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1132 Beach Ave ROW19-0006 pole permitl fjS4L'r��' RIGHT OF WAY PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ROW19-0006 800 SEMINOLE ROAD ISSUED: 2/28/2019 ATLANTIC BEACH, FL 32233 EXPIRES: 5/29/2019 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. 1132 BEACH AVE RIGHT OF WAY SINGLE OR TWO install 35 -ft. pole FAMILY RIGHT OF WAY 170279 0000 Jacksonville Electric 21 W. Church Street Jackonville Authority MOMS BEACH HOUSE LLC C/O SUSAN WEED MEMBER BRUSSELS BELGIUM 1200 $0.00 ATLANTIC BEACH FL 32202 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. 2 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is rec(urte . ,.. Issued Date: 2/28/2019 1 of 2 DESCRIPTION I ACCOUNT I QUANTITY I PAID AMOUNT TOTAL: Issued Date: 2/28/2019 2 of 2 RIGHT OF WAY PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ROW19-0006 ISSUED: 2/28/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 5/29/2019 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. DESCRIPTION I ACCOUNT I QUANTITY I PAID AMOUNT TOTAL: Issued Date: 2/28/2019 2 of 2 ty City of Atlantic Beach h 11Building Department ` 800 Seminole Road "'"� r� Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247-6845 v;t gr E-mail: building-dept@coab.us r.ity wah_cita- httn•//www rnnh i is - APPLICATION NUMBER (To be assigned by the Building Department.) 0L1(A - (000 ro Date routed: 4 l l T APPLICATION REVIEW ANDTRACKING FORM Property Address: ( l Ja -e- Applicant: eApplicant: 1�... A - Project: n StA �) �S _ C Department review required' Yes No Building Planning & Zoning inistrator Pub�Utilifies 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 b • Date: "�17�w_ TREE ADMIN. Second Review: []Approved as revised. ❑ pp ❑ Denied. ❑Not applicable �WORK� 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 PUBLIC WORKS PLAN REVIEW COMMENTS �( /( / Date: � . "2--- ) / 9 ------------ Application #: �w f eJw� Pro'ect Address: ;2 Xa,4, a 4),�. CONDITIONS OF APPROVAL TO PRINT ON PERMIT Check Box to Select Driveway All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from edge of pavement Apron to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. ❑ v (Commercial driveways — 6" thick). Erosion Full erosion control measures must be installed and approved prior to beginning any earth Control disturbing activities. Contact the Inspection Line (247-5814) to request an Erosion and Sediment ❑ ontrol Inspection prior to start of construction. Onsite All runoff must remain on-site during construction. CY Runoff Post Const. If on-site storage is required, a post construction topographic survey documenting proper TOPO construction will be required. All water runoff must go to retention area and retention overflow ❑ Survey must run to street. Pool Pool — Wellpoint (if used) must discharge into vegetated area 10' minimum from street or drainage Wellpoint feature (swale, structure or lagoon). A separate Pool Permit is required. ❑ Roll off Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Container Shapells, Inc., Republic Services, Donovan Dumpsters, Phillips Containers, JDog/Dennis Junk ❑ Removal). Container cannot be placed on City right-of-way. ROW Restoration Full right-of-way restoration, including sod, is required. Utility Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid Road Cut 10' in each direction from the center of the cut. Repair must be shown on the plans. ❑ Construction Provide construction site management plan, including location of silt fence, dumpster, portable Site Mgmt. toilet. Right -of -Way Permit is required if using right-of-way for construction parking. ❑ ❑ Runoff All runoff must remain on-site. Cannot raise lot elevation. Document Impervious Strongly suggest thorough documentation of impervious areas be recorded. ❑ Slab Driveway Slab and driveway to be fully removed. ❑ Maximum Driveway Maximum driveway width within the City right-of-way is 20'. ❑ Circular Driveway Maximum circular driveway width within the City right-of-way is 12'. ❑ Grass Full site to be grassed. ❑ TOPO Survey Must provide a topographic (TOPO) survey with water retention for final CO Inspection. ❑ Revision Any plan change must be submitted as a Revision to the Building Department. ❑ Fencing Removed All old fencing must be removed from job site by Contractor. ❑ Decking All old decking must be removed from job site by Contractor. ❑ Removed Pervious Pavers Pervious pavers must be used to receive 50% credit. 0 fL"V, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 000 � r _ Atlantic Beach, Florida 32233-5445 ULIA(A . Vw b Phone (904) 247-5826 • Fax (904) 247-5845 Olt .�� E-mail: building-dept@coab.us Date routed: City web -site: http:flwww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I t Applicant: ; A, Project: n S 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: Approved. []Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b —tom✓ ate-_ Z—Z(tJ 9 - TREE ADMIN. Second Review: ❑Approved as re sed. ❑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 0 511 91201 7 PUBLIC UTILITIES PLAN REVIEW COMMENTS Date: 5 j l' Application #: Project Address: 11� LY C.h 1 � y (f— Check Box Check APPLICATION TRACKING COMMENTS to Add Box to Comment Print Underground Avoid damage to underground water and sewer utilities. Verify vertical and Water Sewer horizontal location of utilities. Hand dig if necessary. If field coordination is Utilities needed, call 247-5878. Meter Boxes Ensure all meter boxes, sewer cleanouts and valve covers are set to grade Sewer Cleanout and visible. ❑ ❑ A sewer cleanout must be installed at the property line. Cleanout must be RT1 Sewer covered with an RT1 concrete box with metal lid. Cleanout to be set to grade ❑ ❑ Cleanout and visible. A reduced pressure zone backflow preventer must be installed if irrigation will RPZ be provided or if there is a private well on the property. Backflow preventer Backflow must be tested by a certified tester and a copy of the results sent to Public ❑ ❑ Utilities. _ Plans note the building will be unsprinkied. If plans change, any fire line Sensus installed must be metered with a Sensus touch -read meter in a properly sized Touch -Read vault and an appropriate backflow preventer installed. Backflow preventer ❑ ❑ Meter must be tested by a certified tester and a copy of the results sent to Public Utilities. Fire Sprinkler If fire sprinkler system is provided, call 247-5878 for backflow requirements. ow ❑ ❑ Requil ement At a minimum, will require a double check backflow preventer. Fire Line Fire lines must be metered with a Sensus touch -read meter. Meters larger Meter than 2" must be installed in a vault as noted in JEA specifications. ❑ ❑ Utility Map See attached Utility Map. Disconnect & Cap Disconnect and cap water and sewer lines. ❑ ❑ Inspection Must call the Inspection Line at 247-5814 to request an inspection of the Prior disconnected and capped water and sewer lines prior to demolition. ❑ ❑ RIGHT-OF-WAY / EASEMENT PERMIT APPLICATION "ALL INFORMATION 'i City of Atlantic Beach HIGHLIGHTED IN GRAY IS t\/ 800 Seminole Road, Atlantic Beach, FL 32233 REQUIRED. PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address /�� ,� �� c,(j /y tit; _ Permit Number D Lo CO)o Contractor Information CompanQualifying Agent Address Z (,(4-)e0-!! e0- 6161A r'01(,-1 S� City T14 X State_ Zip 3 ZZC% Z Phone Email State Certification/Registration ## Architect Phone Email Engineer Ir✓1 if)t-n Phone_ 666 - i% 1 3 Email Sz'F� 2 b(d, 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 _1_C_._ .�i��r,/I SI%✓' (Project Superintendent) with (Company Name) • 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 :?-�// y // i Permittee (signed In presence of Kotary 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. ( J Personally Known Signature of Notary Public, State of Florida (J Produced Identification (Type) H:\Applications & Forms\Word Documents\201801001 Right -of -Way Easement Permit Application.docx Revision Date: 10/1/18 ENGINEERING DESIGN ORACLE PERMT mAmmo DATE REL PROJECT #.37358 NO.: 8005212 M ft. 30400373 CONST. 02114119 CIR TREE TPJNMW7 SUB-STA.NEMM BEACH N.O: 563 REOD. NO CELL ENGNEER- 'Robert Simpson N.O.: NA ZIP CODE .NA CUSKNER1 SVC PHONE LOCATION: 1140 BEACH AVEJ 35/4WPCLE INSTALL 563 CENTER SSSC Ro: 665-7793 STA 1, P# 1140 BEACH AVE.! INSTALL 10 lk-1 3514W RUN 2/OP TO STA 2. STA 2, P# 1159 BEACH AVE NEW HOME BUILD*... 00 4-2 1/OT 1 0 40 WIt 4 140 STA 2 150 0 4W C) 40-ISTA Afth a S A I 1105 159 1159 75B 4 508 47 40- I/OT 401 ST c 2,/ 01P op %D 0 Ln 4W 4 0000 41 �-A ---1 00 n 4 2T I/oT 00 1081 50B 4 40. - k Aim 1 ? vei It yA + Ib r + t r i Pi kot, 4+ 1098 ? '. 4 v � u: j _ 1073 JE1 CUE Reports Estimate Number: 37358 1140 BEACH AVE./ POLE INSTALL Estimate Type: SR Contract: 089 -16 -HM OH FY19 Estimate Version: By: SIMPRB MWOWTask: 30400373 Required Date: Oracle Project #: 8005212 Estimated On: 02/1312019 Cost Estimate Materials JEA Contractor 1. New Material Cost (w/ sales tax) $409.65 $409.65 2. Transformer Cost (w/ sales tax) $0.00 $0.00 3. Returned Material Salvage Value $0.00 $0.00 Labor 4. Crew Time $336.35 $839.19 5. Extraordinary Costs $0.00 $0.00 JEA Overhead 6. Fringe Benefits (43.52% of lines 4 & 7) $187.29 $102.08 7. Engineering Costs (Variable % of line 4) $94.01 $234.55 8. Project Equipment Costs (40% of total equipment costs) $194.77 $0.00 9. Material Handling (6.67% of lines 1 & 2) $27.32 $27.32 10. Inspection (6.84% of line 4) $0.00 $57.40 11. Total Cost of Project $1,249.39 $1,670.20 12. Work Order Estimate (Line 11 minus line 8, 9, & 10) $1,027.30 $1.642.87 13. Billable Equipment Depreciation (60% of total equipment costs) $292.16 $0.00 14. Billing Estimate (Including Transformer Cost) (Lines 11 + 13 + (64.49% of 4 & 7)) $1,819.09 $1,821.46 15. Billing Estimate (W/O Transformer Cost) (Lines 11 + 13 + (64.49% of 4 & 7) - Line 2) $1,619.09 $1,821.46 Time Estimate Crew Hours Total Manhours 2.70 10.79 ------------------------- 1Q rA. ` VA CUE Reports Estimate Number: 37358 1140 BEACH AVE./ POLE INSTALL Estimate Type: SR Contract: 089 -16 -HM OH FY19 Estimate Version: MWO#/Task: 30400373 Oracle Project #: 8005212 Conductor, Conduit and Pipe Detail From Station To Station Cu 01 2 C.2/OP By: SIMPRB Required Date: Estimated On: 02/1312019 Quantities Build Transfer Remain Remove 60 0 0 0 '�i-A- CUE Reports Estimate Number: 37358 1140 BEACH AVEJ POLE INSTALL Estimate Type: SR Contract: 089 -16 -HM OH FY19 Estimate Version: MWO#rrask: 30400373 Oracle Project M 8005212 CU Detail By: SIMPRB Required Date: Estimated On. 02/13/2019 Build Transfer Remain In Place Remove C.2/OP 60 G3W'2 1 GY3'5 1 P.35/4 W 1 S4'2/0 1 Build Transfer Remain to Place Remove RUBUP 4 S20ES'2/0-2/0 1 S4'2/0 1 S9'2 2 S9'2/0 2 RUBDOWN 4 Jit CUE Reports Estimate Number: 37358 1140 BEACH AVE./ POLE INSTALL Estimate Type: SR Contract: 089 -16 -HM OH FY19 Estimate Version: By. SIMPRB MWO#!Task: 30400373 Required Date: Oracle Project #: 8005212 Estimated On: 0211312019 Cost Estimate Materials JEA Contractor 1. New Material Cost (w/ sales tax) $409.65 $409.65 2. Transformer Cost (w/ sales tax) $0.00 $0.00 3. Returned Material Salvage Value $0.00 $0.00 Labor 4. Crew Time $336.35 $839.19 5. Extraordinary Costs $0.00 $0.00 JEA Overhead 6. Fringe Benefits (43.52% of lines 4 & 7) $187.29 $102.08 7. Engineering Costs (Variable % of line 4) $94.01 $234.55 B. Project Equipment Costs (40% of total equipment costs) $194.77 $0.00 9. Material Handling (6.67% of lines 1 & 2) $27.32 $27.32 10. Inspection (6.84% of line 4) $0.00 $57,40 11. Total Cost of Project $1,249.39 $1,670.20 12. Work Order Estimate (Line 11 minus line 8, 9, & 10) $1,027,30 $1,642.87 13. Billable Equipment Depreciation (60% of total equipment costs) $292.16 $0.00 14. Billing Estimate (Including Transformer Cost) (Lines 11 + 13 + (64.49% of 4 & 7)) $1,819.09 $1,821.46 15. Billing Estimate (W/0 Transformer Cost) (Lines 11 + 13 + (64.49% of 4 & 7) - Line 2) $1,819.09 $1,821.46 Time Estimate Crew Hours Total Manhours 2.70 10.79 :rU .EA CUE Reports Estimate Number: 37358 1140 BEACH AVE./ POLE INSTALL Estimate Type: SR Contract: 089 -16 -HM OH FY19 Estimate Version: MWO#/Task: 30400373 Oracle Project #: 8005212 By: SIMPRB Required Date: Estimated On: 02/13/2019 CU Summary CU Name Quantity Description C.2/OP 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 4 LINE RUBBER INSTALLATION, PER SECT. S20ES'2/0-2/0 1 SECONDARY CONNECTION AT POLE S4'2/0 2 SECONDARY DEADEND S9'2 2 SECONDARY SPLICE S9'2/0 2 SECONDARY SPLICE CU Name S1 RUBDOWN 4 LINE RUBBER REMOVAL, PER SECT. 'SAM CUE Reports Estimate Number: 37358 1140 BEACH AVE./ POLE INSTALL Estimate Type: SR Contract: 089 -16 -HM OH FY19 Estimate Version: MWO#/Task: 30400373 Oracle Project M 8005212 By: SIMPRB Required Date: Estimated On: 02/13/2019 500 EACH PER BOX "* 1 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)