HomeMy WebLinkAbout2008 FDOT General Use Permit Application FLORIDA DEPARTMENT OF TRANSPORTATION
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GENERAL USE PERMIT FOUR
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APPLICAT� �, : = S16/44
SATE OF DEPARTMENT RECEIPT: I
PERMIT NUMBER:
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ROAD SECTION— IC STATE ROAD: ([Jg 1 J
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_TED ACCESS: Y N COUNTY': IN�f OVER
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ADDRESS:_�Q�a I ZZ 7H sT. E �L� _377-'Z2(o__ __
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Applicant requests -- _ u
q permissio �rom the State gg Florida Department of Transportation (hereinafter
called the equestmepermi V
accompany rag en tmenr)t construct operate V maintain th
MOpFlt 1ng e di q drawings and descri ere: the facility shown in the
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p� tL Gq _(Hereinafter referred to as the permitted work) .
FROM MP 1 l.1J!- TO MP
; or FROM STATION _ _ _ _ TO STATION
Reference associated State Project Number: e l
_ date tom 3
under construction (dare construction began) : completed:
date to be let: II
The requested permit work is: in the city of ,1
i
Applicant agrees to the following Y ��g '7 N not in a city
P a rees *_ f
g conditions:
The Dee applicant, with the applicant's engineer of record, shall supervise the
Department reserves the right to inspect the work, materials, or equipment at any
or without prior notification. P permitted work.
L. time with
The applicant shall submit_ documentation acknowledging the pending work from all affected '
maintaining agencies
prior to approval of this permit. Maintaining agencies are those agencies
that, by agreement, maintain some facilities in Department right-of-way.
may place obligations upon the applicant which the Department may include as
Fi p Maintaining agencies I
Y permit conditions. P
v for traffic signals:
—1�C!T�nQ>�_% for street lights: L (2c1-41-,)5
ford l.td
3. The applicant certifies by � --- -- —
e ascertained signature hereon that *_
and that the applicant the location of all affected utilities has
pnotific ti i.r. compliance di permit all applicable stingda Statutes.
The applicant mailed letters of notification of pending �
the following municipalities and utility owners on the gdates1shown!
and requesting location to �'
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4. It is expressly stipulated that this
plat-n5 of facilities or improvements is permit is a license for
not create er vest any public right-of-way,permissive use only. The i1
y property rights. Y. Pursuant to this permit, does
r. The Department may determine that removal or
III
is required to facilitate necessary construction, maintenance,
r adjustment of permitted features or improvements
il
•
highway. Removal or adjustment will be immediate or as otherwise fdirectedefficiency bythe epartment and
shall be at the expense of the applicant unless reimbursement is authorized.
The applicant may be required to
prescribed by the Department. The permittedework.rshalllnotnundulyp nterfereewith
others, including other public in a manner
permit holders, without appropriate agreements with thosetOtherghts of
The integrity of all declarations (whether expressed or implied) and of all design II
presented to support this permit request is the responsibility the applicant. Any
misrepresentations of fact 9n drawings
act by the applicant may be cause for revocation of an issued permit.
To the extent allowed by law, the applicant, heirs, assigns, and successors in Interest
bound and obligated to save and hold the State of Florida,
employees harmless from any and all damages, claims, expense, or neglect, or omission. by the a the Department, its agents, and ,
by reason of miss on applicant, heirs, assigns, and successors in that may li
facility design, arising any act,
permitted work, except that theca applicant shall under this Y gecur ��
arising from the sole negligence oP 1 or continuing existence of the
of the Department.
provision for damages
y. The applicant agrees to safely conduct the public
time work begins to rho time of acceptance of ceettificdyion of work. Full compliance with the
current Department Roadway through permitted work area from the
the Department may require the applicanCetog take afurther 6e0 Series),including is a minimum a quisitionno_
the services of uniformed off duty police officers to assist in. f
measures, includin
g the acquisition of
traffic safety.
II
II
to be completed by the Department
0-4 GU Revised March, _2002
— _ -_— _--.--
j - -
//01 IN 5Y. /5g 5-116,-.491
in. The applicant shall provide for a pre-construction conference with the Department project
engineer. The applicant shall prepare and present at the pre-construction conference an emergency
restoration plan to address eventualities such as hurricanes. The applicant shall provide a 24-
hour telephone number by which the Department may contact the person responsible for and who has
authority to act on the emergency restoration plan and maintenance of traffic.
11. In the event the applicant fails to meet any of the provisions of this permit, all work in
pursuit of the permit objective must cease and the applicant must immediately restore affected
public property to a condition as good as or better than before permit work began. The applicant
will continue to indemnify the Department as stated above until restoration is accepted by the
Department.
12. The applicant is required by Florida Statute to notify local law enforcement agencies prior
to closing one or more lanes of the State highway for periods exceeding two hours.
13. Special conditions for this permit:
-(other special—conditions may be attacfie3) . •
14. At the completion of the construction, and prior to Department acceptance of certification,
the engineer of record shall certify with original signature that the work and materials:
(a) Comply with the Department Standard Specifications for Road and Bridge Construction
dated and Roadway and Traffic Design Standards dated
(b7 is in accord with all plans, special..provisions, policies, regulations, and safety
standards pertaining to the permitted work.
(c)Is in accord with all applicable local, county, State, and national ordinances, rules,
codes, and laws.
15. The Department may accept certification of the permitted work upon the restoration of the
public facility and satisfactory completion of the permitted work. The Department shall not
accept certification prior to the applicant's submission of two complete sets of as-built plans
and three sets if a bridge structure is involved. Unless the applicant can show good cause for
delay and unless the Department approves an extension, all permitted construction work shall be
completed within one year of permit approval.
16. The engineer of record is: Cl-1214 Mbr4, et,. Telephone: (771 )22-(0 - 123+
Professional Engineer License Number: 3 '''o Address: t401 27T S-r UERO 13E,4614 cL 3Z9(xr
1 17. The Prime Professional Engineer (PPE)is'responsible to certify that all work permitted /�
herein is comp) ted in compliance with the terms of this permit. The PPE (P.E. Number H'70N`o )
is: Je:25604 G6)VLKE Telephone: (772. )170 9&ZZ Address: 1/171 ' ) J R7VE1� 81vp, 5vrte w 1
18. The Department project engineer of the local maintenance office Or the re identL n�Eruction
office is to accept the certification of the Prime Professional Engineer. The Department Project
Engineer is: Telephone: ( ) - Address:
19. Authorization for the agent signing for the applicant Ti! other than tle`applicantT is— — —
indicated in a notarized letter from the applicant dated The letter is made a
part of this application.
20. The applicant understands that alteration to this form (other than filling out the blank
spaces provided in the November revision) makes this application and approval invalid. Use of
both front and back is required with signature blocks below on the back of the forms.
THE APPLICANT OR THE APPLICANT'S AGENT:
r.1-JK)S MagAJ pc SIGNATURE:--- -,
TYPED OR PRINTED NAME DATE
A, -i'MV1i7 pt' k- w'2 vv p) Z1Z '�=
TYPED OR PRINTED TITLE }
INn►)A -1' - c�)�y ._ ,
RECOMMENDED FOR THE DEPARTMENT OF TRANSPORTATION FOR APPROVAL BY:
Juan C„ Rodr Su J ez % .
NAM /may D pr �+ IGNATURE:
APPROVED FOR THE DEPARTMENT OF TRANSPORTATION BY: /:•Oe
2/2 .
-NAM$ ? w b..4 , ,.a 1-0. 1 I. ✓' '' ? -- —
SIGNATURE: �
.))sp r mi} gi Engineer
TITLE J
:.,//:43(//e%S7 _
_ to be completed by the Department D-4 GU Revised September, 2000
JOSEPH W.SCHULKE,P.E. SCHULKE, BITTLE & STODDARD, L.L.C.
JODAH B.BITTLE,P.E.
WILLIAM P.STODDARD,Ph.D.,P.E. CIVIL&STRUCTURAL ENGINEERING•LAND PLANNING•ENVIRONMENTAL PERMITTING
To: Utility Providers
I.R.C.U.D. U
Attn:Jesse Roland RE copy
1840 25th Street
Vero Beach, FL 32960
FP&L
Attn: Dennis Pagano
Construction Services
3301 Orange Ave.
Ft. Pierce, FL 34947
Comcast
Attn:Craig D. Bowers
940 12th Street
Vero Beach, FL 32960
.Bellsouth/AT&T
Attn:Todd Griffin
3300 Okeechobee Road, Room 237
Ft. Pierce, FL 34947
Cc:James Davis, P.E.
Fax-(772)778-9391
John Spivey; F.D.O.T. Ft. Pierce
Fax-(772)489-7120
Fernando Ojeda;VMS, Inc.
Fax-(772) 299-1849
From:Joseph W.Schulke, P.'.
Date:April 24, 2008
RE: Main Street Improvemen /City of Sebastian
General Use Permit
Please accept this as notification that it is our intent to work within the F.D.O.T.'s SR5 (Hwy.
US1) right-of-way, on SR5 in Sebastian, on the east and west side of the right-of-way located at
the intersection of Main Street.Work is scheduled to commence in the late summer of 2008.
You will be notified by the contractor prior to commencement of construction, and will be asked
to locate all of your facilities.
1717 INDIAN RIVER BLVD.,SUITE 201,VERO BEACH, FLORIDA 32960
TEL 772 / 770-9622 Fax 772 /770-9496 Ewa info @sbsengineers.com
To: Utility Providers
FP & L �OQ�
Attn: Dennis Pagano
Construction Services �J
3301 Orange Ave.
Ft. Pierce, FL 34947
Comcast
Attn: Craig D. Bowers
940 12th St.
Vero Beach, FL 32960
Bellsouth
Attn: Kirk Walker
3300 Okeechobee Road, Room 237
Ft. Pierce, FL 34947
Cc: Al Minner; City of Sebastian Manager
From: Joseph Schulke, P.E.
Date: September 10, 2007
Re: City of Sebastian Main Street/Indian River Drive Improvements Project
Enclosed,please find one set of conceptual plans, survey and an electronic file
(ACAD) for your review and use. The project includes improvements to the City of
Sebastian's boat ramp, traffic and pedestrian circulation and safety improvements and re-
alignment of Main St. and Indian River Drive. Please review, and provide any
information you have on the location of your facilities, and consider what, if any,
modifications may be necessary to your utility to accommodate this project.
If you have any questions, please do not hesitate to give me a call.
Thanking you in advance for your assistance in this matter.
Page 1 of 1
Joseph W. Schulke, P.E.
From: Joseph W. Schulke, P.E.
Sent: Wednesday, April 30, 2008 7:13 PM
To: 'Dennis_G_Pagano @fpl.com'
'bsembler @aol.com'; 'aminner @cityofsebastian.org.`
Subject: COS Main street/Sembler site.
Dennis,
Attached are revised site plans for b^o, ce..,tii r-^tl,COS Main St. projects. Please review and modify as necessary to prepare
your design.
S' - _ ' ••.- Mr. Sembler, and he is willing to provide the easement on the south PL. You indicate. •- • ,,•u • be
for the regular Tarif rate or - • • - - • • • his site, and for the cost f. -••• -
on Indian River drive. I told him you would^need to di .�_�•- er her elect.in front of his site
- • - -nt fish house where the clam operation is
located. Please provide m- •- - - • - - or e developer's responsibility and list o o. ig- • - . •• • owner
- • -m. er, Inc.) . -
incorporated the new PP location in front of the Chamber, and the removal of all the remaining overhead in the
. r"ou indicated that the cost will be minimal if anything to the city. You also said you would confirm w/COS public works
about the need for the old street lights (which you thought were supposed to go a while ago because of the newer Acorn lighting
the city had installed). Please confirm the location of the electric, and revise and return the electric plan w/your design. Please
forward the plan, and any costs or lists of COS obligations ASAP.
Thanks dennis
Joseph W. Schulke, P.E.
Schutt(&, 9Jittee 4 Staddend,.C.&
1717 3neliau .93&td.,Ste.201
'Um 93eac/,Anida 32960
JPiane: (772)770-9622
sax: (772)770-9496
(mum 8oervutew care,
PLEASE NOTE:
This information is provided solely for your convenience only;
SCHULKE,BITTLE&STODDARD LLC makes no representations or warranties,either express or implied,as to its suitability for any specific purpose.While we
believe this drawing file to be accurate at the time of retrieval,this media and its contents can be easily altered or corrupted either purposely or inadvertently through
any number of sources.
For this.reason,SCHULKE,BITTLE&STODDARD LLC,its managers and or employees shall be indemnified and held harmless from any and all liability that may
arise or result from the use of this information by your firm,employees,agents or sub-contractors. Any use of the file provided herein constitutes acceptance of the
provisions stated herein.
The information contained in this email is privileged and confidential and intended for the addressee only.If you are not the intended recipient,you are asked to
respect that confidentiality and not disclose,copy or make use of its contents.If received in error you are asked to destroy this email
and contact the sender immediately.Your assistance is appreciated.
130/2008
s,•
SPECIAL CONDITIONS
PERMIT NO. 2008 K 490 0022 State Section No.: 88010
During construction,highest priority should be given insuring pedestrian safety. If
permission is granted to temporarily close a sidewalk,it is done so with the express condition
that it will be re-opened as quickly as possible.
If any Portable Traffic Monitoring Site(PTMS)or a Telemetry Traffic Monitoring Site
(TTMS)is in conflict,The PL&EM Office must be called to establish location.If any PTMS
and or TTMS sites are damaged during construction,the complete restoration and repairs
will be the responsibility of the applicant.The Planning and Environmental Management
Office(PL&EM)must be notified immediately at(954)777-4601 to schedule a location or
Inspection.
The D.O.T.right-of-way cannot be utilized for on-site construction.
The D.O.T. roadway,sidewalk,etc.must not be disturbed until the off-site improvements
shown on the permit are ready to be constructed. This construction should be completed as
soon as possible so as to minimize disruption within the R/W.
This permit is valid only for work proposed within the D.O.T. right-of-way. Contact Mr.
FERNANDO OJEDA at (772) 633-5334 to schedule a pre-construction conference.
Certification acceptance and final approval is contingent upon conformity of all work done
according to this permit.
A copy of this permit and plan will be on the job site at all times during the construction of
this facility.
Permittee is cautioned that utilities may be located within the construction area.
Validity of this permit is contingent upon permittee obtaining necessary permits from all
other agencies involved.
Give Special attention to MOT note instructing that the local media shall be contacted a
week prior to any lane closures on the state road system if it will occur during peak hours or
over the span of more than one day. Contact Barbara Kelleher, FDOT Public Information
Office at 954-777-4090 for guidance on who to contact.Provide a copy of the press release to:
Florida Department of Transportation
Public Information Office
3400 West Commercial Blvd.
Fort Lauderdale,Florida 33309
District Four -Permits
04 26'2007