PW-18-2489Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: PW-9-18-2 89 Pe IVR Number: 631584
Permit Type: Public Works
War k Classification: Public Works
Permit Status: Approved
issue Date: 10/04/2018 + Expiration: 12/18/2018
Parcel Number
Project
1421 NE 103 ST, Miami Shores, FL 33138-2625
1132050310150
<NONE>
Contacts
VILMA QUINTANA
1421 NE 103 ST, MIAMI SHORES, FL 33138
Other: 3055273904
Owner
TECO PEOPLES GAS SYSTEM
JESUS VEGA
15779 W DIXIE HWY, MIAMI, FL 33162
Business:
305957385777247
Other: 3059701783
Contractor
VILMA QUINTANA
1421 NE 103 ST, MIAMI SHORES, FL 33138
Other: 3055273904
Applicant
Description: TO INSTALL A NEW GAS SERVICE LINE (3/4"
PLASTIC) BY DIRECTIONAL BORE
Fees
Amount
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
$0.20
$100.00
$9.00
$0.80
$110.00
Valuation: $ 1,000.00
TotalSq Feet: 0.00
Payments
Total Fees
Check # 2240
Deposit
Amount Due:
Amt Paid
$110.00
$60.00
$50.00
$0.00
Inspection Requests:
30
762-4949
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
• pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWN
regul
AFFj* VIT: I
ction and
ture: Owner
he foregoing information is accurate and that all work will be done in compliance with all applicable laws
rmore, I authorize the above named contractor to do the work stated.
Applicant / Contractor / Agent Date
October 04, 2018
Page 2 of 4
SYMBOLS:
MWork Area
■ Channelizing Device (See Index No. 600)
al Work Zone Sign
Er. Flagger
Lane Identification + Direction of Traffic
• • ••• • • • •••
•• •• • • ••
• •• •• •
• • • • •• •• •• •• •
• • •
•
• •• •••• •• • ••
•
• •• •• • •• •• •
•
• ui• • •$£ . .
• •
• • • •
• • ••
• • •
• ••
•
• •
•
Buf`er
Sp-e
TV!,
• • •
• • • • • •
• • • • •
•• •250• •
••
• • • • • • • • •
• • • • • • • •
•♦ • • • • ••
• • • • • • • •
•
• • • •
• • •
• •
T • -• t74,7/i7//
• : ///////%p
•
••.. .
4
8
4'
D
4'
A
43
Tangent
Taper Length
sa To 100'
A
B
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.
C
Device Spacing (See Table 1)
+x May Be omitted if ROAD WORK AHEAD sign is installed upstream within the project limits.
WITHOUT TEMPORARY RAISED RUMBLE STRIPS
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.
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 i5 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.
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/Panel,/Drums
On a
Taper
On a
Tangent
On a
Taper
On a
Tangent
A
BCD
25
20'
50'
20
50'
20U
200'
200'
100'
155'
30
20'
50'
20'
50'
200'
200'
200'
100'
200'
35
20'
50'
20'
50
2019
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
01/01/16
0
DESCRIPTION:
FY 2017-18
FD— " Y DESIGN STANDARDS
TWO-LANE, TWO-WAY,
WORK WITHIN THE TRAVEL WAY
INDEX
NO.
603
SHEET
NO.
1 of 3
i
LOCATION MAP (N.T.)
FULL LANE
SURFACE RFPLACOAENT
SURFACE
SAW CUT ASPHALT
(TYPICAL)
•
•
•REPLACf1AENT BASE
• *4V041s )
•
•'
• •
• •
•
•
•
•
A'
DITCH WID
••••
• • •
•• •
rtt
'OW
• 12. 12"
•
•
•
• • • •
RES'TORATIUIV:r7F ROAD CUT
• "POR UTtL•hT•`f•CROSSING
• GENERAL N€ S. • • •
•
• . •
WE
SCALE:1'-20'
LEGEND
CENTER LINE
te 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
SOD RESTORATION DETAIL
SCALE: NOT TO SCALE
1. REPLACEND' I A% MATERIAL OAR 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
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.
8
8
3
54'
3
eel
2'
a
ix
a N
LC�
X. GRD.
(3.
+s—
4
PR
G
1 1/4" PLASTI
-----
4
GAS
DIRECTIONAL
4SVC. TO BE
BORED
36"
MIN.
GAS
1
GAS GAS
I
I
I
GAS _r__
GAS -GAS
I
0
1
1
0
2" C.S
GAS MAIN
I
J
-N P/L
I R�
j I SEP 19 zoi8
1411
PROP. GAS
RISER
DRIVEWAY
PROP.1 1/4" P.E.
GAS SVC. TO BE
DIRECTIONAL BORED
N R W
84'
SWALE
4 P
E.O.P
17'
S R/W
DRIVEWAY
cot,
al
O
(pct., DRIVEWAY
V)
S IV
1431
Otitertitct
S P/L
-^NING DEPT
SWALE.-�_,'T
1,J
• 10 CCMPI.IFNCE WITH All FE
o_
(5,4}N l'b rstA- PNg REGULATIONS
4
°
NE. 103 rd ST.
E--
n) v lL 4(•)-( X).1 "-_
TIE IN SVC. TO GAS MAIN
WIT T. T/E. F. V.
e d
6 6—
c e�
4 n
to
a
OM MI OM MR INIO M —
11.110.
I✓1 IZ�A Al4
21 ,20-rl Z., (s q f xf &
XIST. 2" C.S GAS
MAIN 1-3
az
CA 0
CO p
� F
z2
C
<
z
rn
0
rn
NO. OF SHEETS' 1
PROFILE CROSSING NE 103 RD ST.
SCALE: (V) 1:
' (H) NTS.
SHEET NO.: 1
Drawing File: GADocuments SHORES\1421 NE 103rd ST MIAMI SHORES FL 33138\1421 NE 103rd ST MIAMI SHORES FLdwg 05/23/2018
Miami Shores Village
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 PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#:
RECEIVED
SEP 19 2018
Name of Applicant (if utility see below):
Owner off the following described property:
Legal Description: Lot 13 Block 6 Subdivision RE -PLAT OF TR C MIAMI SHORES BAY
Folio #; 11-3206-031-0150
Address: 1421 NE 103 ST.
UTILITY NAME: TECO PEOPLES GAS
Qualifier/Authorized Agent: JESUS VEGA
Address: 5101 NW 21 AVE.
City: FT. LAUDERDALE
Telephone: 954-453-0806 Email:
State Certification or Registration #: E1608
CONTRACTOR NAME: TECO PEOPLES GAS
Qualifier/Authorized Agent: JESUS VEGA
Address: 5101 NW 21 AVE
State: FL
ZIP: 33309
MCABRERA@TECOENERGY.COM
Certificate of Competency # L I60�.
City: FT. LAUDERDALE
State: FL
Telephone: 954-4534206 Email: MCABRERA@TECOENERGY.COM
ZIP: 33309
State Certification or Registration #: E1608 Certificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: TO INSTALL A NEW GAS SERVICE LINE (3/4" PLASTIC) BY DIRECTIONAL BORE
Type of Work: ❑ Paving ❑■ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City: State: ZIP:
Telephone: Email:
Registration #:
Value of Work for this Permit: $ loon
Square/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 $
S
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. 1 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.
Signature Signature 1( c3az:10.-a Ar"?
Applicant or Authorized Agent Company/Utilityt
The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before
me this day of , 20 , by me this 7 day of 46<<� , 20) g , by
whogrstc4 A who
is personally known to me or who has produced Is personally known to me or who has produced
as as
identification. identificati
NOTARY PUBLIC: NOTARY
Sign: Sign
Print: Print: kt,,k, —7 A(J d 4J e
SEAL: SEAL: /
APPROVED BY:
2017-04-15
HUBERT NUNEZ
MY COMMISSION # GG 104234
u° = EXPIRES: September 11, 2021
\%; ?" Bonded Thru Notary Public Underwriters
�I��(� , Public Works Director, or Designee