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PW-19-461
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 03/07/2019 Location Address Parcel Number 122 NE 105 ST, Miami Shores, FL 33138-2033 1121360130680 Contacts Permit tw.: PW-03-19461 Permit Type: Public Works Work classification: Public Works Permit Status: Approved Expiration: 09/03/2019 ROY AND MARGARET MEVERS Owner ROY AND MARGARET MEVERS Applicant 122 NE 105 ST, MIAMI SHORES, FL 331382033 122 NE 105 ST, MIAMI SHORES, FL 331382033 Other:3057560156 Other:3057560156 MIRAN CONSTRUCTION, LLC Contractor JULIO M MIRANDA 750 GREENBRIAR AVE, DAVIE, FL 33325 Business: 7869250084 Description: UNDERGROUND ELECTRIC SERVICES TRENCE Valuation: $ 100.00 Inspection Requests: REPAIR AT BACK ALLEY ASPHALT i2 949 Total Sq Feet: 14.00 Fees Amount Education Surcharge $0.20 Public Works Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $105.70 Building Department Copy Payments Date Paid Amt Paid Total Fees $105.70 Credit Card 03/07/2019 $105.70 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. OWNERS AFFIDAVIT: Zceo that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons ction'and , ning. Futhermore, I authorize the above named contractor to do the work stated. r f Authorized Signature: Owner / Applicant / Contractor / Agent Date March 07, 2019 Page 2 of 2 Miami Shores Village Public Works Department �\�©~ (305)795-2210 Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FL 33138 �J PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property Permit#: 1 i-(, sy Name of Applicant (if utility see below): Roy klor5 Owner off the following described property: Legal Description: Lot Block Subdivision /%lQio�t 6/torPS Sec S Folio #; - a ! -0 3 - 6 0 Address: 1,2,2 A e l bS � rO.r•,: I1S . UTILITY NAME: Qualifier/Authorized Agent: Address: City: State: ZIP: Telephone: Email: State Certification or Registration #: rr Certificate of Competency # CONTRACTOR NAME: flrAV) P L Qualifier/Authorized gent: 1 Address ib(4D bAIII&Wpiel Allyof -5ft ZOO City: 0 11- State: ZIP: 33 0 .>O Telephone: '3%4 g2y-Q0Sy Email: rvui1.LGy *%41 • Ww% State Certification or Registration #: C&C. 157 l6 "I Certificate of Competency #: RECEIVED MAR O 1 1079 �f Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: UlY% f1-6t2Nh/� 9.4fAt A" 14v A'S dko i Type of Work: ❑ Paving Ld Utility ❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: City:' State: ZIP: Telephone: Email: Registration#: Valuelof Work for this Permit: $ 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 $ 16S- =1b d Q< N 1 J r�►1 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 k installations ass 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 perm'itslmust 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. '\ , 1, , "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 $2,500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to the attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the public works permit is issued:- In the absence of such. posted notice, the inspection wilt nlbt be approved acid a reinspection will be4cliarged. Signature eozz— Xpplicant or Authorized Agent The foregoing instrument was acknowledged before me this 1 s�" day of "rc-k 20 t 9 , by 1PoY AAt✓P.1 ►d who is personally known to me or who has produced identification. NOTARY PUB IC: Sign: . Print: SEAL: as WEMY N MMA MY COMMISSION 1100T9014 EXPIRES: March 11, 2021 Signature Company/Utility Agent A w The foregling instrument was acknowledged' before me this f `dajrof , •M4r2d-f-t , 20_L.ft, by `36UJ M �2Ar.,ia/�' who is personally known to me or who has produced PC— t�2.�.�(`22 as identification. A A NOTARY PUBLIC: Sign: Print: _o SEAL: Z: i `$.b,, pep; Zr /kk 1�IllOjl11110 9X �\\X� ******************************************* APPROVED BY: g 6 Public Works Director, or Designee 2017-04-15 122 NE 105 Street, Miami Shores FL Aft ca . w EX WATER METER EX WATER LINE i EXISTING DRIVEWAY LO IN i 4 ( x I RELOCATED R I ELEC.METE & PANEL Ix EX OVERHEAD ELECTRICAL TO BE PLACED x UNDERGROUND Ix / II-- N.E. 105TH STREET 16' ASPHALT PAVEMENT . .... ...... ...... .... ...... 23' PARKWAY �.�nR 6 u - •••••• :••••: 100.00' R 0 M IEXISTING SIDEWALK EX COVER PORCH J I EX i ELEV. 12.41 NGVD .. .. .. . ...... EX. 5' SIDEWALK ;••;•; 1050 GAL :••••; IIIIIIIII�•. SEPTIC TAN< WITH 1525 S.F.•IiRENCH I DRAINFEILD (35 CHAMBERS) I 750 S.F. OF UNOBSTRUCT Ililllllll ELEV. 10.40' NGVD � I LLlI,LLI11� II TI I � N ��RELOCATED ,-- I EX ELEC METER - j2 BE RELOCATED I I'• I N NE j 'NEW M STER: 310 P 548 S.F. BEDRO E EV. 12.41' NGVD I INV Ii ELEV. 12 40'- ' FUTURE ' EXISTING POOL EQUIP. SHED 9100.00'R- EXISTING 1, Location,o# trench EX 9.8' ALLEY ELECTRICAL POLE 33,-0" 1 V-0" EA TSIDE SETBACK COMP#1 4<3 0 M -)�N --, m w Q o Y U < z c p < "1) LL 0 LL m a y:)�- D W O m1 J z Q c z z a 0 c w w �-- a 0 C `z z a z o L a ° - < n ... . ...... .... . . . ...... .... ...... .... .. .... g asphalt pavement -surface New asphalt . .0 • •x 12 inch min. ' . Trench Width 41nch +:•¢ ' `.' 4 Inch Saw cut existing pavement Existing Base Min j.-77 N,,• Min • • ; # ¢ ` + ' ` ° ` '�` ` 6 inch to 8 inch compacted Y r * Y • • • •'�� lime rock base 2 inch Pipe SECTION Native backfill ERMI EVIEW CRITERIA (PW-03-1-4-46. ) O I M HORE VILLAG PERMIT ADDRESS: 122 NE 105 ST Miami Shores, FL 33138 APPLICATION DATE: 03/01/2019 SQUARE FEET: EXPIRATION DATE: 08/28/2019 VALUATION: PARCEL: 1121360130680 14.00 DESCRIPTION: UNDERGROUND ELECTRIC SERVICES TRENCE REI $100.00 AT BACK ALLEY ASPHALT CONTACTS NAME COMPANY Applicant ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS Contractor JULIO M MIRANDA MIRAN CONSTRUCTION, LLC JULIO M MIRANDA MIRAN CONSTRUCTION, LLC Owner ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS ADDRESS 122 NE 105 ST MIAMI SHORES, FL 33138 122 NE 105 ST MIAMI SHORES, FL 33138 122 105 ST MIAMI SHORES, FL 33138 750 GREENBRIAR AVE DAVIE, FL 33325 750 GREENBRIAR AVE DAVIE, FL 33325 122 NE 105 ST MIAMI SHORES, FL 33138 122 NE 105 ST MIAMI SHORES, FL 33138 122 105 ST MIAMI SHORES, FL 33138 REVIEW ITEM STATUS REVIEWER Public Works v.1 Requires Re -submit Chris Miranda email: pw Comments: Provide drawing of trench location and details on restoration. Restoration will require full width (HOT ASPHALT) patch on stabilized sub -base with a compacted 8" lime rock base. 3/5/19 CM March 05, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 PERMIT ADDRESS: 122 NE 105 ST PARCEL: 1121360130680 Miami Shores, FL 33138 APPLICATION DATE: 03/01/2019 SQUARE FEET: , 14.00 DESCRIPTION: UNDERGROUND ELECTRIC SERVICES TRENCE RE EXPIRATION DATE: 08/28/2019 VALUATION: $100.00 AT BACK ALLEY ASPHALT CONTACTS NAME COMPANY Applicant ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS Contractor JULIO M MIRANDA MIRAN CONSTRUCTION, LLC JULIO M MIRANDA MIRAN CONSTRUCTION, LLC Owner ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS ADDRESS 122 NE 105 ST MIAMI SHORES, FL 33138 122 NE 105 ST MIAMI SHORES, FL 33138 122 105 ST MIAMI SHORES, FL 33138 750 GREENBRIAR AVE DAVIE, FL 33325 750 GREENBRIAR AVE DAVIE, FL 33325 122 NE 105 ST MIAMI SHORES, FL 33138 122 NE 105 ST MIAMI SHORES, FL 33138 122 105 ST MIAMI SHORES, FL 33138 Public Works REVIEW ITEM STATUS REVIEWER Public Works v.1 Requires Re -submit Chris Miranda email: pw Comments: Provide drawing of trench location and details on restoration. Restoration will require full width (HOT ASPHALT) patch on stabilized sub -base with a compacted 8" lime rock base. 3/5/19 CM March 05, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 PERMIT ADDRESS: 122 NE 105 ST PARCEL: 1121360130680 Miami Shores, FL 33138 APPLICATION DATE: 03/01 /2019 SQUARE FEET: 14.00 DESCRIPTION: UNDERGROUND ELECTRIC SERVICES TRENCE RE EXPIRATION DATE: 08/28/2019 VALUATION: $100.00 AT BACK ALLEY ASPHALT CONTACTS NAME COMPANY Applicant ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS Contractor JULIO M MIRANDA MIRAN CONSTRUCTION, LLC JULIO M MIRANDA MIRAN CONSTRUCTION, LLC Owner ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS ROY AND MARGARET MEVERS ADDRESS 122 NE 105 ST MIAMI SHORES, FL 33138 122 NE 105 ST MIAMI SHORES, FL 33138 122 105 ST MIAMI SHORES, FL 33138 750 GREENBRIAR AVE DAVIE, FL 33325 750 GREENBRIAR AVE DAVIE, FL 33325 122 NE 105 ST MIAMI SHORES, FL 33138 122 NE 105 ST MIAMI SHORES, FL 33138 122 105 ST MIAMI SHORES, FL 33138 Public Works REVIEW ITEM STATUS REVIEWER Public Works v.1 Requires Re -submit Chris Miranda email: pw Comments: Provide drawing of trench location and details on restoration. Restoration will require full width (HOTASPHALT) patch on stabilized sub -base with a compacted 8" lime rock base. 3/5/19 CM March 05, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1