PW-11-19-2783, 27 NE 94th StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date: 02/03/2020
Parcel Number
Permit No. PW-11-19-2783 1
Permit Type: Public Works
Work Ctassi/ication: Public Works
Permit5t4tus: Approve
Expiration: 08/03/2020
27 NE 94TH ST, Miami Shores, FL 33138 1132060130540
i
Contacts
KRISTINE A GEORGE TRS Owner TECO PEOPLES GAS SYSTEM Contractor
27 NE 94 ST, MIAMI SHORES, FL 33138 1ESUS VEGA
15779 West Dixie Hwy, North Miami Beach, FL 33162
Business: bertnunez2@aol.com
305957385777247
Other: 30597 01783
Description: TO INSTALL A NEW GAS SERVICE LINE 3 4' Valuation: Inspection Requests:
p (/ ') $ 1,000.00
PLASTIC) BY DIRECTIONAL BORE
Total Sq Feet: 5.00 1305-762-4949
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
Credit Card
02/03/2020 $111.70
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 regLiLed for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDA IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating ponstrugfion and zoning. Futhermore. I authorize the above named contractor to do the work stated.
2-3- ze
Owner / Applicant / Contractor / Agent
Date
February 03, 2020 Page 2 of 2
Miami Shores Village NOV 2 Z
`O Public Works Department
(305)795-2210 BY-
3 �
Public works forms are available from the building department, 10050 NE 211 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
Permit#: vpl— l r "Z783
Name of Applicant (if utility see below): TECO PEOPLES GAS
Owner off the following described property:
Legal Description: Lot 15 & 16 Block 4 Subdivision MIAMI SHORES SEC 1
Folio #; 11-3206-013-0540
Address: 27 NE 94th 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:
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 (3/4") PLASTIC) BY DIRECTIONAL BORE
Type of Work: ❑ Paving 0 Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City:
Telephone:
Registration #:
State:
Email:
Value of Work for this Permit: $1000
Permit Fee $ 100.00
Notary $
Bond $
ZIP:
Square/Lineal Footage of Work: 5
*****Fees*****
Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
(if required) Total Fee Now Due $ 11 k
I
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
Signature C)Iti
Company/UtilitHgent
The foregoing instrument was acknowledged before
me this ZI day of � J61, , 20 / 9 , by
�J/ Gg—S w T q A who
is personally known to me or who has produced
isgersc
as
identification.
identifi
NOTARY PUBLIC:
NOTAf
Sign:
Print: Print:
SEAL: SEAL:
vn,to me or who has produced
as
;•;rC:'��?�•,, HUBERTNUNEZ
{ j�� MY COMMISSION p GG 104234
k• ' EXPIRES: September 11.2021
„ • n—d-i Thr., NMary Public Undorwrilors
APPROVED BY: Z2-' Public Works Director, or Designee
2017-04-15
N
W L1 E
S
LEGEND
(i CENTER LINE
M MONUMENT LINE
RAW 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. PLAS7IC
STM. SEW. STORM SEWER
LOCATION MAP
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
SURFACE
3.
ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE
MECHANICALLY SAWED
4.
SURFACE MATERIAL SHALL BE CONSISTENT WITH
SURROUNDING SURFACE
� SRAM
MATERIAL (1.5" MIN. THICKNESS)
5.
BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A
MIN. CARBONATE
�- - 3'
f
z
5 6"
�o
M
GAS MAIN
SOD RESTORATION DETAIL
SCALE NOT TO SCALE
nAL LANE
CONTENT OF 70% (60% FOR LOCAL STREETS)
6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF
EXISTING UTILITIES RESTORATION OF ROAD CU
FOR UTILITY CROSSING
\ 50' 3
z1 14
14
- ---18" MIN.
I PROP. MAI 2" P.E.
1-_ 3 MIN.--,-- 15"WM�
I-3 '
_--------........._...._L_....-.. --
cA s SAS.12
I I
_. PR . 314" PLASTI -
_ IOC TO s-------- _
DIRE TIONAL BORED
8 8
'ROFILE CROSSING NE 94 ST. SCALE: (V) 1: 5' (H) NTS
1 c) a
40 1 2019 g o a
-) JIPP- WOOD POWER POLE
OW
f15 �1 CL -u L4 1) Cam, w
I L
----------------
A --------- U
- 15'ALLE 1. i0' ASPHALT PAVEMENT U
IR :PIPE - _
W E E i i0.00L N P/L
FOUND 0
2. 75 (—/�9 I I^ 00�1 IRON PE
c° L p m
oi�J 6+ I m q z
S 1 i I W.FJ
PROP. GAS } W.F. 01
SCALE:1 =30 RISER } -2 q a a
45
9413 �
k.W W az
1 / ., G ,off. 16.6' • • • •i F
15' • . F U
6 // �/�/j 138
x e••.•• • a .� / •
I One story`' • • • • • • a .' '" .
PROP. 314" 2' 22 RESIDENCE #27 , ;': • • ° • • • 1 • • •
P.E. GAS SVC. } U / // • •" •
TO BE ,P/ g •••••• • ••�• •
DIRECTIONAL �' • • • • • • • • . • •
r.
BORED i I 4 , - u:.. ,,.. co
a • • •
ch •
} a y .-3T I J • • •a�a
1 • • . �"
;.li, lab �n •♦ • • • U'1 •.•
112' MARBLE " I a •r;j
N SAS ••• W O
pa PG d
nn/ FOUN _.a."05'- _ �� I 6s FOUND it`0 Vx]
N R/vv IRO PE pf�i �. j z3.o, SJ IRON PIPE W
— SAW CUT ASPHALT - - - - -- D E- �-+
(MICA 1 5' SIDEWALK 50.00'(Meas&R) 5' SIDEWALK _� w t`
e.o 02
13' PARKWAY 13' PARKWAY 0.
MARBLE
_ o
E.O.P. 9 S ASPHALT -
9.5' ASPHALT PAVEMEN < PAVEMENT ® } 51.
a
- N.E. 94th STREET .. 21 PAVEMENT " 00 LL
75' — 21'-- =— ---- —. O w Q
T "(75' TOTAt R,* by PLAT) V W U X m
� Co
.E.O.P.
— ------MA -- --- "I%" ld Q�z
------ .24'.----- PUBLIC WQBK-(!&E.V-I
M
5' SIDEWALK _
SR -------------T ----
9) 1 i i TIE IN SVC TO GAS ; 42 0 0
I , MAIN Jn Xk�t 6" P.E. GAS MAIN V2
I WITH T.T./E.F.V. 1-3 "
ALL EXISTING UTILITIES SHOWN ON
THESE PLANS ARE TO BE
CONSIDERED APPROXIMATE & q
SHOULD BE VERIFIED BY THE
CONTRACTOR PRIOR TO THE 'x
START OF WORK OPERATIONS.
NO. OF 11HZCIS:.y
SHM NO.: 1 l
Drawing File: C:\Users\Ikrupinski\27 NE 94TH ST MIAMI SHORES.dwg 11/13/2019 Tov)
a
Less Than
2001
lP 400 50
200 20,
ROAD More Than
WORK 20D
AHEAD
ROAD
WORK
AHEAD
200' 200' 400'
ROAD
WORK
AHEAD
2017 400'
J .0
a
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
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:
■ Channeli-9 Device (See Index 102-500)
5. 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.
signs or when TCZ signs encroach on a normal pedestrian
7. For general TCZ requirements and add%AnalWt•d matbn, •efer •b
• • b. SW@d is 45 mph or less.
Work
Zone Sign
walkway, the signs shall be post mounted and located in
Index 102-600. • • • • • •
• • c.940 sight obstructions to vehicles approaching the work area for
accordance with Index 700-101.
• • • • • • •
• • •a distance of 600 feet.
Flagger
8. The two cnannelizln devices direct) •
g yin �onf an '�dir�ctlyat e •
• • •
tl. Vehicles in the work area nave high -intensity, rotating,
3. If work area is confined to an outside auxiliary lane, the work
end of the work area may be omitteiP p►ovida"icles 4r.he wrk
• •
• • •tWsliing, 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 Strut• in •c•o•dance wily/QCer• • •
• •
communication at all times.
102-603. Placement of Rumble Arips and llditional signs should •
• • • •
• •
begin at FLAGGER sign location. • •
: :
• •
• • •
• • •• •• • •
•• •
LAST
DESCRIPTION:
FY 2019-20
• •
INDEX
SHEET
REVISION
111�
FDOT
TWO-LANE, TWO-WAY, WORK NEAR INTERSECTION
F2-605
11101117
�' STANDARD PLANS
1 of 1