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PW-19-1232
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address issue Date: 06/12/2019 Parcel Number 1250 NE 91ST TER, Miami Shores, FL 33138 1132050010550 Contacts Permit NO.: PW-05-19-1232 Permit Type: Public Works Work Classification: Public Works Permit Status: Approved Expiration: 12/09/2019 J Owner GREG & JENNIFER BAUMANN 1250 NE 91 TER, MIAMI SHORES, FL 331383406 TECO PEOPLES GAS SYSTEM Contractor JESUS VEGA 15779 West Dixie Hwy, North Miami Beach, FL 33162 Business: 305957385777247 Other:3059701783 Ins ection Requests: Description: TO INSTALL A NEW GAS SERVICE LINE (1 1/4 Valuation: $ 1,000.00 305-762-n Re PLASTIC) BY DIRECTIONAL BORE Total Sq Feet: 5.00 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 # 3474 06/12/2019 $111.70 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 AFFIDAVIT: I certify that a the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulati struction and zoning. F ermore, I a rize the above named contractor to do work stated. `� (9-el Authonzed 6igature: Owner / Applicant / Contractor / Agent Date June 12, 2019 Page 2 of 2 ,TL Eo AYMiami Shores Village Public Works Department 13Y.(305)795-2210 Public works forms are available from the building department, 10050 NE 2"dAve., 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#: T V V "o S�` Gj —V�3 2, Name of Applicant (if utility see below): TECO PEOPLES GAS Owner off the following described property: Legal Description: Lot 31 & 32 Block 2 Subdivision WATERSEDGE Folio #; 11-3205-001-0550 Address: 1250 NE 91 TER. 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: Citv: Telephone: State Certification or Registration #: Email: State: ZIP: 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 ❑■ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna DESIGNER: Architect/Engineer: Address: City: State: Telephone: Email: Registration #: Value of Work for this Permit: $1000 ❑ Other: ZIP: Square/Lineal Footage of Work: 5 LINEAL *****Fees***** Permit Fee $ 100.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ 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 tome or who has produced as QSignature C� 'Y, Company/UtilkAgent The foregoing instrument was acknowledged before me this ,Q_ day of 0tffj1,1- , 20 / ? , by or who has produced as who identification. id4canLIC. NOTARY PUBLIC: NSign: Si Print: P -- --- SEAL: SEAL: W IRERT NuNtl COMMISSION # GG 104234 MY SePlember 11,01 EXPIRES: Thru Notary Public Undef' t6ts Wded APPROVED BY: `3� Public Works Director, or Designee 2017-04-15 ROAD WORK AHEAD 401 20a Less Than zoo 200' ROAD More Than WORK IOd AHEAD SYMBOLS ® Work Area ■ Channelizing Device ISee Index 102-600) Work Zone Sign Flogger b Lane Identification + Direction of Traffic LAST JZ DESCRIPTION: REVISION 11101117 w ROAD WORK AHEAD 200' 200' 400' j ROAD WORK AHEAD 200, 400' GENERAL NOTES 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. 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 •or r ell 74FZ 4quirarents:nd•dditiw* information, refer to walkway, the signs shall be post mounted and located in • Index 10--609.. • • • • • accordance with Index 700-101. 8 jhe two b,anVlizy g;vicj*s djjeclIy in t*rogt and directly at the 3. If work area is confined to an outside auxiliary lane, the work • • end d•hr worl•a•ea m4y be otritt•d p•ooded vehicles in the work 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 or each other or in direct • •9. " jemporaryl' iseq./{Vrjble Strips4n accordance with Index communication at all times. • 1041-603. Plawment of Rur•ble Striks a•d additi•oal signs should • • betin at FLAMAR sign 19cation. • • • • • • • • • • • •• • • FY 2019-20 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 I. ROAD WORK AHEAD sign may be omitted if all of the following conditions are met: a. Work operations are 60 minutes or less. b. Speed is 45 mph or less. c. No sight obstructions to vehicles approaching the work area for a distance of 600 feet. d. Vehicles in the work area have high -intensity, rotating, flashing, oscillating, or strobe lights operating. e. Volume and complexity of the roadway has been considered. r STANDARD PLANS I TWO-LANE, TWO-WAY, WORK NEAR INTERSECTION • • • • • • • • • • • •• •• • • • •• •• ••• • • • 000 0 0 INDEX SHEET 102-605 1 of 1 " CIF i � I I I � 4 / • '�--- 1200 1210 1230 1440 11 9100 N © gig 7�0 m v ---------------------------------- 1261' 1194 1200 1204 1208 1212 1222 \ LOCATION MAP f;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-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 70X (6OX FOR LOCAL STREETS) 6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES I--- 3' --I 6" MN SOD RESTORATION DETAIL SCALE: NOT TO SCALE slWACE BASE (NEW MATERIAL) ur W E S SCALE A' = 20' LEGEND C CENTER LINE M MONUMENT LINE R1W RIGHT OF WAY P/L PROPERTY LINE E.O.P. EDGE OF PAVEMENT T. T. TAPPING TEE E.F.V. EXCESS FLOW VALVE SVC. 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. nlu LANE RESTORATION OF ROAD CUT FOR UTILITY CROSSING SAW T 50' 3 a a 12 Z RD. , N 12 --------- ------ ----- -------- 1 36 1 ROP. 3/4- PLASTIC MIN. DIRECTIONAL BORED 8 1 1 I 8 'EAT IMWN 1-3 1 I � I 4 4 PROFILE CROSSING NE 91st. TERRACE SCALE: (V) 1: 5' (H) NTS. 1241 9150 a CDY N R/W Y "`' a N� o 4.4 —a New ee�ENE MEN men mmmmmm� S 5 O b XIST. 2" C.S. GAS MAIN 1-3 a — ° E. O. P. ° m ° 38' 98' ASP+'1ALT° ° PVMf. --all - . --. - — ° NE. 91 ST TERRACE - - � 1 ° ° d 50' ' ° ° ° ° P�` a ° d �v °. d ° d to ° ° ° ° 50'T0TAL°RIGHTzGF-W4y' °° d ° d �° ° d E.O.P. ° _ ° 0 1 a ° ® ° SFr TB. M. ° ° 4. ( d 111111■ 11111� 111111� • 111111� M PI•. _1MM • AKIVNG �j Q Q 12 - � FrO Io N I I/2' 0� F.I.P. 1/2' W.M.�W.MNOCA120.00 y It 85.00' A w S RIW 45.AP z ( 9. N P/L h� 20.00'. TIE IN SVC. T GAS MAIN MT T. TIE. F. V. PROP.3/4" PLASTIC ! GAS SVC. TO BE DIRECTIONAL BORED tQ. N PROP. GASH RISER +I 50' ' i[ I I r`F'v 5 r T 7' Cl C` 3 _I _-J'I'-2 1 C.B.a y '5TE ON PL. L.F( ELEV =5.70' C PAD N D_ J 2EMAINDER (N.A.P.) 3 L U ` A/C ELEV. =5.22' A • CONTRACTOR'S WORK TO DO: 1. CONCRETE PAD WILL PROBABLY BE REMOVED.IF NOT WILL CUT OUT CONC. 1 j'xl }' 2. WINDOW ABOVE RISER TO BE BLOCKED IN 3. ELECT. BOX TO BE REMOVED. 4. DRYER VENT. TO BE REMOVED. ON PL.45.00' --� nee see NOLCY . • N • • C.B.W. ,�3•• � •••• s••• •..• 9. I' • • . • 1.• . , • ,��r••-GOLIfMIt • • • • • {• + 0� ' CONC: POOL DECK' F • •' • POOL V� PUMP I ''arn a / \ Shr_1`S( iI, 1NL E1) . BY DA'v? P. BI 1�7PT a• CONC. DRIVE I.F. , s J U LIMIT OF PLAT l ECv i 0 CCbIP(tNCE WI"F'k_igL`LFEDE TATE ANU C;C UN-1Y r�b�S-fifrt�-r?ti t}t Ti@ 1 Rl �0 I .vv UVERHEAD WIRE H j -I__ _ __..... A __.._ �i LA H / 1Ad lc/ GI/ =A An' A CD0 J O vi 0 0.8T CL. c 0.16 CL. w 0- y w L Y a = LL i Q) Ll lil .1 w �a�m ,9100 Z3JZ1!�7 w a W 2 z 2i NZ 1 a z �i 0.78' CLCL. 20.00, % P No. or Bamrt - NO CAP SIP NO.: 1 Drawing File: G:\Documents\MIAMI SHORES\1250 NE 91ST TER MIAMI SHORES FL 33138-IN PROGRESS\1250 NE 91ST TER MIAMI SHORES.dwg 05/24/2019