130 Club Dr Jea 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:
lob ID: 16-ROW-245
Job Type: RIGHT-OF-WAY PERMIT
Description: jea pole
Estimated Value:
Issue Date: 2/9/2016
Expiration Date: 8/7/2016
PROPERTY ADDRESS:
Address: 130 CLUB DR
RE Number: 170319-0000
PROPERTY OWNER:
Name: Shields, David
Address: 53 Oceanside DR
PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS:
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 utility map.
All silt must remain on-site during construction.
Full right-of-way restoration, including sod, is required.
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�Ii Llr�r:
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIG
800 Seminole Road 904-
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PLEASE
2 5
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_r_ Atlantic Beach,Florida;32233-5445 F 04- 5
PLEASE SUBMIT(3)COMPLETE:SETS OF PLANS WITH APPLICATION.
Date 02/01/2016 PERMIT#
Job Address 130 CLUB DRIVE.COAB
Pe'frhitee: JEA- Harold:Gale. . Telephone# (9N4 6654191
Permittee Address: ,21 west'Church:St.,.Jacksonville Fl 32202
Requesting Permission to Construct: (1) 35'WOOD CLEARANCE POLE FOR NEW HOUSE
Location: (Reference to Cross-Street] ONE.BLOCK WEST,OF BEACH AV
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.( j No (�.) Date:
Bell South Telephone Company Yes( ) No (.1 Date:
Date: i
Ferrell Gas Yes( ) No (✓) Date: I
Comcast Yes( ) No (✓) Date: i
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 shavai'carroliumiitycoordinator (Contractor's Project
Superintendent)located at JEASod(kdeservice center Telephone#: (904)66s4191
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 satisfactorylo 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'sh6wing any, increase in impervious area On,owner's-.lot or in the.city
Rilaht of Way are to be:included witif 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 bf 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
time's, assume all risk 'of. and indemnify, defend, and save:lharmless 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. f
9. The Director ofPublic rks shall be notif twenty-four (24) hours prior to starting work and again
immediately upon com etion.
OWNER
s.9
Before m ;thi day of In the County of Duval,
State 0 Floo a,has personally appeared
Notary Pub tc.at Large;State of Florida,County of Duval.
My comm' sion.expires: Personally Known:
Produced Identification:
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE-REL
PROJECT#-.906320'5 N p 2015.•2856. WO#;23421433 CONST:01.28-2016
CIR. TREE TRIMMING
St16-STA:neptune MO. 563 REQ'D NONE
ENGINEER;:HGALE CELL
NA: 219-9714. ZIP C6DE.32233
CUSTOMER/ SVC" PHONE
LOCATION: 130'CLUB,DR.ATL BCH(X-ST.SEMINOLE-RD.) CENTER:SOUTHN.O::66541911ofc.
STA 01 -CONNECT AT POLE 141 AND-.INSTALL 60 LF OF 2/0 PAP TO:STA 02.
STA 02-INSTALL NEW 35`WOOD POLE AT STAKE MARKED,ON NORTHWEST .RROPERTY CORNER.
STA"03-REMOVE.OLD 2T TO HOUSE:#1.50 AND REEFED WITH 1/0 T FROM NEW POLE.
PLEASE USE CAUTION WHILE DIGGING AND CONTACT ONE CALL:ALSO CONTACT THE'CITY OF ATLANTIC
BEACH AT 247-5834(JIM RIGSBEE)24 HOURS PRIOR TO BEGINNING WORK.
SHOULD YO."U:HAVE:QUESTIONS PLEASE CALL FIELD ENGINEER .HGALE AT 219=9714.
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