255 PINE ST. JEA ROW 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
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JOB INFORMATION:
Job ID: 15-ROW-2008
Job Type: RIGHT-OF-WAY PERMIT
Description: 35' CLEARANCE POLE #263 PINE ST & ASSOC OVERHEAD
Estimated Value:
Issue Date: 8/25/2015
Expiration Date: 2/21/2016
PROPERTY ADDRESS:
Address: 255 PINE ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: JEA
Address:
Phone:
PERMIT INFORMATION,
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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--- 08/25/2015 PERMIT# 0
Job Address 255 PINE ST.,AIL BCH EL ISSUED BY THE CITY PaIr X1111M.0 zoos
Perrnitee: —JEA_- HAROLD GALE Telephone# (904) 6654191
Permittee Address: 21 WEST CHURCH ST., JACKSONVILLE FL 32202
Requesting Permission to Construct: (1) 35'CLEARANCE POLE#263 PINE ST, &ASSOCIATED OVERHEAD
Location: (Reference to Cross-Street) ONE BLOCK NORTH OF DAVID ST.
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 (.0 Date: C)t�C-CALL_
Bell South Telephone Company Yes( No (.,) Date:
Ferrell Gas Yes( No (v) 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 DAREL BASFORD (Contracto(s Project
Superintendent)located at JEA SOUTHSIDE SERVICE CENTER Telephone#:_�'904�"5-6863
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.
& 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
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Signe& Date: ifl
Be= this bay 6f in the County of Duval,
State 0 rida,has personally apoared
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Notary ublic a�tl_arge,State of F�rida,�County of Duval
My co mi sion expires: Personally Known-
Produced Identification.
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ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECT#'8002684 N.O.: FORTHCOMING WO#: 23113541 CONST 8-25-2015
CIR. TREE TRIMMING
SUB-STA.- NEPTUNE NO.. 565 REQ'D:NONE
CELL
ENGINEERHGALE N.O., 904-219-9714 ZIP CODE: 32233
CUSTOMER/ Svc PHONE
LOCATION: 255 PINE ST.(X-ST DAVID ST) CENTER. SOUTH N�0,:-90476654191 OFC
THIS PROJECT PROPOSES TO INSTALL A 35'CLEARANCE POLE AND ASSOCIATED OVERHEAD SECONDARY
FOR A NEW HOUSE CONSTRUCTION.
STA 01 -CONNECT AT POLE 252 AND RUN 70'OF 210 PAP
STA 02-INSTALL NEW 35-4W POLE#263 AND ATTACH PAP FROM STA 01. SEE STAKE AND PAINT ON ROAD.
USE CAUTION WHEN DIGGING BURIED UTILITIES IN AREA. USE ONE CALL.
CONTACT THE CITY OF ATLANTIC BEACH AT 904-247-5814 AT LEAST 24 HOURS PRIOR TO STARTING WORK.,
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