The URL can be used to link to this page

PW-01-22-189Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 537 NE 96TH ST, Miami Shores, FL 33138 1132060171570 Contacts Seth Long Owner PEOPLES GAS SYSTEM INC Contractor 537 NE 96 ST ANGEL QUANT 5101 NW 21 AVE 460, FORT LAUDERDALE, FL 33309 Mobile: 9544530811 arroche@tecoenergy.com Description: INSTALL NEW GAS SERVICE LINE Valuation: $ 1,000.00 Inspection Requests 3Q5 762-4949 Total Sq Feet: 3.00 Fees Amount Education Surcharge $0.20 Public Works Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.50 Tota I : $111.70 Building Department Copy Payments Date Paid Amt Paid Total Fees $111.70 Check # 4475 02/25/2022 $61.70 Check # 4424 01/25/2022 $50.00 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 informption is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin utheer ore, I authorize /t bia6ve name contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date February 25, 2022 Page 2 of 2 "�N_"No Miami Shores Village Public Works Department (305)795-2210 Public works forms are available from the building department, 10050 NE 2"d 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 _0 —V, k 0v ol Name of Applicant (if utility see below): TECO PEOPLES GAS Owner off the following described property: Legal Description: Lot 15&16 Block 99 Subdivision MIAMI SHORES SEC 4 Folio #; 11-3,,2�06-017-1570 Address: 5 NE 96TH ST UTILITY NAME: TECO PEOPLES GAS L Qualifier/Authorized Agent: Angel Quant Address: 5101 NW 21 AVE. City: FT. LAUDERDALE State: FL ZIP: 33309 Telephone: 954-453-0806 Email: MCABRERA@TECOENERGY.COM State Certification or Registration #: E2100068 Certificate of Competency # CONTRACTOR NAME: TECO PEOPLES GAS Qualifier/Authorized Agent: Angel Quant Address: 5101 NW 21 AVE. City: FT. LAUDERDALE State: FL ZIP: 33309 Telephone: 954-453-0806 Email: MCABRERA@TECOENERGY.COM State Certification or Registration #: E2100068 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 ❑■ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: TECO PEOPLES GAS Address: 5101 NW 21 AVE. City: FT. LAUDERDALE State: FL ZIP: 33309 Telephone: 954-453-0806 Email: MCABRERA@TECOENERGY.COM Registration #: Value of Work for this Permit: $ 1000 Permit Fee $ 100.00 Notary $ Bond $ Square/Lineal Footage of Work: 3 *****Fees***** _ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ (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 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: Sigl5a ure Company/Utility Ag nt The foregoing instrument was acknowledged before me this 14 day of 20 Z Z , by who personally kno to me or who has produced as identificatio HUBERT NUNEZ NOTARY UBLI MY COMMISSION #HH12810 =r o` EXPIRES: September 11, 2028 Sign: FaF F``: Bonded Thru Notary Public Underwriters Print: SEAL: ********************************************** APPROVED BY: 2 , Public Works Director, or Designee 2017-04-15 ---��-57irthi�7RiCAL. A5CQ .�CIN7� el Y ry WAY _ AX. 2 WAY) EDGE ®y WAY PAVEMENT PL AN 4 LAN a .a CRi CE FACM SiDEWALX SLR PV-MT EDGE) COW RETE r ROAD 49 'p SIDEWAUt ` PAVEMENT ,S TION A mA SECTION'- 1• 'flr� DRr/EwAY ApKoAC)�, IS TO Fiat CVY 41-�E CC3,-�-vLI OF TI-E SWALL ME EI.VAT;iN OF Tt-iL..kMOA SI AB SHALL BE A WM" Of 2' CVZR T�E GROUND E..EVA110 . A 8 kM C04,'RSE 15' Ma RQY4YGC A PP ROVtO STANDARD ROAD DETAIL. ASPHALT DRIVEWAY RESIDENTIAL EXIST. 2" PE. GAS MAIN 1-3 4 A IE—IN SVC, TO GAS MAIN WITH T.T. E.F.V. PROP. 314" PLASTIC 10.5' < GAS SVC. TO BE DIRECTIONAL BORED 4. 1 __ v1p, T. MIAMISARES VI PUBLIC k4.ORKS APPROVED ____Dl i r PROP. NEW RISER WITH 314" GAS SERV. Residence LAG E #537 EW 'L151 27i NE 96TH ST - W. x 001 - 14.5' N R W 2' SCALE EO.P. E O.P. 4' SWALE S R/W N s w E 7' SCAL& "-20' CEIVEI) BY:__l,'6--- a o a go 00 rj_R ua t..: x CQ 0% rn 66 �� y a� m - _ NE 96TH ST _._. i LOCATION MAP (U.S.) LEGEND GENERAL NOTES q CENTER LINE M MONUMENT LINE 1. REPLACED BASE MATERIAL OVER DITCH SHALL BE TWICE R/W RIGHT OF WAY THE THICKNESS OF THE BASE, MIN. 8" AND MAX. 18" P/L PROPERTY LINE 2• BASE MATERIAL SHALL BE PLACED IN 6" MAX. (LOOSE E.O.P. EDGE OF PAVEMENT MEASUREMENT) LAYER AND EACH LAYER THOROUGHLY T.T. TAPPING TEE ROLLED OR TAMPED TO 98% OF MAX. DENSITY PER E.F.V. EXCESS FLOW VALVE 3. AASHTO T-180 ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE SVC SERVICE LINE MECHANICALLY SAWED 4. SURFACE MATERIAL SHALL BE CONSISTENT WITH ALL EXISTING UTILITIES SHOWN SURROUNDING SURFACE MATERIAL (1.5" MIN. THICKNESS) ON THESE PLANS ARE TO BE CONSIDERED APPROXIMATE & 5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A SHOULD BE VERIFIED BY THE MIN. CARBONATE CONTENT OF 70% (60% FOR LOCAL CONTRACTOR PRIOR TO THE START OF WORK OPERATIONS. 6. STREETS) CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES 14.5' �� z X. GRID. 1 � I I — --�-------- : — ------ �; 6 5 I I 5 4 I 1 36" MIN. 4 3 I W.M 3 I �I 1 I ;GAS MAIN 1I-3 �--- 3' -- I 0 �1AIN SOD RESTORATION DETAIL SCALE: NOT TO SCALE Uuvy - 01 -2.2 0 oz A m m 0 0 0 1I 0 PROP. 3141' PLASTIC -1 I GAS SVC. TO BE —2 i DIRECTIONAL BOREDEXISTING U77LITIES 1 z a PROFILE CROSSING ALLEY SCALE: 1:40 (V) 1 "=1' (H) 1 2 2' PLAN ARE FROM GPR�NFORMATI0WN ON 1 N - � J{.� NO. of SHEM: X PROVIDED BY MI —TECH .4 EQLO omp.y SHM NO.: X h N LAST REVISION 11101120 SHEET TABLE OF CONTENTS I General Notes, TTC Tables Definitions Temporary Traffic Control Devices 2 Overhead Work Railroads Sight Distance Above Ground Hazard Clear Zone Widths For Work Zones Superelevation Length Of Lane Closures 3 Overweight/Oversize Vehicles Lane Widths High -Visibility Safety Apparel Speed Reduction Signing Flagger Control 4 Survey Work Zones Signs 5 Work Zone Sign Supports 6 Commonly Used Warning and Regulatory Signs In Work Zones Manholes/Crosswalks/Joints Truck Mounted Attenuators Signals 7 Channelizing Devices Channelizing Devices Consistency Advanced Warning Arrow Boards 8 Drop -Offs In Work Zones Business Entrance 9 Temporary Asphalt Separator Channelizing Devices Notes 10 Temporary Barrier Notes 11 IPavement Markings oI DESCRIPTION FDOT� FY 2021-22 � - STANDARD PLANS GENERAL NOTES: I. This Index contains information specific to the Federal and State guidelines and standards for the preparation of traffic control plans and for the execution of traffic control in work zones, for construction and maintenance operations and utility work on highways, roads and streets on the State Highway System. Certain requirements in this Index are based on the high volume nature of State Highways. For highways, roads and streets off the State Highway System, the local agency (City/County) having jurisdiction may adopt requirements based on the minimum requirements provided in the MUTCD. 2. Use this Index in accordance with the Plans and Indexes 102-601 through 102-680.Indexes 102-601 through 102-680 are Department -specific typical applications of commonly encountered situations. Adjust device location or number thereof as recommended by the Worksite Traffic Supervisor and approved by the Engineer. Devices include, but are not limited to, flaggers, portable temporary signals, signs, pavement markings, and channelizing devices. Comply with MUTCD or applicable Department criteria for any changes and document the reason for the change. 3. Except for emergencies, any road closure on State Highway System must comply with Section 335.15, F.S. TABLE I CHANNELIZING DEVICE SPACING Work Zone Speed (mph) Max. Spacing (feet) Cones or Temporary Tubular Markers Type I Barricades, Type II Barricades, Vertical Panels, or Drums Taper I Tangent Taper--- Tangent 1 45 21; I 50 I 25 I o I _> 50 1 25 1 50 50 100 TABLE 3 WORK ZONE SIGN SPACING "X" Road Type Min. Spacing feet Arterials and Collectors with 200 Work Zone Speed <_ 40 mph Arterials and Collectors with 500 Work Zone Speed >_ 45 mph Limited Access Roadways * 1,500 For Limited access roadways with work zone speed < 55 mph, the minimum spacing may be reduced in accordance with the MUTCD and as approved by the Engineer. TABLE 2 TAPER LENGTH "L" Work Zone Min. Speed (mph) Length (feet) <40 W5z L = 60 >_45 L=WS Where: W = width of offset in feet S = speed in mph TABLE 4 BUFFER LENGTH "B" Work Zone Speed (mph) Min. Length (feet) 25 155 30 200 35 250 40 305 45 360 50 425 55 495 60 570 65 645 70 730 Note: When Buffer Length "B" cannot be attained due to geometric constraints, use the greatest length possible, but not less than 155 feet. GENERAL INFORMATION FOR TRAFFIC CONTROL THROUGH WORK ZONES INDEX SHEET 102-600 1 of 11 NOTES: 1. This Index applies to Two -Lane, Two -Way and Multilane Roadways, including Medians of divided roadways, with work on the shoulder. 2. L = Taper Length X = Work Zone Sign Spacing B = Buffer Length See Index 102-600 for 'T", "X", "B", and channelizing device spacing values. 3. For incidental work (e.g. mowing or litter removal), only the Road Work Ahead sign is required. 4. When four or more work vehicles enter the through traffic lanes in a one hour period (excluding establishing and terminating the work area), use a flagger or lane closure to accommodate work vehicle ingress and egress. 5. For work less than two feet from the traveled way and work zone speed is greater than 45 MPH, use a lane closure. 6. The "Speeding Fines Doubled When Workers Present"signs (MOT-13-06) and "End Road Work" Signs (G20-2) along with the associated work zone sign spacing distances may be omitted when the temporary condition is in place for 24 hours or less. 7. Temporary pavement markings may be omitted when the work zone is in place for 3 days or less. 8. If the work encroaches on a marked bicycle lane or ridable shoulder, close the lane or shoulder in accordance with the Plans. 9. Omit "Shoulder Closed" signs (W21-5a) along with associated work zone sign spacing distances for work on the median SYMBOLS: ® Work Area ■ Channelizing Device (See Index 102-600) [) Work Zone Sign Lane Identification and Direction of Traffic 537 NE 96TH STREET G20-2 (See Note 6) END ROAD WORK 6" White (See Note 7) 10' Min. ALLEYWAY-_ _ r X _� X X �,4L B ROAD SPEEDING FINES RIGHT WORK DOUBLED SHOULDER AHEAD WHEN WORKERS CLOSED PRESENT MOT-13-06 W20-IF (See Note 6) W21-5a MOT-13-06 (See Note 6) W20-IF SPEEDING FINES ROAD DOUBLED WORK WHEN WORKERS PRESENT AHEAD x L`---- --�L---- X ][ 7OAD D WORK G20-2 (See Note 6) TWO-LANE ROADWAY SHOULDER WORK LESS THAN 2' FROM THE TRAVELED WAY WITH WORK ZONE SPEED OF 45 MPH OR LESS W20-IF G20-2 (See Note 6) CAHEAD END ROAD WORK - ——�Z--------�L-------- �lL�-- --- /21771 T/ �Z -■ — — X X X F �L ROAD RIGHT WORK SHOULDER AHEAD CLOSED W20-IF W21-5a X END ROAD WORK G20-2 (See Note 6) TWO-LANE ROADWAY SHOULDER WORK BETWEEN 2' AND 15' FROM THE TRAVELED WAY LAST 1Z DESCRIPTION: FY 2021-22 INDEX SHEET I cc REVISION �, FDOT TWO-LANE AND MU LTIILANE WORK K ON SHOULDER 11101120 W STANDARD PLANS 102-602 1 of 2 ACC)R LX CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/21 /2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marsh Canada Limited PHONE 1-416-868-2600 A/c No Exl FAX (A/C, No): 416-349-4564 120 Bremner Blvd, Suite 800 Toronto, ON M5J OA8 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Associated Electric & Gas Ins. Svcs. AA-3190004 INSURED INSURER B: Associated Electric & Gas Ins. Svcs. AA-3190004 Peoples Gas System INSURERC: Associated Electric & Gas Ins. Svcs. AA-3190004 702 N. Franklin 2 Tampa, FL 3360 Tampa, INSURER D: Associated Electric & Gas Ins. Svcs. AA-3190004 INSURER E: LM Insurance Corporation 42404 INSURER F: C.UvERAuES GEKI II-IGAIE NUMBER: 20121-037-GAEW RFVISION NHMRFR' 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSS LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A XCOMMERCIAL GENERAL LIABILITY X CWMS-MADE OCCUR XL5692905P 06/01 /2021 06/01 /2022 EACH OCCURRENCE $1,000,000 DAMATO PREMI ES(RENTED PREMISES Ea occurrence $ X MED EXP(Any one person) $ SIR $1,000,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT ❑LOC GENERAL AGGREGATE $1,000,000 PRODUCTS - COMP/OP AGG $ OTHER B AUTOMOBILE LIABILITY X ANY AUTO XL5692905P Self Insured Retention: $250 000 06/01/2021 06/01/2022 COMBINED SINGLE LIMIT Ea accident $1 ,000,0�0 BODILY INJURY (Per person) $ ALLOWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR C CC XL5692905P 06/01/2021 06/01/2022 EACH OCCURRENCE $1,000,000 X EXCESS LIAB X I CLAIMS -MADE AGGREGATE $1,000,000 DED I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN Employer's Liability: X PER STATUTE FR E.L. EACH ACCIDENT $1,000,000 Y PROPRIETOR/PARTNER/EXECUTIVE FFICER/MEMBER EXCLUDED? NO XL5692905P E Mandatory in NH) f yes, describe under ESCRIPTION OF OPERATIONS below NIA Excess Workers' Compensation: 06/01 /2021 06/01/2022 E.L. DISEASE - FA EMPLOYEE $1,000,000 EW5-B7N-171272-020 SIR$1.000,000 12/01/2020 12/01 /2021 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) License #E1608 Excess Liability policy provides insurance in excess of Peoples Gas System's Self -Insured Retention as stated above. The above noted policy placements were made by Marsh USA Inc. Marsh Canada Limited has only acted in the role of a consultant to the client with respect to these placements, which are indicated here for your convenience. C;EK I IFIC;A I t HULUEK CANCELLATION Miami Shores Village Bldg. Dept. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 10050 NE 2nd Ave EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH Miami Shores FL 33138 THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE U 1988-2014 ACORD CORPORATION. All rights reserved.