PW-18-2491Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.. PW-9-18-2491 Permit IVR Number: 631586
Permit Type: Public Works
work Classification: Public Works
Permit Status: Approved
issue Date:10/04/2018 I Expiration: 12/18/2018
Parcel Number
Project
671 NE 105 ST, Miami Shores, FL 33138-2053 1122310120100 <NONE>
Contacts
CAROL INVEST USA INC Owner CAROL INVEST USA INC Applicant
671 NE 105 ST, MIAMI SHORES, FL 33138 671 NE 105 ST, MIAMI SHORES, FL 33138
Other:3057473098 Other:3057473098
TECO PEOPLES GAS SYSTEM Contractor
JESUS VEGA
15779 W DIXIE HWY, MIAMI, FL 33162
Business:
305957385777247
Other:3059701783
Description: TO INSTALL A NEW GAS SERVICE LINE (1 1/4" Valuation: $ 1,000.00 Inspection Requests:
PLASTIC) BY DIRECTIONAL BORE 305-762-4949
Total Sq Feet: 40.00
Fees
Amount
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$0.80
Total:
$110.00
Building Department Copy
Payments
Amt Paid
Total Fees
$110.00
Check # 2240
$60.00
Deposit
$50.00
Amount Due:
$0.00
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.
FIDAVIT: certify Ihat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
structio zoning Futhermore, I authorize the above named contractor to do the work stated.
mature: Owner / Applicant / Contractor / Agent Date
October 04, 2018 Page 2 of 4
SYMBOLS:
® Work Area
Channelizing Device (See Index No. 600)
[p Work Zone Sign
Q' Flagger
b Lane Identification + Direction of Traffic
•uffet• • • • •
• pace • • 2 ,� • C•
Tabl•
ee 1 •.
••
• • • �
•
•
----------------------------------
D
• • •• �•• ••v I v � I v v • • = • •
• • _ • dl dl in * in
• • •1 ••�•rT___-- p-----_——_----_—_--
• b
Tangent
Device Spacing (See Table I)
xn oK=iuE e[
JftK
eno ,u�u•o r�osm Taper Length
D 50 To 100 * May Be omitted if ROAD WORK AHEAD sign is installed upstream within the project limits.
w
WITHOUT TEMPORARY RAISED RUMBLE STRIPS
GENERAL NOTES:
1. Special Conditions may be required in accordance with these notes
4. When a side road intersects the highway within the TTC zone, place
and the following sheets:
additional TTC devices in accordance with other applicable TCZ Indexes.
A. Railroad Crossings:
5. The two channelizing devices directly in front of the work area may be
a. If an active railroad crossing is located closer to the Work Area than
omitted provided vehicles in the work area have high -intensity rotating,
the queue length plus 300 feet, extend the Buffer Space as shown on
flashing, oscillating, or strobe lights operating.
Sheet 3.
b. If the queuing of vehicles across an active railroad crossing cannot be
6. When Buffer Space cannot be attained due to geometric constraints, use
avoided, provide a uniformed traffic control officer or flagger at the
the greatest attainable length, not less than 200 It, for posted speeds
highway -rail grade crossing to prevent vehicles from stopping within
greater than 25 mph,
the highway -rail grade crossing, even if automatic train warning
7. ROAD WORK AHEAD and the BE PREPARED TO STOP signs may be omitted if
devices are in place.
B. If the Work Area encroaches on the Centerline, use the Layout for
all of the following conditions are met:
Temporary Lane Shift to Shoulder on Sheet 3 only if the Existing
A. Work operations are 60 minutes or less.
Paved Shoulder width is sufficient to provide for an II' lane
S. Speed limit is 45 mph or less.
between the Work Area and the Edge of Existing Paved Shoulder.
C. There are no sight obstructions to vehicles approaching the work area for
Reduce the posted speed when appropriate.
a distance equal to the Buffer Space shown in Table 1.
2. Temporary Raised Rumble Strips:
D. Vehicles in the work area have high -intensity, rotating, flashing, oscillating,
or strobe lights operating.
A. Use when both of the following conditions are met concurrently:
E. Volume and complexity of the roadway has been considered.
a. Existing Posted Speed is SS mph or greater;
F. if a railroad crossing is present, vehicles will not queue across rail tracks.
b. Work duration is greater than 60 minutes.
G. AFADs are not in use.
B. Use a consistent Strip color throughout the work zone.
8. See Index 600 for TCZ requirements and additional information.
C. Place each Rumble Strip Set transversely across the lane at locations
general
Shown.
9. Automated Flagger Assistance Devices (AFADs) may be used in accordance
D. Use Option I or Option 2 as shown on Sheet 2. Use only one option
with Specificat ions Section 102, 990 and the APL vendor drawings.
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.
TABLE 1
Posted
Speed
DEVICE
SPACING
Distance
Between
Signs
A B C D
Buffer
Space
Maximum Spacing
of Cones or
Tubular Markers
Maximum Spacing of
Type I or Type II
Barricades/Panels/Drums
On a
Taper er
On a
Tan ent
On a
Ta er
On a
Tan ent
25
20'
50
20
50'
200'
1 200'
1 200
100'
155'
30
20
50'
20'
50
200'
200'
200'
100'
200'
35
20'
50,
20
50
200'
200'
200'
700'
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'
415'
20
50
20'
100'
2640'
1500'
100#51'1'�l
495'
20
50
20
100
2640
1500
100
570'
V
20
50
20
100'
2640'
1500
100
645'
29
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.
LAST 1O1 INDEX SHEET
REVISION FY 2017-18 TWO-LANE, TWO-WAY, NO. NO.
01101116 �� DESIGN STANDARDS WORK WITHIN THE TRAVEL WAY 603 1 1 of 3
i
1:555
c�
69/
a C�
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o I Y
rb I I 662
+ f' 1D,BJ CIA
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LOCATION MAP (N.-r
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w 1 ` `�i I� ' �" yT(�ILsnlli� 9.L EAST
ZONING DEP-f
BI D a nEPT
S
I. SUBJECT f0 CGtviF1
scela i'-zo'
u STATE ANv C( Ulv :
LEGEND
_
r
C CENTER LINE
M MONUMENT LINE
J
z
R/W RIGHT OF WAY
a
P/L PROPERTY LINE
/
E.O.P. EDGE OF PAVEMENT
3
T.T. TAPPING TEE
E.F.V. EXCESS FLOW VALVE
SVC. SERVICE LINE
PE PLAS7IC
STM. SEW. STORM SENER
3' .7�
1~ 6"
GAS MAIN
• • SOD RESTORATION DETAIL
• • • • R'E• • � ATIO� O� ROAD CUT SCALE: NOT TO SCALE
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 70X (60X FOR LOCAL STREETS)
6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES
['WO STORY
RESIDENCE
#671
\ 8,i
r
tz
0 \..
N -
LOT — 11 ` \
BORED
D Cv
ALL EXISTING UTILITIES SHOWN ON 00i N 85' 19 Zold
THESE PLANS ARE TO BE /
CONSIDERED APPROXIMATE do '
SHOULD BE VERIFIED BY THE S89-59 57"Vv N R/W oIN O ESEGIC4NING
CONTRACTOR PRIOR TO THE �l0 4-y M 1 FOI;ND '
START OF WORK OPERATIONS. 20.60' P. IRON PIPE /
60'
a a
$
LL
$
PR
. 1 1 4' PLASTI
DIRE
710NAL BORED
36' MIN.
I
i
'
4
4
GAS I
AIN
0
0
F'KUI-ILt UKUJJINU Nt 1U51H 51.
SCALE: (V) 1:5' (H) NTS.
PROP. GAS
RISER
13'
0.2' EAST
0.4' EAST
PROP.1 114"
P.E. GAS SVC-
TO BE
DIRECTIONAL
2-
FOUNDY2"-i FOUNDy" y
S y `J S% • :J % —�► 0
J
IRON PIPE I IRON PIPE W
O O 0 M Q
EXIST. Z" C.
ASPHALT PAVEMENT U
GAS MAIN
_
j O
_
—1-3 —I 40' 1
r
FouND
j
F " mNE. 105 TH ST.
r 5'
c o
ASPHALT PAVEMENT
IRON PIPE
zN O/S NORTH 1.40'
!MEDIAN-] Ir
-' IN SVC. TO AS MAIN
T T. TIE. F. V.
/1 o1
/ m
co
/ 0
/ POR A o N
L'
0 oai.
or ter&
Cr No.: 1
Drawing File: G:\Documents\MIAMI SHORES\671 NE 105 ST MIAMI SHORES FL 33138\671 NE 105 ST MIAMI SHORES FLdwg 06/04/2018
�f
-�.. Miami Shores Village RECEIVED
t Public Works Department SEP 19 1018
(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#: 2y V 06ZQCA I
Name of Applicant (if utility see below):
Owner off the following described property:
Legal Description: Lot 11 &12 Block 81 Subdivision GOLF VIEW EST CORR PL.
Folio #; 11-2231-012-0100
Address: 671 105th ST. (e-)
UTILITY NAME: TECO PEOPLES GAS
Qualifier/Authorized Agent: JESUS VEGA
Address: 5101 NW 21 AVE.
City: FT. LAUDERDALE State: FL ZIP: 33309
Telephone: 954-453-0806 Email: MCABRERA@TECOENERGY.COM
State Certification or Registration #: E1608 Certificate of Competency #
CONTRACTOR NAME:
Qualifier/Authorized Agent:
Address:
City:
Telephone:
State Certification or Registration #:
Email:
State:
ZIP:
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 (1 1/4" PLASTIC) BY DIRECTIONAL BORE
Type of Work: ❑ Paving ❑■ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other: '~
DESIGNER: Architect/Engineer:
Address:
City:
Telephone:
Registration #:
State:
Email:
Value of Work for this Permit: $1000
Permit Fee $ 100.00
Notary $
Bond $
ZIP:
Square/Lineal Footage of Work: 40 LINEAL
*****Fees*****
-Train ing/Education $ 0.20 Technology Fee $ 0.80 Scanning $
(if required) Total Fee Now Due $
IV
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. 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.
Signature
Applicant or Authorized Agent
The foregoing instrument was acknowledged before
me this day of 20 by
who
is personally known to me or who has produced
as
identification.
NOTARY PUBLIC:
Sign:
Signature Y, U3 /�
Company/Utilitf ent
The forego instrume t was acknowledged b fore
me this � day, of _ c.,ca 20 r by
identifi
NOTARY
sus VES r- who
to me or who has produced
as
Print: Print:
SEAL: SEAL:
;:j2 �yi•., HUBERTNUNEZ
�'•' MY COMMISSION k GG 104234
EXPIRES: September 11, 2021
Bonded Thru Notary Public Undorwdtors
********************************************
APPROVED BY: Public Works Director, or Designee
2017-04-15