1132 Beach Ave ROW19-0006 Pole InstallRIGHT OF WAY PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ROW19-0006
800 SEMINOLE ROAD ISSUED: 2/28/2019
t° 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
governmenta l entities such as water ma nagement districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1132 BEACH AVE RIGHT OF WAY SINGLE OR TWO install 35 -ft. pole $0.00
FAMILY RIGHT OF WAY
170279 0000
ATLANTIC BEACH
Jacksonville Electric 21 W. Church Street Jackonville FL 32202
Authority
•ADDRESS:
MOMS BEACH HOUSE LLC C/O SUSAN WEED MEMBER BRUSSELS BELGIUM
1200
�RNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
MMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
3PECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1
PUBLIC WORKS ON SITE RUNOFF
INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS
RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
Issued Date2/28/2019 1 of 2
Issued Date: 2/28/2019 2 of 2
RIGHT OF WAY PERMIT
PERMIT NUMBER
CITY OF ATLANTIC BEACH
ROW19-0006
ISSUED: 2/28/2019
�J41D1
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233
EXPIRES: 5/29/2019
3
PUBLIC UTILITIES
UNDERGROUND WATER SEWER UTILITIES
INFORMATIONAL
Nates:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities.
Hand dig if necessary. Iffield
coordination is needed, call 247-5878.
4
PUBLIC UTILITIES
UTILITY MAP
INFORMATIONAL
Notes:
See attached Utility Map.
DESCRIPTION
ACCOUNT QUANTITY
PAID AMOUNT
TOTAL:
Issued Date: 2/28/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department t�f /�. (To be assigned by the Building Department.)
800 Uci3eale Road _ Coo
Atlantic Beach, Florida 32233-5445 'r✓ �C Ir 'AE 10
Phone (904) 247-5826 Fax (904) 241484
E-mail: buildingdept@coab.us d "�, �E$ ! Date routed:
City web -site: httplhnww.coab.us E 9
APPLICATION REVIF 1�CKING FORM
Property Address: �,( ll�.Vllly�•
Applicant: JtI Z Q �p
Project: l n SAA
Department review required Yes No
Building
Planning 8 Zoning
mistrator
Pu n; tiI ies -
Fire Services
Review fee $ , _... .. Dept Signature
Other Agency Review or Permit Required Review of Permit Verified B or Receipt Date
Florida Dept. of Environmental Protection
Flonda 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:
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 eertelM117
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax (904) 247-5845
E-mail: building-depl@ccab.us
Cityweb-site: httpffi rvtcoab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4 l & [l �P—q. � b -
Applicant: 1 177
Project: \ f\ StAQ-
Review fee $
Department review required Yes No
Building
Planning & Zoning
Tree Administrator
Pu s
Public Uh les
Fire Services
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Flonda Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Any 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: 2-2G�19
TREE ADMIN.
Second Review:
❑Approved as re sed.
❑Denied.
❑Not applicable
PUBLIC WORKS
Comments:
UBLIC UTILITIE
PUBLIC SAFETY
Reviewed by:
Date:
FIRE SERVICES
Third Review:
❑Approved as revised.
❑Denied.
❑Not applicable
Comments:
Reviewed by:
Date:
Revised 06/10/3017
RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION ••ALLINFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
.� BOO Seminole Road, Atlantic Beach, FL 32233 REgUIREO.
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 1137_ USC Permit Number R -DW (Q—b 00
Contractor Information F F B 1 !: 2019
Company JF# qualifying Agent
Address 7,1 VeO- SOl . City ?-IIX StateAFL_Zip 321gZ
State Certification/Registration N
Engineer (Z - SIA104C2n Phone 665=7793 Email .iiyyla26 jvu.ce••-a
Workers Compensation Insurer❑/ OR Exemptl:]Expiration Date
• Permittee declares that priorto 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 - (Project Superintendent)
with (Company Name) - Phone 66,r- 2213
• All materials and equipment shall be subject to inspection by the Publlc 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.
• Asketch 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 Citys 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 Ec)o/ rshall be notified 24 hours prior to starting work and again immediately upon completion.
Date 2//41/i9
Permittee (signed In presence of Notary 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 Parmlttea)
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
H:\Hpplkations & Forms\Wwd Documena\201803001 RiBMcf-Way Easement Pe rnl[Applintbn.dovt Revision Data: 10/1/18
ENGINEERING DESIGN
ORALE PgRMT
kmmD
DATE RB.
PROJECT# 37358 NO:
8005212
V D# 30400373
OCPIST 09'1418
OR
TREETRUMNIG
SUBSTA NEPTUNE BEACH
NO: 563
RSD NO
CBL
BJ WER Rol n SiOpem
NO: NA
21PCODE NA
CUSTQh7v
SVC
PHONE
LOCATION 1140BEACHAVE/3MMPCLEINSSMIL 583
CENT62SSSC
NO: 6G&Tm
1/0T
O
STA 1, P# 1140 BEACH AVE./ INSTALL
1
35/4W RUN 2/OP TO STA 2.
O
I
- - - -
-
STA 2, P# 1159 BEACH AVE
-----
NEW HOME BUILD'"'"
I
-I 00
00
4
1/OT
-4 V�
r
♦
140
a
STA 2
150
1=
_
rn-♦
V ♦�
.
r
Z
^
STAII
1105
159
X01
1159
75B
a
50B
47
AP
-40-
`
X r
1/OT
N
I
tiI
11TH ST
I
_
y
C-
-
-'
- -
-----------
2/OP
-'-
- _t -----------
—
OP
i
Lylr
1
.r r
o0
�U�
`,4 000
0' .
n
I
`o 4
2T 1/0T 00
9 1
1081
506 so
o♦
c _
w
eIra
.g_
JEA CUE Reports
Estimate Number. 37358 1140 BEACH AVEJ POLE INSTALL Estimate Type: SR Contract: 089 -16 -HM OH F 19
Estimate Version:
MWOMITask: 30400313
Omdo Pm1eU a: 8005212
Conductor, Conduit and Pipe Detail
By: SIMPRB
Repu reE Date:
Estimateal On: 02!132019
0u maki..
Fmm Station To Sieben CU Said Trineiar Remain Rema.
01 2 C.2/0P 60 0 0 0
1x*1 CUE Reports
Estimate Number: 39358 1140 BEACH AVEI POLE INSTALL Estimate Type: SR Contract 069 -16 -HM ON FY19
Estimate Version: By: SIMPRB
MWOa/Task: 30400373 Required Date:
Oracle Project N: 6005212 Estimated On: 02/132019
Material Summary
Item Quantity Item Number Iqm GWdp6m
1 ANCSS002 ANCHOR, SCREW, SINGLE -HELIX, GALVANIZED 10'X 8'X 1.1/4", SHIP
ON OPEN FLATBED ONLYI
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 CA10SO02 CABLE, 2/0 (PAP), OVERHEAD SERVICE DROP, 600 VOLT MULTIPLEX
CABLE"MESA VERDE" PRE -ASSEMBLED PARALLEL SOUTHWIRE61-
COPPER .204" DIAMETER 1480# BREAKING STRENGTH( 50# COIL -
GALV. 13/16" MOUNTING HOLE, 20,000 LB MIN. ULT. STRENGTH. FOR
LENGTH, FIBERGLASS FOR USE ON JENS DISTRIBUTION SYSTEM
ONLY
2 INSS0002 INSULATOR, SUSPENSION, 4", CLASS 52-9 NEMA STRENGTH 10000#,
GALV. FITTINGS
ONL
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, •"'
1,01 CUE Reports
Estimate Number: 31358 1140 BEACH AVEJ POIE INSTALL Estimate Type: SR Contract: 089 -16 -HM OH FYI9
Estimate Version: By: SIMPRB
MWO#.Task: 304003]3 Required Dale:
Onacle Project #: 8005212 Estimated On: 02 INN19
Cost Estimate
Mideast.
JIA
Contactor
1. New Material Cost (wl sales lax)
$409.65
$409.65
2. Transformer Cost (w/ sales lap
$0.00
$0.00
3. Returned Material Salvage Value
$0.00
MCI:)
Labor
4. Crew Time
$336.35
$839.19
5. Extraordinary Costs
$0.00
$0.00
JEA Overhead
6. Fringe Benefits (43.52% of lines 487)
$157.29
$102.08
7. Engineering Costs (Variade%of line 4)
$94.01
$231.5$
8. Project Equipment Costs (40% of total equipment costs)
$194.77
$0.00
9. Malarial Handling (6.67% of lines 1 82)
$27.32
$27.32
10. Inspection (6.84% of lino 4)
$0.00
$57.40
11. Total Cost of Project
$1,249.39
$1,870.20
12. WOM Order Estimate (Lina 11 minus line 8, 9, 8 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 a (64.49% of 4 6 7))
$1,819.09
$1,821.46
15. Billing Estimate (WM Transformer Cost) (Lines 11 • 13 a (N.49% of 4 8 7) -flim 2)
$1,819.09
$1.821.48
Time Estimate
Crew Hours Total ManM1Oars
2.70 10.79
�WIJA. CUE Reports
Ea ale Numl 37358 1140 BEACH AVEI POLE INSTALL E48mets Type: SR Contract: 089-1&HM OH FY19
ESOmate Vmbn: By. SIMPRB
MWOINTeak: 30400373 Re uinxl Dats:
Oracle Project M 8005212 Estimate Co: 02/132019
CU Detail
01 1140:
Bulm Tm.d., R..M In M.. R...-
C.2/0P fi0
G3W'2 1
GY3'5 1
P.35/4W 1
54'2/0 1
Station: 2 1159 BEACH AVE
Bu114 Transiv R.In PM. R...
RUBUP 4
S20ES'210-2/0 1
54'2/0 1
S9'2 2
S9'210 2
RUBDOWN 4
`w-fll CUE Reports
Estimate Number: 37358 1140 BEACH AVEI POLE INSTALL Estimate Type: SR Contract 089-15 HM OH FY19
Estimate Version: By: SIMPRB
MWOWFask: 30400313 Required Date:
Oracle Project N: 800.5212 Estimated On: 02/13/2019
500 EACH PER BOX -
1 WASSF003 WASHER, SQUARE FLAT, 3' SO 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)
.ire CUE Reports
Estimate Number: 37359 1140 BEACH AVE/POLE INSTALL Estimate Type: SR Contract: W9 -06 -HM OH PYI9
EsOmate Version:
MWOk/Task: 30400313
Oracle Project p: 9005212
By: SIMPRS
Reeuiretl Date:
EetimetealOn: 0&1312019
CU Summary
C.2/Oa
QZ/OP
60
2/0 AAC PAP W/ 210 AAAC NEUTRAL
G3W'2
1
WOOD POLE - NON -EQUIPMENT GROUND
GY3.5
1
GY3'53/8'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
REMOVAL, PER SECT.
MOSEL"
v -q -w