PC-.-flop a--x- CX
11. Applicant declares that prier to filing this application he has ascertained the location of all existing utilities,
both aeras and underground and the accurate locations are shown on the sketches. CA"-e, TO
A Latter of Notification eras railed to the following Utilities,`Municipaiities: ��� 00,1€"CAS J
Jacksonville EieC.ric Authority Yes( ) No ( ) Cate:
6211 South Telephone Company Yes( ) No ( ) Date:
Ferell Gas Yes( ) No ( ) Date:
Comcast Yes( ) No ( ) Cate:
2. Whenever necessary for the construction, repair, improvement, maintenan e, 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, ary or ail of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, snail 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 Atlantic Beaj. or !orifi Department of Transportation Standards and be
performed under the supervision or (Ccr.tract is Prc ct
Superintendent) located at 11 4-- )A -----Telepncne* - j
olf
a. Ail materials and equipment shall be SLbject to inspection by the Cirectcr of Public Works elr 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 recant surrey shall be rade a
part of this permit. Calrulat;ons shnwinq mnv inrrras^ in mit)rr,ious area nn c%vn_,:r's 4ot or in the city
P____Iic ht of Way are to be included with this application.
7. This permittee shall commence actual construction in good faith with _ days. If the beginrir.g 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.
3. It is understood and agreed that the rights and privileges herein set cut 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 macner 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 staring work and again
immediately upon completion.
OWNER Q
Signed: cz�iCave. `� Z
Before m Jvs aay 5f ��n:t•.e Courty of Cuval,
State Cf rida,has persona Coeared X"
Notary Puhiic at Lame.Slate of Ficrda� 'r�!of'ural.
My commission excires. 1 /
Perscrady Known:
ProcuredIderOficahcn:
PEGGY CAFE rR 1
j1? :' �t,1iSStCW 0C 984'06 I
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ENGINEERING DESIGN
ORACLE PERMITMAXIMO DATE REL
RIVN PERMIT#PENDING 8.29-2012
PROJECT#:8001021
N.O.: WO#: Number CONST:
CIR. TREE TRIMMING
SUB-STA.- NEPTUNE N.O.: 563 REQ'D:NONE
CELL
EN (NEER: HGALE N.O.: 219-9714 ZIP CODE: 32233
CUSTOMER/ (OLD)ATLANTIC ARMS APTS.-RECONDUCTORING SVC PHONE
LOCATION: CORNELL LN,1092,2002 ATL BCH(X-ST MAYPORT RD) CENTER: SOUTH N.O.:665.4191-OFC
THIS PROJECT PROPOSES TO INSTALL(2) 50 CLASS II WOOD PRIMARY RISER POLES IN THE CORNELL LANE
RNV. WHEN THE NEW UNDERGROUND ELECTRIC IS PLACED IN SERVICE JEA WILL REMOVE THE OLD POLE
#2002, THE PRIMARY METER POLE AND APPURTENANCES.
PLEASE CALL ONE CALL PRIOR TO DIGGING AND NOTIFY THE CITY OF ATLANTIC PUBLIC WORKS 904-247-
5834 AT LEAST 24 HOURS BEFORE BEGINNING WORK.
o
2/op S� 9fj
%' -� TSI -Vor 0
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/or
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�I STA 01 -INSTALL NEW 50-2 W 2, '` �•� �, ar
S
POLE AND APPURTENANCESFOR PRIMARY RISER �CU
o 1,g1 _.11 TAP C PHS AND INSTALL -QA •` C { 4T
C> I p RISER BRACKET&40T FUSE.
09-S POLE#1092. 9r ICU
ti I/or STA 02-INSTALL NEW 50-2 W l4sU
1099 # POLE AND APPURTENANCES FOR N
CORN 2iop ' PRIMARY RISER,TAP C PHS a
�•` INSTALL RISER BRACKET&40T
I�oT 0 4s FUSE.THIS POLE REPLACES
POLE#2002. �r
900
47 410
SS
6
\ o D�� •-�•. o 1
STA 03-AFTER NEW UG ELECTRIC SYSTEM
IS ENERGIZED AND PLACED INTO SERVICE, 1
DISCONNECT 3PHS PRIMARY&TAPS AND Of M-1 S o w
CUT POLE#2002 ABOVE JOINT USERS.
325 s• i
k 50B FLAGSHIP PROPE ES
STA 04-AFTER NEW UG SYSTEM IS 1
U PLACED INTO SERVICE REMOVE PRIMARY
V) METER X-FRMRS,INSULATORS&EQUIPMENT.
Z REMOVE 45 FT.POLE#1102A. CUSTOMERS PRIMARY RISER POLE TO BE
w —
Q115 removed by others _
�_ 295 �� s