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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 go 1 a41 _ ■ ■ ■ ■■ y � FF tt,, pprff rk-Area- 8 �/ � zoo Les a - V1r } I ALL F t '3 r ��a1EA4do�t,.t�tvtfr#L=SArIUR EGULA —�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 —� -- _ — � I T do o — —1— r _ r i � I I 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 r 75' - 3 • • I• • GRD. I 12 r12 -- ------ -------------- 36- M! , I Us • • 8•• • •••• i 8 3 4 • L4P ' • •ROP. GAS MAIN •+ .01RECPQYAL *RED ' �.... • 4 PROFILE CROSSING NE 93 ST. SCALE: (V) 1:0 km) rvlZO. PROP. RISER #335 PROP. 314" P.E. GAS SVC. TO BE DIRECTIONAL BORE N R/W .sw SIDEWALK oe P&M-so .4-0 dit a ° L•V.l . d • • ° d E.O.P. 1 1 1 1 i RESIDENCE j K349 #355 W f 93' 20'- 26 N i Q 0 Now 41 • • a .da hT.193r�i� . • ° • a a d e d a ° d ° • __ 49' 'ROP. 2" P.E. GAS (DIR. BORE) SIDEWALK - — �r-� .;.:.:...rr •a.• -,ems . WW #346 Lz 8" Wm .•-m N&W �4 ° ° ° • d • .75 a ° d a • d ° o • • • ° a ° C TIE IN SVC. TO GAS MAIN WI T T. TIE. F. V. :I 6" co m j0 coco a 0. Hill linomi OMNI ME 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