PW-18-3602Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
r-fl'-A i U I
Issue Date:12/12/2018
Parcel Number
349 NE 93RD ST, Miami Shores, FL 33138 1132060136280
Contacts
Permit NO.: RW-12-18-3602
Permit Type: Public Works
Work Classification: Public Works
Permit Status: Approved
Expiration: 06/10/2019
JOHN BUCKI Owner
349 NE 93 ST, MIAMI SHORES, FL 331382854
'
TECO PEOPLES GAS SYSTEM Contractor
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 1. Total Scl Feet: 26.00
Fees
Education Surcharge
Public Works Permit Fee
Scanning Fee
]Amo
Technology Fee
Total:
Payments Date Paid
Amt Paid
Total Fees
$111.70
Check # 3267 12/12/2018
$61.70
Check # 3260 12/05/2018
$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 AFFIDAVIT: I certify that all the foregoing information is accur to and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above name co tractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / A ent Date
December 12, 2018 Page 2 of 2
RECEIVED
.- Miami Shores Village DEC 0 5 K18
Public Works Department
a
V.,
artme 95-2210ublic 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
rS!�
Permit#: ON �9 � v
Name of Applicant (if utility see below): SEE BELOW
Owner off the following described property:
Legal Description: Lot Block
Folio #; 11-3206-013-6280
Address: 349 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 $
4
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
attach ment.'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 3 uQCZS,
Applicant or Authorized Agent
Company/Utility nt
The foregoing instrument was acknowledged before
The foregoing instrument was acknowledged before
me this day of 20 by
me this 11 day of D F e- 1264, by
who
- 4 VE 'A who
is personally known to me or who has produced
Is personally known tqpme or who has produced
as
as
identification.
identification. n
NOTARY PUBLIC: NOTARY PUB C:
Sign: Sign:
Print: Print:
SEAL: SEAL' HUBERTNUNEZ
,6s MY COMMISSION # GG 104234
�•' EXPIRES: September 11, 2021
4f,, `
I n iwrIt
** *********** *****************************
APPROVED BY: 'L L Public Works Director, or Designee
2017-04-15
••• ••• ••• ••• • • •
• • • • • • •
•' • • • •
• • ! • • •
400'
ROAD r,
WORK
AHEAD
ROAD
WORK
AHEAD
V t BY DATE
a 400
ONINO DrD
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—�W TIONS
401 so'
200' 200'
ROAD More Than
WORK 200'
<*
AHEAD
ROAD
WORK
AHEAD
zoo T401
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 101-600)
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
signs or when TCZ signs encroach on a normal pedestrian
7. For general TCZ requirements and additional information, refer to
D
Work Zone Sign
walkway, the signs shall be post mounted and located in
Index 102-600,
accordance with Index 700-101.
Flogger
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
b
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.
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.
ffFx0,5t.
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
1. ROAD WORK AHEAD s' 'tte if"JIM0F' -.B'.l wing
conditions are met
jQ
a. Work operations min s or l
b. Speed is 45 mph � l�
c. No sight a of 6c g � _ } pr ache war tea for
a distance of 6 �j
d. Vehicles in the w - area' av`Sigh-intensttyrg[ating,-
flashing, oscillatelW�a"trpb■-Nghts operating.—
e. Volume and complex' .,l� `f a L64a,�.. as�be Co s70e ed.
LAST o FY 2019-20 WDEXSHEET
REVISION FDOT TWO-LANE TWO-WAY, WORK NEAR IINTE RS E CTIION
11/01/17 W �- STANDARD PLANS 102-605 1 Of 1
m
—� -- _ —
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do
o — —1— r _ r
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LOCATION MAP t;N.T.B.�
GENERAL NOTES
1. REPLACED BASE MATERIAL OVER DITCH SHALL BE TWICE THE
THICKNESS OF THE BASE, MIN. 8- AND MAX. 18-
2. BASE MATERIAL SHALL BE PLACED IN 6- MAX. (LOOSE MEASUREMENT)
LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98X OF
MAX. DENSITY PER AASHTO T-150
3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED
4. SURFACE MATERIAL SHALL BE CONSISTENT WITH SURROUNDING SURFACE
MATERIAL (1.5- MIN. THICKNESS)
5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE
CONTENT OF 70X (60X FOR LOCAL STREETS)
6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES
s
6'
SOD RESTORATION DETAIL
SCALE- NOT TO SCALE
N
W E
s
SCALER'=20'
LEGEND
T
CENTER LINE
Id
MONUMENT LINE
R1W
RIGHT OF WAY
P/L
PROPERTY LINE
EO.P.
EDGE OF PAVEMENT
T. T.
TAPPING HE
E. F.V.
EXCESS FLOW VALVE
SM
SERVICE LINE
PE
PLASTIC
STM.
SEW. STORM SEWER
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.
RESFORAYFROSSNTUTIILITYCIG
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PROFILE CROSSING NE 93 ST.
SCALE: (V) 1:0 km) rvlZO.
PROP.
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PROP. 314" P.E. GAS
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Drawing File: G:\Documents\MIAMI SHORES\349 NE 93RD ST MIAMI SHORES FL 33133 TO DO YET\349 NE 93RD ST MIAMI SHORESAW9 11/25/2015