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PW-17-2163Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address 518 NE 94 Street Miami Shores, FL Permit Permit NO. PW -8-17-2163 Permit Type: Public Works Work Classification: Public Works Permit Status: APPROVED Issue Date: 8/2912017 Expiration: 11/27/2017 Parcel Number 1132060140960 Block: Lot: Applicant JUAN AND BERTA GUERRA Owner Information Address Phone Cell JUAN AND BERTA GUERRA 1045 10 ST #907 MIAMI BEACH FL 33139-5362 (305)757-3111 Contractor(s) Phone Cell Phone TECO PEOPLES GAS SYSTEM (305)957-3857 (305)970-1783 Valuation: Total Sq Feet: $ 1,000.00 0 Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $o.00 $0.00 $0.00 $0.20 $100.00 $3.00 $0.80 $104.00 Pay Date Invoice # 08/29/2017 08/28/2017 08/28/2017 Pay Type PW -8-17-64999 Credit Card Check #: 1592 Check #: 1592 Amt Paid Amt Due $ 4.00 $ 100.00 $ 50.00 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Excavation Review Public Works Final Public Works 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 inform. construction and zoning. Futhermore, I authorize the above- - Authorized Signature: Owner / Applicant Building Department Copy e is accurto and that all work will be done in compliance with all applicable laws regulating or to do the work stated. / Agent August 29, 2017 Date August 29, 2017 1 BUILDING PERMIT APPLICATION 'Mlarnl Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 Master Permit BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑PLUMBING ❑ MECHANICAL •PUBLIC WORKS ❑ CHANGE OF CONTRACTOR s7" . JOB ADDRESS: City: RECEIVED AUG 2 8 2U1g& 5411 FBC2014 r 2 No. P'311—' 2I (03 tav-12-/4-3g2G Sub Permit No. ❑ EXTENSION El RENEWAL CANCELLATION ❑ SHOP DRAWINGS Miami Shores County: Miami Dade Folio/Parcel#: Zip: Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: OWNER: Name (Fee Simple Titleholder): RIGHT OF WAY Phone#: FFE: Address: City: State: Zip: Phone#: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: TECO PEOPLES GAS Address: 5101 NW 21 AVE. STE. 460 Phone#: 954-453-0806 City: FT. LAUDERDALE Qualifier Name: JESUS VELA State: FL State Certification or Registration #: E1608 DESIGNER: Architect/Engineer: Address: City: Zip: 33309 Phone#: 954-453-0806 Certificate of Competency #: Phone#: State: Zip: Value of Work for this Permit: $ 1000 Type of Work: ❑ Addition n Alteration Square/Linear Footage of Work: ❑ New ❑ Repair/Replace Description of Work: PERMIT RE -NEW FOR A GAS SERVICE LINE ❑ Demolition Specify color of color thru tile: Submittal Fee $ ✓DLJ° Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ . f Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work 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 regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 building permit with an estimated value exceeding $2500, 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 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 building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this by '2.-3 day of J _ , 20 )7 , by , who is personally known to a%c__ day of 20 me or who has produced as me or o has produced identification and who did take an oath. Iden tion and who did take an oath. NOTARY PUBLIC: NO PUBL is personally known o as Sign: Print: Seal: Print: Seal: HUBERT NUNEZ MY COMMISSION # GG 104234 :51;;.'.° Bonded Thru Notary Public (ndorwritors APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) https _:.miamishoresvillage.com File Edit View Favorites Tools Help P - d C- Miami Shores Village Citize... Monday, Aug 21, 2017 03:57 PM Home About Cidaen Access Search My Permit Submit Request Search Property Permit Information Permit#: PW -12-16-3426 Status: Expired Permit it: PW -12-16-3426 Type: Parcel 0: 1132060140960 Owner: Status: EXPIRED Protect Name: Pubk Works JUAN AND BERTA GUERRA Issued: 12/22/2016 Exp Date: 122'2017 Applkant: JUAN AND BERTA GUERRA Company: Phone: (305)757-3111 Contractor Name: JESUS VEGA Company: Phone: (305)957-3857 Address 518 94 Street Miami Shores FL Sub Permit Check, Inspections List TECO PEOPLES GAS SYSTEM nspection Scheduled Requested ype 4at11 Time Date Time Edit �wwn•-e• Lt Welcome, Andre Finch Leg Out Change my Dasswt General Information View-.._......_-----.__-.v... Arlenis Silvera From: Arlenis Silvera Sent: Monday, May 01, 2017 1:05 PM To: 'alfinch@tecoenergy.com' Subject: PW -12-16-3426 Attachments: Permit.pdf Good Day, Please be advise that Permit#: PW -12-16-3426 does not have a final inspection. Please advise when you are ready for inspections. Best Regards, Arlenis Silvera Permit Clerk Supervisor Miami Shores Village 10050 NE 2 AVE Miami Shores, FI 33138 305-795-2204 www.miamishoresvillage.com i CTQBguard Construction Trades Qualifying BUSINESS CERTIFICATE OF COMPETENCY E1608 PEOPLES GAS SYSTEM INC D.B.A.: vsJn, VEGA JESUS o,�sions of Chapter 10 of Miami -Dade County Is certified under the pr ACGR�. v CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MCGRIFF, SEIBELS & WILLIAMS, INC. P.O. Box 10265 Birmingham, AL 35202 CONTACT NAME: PHONEFAX (A/C, No, Ext): 800 476-2211 (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Zurich American Insurance Company 16535 INSURED Peoples Gas System TECO Energy, Inc. 702 North Franklin Street Tampa, FL 33602 INSURER B :Associated Electric & Gas Ins. Svcs. XL5129405P Self -Insured Retention $1,000,000 INSURER C :LM Insurance Corporation 33600 INSURER D : $ 1,000,000 INSURER E : X INSURER F : COVERAGES CERTIFICATE NUMBER:KUPY3T4E REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POUCY EFF (MM/DDIYYYY) POLICY EXP (MM/DD/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY XL5129405P Self -Insured Retention $1,000,000 07/01/2015 07/01/2016 EACH OCCURRENCE $ 1,000,000 X CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GE 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOSAUTOS HIRED AUTOS — — SCHEDULED NON -OWNED AUTOS XL5129405P Self -Insured Retention $250,000 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ 6 X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE XL5129405P 07/01/2015 07/01/2016 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED RETENTION $ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A Excess Workers' Compensation: EWS9318597-04 (Statutory Limit is excess Of $35,000,000 insured by LM Insurance Corporation) Employer's Liability: XL5129405P 07/01/2015 07/01/2016 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Excess Workers' Compensation EW5-64N-004918-125 07/01/2015 07/01/2016 Each Accident or Each Employee for Disease $ $ 35,000,000 $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Excess Liability policy provides insurance in excess of Peoples Gas System's Self -Insured Retention as stated above. Jesus Vega is the qualifier for TECO Peoples Gas. CERTIFICATE HOLDER CANCELLATION City of Miami Shores Miami10050 h 2nd FLALe Shores, 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I��%�'"Miami kA. ACORD 25 (2014/01) Page 1 of 1 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SYMBOLS:, FWork Area 1 — ■ Channelizing Device (See-Jlnde1-wo1 xrr80,0)' t 1 I Work Zone Sign �5 [r' Flagger it cr tii�i_ CE WI 11-1 ALL E geri Assistance' DeJite'('� s ' IAT BY DATE e IONS Lane Identification+-Direi•tioq'pt,rr�ilfm�JN 1'f r�Vl-�5 AND REGULATIONS L' Buffer Space See Table 1 • GENERAL NOTES: 1. Special Conditions may be required in accordance with these notes and the following sheets. 2. If the Work Area encroaches on the Centerline, use the Layout for Temporary Lane Shift to Shoulder on Sheet 2 only if the Existing Paved Shoulder width is sufficient to provide for an 11' lane between the Work Area and the Edge of Existing Paved Shoulder. Reduce the posted speed when appropriate. 3. Temporary Raised Rumble Strips: a. Use when both of the following conditions are met concurrently: i. Existing Posted Speed is 50 mph or greater; ii. Work duration is greater than 60 minutes. b. Use a consistent Strip color throughout the work zone. c. Place each Rumble Strip Set transversely across the lane at locations shown. O. Use Option 1 or Option 2 as shown on Sheet 2. Use only one option throughout work zone. 4. Additional one-way control may be provided by the following means, a. Flag -carrying vehicle; b. Official vehicle: c. Pilot vehicles: d. Traffic signals. When flaggers are the sole means of one-way control, the flaggers must be in sight of each other or in direct communication at all times. 5. When a side road intersects the highway within the TTC zone, place additional TTC devices in accordance with other applicable TCZ Indexes. 6. The two channelizing devices directly in front of the work area may be omitted provided vehicles in the work area have high-intensity rotating, flashing, oscillating. or strobe lights operating. Taper Length 50' to 100' Taper Length 50' to 100' GENERAL LAYOUT Device Spacing See Table 1 7. When Buffer Space cannot be attained due to geometric constraints, use the greatest attainable length, not less than 200 ft. 8. Railroad Crossings: a. If an active railroad crossing is located closer to the Work Area than the queue length plus 300 feet, extend the Buffer Space as Shown on Sheet 2. b. If the queuing of vehicles across an active railroad crossing cannot be avoided, provide a uniformed traffic control officer or f/agger at the highway -rail grade crossing to prevent vehicles from stopping within the highway -rail grade crossing, even if automatic train warning devices are in place. 9. ROAD WORK AHEAD and the BE PREPARED TO STOP signs may be omitted if all of the following conditions are met: a. Work operations are 60 minutes or less. b. Speed limit is 45 mph or less. c. There are no sight obstructions to vehicles approaching the work area for a distance equal to the Buffer Space shown in Table 1. d. Vehicles in the work area have high-intensity, rotating, flashing, oscillating, or strobe lights operating. e. Volume and complexity of the roadway has been considered. f. If a railroad crossing is present, vehicles will not queue across rail tracks. 9. AFAD5 are not in use. 10. See Index 600 for general TCZ requirements and additional information. 71. Automated Flagger Assistance Devices (AFADs) may be used in accordance with the Notes on Sheet 3. * May be omitted if ROAD WORK AHEAD sign is installed upstream within the project limits. TABLE 1 Posted Speed DEVICE SPACING Distance Between Signs Buffer Space Maximum Spacing of Cones or Tubular Markers Maximum Spacing Of Type I or Type II Barricades/Panels/Drums Ona Taper Ona Tangent Ona Taper Ona Tangent A BCD 25 20' 50' 20' 50' 200' 200' 200' 100' 155 30 20' 50' 20' 50' 200' 200' 200' 100' 200' 35 20' 50 20' 50' 200' 200' 200 100' 250' 40 20 50' 20' 50' 200' 200' 200 100' 305' 45 20' 50' 20' 50' 350 350 350' 175' 360 50 20' 50' 20' 100' 500' 500' 500' 250 425' 55 20' 50' 20' 100' 2640' 1500' 1000' 500' 495' _ 60 20' 50' 20' 100' 2640' 1500 1000' 500' 570 65 20' 50' 20' 100' 2640' 1500' 1000' 500' 645' 70 20' 50' 20' 100' 2640' 1500 1000' 500' 730' CONDITIONS WHERE ANY VEHICLE, EOUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH THE AREA BETWEEN THE CENTERLINE AND A LINE 2' OUTSIDE THE EDGE OF TRAVEL WAY. LAST REVISION 07/01/15 2 z DESCRIPTION, 2016 DESIGN STANDARDS TWO-LANE, TWO-WAY, WORK WITHIN THE TRAVEL WAY INDEX NO. 603 SHEET NO. 1 of 3 LOCATION MAP (N.T.S.) FULL LANE SURFACE REPLACEMENT SURFACE SAW CUT ASPHALT (TYPICAL) watogtocoir Ar iamaixitalw DITCH WIDTH .: REPLACEMENT BASE (NEW MATERIAL) IL`gisr II 12 12• RESTORATION OF ROAD CUT FOR UTILITY CROSSING GENERAL NOTES 1. REPLACED BASE MATERIAL OVER DITCH SHALL BE TWICE THE THICKNESS OF THE BASE, MIN. 8" AND MAX. 18" 2. BASE MATERIAL SHALL BE PLACED IN 6" MAX. (LOOSE MEASUREMENT) LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98% OF MAX. DENSITY PER AASHTO T-180 3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED 4. SURFACE MATERIAL SHALL BE CONSISTENT WITH SURROUNDING SURFACE MATERIAL (1.5" MIN. THICKNESS) 5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE CONTENT OF 70% (60% FOR LOCAL STREETS) 6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES SOD RESTORATION DETAIL SCALE: NOT TO SCALE LEGEND CENTER LINE M MONUMENT LINE R/W RIGHT OF WAY P/L PROPERTY LINE E.O.P. EDGE OF PAVEMENT T.T. TAPPING TEE E.F.V. EXCESS FLOW VALVE SVC. SERVICE LINE PE. PLASTIC STM. SEW. STORM SEWER 8et 8 5' .. X. GRD. 3 Ce 4 I PROP. 4/4" PLASTIC 4 GAS SVC. TO BE DIRECTIONAL BORED _ 36" MIN. , ; I GAS GAS GAS I I - GAS -L OAS 0 XT.2" BSE. GAS MAIN 0 I i PROFILE CROSSING AN ALLEY. SCALE: (V) 1:5' (H) NTS. 81C 100.0' F.IP (NO p.) NE. 94th STREET (75.0' PUBLIC RIGHT OF 'NAY) 269.70' ASPAIAkT PAVEMENT - 4 1- er 11040• X (NO.FJP.) r z z .o U 0 CO O J X N 0 z z O 1- U W N W d' O cn 2 F Q 'O 0 v 0 m CO W N E S SCALE: 1"= 20' ALL EXISTING UTILITIES SHOWN ON THESE PLANS ARE TO BE CONSIDERED APPROXIMATE & SHOULD BE VERIFIED BY THE CONTRACTOR PRIOR TO THE START OF WORK OPERATIONS. PROP.3/4" PLASTIC GAS SVC. TO BE DIRECTIONAL BORED I( 2' 0.4', (NO ID.) 0 6' HIGH WOOD FENCE 100.00' (R&M) 15' ALLEY 15' 16'7¢ GAS 12'± R/W END OF MAI EXIST. 2" BSE: GAS MAIN I R/W 5' TIE IN SVC. TO GAS MAIN WITH T. T/E. F. V. bpi pad 1 05-14-2016 DESIGNED BY PROJECT ADDRESS: REVISIONS z NO. OF SHEETS: 1 SHEEP NO.: 1 Drawing File: \\browardfs\voll\USERS\PGMXC\Documents\RESIDENTIAL\2016\NE 94 ST. 518, MIAMI SHROES, FL\518 NE 94 ST.MIAMI SHORES, FL.dwg 05/14/2016