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54 W 10th St 2014 JEA POLE CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 RIGHT OF WAY PERIVIIINSPECTION PHONE LINE 247-5814 CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ROW-81 — Job Type: RIGHT-OF-WAY PERMIT Description: JEA POLE Estimated Value: Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 54 W 10TH ST RE Number: 170777-2000 PROPERTY OWNER: Name: JACKREL, TED D & DEBRA A, Address: 13707 LITTLE HARBOR CT FEES: Fence/ROW $0.00 Total Payments: $0.00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned b th Building Department.) FXVJEJ_� 800 Seminole Road Roo-,f I Atlantic Beach, Florida 32233-5445 77- Phone(904)247-5826 - Fax(904)247-5845SEP 2 6 2014 Date routed: City web-site.- http://www.coab.us LBY APPLICATION REVIEW AND TRAC'. JNG FORM Property Address: A) S77 Department review required Yes No Building Applicant: J_�#q ?O�CF_ �son Planning &Zoning Tree Administrator Project: F—ub-lic jq:rRj� DU t�_ Public Safety Fire Services Review fee Dept Signature (S�) � CONTRACTOR EMAIL P )DRESS . 5/,#y7P .4 if/I . Nm CONTRACTOR CONTACT # APPLICATION STATUS Reviewing Department First Reviev /�6Approved. OlDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:_<::�L Date: /9--24-/Y TREE ADMIN. Second Review: FlApproved as revised. F-IDenie, PUBLIC WORKS Comments: PUBLIC UTILITIE PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. [-]Deni(- Comments: Reviewed by: Date: REVISED 09252014 54 W 10th St 53 51 1050 qr 6" PVC Water Main 8" PVC Sewer Sew r Service '"WNW 54 Ar 0 59 Aft PUSUC UTIUMS FLAR4 RMEW COMMEMTS Date: Initials:6� /Z ee Cc Project Name Address: /�) k S7' Appl Ition Permit Check Box Check F I Application Tracking Comments to Add Box to Comment "Print" UWSU 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. MBSC Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. 13 0 RTIC A sewer cleanout must be installed at the property line. Cleanout must be covered with I an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. 0 0 RPZB A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested 0 0 by a certified tester and a copy of the results sent to Public Utilities. STRM Plans note the building will be unsprinkled, If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate 13 0 backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. FSBR If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow requirements. At a minimum, will require a double check backflow preventer. 0 0 FLM Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must be installed in a vault as noted in JEA specifications. 0 0 0 13 0— 0 0 0 0 11 0 0 0 0 From:JEA T-9 90466579SO 09 ol,5/2014 06:51 #181 P.002/003 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 1P. 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 Z PERMI T# ISSUED BY THE CITY Job Address Permitee: Telephone# Z3 Permittee Address: 2"11 LIVIlest- altl�-Iil K--, Requesting Permission to Construct: V Z, f Location: (Reference to Cross-Street) lsl-i L) 4&q± J I 1 Applicant declares that prior to filing this application he has ascertained the location of all exisfing 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: Jacksonville Electric Authority Yes( ) No ( Date: Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes( ) No ) Date: Comcast Yes( ) No i) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any porton 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 *I- Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent)located at ZJ 4� 1--t ______Telephone#: 4. All materials and equipme., � shall Iiii subject to inspection by the Director of Public Works or his designee. 5. All city property shall be re- ored to its original condition as far as practical, in keeping with city specifications and the manner satisfacto,, to the city. 6. A sketch of plans coverir- -letails of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calcv., Jons showing anV increase in impervious area on owner's lot or in the citV Right of Way are to be 1, �uded with this application. 7. This permittee shall comrT,jnce actual construction in good faith with 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 Aflanfic 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 - aforesaid rights and privileges. 9. The Director of Public ' -, shall be notified twenty-four (24) hDijrs prior to starting work and again immediately upon comple OWNER Signed: Date: 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 expires: Personally Known: Produced Identification: From:JEA T-9 90466579SO O$lt '�/2014 06:51 0181 P.003/003 ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL PROJECT#: 13367 N.O..- 8002084 wo#: CONST. 9/23/2014 CIR. TREE TRIMMING SUB-S N.O,: 561 REQ'D:NO CELL ENGINEER: Robed Simpson N.O.: ZIP CODE: NIA CUSTOMER/ Svc PHONE LOCATION: 40 10TH ST WEST/SET 4513W,INSTALL 50/25KVA BANK WENTER:§-S-F!-'-� N.O.:665-7793 P #40 10TH ST WEST/ INSTALL 4513W, INSTALL 50/25KVA. THIS IS FOR THE 3 5 CONTRACTOR TO SET THERE PULL BOX 239' AND INSTALL CONDUIT TO THE POLE. 0 NO TREE TRIMMING REQUIRED 27 7b 0 0 0 73 0 71 -110-r 0 S3 ot -1/0 0 sl I/or P#40 45 c� A� 4,) rIv .,/OQ ry 70 op -100 IT 0 80?- 6 6 6 ry Cb 2 0 60 -T 0 c,-j 2 0 rw -lA, (Z� 0 9 0 00 4/0 CIO J�, T/ 0 606 (o'D —,V City of Atlantic Be, i APPLICATION NUMBER "'�i Building Departmenh ------- (To be assigned b th Building Department.) 800 Seminole Road E C. 7�- Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 26 2014 Date routed: City web-site: http://www.3oab.us APPLICATION REVIEW AND TRACKING FORM Property Address: k) S7- Department review required Yes No Building Applicant: ?0 —<"o ti Planning &Zoning Tree Administrator Project: ��ru'_b_H c W o rii�' �P ic Util' Public Safety Fire Services Review fee Dept Signature CONTRACTOR EMAILV)DRESS 51MQLA 4 i9a W'n CONTRACTOR CONTACT # APPLICATION STATUS partrn�� Reviewing Department First Reviev ffApproved. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:,_�Vlk. TREE ADMIN. Second Revi- /: FlApproved as revised. F-]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: Reviewed by: Date: REVISED 09252014 PUBLIC WORKS PLAN REVIEW COMMENTS Date: Initials: PNi ss Project Name Addre Application Permit#: Check Box Check Application Tracking Comments to Add Box to Comment "Print" IMPS Provide table of impervious surface calculations for entire lot(existing and post 13 0 construction). ESCP Provide erosion and sediment control plans with installation details and maintenance 0 13 schedule. DPLN Provide drainage plans showing site topography(flow arrows, etc.) 0 0 RMRO All runoff must remain on-site. Cannot raise lot elevation without measures to retain 13 0 runoff. CSMP Provide construction site management plan, including Right-of-Way Permit if using 0 13 right-of-way for construction parking. TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional 0 13 Land Surveyor, showing 1'contours. Section 24-66(b)of the Land Development Regulations requires on-site storage for LDCS increased run-off if adding 400 SF or more impervious surface. Provide Delta volume 0 [3 calculations and on-site retention required per Section 24-66(b). (See attached information sheet.) PCTS If on-site s,torage is required, a post construction topographic survey documenting proper 0 0 construction will be required. RWPM A Right-of-Way Permit must be obtained for use 13 13 REPM A Revocable Encroachment Permit must be obtained, 0 0 PLWP Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from street or 13 0 drainage feature(swale, structure or lagoon). All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of DAPR pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of- 0 0 way. (Commercial driveways—6"thick.) Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be URCT overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the 0 0 plans. RWRS Full right-of-way restoration, including sod, is required. 0 0 — Roll off container company must be on City approved list and container cannot be placed on ROFF City right-of-way. (Approved:Advanced Disposal, Realco, Republic Services,Shappelle's and 0 0 Waste Management). Full erosion control measures must be installed and approved prior to beginning any earth ECIN disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control 13 13 Inspection prior to start of construction. MEET Recommend Owner/Contractor meet with Public Works Director to discuss proposed 0 0 construction. Call 247-5834 to make an appointment. 0 13 _T 13-T 11 From:JEA T-9 9046657950 09/25/2014 06:51 #181 P.002/003 JX, CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS SaW 904-247-5800 800 Seminole Road -5845 Atlantic Beach,Florida 32233-5445 Fax 904-247 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date J — 2 3 — /�(.- PERMIT# Job Address ISSUED BY THE CITY Permitee: Telephone# Perm ittee Address: _66t,��47 '17 Requesting Permission to Construct: Location: (Reference to Cross-Street) 1,111141, tA21± 9d J I 1. Applicant declares that prior to filing this application he has ascertained the location of all exisfing utilities, both aerial and undergroi,.v�d and the accurate locabons are shown on the sketches. A Letter of Notification wL . mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( Date: 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 imme.-diately removed from said street or easement or reset or relocated hereon as required by the Directo, _)f Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City c�f Atlantic Beach Florida Department of Transportabon Standards and be performed under the supervision of (Contractor s Project 1 Telephone#: Superintendent)located at- ZZ g4 z a 4. All materials and equipme-If shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be r'e,- ored to its original condifion as far as practical, in keeping with city specifications and the manner satisfactc,,, to the city. 6. A sketch of plans coverir-_ -letails of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calcv.—Jons showin _q any increase in impervious area on owner s lot or in the cily Right of Way are to be h, 'uded with this application. 7. This permittee shall comrrL-nce actual construction in good faith with 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 aforesaid rights and privileges. work and again 9. The Director of Public ' -, shall be notified twenty-four (24) hours prior to starting immediately upon comple OWNER Signed: Date: Before me this day of—in the County of Duval, State Of Florida,has person.�:! appeared Notary Public at Large,Statf- -,t Florida,County of Duval. my commission expires: Personally Known: Produced Identification: From:JEA T-9 90466S79SO 09/25/2014 06:51 #181 P.003/003 ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL PROJECT#: 13367 N.O..- 8002084 WO#: CONST.9/2312014 CIR. TREE TRIMMING REGD:NO SUB-ST N.O.: 561 CELL - NIA ZIP CODE: NIA ENGINEER: Robert Simpson N.O.. CUSTOMER/ Svc PHONE LOCATION: 40 1 OTH ST WEST/SET 451^,*1,INSTALL 50125KVA BANK -WENTER: SSSC N.O.:665-7793 P #40 1 OTH ST WEST/ INS-FALL 45/3W, INSTALL 50125KVA. THIS V� FOR THE CONTRACTOR TO SET THV�':. PULL BOX AND INSTALL CONDUIT TOT' " POLE. .27 NO TREE TRIMMING RE( ]RED 0 7s 0 0 73 71 1 r S3 /0 0 1/0 0 I/or P#40 (zw 4t) 'IV .,/OQ 0 op .100 76 .2 0 66 15? 440, 62 ry Cb 60 S4 46 0 1/07- 9 ON kl 0 0 Ic 1/0 r 6#6 2r r c 6S