130 Jackson Rd ROW18-0046 JEA pole permit rSr RIGHT OF WAY PERMIT PERMIT NUMBER
J
CITY OF ATLANTIC BEACH ROW18-0046
J 800 SEMINOLE ROAD ISSUED: 12/21/2018
ATLANTIC BEACH, FL 32233 EXPIRES: 3/21/2019
MUST CALL INSPECTION • • 1 , ) 247-5814 BY , PM FOR ` INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' ` 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
130 JACKSON RD FAMILY RIGHT OF WAY install 35-ft. pole $0.00
TYPE OF
• • GROUP:
1721410000 DONNERS S/D PT LOT 2
17-
• ADDRESS:
Jacksonville Electric 21 W. Church Street Jackonville FL 32202
Authority
• STATE:
TOWNSEND SHARON
RENEE 960 HAGLER DR NEPTUNE BEACH FL 32266-3754
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 • . •
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.
Issued Date: 12/21/2018 1 of 2
RIGHT OF WAY PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ROW18-0046
v 800 SEMINOLE ROAD ISSUED: 12/21/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 3/21/2019
2 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
TOTAL:
Issued Date: 12/21/2018 2 of 2
City of Atlantic BeachECEIVE APPLICATION NUMBER
ys s� Building Department (To be assigned by the Building Department.)
800 Seminole Road DEC 19 2018 �- (��1 �'004 b
s� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5
tct t l-l
T E-mail: building-dept@coab.us � :__. Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �� j a u-Sov� 1c (, Department review required Yes No
LL Building
Applicant: Planning &Zoning
_ Tree Administrator
Project: k n u I,t 3 S - �A 01-0 < Public Works
lic 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 r
Reviewed b A Date:
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
s-="Jr,J, City of Atlantic Beach APPLICATION NUMBER
J� n� Building Department
800 Seminole Road JECEilV (To be assigned by the Building Department.)
, ' 1 Q
Atlantic Beach, Florida 32233-5445 � ^�
-V W 1 p —00�_l
Phone (904)247-5826 - Fax(904)247-584 DEC 19 2018 i
E-mail: building-dept@coab.us Date routed: l-t
City web-site: http://www.coab.us
i3K
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 GLC-� SC7�j �� Department review required Yes No
Building
Applicant: �- Planning &Zoning
_ I Tree Administrator
Project: t n. (� L� 3 S1 _ �, Public Works
lic Utilities
Public Safety
Fire Services
Review fee $ J`rw "Dept Signature' fi
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:
APP (CATION STATUS
Reviewing Department First Review: JApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:1Z I,"-- ate:
TREE ADMIN. Second Review: A roved as revi d.
❑ pp ❑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
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RIGHT-OF-WAY/EASEMENT PERMIT APPLICATION "ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
V c 800 Seminole Road,Atlantic Beach,FL 32233 REQUIRED:
'
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES q
Job Address � �(� Permit Number
Contractor Information
Company_ �1�17 Qualifying Agent
Address_ t (.t)1651L City 1 AX State_Zip-3
Phone Email
State Certification/Registration#
Architect Phone Email
Engineer. S t` Phone—66S- 77 Email 9,'0,,0t2
Workers Compensation Insurer ✓ OR Exempt❑Expiration 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 (Project Superintendent)
with (Company Name) Phone &(Ps-- .3
• 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.
• The I' or c or shall be notified 24 hours prior to starting work and again immediately upon compI do .
Date_
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:\Applications&Forms\Word Documents\201801001 Right-of-Wav Ea--, ,rermit Application.docx Revision Date:10/1/18
ENGINEERING DESIGN
ORACLE PERMIT MAXIMO DATE REL
PROJECT#:36663 N.O.: 8005212 WO#: 30379638 CONST 12/19118
CIR. TREE TRIMMING
SUB-STA: NEPTUNE BEACH N.O.: 561 REQ'D:NO
CELL
ENGINEER: Robert Simpson N.O,: NIA ZIP CODE: N/A
CUSTOMER/ SVC PHONE
LOCATION: 114 JACKSON RD./3514W POLE INSTALL 561 CENTER: SSSC N.O.:665.7793
STA 1, P# 128 JACKSON RD./
1/ INSTALL 35/4W RUN 4/OP TO STA 2.
I
STA 2, P# 141 JACKSON RD./
9 REPLACE 50KVA WITH 75KVA. r
! o Mtn
1-4 I kz MM
0000 r 0000 I V-i
-{ I STA 2
r
127 0• I ,._, --i
MAYPORT RD. ONO I 000 0000
Ln 110
- - - - - -- _ - �_ -p-p
210P
I 4/OP/ I I I
I
2T 1/0 1/ 1/0
/OT 1/OT
110 120 130 140 STA 1 19
121 1
70 117 123
91
1/OT 1/OT
T
E-77 7" CUE Reports
Estimate Number:36663 114 JACKSON RD./POLE INSTALL Estimate Type:SR Contract:089-16-HM OH FY19
Estimate Version: By: SIMPRB
MWO#/Task:30379638 Required Date:
Oracle Project#:8005212 Estimated On: 12/19/2018
Cost Estimate
Materials JEA Contractor
1.New Material Cost(w/sales tax) $789.41 $789.41
2.Transformer Cost(w/sales tax) $1,966.37 $1,966.37
3.Returned Material Salvage Value $0.00 $0.00
Labor
4.Crew Time $588.58 $1,023.38
5.Extraordinary Costs $0.00 $0.00
JEA Overhead
6.Fringe Benefits(54.56%of lines 4&7) $410.88 $152.44
7.Engineering Costs(Variable%of line 4) $164.51 $279.40
8.Project Equipment Costs(40%of total equipment costs) $345.01 $0.00
9.Material Handling(8.30%of lines 1 &2) $228.73 $228.73
10.Inspection(6.84%of line 4) $0.00 $70.00
11.Total Cost of Project $4,493.49 $4,509.73
12.Work Order Estimate(Line 11 minus line 8,9,&10) $3,919.75 $4,281.00
13.Billable Equipment Depreciation(60%of total equipment costs) $517.51 $0.00
14.Billing Estimate(Including Transformer Cost)(Lines 11 +13+(58.71%of 4&7)) $5,453.14 $4,673.77
15.Billing Estimate(W/O Transformer Cost)(Lines 11 +13+(58.71%of 4&7)-Line 2) $3,486.77 $2,707.39
Time Estimate
Crew Hours Total Manhours
4.72 18.88
----------------------------------------------------------------------------------------------------------------------------------
. A. CUE Reports
Estimate Number:36663 114 JACKSON RD./POLE INSTALL Estimate Type:SR Contract:089-16-HM OH FY19
Estimate Version: By: SIMPRB
MWO#/Task:30379638 Required Date:
Oracle Project#:8005212 Estimated On: 12/19/2018
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 ARRL1003 ARRESTER, LIGHTNING, 18 KV, DISTRIBUTION CLASS AND RISER
POLE (MOV)WITHOUT MOUNTING BRACKET, 15.2/26.4Y NOMINAL
VOLTAGE
1 BKTAC009 BRACKET, ARRESTER AND CUTOUT, FIBERGLASS WITH RAYCHEM
MATERIAL OVER ROD TYPE: SINGLE PHASE
2 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)
3 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)
12 BOLTE001 BOLT, TERMINAL KIT, (KIT INCLUDES ) 1-EACH 1/2"DIA.X 2"S/S
BOLT FULL THREAD, 2-EACH S/S FLAT WASHERS, 1-EACH S/S
BELLEVILLE 1-SILICON BRONZE NUT(SHIPPED IN BAGS OF 10-EACH
ASSEMBLED ) "(SEE SPECIFICATION)"
65 CA10SO03 CABLE,4/0-19(PAP), OVERHEAD SERVICE DROP, 600 VOLT
MULTIPLEX CABLE"VICKSBURG" PRE-ASSEMBLED PARALLEL 1000
FOOT REELS
1 CLAGRO01 CLAMP, GROUND ROD, 5/8"-4SOL "HAMMERLOCK"
4 CLASR002 CLAMP, STRAIN RELIEF WEDGE, ALUMINUM, 1/0 TRI-4/0 PAP
2 CLASS006 CLAMP, STRAIGHT STRAIN,ALUMINUM, 10000#3/0-556 ALUM (STD
PKG 15 EA)
.1 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,
16 CNNCP007 CONNECTOR,#7, 3/0-4/0 MAIN, 3/0-4/0 TAP COMPRESSION,
PARALLEL TAP,ALUMINUM,
3 CNNTS006 CONNECTOR, TRANSFORMER SECONDARY SET SCREW TYPE
W/INHIBITOR, 4-HOLE NEMA RANGE: 10-500, 3-PORTS.
4 CNNVG003 CONNECTOR, 6-2 SOL/10-2 SOL,VISE GRIP PARALLEL, BRONZE
36 COBC0028 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' )
18 COVIC002 COVER, "D"DIE, INSULATING,2-1/2"
1 CUTOT006 CUTOUT, CONTAMINATED ENVIRONMENT, 26" LEAKAGE DISTANCE
TO GROUND, 100A, 27 KV, 170 KV BIL (54 EA PER PALLET)
1 FUSOH026 FUSE, OVERHEAD DISTRIBUTION,5.2 AMP, TRANSFORMER.
1 GUAGWO01 GUARD, GROUND WIRE, 1/2"X 1/2"X 96", GRAY PLASTIC
1 GUAGWO02 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
CUE Reports
Estimate Number:36663 114 JACKSON RDJ POLE INSTALL Estimate Type:SR Contract:089-16-HM OH FY19
Estimate Version: By: SIMPRB
MWO#/Task:30379638 Required Date:
Oracle Project#:8005212 Estimated On: 12/19/2018
2 GUYGRO01 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 INSG6002 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
2 NUTSL003 NUT, LOCK, SQUARE, 5/8"HOLE SIZE, HOT DIPPED GALVANIZED
2 NUTSL004 NUT, LOCK, SQUARE, 3/4"BOLT SIZE, HOT DIPPED GALVANIZED
1 POLW0003 POLE, WOOD, 35'CLASS 4 (T/L=44), WEIGHT=1,026 LBS
1 RODGRO03 ROD, GROUND, THREADLESS, 5/8"X 8', SHIP ON OPEN FLATBED
ONLY!
2 SLEFT006 SLEEVE, 4/0 7-STR AAAC, FULL-TENSION ALUMINUM, COMPRESSION
TYPE
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 TRAC0003 TRANSFORMER, 75 KVA, 14760/25565Y VOLT PRIMARY, 120/240 VOLT
SECONDARY, SINGLE PHASE, CONTAMINATED ENVIRONMENT
2 WASRD004 WASHER, ROUND, 5/8"BOLT SIZE X 13/4"DIAMETER, GALVANIZED,
650 EA P/BOX)
5 WASRD005 WASHER, ROUND, 3/4"BOLT SIZE X 2"DIAMETER, GALVANIZED,***
500 EACH PER BOX***
3 WASSF003 WASHER, SQUARE FLAT, 3"SQ X 1/4", 5/8"X 3/4" BOLT SIZE,
GALVANIZED
1 WASSP002 WASHER, SPRING, 3/4"BOLT SIZE, DOUBLE COIL HELICAL TYPE,
GALVANIZED (EXTRA HEAVY DUTY)
CUE Reports
Estimate Number:36663 114 JACKSON'./POLE INSTALL Estimate Type:SR Contract:089-16-HM OH FY19
Estimate Version: By: SIMPRB
MWO#/Task:30379638 Required Date:
Oracle Project M 8005212 Estimated On: 12/19/2018
CU Detail
JACKSONStation: 01 128 -■
Build Transfer Remain in Place Remove
C.4/OP 65
DEEPER 1
G3W*2 1
GY3*5 1
P.35/4W 1
S4*4/0 2
Build , . "N"s
s -
Transfer Remain In Place Remove
BANKCOMP10 1
DGAC*75 1
HOUSECON 4
RUBUP 2
S20ES*4/0-4/0 4
S9*4/0 2
RUBDOWN 2
CUE Reports
Estimate Number:36663 114 JACKSON RD./POLE INSTALL Estimate Type:SR Contract.089-16-HM OH FY19
Estimate Version: By: SIMPRB
MWO#/Task:30379638 Required Date:
Oracle Project#:8005212 Estimated On: 12/19/2018
CU Summary
CU Name Quantity Description
BANKCOMP10 1 SINGLE PHASE COMPLETE BANK (LARGEST TRANSFORMER 75KVA
OR UNDER)
C.4/OP 65 4/0 AAC PAP W/4/0 AAAC NEUTRAL
DEEPER 1 SET POLE DEEPER, PER FT.
DGAC*75 1 TRANS; CI, 26AKV 120/240 75KVA
G3W*2 1 WOOD POLE- NON-EQUIPMENT GROUND
GY3*5 1 GY3*5 3/8" DOWNGUY W/8 FT SCREW ANCHOR
HOUSECON 4 S21 REMOVAL
P.35/4W 1 35 FT. CLASS 4 WOOD POLE
RUBUP 2 LINE RUBBER INSTALLATION, PER SECT.
S20ES*4/0-4/0 4 SECONDARY CONNECTION AT POLE
S4*4/0 2 SECONDARY DEADEND
S9*4/0 2 SECONDARY SPLICE
CuName Quantity Description
RUBDOWN 2 LINE RUBBER REMOVAL, PER SECT.