201 MAGNOLIA ST ROW PERMIT CITY OF ATLANTIC BEACH
800 SENHNOLE 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:
3ob ID: 16-ROW-1741
Job Type: RIGHT-OF-WAY PERMIT
Description: RIGHT OF WAY FOR JFA
Estimated Value:
Issue Date: 8/16/2016
Expiration Date: 2/12/2017
PROPERTY ADDRESS:
Address: 201 MAGNOLIA ST
RE Number: None
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
PE� IS APPROVED ONLY IN ACCORDANCE WFTH ALL CL['Y OF ATLAWIC BEACH ORDINANCES AND WE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Department DECEIVE
800 Seminole Road
Atlantic Beach,Flond.32233,54,15
Phone(904)247-5826 - Fax(904)
A,0� '')5 E-mail: building-dept@wab.us n-106 0 2 2016
City web-site: http://�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ��,Q t /\ARGnC)UA De artment review required Yes No
Building
Applicant: se f� Planning&Zoning
TreeAdministrator
Project: Rt QH_C - D F- - W A ublic We
u lic,Utilitie
Public Safety
Fire Services
Review fee Dept Signature KM
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B 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 L lfwATION STATUS
Reviewing Department First Review: -Approved ElDenied.
(Circle one.) Comments: (47-IL4
BUILDING
PLANNING &ZONING le,
'K /
Reviewer]hv I Date:
TREEADMIN. Second Review: CApproved as revised. DDenjed.
?P A( KS Com ts:
UB'Li1C,VTILITIES
ff- 21
PUBLTC SAFE00 Reviewed by: Date:-
FIRE SERVICES Third Review: [JApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:-
Revised 051
City of Atlantic Beach 'CIE IVIE9
20 91
V
Phone(904)247-5826 Fax(�f 18
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5 47�5UG 0 2
4 4�
5
E-mail: buildfng-dePt@cosb.us
Cityweb-site: hfflp://�coanus
APPLICATION REVIEW AND TRACKING FORM
Prop"Address: a0l MP�6NOUA ;2LV De artment review required Yes No
Bul ding
Applicant: 2s Planning&Zoning
�nueAummlSlrator
Project: RGUT OF - A Publ Wor
I Uti I le
Public Salety
Fire Services
Review fee Dept Signature
0 Other Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Protection of Permit Verified IS Date
Floncla Dept.of TranslMrstion
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
EM
APPLICATION STATUS
nt First Review
Corn
ment..
Reviewing Department First Review: [ZApproved, Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
a.:
TREEADMIN. Second Review: DApproved as revised. ODerAd.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date
FIRESERVICES Third Review: DApproved as revised. ElDenied.
Comments:
Reviewed by: Date*-
dead 05114/09
CITY OF ATLANTIC BEACH (a 4�o v,) -t-741
mwiORO STRUCT'arq PERMIT—WITHIN CITY RIGHTS OF WAY AND EASEMENTS
SwindeRoaa-'
N;S-tfc Bs-�.Fl.rd.32233-5445
Fax 90�247-5045
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. P" I
Dale_y=j_�.. E1SSUMC5'TBY THE CITY__
——i
JobAddress— Zal E-mail "eA , eel
Permitee: d -
Permitee Address: TeJephone# 22q_ 66f_??cir
7-1 a.4,L 64 , T'14061�1 Ile. Cl_ 3Z, ,,Z
Requesting Permission to Construct: 3j�& ",,Ped 0&je_ kz,,(.,� ',a
.g
Location: (Reference to Cross-Street)
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 am 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 (
Ferrell Gas Date
Comcast Yes( No( Date
Yes No( Date
2. Whenever necessary for the construction, repair, improvement maintenance, safe and efficient operation,
alteration or reloc�stkm of all, or any portion of said street or ea�emenf 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 Permitee unless reimbursement is authorized.
3. All work shall meet City of Atlantic Beach or Florida Depa ment of Transportation Standards and be performed
under the supervision of 1 1, 6� &4_11
located at __1d —(Contractor's Project Superintendent)
Telephone# 121- (fil?1
4. All materials and equipment sh If be a a t t ins set on by the Director of Public Works or his designee.
5. All city property shall be restor to I a right I con iflon as far as Pmclical, in keeping with S
the manner saitisfactory to the city. city Pecifications and
--a�7ubj C�0��
P
ed t o a d
6. A sketch ofplanscovering details of this installation, aswelf as, a copyofa recentsurveyshall be madea partof
this permit. Ca1c,11fallon aU I I 1 1
Way are 1!.. ty Right of
t�;n P1111L�Viall commence actual construction in good faith with /�_ days If the beginning date is more
60 days from date of permit approval, then permittee must revieWth—.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.9�)�Before me this day
of end
—in me GoWnty of Duv s
s P
Pis
id, Bmte Of F11 ;irg', St rsonally appeared
�;M__Notary Public at L ate of Florida, County of Duval. My
Mission expires. Personalty Known:
Produced Identification
Ravis.d 712SMS
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECT#:18436 NO,: 8003205 WOk 23852852 CONST 0810SQ016
SUB-ST CIR. TREE TRIMMING
TAE�� - NO.: 565 REOD:NO
ENGINEER:Robert Simption CELL
NO.: WA ZIP CODE NIA
CUSTOMER/ Svc PHONE
LOCATION: 205 MAGNOLIA STJ INSTALL 3514WAND DROP 565 CENTER:SSSC N.O.:665-7793
STA 1,P# 205 MAGNOLIA ST/ INSTALL 3514W co N
FOR NEW BUILDS, RUN 210P TO STA 2
STA 2,P#2016 MAGNOLIA ST.
THIS GOES WITH P#2016/01610.915 olq
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Gindlesperger,Toni
From: Simpson, Robert B. <simprb@jea.com>
Sent: Tuesday,August 02, 2016 7:48 AM
To: GindlespergerToni
Cc: Simpson, Robert B.
Subject: 201 Magnolia St.
Attachments: STWR09c554CI6080207400.pdf
Mrs.Toni,
Good morning.Attached is a ROW permit to set a new 35/41w pole at a new home build site.This is for 201 Magnolia St.
There is another one right behind this one. If there is any way I can get both of these turned around quickly I would
appreciate it. If there are any questions please just let me know.
ThankYou
Robert Simpson
JEA
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