1380 Camelia St ROW permit ts
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RIGHT OF WAY - SINGLE OR TWO FAMILY RIGHT OF WAY
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROW18-0001
Description: install 45-ft. wood pole
Estimated Value: 0
Issue Date: 1/10/2018
Expiration Date: 4/10/2018
PROPERTY ADDRESS:
Address: 1380 CAMELIA ST
RE Number: 171050 0210
PROPERTY OWNER:
Name: PATRICK GLEBER INC
Address: 888 KINGMAN RD
HOMESTEAD, FL 33035
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: JACKSONVILLE ELECTRIC AUTHORITY
Address: 21 CHURCH ST W 3RD FLR
JACKSONVILLE, FL 32202
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach APPLICATION NUMBER
Js yt�� Building Department (To be assigned by the Building Department.)
800 Seminole Road Q' G
r� Atlantic Beach, Florida 32233-5445 0 ' C)C)
Phone(904)247-5826 • Fax(904)247-5845 J11 �,l
E-mail: building-dept@coab.us "' Date routed: 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: C QMQ_Ut C� Sf Department review required Yes No
I t� Building
Applicant: Planning &Zoning
Tree Administrator
Project: i
Publi—c Utilities
Public Safety
Fire Services
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. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed byDate:
TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach APPLICATION NUMBER
\Js Building Department (To be assigned by the Building Department.)
800 Seminole Road Q F
Atlantic Beach, Florida 32233-5445 r tl ' C)Q
Phone (904)247-5826 • Fax(904)247-5845 x _
E-mail: building-dept@coab.us a: Date routed: 1 Vy�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (Y\ Department review required Yes No
—( r Building
Applicant: Planning &Zoning
1 ; Tree Administrator
Project: tj 0 'Do
P[rk511C Ut'—ilities�
Public Safety
Fire Services
Review fee $ P—/_
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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:
APPLJCATION STATUS
Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING /
PLANNING &ZONING Reviewed by: Date: l
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PU ORK Comments:
UBLIC UTILITI
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
CITY OF ATLANTIC BEACH JAN - 4 2018
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247.5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date I/ 6 0PERMIT# v— 'u" O O 1
Job Address- 1394) //(_.1 'q f ISSUED BY THE CITY
Permitee: J-r:�A Telephone# �� 7 � 1
Permittee Address:
Requesting Permission to Construct:�h) �s L/,Ss weed
Location: (Reference to Cross-Street)
1. Applicant declares that prior to fling 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( ) No ( ) Date:
Bell South Telephone Company Yes O No ( ) Date:
Ferrell Gas Yes( ) No ( ) Date:
Comcast 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, 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 Jar Fpfl?n*da Department of Transportation Standards and be
performed under the supervision of 1AJ..S� (Contractor's Project
Superintendent)located at 7,,i '.V__i t.✓ ` .. _ 11,, Telephone M 61,f^ 77s3
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 be included with this application.
7. This permittee shall commence actual construction in good faith with 616, 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:
Before me this day of In the County of Duval,
State Of Florida,has personally appeared
Notary Public at Large,State of Florida,County of Duval.
My commission expires: Personally Known:
Produced Identification:
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO [GATE REL
PRCUECT#.31971 Iy0.: UM73 V\O#. 30217156 0(:01/05/18
all TREE TRI IVM NG
SUB-STA- NEPTUNE BEACH N.O.: 561 REQ'D:NO
C B-L
ENGNEER Robert Sirlmm N.O.: NIA ZIP CODE NSA
C LJSTOMERI SVC PHONE
LOC -11OR 1382 CANEIJA STJ POLE INSTALL 561 CENTER SSSC N.O.:665-7793
STA 1, P# 1382 CAMELIA ST./ INSTALL 4513W I N600
AND 25KVA. MOVE PAP TO STA 2.
STA 2, P#1347 SAMELIA ST. I
*****THIS IS FOR A NEW HOME AT 1380 I
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-101. CUE Reports
Estimate Number:31971 1382 CAMELIA ST./45/3W POLE Estimate Type:SR Contractor:HEN KELS&MCCOY INC
INSTALL.
Estimate Version: By: SIMPRB
MWO#/Task:30217156 Required Date:
Oracle Project#:8004473 Estimated On: 01/04/2018
Cost Estimate
Materials JEA Contractor
1.New Material Cost(w/sales lax) $1,387.76 $1,387.76
2.Transformer Cost(wl sales tax) $1,028.37 $1,028.37
3.Returned Material Salvage Value $0.00 $0.00
Labor
4.Crew Time $467.23 $832.93
5.Extraordinary Costs $0.00 $0.00
JEA Overhead
6.Fringe Benefits(54.56%of lines 4&7) $326.17 $127.02
7.Engineering Costs(Variable%of line 4) $130.59 $232.80
8.Project Equipment Costs(40%of total equipment costs) $275.52 $0.00
9.Material Handling(8.30%of lines 1 &2) $200.54 $200.54
10.Inspection(6.84%of line 4) $0.00 $56.97
11.Total Cost of Project $3,816.19 $3,866.40
12.Work Order Estimate(Line 11 minus line 8,9,&10) $3,340.13 $3,665.86
13.Billable Equipment Depreciation(60%of total equipment costs) $413.28 $0.00
14.Billing Estimate(Including Transformer Cost)(Lines 11 +13+(58.71%of 4&7)) $4,580.45 $4,003.08
15.Billing Estimate(W/O Transformer Cost)(Lines 11 +13+(58.71%of 4&7)-Line 2) $3,552.08 $2,974.71
Time Estimate
Crew Hours Total Manhours
3.75 14.99
-----------------------------------------------------------------------------------------------------------------------------------
-ISI- CUE Reports
Estimate Number:31971 1382 CAMELIA ST./45/3W POLE Estimate Type:SR Contractor:HENKELS&MCCOY INC
INSTALL.
Estimate Version: By: SIMPRB
MWO#/Task:30217156 Required Date:
Oracle Project#:8004473 Estimated On: 01/04/2018
CU Detail
Build Transfer Remain In Place Remove
DA F-5 1
DA1 F-5*2 1
DGAC 1
DGAC*25 1
DHLC 1
DHLC*2 1
G1W 1
G1W*2 1
P.45/3W 1
RUBUP 2
S4 1
S4*1/0 4
S9 1
S9*1/0 1
RUBDOWN 2
J&A. CUE Reports
Estimate Number:31971 1382 CAMELIA ST./45/3W POLE Estimate Type:SR Contractor:HENKELS&MCCOY INC
INSTALL.
Estimate Version: By: SIMPRB
MWO#/Task:30217156 Required Date:
Oracle Project#:8004473 Estimated On: 01/04/2018
Material Summary
Item Quantity Item Number Item Description
2 ARRL1003 ARRESTER, LIGHTNING, 18 KV, DISTRIBUTION CLASS AND RISER
POLE(MOV)WITHOUT MOUNTING BRACKET, 15.2/26.4Y NOMINAL
VOLTAGE
2 BKTAC009 BRACKET, ARRESTER AND CUTOUT, FIBERGLASS WITH RAYCHEM
MATERIAL OVER ROD TYPE: SINGLE PHASE
2 BKTFS001 BRACKET, FIBERGLASS STANDOFF, 2" FIBERGLASS ROD, 18"
STANDOFF TO INS BASE ROD COVERED WITH RAYCHEM HEAT-
SHRINK MATERIAL, DUCTILE IRON FITTINGS
2 SOLDA015 BOLT, 3/4"X 14", DOUBLE ARMING, GALV. WITH 4 SQUARE NUTS
ATTACHED, (MUST BE SHIPPED IN STD. BOX QUANTITIES OF 25
EACH)
2 BOLMS020 BOLT, MACHINE, 5/8"X 14", SQUARE HEAD GALVANIZED STEEL,
W/SQUARE NUT ATTACHED, (MUST BE SHIPPED IN STD. BOX
QUANTITIES OF 50 EACH)
7 BOLMS035 BOLT, MACHINE, 3/4"X 12", SQUARE HEAD GALVANIZED STEEL,
W/SQUARE NUT ATTACHED, (MUST BE SHIPPED IN STD. BOX
QUANTITIES OF 25 EACH)
2 CLAGRO01 CLAMP, GROUND ROD, 5/8"-4SOL"HAMMERLOCK"
1 CLAHL001 CLAMP, HOT LINE, 6-1/0-MAIN, 6-1/0-TAP
4 CLASS004 CLAMP, STRAIGHT STRAIN,ALUMINUM, 5000#,4-3/0 ALUM
2 CLATGO01 CLAMP, TRANSFORMER TANK GROUND, "BRONZE"6 SOL- 1 STR.
3 CNNCP002 CONNECTOR,#2, 6-2 MAIN, 2-1/0 TAP, ALUMINUM COMPRESSION,
PARALLEL TAP,
2 CNNCP004 CONNECTOR,#4, 1/0-2/0 MAIN, 1/0-3/0 TAP COMPRESSION,
PARALLEL TAP,ALUMINUM,
4 CNNGR002 COUPLING, GROUND ROD, "THREADLESS" REMARKS: FOR
THREADLESS GROUND RODS
3 CNNTS009 CONNECTOR, CONTAMINATED ENVIRONMENT,TRANSFORMER
SECONDARY SET SCREW TYPE WITH INHIBITOR, 1/2" STUD, RANGE:
12-350, 6-PORTS.
6 CNNVG003 CONNECTOR, 6-2 SOL/10-2 SOL,VISE GRIP PARALLEL, BRONZE
46 COBC0028 CONDUCTOR, #4 SOLID, SOFT DRAWN, BARE COPPER, 200', 25#, ON
PLASTIC REEL, 4"X 11.5"W/2" HOLE
140 COBCW014 CONDUCTOR, #4, TYPE 40 DSA, COPPERWELD& COPPERWELD-
COPPER .204" DIAMETER 1480# BREAKING STRENGTH (50#COIL-
427' )
8 COVIC002 COVER, "D" DIE, INSULATING, 2-1/2"
2 CUTOT006 CUTOUT, CONTAMINATED ENVIRONMENT, 26" LEAKAGE DISTANCE
TO GROUND 100A 27 KV 170 KV BIL (54 EA PER PALLET)
1 FUSOH022 FUSE, OVERHEAD DISTRIBUTION, 1.6 AMP, TRANSFORMER
2 GUAGWO01 GUARD, GROUND WIRE, 1/2"X 1/2"X 96", GRAY PLASTIC
5 INSS0002 INSULATOR, SUSPENSION,4", CLASS 52-9 NEMA STRENGTH 10000#,
GALV. FITTINGS
2 INSVP001 INSULATOR, VERTICAL POST,TIE TOP 35-KV, 3/4" STUD TAP
STANDARD PACKAGING IS NOT TO EXCEED THREE UNITS OR 72
POUNDS.
-AS*A, CUE Reports
Estimate Number:31971 1382 CAMELIA ST./45/3W POLE Estimate Type:SR Contractor:HENKELS&MCCOY INC
INSTALL.
Estimate Version: By: SIMPRB
MWO#/Task:30217156 Required Date:
Oracle Project#:8004473 Estimated On: 01/04/2018
4 NUTSL003 NUT, LOCK, SQUARE, 5/8"HOLE SIZE, HOT DIPPED GALVANIZED
4 NUTSL004 NUT, LOCK, SQUARE, 3/4" BOLT SIZE, HOT DIPPED GALVANIZED
1 POLW0006 POLE, WOOD, 45'CLASS 3 (T/L=26), WEIGHT=1,770 LBS
6 RODGRO03 ROD, GROUND, THREADLESS, 5/8"X 8', SHIP ON OPEN FLATBED
ONLY!
1 SLEAL003 SLEEVE, RED TO RED NEUTRAL 2-2 ALUMINUM TRIPLEX NEUTRAL
SPLICING
1 STIC0001 STIRRUP, COMPRESSION, 2-1/0,ALUMINUM BODIES, COPPER BAIL,
BAIL SIZE-2-SOL
2 STUL1001 STUD, LINE POST, DIA. SHANK-3/4", SHANK LENGTH- 1-3/4",
GALVANIZED STEEL W/NUTS AND WASHERS; 3/4" HEAD SIZE
1 TAGH0007 ALUMINUM VERTICAL TAG HOLDER FOR ADHESIVE BACK
CHARACTERS((NOT FOR"SLIDE IN"CHARACTERS)). 19.5" HIGH X 2"
WIDE WITH 3-1/8" NAIL HOLES @ THE TOP AND THE BOTTOM. (PKG.
OF 50 EACH)
1 TIEPRO01 TIE, PREFORMED LINE,#2 AAAC, 23"MIN. LENGTH, "F" NECK, SIDE
TIE .316"-.357"COND. RANGE
1 TRAC0001 TRANSFORMER, 25 KVA, 14760125565Y VOLT PRIMARY, 120/240 VOLT
SECONDARY, SINGLE PHASE, CONTAMINATED ENVIRONMENT
4 WASRD004 WASHER, ROUND, 5/8" BOLT SIZE X 1 3/4" DIAMETER, GALVANIZED,
650 EA P/BOX)
17 WASRD005 WASHER, ROUND, 3/4" BOLT SIZE X 2"DIAMETER, GALVANIZED,
500 EACH PER BOX"'
9 WASSF003 WASHER, SQUARE FLAT, 3"SQ X 1/4", 5/8"X 3/4" BOLT SIZE,
GALVANIZED
5 WASSP002 WASHER, SPRING, 314"BOLT SIZE, DOUBLE COIL HELICAL TYPE,
GALVANIZED (EXTRA HEAVY DUTY)
J&I. CUE Reports
Estimate Number:31971 1382 CAMELIA ST./45/3W POLE Estimate Type:SR Contractor:HENKELS&MCCOY INC
INSTALL.
Estimate Version: By: SIMPRB
MWO#/Task:30217156 Required Date:
Oracle Project#:8004473 Estimated On: 01/04/2018
CU Summary
CU Name Quantity Description
DA1 F-5*2 1 2 TANGENT TO 10 DEGREE ANGLE-UNSHIELDED, CONTAMINATED
DGAC*25 1 TRANS; CI, 26AKV 120/240 25KVA
DHLC*2 1 #2 AL. HOT-LINE CLAMP
G1W*2 1 WOOD POLE-EQUIPMENT GROUND
P.45/3W 1 45 FT. CLASS 3 WOOD POLE
RUBUP 2 LINE RUBBER INSTALLATION, PER SECT.
S4*1/0 4 SECONDARY DEADEND
S9*1/0 1 SECONDARY SPLICE
CU Name — QuantityDe5cri to ion
RUBDOWN 2 LINE RUBBER REMOVAL, PER SECT.
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