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PW-17-2167Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Pe mit Permit NO. PW -8-17-2167 Permit Type: Public Works Work Classification: Public Works Permit Status: APPROVED Issue Date. 8129/2017 Expiration: 11/27/2017 Parcel Number Applicant 1208 NE 95 Street Miami Shores, FL 1132060144100 Block: Lot: PEDRO DE MELLO Owner Information Address Phone Cell PEDRO DE MELLO 1208 NE 95 Street MIAMI SHORES FL 33138- (305)753-5504 1208 NE 95 Street MIAMI SHORES FL 33138- Contractor(s) TECO PEOPLES GAS SYSTEM Phone Cell Phone (305)957-3857 (305)970-1783 Valuation: Total Sq Feet: $ 1,000.00 0 Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.00 $0.00 $0.00 $0.20 $100.00 $3.00 $0.80 $104.00 Pay Date Invoice # 08/28/2017 08/29/2017 Pay Type PW -8-17-65003 Check #: 1592 Credit Card Amt Paid Amt Due $ 50.00 $ 54.00 $ 54.00 $ 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 infor U n is accurte and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above- a e9f safilra or to do the work stated. Authorized Signature: Owner / Applicant / Agent Building Department Copy August 29, 2017 Date August 29, 2017 1 BUILDING PERMIT APPLICATION i/liarni Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION UNE PHONE NUMBER: (305) 762-4949 Master Permit Sub Permit RECEIVED AUG 282017 FBC 2014 No. l No. ft) -1 i - )L - 3 '-2 8 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION El EXTENSION El RENEWAL ❑PLUMBING ❑ MECHANICAL •PUBLIC WORKS ❑ CHANGE OF n CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: '4)1 5)s." sS— City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): RIGHT OF WAY Phone#: Address: City: State: Zip: Tenant/Lessee Name: Email: Phone#: CONTRACTOR: Company Name: TECO PEOPLES GAS Address: 5101 NW 21 AVE. STE. 460 Phone#: 954-453-0806 City: FT. LAUDERDALE State: FL Zip: 33309 Qualifier Name: JESUS VEGA Phone#: 954-453-0806 State Certification or Registration #: E1608 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 1000 Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Re air Re lace p / p ID Demolition Description of Work: PERMIT RE -NEW FOR A GAS SERVICE LINE Specify color of color thru tile: Submittal Fee $ Q O Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) 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 day of , 20 . by 'Z 3 day of Qc.--d 20 by , who is personally known to me or who has produced as me or who has • roduced identification and who did take an oath. identificati . n and who did take an oath. o is personally known NOTARY PUBLIC: NOTARY ' UBLIC: Sign: Print: Seal: 0 as Print: Seal: •********+fie************** k**********************R*************** APPROVED BY Plans Examiner (Revised02/24(2014) HUBERT NUNEZ s* •' MY COMMISSION # GG 104234 4um ,•�^�. : EXPIRES: September 11, 2021 "1:::!;;:f;,`S:;. Bonded Thru Notary Public Underwriters Zoning Structural Review Clerk Arlenis Silvera From: Arlenis Silvera Sent: Monday, May 01, 2017 1:07 PM To: 'alfinch@tecoenergy.com' Subject: PW -12-16-3428 Good Day, Please be advise that Permit#: PW -12-16-3428 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 1 • •••• • • • ••- •• •• • • •• • •• •• • • • • • •• •• •• •• • • • •• • • •• •••• •• • •• • • •• •• • •• •• • • • ••• • • • • • ••• J 200' • ••• •• • • • •• • • • • - • •• • - • • • • • - • •• • •• • •• - - • •- J J /k Area Work ' Work SYMBOLS MWork Area ■ Channelizing Device (See Index No. 600) Work Zone Sign Flagger - Lane Identification '0 Direction of Traffic ■ ■ ■ ■ '/./)./)./7/7 / Work Area / • • • • •• j ••• •• • • • • • • • • • • • • •=4.• r 1 xvv .vu P`� i ( 1 200' 50' 200' More Than 200' GENERAL 1. Work operations shall be confined to one travel lane. leaving the opposing travel lane open to traffic. 2. When vehicles in a parking zone block the line of sight to TCZ signs or when TCZ signs encroach on a normal pedestrian walkway, the signs shall be post mounted and located in accordance with Index No. 17302. 3. 1I work area i5 confined to an outside auxiliary lane, the work area shall be barricaded and the FLAGGER signs replaced by ROAD WORK AHEAD signs. Flaggers are not required. 4. Flaggers shall be in sight of each other or in direct communication at all times. NOTES 5. The FLAGGER legend sign may be substituted for the symbol sign. 6 The maximum spacing between devices shall be no greater than 25.' 7. For general TCZ requirements and additional information, refer to Index No. 600. 8. The two channelizing devices directly in front and directly at the end of the work area may be omitted provided vehicles in the work area have high-intensity rotating. flashing, oscillating, or strobe lights operating. 9. Use Temporary Raised Rumble Strips in accordance with Index 603. Placement of Rumble Strips and additional signs should begin at FLAGGER sign location. CONDITIONS WHERE ANY VEHICLE, EQUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH ON THE PAVEMENT REQUIRING THE CLOSURE OF ONE TRAFFIC LANE, FOR WORK AREAS LESS THAN 200' DOWNSTREAM FROM AN INTERSECTION FOR A PERIOD OF MORE THAN 60 MINUTES. CONDITIONS WHERE ANY VEHICLE, EOUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH ON THE PAVEMENT REQUIRING THE CLOSURE OF ONE TRAFFIC LANE, FOR WORK AREAS 200' OR MORE DOWNSTREAM FROM AN INTERSECTION FOR A PERIOD OF MORE THAN 60 MINUTES. DURATION NOTES 1. ROAD WORK AHEAD sign may be omitted if all of (he following conditions are met: a. Work operations are 60 minutes or less. b. Speed is 45 mph or less. c. No sight obstructions to vehicles approaching the work area for a distance of 600 feet. 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. LAST REVISION 07/01/15 DESCRIPTION: FD OT 2016 DESIGN STANDARDS TWO-LANE, TWO-WAY, WORK NEAR IINTERSECTIION INDEX NO. 605 SHEET NO. 1 of 1 • • • • • • • • • • • LOOCAITON MAP (N. T. S. • • ..•• • 7 .• •.••• • PALL EXISTING•UTIkIWI£S SHOWN •ON •1-EZi•PLANS ARZ.TO BE ..• ; CONSIDERED !EPRQXIMATE & SHOULD BE VMTFaIED BY THE CONTRACTOR PRIOR TO THE START OF WORK OPERATIONS. SOD RESTORATION DETAIL SCALE: NOT TO SCALE 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 LEGEND CENTER LINE IN 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 S SCALE: 1"=20' 1Litt AVI. 90.00' TOTAL RAN =IN Mal 5' CONC SIpE,WAL R/W € 80' •C] 28' ,CSPHAL G TI INVC.' TO SAS T/E.F. Al cr —J r PROFILE CROSSING NE. 95th ST. SCALE: (V) 1:5 (H) NTS. 83.25''R) — _ 83 29%M/ R/W BLOCK F.1. P. 3/4' CORNER NO ID. F. NO /0 027' 9.90' ON/PL^ ASPHALT E.O.P. EXIST. 2" PE. GAS MAIN 2/' PARKWAY ---"d11Yimps —own on ROP.3/a" PLASTIC GAS SVC.TO BE DIRECTIONAL BORED EAST 100.00' (R&M) 8' 5' CONC. SIDEWAL 9.90' ASPHAL T DRIVEWAY 4CBS WALL 17.50' I_a CONC. STONE WALK CPS ALL STEPS LOT -/5 BLOCK - 85 5' CBS WALL 0.27 1j-_ F./.P. E NO /D. -5' WOOD FENCE W.U.P. I 1 \t4 CAUL h WEST ' h -LIMIT OF PLAT 1/45 NO ID. o L 100.00' (R&M) 0 5' CHAIN LINK c‘i / 17.9YI' A/C 3.5'x3.5' • 10000 PROP.3/a" PLASTIC GAS SVC.TO BE DIRECSLONAL BORED CALL LA HOURS BEFORE YOU DIG IN FLORIDA O 't 6 L. 5 CD 6O 00,5 i 07-06-2016 JUL 19 Z0i6 RISER I► BY: MIAMI SHORES BAY VIEW FENCE w wa d� U A � PROJECT TYPE: NEW GAS SERVICE z 0 rn 0 z NO. OF SHEET'S: Suer NO.: 1 Drawing File: \\browardfs\voll\USERS\PGMXC\Documents\RESIDENTIAL\2016\NE 95 ST. 1208, MIAMI SHORES, FL\1208 NE 95 ST.MIAMI SHORES, FL.dwg 07/06/2016 8 80' a O X. GRD. a d a rt 4 ROP. 344" PLASTIC 4 36" MIN. GAS SVC. TO BE BORED iDIRECTIONAL � I 0 I EXT.2" PE. GAS MAIN 0 PROFILE CROSSING NE. 95th ST. SCALE: (V) 1:5 (H) NTS. 83.25''R) — _ 83 29%M/ R/W BLOCK F.1. P. 3/4' CORNER NO ID. F. NO /0 027' 9.90' ON/PL^ ASPHALT E.O.P. EXIST. 2" PE. GAS MAIN 2/' PARKWAY ---"d11Yimps —own on ROP.3/a" PLASTIC GAS SVC.TO BE DIRECTIONAL BORED EAST 100.00' (R&M) 8' 5' CONC. SIDEWAL 9.90' ASPHAL T DRIVEWAY 4CBS WALL 17.50' I_a CONC. STONE WALK CPS ALL STEPS LOT -/5 BLOCK - 85 5' CBS WALL 0.27 1j-_ F./.P. E NO /D. -5' WOOD FENCE W.U.P. I 1 \t4 CAUL h WEST ' h -LIMIT OF PLAT 1/45 NO ID. o L 100.00' (R&M) 0 5' CHAIN LINK c‘i / 17.9YI' A/C 3.5'x3.5' • 10000 PROP.3/a" PLASTIC GAS SVC.TO BE DIRECSLONAL BORED CALL LA HOURS BEFORE YOU DIG IN FLORIDA O 't 6 L. 5 CD 6O 00,5 i 07-06-2016 JUL 19 Z0i6 RISER I► BY: MIAMI SHORES BAY VIEW FENCE w wa d� U A � PROJECT TYPE: NEW GAS SERVICE z 0 rn 0 z NO. OF SHEET'S: Suer NO.: 1 Drawing File: \\browardfs\voll\USERS\PGMXC\Documents\RESIDENTIAL\2016\NE 95 ST. 1208, MIAMI SHORES, FL\1208 NE 95 ST.MIAMI SHORES, FL.dwg 07/06/2016