1520 FRANCIS AVE JEA POLE 7/2015 City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b the Building Department.)
P 800 Seminole Road
-5445
Atlantic Beach, Florida 32233
Phone(904) 247-5826 - Fax(904)247-5845
E-mail- building-dept@coab.us L le routed:
Cityweb-site: http://www.coab.us W
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Building
Applicant: Planning &Zoning
Tree Administrator
Project: 36" r -r-_s->
ublic WoT
rrm 717-MT11-am
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:
APPLICATION STATUS
Reviewing Department First Review: []Approved. L]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: RApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]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
904-247-5800
800 Seminole Road
Fax 904-247-5845
-5445
Atlantic Beach.Florida 32233
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date- 06/15/2015 PERMIT#
I ISSUED BY THE CITY
Job Address 1520,1520,15 0 FRANCIS AV 7::=
Permitee: JEA Telephone# (904) 665-4191
Permittee Address: 21 WEST CHURCH ST. JACKSONVILLE FL 32202
Requesting Permission to Construct: A 35 FT. WOOD P LE & 3-INCH ELECTRIC CONDUIT & BOX
Location: (Reference to Cross-Street) DONNER RD. - 100 FT NORTH
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:_ r /A t-
Ferrell Gas Yes( No (v) Date: o I
Comcast Yes( No (.,) Date: to
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 JEA SOUTHSIDE,SERVICE CENTER . Telephone#: 665-7940
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. It as, a copy of a recent survey shall be made a
6. A sketch of plans covering details of this installation, as we
part of this permit. Calculations showing any increase in impervious area on owner's lot or jjj��
Right of Wayare to be included with this a,gRIj�ation- days. If the beginning date is
7. This permittee shall commence actual construction in good faith with $
more than 60 days from date of permit approval, then perrnittee 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 c m I
OWNER Date:
Si 4�the Zountyof Duval,
Befor s a of
State 0 Flo da'has personally d
Notary bl' at Large,State of FI Ids Co f Duva. Personally Known:
my commission expires uced I entificatiom
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECTM 8002684 N.O.: JEA INITIATED WO#: 22966968 CONST 6-10-15
CIR. TREE TRIMMING
SUB-STA: NEPTUNE BEACH N.0.: 564 REQ'D:.N0NE
CELL
ENGINEER:HGALE N.0 219-9714 ZIP CODE: 32233
CUSTOMER/ Svc PHONE
LOCATION: 1530 FRANCIS AV.(X-ST.DONNER RD.) CENTERSOUTH N.O_665-4191 OFC
THIS PROJECT PROPOSES TO REPLACE A 35 FT CONCRETE POLE FROM THE CENTER OF 1530 FRANCIS AV
TO THE PROPERTY CORNER. JEA CREWS WILL INSTALL A NEW POLE THEN JEA CONTRACTOR WILL
REPLACE THE UG CONDUIT IN CITY R/W AND PLUG AND ABANDON THE OLD CONDUIT. JEA PROPOSES TO
BEGIN WORK AFTER THE COAB SEWER PROJECT IS COMPLETE.
STA 01 -CONNECT AT POLE 1523 AND RUN 60' OF 2/0 PAP TO STA 02.
STA 02- INSTALL NEW POLE 1534 AT PROPERTY CORNER.
0 IbZl
2 54-.0 C)
5A_ 400.
E
1531 TO BE REMOVED
25A_
PROPOSED 3-INCH UG
TO BE INSTALLED BY JEA
C:)
CONTRACTOR AFTER
40. POLE INSTALLATION 153E
/ 5-0 B_
1515
�w 4w
50A
400 0 STA 01
ZA CONINE
4/0 CT OH
SECONDARY
C-4
40 STA 02-
NEW POLE#1534
IL
165
LANDSCAPING AND GRASS SHALL 504
m U BE RESTORED TO ORIGINAL OR
tD U)
I/OT BETTER CONDITION. REPLACE 4
/OT GRASSED AREAS-MATCH GRASS
TO EXISTING.
' -,, - - M L
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