967 Camelia St ROW permit CITY OF ATLANTIC BEACH
r '1 800 SEMINOLE ROAD
u 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-2219
Job Type: RIGHT-OF-WAY PERMIT
Description: install new 35/4W for new home
Estimated Value: $2,883.49
Issue Date: 10/20/2016
Expiration Date: 4/18/2017
PROPERTY ADDRESS:
Address: 967 CAMELIA ST
RE Number: 170967-0000
PROPERTY OWNER:
Name: BENNETT, KEVIN
Address: 4429 JIGGERMAST AVE
GENERAL CONTRACTOR INFORMATION:
Name: JEA
, N/R
Address:
Phone: - -
PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS:
See attached Utility Map.
Full right-of-way restoration,including sod, is required.
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10
feet in each direction from the center of the cut. Repair must be shown on the plans.
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES
City of Atlantic Beach W:CEIVE APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole RoadOCT 0 3 2016 ,
Atlantic Beach, Florida 32233-5445 Ila r�t71n./'�
Phone(904)247-5826 Fax(904)2 845 1
E-mail: building-dept@wab.us Date routed:
�— Cityweh-site: http://ww .mab.us
APPLICATION REVIEW AND TRACKING FORM
p
Property Address: ^110 7 Ufn LLKa tyF • Department review required Yes No
Building
Applicant: 1E-i�t Planning &Zoning
\ (� Tree Administrator
Project: ins-�Vl tl Aw J `r•� Rg ublic s
Utilities
Public Safety
Fire Services
Review Dept Si
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified t
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: LdApproved. ❑Denied. ,/
(Circle one.) Comments: fee " killeator*
BUILDING v
PLANNING&ZONING Reviewed by: Date: /
TREE ADMIN. Second Review: ❑Approved as revised. [-]Deni d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14108
City of Atlantic Beach L+�� APPLICATION NUMBER
Building Department k1 (To be assigned by the Building Department.)
p 891 Seminole Road OCT 0 3 2016 LG
- 1 Atlantic Beach, Florida 32233-544 b
Phone(994)247-5826 Fax(994)j�yt.7-5845
E-mail: building-dept@coab.us - ---- - Date routed: �q�8aII6
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: D
epartment review required Yes No
L
Applicant: �7`/[ Zoning
nistrator
Project: 1 (1S�tIk ow I&J
,n e - 1 L,�^- ties
Lw 'IUr•erc ty
s
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by Date: �e /.4
TREEADMIN. Second Review:
❑Approved as revised. ❑Denied.
CVVORKP Com ents:
B/LIC UTILITIES
PI/BL C'9AFL-'TY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
CITY OF ATLANTIC BEACH
CONSTRUCTIONPERMITWITHINC FH(T1:QFWAY"FA MS
600 Semnde Road 9 247-5800
Mantic Beach,F:de 3223}5445 Fax 90 241-5645
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATI ITa Ib—(Z. 76j. tCj
Data ! 6ISSUES BY THE CITY
Job Address & I/ /g E-mailS�n_�6 a-7
Permitee: TG'A - Qnblf }f, i1< Telephone# 90N- 665= 7793-
PermiteeAddress: 7�( sat
Requesting Permission to Construct: Sc},,,/1 r,r 2 /Vv C tied
Location: (Referenceto CrossStreet)_LakL% °f- 5m Cd- s1-
l. 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: 1/SE BNF- &1,1ti
Jacksonville Electric Authority Yes ( No(11 Date:
Bell South Telephone Company Yes ( ) No (i) Date:
Ferrell Gas
Comcast Yes( ) No( -1) Date:
Yes( ) No Date: r.
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 Pennitee unless reimbursement is authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and berformed
under the supervision of_CFi,4,n (MYII dd9y� 6Aw W - I _ (Contractor's Project Superintendent)
located
teiia ' ! - Telephone
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 anv increase in impervious area on owner's lot or in the it Rioht of
WAY are to be included with this application
7. This permittee shall commence actual construction in good faith with l6 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
Signed �! ! Date:9 B (before me this day
of in the Coun of Duval, State Of Florida,h�rsonally appeared
Notary Public at Large, State of Florida, County of Duval. My
commission expires: Personally Known:
Produced Identification:
Revised 7I29MB
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECT#:18933 NO.: 8003205 IND#: 24015978 CONST:1010712016
CIR. TREETRIMMING
SUBST NEPTUNE BEACH 18833 N.O.:561 REQ'D:VES
CELL
ENGINEER:Robert Simpson NO.:WA ZIP CODE:WA
CUSTOMER/ SVC PHONE
LOCATION: 979 CAMELIA ST./INSTALL 3514W AND DROP 561 CENTER:SSSC N.O.:665.7793
I ., 1
STA 1,P# 979 CAMELIA ST./ INSTALL 3514W • o o • 25B5
RUN 2/OP TO STA 2.
STA 2,P#1000 CAMELIA ST.
h ♦p O •
TREE TRIMMING REQUIRED
THIS GOES WITH P#2016/02154.910
N • c• oP 1021
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CUE Reports
Estimate 18933 551 TROUBLE 979 Estimate DESIGN Contractor:None
Number: CAMELIA ST./INSTALL Type:
35/41N AND SECONDARY
DROP
Estimate 1 561 TROUBLE 979 By: SIMPRB
Version: [AMELIA ST./INSTALL
35/4W AND SECONDARY
DROP
MWO#/Task: 24015978 Required 10/07/2016
Date:
Oracle 8003205 Estimated 09/30/2016
Project#: On:
Cost Estimate
........................................................................................................................................................................
Materials 3EA Contractor
1.New Material Cost(w/sales tax) $325.19 $0.00
2.Transformer Cost(w/sales tax) $0.00 ifom
3.Returned Material Salvage Value $0.00 $0.00
Labor
4.Crew Time 6568.69 60.00
5.Eatraordin ry Costs 60.00 60.00
3EA Overhead
6. Fringe Benef e; (51.15%of lines 4& 6372.19 60.00
7)
7.Engineering Costs (Variable%of line 6158.95 60.00
4)
8.Project Equipment Costs (40%of 6396.73
total equipment costs)
9.Material Handling (8.08%of lines 1& 626.28 60.00
2)
10.Inspection (6.84%of line 4) 60.00
11.Total Cost of Project 61,848.02 $0.00
12.Work Order Estimate(Line 11 minus 61,425.02 60.00
Ilne 8,9,&10)
13.Billable Equipment Depreciation 6595.10
(60%of total equipment costs)
14.Billing Estimate(including 62,883.49 60.00
Transformer Cost)
(Ones 11 + 13+(60.52%of 4&7))
15. Billing ESNmate(Without Transformer 62,883.49 60.00
Cost)
(Lines 11 + 13+ (60.52%of 4&7)
-Line 2)
Time Estimate
Crew Reauini m m Total
MaMoun
4 Man Line Crew 18.24
........................................................................................................................................................................
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Estimate 18933 561 TROUBLE 979 Estimate DESIGN Contractor:None
Number: CAMELIA ST./INSTALL Type:
35/4W AND SECONDARY
DROP
Estimate 1 561 TROUBLE 979 By: SIMPRB
Version: CAMILLA ST./INSTALL
35/4W AND SECONDARY
DROP
MWO#/Task: 24015978 Required 10/07/2016
Date:
Oracle 8003205 Estimated 09/30/2016
Project#: On:
CU Detail
Station 01 561 TROUBLE 979 CAM ELLA ST./ INSTALL 3S/4W AN D DROP TO STA 2
Build Transfer Remain In Place Remove
P.35/4W 11 I I I fII jII
S6 W'2 11
21 1 I I 1 1
6
54"2/0 HANDDIG 111 1 ( I I I
DEEPER 51 1Static.2 561 TROUBLE 100D CAMELIA ST.
1 1 I 1
Build Transfer Remain in Place Remove
54.2/0 11 1 1 1 1 1
RUMP 11 11 11 11 11 (RUBDOWN 2
S20ES-2/0-2/0 11 I 1 1 I I
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Estimate 18933 561 TROUBLE 979 Estimate DESIGN Contractor:None
Number: CAMELIA ST./INSTALL Type:
35/4W AND SECONDARY
DROP
Estimate 1 551 TROUBLE 979 By: SIMPRB
Version: CAMELIA ST./INSTALL
35/4W AND SECONDARY
DROP
MWO#/Task: 24015978 Required 10/07/2016
Date:
Oracle 8003205 Estimated 09/30/2016
Project#: On:
Conductor, Conduit and Pipe Detail
ouaMMes
From Station I*Station 41 Buil Transfer Remain Remove
01 2 C.2/0P 80 0 0 0
........................................................................................................................................................................
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Estimate 18933 561 TROUBLE 979 Estimate DESIGN Contractor:None
Number: CAMELIA ST./ INSTALL Type:
35/4W AND SECONDARY
DROP
Estimate 1 $61 TROUBLE 979 By: SIMPRR
Version: CAMELIA ST./INSTALL
35/4W AND SECONDARY
DROP
MWO#/Task: 24015978 Required 30/07/2016
Date:
Oracle 8003205 Estimated 09/30/2016
Project#: On:
Material Summary
Item Quantity Item Number Item Description
2 EACH BOLEY004 BOLT,EYE, 5/8"X 14", GALVANIZED,WITH SQUARE NUT ATTACHED
...............................................................................................................
80 FEET CA105002 CABLE,2 R (ASPJ,OVERHEAR SERVICE DROP,IRE VOLT MULTIPLEX FOOT REELS SA
VERDE" PRE-ASSEMBLED PARALLEL $O......RE 61-28-96-1,1500 FOOT REELS
1 EACH CUG---- CLAM-,GROUND ROD,5/8'-4---'HAM------K'
...............____________________________ P,ST----_-___._______-___________1_0_._._4_0._.._.___._..__._...._
1 EACH CUSR002 CLAMP,STRAIN RELIEF WEDGE,ALUMINUM, 1/0 TRI-4/0 PAP
2 EACH CLA55004 CLAMP,STRNGHT STRAIN,ALUMINUM,5000#,4-3/0 ALUM
2 EACH CNNCPOO2 CONNECTOR,#2,6-2 MAIN,2-1/0 TAP,ALUMINUM COMPRESSION,PARALLEL
.......................................TAP,__.__._.__..________...._..............4.........4............44....
3 EACH CNNCP004 [ONNEROR,#4,1/0-2/0 MAIN,1/0-3/0 TAP COMPRESSION,PARALLEL TAP,
..........4444___
..._________.........ALUMINUM.
.................................................................
1 EACH CNNVG003 CONNECTOR,6-2 SOUIO-2 SOL,VISE G1LIP PARALLE4 BRONZE
...............................................................................................................
3 FEET COBC0028 CONDUCTOR, #4$OLID,SOFT DRAWN,BARE COPPER,200', 25Y,ON PLASTIC
REEL,4"X 11.5'W/2'HOLE
.............................•________._"."---......_................................................_...
_..___
70 FEET COBCW014 CONDUCTOR,#4,TYPE 40 DSA,COPPERWELD 8 COPPERWELD-CO P MR.204-
DIAMETER 1480#BREAKING STRENGTH(50#COIL-427')
...............................................................................................................
2 EACH COVIC002 COVER,'D'DIE,INSULATING,
................................•__••___......_•_........4..4.....4.....4..............._................_...._
1 EACH GUAGW001 GUARD,GROUND WIRE, 1/2'X 1/2'X 96',GRAY PLASTIC
...............................................................................................................
2 EACN INSS0002 INSULATOR,SUSPENSION,4',CUSS 52-9 NEMA STRENGTH 10000#,GALV.
FITTINGS
-------------------
2 EACH NUTEY002 NUT,EYE,5/8',HOT DIPPED WLVANIZE76
..........
............•___________...............................................4.444...............
..........
1 EACH PO-W0003 POIE,WOOD,35'EWS;(T/L 94),WEIGHT�1,026 LBS
.........._________---_______________________________________________ ________________ ______________________
1 EACH RODGR003 ROD,GROUND,THREADLESS,5/8'%B',SHIP ON OPEN ......ONLYI
1 EACH TAGH000] ALUMINUM VERTICALTAG HOLDER FOR ADHESIVE BACK CHARACTER$ LES FOR
'SLIDE IN"CHARACTER OM 19.5"HIGH X 2'WIDE WITH 3-1/8"NAIL MOLES p
THE TOP AND THE BOTTOM. (P-ii OF 50 EACH)
4 EACH WASSF003 WASHER,SQUARE F... 3' ..%1/4',5/8'. 3/4'BOLT SRE,W...... ..
13 EACH XXXn000 DUMMY to,
_______________________________________________________________________________________________________________
September
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Estimate 18933 561 TROUBLE 979 Estimate DESIGN Contractor:None
Number: [AMELIA ST./ INSTALL Type:
35/4W AND SECONDARY
DROP
Estimate 1 561 TROUBLE 979 By: SIMPRB
Version: CAMELIA ST./INSTALL
35/41N AND SECONDARY
DROP
MWO#/Task: 24015978 Required 10/07/2016
Date:
Oracie 8003205 Estimated 09/30/2016
Project#: On:
CU Summary
CU Name Quantity Description
C,2/0P BO 2/0 AAC PAP W/2/0 AAAC NEUTRAL
DEEPER 5 SET POLE DEEPER,PER FT.
G3W-2 1 WOOD POLE - NON-EQUIPMENT GROUND
MANDDIG 5 No Description...
P.35/4W 1 35 FT.CLASS 4 WOOD POLE
RUBUP 2 LINE RUBBER INSTALLATION,PER SECT.
S20E5'2/0-2/0 1 SECONDARY CONNECTION AT POLE
54'2/0 2 SECONDARY DEADEND
56 2 DOUBLE EYEBOLT
CU Name oW tv Description
RUBDOWN 2 LINE RUBBER REMOVAL,PER SECT.
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