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PW-18-2492Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.. PW-9-18-2492 Permit IVR Number: 631587 (� Permit Type: Public Works Work Classification: Public Works Permit Status: Approved Issue Date:10/04/2018 1 Expiration: 12/18/2018 Parcel Number Project 128 NE 94 ST, Miami Shores, FL 33138 1132060132980 <NONE> Contacts SALVATORE INVESTMENTS INC Owner SALVATORE INVESTMENTS INC Applicant JOSESBARRA JOSESBARRA 128 NE 94 ST, MIAMI SHORES, FL 33138 128 NE 94 ST, MIAMI SHORES, FL 33138 Mobile: 3057785961 Mobile: 3057785961 Other:3057581169 Other:3057581169 TECO PEOPLES GAS SYSTEM Contractor 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: PLASTIC) BY DIRECTIONAL BORE 130S-762-4949 To PLASTIC) Feet: 24.00 Fees Education Surcharge Permit Fee Scanning Fee ]Amo Technology Fee Total: 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 required for ELE.CZUICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. [DAVIT/ I certip that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ruotiol,knd zon' g. Futhermore, I authorize the above named contractor to do the work stated. nature: Ownert / Applicant / Contractor / Agent Date October 04, 2018 Page 2 of 4 J . . ... . . . ... .. .. . . . .. .. . . . . . . . . . . . . . 000 .. 000 .. . . . . . . . . . . . . . . . .. . .. . . . . .. ... .. ... . 200' 1 100, •• • • • •• •• • • 400' 100' 1 Less Than 20a ROAD WORK AHEAD <* J � J b ■ ■ ■ ■ 400' Sa zoo 2aa ROAD More Than WORK 200' AHEAD 400' ROAD WORK AHEAD Il 200' *401 I a b 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) 6. The maximum spacing between devices shall be no greater than 25.' Z. When vehicles in a parking zone block the line o/ sight [o 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. Flagger 8. The two channelizing 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. 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. 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 OZ DESCRIPTION: INDEX SHEET REVISION = M FY 2017-18 TWO-LANE TWO-WAY WORK NEAR INTERSECTION NO. NO. 07101115 W r✓�- DESIGN STANDARDS 605 1 Of 1 LOCATION MAP (N.T.S.) • • • •••• O _ • ROOM LNE • • • • • • • • iURFACE RiLACOAf]TT • SDRFACE • • • ••• • • fEPIACE]•]AT BASE • • *AWMATERIAL)• • • • • 1.6' • • bl WIDTH ,.S' ...... .... . . .. . •..•• •••• • • RESTORATION OF ROAD CUT FOR UTILITY CROSSING SAW CUT ASPHALT (rfpoc-) XWWQ N SIDEWALK W r E i EXIST.6" PE. GAS MAI s. 1_3 NE. 94th STREET TIE IN SVC TO GAS MAIN s "' — - — - - — - WITH T.TIE. F.V. SCALE: 1"=30' w -I 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. I~ 3' ---I 6" MAIN SOD RESTORATION DETAIL SCALE: NOT TO SCALE 75' 3 li . GIRD. Ci rZ 3 0 ___-__ --_---_---T__ ______ m 8 I ' 36" I ROP. 3'4" PLASTIC GAS SVC. TO BE MIN. DIRECTIONAL BORED 8 I I � 4 I EXT.6" PE. GAS MAIN I 4 0 0 r-RUrILL �.RUJJIINU IVt. y'+Tr1 JI. SCALE: (V) 1:5' (H) NTS ----- ROI 3/4" PLASTIC SWALES GAS SVC. TO BE 24' " DIRECTIONAL BORED Ll Lq IL I � 1 r; W z L T" W RESIDENCE #128 102' " a I a ROP. 3/4" PLASTIC F GAS SVC. TO BE DIRECTIONAL BORED I I . •.� I I . PROP. GAS C) a CV o 'M so w ps 0 m ao PAD U CS U Q:Ii U P U E SEP g. IP 1' < ` ou� I ?� a = _=LL� POOLI v M x_m 24.5' CONC. W 4 u f PAD RIP 1• Q Z n WPP 9' 4' I I LEGEND GENERAL NJTES � o C CENTER LINE 1. REPLACEL BASE MATERIAL OVER DITCH SHALL BE TWICE THE IN MONUMENT LINE THICKNESS OF THE BASE, MIN. 8" AND MAX. 18" R/W RIGHT OF WAY 2. BASE MATERIAL SHALL BE PLACED IN 6" MAX. (LOOSE MEASUREMENT) LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98% OF P/L PROPERTY LINE R° MAX. DEJSITY PER AASHTO T-180 E.O.P. EDGE OF PAVEMENT 3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED T.T. TAPPING TEE 4. SURFACE MATERIAL SHALL BE CONSISTENT WITH SURROUNDING SURFACE E.F.0 EXCESS FLOW VALVE MATERIAL (1.5" MIN. THICKNESS) 5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE SVC. SERVICE LINE No. or aefea: CONTENT OF 70% (60% FOR LOCAL STREETS) PE PLASTIC Simi NO.: 1 6. CONTRAC' OR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES STM. SEW. STORM SEWER Drawing File: \\browardfs\voll\users\PGMXC\Documents\RESIDENTIAL\2018\NE 94 ST. 128, MIAMI SHORES, FL\128 NE 94 ST.MIAMI SHORES, FLdwg 08/16/2018 -,� Miami Shores Village RECEIVED `O Public Works Department SEP 19 1016 (305)795-2210 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 Property /�, Permit#: �� 2�°I Name of Applicant (if utility see below): TECO PEOPLES GAS Owner off the following described property: Legal Description: Lot 10-12 Block 22 Subdivision MIAMI SHORES SEC 1 Folio #; 11-3206-013-2980 Address: 128 NE 94th 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 # 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: 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: 24 LINEAL *****Fees***** _Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ (if required) Total Fee Now Due $ f J. ' 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 IL Applicant or Authorized Agent Company/Utility�ent The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before me this day of 20 by me this ZZ day of 20 ,o by who ,l ESN �1e e n who is personally known to me or who has produced is personally known to me or who has produced as as identification. identification. NOTARY PUBLIC: NOTARY PUB C: ;AJd;�, , ; HUBERT NUNEZ =r '� MY COMMISSION # GG 104234 Sign: Sign: ��� EXPIRES: September 11, 2021 �� Vonu© u Public Underwftre Print: Print: SEAL: SEAL: * * **** *********************************** APPROVED BY: v Public Works Director, or Designee 2017-04-15