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PW-18-697Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permi Permit NO. PW-3-18-697 Permit Type: Public Works Work Classification: Public Works Permit Status: APPROVED Date: #1912018 Expiration: 06/17/2018 Parcel Number Applicant 1276 NE 94 Street Miami Shores, FL 1132050100150 Block: Lot: LAUREN MICHELLE GARROTE Owner Information Address Phone Cell LAUREN MICHELLE GARROTE 1276 NE 94 Street MIAMI SHORES FL 33138- 1276 NE 94 Street MIAMI SHORES FL 33138- Contractor(s) TECO PEOPLES GAS SYSTEM Phone CeII Phone (305)957-3857 (305)970-1783 Valuation: Total Sq Feet: $ 2,000.00 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 $9.00 $0.80 $110.00 Pay Date Pay Type Invoice # PW-3-18-66826 03/16/2018 Check #: 2012 03/19/2018 Check* 2015 Amt Paid Amt Due $ 50.00 $ 60.00 $ 60.00 $ 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named co = • • do the work state Authorized Signature: Owner / Applicant / Contractor / ' Agent Building Department Copy March 19, 2018 1 ch 19, 2018 Date Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-305050 Permit Number: PW-3-18-697 Scheduled Inspection Date: August 13, 2018 Inspector: Miranda, Chris Owner: GARROTE, LAUREN MICHELLE Job Address: 1276 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: TECO PEOPLES GAS SYSTEM Permit Type: Public Works Inspection Type: Final Public Works Work Classification: Public Works Phone Number - Parcel Number 1132050100150 Phone: (305)957-3857 Building Department Comments INSTALL TWO P.E MAS MAIN DRAIN ALONG NE 94 ST TO SERVICE TWO LOCATIONS Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP-302860. CREATED AS REINSPECTION FOR INSP-299590. 4/10/2018 NOT READY FOR FINAL 5/24/2018 NOT READY FOR FINAL August 10, 2018 For Inspections please call: (305)762-4949 Page 14 of 44 Miami Shores Village Public Works Department �i (305)795-2210 /�/ Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 33138 ERR .I 6% ?1f4 PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property Permit#: P v ) 18 (c1± Name of Applicant (if utility see below): / 'ei f 00 G 6 I4 S Owner off the following described property: Legal Description: Lot Block Fplio t: Address: /02%G tiT 9 r/ .SD" Subdivision UTILITY NAME: i 6 / 7 6ep tc S :"itl--_s' Qualifier/Authorized Agent: V-_s-er,� 'i/g9 R Address: /S 7 7 9 w C r u le' /1y City: A-) a State: 7� .. ZIP: 33 I C 7.,Telephone:0.�) 976 - )789' Email: a -a 2c - ke e 7 c6 c ,Jc 25' y - c c ►-i.` State Certification or Registration #: Certificate of Competency # `/ a CONTRACTOR NAME: l B / d67 -cS Qualifier/Authorized Agent: ycSu..s ✓c S 4 Address: j5-77 S' `cj..) x P 4w ) City: ti Jo . ,3 . Skate: %�G - ZIP: 3 .11 ` Z Telephon 97€ 1 78-4 Email:4-2eccke e 1Ca eNc2 Sy , Cc State Certification or Registration #: Certificate of Competency #:. / d a . Requests permission toi stall (desc vibe wo�3rr'k attach s arate page if necessary) in the adjoining right of way: y,vs � /�-G c (4 S wr ,4- i . A-2- G .-I S �E 9 --171 SF2Licj a *4-��1—; I v'V s" Type of Work: ❑ Paving —Utility ❑ Sidewalk ❑ Electric ❑ 'Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: k-Adiaress: City: _...... State: ZIP: Telephone::: Email: G2)11 • Value of Work for this Permit: . $ .ti Square/Lineal Footage of Work: /***** Fees ***** Permit Fee $100.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scannin Bond $ (if required) • Total Fee Nbw Due $ Bonding Company's Name (if applicable): Bonding Company's Address: City: State: ZIP: Application is hereby made to obtain a public works permittodo 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. .[ .. 1 Signature Signature <CCn)s , v Applicant or Authorized Agent Company/Utilitfgent - The foregoing instrument was acknowledged before The foregoing instrument was acknowledged b fore me this day of •, 20 . , by me this j� day of I'r'l. ", 20, by ^ 1 who yj...S.,s /cs A who is personally known to me or who has produced• ersonall nown o me or who has produced as identification. identific= on. NOTARY Sign: Sign: Print: Print: SEAL: SEAL: APPROVED BY: PUBL r as '11F,.:4;;... HUBERT.NUNEZ • MY COMMISSION # GG 104234 EXPIRES: September 11, 2021 Bonded Thru Notary Public Underwriters `•...'VP,.. HUBERT NUNEZ ,E►r MY COMMISSION # GG 104234 hnnl EXPIRESt' ' " . "0•'1 . '; Brine d1hni• .`:rs 3\N‘ Ly , Public Works Director, or Designee ` i 2017-04-15 PROP. 2" PE GAS MAIN AND 3/4" PE SERVICES TO SERVE 1275 & 1276 NE 94th ST. RESTORATION OF ROAD CUT FOR UTILITY CROSSING GENERAL NOTES 1. REPLACED BASE MATERIAL OVER DITCH SHALL BE TWICE THE THICKNESS OF THE ORIGINAL BASE. MINIMUM 8'. MAXIMUM IV. 2. BASE MATERIAL SHALL BE PLACED IN B. MAXIMUM (LOOSE MEASUREMENT) LAYERS AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 987G OF MAXIMUM DENSITY. PER AASHTO T-1B0. 3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED. 4. SURFACE MATERIAL SHALL BE CONSISTENT WRH THE SURROUNDING SURFACE MATERIAL 3. BASE MATERIAL SHALL HAVE A MINIMUM LBR OF 100 AND A MINIMUM CARBONATE CONTENT OF 7O% (60% FOR LOCAL S1REE1S). RECEIVED MAR 16101g 41.4411 •. •.. .• . . .. • . • • .... .• .. •... •. .. • •... ' . . . ••. • . . • . • • . . ... •. • .•. .• . -NOTES CONSTRUCTION 1. LOCATE AND PROTECT ALL UTIUTIES IN AREA OF CONSTRUCTION. SUNSHINE # 1-800-432-4770 2. RESTORE ALL AREAS TO PRIOR CONDITIONS 3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL GOVERNMENT AND TPG STANDARDS. Phi 18 *RI Miami adores Village APPROVED ZONING DEPT BY DATE BLDG DEPT SUBJECT TO COMPLIZE WITH ALL FE3E RAL STATE AND COUNTY RULES AND REGULATIONS . . • • • • • • . .... . • • • •. •.• • . . • ... . .... • SQUEEZE —OFF AN' DIR. TIE—IN EX. 2" P GAS MAIN PROP. 2" PE GA (DIR. BORE) PROP. 3/4" PE GA (DIR. BORE) #1270 #1275 ROP. PRE—FAB RISER ROP. 3/4" PE GAS (DIR. BORE) 12 12 10 10 8 8 6 EX. GRADE\ 6 \1 - 4 4 36"MIN. 2 2 0 0 ROP. 2" PE GAS -2 EX. 2" P (DIR. BORE) GAS MAIN -2 -4 ISQALE. 1 "-40'-HOR- 1 "=4' VERT. • • • • •• ••• . •••• • • •• •• • • • • • • • • • • •• • :• • •• • •' • • • • • •• • • • • SHEET NO. 1 of 1 • • •• • • . • x U O w x U O • 0. Pt id• a• • PROP. 2" PE GAS MAIN AND 3/4" PE SERVICES TO SERVE 1275 & 1276 NE 94th ST. : • • • •••• • • .* • • SYMBOLS: MWork Area • Channelizing Device (See Index No. 600) cp tr Work Zone Sign Flagger ' Lane Identification + Direction of Traffic Buffer Space See Table 1 250' C 8 A 41 41 * 41 a b C= U3 Work Area b A C Tangent Taper Length 50' To 100' Device Spacing (See Table 1) * May Be omitted if ROAD WORK AHEAD sign is installed upstream within the project limits. • • • • • •• • • • • • • •• •• WITHOUT TEMPORARY RAISED RUMBLE STRIPS GENERAL NOTES: 1. Special Conditions may be required in accordance with these notes and the following sheets: A. 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 3. b. If the queuing of vehicles across an active railroad crossing cannot be avoided, provide a uniformed traffic control officer or flagger 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. B. If the Work Area encroaches on the Centerline, use the Layout for Temporary Lane Shift to Shoulder on Sheet 3 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. 2. Temporary Raised Rumble Strips: A. Use when both of the following conditions are met concurrently: a. Existing Posted Speed is 55 mph or greater; b. 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. D. Use Option 1 or Option 2 as shown on Sheet 2. Use only one option throughout work zone. 3. 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. 4. When a side road intersects the highway within the TTC zone, place additional TTC devices in accordance with other applicable TCZ Indexes. 5. 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. 6. When Buffer Space cannot be attained due to geometric constraints, use the greatest attainable length, not less than 200.ft, for posted speeds greater than 25 mph. 7. 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. 8. 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. G. AFADs are not in use. 8. See Index 600 for general TCZ requirements and additional information. 9. Automated Flagger Assistance Devices (AFADs) may be used in accordance with Specifications Section 102, 990 and the APL vendor drawings. • •••• • • •••• • •••• • • • • • • • • • • • • M. •••• • • • • • • • • • • •• • • • • • •• • • .• • • • TABLE 1 Posted Speed DEVICE SPACING Distance Between Signs Si g Buffer Space Maximum Spacing of Cones or Tubular Markers Maximum Spacing of Type 1 or Type II Barricades/Panels/Drums 0n a Taper On a Tangent On a Taper On a 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, EQUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH THE AREA BETWEEN THE CENTERLINE AND A LINE 2' OUTSIDE THE EDGE OF TRAVEL WAY. • • • 1 • • • • •• • l • •••1• ••• • ••• •• • •••.,.• • • • 9 • • • • LAST REVISION .DESCRIPTION: FY 2017-18 TWO-WAY, INDEX SHEET REVISION FDD , TWO-LANE, NO. NO. 01/01/16 �r-• DESIGN STANDARDS WORK WITHIN THE TRAVEL WAY 603 1 of 3