55 SIMMONS RD ROW18-0045 ROW PERMIT :o..Al`� RIGHT OF WAY PERMIT PERMIT NUMBER
k' i ROW18-0045
CITY OF ATLANTIC BEACHJv �,
800 SEMINOLE ROADISSUED: 12/21/2018
-'`orsT� ATLANTIC BEACH. FL 32233 EXPIRES: 3/21/2019 j
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
RIGHT OF WAY SINGLE OR TWO
55 SIMMONS RD FAMILY RIGHT OF WAY install 35-ft. 4W pole $0.00
TYPE OF REAL ESTATE ZONING: I BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172165 0000 DONNERS R/P
COMPANY: ADDRESS: CITY: STATE: ZIP:
Jacksonville Electric
21 W. Church Street Jackonville FL 32202
Authority
OWNER: ADDRESS: CITY: STATE: ZIP:
Richard Arthur 55 Simmons atlantic beach FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
;Notes:
Full right-of-way restoration,including sod,is required.
I
Issued Date: 12/21/2018 1 of 2
iPERM%» RIGHT OF WAY PERMIT
IT NUMBER
`, r �t,�
i....., CITY OF ATLANTIC BEACH ROW18-0045
�
' 141 800 SEMINOLE ROAD ISSUED: 12/21/2018
r%91119''. ATLANTIC BEACH. FL 32233 EXPIRES: 3/21/2019
3 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
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 247-5878.
4 PUBLIC UTILITIES UTILITY MAP INFORMATIONAL
Notes:
See attached Utility Map.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
TOTAL:
Issued Date: 12/21/2018 2 of 2
,;o i f,x, City of Atlantic Beach APPLICATION NUMBER
o, , " � Building Department (To be assigned by the Building Department.)
�.--. `2 800 Seminole Road G �
'13—
'`----:- '? Atlantic Beach, Florida 32233-5445 g ' �w� 0 — OO
Jv Phone(904)247-5826 • Fax(904)247- 5
....oil v%' V E-mail: building-dept@coab.us 1 �EC 1 7 201:3 Date routed: 0- 1 I y 1 ( ic
City web-site: http://www.coab.us I
Y:
APPLICATION REVIEW AND TRACKING FORM
Property Address: S S S\MO\U.r\ \ (-A ° Department review required Yes No
j Building
J
Applicant: • LA- Planning &Zoning
Tree Administrator
Project: \nS cCt 0 3S-- \ 1 a\k Public WR?) cs�
Public Uti it t )
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By 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:
APPLICATION STATUS
Reviewing Department First Review: WjApproved. ❑Denied. ['Not applicable
(Circle one.) Comments:
BUILDING
r
PLANNING &ZONING /, % /QI2
Reviewed by' Date:/ac,
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
r �.�J�J , City of Atlantic Beach
/yBuilding Department
APPLICATION NUMBER
t� (To be assigned by the Building Department.)
II , em
800 Sinole Road p
wan Atlantic Beach, Florida 32233-5445 ��� „^ (�Ot�l 0 c�
— ��`��
Phone(904)247-5826 • Fax(904)247-584
"i�;tl�' E-mail: building-dept@coab.us nPc 1 l 2013 i i Date routed: 14 I 1 k-1 I ( W
City web-site: http://www.coab.us 1 1
APPLICATION REVIEW AND TRACKING FORM
Property Address: S S�
S mv-v\(7,r1 S 1—. . Department review required Yes No
Building
Applicant: T-A Planning &Zoning
Tree Administrator
Project: \11$cam tk 3S- k , '1 Lti a\.P_ Public Worcs
�ublic Uti i i
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: proved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: - C"----?-- ----- Date:/z—,r-i
TREE ADMIN. Second Review:
'Approved as revi d. ❑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
r11-A RIGHT-OF-WAY/EASEMENT PERMIT APPLICATION **ALL INFORMATION
- � a City of Atlantic Beach HIGHLIGHTED IN GRAY IS
r.'` 800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOR`NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address SS 5►�-,n'Ov?S 6 c ' Permit Number V--ClA.1 k 7^ 0 OLS
Contractor Information
•
' Company J1 # Qualifying Agent
Address 1( cies}- CAI GI fan Si-. City ,174x State pi Zip 3 2- c'
Phone Email
State Certification/Registration#
Architect Phone Email
Engineer (� • i evi,Q 50i---1Phone 66r-779 3 Email 2 b @i,,,,,. .0.--,
Workers Compensation Insurer)v I OR Exempt❑Expiratiio�n Date
• Permittee 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,improvement,maintenance,safe and efficient operation,alteration or
relocation of all,or any portion of said street or easement as determined by the Public Works Director,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 Public Works Director 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 R. ,'/.,., am (Project Superintendent)
with(Company Name) ;T (t Phone f,G.-- n93
• All materials and equipment shall be subject to inspection by the Public Works Director.
• 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 • days. If the beginning date is more than 60
days from date of permit approval then permittee must review the permit with the Public Works Director 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.
• Th I' or • c or shall be notified 24 hours prior to starting work and again immediately upon completion.
Date r03/ir
Permittee(signed In presence of otary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of. ,20
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)
H•\?.rr;.:.uiions&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECT#:36606 N.O.: 8005212 W011: 30378244 CONST: 12/14/18
CIR. TREE TRIMMING
SUB-STA: NEPTUNE BEACH N.O.: 561 REQ'D:NO
CELL
ENGINEER:Robert Simpson N,O„ N/A ZIP CODE: N/A
CUSTOMER/ SVC PHONE
LOCATION: 55 SIMMONS RD./35/4W POLE INSTALL 561 CENTER: SSSC N.O.:665.7793
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CUE Reports
Estimate Number:36606 53 SIMMONS RD./35/4W INSTALL Estimate Type:SR Contract:089-16-HM OH FY19
Estimate Version: By: SIMPRB
MWO#/Task:30378244 Required Date:
Oracle Project#:8005212 Estimated On: 12/13/2018
Cost Estimate
Materials JEA Contractor
1.New Material Cost(w/sales tax) $401.13 $401.13
2.Transformer Cost(w/sales tax) $0.00 $0.00
3.Returned Material Salvage Value $0.00 $0.00
Labor
4.Crew Time $282.94 $856.22
5.Extraordinary Costs $0.00 $0.00
JEA Overhead
6.Fringe Benefits(54.56%of lines 4&7) $197.52 $130.57
7.Engineering Costs(Variable%of line 4) $79.08 $239.31
8.Project Equipment Costs(40%of total equipment costs) $162.96 $0.00
9.Material Handling(8.30%of lines 1 &2) $33.29 $33.29
10.Inspection(6.84%of line 4) $0.00 $58.57
11.Total Cost of Project $1,156.94 $1,719.10
12.Work Order Estimate(Line 11 minus line 8,9,&10) $960.68 $1,685.80
13.Billable Equipment Depreciation(60%of total equipment costs) $244.44 $0.00
14.Billing Estimate(Including Transformer Cost)(Lines 11+13+(58.71%of 4&7)) $1,613.93 $1,859.60
15.Billing Estimate(W/O Transformer Cost)(Lines 11 +13+(58.71%of 4&7)-Line 2) $1,613.93 $1,859.60
Time Estimate
Crew Hours Total Manhours
2.27 9.07
JEf CUE Reports
Estimate Number:36606 53 SIMMONS RD./35/4W INSTALL Estimate Type:SR Contract:089-16-HM OH FY19
Estimate Version: By: SIMPRB
MWO#/Task:30378244 Required Date:
Oracle Project#:8005212 Estimated On: 12/13/2018
CU Detail
Station: 01 53 SIMMONS RD.
Build Transfer Remain In Place Remove
C.2/0P 60
G3W*2 1
GY3*5 1
P.35/4W 1
S20ES*2/0-2/0 1
S4*2/0 1
Station:2 52 SIMMONS RD.
Build Transfer Remain In Place Remove
RUBUP 2
S20ES*2/0-2/0 1
S4*2/0 1
C.1/0T 60
RUBDOWN 2
JEIV CUE Reports
Estimate Number:36606 53 SIMMONS RD./35/4W INSTALL Estimate Type:SR Contract:089-16-HM OH FY19
Estimate Version: By: SIMPRB
MWO#/Task:30378244 Required Date:
Oracle Project#:8005212 Estimated On: 12/13/2018
•
Material Summary
Item Quantity Item Number Item Description
1 ANCSS002 ANCHOR, SCREW, SINGLE-HELIX, GALVANIZED 10"X 8'X 1-1/4", SHIP
ON OPEN FLATBED ONLY!
1 BOLMS036 BOLT, MACHINE, 3/4"X 14", SQUARE HEAD GALVANIZED STEEL,
W/SQUARE NUT ATTACHED, (MUST BE SHIPPED IN STD. BOX
QUANTITIES OF 25 EACH)
60 CAIOS002 CABLE,2/0 (PAP), OVERHEAD SERVICE DROP, 600 VOLT MULTIPLEX
CABLE"MESA VERDE" PRE-ASSEMBLED PARALLEL SOUTHWIRE 61-
28-96-1, 1500 FOOT REELS
1 CLAGROO1 CLAMP, GROUND ROD, 5/8"-4SOL"HAMMERLOCK"
2 CLASR002 CLAMP, STRAIN RELIEF WEDGE,ALUMINUM, 1/0 TRI-4/0 PAP
2 CLASS004 CLAMP, STRAIGHT STRAIN,ALUMINUM, 5000#, 4-3/0 ALUM
3 CNNCP002 CONNECTOR,#2,6-2 MAIN, 2-1/0 TAP, ALUMINUM COMPRESSION,
PARALLEL TAP,
6 CNNCP004 CONNECTOR,#4, 1/0-2/0 MAIN, 1/0-3/0 TAP COMPRESSION,
PARALLEL TAP,ALUMINUM,
2 CNNVG003 CONNECTOR, 6-2 SOL/10-2 SOL,VISE GRIP PARALLEL, BRONZE
16 COBCO028 CONDUCTOR,#4 SOLID, SOFT DRAWN, BARE COPPER, 200', 25#, ON
PLASTIC REEL,4"X 11.5"W/2"HOLE
70 COBCW014 CONDUCTOR, #4,TYPE 40 DSA, COPPERWELD& COPPERWELD-
COPPER .204" DIAMETER 1480#BREAKING STRENGTH (50#COIL-
427' )
4 COVIC002 COVER, "D" DIE, INSULATING,2-1/2"
1 GUAGW001 GUARD, GROUND WIRE, 1/2"X 1/2"X 96", GRAY PLASTIC
1 GUAGW002 GUARD, "YELLOW", GUY WIRE, 1/4"TO 1/2"8', POLYETHYLENE, USED
•
ON ALL 3/8" AND 7/16" GUY STRANDS (DISTRIBUTION) •
1 GUYAT008 GUY HOOK, COMBINATION, MALLEABLE OR DUCTILE IRON, HOT DIP
GALV. 13/16" MOUNTING HOLE, 20,000 LB MIN. ULT. STRENGTH. FOR
WOOD OR CONCRETE POLES
2 GUYGROO1 GRIP, GUY, 3/8", 26", GALVANIZED
50 GUYST005 STRAND, GUY, 3/8" DIA, 7 PER STRAND, GALVANIZED STEEL, CLASS
"B"GALV. OR BEZINOL IS ACCEPTABLE (500'COIL)
1 INSGB002 INSULATOR, STRAIN, GUY BREAKER, 21,000#RATED, 60" ROD
LENGTH, FIBERGLASS FOR USE ON JEA'S DISTRIBUTION SYSTEM
ONLY
2 INSS0002 INSULATOR, SUSPENSION,4", CLASS 52-9 NEMA STRENGTH 10000#,
GALV. FITTINGS
1 POLW0003 POLE, WOOD, 35' CLASS 4 (T/L=44), WEIGHT=1,026 LBS
1 RODGR003 ROD, GROUND, THREADLESS, 5/8" X 8', SHIP ON OPEN FLATBED
ONLY!
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 WASRD005 WASHER, ROUND, 3/4"BOLT SIZE X 2" DIAMETER, GALVANIZED,***
500 EACH PER BOX***
1 WASSF003 WASHER, SQUARE FLAT, 3"SQ X 1/4", 5/8"X 3/4" BOLT SIZE,
GALVANIZED
•
CUE Reports
Estimate Number:36606 53 SIMMONS RD./35/4W INSTALL Estimate Type:SR Contract:089-16-HM OH FY19
Estimate Version: By: SIMPRB
MWO#/Task:30378244 Required Date:
Oracle Project#:8005212 Estimated On: 12/13/2018
1 WASSP002 WASHER, SPRING, 3/4" BOLT SIZE, DOUBLE COIL HELICAL TYPE,
GALVANIZED (EXTRA HEAVY DUTY)
JE/1. CUE Reports
Estimate Number:36606 53 SIMMONS RD./35/4W INSTALL Estimate Type:SR Contract:089-16-HM OH FY19
Estimate Version: By: SIMPRB
MWO#/Task:30378244 Required Date:
Oracle Project#:8005212 Estimated On: 12/13/2018
CU Summary
CU Name Quantity Description
C.2/0P 60 2/0 AAC PAP W/2/0 AAAC NEUTRAL
G3W*2 1 WOOD POLE- NON-EQUIPMENT GROUND
GY3*5 1 GY3*5 3/8" DOWNGUY W/8 FT SCREW ANCHOR
P.35/4W 1 35 FT. CLASS 4 WOOD POLE
RUBUP 2 LINE RUBBER INSTALLATION, PER SECT.
S20ES*2/0-2/0 2 SECONDARY CONNECTION AT POLE
S4*2/0 2 SECONDARY DEADEND
• REMOVE`
CU Name Quantity Description
C.1/0T 60 1/0 TRIPLEX
RUBDOWN 2 LINE RUBBER REMOVAL, PER SECT.
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