Backup Documents 09/11/2018 Item #16A23 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 A 2 3
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the Coun Attorney Office.
Route to Addressee(s)(List in routing order) Office Initials Date
2.
3. County Attorney Office County Attorney Office - <<
1414944
4. BCC Office Board of County QSb
Commissioners y / VAra
5. Minutes and Records Clerk of Court's OfficeWS qi ails
;lk
°frk
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Michelle L.Sweet Phone Number 252-6027
Contact/ Department Transportation Engineering-ROW
Agenda Date Item was i Agenda Item Number
Approved by the BCC I I r"ZOI' ‘‘.'Q. .J
Type of Document Low 6~3.4 14yr.tit (A) Number of Original 3 #
Attached rho oh Ra.)e......-f(I) Documents Attached
PO number or account Piu..,4,Akriiovi„ 1 e,a4.,;-..1 !Low C.►.a...t A .A.,
number if document is 1J/a 0..4 ouyt;..at ftµ..o II R �* ts- ti,,c 64
to be recorded ,1,tcr.al.;.b ) 44r..!N PAI-
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. ` (Initial) Applicable)
1. Does the document require the chairman's original signature? -.j 0.1P 010 i _.--
2. Does the document need to be sent to another agency for additi• : '_.: ii - . If yes, / /
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's /A
Office and all other parties except the BCC Chairman and the Clerk to the Board '--
5. The Chairman's signature line date has been entered as the date of BCC approval of the
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE. Pi
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on gill fir(enter date)and all changes made
during the meeting have been incorporated in the attached document. The County OS
Attorney's Office has reviewed the changes,if applicable. —
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready fort
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16A23
MEMORANDUM
Date: September 18, 2018
To: Michelle Sweet, Property Acquisition Specialist
Transportation Engineering ROW
From: Ann Jennejohn, Deputy Clerk
Minutes and Records Department
Re: Florida Power & Light Company Right-of-Way Consent
Agreement and accompanying Memorandum required for
replacing the Pine Ridge Canal Weir
Attached for further processing is a certified copy of the Memorandum of Right-of-Way
Consent Agreement and one of the original copies of the Right-of-Way Consent
Agreement, both referenced above (Item #16A23) approved by the Board of County
Commissioners September 11, 2018.
The originals have been held by this department for the Board's Official Record.
If you have any questions, please feel free to contact me at 252-8406.
Thank you.
Attachment
16A23
PROJECT: Pine Ridge Weir #1
PROJECT NO.: 60119
(Parcel 88888-116TC E)
MEMORANDUM OF RIGHT-OF-WAY CONSENT AGREEMENT
THIS MEMORANDUM OF RIGHT-OF-WAY CONSENT AGREEMENT dated this
114 day of _.1)121,4,L, , 2018, by and between COLLIER COUNTY, a
political subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail
E, c/o the Office of the County Attorney, Suite 800, Naples, Florida 34112 (hereinafter
referred to as the "County"), and FLORIDA POWER & LIGHT COMPANY, a Florida
corporation, P.O. Box 14000, Juno Beach, Florida 33408-0420, Attn: Corporate Real
Estate Department (hereinafter referred to as "Company").
WHEREAS, on the day of ,(, ,( , 2018, Company and
County entered into a written Right-of-Way Consent Agreement, hereinafter referred to
as the "Agreement" related to certain property situated in the County of Collier, State of
Florida as more particularly set forth in said Agreement and described in Exhibit "A"
attached hereto and made a part hereof and hereinafter referred to as the "Lands", and
WHEREAS, the parties are desirous of making their interest therein a matter of
public record.
NOW THEREFORE, in consideration of mutual covenants herein contained and
the parties intending to be legally bound thereby, the parties hereto agree as follows:
1. The Lands described in Exhibit "A" are subject to a right-of-way in favor of Company
recorded in Official Records Book 30, Pages 27 through 34 of the Public Records of
Collier County, Florida.
2. The Agreement provides, among other things, County's right to use the Lands solely
for the purpose of constructing a new weir and related facilities within the County's
easement area immediately adjacent to the Lands, subject to certain conditions and
restrictions.
3. The Agreement is assignable to solvent purchasers of all or a portion of the Lands
provided County obtains Company's prior written consent, and that the purchasers
assume the obligations under the Agreement and specifically acknowledge and
agree that the use of the Lands and improvements to be placed on the Lands are
strictly limited to those depicted on that certain plan of improvement attached to the
Agreement and are otherwise subject to the terms of the Agreement.
16A23
Memorandum of Right-of-Way Consent Agreement Page 2
IN WITNESS WHEREOF, the parties have executed this Memorandum of Agreement
on this hereinabove written date.
ATTEST: BOARD C fJNTY CpMI ff :STONERS
COLLI C N'1"Y,
CRYSTAL K K!NZE , (Jerk ,'' ,
_ h-lL, ANDY SOLIS, CHAIRMAN
Attest as to C( rnan Jt Ce K d �
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PP Itve only, $ nc;ae `'1 1--It
A hove as to form and legality: � -�
Date
�° Date q-a-1
Assistant County Attorney ,, .,, : Recd
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u�y: C
FLORIDA POWER & LIGHT CO PANY
Signature
Printed/Typed Name
By:
Its: Corporate Area Real Estate Manager
Signature Print Name: Mark L. Byers
Printed/Typed Name
STATE OF FLORIDA
COUNTY OF SARASOTA
The foregoing instrument was acknowledged before me this day of
, 2018 by Mark L Byers, as Corporate Area Real Estate Manager, of
FLORIDA POWER & LIGHT COMPANY, a Florida corporation, on behalf of the
corporation. He is personally known to me or who has produced
[type of identification] as identification.
WITNESS my hand and official seal this day of .° _ , , 2018.
(affix notarial seal) t
(Signature of Notary Puplic)
(Print Name of Notary Public)
; iai," ;: LILLIAN M COLE NOTARY PUBLIC
: MY GOMMISS1ON M GGI48882
',' EXPIRES October pr,2021 Serial/Commission #:tif any)
-" My Commission Expires:
PROJECT NO. 88888 1 A 2 3
PROJECT PARCEL NO. 116DE
PARENT TRACT FOLIO NO. 29331193065
LEGAL DESCRIPTION & SKETCH
(NOTA SURVEY)
THE NORTHERLY 135 FEET OF THE EASTERLY 30 FEET OF THE WESTERLY
125 FEET OF TRACT 0-3, CREEKSIDE COMMERCE PARK WEST UNIT TWO,
ACCORDING TO THE PLAT THEREOF, RECORDED IN THE OFFICIAL
RECORDS OF COLLIER COUNTY, FLORIDA, IN PLAT BOOK 35, PAGES 43
AND 44, AS INDICATED BY THE DOTTED-LINED POLYGON BELOW.
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• SKETCH NOT TO SCALE
Collier County Growth Management Division-Transportation Engineering Department 07/19/18 2:36 PM
16A23
PROJECT:Pine Ridge Canal Weir#1
PROJECT NO.: 60119
(Parcel 116TCE-Miscellaneous Projects No.99999)
RIGHT-OF-WAY CONSENT AGREEMENT
FLORIDA POWER & LIGHT COMPANY, a Florida corporation, whose mailing address is P.O.
Box 14000,Juno Beach,Florida 33408-0420,Attn: Corporate Real Estate Department,hereinafter referred to
as "Company", hereby consents to COLLIER COUNTY, a political subdivision of the State of Florida,
whose mailing address is 3299 Tamiami Trail East,do the Office of the County Attorney, Suite 800,Naples,
FL 34112, hereinafter referred to as "Licensee", using an area within Company's right-of-way granted by
that certain agreement recorded in Deed Book 30, at Page 27 through 34, Public Records of Collier County,
Florida. The said area within Company's right-of-way is hereinafter referred to as the "Lands". The use of
the Lands by Licensee shall be solely for the purpose of removing an existing weir and constructing a new
weir and related facilities within Licensee's easement area immediately adjacent thereto, including access to
the property for such purposes, as shown on the plans and specifications submitted by Licensee, attached
hereto as Exhibit "A".
In consideration for Company's consent and for the other mutual covenants set forth below, and for
Ten Dollars and No Cents ($10.00) and other good and valuable consideration, the receipt and adequacy of
which is hereby acknowledged,the parties hereto agree as follows:
1. Licensee agrees to obtain all necessary rights from the owners of the Lands in the event
Licensee does not own said Lands; to obtain any and all applicable federal, state, and local permits required
in connection with Licensee's use of the Lands; and at all times, to comply with all requirements of all
federal, state,and local laws,ordinances,rules and regulations applicable or pertaining to the use of the Lands
by Licensee pursuant to this Agreement.
2. Licensee understands and agrees that the use of the Lands pursuant to this Agreement is
subordinate to the rights and interest of Company in and to the Lands and agrees to notify its employees,
agents, and contractors accordingly. Company specifically reserves the right to maintain its facilities located
on the Lands; to make improvements; add additional facilities; maintain, construct or alter roads; maintain
any facilities, devices,or improvements on the Lands which aid in or are necessary to Company's business or
operations;and the right to enter upon the Lands at all times for such purposes. Licensee understands that in
the exercise of such rights and interest, Company from time-to-time may require Licensee, to relocate, alter,
or remove its facilities and equipment and other improvements made by Licensee pursuant to this Agreement
which interfere with or prevent Company, in its opinion, from properly and safely constructing, improving,
and maintaining its facilities. Licensee agrees to relocate, alter, or remove said facilities, equipment, and
other improvements within ninety (90) days of receiving notice from Company to do so. When reasonably
practicable, Licensee will be allowed to relocate its facilities within the Lands. Any relocation, alteration, or
removal required by the Company pursuant hereto will be completed within one hundred eighty (180) days
and made at the sole cost and expense of Licensee and at no cost and expense to Company; provided
however, should Licensee, for any reason, fail to commence such relocation, alteration, or removal within
ninety (90) days, Company retains the right to enter upon the Lands and make said relocation, alteration, or
removal of Licensee's facilities,equipment,and other improvements and Licensee hereby agrees to reimburse
Company for all of its costs and expense incurred in connection therewith upon demand.
3. Licensee agrees that it will not use the Lands in any manner which, in the opinion of
Company,may tend to interfere with Company's use of the Lands or may tend to cause a hazardous condition
to exist. Licensee agrees that no hazardous substance, as the term is defined in Section 101 (14) of the
Comprehensive Environmental Response Compensation and Liability Act ("CERCLA") (42 USC Section
9601 [14]),petroleum products, liquids or flammables shall be placed on,under,transported across or stored
on the Lands, which restricts, impairs, interferes with, or hinders the use of the Lands by Company or the
exercise by Company of any of its rights thereto. Licensee agrees further that in the event it should create a
hazardous condition,then upon notification by Company,Licensee shall,within seventy-two(72)hours,at its
sole cost and expense, correct such condition or situation; provided however that the Company retains the
right to enter upon the Lands and correct any such condition or situation at any time and, by its execution
hereof, Licensee hereby agrees to indemnify and hold harmless Company from all loss, damage or injury
resulting from Licensee's failure to comply with the provisions of this Agreement.
4. Licensee hereby agrees and covenants to prohibit its agents, employees, and contractors
from using any tools, equipment, or machinery on the Lands capable of extending greater than fourteen(14)
feet above existing grade and further agrees that no dynamite or other explosives shall be used within the
Lands and that no alteration of the existing terrain, including the use of the Lands by Licensee as provided
herein, shall be made which will result in preventing Company access to its facilities located within said
1
16A23
Lands. Unless otherwise provided herein, Licensee agrees to maintain a one hundred and fifty (150) foot
wide area, clear of any activities, with a lineal measurement of seventy-five (75) feet on each side of the
centerline of Company's existing and planned facilities.
5. Licensee understands and agrees that the planting of trees, shrubs, and other foliage capable
of exceeding fourteen(14)feet in height at full maturity is not permitted within Company's Lands.
6. Outdoor lighting installed or to be installed upon the Lands by Licensee are not to exceed a
height of fourteen(14) feet above existing grade and all poles or standards supporting light fixtures are to be
of a non-metallic material.
7. Sprinkler systems installed or to be installed by Licensee upon the Lands are to be
constructed of a non-metallic material and sprinkler heads are to be set so the spray height does not exceed
fourteen (14) feet above existing grade and does not make contact with any Company's facilities.
Aboveground systems shall not be installed within or across Company patrol or finger roads and underground
systems crossing said patrol and finger roads are to be buried at a minimum depth of one (1) foot below
existing road grade.
8. Licensee agrees to warn its employees, agents, contractors and invitees of the fact that the
electrical facilities and appurtenances installed or to be installed by Company within the Lands are of high
voltage electricity and agrees to use all safety and precautionary measures when working under or near
Company's facilities. Licensee hereby acknowledges the receipt and required execution of Form 360
"Exhibit B"prior to the commencement of construction within the Lands.
9. Licensee agrees, at all times, to maintain and keep the Lands clean and free of debris.
Except as provided herein, Licensee further understands and agrees that certain uses of the Lands are
specifically prohibited; such uses include but are not limited to hunting and camping, and Licensee agrees to
notify its employees,agents,contractors,and invitees accordingly.
10. The use of the Lands by Licensee shall be at the sole risk and expense of Licensee, and
Company is specifically relieved of any responsibility for damage or loss to Licensee or other persons
resulting from Company's use of the Lands for its purposes.
11. Notwithstanding any provision contained herein, Licensee agrees to reimburse Company for
all cost and expense for any damage to Company's facilities resulting from Licensee's use of the Lands and
agrees that if, in the opinion of Company, it becomes necessary as a result of Licensee's use of the Lands for
Company to relocate, rearrange or change any of its facilities, to promptly reimburse Company for all cost
and expense involved with such relocation,rearrangement or change.
12. Licensee agrees it will exercise its privileges hereunder at its own sole risk and agrees
subject to the limitations contained in Section 768.28, Florida Statutes, if applicable, to indemnify and save
harmless Company, its parent, subsidiaries, affiliates, and their respective officers, directors, agents and
employees(hereinafter referred to as the"FPL Entities"), from all liability, loss, cost, and expense, including
attorneys' fees, which may be sustained by FPL Entities to any person, natural or artificial, by reason of the
death of or injury to any person or damage to any property, arising out of or in connection with the herein
described purposes by Licensee, its contractors, agents, or employees; and Licensee agrees subject to the
limitations contained in Section 768.28, Florida Statutes, if applicable,to defend at its sole cost and expense
and at no cost and expense to FPL Entities any and all suits or action instituted against FPL Entities, for the
imposition of such liability,loss,cost and expense.
13. Licensee shall at all times during the entire term of this License,maintain a self-insurance
program in compliance with all applicable laws, including, but not limited to Section 768.28 Florida
Statutes and such coverage shall extend to and provide protection for any and all claims arising out of or
in connection with Licensee's occupancy and use of Company's easement. In addition to the
aforementioned coverage, Company maintains general liability insurance coverage with limits of three
million dollars ($3,000,000) per occurrence for fatality, personal injury and/or property damage, arising
out of or in connection with Licensee's occupancy and use of Company's easement; however, such
additional coverage shall not be deemed to relinquish Licensee from its duty and obligation to comply
with any and all terms, conditions and provisions as set forth in this License. Company's cost for such
general liability insurance coverage shall be invoiced directly to Licensee by FPL.
14. This agreement will become effective upon execution by Company and Licensee and will
remain in full force and effect until completion of Licensee's use of the Lands pursuant to this
Agreement, unless earlier terminated upon ninety (90)days written notice by Company to Licensee, or at
the option of Company, immediately upon Licensee failing to comply with or to abide by any or all of the
provisions contained herein. Upon receipt of written notice to terminate, Licensee will commence
removal of its facilities and equipment,but will have up to twelve (12)months to complete such removal.
2
16A23
15. The use granted herein as shown on Exhibit "A" shall be under construction by Licensee
within one(1)year of the effective date of this Agreement and the construction shall be diligently pursued to
completion. Licensee shall give Company ten (10) days prior written notice of its commencement of
construction. "Under construction" is the continuous physical activity of placing the foundation or
continuation of construction above the foundation of any structure or improvement permitted hereunder.
Under construction does not include application for or obtaining a building permit, a site plan approval or
zoning approval from the appropriate local government agency having jurisdiction over the activity,
purchasing construction materials,placing such construction materials on the site,clearing or grading the site
(if permitted) in anticipation of construction, site surveying, landscaping work or reactivating construction
after substantially all construction activity has remained stopped for a period of four (4) months or more.
Licensee acknowledges that failure to have the use under construction within the one(3)year time period will
result in immediate termination of this Agreement in accordance with Paragraph 14 herein for failing to
comply with the provisions contained herein unless Licensor grants a written extension for a mutually agreed
upon time. Any request for an extension of time shall be submitted in writing by Licensee no later than thirty
(30)days prior to the expiration of the one(3)year period for the project to be under construction.
16. The term "Licensee" shall be construed as embracing such number and gender as the
character of the party or parties require(s)and the obligations contained herein shall be absolute and primary
and shall be complete and binding as to each,including its successors and assigns,upon this Agreement being
executed by Licensee and subject to no conditions precedent or otherwise.
17. Should any provision of this Agreement be determined by a court of competent jurisdiction
to be illegal or in conflict with any applicable law, the validity of the remaining provisions shall not be
impaired. In the event of any litigation arising out of enforcement of this Consent Agreement,the prevailing
party in such litigation shall be entitled to recovery of all costs,including reasonable attorneys'fees.
•
18. Licensee may assign its rights and obligations under this Agreement to a solvent party upon
prior written consent of the company,which consent shall not be unreasonably withheld.
19. Licensee agrees that any review or approval by Company of the plans and/or specifications
submitted by Licensee attached hereto as Exhibit "A", the approval of the identity of any contractors,
subcontractors and material men, or the delivery by Company of any construction specifications to Licensee,
is solely for the purpose of processing this Consent,and without any representation or warranty whatsoever to
Licensee with respect to the adequacy,correctness or efficiency thereof or otherwise and it is understood that
such Company's approval does not absolve Licensee of any liability hereunder. Further, Licensee, in
connection with the construction, maintenance and/or removal of improvements depicted on Exhibit"A"to
the Agreement, agrees to observe and fully comply with all construction, operation and maintenance
standards, as well as all applicable laws, rules and regulations of the United States,the State of Florida, and
all agencies and political subdivisions thereof, including without limitation,the National Electric Safety Code
and the Occupational Safety & Health Administration regulations, standards, rules, registers, directives or
interpretations.
20. Florida law may"apply-and not be contested. West Palm Beach shall be venue.
SIGNATURES APPEAR ON THE FOLLOWING PAGE
3 0
16A23
The parties have executed this Right-of-Way Consent Agreement this \\'tom day of
cx' c, ,\cac..v- ,2018.
Dated:
Witnesses for Company: Company:
FLORIDA POWER& LIGHT COMPANY,
A Florida corporation
By: l
Name: - //
Its: Corporate Real Estate Manager
Print Name: Mark L. Byers
'i
r
Name: fAiwz 7-it 1', 7#,vi+1
Dated: SztA;.L, fit Jtitr
ATTEST: Licensee:
CRYSTAL K. KINZEL,Clerk BOARD OF COUNTY COMMISSIONERS
COLLIER Co , FLORIDA
By (LILA) ?
Attest as t a uty Clerk
signature only. By: , PV"
DY SOLIS, CHAIRMAN
Approved as to form and legality:
Assistant County Attorney
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EXHIBIT "A"
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16A23
EXHIBIT "B"
FPL. NOTIFICATION OF FPL FACILITIES
Customer/Agency Date of Meeting/Contact:
Developer/Contractor Name Project Number/Name:
Location of Project City:
FPL Representative Phone:
Developer/Contractor Representative FPL Work Request#1Work Order#:
FPL calls your attention to the fact that there may be energized,high voltage electric lines,both overhead and underground,located in the area of this project. It is
imperative that you visually survey the area and that you also take the necessary steps to identify all overhead and underground facilities prior to commencing
construction to determine whether the construction of any proposed improvements will bring any person, tool, machinery, equipment or object closer to FPL's
power lines than the OSHA-prescribed limits. If it will,you must either re-design your project to allow it to be built safely given the pre-existing power line location,
or make arrangements with FPL to either deenergize and ground our facilities,or relocate them,possibly at your expense.You must do this before allowing any
construction near the power lines. It is impossible for FPL to know or predict whether or not the contractors or subcontractors,and their employees,will operate
or use cranes, digging apparatus or other mobile equipment, or handle materials or tools, in dangerous proximity to such power lines during the course of
construction,and,if so,when and where. Therefore,if it becomes necessary for any contractor or subcontractor,or their employees,to operate or handle cranes,
digging apparatus, draglines, mobile equipment, or any other equipment, tools or materials in such a manner that they might come closer to underground or
overhead power lines than is permitted by local, state or federal regulations, you and any such contractor or subcontractor must notify FPL in writing of such
planned operation prior to the commencement thereof and make all necessary arrangements with FPL in order to carry out the work in a safe manner. Any work
in the vicinity of the electric lines should be suspended until these arrangements are finalized and implemented.
The National Electrical Safety Code("NESC")prescribes minimum clearances that must be maintained. If you build your structure so that those clearances cannot
be maintained,you may be required to compensate FPL for the relocation of our facilities to comply with those clearances. As such,you should contact FPL prior
to commencing construction near pre-existing underground or overhead power lines to make sure that your proposed improvement does not impinge upon the
NESC clearances.
It is your responsibility and the responsibility of your contractors and subcontractors on this project to diligently fulfill the following obligations:
1. Make absolutely certain that all persons responsible for operating or handling cranes,digging apparatus,draglines,mobile equipment or any equipment,
tool,or material capable of contacting a power line,are in compliance with all applicable state and federal regulations,including but not limited to U.S.
Department of Labor OSHA Regulations,while performing their work.
2. Make sure that all cranes,digging apparatus,draglines,mobile equipment,and all other equipment or materials capable of contacting a
power line have attached to them any warning signs required by U.S.Department of Labor OSHA Regulations.
3. Post and maintain proper warning signs and advise all employees,new and old alike,of their obligation to keep themselves,their tools,
materials and equipment away from power lines per the following OSHA minimum approach distances(refer to OSHA regulations for restrictions):
*Power Line Voltages **Personnel and Equipment Cranes and Derricks Travel under or near Power Lines(on construction sites,no load)
(29 CFR 1910.333 and 1926.600) (29 CFR 1926.1407,1408) (29 CFR 1926.600—Equipment) (1926.1411—Cranes and Derricks)
0-750 volts 10 Feet 10 Feet 4 Feet 4 Feet
751-50,000 volts 10 Feet 10 Feet 4 Feet 6 Feet
69,000 volts 11 Feet 15 Feet 10 Feet 10 Feet
115,000 volts 13 Feet 15 Feet 10 Feet 10 Feet
138,000 volts 13 Feet 15 Feet 10 Feet 10 Feet
230,000 volts 16 Feet 20 Feet 10 Feet 10 Feet
500,000 volts 25 Feet 25 Feet 16 Feet 16 Feet
*When uncertain of the voltage,maintain a distance of 20 feet for voltages up to 350,000 volts and 50 feet for voltages greater than 350,000 volts.
**For personnel approaching insulated secondary conductors less than 750 volts,avoid contact(Maintain 10 Feet to bare energized conductors less than 750 volts).For
qualified personnel and insulated aerial lift equipment meeting requirements of 29 CFR 1910.333,distances may be reduced to those shown in 29 CFR 1910.333 Table S-5.
4. All excavators are required to contact the Sunshine State One Call of Florida, phone number 1-800-432-4770 or 811 a minimum of two working days
(excluding weekends)in advance of commencement of excavation to ensure facilities are located accurately.
5. Conduct all locations and excavations in accordance with the Florida Statute 556 of the Underground Facilities Damage Prevention&Safety Act and all
local city and county ordinances that may apply.
6. When an excavation is to take place within a tolerance zone,an excavator shall use increased caution to protect underground facilities.
The protection requires hand digging,pot holing,soft digging,vacuum methods,or similar procedures to identify underground facilities.
A copy of this notification must be provided by you to each contractor and subcontractor on this project,to be shared with their supervision and employees prior to
commencing work on this project.
Means by which this notification was provided to customer and/or contractor Address
FPL Representative Signature Date
Customer/Developer/Contractor Representative Signature Date
Form 360(Rev.1/9/12)