HomeMy WebLinkAboutRIGHT OF WAY PERMIT APPLICATIONRECEIVED MAR'2 5 2015 COMCAST SCANNED
BY
St. Lucie County
IIST.LUCIT APPLICATION FORM
E COUNTY ENIC NEEHING DIVISION
� \a` 2300 VIRGINAAVENUE.2 FLOOR.FTPIERCE-FL-34982(772)4624707 �
� cofApplicant Crrmceat Phone No.681-882-E792
Name of OWNER responsible for utility after Installation Coroc"t
Phone No 58"62-8792 Ultimate OWNER dace not take possession until acceptance of work.
Pcrmlttee representative responsible for notifying SL Lucie County 48 boom prior to working in County Right -of -
Wag Gary J Gifford Inc EC13CA1674 We shun commence construction of the permitted
installation within days of permit issuance and complete same within _1--days thereof.
Contractor's Name -Gary J Ward. Inc Phone No (REQUIRED) 772-286.0964
Mailing Addres 350 SWitndan'St 31na Pi 8AQQ7
E-Mail Address gijjglBO�r�mraatnat
As the Applicant' ae requet perrnissiM to construct road drainage, or combination druinagefutility,. in Rightof--Way, or
easements deeded tam maintained by St. Lucie County, or dedicated to the public arras of SL Lucie county, (heminafterreferred
to as "County Rightof-Way'). Type of work that is being performed in County Right -of -Way, and name of County
The fo0owing MUST he submitted with an original signed copy, of this application (3 COPIES OF EACH).
1) Detailed maintenance ortmtiie plan Dom FDOT s "Design Standards 600 Series". If imRe control recluse; detours, and/or
road ciosuM a Florida Registered Professional Engincerwill be required to design, sign, end seal said plans.
2) Show on an attached setof plans (I1"xl7" or if requested 24'h 36') the location mid character of the work, and detail the
aspeaof the work that will disturb County maintained hmprovemenb (hereinafter referred to as "IMPROVEMENTS').
Annlicnnt /l Wneta A ..Hanarlu Tnl. Regional Permil Coordinator
WC
eding with installation of work covered by this pennit, 1 agree to comply with the "GENERAL AND SPECIAL
NDITIONS OF THE RIGHT-OF-WAY PERMIT",
OFFICE USE ONLY
Revie BY Clmaa O�.l.:�dU:d.� l l.I it'll It [°3[�QU V L5D
- A UIST/ IS DIVISION DAlE_`
Reviewed Dy r . .`4r, NOV 8 2014
ROAD &BRIDGE DIVISI - DATE ttt`
PROPEIITT ACQUISITIONS
The aforestated installation is hereby permitted under the wing provisions
ECE
BOARD OF COUNTY COMMISIONERS, ST. LUCIE COUNTY, FLORIDA
By County Eoglaeermforctag colder
NOV - 4 2014
ENGINEERING
llevlse'd July 2011
Page 1 of 3
NOV 2 0 2014
RECEIVED. 1►
NOV 1.8 2014 '
EINEERING
COMCAST # 113
Gary J. Gifford, Inc. EC 13001574
- FPL Service Address:
Electrical Contractor
350 SW Linden Street
4999 Dunn Rd #CATV
Stuart, FL 34997
Fort Pierce 34981
(772) 288-0954 office
(772) 219-0148 fax
ROW
Date: October 28, 2014
FPL Pole 8 6171 3715
Project: Comcast Power Supply
Meter. New
FPL-Armfight Mer)an
772437-7035
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Men SUeat 4999 Dunn Rd OCATV
34897 FOR Ptenre 34B51 �!
ROW
Data: Odober 23, 2014
FPL Pole 5 5171 3715
Project: CoftwmMPwerSuppN
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772-W-7035
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COMCAST#113
Milbank UAP 8435 XL TG HSP
1/2 In. Schedule 80 PVC
#6 or 8 copper wire
112 in
125 ow
nakr eae
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314 in non metallic nipple with (2) # 6 THHN
1 or 2 in.
minerallac strap
COMCAST
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CABINEr
$Q D QO 24 L 70 RBI Disconnect
Service Rated
Q [) QC3singfa le
O am circuit br er
1 in. or 2 in. Sch 80 PVC to FPL
(2) #6 aluminum (FPL supplied feeders)
minimum 72 in. apart Ser ice disconnect and receptacle are preinstalled by
Alpha Technologles with (3) THHN 12 feeders.
Gary J. Gifford, l=
Electrical Contractor
350 SW Linden. Street
Small FL 34997
772-206a954
772=219-0146 fax
gilfelec@comcwtlmt
COMCAST# 113
Gary J. Gifford, Inc. EC 13001574 FPL Service Address:
Electrical Contractor
350 SW Unden Street 4999 Dunn Rd #CAN
Stuart, FL 34997 Fort Pierce 34991
(772) 286-0954 office
(772) 219-0146 fax
ROW
Date: October 28, 2014
FPL Pole 6 6171 3715
Project: Comoast Power Supply
Meter: New
FPL -Annlight Magan
772-337-7035
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APPENDIX P-%
GENERALCONDITIONSOF iOIIT_ORWAYPERMIT
The applicant declines that prior to filing this application, hctshe has (1) ascertained the location of existing utilities that would be
affected by the proposed installation, and (2) notified such of acted 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 far construction of proposed Installation on County rights-ofway, the applicant agrees to the
following:
1. Safely: All construction work shall comply with the safety provisions of all federal, state and 1=1 laws.
2. Tof c; 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 ofrights and privileges herein gamed.
4. In the event that modification or reoa'o of the improvements on afrresteted County right-of-way becomes necessary, to
promptly movelremove the installation permitted herein, as requested by the Board of County Commissioners of St Lucie
County, Florida, at no cost to the County.
S. 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. Renoir of Improvements by Permlttee: Applicant agrees to promptly repair any damagefinjury 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 6
that which existed immediately prior to the infliction of such damage or injury in amanna 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 Comity in the event that Improvements on aforestated County right-of-way are to be
conshucted/mconstructed, or in the event that such right-of-way shall be closed, abandoned, vacated or discontinued.
8. The attached skelch(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 Engincer'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 bave 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, field 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 Wantnotifrcation forlhe paip-ab ofIMpealog for edeq'ahk bariieade's, lights, etc.
It. Rights of a Prior Permfttee: The construction and maintenance of aforesteted installation shall not interfere with the property
and rights of prior permi&o.
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 July 2011
Page 2 of 3
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 to subject utility installation required before, during or after any
future right-of-way, drainage or roadway improvements are implemented shall he borne solely by the applicant, including but
not limited to. removal, relocation, manhole adjustments, etc.
3. All work done within right-of-way shelf be done Monday through Friday, 8:00 AM - 5:00 PM, excluding County observed
holidays. and County closures, unless otherwiseapproved by the County Engineer. Any work oedermed after hours shall
4. Any road closures shall be requestedin writing, along with an accompanying traffic detour plan for review, to Me County
Engineer fourteen (14) days prior to requested closure. The County Engineer reserves the right to nux ify 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.
6. No excavation shall take place within a minimum of five (5) feet of the edge of pavement or within the Clem Recovery Zone
(CRZ) This distance maybe increased by County Engineer dependent upon posted speed limit ofroadwiy.
7. Minimum cover of 36" under the travelway and 30" elsewhere, including swales/dhches, shall be maintained over the utility.
Conflicting utilities shall maintain 18" separation unless specifically approved by County Engineer.
S. Jack & Dom or Directional Bow installations shall be done per FDOT specifications. Casings under the travelway shall
extend a minimum of eight (8) feet beyond the edge of the tmvelwey. Bemmmite or drilling fluid shall be removed from
project site same days w drilling operations.
9. Driveways, roadways, trenches and/or sidewalks shall be restored per the detail approved on the plans or speed 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 completionof subject utility
installation.
11. Dependent upon the type of project, additional permits) aad/or agwi ment(s) may he required prior to approval of the right -
of woy pmmit.
Revlsed July 20U
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