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377 7th Street ROW19-0027 JEA -Replacement RIGHT OF WAY PERMIT PERMIT NUMBER ROW19-0027 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 8/22/2019 rj'»~ ATLANTIC BEACH. FL 32233 EXPIRES: 11/20/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL i 'K MUST CONFORM TO THE CURRENT6TH EDITION1 OF • ' + BUILDING CODE, AND OF ATLANTIC + CH 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 COMMERCIAL 377 7TH ST RIGHT OF WAY JEA - REPLACEMENT $0.00 TYPE OF REALESTATE BUILDING USE : • • • • GROUP: 169944 0000 SHERRY TERRACE R/P COMPANY: + D• • ' JEA • ADDRESS: ' 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 ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling,Shapells,Inc.,Republic Services, Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. Issued Date: 8/22/2019 1 of 2 RIGHT OF WAY PERMIT PERMIT NUMBER ROW19-0027 CITY OF ATLANTIC BEACH V 800 SEMINOLE ROAD ISSUED: 8/22/2019 `'��" ATLANTIC BEACH. FL 32233 EXPIRES: 11/20/2019 3 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT TOTAL: Issued Date:8/22/2019 2 of 2 rsrLy;y�, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) w j t 800 Seminole Road Atlantic Beach, Florida 32233-5445 Il lJ Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us L Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM S�Property Address: D .rtm t review required Yes No [� i Applicant: G lanning &Zonin Tree Administrator Project: �Y LA� �� ( tiblic Works Public Utilities 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: []Approved. ❑Denied. )21ot applicable (Circle one.) Comments: 4 PLANNING &ZONING Reviewed by: 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 �31 6V y;- City of Atlantic Beach 7Date PPLICATION NUMBER Building Department �V (Tssigned by the Building Department.) r 800 Seminole Road C— �. Atlantic Beach, Florida 32233-5445 i Phone(904)247-5826 • Fax(904)247- 85 AUG 12 2019 E-mail: building-dept@coab.us uted: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Pro ert Address: J l ! V� f e _rlment review required Yes No p Y Applicant: lanning &Zonin Tree Administrator Project: CP LACI' Vy\e P ( tablic Works ? i�Public Utilities 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: [Approved. ❑Denied. []Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING y /' b�1�14� Reviewed b :`>� �7 J ,/ �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 rT%:Ly;y„ City of Atlantic Beach APPLICATION NUMBER is Building Department (To be assigned by the Building Department.) 800 Seminole Road -7 Atlantic Beach, Florida 32233-5445 6 �J Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: S77 Dep rt(pent review required Yes No Applicant: J C� Planning &Zoning fee minlStrator Project: CYeC ( lic Works Public Utilities Public Safety Fire Services Review fee $ 25- 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: APPLIC ON STATUS Reviewing Department First Review: Approved. [-]Denied. El Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ate: 3 TREE ADMIN. Second Review: ❑Approved as revi ed. ❑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 PUBLIC UTILITIES PLAN REVIEW COMMENTS Date: Application#: Project Address: Chock Box Check APPLICATION TRACKING COMMENTS to Aaa 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 4- 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 RTi Sewer covered with an RTi concrete box with metal lid. Cleanout to be set to grade ❑ E3Cleanout 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 unsprinkled. 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. Backflow Requirement At a minimum,will require a double check backflow preventer. 13 C3 Fire Une 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 IEA 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 tines prior to demolition. 13 ❑ D O ❑ ❑ ❑ ❑ ❑ ❑ EJo • rte"- , .• IL ..Jr 41, 1 , vC ?' 1 1 . a • > { r —rr " JL . ix , IL F" i 1 RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION "ALL INFORMATION \ ' City of Atlantic Beach HIGHLIGHTED IN GRAY IS 800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED. - (Jit Lam' PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address �J . Permit Number Contractor Information Company n Qualifying Agent Address 2 (A-) (/I�l�✓d� S�, City )14X State-A!�t—Zip 3 z za z Phone Email State Certification/Registration# Architect Phone / Email /J Engineer ��StQk-1 Phone 7 .3 Email SJ' !/ 2 b@,��,, C0� 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 9. (Project Superintendent) with (Company Name) T 4 Phone3 • 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 GO 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 h or c or shall be notified 24 hours prior to starting work and again immediately upon completion. Ce 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-Way Easement Permit Application.docx Revision Date 10/1/18 ENGINEERING DESIGN ORACLE PERMIT MAXIMO DATE REL PROJECT#:39624 N.0.: 8005212 WO#: 30467531 CONST:08/09119 CIR. TREE TRIMMING SUB-STA: NEPTUNE BEACH N.O.: 563 REQ'D:NO CELL ENGINEER:Robert Simpson N.O.: N/A ZIP CODE: N/A CUSTOMER/ SVC PHONE LOCATION: 377 7TH ST./R&R 3514W 563 CENTER: SSSC N.O.:665.7793 BIT N1 STA 1, P# 377 7TH ST./ R&R 35/4W, T REPLACE 1/OT WITH 4/0P TO STA 2. /°T 1/01/oT 1 STA 2, P# 374 7TH ST. 374 14M01 1 ***** NEW HOME BUILD ..... 1-3 1/ T 3 4 1 18 362 3 392� 1 1 4-6 370 36 � 1 379 373 369 ---� 25G __a380 � 377 1 1 ` •�� 37� 1 10 STA 1 o� + 1/0T 2T 699 0 1/0-T \1,65T 1/°T STA 2 � 391L A6 1 PV 1 1 3 1 o+ 1 ON 382 372 3 o' = + �° 387 319 N � � 645 395 A 25A 1 0 1 �, Jul CUE Reports Estimate Number:39624 377 7TH ST/R&R 35/4W Estimate Type:SR Contract:089-16-HM OH FY19 Estimate Version: By: SIMPRB MWO#/Task:30467531 Required Date: Oracle Project#:8005212 Estimated On: 08/09/2019 Cost Estimate Materials JEA Contractor 1.New Material Cost(w/sales tax) $457.36 $457.36 2.Transformer Cost(w/sales tax) $0.00 $0.00 3.Returned Material Salvage Value $0.00 $0.00 Labor 4.Crew Time $979.91 $2,085.98 5.Extraordinary Costs $0.00 $0.00 JEA Overhead 6.Fringe Benefits(43.52%of lines 4&7) $545.65 $122.19 7.Engineering Costs(Variable%of line 4) $273.88 $280.77 8.Project Equipment Costs(40%of total equipment costs) $583.19 $0.00 9.Material Handling(6.67%of lines 1 &2) $30.51 $30.51 10.Inspection(6.84%of line 4) $0.00 $142.68 11.Total Cost of Project $2,870.50 $3,119.49 12.Work Order Estimate(Line 11 minus line 8,9,&10) $2,256.80 $3,088.98 13.Billable Equipment Depreciation(60%of total equipment costs) $874.79 $0.00 14.Billing Estimate(Including Transformer Cost)(Lines 11 +13+(64.49%of 4&7)) $4,553.86 $3,300.56 15.Billing Estimate(W/O Transformer Cost)(Lines 11+13+(64.49%of 4&7)-Line 2) $4,553.86 $3,300.56 Time Estimate Crew Hours Total Manhours 7.86 31.43 ------------------------------------------------------------------------------------------------------------------------------- �'*1 CUE Reports Estimate Number:39624 377 7TH ST/R8R 3514W Estimate Type:SR Contract:089-16-HM OH FY19 Estimate Version: By: SIMPRB MWO#rrask:30467531 Required Date: Oracle Project#:8005212 Estimated On: 08/09/2019 CU Detail Station: 01 377 7TH ST Bulid Transfer Remain In Place Remove C.4/OP 80 G3W*2 1 GY3*5 1 HANDDIG 5 P.35/4W 1 S20ES*4/0-1/0 1 S4*4/0 2 SEVP 1 C.1/OT 80 CUT 3 DEYE 1 LUM7 1 P.35/4W 1 POLECON 1 SMWEDGE 1 WOODGRD 1 L101 1 ic- *1 CUE Reports Estimate Number:39624 377 7TH STI R&R 35/4W Estimate Type:SR Contract:089-16-HM OH FY19 Estimate Version: By: SIMPRB MWO#/Task:30467531 Required Date: Oracle Project M 8005212 Estimated On: 08/09/2019 Conductor, Conduit and Pipe Detail Quantities From Station To Station CU Build Transfer Remain Remove 01 2 C.1/OT 0 0 0 80 01 2 CAMP 80 0 0 0 JA CUE Reports Estimate Number:39624 377 7TH ST/R&R 35/4W Estimate Type:SR Contract:089-16-HM OH FY 19 Estimate Version: By: SIMPRB MWO#/Task:30467531 Required Date: Oracle Project#:8005212 Estimated On: 08/09/2019 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) 80 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" 1 CLASR003 CLAMP, STRAIN RELIEF WEDGE MESSENGER, SIZE:#6-2/0 2 CLASS006 CLAMP, STRAIGHT STRAIN, ALUMINUM, 10000#3/0-556 ALUM (STD PKG 15 EA) 3 CNNCP002 CONNECTOR, #2, 6-2 MAIN, 2-1/0 TAP,ALUMINUM COMPRESSION, PARALLEL TAP, 2 CNNCP006 CONNECTOR,#6, 1/0-2/6 MAIN, 3/0-4/0 TAP COMPRESSION, PARALLEL TAP,ALUMINUM, 1 CNNCP008 CONNECTOR,#5, 6-2 MAIN, 4/0 TAP, COMPRESSION, PARALLEL TAP, ALUMINUM, 2 CNNVG003 CONNECTOR, 6-2 SOL/10-2 SOL,VISE GRIP PARALLEL, BRONZE 16 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- 42T ) 2 COVIC002 COVER,"D" DIE, INSULATING, 2-1/2" 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 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 INSGI3002 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 RODGRO03 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,"` ., VA CUE Reports Estimate Number:39624 377 7TH ST/R&R 35/4W Estimate Type:SR Contract:089-16-HM OH FY19 Estimate Version: By: SIMPRB MWO#/Task:30467531 Required Date: Oracle Project#:8005212 Estimated On: 08/09/2019 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) JG*1 CUE Reports Estimate Number:39624 377 7TH ST/R&R 35/4W Estimate Type:SR Contract.089-16-HM OH FY19 Estimate Version: By: SIMPRB MWO#/Task:30467531 Required Date: Oracle Project#:8005212 Estimated On: 08/09/2019 CU Summary FCU Nam Quantity Description C.4/OP 80 4/0 AAC PAP W1410 AAAC NEUTRAL G3W*2 1 WOOD POLE- NON-EQUIPMENT GROUND GY3*5 1 GY3*5 3/8"DOWNGUY W/8 FT SCREW ANCHOR HANDDIG 5 NO DESCRIPTION... P.35/4W 1 35 FT. CLASS 4 WOOD POLE S20ES*4/0-1/0 1 SECONDARY CONNECTION AT POLE S4*4/0 2 SECONDARY DEADEND SEVP 1 SEVERE COND. FOR POLE SETTING CREW r 0� CU Name OuantitL Description L101 1 40W LED (70W HPS EQUIVALENT)COBRAHEAD FIXTURE CU Name Quantity Description C.1/OT 80 1/0 TRIPLEX CUT 3 CUT POLE OR CROSSARM DEYE 1 S6 REMOVAL LUM7 1 STREETLIGHT FIXTURE REMOVAL 70W HPS P.35/4W 1 35 FT. CLASS 4 WOOD POLE POLECON 1 S20 REMOVAL SMWEDGE 1 SMALL SEC. WEDGE CLAMP REMOVAL WOODGRD 1 WOOD POLE NON-EQUIP. GRD REMOVAL