PW-12-20-2803, 1420 NE 101st StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
1420 NE 101ST ST, Miami Shores, FL 33138 1132050230050
Contacts
MATTHEW ALLEN Owner MIAMI DADE WATER & SEWER DEPT Contractor
1420 NE 101, MIAMI SHORES, FL 33138 ISABEL RODRIGUEZ
3071 SW 38 ST, MIAMI, FL 33146
Business: 7862565200 adrian.triana@miamidade.gov
Mobile: 7862685414
Inspection Requests:
Description: new finch single water service SIR-3446 Valuation: $ 1,200.00
Total Sq Feet: 0.00 E
s,
Fees
Amount
Education Surcharge
$0.40
Public Works Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$111.90
Applicant Copy
Payments
Date Paid Amt Paid
Total Fees
$111.90
Credit Card
12/09/2020 $111.90
Amount Due:
$0.00
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.
December 09, 2020 Page 1 of 2
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
1420 NE 101ST ST, Miami Shores, FL 33138 1132050230050
Contacts
MATTHEW ALLEN Owner MIAMI DADE WATER & SEWER DEPT Contractor
1420 NE 101, MIAMI SHORES, FL 33138 ISABEL RODRIGUEZ
3071 SW 38 ST, MIAMI, FL 33146
Business: 7862565200 adrian.triana@miamidade.gov
Mobile: 7862685414
Inspection Requests:
Description: new finch single water service SIR-3446 Valuation: $ 1,200.00 �^
Total Sq Feet: 0.00€«
Fees
Amount
Education Surcharge
$0.40
Public Works Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$111.90
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.90
Credit Card
12/09/2020 $111.90
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 all the foregoing information is accurate and that all wp&) will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the y ork stated.
.'
Authorized Signature: Owner / Applicant / Contractor / Agents 'r✓
Date
December 09, 2020 Page 2 of 2
RE. CEIVED
0EC-1 0 7 2020
Miami Shores Village
Public Works Department �yy
(305}79S-2210
Public works forms are available from the building department, 10050 NE 2' 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
i u (1z'7,b Permit#: l-IQ Z —2M3
Name of Applicant (if utility see below): MIAMI DADE WATER AND SEWER
Owner off the followine described property:
Legal Description: Lot 5 Block 1 Subdivision GOLDEN GATE PARK
Folio #; 11-3205-6T3�-
Address: 1420 NE 101 STREET
UTILITY NAME: MIAMI DADE WATER AND SEWER
Qualifier/Authorized Agent: _ORN15TPINTCY
_
Address: 3071 SW 38 AVE
City: MIAMI State: FL _ ZIP: 33146
Telephone: 7861268-5134 Email: OPINTO@miamidade.gov
State Certification or Registration #: NIA Certificate of Competency # NIA
CONTRACTOR NAME: MIAMI DADE WATER AND SEWER
Qualifier/Authorized Agent:
Address: 3071 SW 38 AVE
City: MIAMI State: FL _ ZIP: 33146
Telephone: 786-268-5394 Email. WASD-NBSIRREVIEW@MIAMi DADE 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 V inch single water service SIR-3446
Type of Work: ❑ Paving no Utility
❑ Landscape ❑ Antenna
DESIGNER: Architect/Engineer:
Address:
City:
Telephone:
Registration #:
_ State:
Email:
❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Other:
Zip:
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 $
Bonding Company's Name (if applicable):
Bonding Company's Address:
City:
State:
►M
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.
S-gnature _ 0212•M—el--
Applicant or Authorized Agent
The foregoing instrument was acknowledged before
me this 7� Day of 20_2, by
L1J ( 1--- who
is personally known toe or who has produced
as
identification/i
i
NOTAR�P UC;'
Sign: _
Print:
�YpANET RUSALCABA
No Public - State o` FlcriCa
i
Corrrrlssior s GG • 7222S
my Cor•,rr. ExCires Fee 24 2C22
Bonded chroagh .Na:cna Nc:ary Assn.
APPROVED BY:
2017-04-15
Signature
Company/Utility Agent
The foregoin instrum t w acknowledged before
me this day of 20 _ZJ, by
�jll1-1-Q-I V, (I -------
------who
is personally known to me or who has produced
as
identification
NOTARY PU
Sign;
Print:
SEAL:
YOANETRUBALCABA
.�`'•,. - : Notary PLblir _ Sute �` Flori+a
•' Corrmissicr r GG '72228
,:;s _ hty Comm. Expires Feb 2l 2C22
!`7"' Sw-dec :hm4gr Na:.cna NL,:ar,, Assn
�II Public Works Director, or Designee
COUNTY
Water and Sewer
PO Box 330316.3575 S. Lejetme Road
Miami, Florida 33233-0316
T 786-268-5360 F 305-669-4059
m iamidade.gov
December 7, 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 .
1420 NE 101 ST
SIR-0000006832
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,
---------- -------------- -----------
Orniel Pinto
W&S Projects Compliance
New Customer Division
(789)268-5294
opinto @mi amidade. gov
VILLAGE OF MIAMI SHORES
SEC. 05 - 53 - 42
W
Z
W
W
Z
MIAMI SHORES VILLA(it N
PUBLIC W REVIEN
APPROVED DATE Zw
NEW 2" SINGLE SERVICE SCALE: N.T.S.
15'
15' 2 PARKWA
BISCAYNE BAY
25'
EXISTING 8" CIP
WATER MAIN
GENERAL NOTES NEW WATER SERVICE
1. LANE CLOSURES PER F.D.O.T. STD. PLAN INDEX # 102-602 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. 1 420 NE 101 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 #. 339005912
❑ FL. CITY GAS Jpp DCPWT ❑ COMCAST
Rf TECO PPLS GAS S. FL RJ A.T.T. ❑ OTHER SIR-0000006832
a F.P.L. ❑ M.D. ENT. COMM. ❑ FDOT 6 ITS
DRAWN: OP/VL I DATE: 12/04/2020
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 0 Yes No
issuance ?
Estimated Start Date: 30 DAYS
Canals maintained by Miami Dade County will require DERM approval.
Vls NOT maintained by Miami Dade County will require a permit from South Florida Water Management District.
Acknowledged
Pedestrian Information
1. Does excavation fall within the swale and/or (Yes Q No
sidewalk area ?
2. Give dimensions from edge of pavement to 0 FT
Work Zone in swale area.
3. Will work damage existing sidewalk, curbs O Yes [940
and/or gutters ?
4. Will work obstruct pedestrian access to 0Yes (VNo
sidewalk ?
5. Will work obstruct pedestrian crosswalk or Q Yes VNo
m1a ?
' $."Fwork obstrW4 bike path ? O Yes (?�No
Mdeytrians, intludin; persons with disabilities will be provided with a reasonably safe, convenient, and accessible path
"' • " that }Jplicate$ a4 mu:h as practical the desirable characteristics of the existing pedestrian facilities.
•: Acknowle( ecL
..... : R'cadway Infr rukon (Are removing asphalt on a paved roadway)
• • • • • f!Baes the exe"N on fall on the asphalt of a O Yes �e'No
• pa%adfroadway.?• • •
8•Does excasatiosdall within a Signalized 0Yes No
�••�•• k4ersection?••;...
• • 9. %4s excavatiog fall within a Mid -Block O Yes (j(No
•
• Signal? • • •
D • • • • i @.•oes excavation damage any traffic loops? O Yes Q(No
11. Have the roads, which are impacted by the
proposed work recently been paved or O Yes (N o
resurfaced?
Traffic Control Plan
12. Will work require a lane(s) closure for
Vehicular Traffic?
Yes Q No
13. Give dimensions from edge of pavement to
0 FT
trench of pole:
14. Provide number of lanes and direction that
North: South: East:= West:
will be affected.
15. Please provide an estimate of construction
0 DAYS
time for which traffic flow will be affected
16. Functional classification of Roadway
❑ Arterial ❑ Collector MILocal
affected by work.
17. Does workzone fall within Section Line or
✓
O Yes No
Half Section line roadway?
(/j
18. Posted Speed Limit within work zone. $Q 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: F 1 Q LF
Sewer service connection: LF
Construction or Replacement of
Quantity
Sidewalk LF
Curb & Gutter LF
Valley Gutter LF
..•.
. ..
:9060:
. •
•
..•...
so
090994
so
.....
. •••
..•.f.
. .
0000
:.•.••
•
11•00••
•• •
••••••
•
• • •
• • •
Resurfacing
In Public Right
Quantity
0 SQF
Of Way
On private
SQF
property
Save Proceed
W
ENO
r' ROAD WORK
w
z
t
OAD A
WORK
AHEAD
SPEEOFINES
DOUBLED
WHEN WORKRK
ERS
PRESENT
DISTANCE BETWEEN SJ(ft.)
Speed
Spac
A40
mph or less
20045
mph
350ter
500
*Midway between signs.
SYMBOLS
® Work Area
■ Channelizing Device (See Index 102-600)
Work Zone Sign
y Lane Identification + Direction of Trafflc
. . ... . . . ...
.. .. .• ..
• • • • • • • •
•• �ypHR •8�R• 6832:
•�•� :PHASE-( •••
POSTED SPEED ROAD
WORK e
•• • • • •• ••• •• AHEAD
• ••• • • • • •• •
NL •101 •STRtUT •• I -
0
6 Taper Length =' L
see Tf u
Device Speomg-Taper
a
---
/W rk Are F
END
ROAD W
Device Spacing -Tangent SOL,
Table I
Device Spacing
Max. Distance Between Devices (f6
Cones
Type I or Type II
g pd
(�Pn)
or
Tubuhr Markets
Be,cadea or V....i
Panels or Drums
Taper
Tongent
Taper
Tangent
25
25
1 50
25
50
30 to 45
25
50
30
50
50 to 70
25
1 50
50
100
GENERAL NOTES DURATION NOTES
1. When four or more vvork vehides enter the Mrough traffic lanes m a one hour period or less (excluding I. Signs and channellzing devices maybe omitted if all of the follovnng
esteblishmg and terminating the work area), Me advanced FLAGGER sign shaH be substituted for the conditions are met.
WORKERS sign. For location of flaggers and FLAGGER signs, see Index 102-603. a. Work operations are 60 minutes or less.
2. SHOULDER WORK signbe .-B as an alternate to the WORKER symbol sign the sde b. Nebulas in the vrork area have high -intensity. rotating. flasNng. oscillating.
may y gn only on r strobe lights operating.
Where the should., work is being performed. o
3. When a side road m aniscis the highway Within the ITC on, additional ITC devices shall be placed in
accordance .9, other applicable TCZ Indexes.
4. Forgeneral TCZ,equeemerdsandadditionalmformabon.,afartolndex102.600
I-
W
W
~ U
w
oU)
w
w F--
z z
'S 1'N :3]VOS
N
Table II
Taper Length - Shoulder
Speed
(roph)
%LIn1
Notes
8'
ShN1r.
10'
Shldr.
12'
Shldn
25
28
35
42
L= WS'
60
30
40
50
60
35
55
68
82
40
72
90
107
45
120
150
180
L=WS
50
133
167
2 00
55
147
1 33
220
60
160
200
240
65
173
217
2fi0
70
187
233
280
S' min—ro shoulder width
Y3L = Length of shoulder tap—n feet
E unpaved with al shoultler in feet Icombined paved
S = posted speed lent (mph)
CONDITIONS
MERE ANY VEHICLE, EQUIPMENT,
WORKERS OR THEIR ACTIVITIES
ENCROACH THE AREA CLOSER
THAN ITBUT NOT CLOSER THAN
T TO THE EDGE OF TRAVEL WAY.
Z DESCRIPTION
LAST O INDEX SHEET
REVISION �, FDOT FY 2019-20 TWO-LANE, TWO-WAY, WORK ON SHOULDER NO.
11101117 Lu STANDARD PLANS 102-602 1 of 1