PW-17-1311 .3: f'8t77tft IVC) l '�V ' 7 '1311
t,3 , ,. �.
Miami Shores Village � �a �S
r
10050 N.E.2nd Avenue NW
Miami Shores,FL 33138-0000
=ea Phone: (305)795-2204 � .,`' p "_Ea
�t0RIDt`
5123120Expiration: 2112017
. � . , ,
Project Address Parcel Number Applicant
10804 NW 2 Avenue 1121360020140
Miami Shores, FL 33168- Block: Lot: ANGELA M HENAO
Owner Information Address Phone Cell
[,ANGELA M HENAO 10804 NW 2 Avenue (305)793-2495
MIAMI SHORES FL 33168-
10804 NW 2 Avenue
MIAMI SHORES FL 33168-
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
MIAMI DADE WATER&SEWER DEPT (786)256-5200 Total Sq Feet: 0 '
Scanning:3 Available Inspections:
Inspection Type:
Excavation
Review Public Works
Final Public Works
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# PW-5-17-64002
DBPR Fee $2.00 05/23/2017 Check*1714 $ 116.20 $0.00
DCA Fee $2.00
Education Surcharge $0.40
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $116.20
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore thorize the above-named contractor to do the work stated.
May 23, 2017
Authoriz gn Applicant / Contractor / Agent Date
Building Department Copy
May 23,2017 1
�� 6 �a � a s'/3y
RECEIVED
Miami Shores Village MAY 11 1017
Public Works Department
(305)795-2210
Public works forms are available from the building department,10050 NE 2nd Ave.,Miami Shores,FL 33138
PUBLIC WORKS PERM ITAPPLICATION
Permit Type:Work in the Right-of-Way on Miami Shores Village or Miami-Dade Property yy
Permit#:
Name of Applicant(if utility see below):
Owner off the following described property:
Legal Description:Lot Block Subdivision
Folio#;
Address: of&
Q
UTILITY NAME: r >f aj f_/
Qualifier/Authorized Agent ,4 g5 L_X4&9=t'g vl C-
Address:
City: State: ZIP:
Telephone: $' mail: ' ®t . �d
State Certification or Registration Certificate of Competency#
CONTRACTOR NAME:
Qualifier/Authorized Agent: s 9 .6
Address: D
City: ` State: ZIP:
Telephone'.1jf - — Email: A VA a 1114
State Certification or Registratio #: Certificate of Competency#:
Requests permission to install(describe work,attach se arate page if necessary)in the adjoining right of
way: /Z/�� �A 1 NX 1,0 ; S F_A(/J, &A)
Type of Work: ❑ Paving Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER:Architect/Engineer:
Address:
City: tat ZIP:
Telephone: ail:
Registration#:
Value of Work for this Permit: $ J00. 66Square/Lineal Footage of Work:
***** Fees*****
Permit Fee$ 100.00
Notary$ Training/Education$0.20 Technology Fee$0.80 Scanning$
Bond$ (if required) Total Fee Now Due$ 1 I
Bonding Company's Name(if applicable):
Bonding Company's Address:
City: State: ZIP:
Application is hereby made to obtain a public works permit to do the work in the right of way and
installations as indicated. I certify that no work or installation has commenced prior to the issuance of a
permit and that all work will be performed to meet the standards of all laws,regulation construction in
this jurisdiction. I understand that separate permits must be secured for
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be
done in compliance with applicable laws regulating construction and specifically construction in the
right-of-way.
"WARNING TO APPLICANT:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO THE RIGHT-OF-WAY. IF YOU INTEND TO OBTAIN
FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant:As a condition to the issuance of a public works permit with an estimated value
exceeding$2,500,the applicant must promise in good faith that a copy of the notice of commencement
and construction lien law brochure will be delivered to the person whose property is subject to the
attachment.Also,a certified copy of the recorded notice of commencement must be posted at the job
site for the first inspection which occurs seven (7)days after the public works permit is issued. In the
absence of such posted notice,the inspection will not be approved and a reinspection will be charged.
Signat Signature
Applicant or Authorized ent Company/Utility Agent
The fore g ' g instrume as acknowledged efore Tire foreg i instrumen acknowledge be ore
me this day of 2�1 ,by me this day of 20��by
ho ho
is ersonall ewn to me or who has produced me or who has produced
as as
identification. identification.
NOTARY rI3 NOTARY PU LI i
410 Sign: Sign'
P nt:, Print: """"� Y.`RUBALCASA
WIf � • RYP II
•� ••. 9r°• 0lary 0 C- e 0
�•. Notary Public-State o1 Florida SEAL: _
• :• AAy Comm. xpkes Fe0 24,21 FINU
018 �: :.'My Comm.Expires Feb 24,2018
o' Commission N FF 95324 - Commission A�FF 95324
.'�o oma• 01"
B�d@d Thr01�1 N�i01�1 Notary Assn.
Bonded Through National Notary Assn
APPROVED BY: <(t-L 12 Public Works Director,or Designee
2017-04-15
Water and Sewer
M' MDE PO Box 330316.3575 S. Lejeune Road
Miami, Florida 33233-0316
T 786-268-5360 F 305-669-4059
miamidade.gov
May 10, 2017
Miami Shores Village
Building Department
C/o Mr. Ismael Naranjo
Building Official Director
10050 NE 2 Ave
Miami Shores, F133138
Re: Water Service Installation and Retirement for:
10804 NW 2 AVE
SIR-0000001301
Dear Mr. Naranjo:
Transmitted herewith for your approval and permit are one (1) copies of the water service
installation and retirement for the above referenced project. Upon approval and issuance of
the permit, it is requested that you return to us one copy of the approved sketch and the
original permit.
If your approval and issuance of the permit has special restoration requirements, we will need
to notify the customer of the additional charges involved with the installation. Please inform
us if there will be special restoration requirements for this permit request.
Should you have any questions regarding this matter,please advice.
Sincerely,
--------------------
Isabel Rodriguez
New Business Representative
(786) 268-5134
AYAkmiamidade.gov
Property Search Application-Miami-Dade County Page 1 of 1
.m
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Generated On:3/3/2017
Property Information -_
Folio: 11-2136-002-0140
7_
Property Address: 10804 NW 2 AVE f{
Miami Shores,FL 33168-4302
Owner ANGELA M HENAO
10804 NW 2 AVE
MailingAddress
MIAMI SHORES,FL 33168 USA °• '��' :
Primary Zone 0800 SGL FAMILY-1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL-SINGLE
_
FAMILY: 1 UNIT
Beds/Baths/Half 3/2/0
Floors 1
Living Units 1
t Gi
Actual Area 1,677 Sq.Ft t. P
Living Area 1,677 Sq.Ft
Adjusted Area 1,496 Sq.Ft
Taxable Value Information
Lot Size 12,123.75 Sq.Ft
2016 2015 2014
Year Built 1944
County
Assessment Information Exemption Value $0 $50,000 $50,000
Year 2016 2015 2014 Taxable Value $237,651 $52,140 $51,330
Land Value $218,228 $218,228 $129,967 School Board
Building Value $18,625 $104,122 $101,429 Exemption Value $0 $25,000 $25,000
XF Value $798 $635 $643 Taxable Value $237,651 $77,140 $76,330
Market Value $237,651 $322,985 $232,039 City
Assessed Value $237,651 $102,140 $101,330 Exemption Value $0 $50,000 $50,000
Taxable Value $237,6511 $52,140 $51,330
Benefits Information Regional
Benefit Type 2016 2015 2014 Exemption Value $0 $50,000 $50,000
Save Our Homes Assessment Taxable Value $237,651 $52,140 $51,330
Cap Reduction $220,845 $130,709
Homestead Exemption $25,000 $25,000 Sales Information
Second Homestead Exemption $25,0001 $25,000 Previous Sale Price OR Book-Page Qualification Description
Note:Not all benefits are applicable to all Taxable Values(i.e.County, 11/25/2015 1 $220,000 298834582 Qual by exam of deed
School Board,City,Regional).
Short Legal Description
36 52 41
SHORELAND HGTS PB 43-85
LOT 13&N25FT OF TH PORT
NW 108TH ST LYG BETW
LOTS 12&13
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser
and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http:/twww.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/ 3/3/2017
VILLAGE OF MIAMI SHORES A
MIA MI-DADE COUNTY I V
SEC. 36 - 52 - 41
SCALE: N.T.S.
35' 35'
T 4"CI
MAIN I EXISTING 12"DIP
FORCE MAIN
20 ; .;.'.•• 16' NEW 1" SINGLE SERVICE
' SET BOX AND SPACER
' `�•• LOCATE AS MARKED OR
::::,•I;• ''I.':' W STAKED AT NORTH
a .. 0.0.0.0. ...
10804 PROPERTY LINE
����� :. z
' w
LOTS 12& 13 :.�� ••••
:•.:.•.�:..•. •:•.•m Q 0000 0000
•• :I�Q RETIRE eY6 9'TIrIG SEVVIp. •
N AT SAME LOGAT40N (SCU TH:BOX). ..:•
.�Lu
• • 000000
j :; :,:: a •..• • •.•.•
j •• r Z ••:..: :000:0 00:000
10 t ' 00 •0 . 00.000
. + . . .
"C • . . ••0000
0000..
NW 108 STR�E.'f : ...
RECEIVE®
u
P" PT
�• MAY 7917
ECT TO COMP N V1/I ALL -7 RAL
FFGULATI0N,IS
9w IWA
GENERAL NOTES NEW WATER SERVICE AND
1. LANE CLOSURES PER F.D.O.T. DESIGN STD. INDEX#602-660 EXISTING SERVICE
2. PAVEMENT RESTORATION PER M.D.C.P.W.M.R-21.1.
3.SIDEWALK RESTORATION PER M.D.C.P.W.M.R-13.1. RETIREMENT AT
4. MAINTAIN MIN.30"COVER ON ALL SERVICE LINES. 0804 NW 2 AVENUE
5. DO NOT SET METER(S)AT THIS TIME.
6.48 HOURS BEFORE DIGGING CALL SUNSHINE STATE ONE
CALL AT 1-800-432-4770 TICKET#. 128701603
❑ FL.CITY GAS M.D.PUBLIC WORKS COMCAST
PEOPLES GAS A.T.T. ❑ ATLANTIC COMM. SIR- 0000001- 301
F.P.L. ❑ M.D.ENT.COMM. ❑ CLEAR 147
DRAWN: VL DATE: 05/08/2017 CK I.R.
MIAMI - WATER AND SEWER DEPARTMENT
Miami-Dade County -Application Title
Drainage Information
23. Do the proposed construction plans alter or modify not applicable d
existing drainage system? ..............................................
24. Does the proposed installation interfere with existing drainage not applicable d
facilities?
Miami Dade County Water and Sewer Department's customer division proposes to perform the fallowing
work within your right-of-way
Total length of underground installation or
repair
Quantity
Water service connection: F__15__ LF
Sewer service connection: LF
Construction or Replacement of Resurfacing
Quantity In Quantity
0 O
Sidewalk 5 LF Public Right Of Way SQF
Curb &Gutter LF On private SQF
Valley Gutter LF property •
. . 6666 6666..
Save Proceed •
.. . s .09 .
6666.. .. . Oso6O.
6666..
......
6666
. 6969..
6666 . 6666.
00.08. . . .o...
6666..
.. .. . .000.0
6666.. •
. . . . 000000
.Osseo
. 6666..
• • ••• ••• • • •••
•• •• • •• •• •
• • • • • • • • • •
• • • • • • • •
0�
• ••• • • • •••
• • • •• •• •• •
• • • • • • • ROAD
• • • • • • • • WORK
AHEAD
ROAD WORK
o
V40. a a to
•• • • • • • 006 ••
U' Dtt7'{,, — �
LY ==:> ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ fl,
■ • ■ ■ ■ C in lY
8 Taper Length=VJL Work Area
See Table if END v —
Table 11
ROAD ROAD WORK Taper Length - Shoulder
WORK
Device Spacing-Taper Device Sacing-Tangent SOD --------
AHEAD See Table I See Table I Q
r
EDING FINES Speed Yxl(ft)
UOBBLED d Orion) 8' 10' 1Z Notes
EN WDRRERS
PRESENT Shldr. Shltlr. Shldr.
25 K28 35 42
Table 1 30 50 60 WS'
Device S acln � 35 6882 60
Max.Distance Between Devices(ft.) 40 90 107
Speed Cones or Type I or Type N 45 150 180
DISTANCE BETWEEN SIGNS (mph) Tubular Markers BarPaneissorr Vertical
rums i0 167 200
Spacing(ft.) Taper Tangent Taper Tangent 55 183 220
Speed A B 25 25 50 25 50 50 160 200 240 L=WS
40 mph or less 200 200 30 to 45 25 50 30 50 65 173 117 260
45 mph 350 350
50 mph or greater 50 to 70 25 50 50 100 70 187 133 280
500 500
Midway between signs.
8' minimum shoulder width
VrL= Length of shoulder taper in feet
SYMBOLS GENERAL NOTES DURATION NOTES W- Width or total shoulder in feet
(combined paved and unpaved width)
® Work Area 1.When tour or more work vehicles enter the through traffic lanes in a one hour I.Signs and channelizittg devices may be omitted if all of the
period or less lexcluding establishing and terminating the work area),the advanced following conditions are met: S= Posted speed limit(mph)
■ Channelizing Device(See Index No.600) FLAGGER sign shall be substituted for the WORKERS sign.For location of flaggers a.Work operations are 60 minutes or less.
and FLAGGER signs,see Index No.603. b.Vehicles in the work area have high-intensity,rotating,
flashing,oscillating,or strobe lights operating.
�1 Work Zone Sign 2,SHOULDER WORK sign may be used as an alternate f0 the WORKER symbol sign only
on the side where the shoulder work is being performed.
Lane Identification+Direction of Traffic
3.When a side road intersects the highway within the TTC zone,additional TTC
devices shall be placed in accordance with other applicable TCZ Indexes.
CONDITIONS
4.For general TCZ requirements and additional information,refer to Index No.600. WHERE ANY VEHICLE,EOUlPMENT,
WORKERS OR THEIR ACTIVITIES
ENCROACH THE AREA CLOSER
THAN 15'BUT NOT CLOSER THAN
2'TO THE EDGE OF TRAVEL WAY.
R
LAST DESCRIPTION: INDEX SHEET
REVISION FDcrr FY 2017-18 TWO-LANE TWO-WAY' WORK ON SHOULDER
07/01115 DESIGN STANDARDS 602 1 Of 1
. ... . • . ...
.. .. . . . .. .. .
. . . .
%:
. . . .
• •
• • • •
SYMBOLS GENERAL NOTES
• 1.f��t..pedestrian traffic around work areas when construction 7. Provide a 5'wide temporary walkway,except where space restrictions warrant
® Work Area • • *%tes encrWVh on sidewalkig.0"PAia4 60 minutes a minimum width of 4'.Provide a 5'x 5'passing space for temporary walkways
■ Channefizing Device(See Index 600) • • •si♦g thagdevic•y and rWediefeshow4on this index.Use project less than 5'in width at intervals not to exceed 200'.
• • spec•ic designlfor scegarios not in:uded•n this Index.
work Zone Sign • • • • • • • • 8. Provide a cross-slope with a maximum value of 0.02 for all temporary
• *fi
f?
i
For Fospacing or c c&9gI devi4PAd
CR Required Locations For Either Temporary 2. gEneral TCZ walkways.
Or Permanent Curb Ramps. requirements refer to Index 600. The maximum spacing between
barricades,vertical panels,drums or tubular markers is 25. 9.Temporary walkway surfaces and ramps must be stable,firm,slip resistant,and
�f Lane Identification+Direction of Traffic kept free of any obstructions and hazards such as holes,debris,mud.
}Ise eliff+ators on to +lUdinai c*Aneliz!•g devices separating construction equipment and stored materials.
Pedestrian Longitudinal Channelizing Device(LCD)with ••the;%Merea frCh vtillar l:aJfic. •
Mounted Work Zone Sign or separate Work Zone Sign • 10.Remove temporary walkways immediateiv atter reopening of the sidewalk,unless
H Pedestrian Longitudinal Channelizing Device(TCD) 4.LI or4iea4tiva:fi de*Wlai:raffic sign: otherwise noted in the plans
••dispAy(A con6•lling Wast&ct•sewhiv•
11.Meet the requirements of Index 304 for temporary curb ramps.
5.Post mounted signs located near or adjacent to a sidewalk must
have a 7'minimum clearance from the bottom of sign to the 12.Place pedestrian longitudinal Channelizing device(s)across the full width of the
surface of the sidewalk. closed sidewalk.For temporary walkways,similar to the Sidewalk Diversion,
II �l place LCD's to delineate both sides of the temporary walkway.
tj(u 6.When construction activities involve sidewalks on both sides of
the street,stage the construction so that one sidewalk is in
service at all times.If this is not feasible and both sidewalks
must be closed,as determined by the Engineer,provide a detour
to guide pedestrians around the construction zone.
CDCR
T 1 4 LR 0
5$O, (A M
DerauR waHv
aasoTD>rrvNaDis tg
,� anoi3o
DErouR a >vAwmrA
� 1 I 03SO10 � tip ROAD I 03SD�0
woRK NltlM3aIS
� wo
m 2V o
tp 41 I SIDEWALK
c� a CLOSED ^ `
PEDESTRIAN
c�a- b CR N • c. CR WALKWAY
DETOUR
Q� S MN
LItIO~13l]
SIDEWALK CLOSED qJ
2i(113
itIl013a D
IDE yr USE OTHER S
�ittl tOl I .pCt 4 C
ROAROAD
WORK WORK
AHEAD
AHEAD
CROSSWALK CLOSURE AND SIDEWALK DETOUR SIDEWALK DIVERSION
R PESESTRIAN DETOUR
BLASTZ DESCRIPTION: INDEX SHEET
REVISION F® FY 2017-18 PEDESTRIAN CONTROL FOR CLOSURE OF SIDEWALKS N0. No.
11/01/16 t V DESIGN STANDARDS 660 1 Of 1
Miami-Dade County -Application Title
Type of Installation VNew Installation Q Repair/Maintenande Q Both
Method of Installation:
Q Bore VExcavation Q Both
Location of Installation:
Within Right Of Way Q Public Utility Easement Q Both
Will work commence
within 15 days of permit Q Yes VNO
issuance?
Estimated Start Date: 30 DAYS
Canals maintained by Miami Dade County will require DERM approval.
VNOTIs
maintained by Miami Dade County will require a permit from South Florida Water Management District.
Acknowledged
Pedestrian Information
1. Does excavation fall within the swale and/or (R(Yes Q No
sidewalk area?
2. Give dimensions from edge of pavement to ® FT
Work Zone in swale area.
3.Will work damage existing sidewalk, curbs (/Yes Q No
and/or gutters?
•e••
4.Will work obstruct pedestrian access to Yes Q No • • ••• • •.••••
sidewalk? • •
5.Will work obstruct pedestrian crosswalk or
•• • • ••• •
ramp? QYes NO ..••.. '••' : ...•:•
6.Will work obstruct bike path? ••'••• • • •
Q Yes NO . •
Pedestrians,including persons with disabilities will be provided with a reasonably safe,convenlbgt ppC acce40818p9th •,:*so
that eplicatss as much as practical the desirable characteristics of the existing pedestrian facil1#04... . so***
• • ••••••
Acknowledged " " ••••••
Roadway Information (Are removing asphalt on a paved roadway)
**sees
7. Does the excavation fall on the asphalt of a • • :""' . .
paved roadway? Q Yes No .so 0 see
. .
8. Does excavation fall within a Signalized Q Yes (S/No ••:
Intersection?
9. Does excavation fall within a Mid-Block Q Yes t�No
Signal?
10. Does excavation damage any traffic loops? Q Yes (ytNo
11. Have the roads,which are impacted by the
proposed work recently been paved or Q Yes (9(No
resurfaced?
Traffic Control Plan
12.Will work require a lane(s)closure for
Vehicular Traffic? Q Yes No
13. Give dimensions from edge of pavement to ® FT
trench of pole:
14. Provide number of lanes and direction that North: South: East:= West:
will be affected.
15. Please provide an estimate of construction N/A DAYS
time for which traffic flow will be affected
16. Functional classification of Roadway
affected by work. ❑Arterial ❑Collector Local
17. Does workzone fall within Section Line or Q Yes VNO
Section line roadway?
18. Posted Speed Limit within work zone. 71 MPH
At-grade Appurtenance(If you are placing a cabinet, or some other type of equipment on the ground. Do not use
3/4/2014