PW-14-473kI
Miami Shores Villa
Public Works Department
10050 N.E. 2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Public Warks
Permit Application
FBC 2004
Pernik No.
Perk Type: Public Works WATER
p P / ^ / 7G
Owner's Name (Fee Simple Titleholder) f R T R }% I ll -t Phone g: Ub- 2 4 - 6Z 3 I
Owners Address ICc7P AA0 z 5rrec
city P/'+nl State FL Zip '3 i 7G
Tenant/Lessee Name All t Phone 8:
Job Address (where the work is being done) 110 Nui ` 5 ah
City Miami Shores Vllage
Is Building Historically Designated: YES
Contractors Company N 4
Contractor's Address
City
County Miami Dade Zip 3315 0
NO
State Zip
1
Architect/Engineers Name (if applicable) ` °'c a Phone S: C d 2 A? L
Value of Work For this Permit D W Lineal Footage Of Work:
Type of Work: Addition Alteration New Repair/Replace Demolition
Describe Work:Y
Submittal Fee $ % Perk Fee $
Notary $ Training/Education Fee $
Scanning $ Radon $
Code Enforcement $
Total Fee Now Due $
Continued on opposite side)
Strudural Plan Review $
CCF. $ CIO=
Technology Fee i
Zoning Borrel $
Bonding Companyi Name (if applicable)
4 I .. ,
Bonding Ca tnpanys.Address
City _ State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
N/A
zip
WA
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 the recorded notice of commencement must be posted at the job site for the first
inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be
approved and a reinspection fee will be charged.
Signature v ,\ Signature
Owner or Agent , ontractor
The foregoing instrument was acknowledged before me this. pOH The foregoing instrument was acmowledgedibefore me this
2
da 'of, fY1CxrCl-t. , 20 'by Franc J i 11e f day of CSI , 2oLl by a L
who is personally known to me or who has produced Who is personally know to me or has produced L % r%
as identification and who did take an oath. as identi and who did take an oath.
NOTARY PUBLIC: NOTA&Y U `WflRtfi°Nr0i_....._
r r,
Sign: Jo;noQ s
Print: L-DP1 x -)CI •1 f1a u
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SSION#EEO 14022MyCommissionExpires: :,A: •t;
2014
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i .Print:• ", =
E017070
My Commissi oe mm .
APPLICATION APPROVED BY: C1 L
Public Works Director or
his designee.
11/17/2005
SCOPE OF WORK
ELECTRICAL PIPE SERVICE TRENCH
SITE PLAN
Y3s"=1r-a-
LEGAL DESCRIPTION:
LOT 1, BLOCK 1 OF "RECTOR SUBDIVISION" ACCORDING
TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK
45, PAGE 1 OF THE PUBLIC RECORDS OF MIAMI-DADE
COUNTY, FLORIDA.
FOLIO: 11-3101-014-0010
OCCUPANT CLASSIFICATION
R-3
TYPE OF CONSTRUCTION
TYPE V B
FBC 2010
SITE DATA
ZONING CLASSIFICATION A-1
RAINWATER SHALL BE RETAINED
PROPERTY LINE (OR ON SITE)
PERMIT #:
Mlami Ui''?"
APFRO'vED BY
ZONING DEPT
BLDG DEPT
SUBJECT 10 Ccr,lPl.VI ICE W FH A!,
I cTn-TE ANv .C,I.jw ! H'
THIN.._.__
RLES MITCHELL
N. FEDERAL HWY
LYWOOD, FL. 33020
ELECTRICAL SERVICE
PIPE & TRENCH
130 N.W. 92ST
MIAMI SHORES, FL.
33150
PILLER
DATE:
DRAWN BY: JOSEPH BERNARD
APPROVED BY:
8-19-14
EET NO.
A -1
z 1 1/2° AIN. ASPHALTIC CONCRETE
f CTA]BBIL-ISED SUB -BASE a MIN. 95% DENSIT ari 4 rr"" b Ir -T7
I I -I 11=1 11=1 11-I I I 11=
I I Ed 11-I I I -I 11=1 I C -11I 2' PVCZDPIPE SUPPLIED BY FPL
lIII I I
l WITHIN fir WIDE I U(24' (MII _ i _ H -111=11 TRENCH (
M N. N.)
III 11=1 I I I I-1 I I i I I 11=1 I I-1 11=11 I-1 11=1 11=1 I I -I 11= I I k
PIPE TO 90 DEGREE TO NE
HAND HELD SUPPLIED BY FPL
FROM HAND HELD TO SERVICE
ON POLE SUPPLIED AND COMPLETED
BY FPL
MIN. 6' THICK TYPE B STABLIZATION LBR Ivo
CRUSHED LIMEROCK COMPACTED TO 98% DENSITY AS
AASHTO -_-r (gv .
ASPHALT PAVEMENT DETAIL
N.T.S.
BACKFILL SUB -BASE MATERIALS RECOMMENDATION:
THE BACKFILL SUB -BASE SHALL BE 6" DEEP OF COMPACTED BASE ROCK VW A
MBF RA R AT THE4f IGHT 18" PReQUCING'GQMPAeTwE EFFORT
56,000EY-LBFT3 ° ASTPAJ557)
THE BASE MATERIAL SHALL BE 24" DEEP COMPACTED SAND AND ROCK WHIT"
56
R FY-L'MD33% ARSTMad
1OF518'
ODHCIN2 COMPACPVE EPFE)RT-
TRENCH TO 18" WIDE X 24" DEEP
REMOVED & REPLACED ASPHALT SHALL 36" WIDE
FBC 2010
RLES MITCHELL
N. FEDERAL HWY
LYWOOD, FL. 33020
ELECTRICAL SERVICE
PIPE 8 TRENCH
130 N.W. 92ST
MIAMI SHORES, FL.
33150
ER:
PILLER
DATE:
DRAWN BY: JOSEPH BERNARD
APPROVED BY:
REVISIONS:
AB -19-14