1253 Selva Marina Cir ROW20-0008 JEA C, rt'"''' RIGHT OF WAY PERMIT PERMIT NUMBER
J` !-. `' CITY OF ATLANTIC BEACH ROW20-0008
800 SEMINOLE ROAD ISSUED: 3/9/2020
,-,_��%- EXPIRES: 6/7/2020
ATLANTIC BEACH. FL 32233
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:
1253 SELVA MARINA CIRCLE RIGHT OF WAY SINGLE OR TWO JEA- UG BORE $0.00
FAMILY RIGHT OF WAY
TYPE OF REAL ESTATE 1 ZONING: BUILDING USE
I SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
COMPANY: ADDRESS: CITY: STATE: ZIP:
JEA
OWNER: ADDRESS: CITY: STATE: j ZIP:
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 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.
2 PUBLIC UTILITIES UTILITY MAP INFORMATIONAL
Notes:
See attached Utility Map.
Issued Date:3/9/2020 1 of 2
rs'), ' RIGHT OF WAY PERMIT PERMIT NUMBER
i'. sJl ROW 20-0008 `.
�,.,,� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ISSUED: 3/9/2020
��-"'i'`' V ATLANTIC BEACH. FL 32233 EXPIRES: 6/7/2020
3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
4 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.
5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
6 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
7 PUBLIC WORKS AS-BUILT INFORMATIONAL
Notes:
Contractor must submit As-Built plans to City within 30 days after completion of project.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
TOTAL:
Issued Date:3/9/2020 2 of 2
City of Atlantic Beach APPLICATION NUMBER
srBuilding Department ECEIVE (To be assigned by the Building Department.)
800 Seminole Road
j Atlantic Beach, Florida 32233-5445 MAR Q 4 2020 I ROW Z 0 " 000E
Phone(904)247-5826 • Fax(904)24 5
rf 0 E-mail: building-dept@coab.us Date routed: 3/4 /ZZ
0
City web-site: http://www.coab.us BY:.
APPLICATION REVIEW AND TRACKING FORM
Z 53 L\J 1 V kARI I ! Department review required Yes No
Property Address: � p q
_ ii [� Building
Applicant: V 1 Planning &Zoning
Tree Administrator
Project: R O V E ublic Wo s�
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: [pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
4-
PLANNING
PLANNING &ZONING Reviewed by: Lret It �r�.c. Date: 6 ,
�ll�
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. I (Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
LAN-,,, City of Atlantic Beach APPLICATION NUMBER
4 1,110_.-z! ,6 Building Department (To be assigned by the Building Department.)
r %- 800 Seminole Road o
. � Atlantic Beach, Florida 32233-5445 ROW Z0 " 00
Phone(904)247-5826 • Fax(904)247-5845
-4 fr E-mail: building-dept@coab.us Date routed: 3/4 `ZOZ0
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l ZS3 SELV4INARA ! Department review required Yes No
[� Building
Applicant: cJ f Planning &Zoning
Tree Administrator
Project: RU E ublic Wo�ks>
�ubli�.>dtilities=-�
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:
APP CATION STATUS
Reviewing Department First Review: Approved. Denied. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: '�— Date: 3—S-20
TREE ADMIN. Second Review: ❑Approved as revis . ❑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: 3'5 — 20 Application#: w - 000
Project Address: /2c3 $ /vs4 6/2_eA—
Check
Box Check
APPLICATION TRACKING COMMENTS to Add , Box to
Comme 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 Sewer Boxes Ensure all meter boxes, sewer cleanouts and valve covers are set to grade 0 0
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 0 0
Cleanout and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will
RPZ Backflow be provided or if there is a private well on the property. Backflow preventer ❑ ❑
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 0 0
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 0 0
At a minimum, will require a double check backflow preventer.
Requirement
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. 0 0
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. ❑ ❑
Utility All water& sewer utility connections must be inspected prior to cover up.
Inspections Please call the inspection line at 247-5814 to schedule inspections 24 hours in 0 0
advance.
System All fees must be paid for water& sewer connections before meters will be set.
Development Please call the finance department customer service line 247-5816 to 0 0
Fees coordinate payment of fees.
0 0
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RIGHT-OF-WAY/EASEMENT PERMIT APPLICATION **ALL INFORMATION
• -l)1` City of Atlantic Beach HIGHLIGHTED IN GRAY IS
''/ 800 Seminole Road,Atlantic Beach,FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address Z.5.73 SP/t4, /LIQ'-I CrPermit Number I<OW Z.0- 000C)
Contractor Information-v
Company I1)- ` Qualifying Agent
Address 2 1-
t:: t I Lies v'�'I� S�, City j/)C State Pt, Zip 3 2,2 '
Phone Email
State Certification/Registration#
Architect Phone Email
Engineer R - S t'.Mp5c��1 Phone 66S--779 3 Email ,c,I4,„p 2 b&'Jew, C0�
Workers Compensation Insurers OR Exempt❑Expiratiio'n 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//o�f Atlantic Beach or Florida Department of Transportation Standards and be performed under the
supervision of (C. ,�ir►-� .std•'' (Project Superintendent)
with (Company Name) .T f 4 Phone 666- 7793
• 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 l' or./ i' -c or shall be notified 24 hours prior to starting work and again immediately upon completion.
� Date
Permittee
3-L,- .0
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#:40975 N.O.: 8005964 WO#: 30509948 CONST:12106/19
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: 1253 SELVA MARINA CR.!DIR BORE 3" 563 CENTER: SSSC N.O.:665-7793
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BORE 3" TO STA 2. es �, •
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CUE Reports
Estimate Number:40975 1253 SELVA MARINA CR./DIRECT Estimate Type:SR Contract:069-19-HRT UG FY20
BORE 3"
Estimate Version: By: SIMPRB
MWO#/Task:30509948 Required Date:
Oracle Project#:8005964 Estimated On: 12/04/2019
Cost Estimate
Materials JEA Contractor
1.New Material Cost(wl sales tax) $192.61 S192.61
2.Transformer Cost(w/sales tax) $0.00 $0.00
3. Returned Material Salvage Value $0.00 $0.00
Labor
4.Crew Time $1,599.96 $2,930.00
5.Extraordinary Costs $0.00 $0.00
JEA Overhead
6.Fringe Benefits(43.52%of lines 4&7) 5817.90 $171.63
7.Engineering Costs(Variable%of line 4) $279.40 S394.38
8.Project Equipment Costs(40%of total equipment costs) S947.43 $0.00
9.Material Handling(6.67%of lines 1 &2) $12.85 $12.85
10.Inspection(6.84%of line 4) 50.00 $200.41
11.Total Cost of Project S3.850.14 $3,901.88
12.Work Order Estimate(Line 11 minus line 8,9,& 10) S2,889.86 $3,889.03
13.Billable Equipment Depreciation(60%of total equipment costs) $1,421.14 $0.00
14.Billing Estimate(Including Transformer Cost)(Lines 11 + 13+(64.49%of 4&7)) $6,483.28 $4,156.21
15.Billing Estimate(W/O Transformer Cost)(Lines 11 + 13+(64.49%of 4&7)-Line 2) $6,483.28 $4,156.21
Time Estimate
Crew Hours Total Manhours
12.83 51.31
11
J& CUE Reports
Estimate Number:40975 1253 SELVA MARINA CR./DIRECT Estimate Type:SR Contract:069-19-HRT UG FY20
BORE 3"
Estimate Version: By: SIMPRB
MWO#!Task:30509948 Required Date:
Oracle Project#:8005964 Estimated On: 12/04/2019
CU Detail
Station: 01 1253 SELVA MARINA
CR.
Build Transfer Remain in Place Remove
DIR-BORE*3 125
HANDDIG 5
I.CODPE003 125
UCL4*3 1
UCT24*D 5
Station: 2 1227 SELVA MARINA
CR.
Build Transfer Remain in Place Remove
HANDDIG 51 1
JE-Ivi CUE Reports
Estimate Number 40975 1253 SELVA MARINA CR./DIRECT Estimate Type:SR Contract:069-19-HRT UG FY20
BORE 3"
Estimate Version: By: SIMPRB
MWO#/Task:30509948 Required Date:
Oracle Project#:8005964 Estimated On. 12/04/2019
Conductor, Conduit and Pipe Detail
Quantities
From Station To Station CU Build Transfer Remain Remove
01 2 DIR-BORE'3 125 0 0 0
01 2 I.CODPE003 125 0 0 0
JUI CUE Reports
Estimate Number:40975 1253 SELVA MARINA CR./DIRECT Estimate Type:SR Contract:069-19-HRT UG FY20
BORE 3"
Estimate Version: By. SIMPRB
MWO#/Task:30509948 Required Date:
Oracle Project#:8005964 Estimated On: 12/04/2019
Material Summary
Item Quantity Item Number Item Description
1 CODEP003 ELBOW, PVC, CONDUIT, 3",45-DEGREE 36"SWEEP-RADIUS, SCH-40.
WITH INTEGRAL BELL END
1 CODEP004 ELBOW, PVC, CONDUIT, 3", 90-DEGREE 36"SWEEP-RADIUS, SCH-40,
WITH INTEGRAL BELL END
125 CODPE003 CONDUIT, COILABLE, 3-INCH POLYETHYLENE GRAY SDR 13.5
POWER CONDUIT, SMOOTH WALL VIRGIN HIGH-DENSITY POLY
RESIN.TYPE III, CLASS C, CATEGORY 3, UV PROTECTED, GRADE
P34 POLY, (SHIP TO 2325 EMERSON ST 322070 OPEN FLATBED
TRUCK)(1200FT REELS)
CUE Reports
Estimate Number 40975 1253 SELVA MARINA CR./DIRECT Estimate Type:SR Contract:069-19-HRT UG FY20
BORE 3"
Estimate Version: By: SIMPRB
MWO#(Task:30509948 Required Date:
Oracle Project#:8005964 Estimated On: 12/04/2019
CU Summary
CU Name Quantity Description
DIR-BORE*3 125 DIRECTIONAL BORE 3"
HANDDIG 10 NO DESCRIPTION...
UCL4*3 1 INSTALLATION OF CONDUIT ELL
UCL9*3 1 INSTALLATION OF CONDUIT ELL
UCT24`D 5 TRENCH,24"WX48"D,DEVELOPED AREA