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1322 Ocean Blvd JEA POLE CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD s) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �JF3 Application Number . . . . . 14-00000202 Date 2/19/14 Property Address . . . . . . 1322 OCEAN BLVD Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc JEA POLE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OWNER ---------------------------------------------------------------------------- Permit . . . . . . RIGHT OF WAY PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 2/19/14 Valuation . . . . 0 Expiration Date . . 8/18/14 ---------------------------------------------------------------------------- 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 . ---------------------------------------------------------------------------- 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 f/'A PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL PROJECT#:8002081 N.O,: 2014.945321.001 WO#: 22028592 CONST 1.14.2014 CIR. TREE TRIMMING SUB-STA:NEPTUNE _ N.O.:565 RECD:NONE CELL ENGINEER:HGALE N.O.:904 219 9714 ZIP CODE:32233 CUSTOMERI SVC PHONE LOCATION:27413TH ST(X-STREET OCEAN ST.) CENTER:SOUTH N.O.:90"65.4191(OFC) THIS PROJECT PROPOSES TO INSTALL A NEW 35 ft. WOOD CLEARANCE POLE TO SERVE A NEW HOUSE AT 1322 OCEAN BV.-PLEASE SEE ATTACHED RIGHT OF WAY PERMIT FOR THE CITY OF ATLANTIC BEACH. JOB NOTES: STA 01-CONNECT AT EX.POLE#278 13TH ST.3 RUN 60 LF OF 2M PAP TO STA O2. STA 02-INSTALL(1)35 FT.WOOD CLEARANCE POLE#274(DEEPER) AND CONNECT TO 210 PAP FROM STA 01. CUSTOMER TO INSTALL UG SERVICE FROM POLE TO HOUSE. PLEASE CONTACT ONE CALL AND THE CITY OF ATLANTIC BEACH 247-5834 AT LEAST 24-HOURS PRIOR TO STARTING WORK. 1 � j U �, N j 327 w o 75C 175 4 N ( 41, CAUTION WATER METERISERVICE W O FUTURE UG SERVICE BY OTHERS w i i• Ij j 8 H S-Vop _ _ STA 02-INSTALL 35 FT.WOOD POLE 111274 &CONNECT TO 210 PAP FRM STA 01. o 2/op+ - -� 00 Q SEE STAKED MARKED I m N n 1/OT IN FIELD AFTER 02-12-2014 174 j 1/OT 1 4 ♦' r ♦N T AT POLE 0278 O` j C-) 298 STA 01-CONNECT � &INSTALL 60 LF OF 210 PAP 10 RESP 0 TO STA 02. I N N r 1 1253 N 40, 1231 75A o 50C j C •"A ) 191 1 w• CDl j o s� 3 1 1313 K 1320 M 12" PVC WATER MAIN r 2" PVC WATER MAIN i 8" VC SEWER M 10"VC SEWER MAIN w. 10 VC SEWER MAIN 10" Cl SEWER MAIN 1300.: . 8"VC SEWER MAIN 12" PVC WATER MAIN 24 9 _ 1271 1250 ,z f 1251 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS IIIIII800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 Pax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date 02/11/2014 PERMIT# Job Address 1322 Ocean By I ISSUED BY THE CITY Permitee: JEA- HAROLD GALE Telephone# (904) 665-4191 Permittee Address: 21 WEST CHURCH ST., JACKSONVILLE FL 32202 Requesting Permission to Construct: (1) 35 FT. WOOD POLE AND SECONDARY ROAD CROSSING (AERIAL) Location: (Reference to Cross-Street) CORNER OF 13TH STREET 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: J 5 ^J Jacksonville Electric Authority Yes( ) No (v) Date: LL Bell South Telephone Company Yes( ) No (V) Date: Ferrell Gas Yes( ) No Date: Comcast Yes( ) No Date: 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 EDDIE GALES JEA SUPERINTENDENT (Contractor's Project Superintendent)located at JEASOUTHSIDE OFFICES Telephone#: (904)665-W55 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. 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. 7. This permittee shall commence actual construction in good faith with ,5 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 Sign Date: Before me,his //✓ in the unty of Duval, State Of,Florida,has personally appeared �!! Notarypublic at Large.State of Florida,County of Duval. My commission expires. Personally Known: Produced Identification: ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL PROJECT#:8002081 N.O.: 2014-945321.001 WO#: 22028592 CONST: 1-14-2014 CIR. TREE TRIMMING SUB-STA: NEPTUNE N.O.: 565 REQ'D:NONE CELL ENGINEER:HGALE N.O.: 904-219--9714 ZIP CODE: 32233 CUSTOMER/ SVC PHONE LOCATION: 27413TH ST.(X-STREET OCEAN ST.) CENTER: SOUTH N.O.:904-665-4191 (OFC) THIS PROJECT PROPOSES TO INSTALL A NEW 35 ft. WOOD CLEARANCE POLE TO SERVE A NEW HOUSE AT 1322 OCEAN BV.-PLEASE SEE ATTACHED RIGHT OF WAY PERMIT FOR THE CITY OF ATLANTIC BEACH. JOB NOTES: STA 01 -CONNECT AT EX. POLE#278 13TH ST.&RUN 60 LF OF 2/0 PAP TO STA 02. STA 02-INSTALL(1)35 FT.WOOD CLEARANCE POLE#274(DEEPER) AND CONNECT TO 210 PAP FROM STA 01. CUSTOMER TO INSTALL UG SERVICE FROM POLE TO HOUSE. PLEASE CONTACT ONE CALL AND THE CITY OF ATLANTIC BEACH 247-5834 AT LEAST 24-HOURS PRIOR TO STARTING WORK. 1 U U#-) 40, 1 327 -- ^ 75C 175 'y • w I t r N ♦ `♦^ CAUTION WATER METER/SERVICE r t w FUTURE UG SERVICE BY OTHERS r w • t N t 181;H gTH STOP _ STA 02 . INSTALL 35 FT. WOOD POLE#274 & CONNECT TO 210 PAP FRM STA 01. 2/Op 00 Q SEE STAKED MARKED B ttn i/OT N I` VOT IN FIELD AFTER 02-12-2014 174 ' 1) t (� 298 STA 01 -CONNECT AT POLE#278 • IRESP 0 & INSTALL 60 LF OF 210 PAP � �+ TO STA 02. tW N a 1253 • 1231 75A r o 50C o 191 I ♦ D "' �yLyr, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road /Y a Z O Z U �� Atlantic Beach, Florida 32233-5445 r Phone(904)247-5826 - Fax (904) 247-5845 E mail: building-dept@coab.us Date routed: / City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / 2 Z C�� /�✓� Department review required Yes No Building Applicant: Applicant: � —4 Planning &Zoning Tree Administrator Project: D G� Public Works u i t z n T LITT Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: 4Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Date: Reviewed by: — TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [—]Approved as revised. [—]Denied. Comments: Reviewed by: Date: Revised 05/14/09 �SJar�y�� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned the Building Department.) r 800 Seminole Road Atlantic Beach,Florida 32233-5445 r V Phone(904)247-5826 • Fax(904)247-5845 ^ E-mail: building-dept@coab.us Date routed: d City web-site: http:l/www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 22 goCJA`r dl�U Department review re uired Yes No CS Building .�`f'r Planning&Zoning Applicant: Tree Administrator Project: G� Public Works u I y Fire Services Review fee$ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B 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 MIN. Second Review: QApproved as revised. ❑Denied. S ortlments: I ILIT S PUBLIC SAE Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 - CITY ATLANTIC BEACH I CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 904-247-5800 800 Seminole Road Fax 904-247-5845 Atlantic Beach Florida 32233-5445 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date__ 02/11/2014 ISSUED ISSUED BY Job Address 1322 Ocean By Telephone# (904)665-4191 Permitee: JEA-HAROLD GALE ----- — Permittee Address. 21 WEST CHURCH ST.,JACKSONVILLE FL 32202 Requesting Permission to Construct: (1)35 FT WOOD POLE AND SECONDARY ROAD CROSSING(AERIAL) Location: (Reference to Cross-Street) CORNER OF 13TH STREET t 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: O's G U L L Jacksonville Electric Authority Yes( ) No (v) Date: LLYes( 1 No (�) Date.— , Bell South Telephone Company Yes( ) No Date Ferrell Gas Yes( ) No Date --- Comcast _Comcast 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 Transportatio(nCo d Lanrds Project performed under the supervision Of EDDIE GALES JEA RiwrevDea, _Telephone Superintendent)located at blic Works or his designee. EnsourvsiDEocrcEs — P 4 All materials and equipment shall be subject to inspection by the Director of u 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. allation,as well as,a copy of a recent survey shall in made a 6 A sketch of plans covering details of this inst part of this permit. Calculations showin an increase in iervious area a on owner's lot or in the cit Ri ht of Way are to be included with this application. 7. This permittee shall commence actual construction In good faith with s 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 g 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 ate unity o�aI Before me day of State Of londa.has personally appeared X' --- NotaryPublic at Large.State of Florida.County of DuvalPersonallyKnown My commission expires ------- Produced Identification ri�ay;y� City of Atlantic Beach APPLICATION NUMBER �S Building Department (To be assigned by the Building Department.) -i; `i 800 Seminole Road /L� .20 Z 9 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://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ZZ eoCgt-�n X1t1c Department review required Yes No Building Applicant: Planning &Zoning / Tree Administrator Project: C� Public Works u i ey 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. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS i� 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 02/11/2014 [PERMIT# ISSUED BY THE CITY Job Address 1322 Ocean By Permitee: JEA- HAROLD GALE Telephone# (904) 665-4191 Permittee Address: 21 WEST CHURCH ST., JACKSONVILLE FL 32202 Requesting Permission to Construct: (1) 35 FT WOOD POLE AND SECONDARY ROAD CROSSING (AERIAL) Location: (Reference to Cross-Street) CORNER OF 13TH STREET 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: J 5 G Q r-J tG C'A Jacksonville Electric Authority Yes( ) No (✓) Date: LL Bell South Telephone Company Yes( ► No (✓) Date: Ferrell Gas Yes( ) No (✓) Date: Comcast Yes( ) No (✓) Date: 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 EDDIE GALES JEA SUPERINTENDENT ( Contractors Project Telephone#: ho+1665-6855le Superintendent)located at JEA souTr+sioeoFFices Tep 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. Calculations showing any increase in impervious area on owner's lot or in thecity Right of Way are to be included with this application. 7. This permittee shall commence actual construction In good faith with 15 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 Sign ate: / Before m his // day of in the unty of Duval, State 4ifbd rida,has personally appeared Notaryblicat Large,State of Florida,County of Duval. Personally Known: ssion expires: Produced Identification. ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL PROJECT#:8002081 N.O.: 2014-945321.001 WO#: 22028592 CONST: 1.%2014 CIR. TREE TRIMMING SUB-STA: NEPTUNE N.O.: 565 REQ'D:NONE CELL ENGINEER:HGALE N.O.: 904.219--9714 ZIP CODE: 32233 CUSTOMER/ SVC PHONE LOCATION: 27413TH ST (X-STREET OCEAN ST.) CENTER: SOUTH N.O.:904.665-4191 (OFC) THIS PROJECT PROPOSES TO INSTALL A NEW 35 ft. WOOD CLEARANCE POLE TO SERVE A NEW HOUSE AT 1322 OCEAN BV.-PLEASE SEE ATTACHED RIGHT OF WAY PERMIT FOR THE CITY OF ATLANTIC BEACH. JOB NOTES: STA 01 -CONNECT AT EX. POLE#278 13TH ST.&RUN 60 LF OF 2/0 PAP TO STA 02. STA 02-INSTALL(1)35 FT.WOOD CLEARANCE POLE#274(DEEPER) AND CONNECT TO 2/0 PAP FROM STA 01. CUSTOMER TO INSTALL UG SERVICE FROM POLE TO HOUSE. PLEASE CONTACT ONE CALL AND THE CITY OF ATLANTIC BEACH 247-5834 AT LEAST 24-HOURS PRIOR TO STARTING WORK. 1 O G, • 327 c W 75C 175 1 • W • �. o•O CAUTION WATER METERISERVICE .� LA FUTURE UG SERVICE BY OTHERS w 1 w • i N 1 �- �$-TH STA 02 -INSTALL 35 FT.WOOD POLE#274 &CONNECT TO 210 PAP FRM STA 01. 1 00 SEE STAKED MARKED 1 m l N 1/OT U) LO IN FIELD AFTER 02-12-2014 174 1 +I 1/OT � r ' ♦1 STA 01 -CONNECT AT POLE#278 0 40- 298 g INSTALL 60 LF OF 2/0 PAP n 10 RESP TO STA 02. 1� • 1253 �, • 1231 75A o 50C 4&" 191 03