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441 ROYAL PALMS ROW JEA PERMIT 11 SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD +� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ROW-1000 Job Type: RIGHT-OF-WAY PERMIT Description: jea pole Estimated Value: Issue Date: 5/4/2015 Expiration Date: 10/31/2015 PROPERTY ADDRESS: Address: 441 ROYAL PALMS DR RE Number: 171486-0000 PROPERTY OWNER: Name: WOODS JR, MARK Address: 441 ROYAL PALMS DR PERMIT INFORMATION: UTILITY DEPT.: 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. FEES: Total Payments: $0.00 PERN IT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUIL ING CODES. 483 476 m475 592 583 770 760M " h 750 740 730 720 710 470 " M 469 578 M 573 785 , 775 765 469 " " ----++ j 755 745 735 725 463 550 M " 6� M -. "' REDFIN DR M N M M 4 u M MM M M 457 540 M 535 N 780 770 760 M 750 740 451 452 �" 730 720 451 528 �� M --_ __ M 525 I 785 775 765 755 443 446 M v " 445 510 745 735 725 M _1 N N O SABALO DR � 440 mv M� 439 500 790 780 M 720 " 433 — 760 750 429 434 1811 Cl SEWER FORCE MAIN M 487 497 - 8"VC SEWER MAIN q 489 492 M N 421 428 M 490 491 427 = " 482 41 M 411 12" PVC WATER MAIN 469 481 484 Z c� 422M 1 _ 474 M v 483 $„ 421 M " 41 405 444 M 473 476 " 416 " 415 475 426 6'VC SEWER MAIN - M , 465 402 'A401 410 468 467 ` 407 4 ' 408m 1"PVC WATER SERVICE M N -- 405 v 7 460 459 LCUTLASS DR 459' O m 393 450 ;o 398 " ° 395 389 N 449 452 451 M 394 " - 388 385 " " N 442 441 444 N M 390 " 387 386 " 3 381 380 434 379 M -----AN " 433 436 382 379 N " 378 M N 373 372 369 M " N 426 425 " 361 428 4 374 371 370 0 365 366 j0M N 417 M 361 418 366 N 363 M 420 362 m 357 " - 358 353 410 " " 409 412 " 358 " 355 354 349 350 M 795 785 " 403 404 350 347 34 " .. City �E�%EIVED y of Atlantic Beach APPLICATION NUMBER js Building Department (To be assigned by the Building Department.) 800 Seminole Road APR 3 0 2015 ra Atlantic Beach, Florida 32233-5445 Phone(904) 247-5826 - Fax(904) 845 _ ttgYE-mail: building-dept@coab.us Date routed: 2 �� City web-site: http://www.coab.us APPLICATIO E IEW AND TRACKING FORM 19) Property Address: A Department review required Yes No TfBuilding ! 'Applicant: Planning &Zoning Tre .nistrator Project: /� 70' L � Publi orks u is Utilities Public Safety Fire Services Review fee"t Dept Signa#ur "� t , 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 J l Reviewed by: Date: 3 TREE ADMIN. Second Review: ❑Approved as revised. enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS tis J 1/ 800 Seminole Road 904-247-5800 'Cp9 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date 04/29/2015 PERMIT# Job Address 439 ROYAL PALMS DR ISSUED BY THE CITY Permitee: JEA Telephone# (904) 665-7534 Permittee Address: 21 WEST CHURCH ST Requesting Permission to Construct: REPLACE ONE 35 FOOT CLEARANCE POLE Location: (Reference to Cross-Street) ROYAL PALMS DR AND CUTLASS DR 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 (✓) 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 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 MATTSTAFFORD (Contractor's Project Superintendent)located at JEAsouTHsiDesERvicECENTER Telephone#: t904ie65-7940 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 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: 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: ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL PROJECT#: 8002687 N.O,: wo# CONST PERMIT'CO'PY CIR. TREE TRIMMING SUB-STA: NEPTUNE BEACHN.0,: 563 REQ'D:NONE CELL ENGINEER BRIAN MIDKIFF N.O.: ZIP CODE 312233 CUSTOMER/ Svc PHONE LOCATION:..439-ROYAL PALMS DR ------- N.O.:665.7534 REPLACE POLE 439 ROYAL PALMS DR. 35/4W. N W E S 436 2T 9 NORTH TO 0 487 PLAZA RD50A 4s6 4- 5 4W t4 cn (n � G) 0 49P 43�4 --j I'D 'o 41 404 STA I 4P 73. 463 50A 80002 404 4p ri 25C ._CUTLASS DR 4 11 4w 41- 4P SOUTH TO ATLANTIC BV 3s4 SOUTH TO ATLANTIC ��C T�, -25,C: 25 5 'CEIVET City of Atlantic Beach APPLICATION NUMBER Building Department APR 3 0 2015 (To be assigned by the Building Department.) 800 Seminole Road , / �j f r' Atlantic Beach, Florida 32233-5445 Phone(904) 247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: �S City web-site: http://www.coab.us APPLICATIO 9 IEW AND TRACKING FORM 3 Property Address: Ylt I VA 1,41MDepartment review required Yes No Building Applicant: Tf 4 Planning &Zoning 1reaAdministrator Project: /�} �o L f Public Works-'-) .-LPublic Utilities Public Safety 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: APPLI.CATION STATUS Reviewing Department First Review: EjApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING � Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. 4,P ��_�( S C WORK Comments: UTI ITI/ES FE/ Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 ENGINEERING DESIGN PR JECT#: ORACLE 8062687 PERMIT MAXIMO DATE REL _ N. -._ WO# _ _. -- �_._�__�._........._-- CONST: PERMIT COPY CIR. TREE TRIMMING .T SUB-STA: NEPTUNE BEACH — N,O.: 563 REQ'D:NONE CELL ENGINEER:BRIAN MIDKIFF _ _ _ N.O.: ZIP CODE: 32233 CUSTOMER/ SVC PHONE LOCATION: 439 ROYAL PALMS DR CENTER: SSSC N.O.:665.7534 REPLACE POLE 439 ROYAL PALMS DR. 35/4W, N W E ;JJ I s 36 • ! i 50A 1 t zT 7 S 790_.....___ � zT 1 r • ws __.. 1 • NORTH TO ! 487 3C•(?_- t ► PLAZA RD �, 50A '{� 486 . o • __._...... i O t �j t 50C _ f� 141 D •tt ' • jnIt • 0 1 r a -101 ♦ ��, _ . o 434 50C 1 • • � i � • o , 404 . • -_ �' •W 1 t 50A�~ , STA 1 �s • = ` ' i 439 1 a • C.3 t • N �...._._._ 463 • •c i -, 50A 1 N t,.. 80002 4 7D 40Sx r t 25C CUTLASS DR------------- 1 i SOUTH TO ~� ,.1 --... '-... ATLANTIC BV Q .� 384_ 25 t'- � ,.1 L •x f�y W f .- ..1 i N ' �,�SNI may' •" ♦.A. N.; 1 ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL PROJECT#:8002687 N.O.: WO#: CONST PERMIT COPY CIR. TREE TRIMMING SUB-STA: NEPTUNE BEACH N.O.: 563 REDID:NONE ENGINEER: BRIAN MIDKIFF CELL N.O.: ZIP CODE: 32233 CUSTOMER/ SVC PHONE LOCATION: 439 ROYAL PALMS DR CENTER: SSSC N.O.:665.7534 REPLACE POLE 439 ROYAL PALMS DR. 35/4W. N W E S .0 t 36 ' �� • t j _i 50A t 2T T i -0 T 790 N j • w z • ! NORTH TO 1 487 7 j ► 750 PLAZA RD A 50 i - 486 ►�) o • �-� • 50C i O N �, �. • t • J • I r t4 t 7� • ♦ t r ♦ P 1 434 -13 f_r___.. --+ ♦ N t • W V _ - -SOC i N • /'- •to t r t I 404 4Pt ♦w j SOA • t ► - ! STA 1 o i r • i - 43900 i N 463 4 •$ • •$ O 50A `^ 80002 . t 40q / x• r j� •moi 25C } CUTLASS DR ❑ "` "__.._- t t i NI • i O • ♦x ,,, i SOUTH TO r_-- v max♦ ATLANTIC BV o - - -- -i 384 l • 1 1