PW-18-3372Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
P, @ 17 1 - R �fu 6, ��'
Issue Date:11/06/2018
Location Address Parcel Number
335 NE 93RD ST, Miami Shores, FL 33138 1132060136260
Contacts
Permit NO.: PW-11-18-3372
Permit Type: Public Works
Work Classification: Public Works
Permit Stotus: Approved
Expiration: 05/06/2019
PAUL MADSEN Owner TECO PEOPLES GAS SYSTEM Contractor
335 NE 93 ST, MIAMI SHORES, FL 331382854 JESUS VEGA
15779 West Dixie Hwy, North Miami Beach, FL 33162
Business:
305957385777247
Other:3059701783
Inspection Requests:
Description: INSTALL 3/4" PLASTIC GAS SERVICE BY Valuation: $ 1,000.00 Inspec ion Re
DIRECTIONAL BORE
TotalSq Feet: 26.00
Fees
Amount
Education Surcharge
$0.20
Public Works Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$111.70
Building Department Copy
Payments Date Paid
Amt Paid
Total Fees
$111.70
Check # 3186 11/06/2018
$50.00
Check # 3187 11/06/2018
$61.70
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 ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS A (DAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
re ating structio a zonin .. Futh�l authonz the above7naed contractor to do the work stated.
711,
A orized ' nature: Owner / Applicant / Contractor / Agent Date
November 06, 2018 Page 2 of 2
RECEIVED
Miami Shdres Village NOV 0 6 1016
Public Works Department
a-. (305)795-2210
Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FL 33138 allf�l
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade
Property
Permit#: 0
Name of Applicant (if utility see below): SEE BELOW
Owner off the following described property:
Legal Description: Lot Block
Folio #; 11-3206-013-6260
Address: 335 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: 26 FT.
***** 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:
Print:
SEAL:
Signature
Company/Utility ent
The foregoing instrument was acknowledged ore
me this �L day of /UGy , 20 by
as V &g A who
ally knov- )to me or who has produced
�� as
identificati
NOTARY UB IC: ;•K+�'G,r.., HUBERTNUNEZ
MY COMMiSSION N GG 104234
"• _�• 1 EXPIRES: Septembor 11, 2021
Print:
SEAL:
**** **************************************
APPROVED BY: l b Public Works Director, or Designee
2017-04-15
a ni Shcres Village z All ifl
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APPRO\tEO BY DATE o (T1
ZONING DEPf _.,,_ �, gpA° ••' o m
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BLDG DEPT
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l F CONDITIONS
SU _ IE_T to c( NIP 91' CE�IVI(H ALL E
• • • : J• • • • •YhHERE ANY VEHICLE, EQUIPMENT, WORKERS
G - REUULAT�ONS • • • • • • • • f *OR THEIR ACTIVITIES ENCROACH ON THE
• • • • • i t • MVEMENT REOUIRING THE CLOSURE OF ONE
b , `- ■ ■ ■ ■� • • • • ! • A • • 7tAFFIC LANE, FOR WORK AREAS LESS THAN
Work Area ■ • • • • • •�" • • • • • •200' DOWNSTREAM FROM AN INTERSECTION
,r,'•-' FOR A PERIOD OF MORE THAN 60 MINUTES.
40a 200' 'Less Than
ROAD
WORK ROAD
AHEAD WORK
AHEAD
200' 400'
JI I l CONDITIONS
WHERE ANY VEHICLE, EQUIPMENT, WORKERS
<:= OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REQUIRING THE CLOSURE OF ONE
■ ■ • • r TRAFFIC LANE, FOR WORK AREAS 200' OR
Work Area MORE DOWNSTREAM FROM AN INTERSECTION
D 401
FOR A PERIOD OF MORE THAN 60 MINUTES.
� sa
200' 2oa'
ROAD More Than
WORK 200'
AHEAD
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 102-6001 6. The maximum spacing between devices shall be no greater than 25.'
2. 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 102-600, c. No sight obstructions to vehicles approaching the work area for
accordance with Index 700-101. a distance of 600 feet.
[]� Flogger B. The two channelizing devices directly in front and directly at the d. Vehicles in the work area hav ta[i
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 strob - hts opera[' ,
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 y has dered.
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
communication at all times. 102-603. Placement of Rumble Strips and additional signs should
begin at FLAGGER sign location.
LAST IZI DESCRIPTION: FY ZO%J-ZO
REVISION ppp- T� TWO-LANE, TWO-WAY, WORD NEAR INTERSECTION
Mo
n STANDARD PLANS
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PROP NEW RISER
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METER SET LOCATION 9' F --_ -- SCALE: 1"=30'
I
• • • •
335 NE 93rd ST
i • • w • ` • • •
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19, MIAMI SHORES
• • . s
•
ALL EXISTING UTILITIES SHOWN ON
••••�. • •
• N
THESE PLANS ARE TO BE
' • • • CD
• • • •.. • • c�
_
CONSIDERED APPROXIMATE &
I
SHOULD BE VERIFIED BY THE
Fj?j)j•gORE 3'/J: STIC GAI •
pV'
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w
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CONTRACTOR PRIOR TO THE
START OF WORK OPERATIONS.
ow: FROM EXIS ING 2"
m
3�
GAS IN TO •�1�• OCATIOIN
•
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:K�` 93RD 6 • • • t/) z 39'
' SHORES RRc o I
• •••i�• IoC�r � I
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5' iSM1LEWALK v)
26' EXISTING 2" PE GAS MAIN
21.5' SWALE
_8.._ W
w — w
W -- w W _g W
-- w
E.O.P N.E. 93rd ST
75' 2I2' — — — —
j E.O.P
T.T/T.F/E.F/E.M
2600 FLOW VALVE
® GAS MAIN RESTORE
GRASS SWALE TO CITY SPEC.
21.5' SWALE
5_ SIDEWALK _____—._---------------------
S R/W
RILL LANE
SURFACE REPLACEMENT
SURFACE SAW CUT ASPHALT
(TYPICAL)
REPLACEMENT BASE ,
1.5.
(NEW MATERIAL) DITCH WIDTH
12'---_I 1 '- I I —1r
RESTORATION OF ROAD CUT
FOR UTILITY CROSSING
GENERAL NOTES
1. REPLACE BASE MATERIAL OVER DITCH SHALL BE TWICE THE
THICKNESS OF THE BASE, MIN. 8- 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.
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LEGEN D
CENTER LINE
2
MONUMENT LINE
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RIGHT OF WAY
R1W
66
N
PROPERTY LINE
P/L
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EDGE OF PAVEMENT
E.O.P.
TAPPING TEE
T.T.
02
EXCESS FLOW VALVE
E.F.V.
SERVICE LINE
SVC
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co
WATER MAIN
WM.
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3 75
Of 1 C5 X. GRD. 0 1S
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18
----------------
7 i 17
6 1 8" W.M. 36" MIN. I 16
5 1 \LF 6" I 1 5
GAS GAS GAS '
41 4
I I I
3 I X.2" PE I 13
2 1 GAS MAIN 1 2
1 ROP. 3/4" PLASTIC 1
GAS SVC. TO BE
DIRECTIONAL BORED ,
PROFILE CROSSING N.E. 93rd STREET SCALE: 1:40 (V) 1"=1' (H) 1"=2'
ND. OF B1ZCf8:
mP NO.: 1