1900 Beachside Ct ROW permit 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 NE)IT DAY INSPECFION: 247-5814
JOBINFORMATION:
3ob ID: 17-ROW-3467
Job Type: RIGHT-OF-WAY PERMIT
Description: RIGHT OF WAY- DIRECTIONAL BORE I" CONDUIT
Estimated Value:
Issue Date: 3/28/2017
Expiration Date: 9/24/2017
PROPERTY ADDRESS:
Address: 1900 BFACHSIDE CT
RE Number: None
GENERAL CONTRACrOR INFORMATION:
Name: JEA
, N/R
Address:
Phone: - -
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 runoff must remain on-site during construction.
Full right-of-way restoration, including sod, is required.
Any sidewalk or curb damaged from construction must be replaced.
FEES:
Total Payments: $0.00
PERAHT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp:/Avww.coab.us —a 11 �5117
APPLICATION REVIEW AND TRACKING FORM
Property Address: C)C) L?_ )EAO_US J(_)C� e artment review requlroeW�No
Building
Applicant: Planning &Zoning
Tree A ministrator
Pub ic Works
Project: C) P_IE:
P bicUtififies
Public Safety
Fire WSewims 71
Review fee Dept Sigd���
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of EnvironmenWl Protection
Florida Dept.of Transportation
St—Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverapm and—T.b..
_-6ther.
APPLICATION STATUS
Reviewing Department First Review: hdApproved. DDenied. (2110)5111
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date,3 L_�
TREEADMIN. Second Review: DAPProved as revised. ElDemled.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date,
FIRE SERVICES Third Review: ElApproved as revised. []Demed,
Comments:
Reviewed by: Date:
Revised 06114109
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-58WR 1 3 701,
E-mail: building-deptilitcoalb.us Date routed: 17
City web-site: http://�.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:19C)Q EEA J�bepartment review required Yes No
Building
Applicant: EA Planning&Zoning
Tree Administrator
R�_ �T(C)A
�� C;P:ub'lc Wor's
Project:
Pu�bfi,Utilities
Publi-c Safety
Fire Services
Review=P,,t,, Data
Other Agency Review or Permit Required of Permit
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
DMvision of Alcoholic Beverages and Tobacco
Other:
APPYOKrION STATUS
Reviewing Department First Review: EJApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: '?11W[7_
TREEADMIN. Second Review: ElApproved as revised. ElDenied.
44 ORKS) Comments:
vy��2,6
U 'C
PU LIC UTILITIES
&C/SZ Reviewed by: Date:
PU LI 1;47
FIRE SERIOCES Third Review: DApproved as revised. E]Denied.
Comments:
Reviewed by: Date:-
Revised 06/14109
fit
AAA
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECT#:$003859 NO.: PERMIT COPY WOM— CONST.
CIR. TREE TRIMMING
suB-sTA:NEPTUNE BEACH N.0,165 REOD'.NONE
CELL
ENGINEER:BRIAN MIDKIFF NO.:— ZIP CODE:32233
CUSTOMER1 Svc PHONE
LOCATION:POLE 1900 BEACHSIDE OR CENTER:CAUG N.O.:US-7534
S
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DIRE ONA E ORE 375'OF V CONDUIT AT MINIMUM DEPTH
CTI L 10
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T S 0 M 19
ST IN IF R ER 3 1 BEACHSIDE CT, PULL IN NEW 12D
REET Ll GHT CABLE.
r� InAn\
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECT#:$003859 NO.: PERMIT COPY WO III:— CONST,
CIR. TREETRIMMING
SUB-STA:NEPTUNE BEACH NO.: 565 REOD:NONE
CELL
ENGINEER:BRIAN MIDKIFF N.O.:— ZJP CODE: 32233
CUSTOMER/ Svc PHONE
LOCATION:POLE 1900 BEACHSIDE DR CENTER:CAUG NO.:665-7534
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8
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DIRECTIONAL BORE 375'OF 1"CONDUI ATMIN'MUMD
48" FROM STREET LIGHT POLE 1900 BEACHSIDE D T
TRANSFORMER 1931 BEACHSIDE CT. PULL F12DO
STREET LIGHT CABLE.
X la6n\
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECTM 8003859 NO�: PERMITCOPY WO k. CONST
CIR. TREE TRIMMING
SUB-STA: NEPTUNE BEACH NO.:565 REaD:NONE
CELL
ENGINEER:BRIAN MIDKIFF NO.:- ZIP CODE: 32233
CUSTOMERI Svc PHONE
LOCATION POLE 1900 BEACHSIDE DR CENTER:CAUG N.O.:866-7634
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955 19
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DI RECTIO14AL BORE 375'OF 1"CONDUIT AT MINI MU
M DEPTH
48" FROM STREET LIGHT POLE 1900 BEACHSIDE DR TO
TRANSFORMER 1931 BEACHSIDE CT. PULL IN NEW 120
STREET LIGHT CABLE. n
1860\
JaI4 DISTRIBUTION ENGINEERING JEA
....................I................................. DOT PERMIT
.-Il SCHEMATIC.
......................I.................. ............ L!
* DRAWING ROT TO SCALE
PROFILE OF DIRECTIONAL
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CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
SOD Sranole Road 904-247-5800
Agartio beach,Florida=�WS Fax 9114-247-58,15
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date 03/08/2017 PERMIT 0
Job Address 1900 BEACHSIDE DR ISSUED BY THE CITY_
Permit": JEA- BRIAN MIDKIFF MIDKBM(&.JEA.COM Telephone# (904)665-7534
Permittee Address; 21 WEST CHURCH ST
Requesting Permission to Construct: DIRECTIONAL BORE 11"CONDUIT 375'AT MINUMUM DEPTH OF 48"
MD�H-IN NEW IM STREET U�T(1kBUE FROM PQUE 190)BEACHSIDE Dit TO TRVISFORMER 101 B�HSI
Location: Reference to Cross-Street) BEACHSIDE DR AND SEMINOLE RD
I. Applicant declares that prior to filing this application he has ascertained the location of all existing ulififies,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the folloiiiiing Utilities/Municipalities:
Jacksonville Electric Authority Yes No Date:
Bell South Telephone Company Yes No Date:
Ferrell Gas Yes No Date:
Corniest 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, wres, 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 �EsuusrxTrg (Contractor's Proect
Superintendent)located at MATolaoRATIFIFLOOR Telephone III:
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his desigrise.
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.
S. 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 permittere shall commence,actual construction in good faith with w days. If the beginning date is
more than 60 days from date of permit approval, then pertiniftee must review the permit with the Director of
Public Works to make sum 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
Cily's right,fitle 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 twenty4our (24) hours prior to starting work and again
immediately upon completion.
OWNER
S,gnW: Date:
Beloxe a this; day of in Me Coxin"If Duval,
State U Florida.has;persoraily appeared
Notary%blic at Large,Surte of Florida,Coxx*of Dwal.
My cononxission expires —Panixonaft tonova,
Produced