PW-18-3373Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
issue Date: 11/06/2018
Parcel Number
346 NE 93RD ST, Miami Shores, FL 33138 1132060136330
Contacts
Permit No.: PW -11-18-3373
Permit Type: Public Works
Work Classification: Public Works
Permit Status: Approver!
Expiration: 05/06/2019
YOKO TAKARADA Owner TECO PEOPLES GAS SYSTEM Contractor
346 NE 93 ST, MIAMI SHORES, FL 33138 JESUS VEGA
Other: 3057565639 15779 West Dixie Hwy, North Miami Beach, FL 33162
Business:
305957385777247
Other: 3059701783
Description: INSTALL 3/4" PLASTIC GAS SERVICE BY Valuation: $ 1,000.00
Inspection Requests:
305-762-4949ECTIONALBORE
Total Sq Feet: 50.00 11
Fees Amount
Education Surcharge 0.20
Public Works Permit Fee 100.00
Scanning Fee 9.00
Technology Fee 2.50
Total: 111.70
Payments Date Paid Amt Paid
Total Fees 111.70
Check # 3187 11/06/2018 61.70
Check # 3186 11/06/2018 50.00
Amount Due: 0.00
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.
OWNERS FID T: I ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
re lati ns ction and zoning. Fu ermore, I authorize the above named contractor to do the work stated.
Autho'nz) Signature: ner / Applicant / Contractor / Agent Date
November 06, 2018 Page 2 of 2
or
Y
RECEIVED
Miami Shores Village NOV 0 6 201$
Public Works Department
305)795-2210 k-1
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
j
Property
Permit#:
Name of Applicant (if utility see below): SEE BELOW
Owner off the following described property:
Legal Description: Lot Block
Folio #; 11-3206-013-6330
Address: 346 NE 93rd St.
UTILITY NAME: TECO -PEOPLES GAS
Qualifier/Authorized Agent: JESUS VEGA
Address: 5101 NW21stAVE.
Subdivision
City: FT. LAUDERDALE State: FL ZIP: 33309
Telephone: 954-453-0811 Email: ARROCHE@TECOENERGY.COM
State Certification or Registration #: E1608 Certificate of Competency #
CONTRACTOR NAME:
Qualifier/Authorized Agent:
Address:
City: State: ZIP: _
Telephone: Email:
State Certification or Registration #: Certificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: INSTALL 3/4" PLASTIC GAS SERVICE 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: $1,000
Permit Fee $ 100.00
Notary $
Bond $
ZIP:
Square/Lineal Footage of Work: 50 FTF .
Fees*****
Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
if required) Total Fee Now Due $
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 Signature
Applicant or Authorized Agent Company/Utility nt
The foregoing instrument was acknowledged before The foregoing instrument was acknowledgedbefore
me this day of 20 by me this 4:,-',_ day f N y 20, by
who r Srts c S A who
is personally known to me or who has produced is personally known to me or who has produced
as as
identification. identific ion.
NOTARY PUBLIC: NOTAR PU
HUBERr NUNEZ
i My CC)bIMISSION
Sign: Si ,:•' EXPIRES# GG 104234
Thru Nola P
202, Oond d
fig Notary Public Underwriters
Print: Print:
SEAL: SEAL:
APPROVED BY: Public Works Director, or Designee
2017-04-15
PERMIT #:
Miami Shcres Village
DURATION NOTES
APPROVED BY DATE
ZONING DEPT
Area 1. Work operations shall be confined to one travel lane, leaving
BL G DEPT
1. ROAD WORK AHEAD sign may be omitted if all of the following
SU JECT 1'0 CC'NIP .Ir`t CE W1 FH AU J10
S
b
400 200
ROAD
WORK
AHEAD
liet-M63
ROAD
ARK•
AQ
200' 200' 400'
Work Area
Less Than -
200'
ROAD
WORK
AHEAD
2001 400'
Work Area
I/
b
400'
200'
200'
ROAD
More Than
WORK
200
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.
i]IJiIC•PC
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 102-600) 5. 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.
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 102-600. c. No sight obstructions to vehic e
accordance with Index 700-101. a distance of 600 feet.'
Flagger
8. The two channelizing devices directly in front and directly at the d. Vehicles in the work area halinten
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!6 oper g. tko—ered.
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
ROAD WORK AHEAD signs. Flaggers are not required. lights operating.
4. Flaggers shall be insight of each other or in direct 9. Use Temporary Raised Rumble Strips in accordance with Index
communication at all times. 102-603. Placement of Rumble Strips and additional signs should
begin at FLAGGER sign location.
LAST DESCRIPTION:
FY 20I9-20
REVISION
IZIO
FDOT M TWO-LANE, TWO-WAY, WORD NEAR
NDE
INTERSECTION
SHE
11/01/17 STANDARD PLANS
N R1W-_-----___.--
5' SIDEWALK
21.5' SWALE
W W
H
E.O.
75' 22' — -
G)
E.O.P
T.T/T.F/E.F/E.M
2600 FLOW VALVE
0 GAS MAIN RESTORE
BASS SWALE TO CITY SPEC
W N'
N.E. 93rd ST L 1 '
26' EXISTING 2" PE GAS MAIN
w —
21r5' SW tt-
0-
00 (
n --------_—
5• SIDE IMP K e _ - ------
S-R/Wso* •••
14
sees• • •• ••
sees• sees •e•
qp• ORE 3/4" PLASTIC e 91 05 1 0 D I
SERVICE FROM 2" pv,-
i iss &IN TO RISER LOCATION e0 •
1
a 42' In
I346NE93RDSTREET .. s • , zO
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sees
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346 NE 93rd ST 0_
PROP NEW RISER ~ 10' MIAMI SHORES
LLI
METER SET LOCATION I
J
n 1
1
S PIL
FULL LANE
SURFACE --\ I I,( (,YMCAL)ASPNALT
REPLACEMENT BASE
NEW MATERIAL) 1.5' D11CH N1.TH
12---4 1 '-'- 11--12'
RESTORATION OF ROAD CUT
FOR UTILITY CROSSING
Z
7I
61
SCALE: I"=30'
GENERAL NOTES
1. REPLACE BASE MATERIAL OVER DITCH SHALL BE TWICE THE
THICKNESS OF THE BASE, MIN. B' AND MAX. 18'
2. BASE MATERIAL SHALL BE PLACE 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
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
7. ALL ROADWAY RESTORATION WITHIN F.D.O.T R/W SHALL COMPLY WITH INDEX
310.
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.
R" vi u 36" MIN.
GAS
LEGEND
CENTER LINE
MONUMENT LINE 1 1
RIGHT OF WAY R/W
PROPERTY LINE P/L
EDGE OF PAVEMENT E.O.P,
TAPPING TEE T. T.
EXCESS FLOW VALVE E.F.V.
SERVICE LINE SVC
WATER MAIN WM.
5
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16
I
5 rn
GAS GAS GAS a
4
I3
PLASTI 12
GAS SVC. TO BE I
DIRECTIONAL BORED c
O N0. OF 3NBCf9:
SCALE: 1:40 (V) 1"=1' (H) 1"=2' HM No.: 1