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1022 MAIN ST - JEA POLE ROW • 1 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: 16-ROW-430 Job Type: RIGHT-OF-WAY PERMIT Description: JEA POLE Estimated Value: Issue Date: 2/24/2016 Expiration Date: 8/22/2016 PROPERTY ADDRESS: Address: 1022 MAIN ST RE Number: 170996-0000 PROPERTY OWNER: Name: MASTERS, RALPH Address: 1022 MAIN ST PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: All silt must remain on-site during construction. Full right-of-way restoration, including sod, is required. See attached utility map. 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. rs�L . •City of Atlantic Beach ,,,,\?, Building Department _ APPLICATION NUMBER ':. 800 Seminole Road , (T o be assigned by the Building Department) P EIVED 4 Atlantic Beach, Florida coab.u5445 APPLICATION ION 3R Phone(904)247-5826 • Fax(904) E.�8f.qn 2016 �;339%' E-mail: building-depf @coab.us City web-site: http://www.coab� , Date routed: I�� 7_.APPLICATION REVIEW AND TRACKING FORM • • Property Address: l02 2 ,'h yi Xr Department review required q Yes No Applicant: 3-1-A Building Planning &Zoning _- Tree Administrator _- Project: p _ Public Safety ;Review fee $ Dept Signature •Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept.of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants MEMDivision of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. UDenied. (Circle one.) Comments: BUILDING GC7 L/ �4/1 PLANNING &ZONING ..,,i.„,.. Cil, Reviewed by: TREE ADMIN. Date: 2 7Z /4, Second Review: []Approved as revised. ❑Denied. � %C'WORJ�(5 Comments: • 'UBLIC UNTIL✓✓ITI S 2 —/y_ 14 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: • Reviewed by: Date: 'ised 07/27/10 I -0. 4-,,�, .City of Atlantic Beach APPLICATION NUMBER `�s r J,n� Building Department (To be assigned by the Building Department.) j;; I�; l' 800 Seminole Road ) Atlantic Beach, Florida 32233-5445 FEB 1 9 2016 // ^ ,ON g9�Oment. ....._ Phone(904)247-5826 • Fax(904 55845 (/ F.01.11- E-mail: building-dept @coab.us -- City web-site: http://www.coab.us Date routed: 2//9//of APPLICATION REVIEW AND TRACKING FORM Property Address: � 2 2 A4/p77) d-7- Department review required Yes No j-1-A Building Applicant: Planning &Zoning vg---i Tree Administrator Project: orks_ • _ Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: APP CATION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: 'fie Ntaii 4imai* BUILDING �i PLANNING &ZONING , . Reviewed b �l�� v'� Date: ,l, /�f- TREE ADMIN. ! er Second Review: ]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY • Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ['Denied. Comments: Reviewed by: Date: 2evised 07/27/10 i i I CITY OF ATLANTIC BEACH �� CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS ___T) / 800 Seminole Road 904-247-5800 ":',J;s- Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. `` Date 02/18/2016 PERMIT* .P Job Address 1022 MAIN ST ATI_ BEACH ISSUED BY THE CITY Permitee: JEA - Harold Gale Telephone# (904) 665-4191 Permittee Address: 21 west Church St., Jacksonville Fl 32202 • Requesting Permission to Construct: 35 FT. WOOD POLE AND ASSOCIATED SECONDARY FOR NEW HOUSE TREE TRIMMING REQUIRED II A Location: (Reference to Cross-Street) t 0 4 k kV VV• 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: �� J CALL Jacksonville Electric Authority Yes ( ) No (1) Date: I 1 Bell South Telephone Company Yes ( ) No (✓) Date: `t Ferrell Gas Yes( ) No (1) Date: I, Comcast Yes( ) No (✓) Date: it 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 Shawn Carrot!Utility Coordinator (Contractor's Project Superintendent) located at JEA Souths(de Stowe enter Telephone#: (904)665-4317 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 he included with this application. 7. This permittee shall commence actual construction in good faith with is 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 a �f / •. .��.•�iL .�� ti Date: Before his ■day of in a County of Duval, State Of r o •a.has personall app-:red Notary • blic -t Large,State • Flo'•a,County of Duval. My co iss•• expires: Personally Known: Produced Identification: ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL PROJECT#: 8003205 N.O.: 2016- WO#: 23469372 CONST 02.18.2016 CIR. TREE TRIMMING SUB-STA: NEPTUNE N.O.: 561 REQ'D:YES CELL ENGINEER: HGALE N.O.: 219-9714 ZIP CODE: 32233 -- CUSTOMER/ SVC PHONE LOCATION: 1022 MAIN ST.(X-ST 10 AVE.WEST ATL.BEACH) CENTER: SOUTH N.O.•665-4191 OFC THIS PROJECT PROPOSES TO INSTALL A 35 ' WOOD CLEARANCE POLE AND SECONDARY FOR A NEW HOUSE CURRENTLY UNDER CONSTRUCTION. UNDERGROUND CONUIT FROM POLE TO HOUSE BY OTHERS. PLEASE CALL ONE CALL AND USE CAUTION WHILE DIGGING. CONTACT JIMMY WTH THE CITY OF ATLANTIC BEACH AT 838-8087 24 HOURS PRIOR TO BEGINNING WORK. STA 01 -POLE # 1021 -TAP EXISTING SECONDARY AND INSTALL 60 'OF 2/0 PAP TO STA 02. STA 02 - POLE 1060 - INSTALL 35'CLEARANCE POLE AND CONNECT 2/0 PAP. PLEASE INSTALL DEEPER TO AVOID GUY AND ANCHOR. I _ • 5 c v _ ON_ �� ` f 0 o ♦ C I N ° v i C Q +--6,�� Q, 10'9 5 NV •�i 41 1 ' ' • c 25B ° • 1072 --1 1020 r S 75B I _ ci FUTURE UG BY OTHERS �Q� ^ O 25� Q� , • • ° • STA 02- I PROPOSED POLE F- 0 I 1060 GOI C • I , • 4 1021 I A f�. 50B (no' U I 1010 � - a ■r-� 1056 boc i� ♦ 50B i tree trimming o Tr♦ I : V 1J ! 4. 1.--- r 4 STA 01 - `.e LU I EX POLE 1021 0 N. oc ■ ° 2I "' o I.- 0, c• ♦r` • �t 0, `� 01017 4111 I I 50B r o 1,2 o I :-. 990 2 p O7 a • ono • T� o� N - - - 935 ° • 978 Q B�`256 , gt , ° •• c i o , vl 0 . ° ♦ ° '4)1 / ~ 4.N• Q , °s I— I 0 924 • ° 251. - 0 • I I I o •:MH-A-895 . O :., I :p 0 F 4 ji wi Ak k w 0 I I i , -AA 0 z I . a ammuit. , , .. 4 at d 1k 8"SEWER MAIN I • o il . I 1°,11, • I 1 1 • • I