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1250 OCEAN (1252) JEA POLE 2015 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 - - INSPECTION PHONE LINE 247-5814 J,3 RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ROW-890 Job Type: RIGHT-OF-WAY PERMIT Description: NEW JEA ELEC POLE 1252 OCEAN Estimated Value: Issue Date: 4/27/2015 Expiration Date: 10/24/2015 PROPERTY ADDRESS: Address: 1250 OCEAN BLVD RE Number: 171822-0000 PROPERTY OWNER: Name: CRIPPS, ROBERT & DORIS W, Address: 1250 OCEAN BLVD PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: Full right-of-way restoration, including sod, is required. 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. FEES: Total Payments: $0.00 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#:8002691 N.O.: WO#: CONST:4/16/15 CIR. TREE TRIMMING SUB-STA: NEPTUNE BEACH N.O.: 563 REQ'D:NONE CELL ENGINEER: BRIAN MIDKIFF N.O.: ZIP CODE: 32233 CUSTOMER/ SVC PHONE LOCATION: PRP-CIR563-1252 OCEAN BV CENTER: SSSC N.O.:665-7534 1. REPLACE 35/4W CLEARANCE POLE 1252 OCEAN BV. 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ED IV%I V ol%%a 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 _I l l/s PERMIT# ISSUED BY THE CITY Job Address 13, a O C e c fl g Permitee: A Telephone# 75-3LY Permittee Address: X1 W C t"i t`V, S Requesting Permission to Construct: hep Ia Le We- 1162 Q c ec- \ g�/ Location: (Reference to Cross-Street) 13 iv% 3Th St a"J C&C'.-N I;V 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: Jacksonville Electric Authority Yes( ) No (X) Date: Bell South Telephone Company Yes( ) No (k) Date: Ferrell Gas Yes( ) No (X) 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 (Contractor's Project Superintendent)located at Telephone#: 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 c ity Right of Way are to be included with this application. 7. This permittee shall commence 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 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 Date: Before me this day in the County of Duval, State Of Florida,has a nally appe Notary Public at Larg t f Flor' C unty of D Personally Known: My commission expir Produced Identification: