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158 16th St right of way permit CITY OF ATLANTIC BEACH 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: ROW1 8-0012 Description: install 35-ft. class 4 wood pole Estimated Value: 0 Issue Date: 4/30/2018 Expiration Date: 7/29/2018 PROPERTY ADDRESS: Address: 158 16TH ST RE Number: 1718790000 PROPERTY OWNER: Name: POLYTINSKY GABRIELE MARSHA KLING Address: 158 16TH ST ATLANTIC BEACH, FL 32233-5804 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: JACKSONVILLE ELECTRIC AUTHORITY Address: 21 CHURCH ST W 3RD FLR JACKSONVILLE, FIL 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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. Permit Conditions City of Atlantic Beach L - - -_ - I Permit Number: ROW18-0012 Description: install 35-ft. class 4 wood pole Applied:4/23/2018 Approved:4/26/2018 Site Address: 158 16TH ST Issued:4/30/2018 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233 Status: ISSUED Applicant: <NONE> Parent Permit: Owner: POLYTINSKY GABRIELE MARSHA KLING Parent Project: Contractor: <NONE> Details: LIST OF CONDITIONS SEQ NO I ADDED DATE REQUIRED DATETSATISFY DATE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 4/25/2018 UNDERGROUND WATER SEWER INFORMATIONAL I I UTILITIES PUBLIC WORKS Kayle Moore Notes: Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. if field coordination is needed,call 247-5834. 2 1 4/25/2018 UTILITY MAP INFORMATIONAL PUBLIC WORKS Kayle Moore Notes: See attached Utility Map. 3 1 4/26/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 4 1 4/26/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. 0 Printed: Monday, 30 April, 2018 1 of 1 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road C)0 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us L ale routed: City web-site: http,.//vmw.coab.us APR 2 4 2013 APPLICATION REVIEW AND TRACKING FORM Property Address: S Department review required Yes No Building Applicant: Planning &Zoning -Tree Adm-onastrator Project: r\ C t a'_�s 5t!!]�A�®rki D —Eublic UtilitigLs:�'- Public Safety Fire Services Review fee $ 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: APPLICATION STATUS Reviewing Department First Review: VApproved. DDenied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b X& Date: "lex. TREE ADMIN. Second Review: FlApproved as revised. E]Denied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. F]Denied. E]Not applicable Comments: Reviewed by: Date: Revised 05/1912017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) V, 800 Seminole Road C. lantic Beach, Florida 32233-5445 —oo I Phone(904)247-5826 - Fax(904)247-5845 0,119, E-mail: building-dept@coab.us IL Date routed: City web-site: http://www.coab.us APR 24 7_011 APPLICATION REVIEW AND TRACKING FORM Property Address: co Department review required Yes No Building Applicant: JE A Planning &Zoning rep 4dT!q1strator Project: ska k C �a ::��orks <!�_Public Utilitips:�' Public Safety Fire Ser\/ices Review fee Dept Signature )C- 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: APPLICATION STATUS Reviewing Department First Review: dApproved. [:]Denied. [:]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: F]Approved as revised. F]Denied. F]Not applicable PU WORKS ents: - ' Z:L�F�� /�UBL)C UTILITIES I j L V--z PU13LIC SVTT�r Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. [-]Denied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 04L VA� se .40 AL JQJW MUTA'AlTift'll FWAIO M:I:IAI%3 1 AA RIGHT-OF-WAY/EASEMENT PERMIT Permit 4 Issued by the City of Atlantic Beach !�ow t S PERMITTEE RE SPONSIBLE FOR NOTIFYING 811 ANI)OBTAINING UTILITY LOCATES Job Address ft /6 L" S)� Phone (06 5�—?,79 � Pennittee TF�A Email �Ir 1"a yr Requesting Permission to Construct (1 3 Y t�/oo cl ps le '/a r cq�, Location(Reference to Cross-Street (94el • Penniffee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. • Whenever necessary for the construction,repair, improvernent,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 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. • All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Project Superintendent) with Company Name J-e yl Phone Q, • All materials and equipment shall be subject to inspection by the Director of Public Works. • 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. • 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. • The permittee shall commence actual construction in good faith within &0 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. • 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. • The Director of Public Works shall be notified twenty-four(24) hours prior to starting work and again immediately upon completion. Date Permittee(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this_day of 120 by who personally appeared before me and (printed name of Permittee) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. Personally Known Signature of Notary Public,State of Florida Produced Identification(Type) ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL [PROJECT#: 33558 N.O.: 8004473 WO#: 30278861 CONST 04/23/18 CIR. TREE TRIMMING SUB-STA: NEPTUNE BEACH N.O.: 563 REQ'D:-NO ENGINEER: Robert Simpson CELL N.O.: N/A ZIP CODE: N/A CUSTOMER/ Svc PHONE LOCATION: 150 16TH STJ POLE INSTALL 563 -- CENTER: SSSC N.O.:665-7793 D STA I. P# 150 16TH STJ 35/4W POLE 75B INSTALL. RUN VOT TO STA 2, STA 2. P# 155 16TH ST. 16 50 161 169 171 0 STA 2 <> 2-4CU n Ln ul 0'1 127-IRO I Ln 4 ST 6TH 2A�5:N i N j - - 8cff 1/OT j/0T STA I 2/ P 1�4 t40 1\.(t)l 19 176 0 <> OA ,- 00 0 0 1541 175 141 50A 0 0 �-� / (-A 4�> CUE Reports Estimate Number:33558 150 15TH STJ 35/4W POLE INSTALL Estimate Type:SIR Contractor.HENKELS&MCCOY INC Estimate Version: By: SIMPRB MWOAfTask:30278861 Required Date: Oracle Project#:8004473 Estimated On: 04123/2018 Cost Estimate Materials 1.New Material Cost(w/sales tax) JEA Contractor 2.Transformer Cost(w/sales tax) $318.99 $318.99 3.Returned Material Salvage Value $0.00 $0.00 $0.00 $0.00 Labor 4.Crew Time $199.02 $568.91 5.Extraordinary Costs $0.00 $0.00 JEA Overhead 6.Fringe Benefits(54.56%of lines 4&7) $138.93 $86.76 7.Engineering Costs(Variable%of line 4) $55.63 $159.01 8.Project Equipment Costs(40%of total equipment costs) $113.42 $0.00 9.Material Handling(8.30%of lines 1&2) $26.48 $26.48 10.Inspection(6.84%of line 4) $0.00 $38.91 11.Total Cost of Project $852.46 $1,199.05 12.Work Order Estimate(Line I I minus line 8,9,&10) $712.56 $1.172.58 13.Billable Equipment Depreciation(60%of total equipment costs) $170.13 $0.00 14.Billing Estimate(including Transformer Cost)(Lines 11+13+(58.71%of4&7)) $1,172.09 $1,292.41 15.Billing Estimate(W/O Transformer Cost)(Lines 11 +13+(58.71%of4&7)-Line 2) $1,172.09 $1,292.41 Time Estimate Crew Hours Total Manhours 1.60 6.38 ---------------------------------------------------------------------------------------------------------------------------- 1AZI-11, CUE Reports Estimate Number:33558 150 15TH STJ 35/4W POLE INSTALL Estimate Type:SR Contractor:HENKELS&MCCOY 17 Estimate Version: By: SIMPRB MWO#(Task:30278861 Required Date: Oracle Project#:8004473 Estimated On: 04/23/2018 CU Detail Build Transfer Remain in Place Remove CAM 40 P.35/4W I S4 1 S4*1/0 I Build Transfer Remain in Place Remove G3W G3W*2 RUBUP S20ES*2/0-1/0 S4*1/0 RUBDOWN CUE Reports Estimate Number,'33558 1 bO 15TH S 1.1 J5/4W POLE INSTALL Estimate Type:SR ContractorHENKELS TMCCOY INC Estimate Version: By: SIMPRB MWO#/Task:30278861 Required Date: Oracle Project#:8004473 Estimated On: 04/23/2018 Conductor, Conduit and Pipe Detail From Station To Station CU Build Quantities Transfer Remain Remove 01 2 C-1/0T 40 0 0 0 CUE Reports Estimate Number:33558 15U 15TH STJ 3514W POLE[No I ALL tstimate Type:SR Contractor:HENKEFS&—MCCOY INC Estimate Version: MWO#Trask:30278861 By: SIMPRB Oracle Project#:8004473 Required Date: Estimated On: 04/23/2018 Material Summary —Item Quantity Item Number Item Description �� t I ,�,�I',� :::: 5 Z: 40 CA10SO09 CA C! I ICE DROP, 600 VOLT MULTI LEX CABLE"ECHINUS" 1500 FOOT REELS :1 11 ;�: : — 2 ( I 'I ,I ; Z,111111�� 11 C011i, I ", GROUND ROD, 5/8"-4SOL"'HAMMERLOCK" I CLASR003 CLAMP, STRAIN RELIEF WEDGE MESSENGER, SIZE:#6-2/0 2 CLASS004 CLAMP, STRAIGHT STRAIN,ALUMINUM, 5000#, 4-3/0 ALUM 3 CNNCP062— CONNECTOR,#2, 6-2 MAIN, 2-1/0 1 AP,ALUMINUM COMPRE9-S-—ION, PARALLEL TAP, 2 CNNCP004 CONNECTOR,#4, 1/0-2/0 MAIN, 1/0-3/0 I-AP COMPRESSION, PARALLEL TAP,ALUMINUM, I CNNCP005 CONNECTOR #3, 6-2 MAIN, 2/0-3/0 TAP, COMPRESSION, PARALLEL TAP, ALUMINUM, 2 CNNVG003 CONNECTOR, 6-2 SOL/10-2 6UL, VISE GRIP PARAL BRONZE 6 COBCO CO UCTOR, #4 SOLID, SOFT DRAWN, BARE COPPER, 200', 25#1 ON PLASTIC REEL,4"X 11.5"W/2"HOLE 140 COBCW01 CONDUCTOR, #4, 1 YPE 40 DSA, COPPERWEL-D&'COPPERWELD- COPPER .204" DIAMETER 1480#BREAKING STRENGTH (50#COIL- 427') 2 COVIC002 COVER, "D-- DIE, INSULATING, 2-1/2" 2 GU WOO GUARD, GROUND WIRE, 1/2"X 1/2"X 96", G��AY�PLASTIC 3 INSSU002 INSULATOR, SUSPENSION,4", CLASS 52-9 NEMA STR-ENGTH—10000#, GALV. FITTINGS 1 POLWOO POLE,W 35'CLASS 4 (T/L=44). WEIGHT=1,026 LBS 2 RODGROCO ROD, GRUUNU, I FIREADLL66, b/8"X 8', SHIP ON OPENTD�T—BED ONLY! 1 TAG ALUMINUM VERTICAL TAG HOLDER FUR 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) lAzl -I , Estbmate Number:33558 160 15TH ST./3 'E OPorts W PDLE INSTALL EstirTate Version: Cntractor:HENKELS 8, MWCD#/Task:30278861 A4CC0y INC 0-ale Project#:8004473 BY: C'J Required Date, SIMPRB --'��7018 Est M-ted 0, CU Summary 0412312�018 P:=Nar.rve a Uand C.1/0T 40 tio G3W*2 1 1/0 TRIPLEX P.3514W I WOOD POLE-PNION-EQUIPMENT GROUND RUBUP 1 35 FT. CL4SS 4 WOOD POLE S20ES*2/0-1/0 1 LINE RJBBER INSTALLATION, PERSECT. S4*1/0 2 S20ES-210-110 SECONDARY DEADEND CU Narne, RUBD0WN LINE RLUJB�BER R�EMoVAL, PER