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PW-17-2169Amount $0.00 $o.00 $0.00 $0.20 $100.00 $3.00 $0.80 $104.00 Ar Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. PW -8-17-2169 Permit Type: Public Works Work Classification: Public Works Permit Status: APPROVED Issue Date: 8/29/2017 Expiration: 11/27/2017 Parcel Number Applicant 1200 NE 91 Terrace Miami Shores, FL 33138- 1132050010490 Block: Lot: CRISTINA CRESPI Owner Information Address Phone CeII CRISTINA CRESPI 1200 NE 91 Terrace MIAMI SHORES FL 33138- 1200 NE 91 Terrace MIAMI SHORES FL 33138- Contractor(s) TECO PEOPLES GAS SYSTEM Phone CeII 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 L Total: Pay Date Pay Type Invoice # PW -8-17-65005 08/28/2017 Check #: 1592 08/29/2017 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 inform construction and zoning. Futhermore, I authorize the above - Authorized Signature: Owner / Applicant Building Department Copy inn accu a e •-tra to and that all work will be done in compliance with all applicable laws regulating tor to do the work stated. / Agent August 29, 2017 Date August 29, 2017 1 Vliarni 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 BUILDING PERMIT APPLICATION El BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL (PUBLIC WORKS JOB ADDRESS: RECEIVED AUG 2 81011 ,p FBC 20Ms�'1 Master Permit No.Pw (1— 2. 1 col Sub Permit No. (G) l 3 - l7 _ s-�s EXTENSION RENEWAL ❑ REVISION ❑ CHANGE OF CONTRACTOR O., A)L 9/ CANCELLATION SHOP DRAWINGS City: Miami Shores County: Folio/Parcel#: Miami Dade Zip: Is the Building Historically Designated: Yes Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): Address: City: Tenant/Lessee Name: Email: Construction Type: Flood Zone: BFE: NO X FFE: RIGHT OF WAY Phone#: State: Zip: Phone#: CONTRACTOR: Company Name: TECO PEOPLES GAS Address: 5101 NW 21 AVE. STE. 460 Phone#: 954-453-0806 City: FT. LAUDERDALE Qualifier Name: JESUS VEGA State: FL State Certification or Registration #: E1608 DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ 1000 Zip: 33309 Phone#: 954-453-0806 Certificate of Competency #: Phone#: City: State: Zip: Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: PERMIT RE -NEW FOR A GAS SERVICE LINE ❑ Demolition Specify color of color thru tile: Submittal Fee $ ISO • C0 Scanning Fee $ Permit 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 $ 4°'� 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 ?- da of Y , by , who is personally known to me or who has produced as me or who a oduced identification and who did take an oath. NOTARY PUBLIC: NOTA Y PUBLI': identifi :tion an Sign: Print: Seal: Print: Seal: o is personally kno t who did take an oath. 'a ******************************************************************** APPROVED BY (Revised02/24/2014) Plans Examiner • MY CO RTNyNEZ fir?.. � B d i .86;910Br 11, 2021 .. as • : • ` MY COMMISSION i, „G EXPIRES: Septerrr•. l; Bonded Thru Notary Zoning Structural Review Clerk AW o' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/18/2017 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 Marsh Canada Limited 120 Bremner Blvd, Suite 800 Toronto, ON M5J 0A8 CONTACT NAME: PHONE 1-866-616-0088 FAX 416-349-4564 (ac, No, Ext): (A/c, No): EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Associated Electric & Gas Ins. Svcs. AA -3190004 INSURED Peoples Gas System TECO Energy, Inc. 702 North Franklin Street Tampa, FL 33602 INSURER B: Associated Electric & Gas Ins. Svcs. AA -3190004 INSURER c: Associated Electric & Gas Ins. Svcs. AA -3190004 INSURER D: Everest National Insurance Company 10120 INSURER E: Associated Electric & Gas Ins. Svcs. AA -3190004 INSURER F: K CLAIMS -MADE COVERAGES CERTIFICATE NUMBER: 16-17-502- GAEW 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. INSk LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MMIDDNYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY XL5692901 P 12/01/2016 12/01/2017 EACH OCCURRENCE $1,000,000 K CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence)$ X SIR$1,000,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- JECT GENERAL AGGREGATE $1 000 000 POLICY LOC PRODUCTS - COMP/OP AGG $ OTHER $ B AUTOMOBILE _ LIABILITY ANY AUTO XL5692901P Self Insured Retention: $2550,000 12/01/2016 12/01/2017 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ _ PROPERTY DAMAGE (Per accident) $ $ C UMBRELLA UAB OCCUR XL5692901P 12/01/2016 12/01/2017 EACH OCCURRENCE $1,000,000 X EXCESS LIAB X CLAIMS -MADE AGGREGATE $1,000,000 DED RETENTION $ $ D E WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? tory in NH) fMandaescribe under DESCRIPTION OF OPERATIONS below WN N/A Employer's Liability: XL5692901 P Excess Wokers' Compensation: EN4GL00054-161 12/01/2016 07/01/2016 12/01/2017 07/01/2017 OTH- X STATUTE ER NO E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 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. The above noted policy placements were made by Marsh USA Inc. Marsh Canada Limited has only acted in the role of a consultant to the client with respect to these placements, which are indicated here for your convenience. CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg. Dept. 10050 NE 2nd Ave Miami Shores, FL 33138 11 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 ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD J J L ft bJ L /7 Work Area Work Area ' 200' I I Less Than 200' JL JL SYMBOLS IMWork Area ■1 LY 0• Channelizing Device (See Index No. 600) Work Zone Sign Flagger Lane Identification + Direction of Traffic 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. If work area is 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. LAST REVISION 07/01/15 DESCRIPTION: FDOT 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 Infor•a•on,••Vet !d• • Index Na. 600. • • • • • .4 •• . • • • 8. The two Channelizing devices directly in front and Olrectly a� ripe • • end of the work area may be omitted provided ve4ities injl•e work • • area have high-intensity rotating, flashing. oscillating, or strobe lights operating. CONDITIONS WHERE ANY VEHICLE, EOUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH ON THE PAVEMENT REOUIRING 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, EQUIPMENT, 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 the following conditions are met: a. Work operations are 60 minutes or less. Ob. Sped it'' 45hor less. c.:No igh:obrr ction5 to vehicles approaching the work area for • a dypt•r•e of 000 feet. • d.yehK!e•in the tbrk area have high-intensity, rotating, • f!a9111ng!ossPlliting. or strobe lights operating. e. Volume and complexity of the roadway has been considered. 9. Use Temporary Raised Rumble Strips in accordanw w:ih•Iyilex 603. rr • • • Placement of Rumble Strips and additional signs yrould (begin at • • • • • • • • FLAGGER sign location. • • • • • a • • • • • • • • • • • • • • • • • • • • • a•• • 2016 DESIGN STANDARDS TWO-LANE, TWO-WAY, WORK NEAR IINTERSECTIION • INDEX NO. 605 SHEET NO. loft • • • • • • •• •• • • • •• •• •.• • • • ••• • • • . • • • • • ••• • • • • • • • FULL LANE SURFACE REPLACEMENT SURFACE SAW OJT ASPHALT (TYPICAL) REPLACEMENT BASE (NEW MATERIAL) DITCH MDTI W 12 VARIES 12' RESTORATION OF ROAD CUT FOR UTILITY CROSSING GENERAL NOTES TIE IN SVC. TO GAS MAIN WIT T. T/T. F. /E. F. V. GAS GAS PROP. 3/4" PLASTIC 1s ` 1 b GAS SVC. TO BE DIRECTIONAL BORED MV1 arm S:n C;1,^_J ViTQC. ^ O\'ED BY DAZE D AS ® GAS 10' GASt GAS �� GAS �■ GAS 1 EXIST .2" BSE. GAS MAIN N•E. 91st TERRACE c-) 40 50.00' Total R/W 20' Asphalt ZONING DEPT P, D a DEPT ����3-6/7 SUBJECT i0 CC * > ICEWfRiALL 9. STATE AND LT,UN I f HUL ES AND REO1JLATIONS 34' -Pt-A S TI GAS SVC. TO BE DIRECTIONAL BORED -- GAS MAIN 11/4,easisoc, RESTORATION DETAIL SCALE: NOT 10 SCALE 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%(609; FOR LOCAL STREETS) 6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES LEGEND Ct 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 SIM. SEW. STORM SEWER ALL EXISTING UTILITIES SHOWN ON THESE PLANS ARE TO HE CONSIDERED APPROXIMATE & SHOULD BE VERIFIED BY THE CONTRACTOR PRIOR TO THE START OF WORK OPERATIONS $( a H 50' ce CP 4 GRo. CI W I PROP. •/i PLASTIC L ----------+- - l -- GAS SVC. TO BE DIRECTIONAL BORED J6" MIN. — 4 —DAF—GAS—CAS}—cAs—DSS I ( 4 O I O XT12" G BSE. MAIN PROFILE CROSSING NE. 91 TER. SCALE: (V) 1:5' (H) NTS. 15' Parkway FND.I.P.1/2" (N_D ( I 5' 0 i Asphalt 30.00' 70.00' 0 Lei N GAS 5C' FND.I.P.112 NO ID W.M. CL PROP. GAS RISER IJ Z J >- 1- w 0 L FND.I.P.1/2" (NO ID) (*ii 42' 11 10� / Asph attlOriveway 4114 A/C Pool Pum O J- ct oa 0 LL 17)1 i0 13.35' 13.00' 40.45' 1 0 N ONE STORY CBS #1200 42.50' i3 15.40' b 0 r CV E.M. 10.00' Concrete 0 O 0 0 CV 31.60' ✓ 0 603 POOL c"i 30.00' b 0 ' C.L.F. 70.00' J b 0 C0 800 Oyy /oDry V`O N•E, 91st STREET i 365.00' R/W 085' ROPERTY LINE FND.I.P.12" W.P.P. (NO ID) T• I.• • t•-••• • •. ••••' • • •• •• 15' Asphalt • ••• • • • 1 5.N4 rri^1 I vl I I rPO • •.• • • • • • •••• • ••s• • • • • • • 4 • w y • • a 0 5 01-20-2017 5 la w 0 a. a CO ••"Sig • Cg ••••I�.'• vi• w j•c,• CO. •+ N' • • • • • . . • • • • • REVISIONS 0 z NO. OF SHEET& SHIFT NO.: 1 Drawing File: \\browardfs\voll\users\PGMXC\Documents\RESIDENTIAL\2017\NE 91 TER. 1200, MIAMI SHORES, FL\1200 NE 91 TER.MIAMI SHORES, FL.dwg 01/20/2017