PW-19-1047Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date:
Parcel Number
489 NE 95TH ST, Miami Shores, FL 33138 1132060140640
:ontacts
Permit NO.: PW-05-19-1047
Permit Type: Public Work',,;.
Work Classification: Public Works
Permit Status: Approved,,
Expiration: 11/ 12/2019
ANDREW LENAHAN Owner TECO PEOPLES GAS SYSTEM Contractor
489 NE 95 ST, MIAMI SHORES, FL 331382729 1ESUS VEGA
15779 West Dixie Hwy, North Miami Beach, FL 33162
Business:
305957385777247
Other:3059701783
Description: TO INSTALL A NEW GAS SERVICE LINE (1 1/4" Valuation: $ 100.00 Inspection Requests:
PLASTIC) BY DIRECTIONAL BORE
1305-762-4949
TotalSq Feet: 45.00
Fees
Amount
Education Surcharge
$0.20
Public Works Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$111.70
Payments
Date Paid Amt Paid
Total Fees
$111.70
Check # 3458
05/09/2019 $50.00
Credit Card
05/16/2019 $61.70
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 tFI
quired for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulatingcst ction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
A`uT—orize'Aignature: Owner / Applicant / Contractor / Agent Date
May 16, 2019 Page 2 of 2
'i I -, \ �0\ \�%
RECEIVED
V7 Miami Shores Village M Y 0 2019
Public Works Department
(305)795-2210 RR
Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FLIAX
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#:
Name of Applicant (if utility see below): TECO PEOPLES GAS
Owner off the following described property:
Legal Description: Lot 23 & 24 Block 53 Subdivision MIAMI SHORES SEC 2
Folio #; 11-3206-014-0640
Address: 489 NE 95th 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 (1 1/4" PLASTIC) BY DIRECTIONAL BORE
' Type of Work: ❑ Paving H Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
r
•
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City:
Telephone:
Registration #:
State:
Email:
ZIP:
Value of Work for this Permit: $1000 Square/Lineal Footage of Work: 45LINEAL
***** Fees *****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanni $
Bond $ (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 3QQA� .
Company/Utility ent
The foregoing instrument was acknowledged before
me this day of 20--t�9, by
Ec k , who
ers nally known o me or who has produced
identification
NOTARY P BLIC:
Sign:
Print:
4A-119
APPROVED BY: v' Public Works Director, or Designee
HUBERTNUNEZ
MY COMMISSION # GG 104234
EXPIRES: September 11.2021
2017-04-15
9 Work Area •
400' 200' Less Than
2oa
ROAD
WORK
AHEAD
zoo 201
ROAD More Than
WORK 200
AHEAD
ROAD
WORK
AHEAD
200' 1 200' 400'
a
ROAD
WORK
AHEAD
200' 400'
a
b
CONDITIONS
WHERE ANY VEHICLE, EOUIPMENT, WORKERS
OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REOUIR1NG THE CLOSURE OF ONE
TRAFFIC LANE, FOR WORK AREAS LESS 01670 •
200' DOWNSTREA FROM AN INTERSECTION
FOR A PERIOD O MOR f I'VN 60 MIN(A'PS* •
• • • •:
•••••• •• •
•
•••••
•••• ••••
•••••
•••••• • ••
•••• f•
• • • • •
•• •• ••••
•••••
Cp4(D/T10NS
•
WHERE ANY VEHICLE, fOU}•DMENT, WORKERS
•
•
OR THEIR ACTIvTTIES ENCROACH ON.,vi. • •
00000
PAVEMENT REOLVR1NG TyE CLOSURE•OF ONE
•
TRAFFIC LANE, IWR W&RK67REAS 200' OR
• • • • •
MORE DOWNSTREAkOFROM■AN INTERRECT100
•
FOR A PERIOD OF MORE THAN 60 M&U7C'S. •
••••
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 102-600)
6. The maximum spacing between devices shall be no greater than 25.'
2. When vehicles in a parking zone block the line of sight [o TCZ
a. Work operations are 60 minutes or less.
OI
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 mountetl 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.
Flagger
R. 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
communication at all times.
102-603. Placement of Rumble Strips and additional signs should
begin at FLAGGER sign location.
LAST Q ✓cxnrr,,—
REVISION FY 2019-20 11DEK SHEET
FDOT TWO-LANE TWO-WAY WORK NEAR INTERSECTION 1]/O]/17 � - �- STANDARD PLANS ' ' ]02-605 1 of 1
• • I••• • • • • ••� _--N-98T
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LEGEND
r — rt CENTER LINE
H ST__-l-�__-__--•--- NE95TH ST_�____ ---- --- {-
I ---- - , M MONUMENT LINE
t iS4 R/W RIGHT OF WAY
1 ,Nz 429 434 4" AA T4� ti � SDO ste � P/L PROPERTY LINE
m134 I
_ E.O.P. EDGE OF PAVEMENT
rn
T.T. TAPPING TEE
E F.V. EXCESS FLOW VALVE
sn q
SVC SERVICE LINE
> aas
m ,� at ast i43 4" PE. PLASTIC
�»} STM. SEW. STORM SEWER
LOCATION MAP (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 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 (1.5" MIN. THICKNESS)
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
9
RESFORAUTIILITYFCROSSING T
3'
1
i
6"
m
GAS MNN
SOD RESTORATION DETAIL
W&L NOT 70 mm r
20'
s
s
PROP. 1 -------
1 4"
---------
-- ------
,
-------
GAS
_4
GAS SVC. TO BE
36"
MIN.
4
'
GAS MAIN
1-3
r'RUrILr- UMUZINN a NL. DIN AVt.
SCALE: (V) 1:5' (H) NTS.
j PROP. GAS 489 j 490
RISER _ '
-
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_ GAS
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NE 95TH STREET
MAY 0 9 2019
9490
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.
500_- oQ
- I--- N
i ALLEY.
€off
GAS i F - w
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TIE IN SVC TO GAS MAIN
WITH T.T./E.F.V.
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6
PROP. 3/4" PE.GAS SVC.
6, LINE
BY DIRECTIONAL BORE
41
36" MINIM COVER
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GAS MAIN
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NE 95TH STREET G u w
Xm
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Z7-7nz
I 1ST .6" P.E. GAS MAIN a
!10 es Vililage — —
DATE i N 500
B z
W E
Al-L FE11V
�FC,l11 ATIONS S
"I F S AfdD , No. or era:
SCALE:"1 30' SEMU NO.: 1
Drawing File: G: \Documents\MIAMI SHORES\489 NE 95 St, Miami Shores FL 3333138\489 NE 95TH ST MIAMI SHORES-recover.dwg 04/18/2019