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PW-19-6Permit NO.: PW -0149-8 Miami Shores Village Permit Type, Public Works 10050 NE 2 Ave Miami Shores FL 33138 Work Clossificati ? Public Works 305-795-2204 !L!!mrtwtad Issue Date: 01/18/2019 1 Expiration: 07/17/2019 Location Address Parcel Number 85 NW 103RD ST, Miami Shores, FL 33150 1121360131080 Contacts DM Investement Services LLC Owner FPL L 85 103 Description: INSTALLING ONE NEW POLE WR#8586800 Valuation: $17,903. 00 Ins ection Requests: 1305-762 Total Sq Feet: 0.00 Fees Amount Education Surcharge $0.00 Public Works Permit Fee $0.00 Scanning Fee $0.00 Technology Fee $0.00 Total: $0.00 Building Department Copy Payments Date Paid Amt Paid Total Fees Amount Due: 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 fof �LECTRICAL`R UMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNE AFFIDAVIT: I certify that all t foregoing information is accurate and that all work will be done in compliance with all applicable laws reg ting onstruction and zoning. uth orfr; I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date January 18, 2019 Page 2 of 2 FPL WR # 8586800 Miami shores Village RECEIVED Public Works Department JAN 022019 10050 N.W. 2nd Avenue, Miami Shores, Florida 33138% Tei: (305) 795.2204 Fax: (305) 756.8972 Public Works Permit No.�/ Permit Application FBC 2004 UTILITY _ _ -Rer+ it . Public Worksl WATER Owner's Name (Fee Simple Titleholder) Florida Power & Light Phone#: 305-529-6120 OwneesAddress_4200 West Flaqler St City Miami State Florida Zip 33134 Tenant/LesseeName N/A Phone# N/A ALLEY BEHIND 85 NW 103 STRFFT Job Address (where the work is being done) City _ Miami Shores Village Is Building Historically Designated: Yes N/A County Miami -Dade No N/A Zip Utility's GenlraetoF% Company Name FLORIDA POWER AND LIGHT COMPANY Phone #: (305) 442-5150 Utility's GGAtrastoies Address 4200 W. FLAGLER ST. — EPM / LFO City: MIAMI State:LF ORIDA Zip: 33134 Architect/Engineer's Name (if applicable) Patric Pierre $ Value of Work For this Permit: $ 17,903 Phone#: 305-626-7698 Lineal Footage Of Work: Type of Work: ® Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Describe Work: INSTALLING 1 NEW POLE Submittal Fee $ Notary $ Scanning $ Code Enforcement S Total Fee Now Due $ (Continued on opposite side) ................"" Fees .................... _ Permit Fee $ CCF $ _ Training/Education Fee$ Radon $ Zoning Structural Plan Review $ Technology Fee $ CO/CC Bond $ Bonding Company's Name (if applicable) Bonding Company's Address NIA City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State State Zip Zip Application is hereby made to obtain a permit to do the work 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 regulating construction In this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 this issuance of a Public Works permit with an estimated value exceeding $2500, 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 attachment. Also, a certified copy of time recorded notice of coement must be poste t the job silo for the first inspection which occurs seven (7) days after the building permit is Issued. In the ab encs of such posted no tic , f inspection will not be approved and a reinspection Yee will be charged. Signature Signature U U" 01tA v U11J Owner or Agent Utility Representative /-GenlraeteF The tgoing in meat was acknowledged before me this 28 day of December 20 18 by Tiyiam ilneQa , who is personally known to me eF who -has pFedaced N/A as Identification, and who-did/did not take an oath. NOTARY PUBLIC: NOTA13Y PU�LIC: Sign: Sign: l Print: Print: Marta Ramirez My Commission Expires: My Commission Ex --"�° -- --- ` WARTA3A RA%i 2cT MY COMMISSION # GG 010311 EXPIRES: July 11, 2020 I :F� W Bonded Thru No`ay Public Underwriters �rrr a rrrrrrrrrrrrrrrrr■ ■ ■rrrr■ on ■rr■(rrrfrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr■ APPLICATION APPROVED BY: °1 1 Public Works Director or his designee. 11/17/2005 December 28, 2018 Engineering and Project Management 4200 W. Flagler Street, Miami, Florida 33134 Office: (305) 442-5140 Fax: (305) 442-5123 Miami Shores Village Director of Building Department 10050 N.E. 2 Avenue Miami Shores, Florida 33138 SUBJECT: WR# 8586800 PROCESS (Need to hand carry permit) FPL plans to construct electrical facilities within you City limits. Attached for you approval for a "No fee" permit are the following documents: a. Permit application form b. Two copies of the job sketch with the proposed facilities highlighted If you have any questions, please call our engineer Mr. Patrick Pierre at 305-626-7698. Otherwise, advise me of your approval avia e-mail @ Viviam.Pineda(CD-fpl.com so I make arrangements to pick permit. Very truly yours, FPL Permit Cordinator Attn.: Viviam Pineda 305-442-5680 4200 W. Flagler Street — EMP/LFO Miami, Florida 33134 ��iam �ine�ec Permit Coordinator a- b INACCESSIBLE [S� 13 kV 1_Q 1 Q � SWALE _.._.._.._.._.._.. ALLEY _.._._._ALLEY— - CL i SWALE p } I I I Q Q �� c L I Lu g I Ilio ll) LL 0) J `; 30 ( LL; mN It 85 NW ?n3" ST I lities F meet S Z _D side point aistance of 3T from cone d Curb a - _�} y back of soewadk. 11 intact ym CCR, for further instruct:cns.� zI I 0 !ij O W i 0 C m I C .....: EOP CL EOP • . E Consfr•icticm.QGawing Symbols and Specifications •••• •••• 0*00 • Poles • 00*0 • • • 000*00 • ��•i �yiSCinbFPLovMed+nood pole • ••0 P18l1C%ed FPL•vwnedwood pole •••• ■ Existing FPL owned concrete pole ❑ Proposed FPL owned concrete pole ® F d 1 It 85 NW ?n3" ST I Exlsting ore ignwoo poe SOB AND PERMIT OVERVIEW x Proposed Foreign wood pole ;3 E ® LOC 1 -F.0 W EOP EOP ALLEY LOC 1 IP85 Northwest 103rd Street WE MUST CALL SUNSHINE UTILITIES LOCATIONS COM PANYAT 1-800-432.4770 AT LEAST 48 HOURS PRIOR TO DIGGING TO VERIFY EXACT LOCATIONS �,// OF UNDERGROUND FACILITIES J: MOT#599 4'*:MOT #605 ALL REQUIRED GROUNDRODS HAVE BEENDRIVENB VERIFED TO JOB( FOREMAN'5 SIGNATURE DATE FOREMAN'S SIGNATURE DATE SUPERVISOR'S SIGNATURE DATE INTIALS CERT. DATE Easement? Yes[-] No ❑ 1 Survey/Stake? Yes ❑ No® Work with SMO?Yes [:]No ® FPL INST NEW 40/3 POLE Tree Work? Yes[-] NEE] Designer/Stake?Yes N No[:] CT/Special MtR Yes [:]No N FEEDER# 803431 PERMIT Ci Count Rd. County Air State Road FAA SUB: MIAMI SHORES N­WMDI RR Xing DR. Dist. Transm. R/0 NW 103RD STREET & NW 1STAVE IN THE ALLEY Requested Tel Co. Set Poles ?YES ❑ NO ® Tele. Attachment Per Designed by: Patrick PierreDate: 12/26/18 Requested Tel Co. Transfer? YES E] NO Request CAVT Transfer? YES ❑ NO N — Drawn by: PP Check by: Dwg No. POLE LINE FEET 0. DUCT BANK FT. 0' Rural Location Sec. 36 TWP. 52 S, R. 41 E. 01 1 TRENCH FT. 0' SCALE: N.T.S I St. Lt MAP No. I Pri Map No. AD0268 TLM/LDS MODEL No. - Map Posting? YES N NO ❑ Posted by: WR 8586800 IWR D00008586800 M/A ND NW 103rd St LOCATION: R/O 85 NW 103"" STREET GPS X COORDINATE: -80.19971469 GPS Y COORDINATE: 25.86998071 TLN:8-7261-4775-0-6 RTIFED COMPLETEDAS SHOWN ON THE ASBULT AS -BUILT COPY MINT. MATERIAL CHANGES SHOWN ON ROS lities F meet side point aistance of 3T from cone d Curb a - _�} y back of soewadk. 11 intact ym CCR, for further instruct:cns.� Exlsting ore ignwoo poe SOB AND PERMIT OVERVIEW x Proposed Foreign wood pole ;3 E ® LOC 1 -F.0 W EOP EOP ALLEY LOC 1 IP85 Northwest 103rd Street WE MUST CALL SUNSHINE UTILITIES LOCATIONS COM PANYAT 1-800-432.4770 AT LEAST 48 HOURS PRIOR TO DIGGING TO VERIFY EXACT LOCATIONS �,// OF UNDERGROUND FACILITIES J: MOT#599 4'*:MOT #605 ALL REQUIRED GROUNDRODS HAVE BEENDRIVENB VERIFED TO JOB( FOREMAN'5 SIGNATURE DATE FOREMAN'S SIGNATURE DATE SUPERVISOR'S SIGNATURE DATE INTIALS CERT. DATE Easement? Yes[-] No ❑ 1 Survey/Stake? Yes ❑ No® Work with SMO?Yes [:]No ® FPL INST NEW 40/3 POLE Tree Work? Yes[-] NEE] Designer/Stake?Yes N No[:] CT/Special MtR Yes [:]No N FEEDER# 803431 PERMIT Ci Count Rd. County Air State Road FAA SUB: MIAMI SHORES N­WMDI RR Xing DR. Dist. Transm. R/0 NW 103RD STREET & NW 1STAVE IN THE ALLEY Requested Tel Co. Set Poles ?YES ❑ NO ® Tele. Attachment Per Designed by: Patrick PierreDate: 12/26/18 Requested Tel Co. Transfer? YES E] NO Request CAVT Transfer? YES ❑ NO N — Drawn by: PP Check by: Dwg No. POLE LINE FEET 0. DUCT BANK FT. 0' Rural Location Sec. 36 TWP. 52 S, R. 41 E. 01 1 TRENCH FT. 0' SCALE: N.T.S I St. Lt MAP No. I Pri Map No. AD0268 TLM/LDS MODEL No. - Map Posting? YES N NO ❑ Posted by: WR 8586800 IWR D00008586800 M/A ND NW 103rd St LOCATION: R/O 85 NW 103"" STREET GPS X COORDINATE: -80.19971469 GPS Y COORDINATE: 25.86998071 TLN:8-7261-4775-0-6 RTIFED COMPLETEDAS SHOWN ON THE ASBULT AS -BUILT COPY MINT. MATERIAL CHANGES SHOWN ON ROS go 0 • • • • • f f • • • • • • • • • • • • • •• • ••• f ••• •+• ••• f•• ? •• ••• •• J 0 00 lY1 F 400' LY 200' ROAD WORK AHEAD 0 ■Less Than ■ 2� ROAD WORK AHEAD 200'200' 400' �_j ROAD WORK AHEAD 200' 4100' \ J C� � • • Work Area � 400' 50' 200' 200' More Than ROAD 200 WORK AHEAD CONDITIONS WHERE ANY VEHICLE, EQUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH ON THE PAVEMENT REQUIRING THE CLOSURE OF ONE TRAFFIC LANE, FOR WORK AREAS LESS THAN 200' DOWNSTREAM FROM AN INTERSECTION FOR A PERIOD OF MORE THAN 60 MINUTES. CONDITIONS WHERE ANY VEHICLE, EQUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH ON THE PAVEMENT REQUIRING THE CLOSURE OF ONE TRAFFIC LANE, FOR WORK AREAS 200' OR MORE DOWNSTREAM FROM AN INTERSECTION FOR A PERIOD OF MORE THAN 60 MINUTES. 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) 5. The maximum spacing between devices shall be no greater than 25.' Z. When vehicles in a parking zone block the line of sight to TCZ a. Work operations are 60 minutes or less. Work Zone Sign 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, 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. 17302. a distance of 600 feet. 0— Flogger S. The two chaprelizing 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. ==C> 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 o DESCRIPTION: 2016 INDEX SHEET REVISION �j FDOT� TWO-LANE TWO-WAY, WORK NEAR INTERSECTION NO. NO. 07/01/15 w T DESIGN STANDARDS 605 1 Of 1 r - A INACCESSIBLE M 13 kV ❑ I I Z i i D I m I I I � C I D m I I I I 1 SWALE i EOP — -ALLEY— _ _ _ _ — — r _ ,l_ ALLEY — (L SWALE EOP I � I I I I I 85 NW 103RD ST I M I CZ N I I D M INST 40/3 � • • • • • O ALLEY • • • • 85 Northwest 703rd Street — — — — U NW 103rd St i POLE SETTING PROFILE (TYPICAL) e EOP 4 EOP i PROFILE VIEW NO UTILITIES WILL BE CROSSED TO SETMUST CALL SUNSHINE UTILITIES LOCATIONS LOCATION: R/O 85 NW 103RD STRE POLES ® COMPANY AT 1-800-432-4770 AT LEAST 48 HOURSj4Oi GPS XCOORDINATE: -80.19971469 POLES TO BE SET AT 6.5 FT DEEP PRIOR TO DIGGING TO VERIFY EXACT LOCATIONS (�rjl+r •�/ GPS Y COORDINATE: 25.86998071 FPL Construction Drawing Symbols and Specifications OF UNDERGROUND FACILITIES 0��/- P — PM.®.. o-x..ffx�„x�N o TW:8-7261-4775-0- AmmRmalOi>�Elies n aom wrxr Nnrtwr cx>xacs sxvawwxos A—UILT COPY MOT #599 4* MOT #605 ■ Existing FPL owned wood pole tt PPIeNrem x �❑ N° ❑ wsbw., Y- El uw�e Sao?vim ❑No ®° INST NEW 4013 POLE � s 0 Proposed FPL owned wood pole PPke w 3r iQ T, --v,.❑ Nu ❑ D...gP.,isekow.. N No❑ crlsP.o�nlNnn v.. ❑No ® FPL FEEDER# 803431 tcm�do ar rxPb Cr �— . ■ Existing FPL Owned concrete pole baaM s.dewaR. ....�. Ci CDun Rd. County Air State Road FAA SUB: MIAMI SHORES CCR wMD RR Xin DR. Dist. Trans-. RIO NW 103RD STREET & NW IST AVE IN THE ALLEY ne Dom, sPns �. A„ecN nt Pe, ❑ Proposed FPL owned concrete pole A"'" R.wF-Telco. T, PokI YEs No Designed by: Patrick Pll?rre Date. 01/07/19 Roa�nloa rol. co. r,no.N, , vlts ❑ No F-- u.-- vEsNo Drawn by. PP Check by Dwg No. ® Existing Foreign wood pole JOB AND PERMIT OVERVIEW POLE LINE FEET D-,CTaANN rT'"• 0' Rural Location Sec. 36 TWP. 52 S, R. 41 E. x Proposed Foreign wood pole 0' 1TRENCH FT. 0' SCALE. N.T.S I SL Lt MAP No. on Map No. AD0268 TLMILDS MODEL No. _ M.PP O.g? YES 0 NO ❑ PPsteaby: wR 8586800 IM D00008586800 M/A NO