701 JASMINE JEA POLE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003128 Date 8/14/13
Property Address . . . . . . 701 JASMINE ST
Application type description RIGHT-OF-WAY PERMIT
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 ----------------------
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Application desc
JEA POLE
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Owner Contractor
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CURRY, LESLEE K. JEA
12485 AIRPORT ROAD RIGHT OF WAY WORK ONLY
BILOXI MS 39S32 ATLANTIC BEACH FL 32233
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Permit . . . . . . RIGHT OF WAY PERMIT
Additional desc - - Plan Check Fee . 00
Permit Fee . . . . . 00 valuation . . . . 0
Issue Date . . . . 8/01/13
Expiration Date . . 1/29/14 -----------------------
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Special Notes and Comments
1 3S FT WOOD CLEARANCE AND 60 LF OF
SECONDARY CROSSING r utilities . Verify
Avoid damage to underground water/sewe Hand dig if
vertical and horizontal location of utilities .
necessary. If field coordination is needed, call 247-5834 - -----------
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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 APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 1.3 - S12-8
Phone(904)247-5826 - Fax(904)247-5845 -7
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '�77 Department review required Yes No
Building
Applicant: Planning &Zoning
A minksturator
Project: (o:Eublic Worka—)
6—f"115lic Utilitie�>
"PERF:raf—ety
Fire Services
Review fee $ Dept Sign atu rie" "
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.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: E]Approved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date 07/23/2013
PERMIT#
�S LIED BY THE CITY
ISS
Job Address/6 I JASMINE ST
Permitee: JEA Telephone# (904) 665-4191
Permittee Address: 21 WEST CHURCH ST
Requesting Permission to Construct: (1) 35 FT WOOD CLEARANCE AND 60 LF OF SECONDARY CROSSING
Location: (Reference to Cross-Street) NORTH OF 6TH STREET WEST
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.
t�!>fleA.1-0),(") (X- ITJ C_L-0 V�.I�li__�. V-1 / jAe,,�e-tt-'--t
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes( ) No (v) Date:
Bell South Telephone Company Yes( I No Date:
Ferrell Gas Yes( ) No Date:
Comcast Yes( ) No (v) Date: /I
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, 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. nsportation Standards and be
3. All work shall meet City of Atlantic Beach or Florida Department of Tra
performed under the supervision Of ED01E GALES JEA COORDINATOR (Contractor's Project
Superintendent)located at SOUTHISIDE SERVICE CENTER Telephone#: (904)665"855
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. as, a copy of a recent survey shall be made a
13� A sketch of plans covering details of this installation, as well
part of this permit. Calculations showing any increase in irrivervious area on owner's lot or in the city
Right of Way ai e to be included with this application. days. If the beginning date is
7. This permittee shall commence actual construction in good faith with ,-;
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. g work and again
9. The Director of Public Works shall be notified twenty-four (24) hours prior to startin
immediately upon co pletion.
OWNER 1 1/Dz
Signe
Before is or n the Co nty of Duv
State Of I ida.has personally ap red
Notary Liblir at Large,State of Fl ri Codnty of Du4ai,
My co ission expires: �>�Personally Known
J Produced Identificationi
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECT*13121001 KO.� 201213069.910 WO#: 21755355 — CONST,07-23-2013
CIR. TREE TRIMMING
SUB-STA.- NEPTUNE N.O.: 561 REaD:NONE
CELL
. 904-219-9714 ZIP CODE: 32233
ENGINEER: HGALE N.O..
CUSTOMER/ -701 Svc PHONE
LOCATION:_;XI JASMINE ST.(X-ST 6TH ST.WEST)_ CENTERSOUTH N.O.:665-4191 OFC I
THIS PROJECT PROPOSE TO INSTALL (1) 35FT WOOD CLEARANCE POLE FOR A NEW HOUSE
CONSTRUCTION ON JASMINE ST.ATLANTIC BEACH.
PLEASE CALL ONE CALL BEFORE DIGGING. USE CAUTION WHEN PLACING POLE, BURIED UTILTIES IN AREA,
PLEASE CONTACT THE CITY OF ATLANTIC BEACH AT 904-247-5834 AT LEAST 24 HOURS PRIOR TO
BEGINNING WORK.
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