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PW-05-20-943, 830 NE 92nd StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: PW-05-20-943 Permit Type: Public Works Work Classification: Public Works Permit Status: Approved Issue Date: 05/13/2020 Expiration: 11/09/2020 Location Address Parcel Number 830 NE 92ND ST, Miami Shores, FL 33138 1132060050160 Contacts MIAMI DADE WATER & SEWER DEPT Owner MIAMI DADE WATER & SEWER DEPT Contractor ISABEL RODRIGUEZ ISABEL RODRIGUEZ 3071 SW 38 ST, MIAMI, FL 33146 3071 SW 38 ST, MIAMI, FL 33146 Business:7862565200 adrian.triana@miamidade.gov Business:7862565200 adrian.triana@miamidade.gov Inspection Requests: Description: NEW 1" SINGLE WATER SERVICE Valuation: $ 1,200.00 Total Sq Feet: 0.00 1305-762-4949 Fees Amount Education Surcharge $0.40 Public Works Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $105.90 COVI D 19 Payments Date Paid Amt Paid Total Fees $105.90 Credit Card 05/13/2020 $105.90 Amount Due: $0.00 Applicant Copy For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/. Requests must be received by 3pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES. May 13, 2020 Page 1 of 2 Miami Shores Village MAY ?OZO Public Works Department (305)795-2210 8p= Public works forms are available from the building department, 10050 NE 2nd 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#: _PW-5-2)J' J Name of Applicant (if utility see below): MIAMI DADE WATER AND SEWER Owner off the following described property: Legal Description: Lot 6 R 7 Block 9 Subdivision GOLDEN GATE PARK Folio #; 11-3206-005-0160 Address: 830 NE 92 ST UTILITY NAME: MIAMI DADE WATER AND SEWER Qualifier/Authorized Agent: ISABEL RODRIGUEZ Address: 3071 SW 38 AVE City: MIAMI State: FL ZIP: 33146 Telephone: 786/268-5134 Email: AYA@MIAMIDADE.GOV State Certification or Registration #: N/A Certificate of Competency # N/A CONTRACTOR NAME: MIAMI DADE WATER AND SEWER Qualifier/Authorized Agent: ISABEL RODRIGUEZ Address: 3071 SW 38 AVE City: MIAMI State: FL ZIP: 33146 Telephone: 786/268-5134 Email: WASO-NBSIRREVIEW@MIAMIDADE.GOV State Certification or Registration #: N/A _Certificate of Competency #: N/A Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: New 1' inch single water service SIR-3446 Type of Work: ❑ Paving ® Utility ❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: City: Telephone: _ Registration #: State: Email: M. Value of Work for this Permit: $ 1_200,00 Square/Lineal Footage of Work: *****Fees***** Permit Fee $ 100.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ Bond $ (if required) Total Fee Now Due $ _ 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 $2,500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to the attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the public works permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection will be charged. Signature W"$a Applicant or Authorized Agent The foregoing instrumea acknowledg d before me this / day of nt 2040 , by ISABEL RODRIGUEZ _ who is personally known to me or who has produced as identificatio IffiffiLl Sign: Print: r� SEAL: ., Y ANET RUBALCABA `; 4': Notary Public - State o' Florida . ; Corrmissior ■ GG '72228 i0q� y ;' My comet. Expires Feb 24. 2022 !'` " 60nat0 Vitro 0 Naiona NotaryAssn. Signature Company/Utility Agent The foregoing instrume was acknowledged before me this � day of 20 , by ISABEL RODRIGUEZ I Who is personally known to or who has produced as identification. NOTARY P Sign: Print' SEAL: YOANET RUBALCABA 111 Notary Public - State o' Florida : Ccrrrrissior s GG 172228 My Comm, Expires Feb 24. 2C22 ••�os r:'�''` 80nCetl ;NrorW N89aa Nosry Alan. APPROVED BY: �_ii t ,Public Works Director, or Designee 2017-04-15 VILLAGE OF MIAMI SHORES SEC. 06 - 53 - 42 SPEED LIMIT 30 POSTED SPEED LC=37' NEW V SINGLE SERVICE SET BOX AND SPACER LOCATE AS MARKED OR STAKED AT PKWY WEST CENTER (132) EXISTING 6" CIP WATER MAIN STREET 12' PARKWAY UTY.POLE fDL� PARKWAY(SWALE) 830 / LOT 8 LOTS 6 & 7 LOT 5 1 I BLK 2 r,/// BLK 2 BLK 2 N SCALE: N.T.S. �w Z w Q ra w Z / I � III SHORf S VILL AGE PUBLIC WORKS REVIEW APPROVED -DATE <rz z.- 2-, GENERAL NOTES NEW WATER SERVICE 1. LANE CLOSURES PER F.D.O.T. DESIGN STD. INDEX # 102-605 FOR 2. PAVEMENT RESTORATION PER M.D.C.P.W.M. R-21.1. 3. SIDEWALK RESTORATION PER M.D.C.P.W.M. R-13.1. 4. MAINTAIN MIN. 30" COVER ON ALL SERVICE LINES. 830 NE 92 STREET 5. DO NOT SET METER(S) AT THIS TIME. 6.48 HOURS BEFORE DIGGING CALL SUNSHINE STATE ONE CALL AT 1-800-432-4770TICKET #. 113002294 ❑ FL. CITY GAS V M.D. PUBLIC WORKS ❑ COMCAST W TECO PPLS. S. GAS 2f A.T.T. ❑ MCI SIR-0000003446 V F.P.L. ❑ M.D. ENT. COMM. ❑ CLEAR DRAWN: EB/VL I DATE: 04/22/2020 MIAMI - DADE WATER AND SEWER DEPARTMENT Miami -Dade County - Application Title Type of Installation VNew Installation Q Repair/Maintenande Q Both Method of Installation: Q Bore VExcavation Q Both Location of Installation: Within Right Of Way Q Public Utility Easement Q Both Will work commence within 15 days of permit Q Yes VNO issuance ? Estimated Start Date: 30 DAYS Canals maintained by Miami Dade County will require DERM approval. Caagals NOT maintained by Miami Dade County will require a permit from South Florida Water Management District. S Acknowledged Pedestrian Information 1. Does excavation fall within the swale and/or (9(Yes Q No sidewalk area ? 2. Give dimensions from edge of pavement to NSA FT Work Zone in swale area. 3. Will work damage existing sidewalk, curbs QYes (940 and/or gutters ? 4. Will work obstruct pedestrian access to Q Yes 6Ao sidewalk ? 5. Will work obstruct pedestrian crosswalk or Q Yes (9(No ramp ? 6. Will work obstruct bike path ? Q Yes (!SNo Pedestrians, including persons with disabilities will be provided with a reasonably safe, convenient, and accessible path thaVeplicates as much as practical the desirable characteristics of the existing pedestrian facilities. ;Acknowledged Roadway Information (Are removing asphalt on a paved roadway) 7. Does the excavation fall on the asphalt of a (VfYes Q No paved roadway? 8. Does excavation fall within a Signalized QYes (9'Jo Intersection? 9. Does excavation fall within a Mid -Block QYes (9(No Signal? 10. Does excavation damage any traffic loops? QYes VNo 11. Have the roads, which are impacted by the ,-,� proposed work recently been paved or Q Yes (9 No resurfaced? Traffic Control Plan 12. Will work require a lane(s) closure for Vehicular Traffic? 13. Give dimensions from edge of pavement to trench of pole: 14. Provide number of lanes and direction that will be affected. 15. Please provide an estimate of construction time for which traffic flow will be affected 16. Functional classification of Roadway affected by work. 17. Does workzone fall within Section Line or Half Section line roadway? 18. Posted Speed Limit within work zone. t9(yes QNo NIA FT North: South: East: West: 1Q 0 DAYS ❑ Arterial ❑ Collector MILocal Q Yes VNo 30 MPH At -grade Appurtenance (If you are placing a cabinet, or some other type of equipment on the ground. Do not use 3/4/2014 Miami -Dade County - Application Title Drainage Information 23. Do the proposed construction plans alter or modify not applicable d existing drainage system? .............................................. 24. Does the proposed installation interfere with existing drainage not applicable d facilities ? Miami Dade County Water and Sewer Department's customer division proposes to perform the fallowing work within your right-of-way Total length of underground installation or repair Quantity Water service connection: 1 37 LF Sewer service connection: LF Construction or Replacement of Resurfacing Quantity Sidewalk LF Public Right Way Quantity SQF O Of Curb & Gutter LF On private SQF Valley Gutter LF property Save Proceed ! ROAD\ WORK AHEAD ;i 200' 200, 40D' III JJ _ j �� CONDMONS WHERE ANY VEHICLE, EQUIPMENT, 13 a WORKERS OR THEIR ACTIVITIES ENCROACH ON THE • • • •• • • • Work Area • PAVEMENT REQUIRING THE CLOSURE OF ONE TRAFFIC LANE, FOR WORK AREAS LESS THAN 400_ � 200' Less Than 200* DOSTREAM FROAN INTERSECTIO FOR A PERIOD OF MORE THAN 60 MINUTES. 200' ROAD WORK AHEAD SPEED L .IT PHASE I WORK CONDITIONS WHERE ANY VEHICLE, EQUIPMENT, WORKERS ORTHEIRACTIVITIES ENCROACH ONTHE SIN :31VOS SIR 3446 AHEAD ,. PAVEMENT REQUIRING THE CLOSURE OF ONE TRAFFIC LANE, FOR WORK AREAS 20D OR MOREDOWNSTREAM FROM AN INTERSECTION PQSTEDSPEED 200' 400' � FOR A PERIOD OF MORE THAN 60 MINUTES. I � j NE 92 ST % j � Q 13 •...� Work Area , 1 u I`V1 400' 5D' Do' 20D' W Lu More Than ROAD > Q WORK - CD 200' AHEAD CD 00 W W Z Z DURATION NOTES SYMBOLS GENERAL NOTES ® Work Area 1. Work operatons shall be confined to am travel lane. leaving the opposIN 5. The FLAGGER legend sign may be substituted for the symbol sign. 1. ROADWORK AHEAD eign may be omitted K all of the following—didons are met travel lane open to Iramc. 6. The maximum spacing between devices shall be m greater than 25.' a. Work op.ratons are 60 minutes or less. ■ Channelizing Device (See Index No. 600) 2. When vehicles in a parking zone block the line o/sigM InTCZ signs or when to Speed is 45 mph or less. TCZ signs encroach on a normal pedestrian walkway, the signs shall be post mounted and located in accordance wdh Index No. 700-101. 7. For general TCZ requimmeMs and addfi ,I x farmatr, refer to Index No. 1024300. c. Na sigM obstructions la vehicles approaching the work area fora distance of 600 feel. Ol Work Zone Sign d. Vehicles in the work area have high -intensity, rotating, gashing, oscillating, or 3. If work ar ,,confined to an outside auxiliary lane, the work area shell be barricaded and the FLAGGER signs replaced by ROAD WORK AHEAD signs. 8. The two channelizing devices directly in front and directly at the end of the work area may be omitted provided vehicles In the work area have high -intensity rotating. strobe lights operating. e. Volume and compi,xdy of the roadway has been consas ed. Flogger Flagg are not required. flashing, oscillating, or strobe lights operating. 4. Flagg— chall be in sight of each other or in direct communication at all times. 9. Use Temporary Raised Rumble Strips In accordance with Index 102-603, Placement Lone Identification + Direction of Traffic of Rumble Strips and additional signs should begin at FLAGGER sign location. Z DESCRIPTION LAST O INDEX SHEET �n FDOT FY 2018-19 REVISION TWO—LANE, TWO—WAY, WORK NEAR INTERSECTION NO. N0. 11101117 DESIGN STANDARDS 102-605 1 of 1 Lu ROAD WORK AHEAD i 700'� 200' 400' Jl It J l CONDITIONS WHERE ANY VEHICLE, EQUIPMENT, 13 WORKERS OR THEIR ACTIVITIES ENCROACH ON THE ■ ■ ■ PAVEMENT REQUIRING THE CLOSURE OF ONE If is Work Area ■ TRAFFIC LANE, FOR WORK AREAS LESS THAN STREAM AN INTERSECTION THAN D � FOR A PERIOD OF MOREDOW 60MINUTES. 400• zoo• Leas TMn ROAD J WORK Net AHEAD nEE� PHASE II ot ROAD WORK 30 SIR 3446 HEAD CONDITIONS WHERE ANY VEHICLE, EQUIPMENT WORKERS OR THEIR HE PAVEMENT EQUIIES ENCROACH CLOSURE OF PAVEMENT REQUIRING THE CLOSURE OF ONE TRAFFIC FOR WORK AREAS OR w ' � � WNE, MORE ER AN INTERSECTION EC AM FROMMORE POSTED SPEED PERIOD F THAN FOR A PERIOD OF MORE THAN 60 MINUTES, J 1 200 400' J NE 92 ST ■ ■ is - _, r • Work Area v _ 400' 50' SCALE: N.T.S. zoo' zoo' W LL1 < More Than ROAD Q 200' Q WORK AHEAD 00 0) W W z Z DURATION NOTES SYMBOLS GENERAL NOTES ® Work Area 1, Work operations shall be confined to one travel lane, leaving the opposing S. The FLAGGER legend sign may be substituted for the symbol sign. 1. ROADWORK AHEAD sign may be omitted if all al the fallowing o.rokhons are met: travel lane open to traffic. 6. TM maximum spacing behveen devices shall be no greaMr than 25' a. Work operations are 60 minutes or less. ■ Channelizing Device (See Index No. 600) 2. When vehicles in a parking zoce block the line afsight to TCZ sig- or when b. Speed is 45 mph or less_ TICsigns encroach on a normal pedestrian Walkway, the signs shall be post 7. For general TCZ requirements and additional information, refer to Index No. mounted and located in accordance with Index No. 700-101, 1 2-600. c. No sight obstructions to vehicles approaching the work area for feet. a distance of 6D0 Work Zone Sign d. Vehicles in the work -,have high -intensity, rotating, flashing, oscillating, or 3. If work area oni to an outside auxiliary lane. the work area shag be B. The Iwo channellzing devices directly m front and directly at the and of the work barricaded and the FLAGGER signs replaced by ROAD WORK AHEAD signs. me may be omitted provided vehkles in the Work area have high-iMensilyrotating, strobe lights operating. e. Volume and complexity of the roadway has been considered. Flogger Flaggers are nol required. flashing, oscillating, or sbobs lights operating. 4. Flaggers shall be In sight of each other ar in direct communication at all times. g. Use Temporary Raised Rumble Strips m accordance with Index 102. 03. Placement as Lane Identification + Direction of Traffic of Strips and additional signs should begin at FLAGGER sign location. Z DESCRIPTION LAST O INDEX SHEET FDOT FY 2018-19 REVISION TWO—LANE, TWO—WAY, WORK NEAR INTERSECTION NO. NO, 11101117 DESIGN STANDARDS 102-605 1 of 1 Lu Water and Sewer PO Box 330316.3575 S. Lejeune Road Miami, Florida 33233-0316 T 786-268-5360 F 305-669-4059 miamidade.gov May 11, 2020 Miami Shores Village Building Department C/o Mr. Ismael Naranjo Building Official Director 10050 NE 2 Ave Miami Shores, Fl 33138 Re: Water Service Installation and Retirement for: 830 NE 92 ST SIR-0000003446 Dear Mr. Naranjo: Transmitted herewith for your approval and permit are one (1) copies of the water service installation and retirement for the above referenced project. Upon approval and issuance of the permit, it is requested that you return to us one copy of the approved sketch and the original permit. If your approval and issuance of the permit has special restoration requirements, we will need to notify the customer of the additional charges involved with the installation. Please inform us if there will be special restoration requirements for this permit request. Should you have any questions regarding this matter, please advise. Sincerely, ----------- Isabel Rodriguez New Business Representative (786) 268-5134 AYA@miamidade.gov