PW-18-2488Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
525 NE 90 ST, Miami Shores, FL
Contacts
Permit NO.: PW -9-18-2488 Permit IVR Number. 631583
Permit Type: Public Works
V Work Classification: Public Works
Issue Date:_ 10/04/2018
Parcel Number
1132060400030
Permit Status: Approved
Expiration: 12/18/2018
Project
NONE>
MARIA LEANDER Owner CLIFFORD LEANDER Owner
525 NE 90 ST, MIAMI SHORES, FL 331383148
Permit Fee
525 NE 90 ST, MIAMI SHORES, FL 331383148
Scanning Fee 9.00
Technology Fee 0.80
Total: 110.00
MARIA LEANDER Applicant TECO PEOPLES GAS SYSTEM Contractor
525 NE 90 ST, MIAMI SHORES, FL 331383148 JESUS VEGA
15779 W DIXIE HWY, MIAMI, FL 33162
Business:
305957385777247
Other: 3059701783
Description: TO INSTALL A NEW GAS SERVICE LINE (3/4" Valuation: $ 1,000.00
Inspection Requests:
305_362-4949PLASTIC) BY DIRECTIONAL BORE
Total Sq Feet: 0.00
Fees Amount
Education Surcharge 0.20
Permit Fee 100.00
Scanning Fee 9.00
Technology Fee 0.80
Total: 110.00
Building Department Copy
Payments Amt Paid
Total Fees 110.00
Deposit 50.00
Check # 2240 60.00
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 requireAfor ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFjfIDAVIT: I cyfify thq all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulatifiig cgKstr0ction ng. uthermore, I authorize thg above named contractor to do the work stated.
Owner // Applicant / Contractor / Agent Date
October 04, 2018 Page 2 of 4
RECEIVED
Miami Shores Village SEP 19 1018PublicWorksDepartment
305)795-2210
Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 33138
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami-DadeProperty
Permit#: V + 1 8 — ZH Bg
Name of Applicant (if utility see below):
Owner off the following described property:
Legal Description: Lot 3 Block 1 Subdivision PARK MANOR HOMES
Folio #; 11-3206-040-0030
Address: 525 NE 90 ST.
UTILITY NAME: TECO PEOPLES GAS
Qualifier/Authorized Agent: JESUS VEGA
Address: 5101 NW 21 AVE.
City: FT. LAUDERDALE State: FL ZIP: 33309
Telephone: 954-453-0806 Email: MCABRERA@TECOENERGY.COM
State Certification or Registration #: E1608 Certificate of Competency # l
CONTRACTOR NAME: TECO PEOPLES GAS
Qualifier/Authorized Agent: JESUS VEGA
Address: 5101 NW 21 AVE
City: FT. LAUDERDALE State: FL ZIP: 33309
Telephone: 954-453-0806 Email: MCABRERA@TECOENERGY.COM
State Certification or Registration #: E1608 Certificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: TO INSTALL A NEW GAS SERVICE LINE (3/4" PLASTIC) BY DIRECTIONAL BORE
Type of Work: Paving Utility Sidewalk Electric Irrigation
Landscape Antenna Other:
DESIGNER: Architect/Engineer:
Address:
Citv:
Telephone:
Registration #:
State:
Email:
Value of Work for this Permit: $1000
Permit Fee $ 100.00
Notary $
Bond $
ZIP:
Square/Lineal Footage of Work:
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
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:
Sign:
Signature '7 v-
Company/Utility gent
The foregoing instrument was acknowledged I re
me this _ day of 20_)_d__, by
1Csum N a who
is personally known to me or who has produced
identificat' n.
NOTARY UBLI
as
Print: Print:A&ZiF ,VJ,,J z --
SEAL: SEAL: ----"
HUBERT NUNEZ
MY COMMISSION 4 GG 104234
fi EXPIRES: September 11, 2021
Nota Public Urid+rwrilnr'
APPROVED BY: , Public Works Director, or Designee
2017-04-15
400' 200' Less Than
zoo
ROAD
WORK
AHEAD
400' S0'
201
zoo
ROAD
Mare Than
WORK
20a
AHEAD
the opposing travel lane open to traffic.
IZI
signs or when TCZ signs encroach on a normal pedestrian 7. For general TCZ requirements and additional information, refer to
TWO-LANE, TWO-WAY, WORK NEAR INTERSECTION
Work Zone Sign
walkway, the signs shall be post mounted and located in Index No. 600.
accordance with Index No. 17302.
Flagger 8. The two channelizing devices directly in front and directly at the
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
Lane Identification + Direction of Traffic
ROAD WORK AHEAD signs. Flaggers are not required.
200' 400'
r
ROAD
WORK
AHEAD
200' 4010'
J
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
100' 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 100' OR
MORE DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
DURATION NOTES
1. ROAD WORK AHEAD sign may be omitted if all of the following
conditions are met:
a. Work operations are 60 minutes or less.
b. Speed is 45 mph or less.
c. No sight obstructions to vehicles approaching the work area for
a distance of 600 feet.
d. Vehicles in the work area have high-intensity, rotating,
flashing, oscillating. or strobe lights operating.
e. Volume and complexity of the roadway has been considered.
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.
the opposing travel lane open to traffic.
Channelizing Device (See Index No, 600)
DESCRIPTION:
6. The maximum spacing between devices shall be no greater than 25.'
FY 2017-I8
2. When vehicles in a parking zone black the line of sigh[ [o TCZ
SHEET
REVISION IZI
signs or when TCZ signs encroach on a normal pedestrian 7. For general TCZ requirements and additional information, refer to
TWO-LANE, TWO-WAY, WORK NEAR INTERSECTION
Work Zone Sign
walkway, the signs shall be post mounted and located in Index No. 600.
accordance with Index No. 17302.
Flagger 8. The two channelizing devices directly in front and directly at the
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
Lane Identification + Direction of Traffic area shall be barricaded and the FLAGGER signs replaced by area have high-intensity rotating, flashing, oscillating, or strobe
ROAD WORK AHEAD signs. Flaggers are not required. lights operating.
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
100' 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 100' OR
MORE DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
DURATION NOTES
1. ROAD WORK AHEAD sign may be omitted if all of the following
conditions are met:
a. Work operations are 60 minutes or less.
b. Speed is 45 mph or less.
c. No sight obstructions to vehicles approaching the work area for
a distance of 600 feet.
d. Vehicles in the work area have high-intensity, rotating,
flashing, oscillating. or strobe lights operating.
e. Volume and complexity of the roadway has been considered.
4. Flaggers 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-I8
INDEX SHEET
REVISION IZI FDO TWO-LANE, TWO-WAY, WORK NEAR INTERSECTION NO. NO.
07/01/15 Mr DESIGN STANDARDS 605 1 of 1
NE 91"ST ST -------
ST------
m
490 3
m
4
19030
I
m
9010 =
C
m
I
anTN_S_T__—NE'90TH-ST , ------ /9003
t 9033
9029
90
9025
9021 9023
9017
9019
9013 9015
009
9011
9007 ,
9005
LOCATION MAP
n1lL LME
MAW • • •
sUR . R ucEl rr
SA ,ASPHALT
1. • d
LAW ••••
t.b' X111 1.!{'
Does* •
o • s
o•••o•
tY `• 14'
Doe• 000009
N
W E
s
SCALES' -20,
LEGEND
f CENTER LINE
ILI MONUMENT UNE
R/W RIGHT OF WAY
P/L PROPERTY LINE
E.O.P. EDGE OF PAVEMENT
T. I. TAPPING TEE
E.F.V. EXCESS FLOW VALVE
SVC. SERVICE LINE
PE PLASTIC
STM. SEN! STORM SEWER
o o • o • SOD RESTORATION DETAIL
RESTORATION OF ROAD CUT SCALE: NOT TO SCALE
R UTILITY CROSSING
GENERAL
1. REPLACED BASE MATERIAL OVER DITCH SHALL BE TWICE THE
THICKNESS OF THE BASE, MIN. a AND MAX. 18-
2. BASE MATERIAL SHALL BE PLACED IN 6" MAX. (LOOSE MEASUREMENT) ALL EXISTING UTILITIES SHOWN ON
LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98X OF
THESE PLANS ARE TO BEMAX. DENSITY PER AASHTO T-180
3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED CONSIDERED APPROXIMATE &
4. SURFACE MATERIAL SHALL BE CONSISTENT WITH SURROUNDING SURFACE SHOULD BE VERIFIED BY THE
MATERIAL (1.5' MIN. THICKNESS) CONTRACTOR PRIOR TO THE
5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE START OF WORK OPERATIONS.
CONTENT OF 70X (6OX FOR LOCAL STREETS)
4
6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTIUTIES
4
PROFILE CROSSING PARK DR. SCALE: (V) 1:5" (h) N 15.
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IND.
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3 70'
o:
a d
8
CUKVLJ
8
L-------------- ------------ ---------------------
PROP. Yfl PLASTIC
oAs
DIRECII BORED 36' MI 1.
1 1
1
4 4
1 I
1 1
GAS MAIN
0 0
PROFILE CROSSING PARK DR. SCALE: (V) 1:5" (h) N 15.
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IND.
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