PW-18-285Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
er it
Issue Date: V1412018
Perrnmit o. PW-2-18-285
Permit Type: Public Works
Work Classification: Public Works
Pennit;Status APPROVED
Expiration: 05/15/2018
Project Address Parcel Number Applicant
1201 NE 96 Street 1132060143830
BKT HOLDING LLC
Miami Shores, FL 33138-2553 Block: Lot:
Owner
BKT HOLDING LLC 700 NE 90 Street
MIAMI FL 33138-
2691 E OAKLAND PARK Boulevard
FT. LAUDERDALE FL 33306-
contractors) Phone Cell Phone
TECO PEOPLES GAS SYSTEM (305)957-3857 (305)970-1783
nning: 1
Due
BPR Fee
CA Fee
Jucation Surcharge
=_rmit Fee
tinning Fee
�chnology Fee
otal:
Amount
$0.00
$0.00
$0.00
$0.20
$100.00
$3.00
$0.80
$104.00
Cell
Valuation: $ 1,000.00
Total Sq Feet: 57
Pay Date Pay Type Amt Paid Amt Due
Invoice # PW-2-18-66342
02/05/2018 Credit Card $ 50.00 $ 54.00
02/14/2018 Check #: 1936 $ 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.
AFFIDAVIT: I certify that II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
rand zoning. Futhermoreuth n e the above -named contractor to do the work stated.
February 14, 2018
Authorized Signature: Owner / Applicant TL Contractor / Agent
Building Department Copy
ruary 14, Luia
�� 2_� �
a �r ��
RECEIVED
Miami Shores village FEB 0 5 10
Public Works Department
(305)795-2210
Public works forms are available from the building department, 10050 NE 2"d 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#: n vj t 8 -"%%�( �S
z1 —c — cP 8(4
Name of Applicant (if utility see below): _
Owner off the following described property:
Legal Description: Lot fi3 Block 1
Folio #; 30-5901-010-0630
Address: 1201 NE 96 ST.
Subdivision KENDAL PLACE
UTILITY NAME: TECO PEOPLES GAS J i 1
Qualifier/Authorized Agent: JESUS VEGA
Address: 5101 NW 21 AVE.
City. FT.LAUDERDALE, State: FL I ZIP: 33309
Telephone: 954-453-0806 Email: MCABRERA@TECOENERGY.COM
State Certification or Registration #: E1608 Certificate of Competency #
CONTRACTOR NAME:
Qualifier/Authorized Agent:
Address:
Citv:
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: INSTALLING A NEW GAS SERVICE LINE BY DIRECTIONAL BORE
Type of Work: ❑ Paving ❑■ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
�t ❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City: State:
Telephone: Email:
Registration #:
ZIP:
Value of Work for this Permit: $1000 Square/Lineal Footage of Work: 57
*****Fees*****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning
r7�$
Bond $ (if required) Total Fee Now Due $ `) • Ob
11)
0
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:
Signature V3.ua�,-, Uso�a
Company/Utili 0 gent
The foregoing instrument was acknowledged before
me this day of 20_/� by
J,F--" Z A who
is
identifica
NOTARY
Sign:
S@g
Print:
Print:
SEAL:
SEAL:
to me or who -has produced
as
MY COMMISSION # GG 104234
2021
Bonded Thru Notary Public Underwriters
********************************************
APPROVED BY: �i t' , Public Works Director, or Designee
2017-04-15
•
.
•••
• • • • • "• • •• ••' ROAD
• • • • • • • • • • WORK
1 — • • • • • • � • AHEAD -- -
y 200' 200' 40d Y
• • • I • • • • • • I I CONDITIONS
CG J \ • •/ • • • • ' ••,• • • • • \ / WHERE ANY VEHICLE, EOUIPMENT, WORKERS
• • • • • OR THEIR ACTIVITIES ENCROACH ON THE
\ • • • • • • • • • PAVEMENT REOUIRfNG THE CLOSURE OF ONE
[J • • TRAFFIC LANE, FOR WORK AREAS LESS THAN
1 • • • Work Area • 200' DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
40d � 200' Le70ahan
ROAD
WORK ROAD
AHEAD 1 � _ WORK
. AHEAD
200' 400'
J I I I I n CONDITIONS
WHERE ANY VEHICLE, EQUIPMENT, WORKERS
< OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REOUIRING THE CLOSURE OF ONE
b • • • • • Work Area • TRAFFIC LANE, FOR WORK AREAS 200' OR
// MORE DOWNSTREAM FROM AN INTERSECTION
I FOR A PERIOD OF MORE THAN 60 MINUTES.
400' � 50'
200' zod
ROAD More Than
WORK
}yj 20d
AHEAD <*<
DURATION NOTES
SYMBOLS
GENERAL NOTES
® Work
Area
1. Work operations shall be confined to one travel lane, leaving
5. The FLAGGER legend sign may be substituted for the symbol sign.
1. ROAD WORK AHEAD sign may be omitted if all of the following
the opposing travel lane open to traffic.
conditions are met:
Channelizing
Device (See Index No. 600)
6. The maximum spacing between devices shall be no greater than 25.'
2. When vehicles in a parking zone block the line of sigh[ to TCZ
a. Work operations are 60 minutes or less.
signs or when TCZ_signs encroach on a normal pedestrian
7. For general TCZ requirements and additional information, refer to
b. Speed is 45 mph or less.
Work
Zone Sign
walkway, the signs shall be post mounted and located in
Index No. 600.
C. No sight obstructions to Vehicles approaching the work
area for
accordance with Index No. 1730Z
a distance of 600 feet.
Flogger
8. The two Channelizing devices directly in front and directly at the
d. Vehicles in the work area have high -intensity, rotating,
3. If work area is confined to an outside auxiliary lane, the work
end of the work area may be omitted provided vehicles in the work
flashing, oscillating. or strobe lights operating.
� Lane Identification + Direction of Traffic
area shall be barricaded and the FLAGGER signs replaced by
area have high -intensity rotating. flashing, oscillating, or strobe
e. Volume and complexity of the roadway has been considered.
ROAD WORK AHEAD signs. Flaggers are not required,
lights operating. -
4. Fla ggers shall be in sight of each other or in direct
9. Use Temporary Raised Rumble Strips in accordance with Index 603,
communication at all times.
Placement of Rumble Strips and additional signs should begin at
FLAGGER sign location.
LAST
DESCRIPTION:
FY 2017-18
INDEX
SHEET
REVISION
IZI
FDOT
TWO-LANE TWO-WAY WORK NEAR IINTERSECTIION
N0.
NO.
07/o]/IS
w
��- DESIGN STANDARDS
' '
605
] Of 1
LEGEND
IF
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
STM.
SEW. STORM SEWER
LOCATION
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 A►ID•FbACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98% OF
• 4IAX. DENSITY 4PER AASHTO T-180
• • 8! OASPHALT 'CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED
• 4. SURFACE MATERIAL SHh.L? BE• CONSISTENT WITH SURROUNDING SURFACE
• • • • • • MATEItI2t'(1.6" MIN. THiCKIIESS)
' •5. BASE MA RIAL' SHALL• HAVE •4 MIN. LBR. OF 100 AND A MIN. CARBONATE
• CONTENT OF 70% (dWfp LOCAL STREETS)
• • •9.• CONTRAC-TOU•SHALL SOFT D1; TO VERIFY LOCATION OF EXISTING UTILITIES
h • •
•
SURFACE
REPLACEMENT BASE
(NEW MATMAL)
f 3' �I
f
z
6"
m
to
1 T--GASMAIN
SOD RESTORATION DETAIL
SCALE., NOT TO SCALE
FULL LANE
SURFACE REPLACEMENT
12,
RESTORATION OF ROAD CUT
FOR UTILITY CROSSING
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.
75'
8
a
�
,
a
3
,
8
4
- 1
- - - -
t -- - - - - --
-36"
4
MIN,
ROP. %" PLASTIC
DIRECTIONAL BORED
--�_
------�
-
-
EXT. 4 CS.
GAS MAIN
0
0
PR(7FI1 F
CROSSING NF- 19 AVF-
-,CAI F• (V) 1: 50' (H)
NTS.
E?V]
N /
I
W E l�
PROP. 3/
/ GAS SVC.
S DIRECTION
9CALB:1'�90'
/
TIE IN SVC TO C
WITH T.T.A.F. .
7°
ASPHALT /
IEXIT. 4" CS. G S MAIN
/ I
R/W_—� �I
N I
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/ FEB 45
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NE 96th ST
-- - — - — - — - — - — - — - —�— - — - —
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MUZT NO.: 1
Drawing File: \\browardfs\voll\users\STADJ\Documents\1201 NE 96 ST\1201 NE 96 ST.dwg 02/01/2018