HomeMy WebLinkAboutBuilding Permit Applicationr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /'�^ / Permit Number: V 0/
Building Permit.Application
Planning and Development Services JAN ?+ 5 2018
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial x Residential
'PERMIT APPLICATION FOR: Electrical ROW Permit 017-123 dated 9/19/17
PROPOSED;IMPR IVEMENTLOCATION
Address: 901 W Midway Rd#CAN,Fort Pierce 34981
Legal Description:
Property Tax ID#t: right of way north of 3404-501-0043-000-0 Lot No.
Site Plan Name: Comcast @ 901 W Midway Rd#CAN Block No.
Project Name: FPL pole transfers
Setbacks Front Back: Right Side: Left•Side:
I'DETAILED DESCRIPTION:OF WORK
Install new Comcast power supply cabinet in the right of way approx 25 ft south of W Midway Rd edge,
58 ft west of Oleander Ave road edge.Front of cabinet will be behind the sidewalk and new FPL pole.
Remove existing pole and power supply cabinet when new cabinet is energized
CONSTRUCTION'INFORMATION
HVAC Gas Tank Gas Piping Shutters Windows/Doors'
Additional work to � orme under this.permit—check a apply:
❑
P g
Z✓ Electric F �Plumbing Sprinklers E!Generator Roof Roof pitch
Total Sq.Ft of Construction: 8 So.Ft.of First Floor:
Cost of Construction:$ 722 Utilities: Sewer ElSeptic Building Height:
OWNER/.LESSEE CONTRACTOR
Name.Comcast Cable-.Jeannine McEnroe,Const Mgr Name: Gary J Gifford
Address: 3960 RCA Blvd Suite 6002 Company: GaryJ Gifford,Inc
City: Palm Beach Gardens State: FL Address: 350 SW Linden St
Zip Code: Rim n Fax: City: Stuart Stater
Phone No. 561-881-3255 Zip Code: 34997 Fax: 772-219-0146
E-Mail: JEANNINE_MCENROE@cable.comcast.com Phone No. 772-286-0954
Fill in fee simple Title Holder on next page(if different E-Mail:giffelec0comcast.net
from the Owner listed above) State or County License: EC13001574
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SxUPLLPLEMENTAL CQNSTRUCTION LIEN LAVI/ INFORMATION `
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEESIMPLE TITLE HOLDER: X Not Applicable BONDING'COMPANY: x Not Applicable
Name: Name:
Address: Address:
Cit City:
Y:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application Is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any "restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The.following.building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools;fences,walls,signs,screen rooms and accessory uses to another non-residential use
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 jobsite
before-th*e first inspection. If you intend to obtain financing, consult with lender or an omey,before
commencin ork orrecordin our otice of Commencement. ff
Signature of Own _ ssee/contractor as Agent for Owner Signature of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORI
COUNTY OF pClm Aenrh COUNTY OF rO11n L-,�Z(17
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 15 day of �UQU/S/+ 120 i7 by this day of ,20L-1 by
Nan4e of person making statement r Narfie of person making statement
Personally Known X OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signatu're of Notary Publ' -State°of=Notary
re of Notary Public-State
c State o Ftori le o 'o NOUry Public Stte otFl irk 0Commission No. no7.5- Uarresq I�ommi" ionNo. C-7 d 7510 r�j( e �sanGCaiiasquiiio
sioe GO 7510 ,c , MytommtssionGG027 1512020 hof n� Expims 10!2512020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 'SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW. REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
3/4 in non metallic nipple with (2) #6 THWN
125 amp':;
metei can
Milbank UAP 8435 XL TG HSP Service
O DisconnectSQ D QO 2-4 L 70 RB Disconnect
FACTORY INSTALLED GROUNDING UG Service Rated___
SQ`D QOsingle pole
,� 20amp`�clrcuitjrybreaker
1/21N.SCHEDULE 80 PVC#6 SOLID COPPER UNBROKEN
1 in. or 2 in. Sch 80 PVC to FPL
.1/2 in PVC #6 duplex aluminum
strap. a 1 or 2 m. ..
minerallac strap
FACTORY INSTALLED BONDING LUG COMCAST
ALPHA
CABINET
Alpha Precast Polyr Pad 44.5in. x 27 in. x 3 in. 145.41 lbs
V� j.}.1 'or`2 iii: PVC 80`init6#6aliaminum"t-17P h
I
minimum 72 in. apart I Service disconnect and receptacle are preinstalled by
Alpha Technologies with (3) THWN 12 feeders.
E
5/8 x 8 copper clad ground
rods Gary J. Gifford, Inc.
Electrical Contractor
350 SW Linden Street
Stuart, FL 34997
772-286-0954
772-219-0146 fax
giffelec@comcast.net
/-Median-/
�_.._.._._-_,..._..__._.._.offset zone:
/ a:Behind an exisring barrier,
Titan 7 Im.tUro euro.
• /�� Vrgr//�/`� c.75'ar more Ir'om the edge of(ra„e:way. ;
GENERAL NOTES
I.If the work operation(ea[luding est abf)shing and terminaling the work mea),
Y rcgpires
that two or are work vehicles cress the otfset one in any one hour,
traftie control will be In accordance ugh tilde.No.612,
B
2 No special signing is required:
y
J.This fade.also applies when work is being performed an a multilane undivided
highway.
5
z,This index also applies to work performed in Cie median behind an el isting
barrier or more than 15'from the edge or travel way.,both roadways.work
performed in the median behind curb and gutter shalt be in accordance with
Index N.612.
SYMBOLS 5.When a side road intersects the highway.within the work arca,additional traffic
cmrtrn!dNlcos shall he placed in accordance with other applicable TC--Indexes.
Work Area
6.%Vh-Const—ficin acfivilies encroach on a sidewalk,rete,to.Index No.660. CONDITIONS
Lare Identification 1 Direction of Traffic
7.For general TCZ requirements and additional Information,1N^r to'!odea No.600 WHERE ANY VEHICLE,EQUIPMENT.
WORKERS AND TifFIR'ACTIVITIES
ARE BP,HNO AN EXISTING.BARRIER,
MORE THAN 2'BEHIND THE CURB, i.
OR[5'OR MORE FROM THE EDGE
vJ
OF TRAVEL war.
l
!AST 1�11 DESCRIPTION: -"' --" INDEX SHEET
HEVISiON N NO. .NO.
07101/05 c DESIGN STANDARDS MULTILANE WU1RgC ®UTSIIY1IE SHOULDER
„ ,� 611 70f
Project: RELOCATE COMCAST POWER SUPPLY CABINET
Date: July 31,2017 W MidwayRd i
FPL Service Address 901 W Midway Rd#CATV, Fort Pierce 34982 N Project
FPL Service Planner Diana Villegas 772-337-7011
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W 1st St aD
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R-40E T-365 5-03
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71'
' \ LOCATION MAP
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W Midway Rd
+/- 25 ft l
W
sidewalk
v
FPL-1 I NEW'
+/- 58 ftQj
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GAN tie3 r CAN Q Y'"
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�rec ST. LUCIE COUNTY-PUBUC WORKS Gary J Gifford,Inc.
oy? Electrical Contractor EC13001574
ENGINMER'wC DIVISION 350 SW Linden St
Stuart,FL 34997
RNFERMAMNAL
Permit # 012 -!Z3
'Vp of Work Uhl C-
ed:
Notes for completing a St. Lucie County Right-of-Way Permit
Name of Applicant: this is the name of the entity requesting the permit (i.e. FPL, FPUA, AT&T,
Comcast, etc)
Name of Owner responsible for utility after installation: if a utility is being installed by a
contractor not hired by a utility, the utility company MUST accept the work before it can be
transferred.
"We shall commence construction of the permitted installation on and complete the same
within days thereof."The Right-of-Way Permit is valid for 180 days from the date it is
approved by the County. Your anticipated start date and anticipated duration of the work is
REQUIRED.
Permittee Representative: the person who is responsible to coordinate with the County
regarding schedules, begin and end work, and inspections. The County will be randomly
following up on coordination and schedules so this contact information is critical.
Contractors Name(and contact information): if you have selected a contractor, that information
should be included. However it is not required.
Please complete the description of the work to be done as accurately and completely as
possible.
Three copies are.not required for emailed applications. However the applicable detail from
FDOT's 600 series for Maintenance of Traffic is required. Detours and road closures require
additional coordination with St. Lucie County Engineering and the design must be signed and
sealed by a registered Florida Professional Engineer.
i
i
I
SPECTAL CONT ITIOI\TS Or RTGHT-OI+-WAY PERMIT
1. Applicant agrees that in case of future damage (test of time)to the right-of-way or pavement due to subject installation, the
applicant shall repair and restore same to condition acceptable to the County Engineer.
2. Applicant:agrees that the expense for any modifications tq subject utility installation required before,during or after any future {�
right-of-way;drainage or roadway improvements are implemented shall be borne solely by the applicant, including but not
limited to:removal,relocation,manhole adjustments,etc.
3. All work done within right-of-way shall be done Monday through Friday, 8:00 AM - 5:00 PM, excluding County observed
holidays and County closures, unless otherwise approved by the County Engineer. Any work performed after hours shall
be supervised by a County Inspector, for which the Contractor shall reimburse the County at the current inspector
rate. s]
4. Any road closures shall be requested in writing,along with an accompanying traffic detour.plan for review, to the County
Engineer twenty-one(21)days prior to requested closure. The County Engineer reserves the right to modify the maintenance
of traffic(MOT)as needed based upon performance. !
5. Any approved open pavement cut or trench cut in proposed limits of future pavement shall be restored to FDOT and St.Lucie
County standards.
t
6. No excavation shall take place within a minimum of five(5)feet of the edge:of pavement or within the Clear Recovery Zone
(CRZ).This distance may be increased by County Engineer dependent upon posted speed limit of roadway.
7. Minimum cover of 36"'under the travelway and 30"elsewhere, including swales/ditches,shall be maintained over the utility.
Conflicting utilities shall maintain 18"separation unless specifically approved by County Engineer.
8. Jack&Bore or Directional Bore installations shall be done per FDOT specifications.Casings under the travelway shall extend
a minimum of eight(8) feet beyond the edge of the travelway. Bentonite or drilling fluid shall be removed from Right-of-
Way/project site same days as drilling operations.
9. Driveways, roadways, trenches and/or sidewalks shall be restored per the detail approved on the plans or specified in this
permit.Proof of compaction shall be copied to the County Engineer.
10. Two .(2) sets of certified record drawings shall be submitted to this office immediately upon completion of subject
utility installation.
11. Dependent upon the type of project,.additional permit(s)and/or agreement(s)may be required prior to approval of the right-of-
way permit.
Revised January 32017 .
Page 3 of 3
GENERAL CONDITIONS OF RIGHT-OF-WAY PERMIT
The applicant declares that prior to filing this application, he/she has (1) ascertained the location of existing utilities that would be
affected by the proposed installation, and (2) notified such affected utility owners in writing regarding same, and (3) correlated the
proposed installation with owners of such utilities and determined that the proposed installation can be made without detriment to such
existing utilities. if granted a permit for construction of proposed installation on County rights-of-way, the applicant agrees to the
following:
1. Safety:All construction work shall comply with the safety provisions of all federal,state and local laws.
2. Traffic Control:Measures shall be provided during construction in accordance with the FDOT Design Standards 600 Series.
Traffic shall be maintained to the degree required by the County Engineer.
3. To Save Harmless the Board of County Commissioners and each and every member thereof from the payment of any
compensation or damages resulting from the exercise of rights and privileges herein granted.
4. In the event that modification or repair of the improvements on aforestated County right-of-way becomes necessary, to
promptly move/remove the installation permitted herein, as requested by the Board of County Commissioners of St. Lucie
County,Florida,at no cost to the County.
5. Removal of Installation: In the case of noncompliance with the requirements stated herein,the installation permitted herein
will be promptly brought into compliance or removed from County right-of-way by applicant at no cost to the County.
6. Repair of Improvements by Permittee: Applicant agrees to promptly repair any damage/injury to improvements on County
right-of-way caused by reason of the exercise of rights and privileges herein granted,restoring same to a condition equal to
that which existed immediately prior to the infliction of such damage or injury in a manner satisfactory to the County.
7. Permit Life: If this permit is granted, it shall be valid for a period of 180 calendar days from date of approval subject to
termination by the County in the event that improvements on aforestated County right-of-way are to be
constructed/reconstructed,or in the event that such right-of-way shall be closed,abandoned,vacated or discontinued.
8. The attached sketch(s) covering details of the permitted installation shall be made a part of this permit. Deviations from the
approved work or maintenance of traffic plan shall require prior approval of the County Engineer.
9. Notification to County Engineer: The County Engineer's office shall be notified twenty-four (24) hours in
advance of starting work on County rights-of-way. New construction that is discovered to have begun
without notification will be subject to a stop work order until proper permits have been acquired. Unless
the work activity is accomplished in continuous work days (excluding weekends and holidays), re-
notification shall be required upon any lapses.
10. Permit on Job Site:All projects requiring a County Right-Of-Way or Driveway Permit will be required to have a copy of the
permit on the job site and be able to produce said copy when requested.Failure to do so will be considered as operating without
a valid permit and operations shall cease and desist. As in the past, Feld work that is classified as maintenance will not be
subject to the above.The exception on maintenance would be in the event excavation adjacent to a roadway is to be left open
overnight.We would want notification for the purpose of inspecting for adequate barricades,lights,etc.
if. Rip-lits of a Prior Permittee: The construction and maintenance of aforestated installation shall not interfere with the property
and rights of a prior permittee.
12. Final Inspection:The County Engineer's office shall be notified by the applicant upon completion of the installation permitted
herein,so that a final inspection may be made.
13. Other Entities: This permit in no way waives the authority and/or jurisdiction of any other governmental entity. Applicant is
solely responsible for ensuring that all other stakeholders affected by the work or that have ownership of the work site, or
portions thereof,have been adequately notified and have given permission to perform work.
Revised January 3 2017
Page 2 of 3
RIGHT-OF-WAY PERMITAPPLI CATION FORM
ST.LUCIE COUNTY ENGINEERING DIVISION
_2.300 VIRGINA AVENUE,2ND FLOOR,FT.PIERCE,FL 34982(772)462-1707
Submit via email at:RightgAVavPertnit(a)sllucieco.ore
NAMEOFAPPLICANT COMCAST PHONE No.561-227-4127
MAILING ADDRESS 3960 RCA BLVD STE 6002,PALM BCH GARDENS,FL 33410 EMAIL wade_hagerty@cable.corncasi coo
TYPE OF PROJECT(CHECK ONE) rRESIDENTIAL ❑COMMERCIAL rUTILITY uDEVELOPMENT ORDER
Name of OWNER responsible for utility after installation Co1.1CAST
PHONE NO 561-227-4127 EMAIL wade_hagedy@cable.corncasl.com
Ultimate OWNER does not take possession until acceptance of work.
PERMITTEE REPRESENTATIVE RESPONSIBLE FOR NOTIFYING ST.LUCIE COUNTY 24 HOURS PRIOR TO WORKING IN COUNTY RIGHT-OF-WAY
NAME Gary J Gifford PHONE NO 772-286-0954
WE SHALL COMMENCE CONSTRLICTION OFTHE PERMITTED INSTALLATION ON AND COMPLETE WITHIN 45 DAYS THEREOF.
CONTRACTOR'S NAME Gary J Qifford,Inc
MAILING ADDRESS 350 SW Linden.SI Stuart FL 34997
PHONE/EMAIL 772-286-0954 giffelec@comcast.net
As-the Applicant,we request permission to construct,road drainage,or combination drainage/utility,in Right-of-Way or easements deeded to
or maintained by St.Lucie County,or dedicated to the public areas of St.Lucie County,(hereinafter referred to as"County Right=of-Way").
Type of work that is being perfolnted in County Right-of-Way, and name of County Road:
901 W Midway Rd#CAN-Install new Comcast power supply cabinet in the right-of-way+/-25 ft south of W Midway Rd edge, +1.58 ft.west of Oleander Ave
road edge.The front,of CAN cabinet will be behind the sidewalk and the.rear of new FPL pole. Old pole and cabinet will be removed when the new
cabinet is energized
i
The following MUST be submitted with an original signed cops'of this application(3 COPIES OF EACH).
I) Detailed maintenance of trafticplan from FDOT's"Design Standards 600 Series". If traffic control requires detours,and/or road
closures,a Florida Registered Professional Engineer Will be required to design,sign,and seal said plans.
2) Show on an attached set of plans(11"x17"preferred)the location and character of the work,and detail the aspect of the Work that will
disturb County maintained improvements(hereinafter referred to as"IMPROVEMENTS").
This permit and all its attachments must be kept on the work site and be available upon request or prominently displaved. I
Applicant/Owner WADE IIA13ERTY Title PERMIT COORDINATOR
By:Jeannine McEnroe Date 8.25.17 Email/Phone:Jeannine_McEnroe@cable,comcast.com
By proceeding with installation of work covered by this permit, I agree to comply with the "GENERAL AND SPECIAL I
CONDITIONS OF THE RIGHT-OF-WAY PERMIT". i
n n OFFICE USE ONLY n
RIGHT-OF-WAY DESCRIPTION:%1,(!.w 2t7L
REVIEWED BY ACQUISITIONS DIVISION DATE .0 1 (#
REVIEWED BY ROAD RECEIVED&BRIDGE DIVISION__ DATE l• � s
1
The aforestated installation Is hereby permitted der the following provisions ;1, SEP 1'18 2
O1
=BOARD or COUNTY CO-jN-, iISION'ERS;ST:LUCIE COUNTY-FLORIDA � ENGINEERING
BV _ DATE � (9 � R/W PERMIT NO
County Engin r- f official
RECEIVED
RevisPagelUary of32017 ILDAUG 3 0'2017 1.
r
A00 2 8
ENGINEERING PROPERTY AC-QUIS11IONS
Gary J.Gifford,Inc. EC 13001574
Electrical Contractor Q
350 SW Linden Street PCN: Right-Of-Way a o
Stuart,FL 34997
FPL Service Address: -"°`A" �1B1m
(772)286-0954 offica(772)219-0146 fax 901 W Midway Rd#CAN
Fort Pierce 34982 —GRAB '1u'fI
LOTTAA
Date: July 31,2017 Meter AA15084 °^ IDWAWRD-- „: MIDWAY-RD
to city
�WgST4T_
Job'Description: Install new
Project:Comcast Power Supply Comcast power supply cabinet in ]NDSTF-�-_-,
Midway Road the right-of-way+/-25 ft south of ;
WRMidway,Rdedge;.+/-58fttwest
G,[I iry
FPL-Diana Villegas
of Oleander Ave road edge.Front — '
772-337-7011 of"cabinet will be behind the,
sidewalk and new FPL pole. '«I ALARA Sim"a:RA=ST
diana.villegas@fpl.com
Remove exi'p' pole and power BMCKRD=BMGKAD `�
supply cabinet when-new cabinet laf
is'energized
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W Midway Rd
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PL NEW +/- 58 ft
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Gary JGifford, Inc. EC 13001574
Electric Contractor
350 SW Linden St
Stuart;FL 34997
This Contract is entered into by and between Gary 1.Gifford,Inc.and Comcast Cable
Communications.
The specific terms of this Contract are as follows:
Address: 901 W Midway Rd#CATV
Fort Pierce 34981
PCN: right of way north of 3404-501-0043-000-0
Installation of one(1)Comcast power supply cabinet with(2).ground rods
SEVEN HUNDRED TWENTY TWO DOLLARS($722.00)
Gary 1.Gifford,Inc.
BY: - Date: July 6, 2017
Maya LvG ifford
Title: eident
Comcast Cab] mmunications
f
By: Date. July 6, 201.7
Tit
772-286-0954 office 772-219-0146 fax 772-215-4011 mobile
giffelec@corn castnet