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PW-09-772Public Works Permit Application FBC 2004 Fs ft T) E Public was WA Owner's Noma (Fee s+m* Y hoido owes Adams 21,'`k/ S aty 040_11_ zip Is Salim HIstadoally YES s Carryon; Wpm Typo of Wort Osscriars Wert sum P s $ flostwIng $ 4•or) Cods Enkwerrasnt Total Fes Now Dug f (Continued on opposft sift) OSliato �10 cut03-(. ���V�'� �� a 'l ' MAY o 7 2009 . Miami Shores Village Public Works Department 10050 N.E. 2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax (305) 768.8972 A _. doo) von.,. t F .$ todalsatEduadon Fee f Nadas $ MAY 0 7 PAID OLA004034 +.ao (cps9 NO $ Mises Pwndt Na YY Cataract" Adtfress c �y/ 84146 Hood $ Bonding Company's. Nati* lit applicable) Bonding Companys.Address Mortgage t onders Nrime inVIK:* Mortgage Lenders AddrirtA Cdy ApplirAtion IS hereby made to otitain a permit to do the wink and intonations as Indicated, I certify that no wort or iftSlialation has commenced to the issuance of a fruit and that all work will be armed to mart the standards of aft taws atriti this turealictirm I understand that n warate tionall must be wined fgt ELECTRiGAL worm riumetNo. sfcAs. WEU FURNACES, BOILERS, liEATERS, TANKS mid AIR . CC)NDITIONM EIC OWNER'S AITIDAVIT: [certify that all Me foregoing inlonnation is accurate and that all or* laws motoring construction arid zonmg. 'WARNING TO OWNER: YOUR FAILURE TORECORD A NOTICE OF Y MILT IN YOUR PAY1NG TWICE FOR IMPROVEMENTa TO YOUR PROPERTY. IF YOU INTEND TO FINANCIP4G , CONSULT WITH VQUR OENDCR OR AN ATTORNEY BOOK RECORowp YOUR NOTICE OF ..0q. '4.• • s 0 • Notts OA/fp/0ml: As a (*Oft* to atomism in good Nab/hot ProPt* sigliecf day of 20 , by et who is personally known to aro Of who has produr.,ed as identsficahon and who did take an oath, NOTARY PUBLIC: Sign: Prim My Commtstlion Pii APPLICATION APPROVED BY 11 1 MOOS f &i Public Works pininif with on estrinotod volt* iniceednig MOO. the ikoplicard mind notice of cornmencomere and cOnstrucfron Gen L,w brochure wth bo dolivonni 10 Me pawn whose if Also. coriffrod copy of the rocordod notic o olcorninenceinioil must be poskid Oi lhejob Mo for 0* flmf sovOn f 7) doll suet the building pontiff 0 'mad In MO ithstinoo °Smith pasted notioo. the inspection will n�( be f 11 be onarged 1\ Owner or Agent Ste* Signature NtA Zip Z ip .7 414 $ 414MF 62 - p&Pcicritcair--, cewMi-ele° The foregoing insiturrolt was acknovioilged tiefom Me Oil f Rel(flawklagisti Peffre me this .4, MeV Sign, r ar has produced as ideoliticatioti and who d My Commission Eiger-es: olts.t ,g1: 0 15. 0Nc t;0 0, (0 07 1 „e7 : , op %•v • NO Public Weft Director at his designee; M M I A M I -DADS; COUNTY ADA Coordination Agenda Coordination Art in Public Places Audit and Management Services Aviation Building Code Compliance Building Business Development Capital Improvements Citizen's Independent Transportation Trust Communications Community Action Agency Community & Economic Development Community Relations Consumer Services Corrections & Rehabilitation Countywide Healthcare Planning Cultural Affairs Elections Emergency Management Employee Relations Enterprise Technology Services Environmental Resources Management Fair Employment Practices Finance Fire Rescue General Services Administration Historic Preservation Homeless Trust Housing Agency Housing Finance Authority Human Services Independent Review Panel International Trade Consortium Juvenile Assessment Center Medical Examiner Metropolitan Planning Organization Park and Recreation Planning and Zoning Police Procurement Management Property Appraiser Public Library System Public Works Safe Neighborhood Parks Seaport Solid Waste Management Strategic Business Management Team Metro Transit Urban Revitalization Task Force Vizcaya Museum and Gardens Water and Sewer 07- May -09 Miami Shores Village Building Department c/o Mr. Norman Bruhn,CBO Building Official /Director 10050 NE 2 Avenue Miami Shores, FL 33138 -2382 Re: Water Service Installation for: 1215NE94ST AFA # 122 ER # 16278 Dear Mr. Bruhn: Transmitted herewith for your approval and permit is one (1) set of the permit application and two (2) sets of the water service installation referenced above. 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 Office Office: 786- 268 -5134 aya @miamidade.gov Miami -Dade Water and Sewer Department P. 0. Box 330316 • 3575 S. LeJeune Road Miami, Florida 33233 -0316 T 305 - 665 -7471 miamidade.gov PERMIT #: Miami Shores Village APPROVED BY DATE 41 ■ • k k _ 1 _ 1 ■ . w ' SkAA BLDG DEPT Vti FEDERAL SUBJECT TO COMPLIANCE WITH ALL STATE AND COUNTY RULES AND REGULATIONS VILLAGE OF MIAMI SHORES MIAMI-DADE COUNTY SEC. 5-53-42 1 2 4 20 PAVEMENT EXISTING 4" CJ. WATER MAIN NEW 1" SINGLE SERVICE. SET BOX AND SPACER. LOCATE AT EAST PROPERTY LINE i 25' 2.5' ± OFF OF PAVEMENT R/W NO PAVEMENT CUTS SCALE: N.T.S. GENERAL NOTES •• ••• • • • • • ••• 1.48 HOURS BE*DRE HA D;G6161GICUNIpHINE STATE ON • - 4 7 % 0 2. LANE CLO STANDAR 3. PAVEMEN 4. SIDEWA 5. MAINTAI DESIGN • • • Fil4D`Q.P..:WiA. R-21.1. /14.1t4. R-13.1 SERVICE LINES. 6. DO NOT S • • • • • •• 10_ • • DRAWN: H.B. hAtE: 8f3c610q,:. pKO: I.R. MIAMI - DADE WATER A NEW WATER SERVICE FOR 1215 N.E. 94 STREET ND SEWER DEPARTMENT AFA-122 ER-16278 (To be completed by all agencies planning to perform construction on Miami -Ddade County road rights -of -way). --!!-- 1. Have the roads, which are impacted by the proposed work recently been paved or surfaced? ❑ Yes i 4i 2. Briefly state type of construction to be performed and the location boundaries of the work: NEW 1" DOMESTIC SERVICE FOR: 1215 N.E. 94 ST. TO BE INSTALLED AT EAST PROPERTY LINE. NO PAVEMENT CUTS Sig 3. Will this construction affect, in any way, normal traffic flow? ❑ Yes 4o 4. Will work be started within 15 days of permit issuance? ❑Yes ifo 5. If no, state estimated starting date WITHIN 30 DAYS ± 6. Will work continue on a 24 hour basis until normal traffic is resumed? ❑Yes IfNo 7. Please provide an estimate of construction time for which traffic flow will be affected. N/A 8. Provide the number and direction of lanes affected by construction. North South East West VN /A 9. Does construction work pass through a signalized intersection or mid -block pedestrian signal? ❑ Yes SI No (If yes, see Special Provisions below). 10. Does trench or excavation fall within the paved roadway? ❑ Yes 40 11. Will work damage existing sidewalk, curbs and gutters? ❑ Yes alo 12. Give dimensions (from edge of pavement) showing cut or trenching NO PAVEMENT CUTS CONSTRUCTION APPROXIMATELY 2.5' OFF OF PAVEMENT ON WESTBOUND LANE SHOULDER 13. List name and telephone number of person to contact if further information is needed JOSE A. GONZALEZ NEW BUSINESS SUPERVISOR 786- 268 -5201 14. Please provide e-mail address. Work Information Form FCF@miamidade.gov PUBLIC WORKS DEPARTMENT MIAMI -DADE COUNTY SPECIAL PROVISIONS - SIGNALIZATION IN CONSTRUCTION AREA Any construction wjovk vipt4h QffIct§ the QpPratAft and /or maintenance of a signalization (signalized intersection, mid - block, flashing signal, flashing sign etc.) sh ali' iece; tl:g ;orttjactor to accept responsibility for the operation and maintenance of the signalization from the date and time tha ;werk•begiRs Qntil sail time as the work is complete, the signalization is retumed to normal operation, and inspectors from the Tsublic Works Department have re- accepted it for operation and maintenance. Between the start and end dates, the contractor shall employ the services of an officially approved signalization subcontractor who will provide 24 -hour on -call maintenance on all signalizatiorand,signalizztion ;elated equipment in complete accordance with the current version of the "Miami -Dade County Special Provisiob foCTCa is $igtaCCbnstructionentl Maintenance. • • • • • • • • •• • • • • •• •• • • ••• MPAMI -DADE WATER & SEWER 786 -268 -5200 Company • ; ;TEIISrOEPM MUST ACCOMPANY PERMIT APPLICATION • • • • • • .... • • . . . . ••• • • • • ••• • • Telephone No. Table II Toper Length - Shoulder Speed gL (/I/ Spood 1 1a 0/ Speed ( mph 1 8' Shldr. /0' Shldr. i2' Shldr. Notes 25 28 35 12 50 30 40 50 60 L WS 35 55 68 82 50 IO 72 90 107 45 120 150 180 50 133 /67 200 55 147 183 220 L • WS 60 (60 200 210 65 173 2/7 260 70 187 233 280 Table I Device Spacing Speed Poe. Obteneo 0.b... Perk., ( n. 1 Spood 1 1a 0/ Co. 0 or T.!' 1rorlm a 35. • er 3 V• 41 . 4 hoofs or Orme . Taw repent rap., rwg nl 25 25 50 25 50 30 to 45 25 50 30 50 50 to 70 25 50 50 100 DISTANCE BETWEEN SIGNS Speed Spoa/nq (fl. ) A 8 40 mph or less 200 200 45 mph 350 350 50 mph or greater 500 500 • ••• • ••• ••• •• • •• • ••• • • • • ••• • • • ••• • • • e•• 1 •• • •• • ••• • ••• • ••• ••• • • • • • •• • • • • •••• • • •• • • • • •• •••• • • •••• • • •• • • • ••• • • •• • •• • • • • • ENO • • RO AO WORK • • • •• •• • • * 500' beyond the ROAD WORK AHEAD sten or midway between signs whichever Is less. SYMBOLS ® Work Area 0, Sign With l8' x /8 (kfin.) Orange Flog And Type 8 Light • Channel/zing Device (See Index No. 600) 0' Work Zone Sign • Lone Identification • Direction of Traffic See Table II Oevlce Spacing r I Oevrce Spacing - Tangent See Table I GENERAL NOTES 1. When four or more work vehicles enter Me through traffic lanes In o one hour period or less ( excluding establishing and terminating the work area). Me advanced FLAOGER sign shall be substituted for /he WORKERS sign. For location of floggers and FLAGGER signs, see index No. 605. Z. WORKERS sign to be removed or fully covered when no work Is being performed. 3. SHOULDER WORK slap may be used as an alternate to the WORKER symbol sign only on the side where the shoulder work Is being performed. 4. When a side rood intersects the highway within the TTC zone. additional TTC devices shell be placed In accordance with other oppllosble TCZ Indexes. 5. For genera/ TCZ requirements and additional information, refer to Index No. 600. /Work Area / / / / / / / /� See Table 1 ENO ROAD WORK DURATION NOTES 1. Signs and channelling devices may be omitted If oil of the following condition ore mete a 1 Work operations ore 60 minutes or less. 6) Vehicles In the work area hove high- lnlenslty, rotating, ftoshing, oocllcling, or strobe lights operating. 8' m/nlnum shoulder width I L• Length of shoulder taper In feel W • Width of lorol shoulder In feet (combined paved and unpaved width 5• Posted speed Shrill (nph CONDITIONS WHERE ANY VEHICLE. EOU/PMENT, WORKERS OR THEIR ACTIVITIES ENCROACH THE AREA CLOSER THAN l5'8Ur NOT CLOSER THAN 2' TO THE EDGE OF TRAVEL WAY. 2008 FOOT Design Standards TWO -LANE TWO -WAY, WORK ON SHOULDER 0,l.. 07/01/07 ef.•l No. toll Ind 602 Check Date: 04/292009 Vendor Name: MIAMI SHORES VILLAGE Check Number: 00403403 1 Payment Deductions 1 Invoice Number Invoice Date Voucher ID Gross Amount Insp Gen Fee User Access Fee Discount Paid Amount 114615 03/172009 DP36720 107.10 0.00 0.00 hf-,_ ,)4 ► r / tt!!✓✓ a,g . ,c 5/ 4/5- The attached check represents the amount due you as shown on our records. For additional information, contact (305) 665 -7471 0.00 107.10 Check Number Date Total Total Total Gross Amount Insp Gen Fee User Access Fee Total Discount Total Paid Amount 00403403 04/29/2009 $107.10 $0.00 $0.00 $0.00 $107.10 • • THIS CHECK HAS A VOID PANTOGRAPH ON THE FACEAND A SECURITY`WATERMARK AB ACK — HOLD AT AN ANGLE TO VIEW. • . •.• • . • • • .• <• • ;• • ©1 HT N DRDE SEVEN AND 10 / 100 DO LLAR * * ** • . :, • or : ::. • • • IF vu •• • • • • • • • • • • • • • • • • • • • • • M�A ••• • 10050 2AVE � MIAMI SHORES, FL 33138 • • • • • •.• • • • • • • • • • • • • • ••• • • • •,,,s,• . • • • • • .. - -•• • • .• ••. •• MIAMI -DADE WATER AND SEWER DEPARTMENT POOLED CASH ACCOUNT P.O. BOX 330316 MIAMI, FL 33233 -0316 000403403e 1:0670061,3 21: 2696 206 50 34 700 ' 040340. 3