25 W 6TH ST GAS LINE 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003734 Date 12/10/13
Property Address . . . . . . 25 W 6TH ST
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
GAS LINE
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Owner Contractor
-
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CERQUEIRA, ATTILIO & CATHERINE PEOPLES GAS COMPANY
36 W 6TH ST P.O. BOX 10429
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32247
Permit . . . . . . RIGHT OF WAY PERMIT
Additional desc .
Permit Fee 00 Plan Check Fee 00
Issue Date . . . . 12/10/13 Valuation . . . . 0
Expiration Date . . 6/09/14
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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 .
See attached map.
Provide As-Built drawing for City files .
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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.
/ 750
70
36
'
68 750
66
� 680
75
45
41
33
8" PVC WATER MAIN 25 660
SEWER LATERAL /
a�
74 �
El SEWER LATERAL
56
52 8" PVC SEWER MAIN sTk
48 e
40
32
510-09 570-80
510-08 `
510-07 \
o�
510-06
510-05
510-04 ,Qo
" 510-03
510-02
510-01 501
Cp
RAF<C
li-
- A CITY OI PEOP1_E
EASEMENTS
i% CONSTR DONNA SPOHN
TMrr"� ENGINEERING TECHNIMAN j
� • � 8j 904-247-5800
00 Seminc
rt l'
Atlantic Bee Fax 904-247-5845
PEOPLES GAS
® 4040 PHILIPS HWY
Date: 11/19/2013 JACKSONVILLE, FL 32207
OFFICE: 904-443-7316
Z FAX: 904-732-2555 CITY
CELL: 904-237-6595
Job Address: WEST 6T" ST EM E-MAIL: OMSPOHN@a TECOENERGY.COM
Permitee: TECO/PEOPLES GA5 I elepnone ;r (yW4) 443-7316
Permittee Address: 4040 PHILIPS HWY. JACKSONVILLE FL 32207
Requesting Permission to Construct: 200' OF 2" PLASTIC GAS SERVICE LINE.
Location: (Reference to Cross-Street)WEST 6T" ST BETWEEN AIA AND ORCHID ST.
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:
City of Atlantic Beach Yes ( X) No ( ) Date: 11/18/13
Beaches Energy Yes( X) No ( ) Date: 11/18/13
Ferrell Gas Yes (X) No ( ) Date: 11/18/13
Comcast Yes(X) No ( ) Date: 11/18/13
Jacksonville Electric Authority Yes (X) No ( ) Date: 11/18/13
AT&T Distribution Yes (X) No ( )
Date: 11/18/13
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.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of JEFF WINTERS (Contractor's Project Superintendent) located at
11669-1 PHILIPS HWY, JAX, FL 32256Telephone#: (850) 363-3319.
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.
6. 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
7. This permittee shall commence actual construction in good faith with 30 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 -
Signed: .�!!C tt- Date: /r'
Before me this day of in the County of Duval,
State Of Florida,has personally appeared
Notary Public at Large,State of Florida,County of Duval.
My commission ex 'r s: c�w.a� lei a01��
Personally Known: X ;; ! '7�+;, KATHY S MARSH
Produced Identifica ion: •': MY COMMISSION 0 EE194192
C I�j 1 �,,1,•,• EXPIRES Juni 13,2018
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