369 10th St ROW20-0006 JEA pole permit `'''`L'fi, RIGHT OF WAY PERMIT PERMIT NUMBER
v js, ROW20-0006
t:11 �� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 2/14/2020
ATLANTIC BEACH, FL 32233 EXPIRES: 5/14/2020
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
369 10TH ST FAMILY RIGHT OF WAY install 35-ft. pole $0.00
TYPE OF i REAL ESTATE BUILDING USE S
ZONING: I SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
170086 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
Jacksonville Electric
21 W. Church Street Jackonville FL 32202
Authority
OWNER: ADDRESS: CITY: STATE: I ZIP:
AYERS JOSEPH A & AMY L 369 10TH ST ATLANTIC BEACH FL 32233-5529
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 ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container
cannot be placed on City right-of-way.
Issued Date: 2/14/2020 1 of 2
c'''„'rl�„ RIGHT OF WAY PERMIT PERMIT NUMBER
+'s� ROW20-0006
v� CITY OF ATLANTIC BEACHISSUED: 2/14/2020
800 SEMINOLE ROAD
n �r ATLANTIC BEACH. FL 32233 EXPIRES: 5/14/2020
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS UTILITY ROAD CUT INFORMATIONAL
Notes:
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut.
Repair must be shown on the plans.\r\r\r\r\r\r
5 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL I
1
Notes:
Any damage done to infrastructure must be repaired by Contractor.
FEES . .
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
TOTAL:
Issued Date:2/14/2020 2 of 2
Q j c City of Atlantic Beach APPLICATION NUMBER
l rt �� Building Department (To be assigned by the Building Department.)
All?, 800 Seminole Road �r V �'
, �� Atlantic Beach, Florida 32233-544 C 1`' IA) v ��
Phone(904)247-5826 • Fax(904) -5iFEB � 2 2020
40, E-mail: building-dept@coab.us Date routed: lit (c)ljcV
)
City web-site: http://www.coab.us
BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3t. C{ Department review required Yes No
Building
Applicant: 3 b c Planning &Zoning
� Tree Administrator
Project: �.(1S t �� ! � . ?edLJ\ 1`'��"'" ubl c Wo '
blic U. tie j
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 Reviewed by: • 2 !
Date: 3 ._2�^.
TREE ADMIN. Second Review: Approved as revised. [ 'Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES i Third Review: Approved as revised. I 'Denied. I 'Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
�'c\—,%i,.4 , City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
i.:;), 800 Seminole Road 4 O(��+
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 r ,tel
! :
0ili� • E-mail: building-dept@coab.us Date routed: Itl�oV
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3LO Cit 0t S • Department review required Yes No
y A Building
Applicant: 3 J/J c Planning &Zoning
�
`, TreehAdministrator
Project: U n S�t -- 3-- 1 ` . f d L Ln C uolfc'Wor
1 c'eublic Utilities ,
Public Safety
Fire Services
Review fee $ 2 5 00 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:
APPLI TION STATUS
Reviewing Department First Review: Approved. ['Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING4�..,�1 2/3
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
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RIGHT-OF-WAY/EASEMENT PERMIT APPLICATION **ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED.
Ens
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 365 I 01 Si- Permit Number C-01'0 aD- 00 0 {
Contractor Information
Company JF/q. Qualifying Agent
Address 2,f cies I` at t4 Y' 't Std', City TAX State Zip 3 Zi Z62
Phone Email
State Certification/Registration#
Architect Phone Email
Engineer R • S 1%nd_cov, Phone 66c-779 3 Email i,^�� � �J pq Cpv.-7
Workers Compensation Insurer OR ExemptnExpiration 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 CityofAtlantic Beach or Florida Department of Transportation Standards and be performed under the,C
supervision of , ,cz S9'^ (Project Superintendent)
with(Company Name) 7 ( , Phone ( 7293
• 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 completion.
i
Date 2-" /1- w
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.
[ I 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
`C' CUE Reports
Estimate Number:41841 367 10TH ST./45/3W AND TRANS Estimate Type:GD Contract:069-19-SPE OH FY20
REPLACEMENT
Estimate Version: By: SIMPRB
MWO#/Task:30532692 Required Date:
Oracle Project#:8005969 Estimated On: 02/07/2020
Cost Estimate
Materials JEA Contractor
1.New Material Cost(w/sales tax) $1,364.57 $1,364.57
2.Transformer Cost(w/sales tax) $1,453.48 $1,453.48
3.Returned Material Salvage Value $0.00 $0.00
Labor
4.Crew Time $2,012.40 $6,194.49
5.Extraordinary Costs $0.00 $0.00
JEA Overhead
6.Fringe Benefits(43.52%of lines 4&7) $997.39 $362.86
7.Engineering Costs(Variable%of line 4) $279.40 $833.78
8.Project Equipment Costs(40%of total equipment costs) $1,193.10 $0.00
9.Material Handling(6.67%of lines 1 &2) $187.96 $187.96
10.Inspection(6.84%of line 4) $0.00 $423.70
11.Total Cost of Project $7,488.30 $10,820.85
12.Work Order Estimate(Line 11 minus line 8,9,& 10) $6,107.24 $10,632.88
13.Billable Equipment Depreciation(60%of total equipment costs) $1,789.64 $0.00
14.Billing Estimate(Including Transformer Cost)(Lines 11 +13+(64.49%of 4&7)) $10,755.93 $11,358.55
15.Billing Estimate(W/O Transformer Cost)(Lines 11 +13+(64.49%of 4&7)-Line 2) $9,302.45 $9,905.07
Time Estimate
Crew Hours Total Manhours
16.14 64.54
.1E1 CUE Reports
Estimate Number:41841 367 10TH ST./45/3W AND TRANS Estimate Type:GD Contract:069-19-SPE OH FY20
REPLACEMENT
Estimate Version: By: SIMPRB
MWO#/Task:30532692 Required Date:
Oracle Project#:8005969 Estimated On: 02/07/2020
P.35/4W 1
RUBUP 1
S2OES*2/0-2/0 1
S4*2/0 1
USRW`2/0 1
CUT 3
DESHOE 1
DEME 1
DOWN3/8 1
EYENUT 1
P.35/4W 1
POLECON 1
RUBDOWN 1
SMWEDGE 1
USRW"2/0 1
WOODGRD 1
CUE Reports
Estimate Number:41841 367 10TH ST./45/3W AND TRANS Estimate Type:GD Contract:069-19-SPE OH FY20
REPLACEMENT
Estimate Version: By. SIMPRB
MWO#(task:30532692 Required Date:
Oracle Project#:8005969 Estimated On: 02/07/2020
12 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 FUSOH024 FUSE,OVERHEAD DISTRIBUTION, 3.1 AMP, TRANSFORMER.
3 GUACA004 GUARD, CABLE, 3"X 10', SCH-40 PVC, (50 EACH PER BUNDLE FOR
DELIVERIES)( 150 EACH PER SKID), MUST BE PALLETIZED FOR
OUTDOOR STORAGE NO CARDBOARD BOXES WILL BE EXCEPTED,
SHIP ON OPEN FLATBED ONLY!
2 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)
2 INSC0001 INSULATOR, COMPOSITE,SILICON-RUBBER,LEAKAGE DISTANCE
MIN. 36", MIN. 25KV, 15000#STRENGTH, DEADEND
2 INSFE002 INSULATOR, FIBERGLASS EXTENSION REMARKS: FIBERGLASS
W/PROTECTIVE COATING CLEVIS-EYE, 12 INCH FIBERGLASS
LENGTH, 15,000 LB ULTIMATE STRENGTH USED FOR EXTENDING
POLYMER DEADEND INS. FROM POLE
1 INSGB002 INSULATOR, STRAIN, GUY BREAKER, 21,000#RATED, 60" ROD
LENGTH, FIBERGLASS FOR USE ON JEA'S DISTRIBUTION SYSTEM
ONLY
1 INSHP001 INSULATOR, LINE POST, 35KV HORIZONTAL STUD BASE,
UNIVERSAL CLAMP-TOP, 3/4"-10 STUD TAP, 2800#SLC, 16.76"
OFFSET, 1/0-636 CONDUCTOR.
2 INSS0002 INSULATOR, SUSPENSION, 4", CLASS 52-9 NEMA STRENGTH 10000#,
GALV. FITTINGS
1 INSVP001 INSULATOR, VERTICAL POST, TIE TOP 35-KV, 3/4"STUD TAP
STANDARD PACKAGING IS NOT TO EXCEED THREE UNITS OR 72
POUNDS.
2 NUTEY002 NUT, EYE, 5/8", HOT DIPPED GALVANIZED
2 NUTEY003 NUT, EYE, 3/4", HOT DIPPED GALVANIZED
2 NUTSL003 NUT, LOCK, SQUARE, 5/8" HOLE SIZE, HOT DIPPED GALVANIZED
2 NUTSLOO4 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 POLW0006 POLE,WOOD, 45'CLASS 3 (T/L= 26), WEIGHT=1,770 LBS
4 RODGR003 ROD, GROUND, THREADLESS, 5/8" X 8', SHIP ON OPEN FLATBED
ONLY!
20 SCWLA005 SCREW, LAG, 1/4"X 2", MECHANICALLY GALVANIZED, MODIFIED
GIMLET POINT W/HOT-DIPPED STEEL WASHER W/ATTACHED UV
STABILIZED RUBBER WASHER, INS. ITEM, USED FOR INSTALLING
CABLE GUARD ON WOOD POLES, (STD PKG = 500)
2 SLEAL002 SLEEVE,ORANGE TO ORANGE NEUTRAL 4-4 ALUMINUM TRIPLEX
NEUTRAL SPLICING
2 SLEFT004 SLEEVE,2/0, FULL-TENSION ALUMINUM COMPRESSION TYPE
CUE Reports
Estimate Number:41841 367 10TH ST./45/3W AND TRANS Estimate Type:GD Contract:069-19-SPE OH FY20
REPLACEMENT
Estimate Version: By: SIMPRB
MWO#!Task:30532692 Required Date:
Oracle Project#:8005969 Estimated On: 02/07/2020
CU Summary
CU Name Quantity Description
DA1F-5*2 1 2 TANGENT TO 10 DEGREE ANGLE-UNSHIELDED, CONTAMINATED
DA8F-5*2 1 DOUBLE DEADEND UNSHIELDED, CONTAMINATED
DGAC*50 1 TRANS; CI, 26.4KV 120/240 50KVA
G1 W*2 1 WOOD POLE- EQUIPMENT GROUND
G3W*2 1 WOOD POLE -NON-EQUIPMENT GROUND
GY3*5 1 GY3*5 3/8" DOWNGUY W/8 FT SCREW ANCHOR
HANDDIG 10 NO DESCRIPTION...
P.35/4W 1 35 FT. CLASS 4 WOOD POLE
P.45/3W 1 45 FT. CLASS 3 WOOD POLE
RUBUP 3 LINE RUBBER INSTALLATION, PER SECT.
S20ES*2/0-2/0 1 SECONDARY CONNECTION AT POLE
S4*2/0 2 SECONDARY DEADEND
S6 2 DOUBLE EYEBOLT
S9*2 2 SECONDARY SPLICE
S9*2/0 2 SECONDARY SPLICE
USRW*2/0 1 UNDERGROUND RESIDENTIAL SERVICE OH POLE
CU Name Quantity Description
ARRESTER 1 DIST. ARRESTER REMOVAL
BANK10 1 SINGLE TRANS. REMOVAL, UP TO 75KVA
CLAMP 1 HOT-LINE CLAMP REMOVAL
CUT 6 CUT POLE OR CROSSARM
CUTOUT 1 FUSE CUTOUT REMOVAL
DESHOE 3 NEUTRAL DEAD-END SHOE REMOVAL
DEYE 3 S6 REMOVAL
DOWN3/8 1 3/8 IN. DOWNGUY REMOVAL
EYENUT 3 EYENUT REMOVAL
FULLGRD 1 EQUIPMENT GROUND REMOVAL
NUMBER 1 POLE TAG REMOVAL
P.35/4W 1 35 FT. CLASS 4 WOOD POLE
P.45/3W 1 45 FT. CLASS 3 WOOD POLE
PIN 1 INSULATOR PIN REMOVAL
POLECON 2 S20 REMOVAL
PRIINS 3 PRIMARY INSULATOR REMOVAL
RUBDOWN 3 LINE RUBBER REMOVAL, PER SECT.
SMWEDGE 2 SMALL SEC. WEDGE CLAMP REMOVAL
STANDOFF 1 PRI. INSULATOR STANDOFF BRACKET REMOVAL
SWITCH 1 CUTOUT&ARRESTER BRKT. REMOVAL
USRW*2/0 1 UNDERGROUND RESIDENTIAL SERVICE OH POLE
WOODGRD 1 WOOD POLE NON-EQUIP. GRD REMOVAL