PW-09-1325Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 121679 Permit Number: PW -8 -09 -1325
Scheduled Inspection Date: September 23, 2009
Inspector: Bruhn, Norman
Owner: ROSENTHAL, ANNA
Job Address: 1270 NE 94 Street
Miami Shores, FL
Project: <NONE>
Contractor: TECO PEOPLES GAS SYSTEM
Permit Type: Public Works
Inspection Type: Final
Work Classification: Public Works
Phone Number
Parcel Number 1132050100160
Phone: (305)957 -3857
Building Department Comments
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85' 3/4 PLASTIC GAS LINE SERVICE FROM EXISTING 2"
GAS MAIN BORE TO GET TO RISER LOCATION AT 1270
NE 94 ST
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Passed /f
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
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For Inspections please call: (305)762 -4949
Dann2nfid
AUG 10 2009
BUILDING
PERMIT APPLICATION
FBC 2004
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. c;R— IWO
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Bf'U Ct? - '-"RbS Phone # 305 7q a 4 4,4 O
Owner's Address 1210 M. E 944 TN 5-r2Eer-
City j■At4-m t Short-es State 'Ft Zip 33t 3
Phone #
Tenant/Lessee Name
Job Address (where the work is being done) t -7o N q 4 5r2-M--1
City Miami Shores Village County Miami -Dade Zip 331 38'
FOLIO /PARCEL # 1 1 32-05 -oto olla0
Is Building Historically Designated YES NO X
Contractor's Company Name To pEo/o1 tE:5 X4;3 Phone #
Contractor's Address / S 779 - IVEs=r- £ ri 41cvc,
City A44- /l , / 641.._ State Zip 3 3 Igo O
Qualifier Name V JceS LQQCL Jot. Phone #
State Certificate or Registration No. Certificate of Competency No. e S 6 8
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ `N Q
Phone #
Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration tew ❑ Repair/Replace ❑ Demolition
Describe Work: pa-4 poscc : #6-F 31`f -pt AS ctG c as SF. ct jc -U2obr» E c g Sri v Jc 2" Gas' ..k.A.c.1 .>.1
Tao2Er Co TT 12- LSCcl.... 1 oCA-rr o .. 1 M 1270 AJ. E ct y 1-14" S LEET-
Submittal Fee $
Permit Fee $
���� CCF $ 0.1(20 J GefCe--
Notary $ °� Training/Education Fee $ SIC Technology Fee $ Q60
Scanning $ C10 Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 10(Q. .
ChACtL- Q z'L
See Reverse side -*
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work 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 regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 building permit with an estimated value exceeding $2500, 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 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 building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
Owner or Agent
The foreg t ing instrument was acknowledged before
day of
who is person ly known to me or who has produced
Cf' 20 Oct , by
As id
NOTARY PUBLIC:
MY COMMISSION if DD830091
�y a EXPIRES Nrne 29, 2012
�so.3 -NO° Pf• Naafi Co.
1.80.3- NOTARY
Signature mJ
Contractor
The foregoing instrument was acknowledged befor
day of
who is pe
200? , by
nally known to me or who has produced
NOTARY
oath.
Sign:
Sign:
Print: Print:
My Commission Expires: My Commission Expires:
**** * ** *** **** *** ***** t ****** ***** *** ** * * ** * * ** ** ** * ****** ** * * *** ** * * **** * * * ** *** * ** * **** *,rat * * ** ** * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
Plans Examiner
Engineer
Zoning
?fie American Traffic Safety
Services ssociation
2fiis;s to cemfy that
Steven Mitchell
has demonstrated a thorough knowledge of the standards, guidelines and practices of traffic control in highwa
onstuction and maintenance work areas and has completed all the requirements of the American Traffic Safe
Services Association Certification Program to the satisfaction of the Certification Board; Is this date awarded the
designation of
Traffic Control Supervisor
and is fully entitled to all the rights and privileges associated with this designation.
This certificate will remain in effect until the expiration date noted herein unless
otherwise revoked by action of the Certification Board.
Issue Date: 10/30/2005
Training & Products Dept. Director
Expriation Date:
Certification IA: 00016652 SAFER ROADS RAVE LIVES
Executive Director
0055 445
As Rights Reserved
LITHO. IN U.S.A.
'.°gS 237 Rev 1099
Aub 10 2008
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Miami Shores Vil an
APPROVED
BY
DAIS
ZONING DEPT
BLDG DEPT
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SUBJECT TO COMPLIANCE WITH ALL FEDERA_
STATF ANn COUNT`( RULES AND'REGULATIOS
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Wednesday, Jul 08, 2009 01:53 PM
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12,'70 N• E 14/ c r.ez-ET —111, 'i7^vt ..... • 15• ••
END
ROAD WORK
91/ 7WsrRF -7
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b
Device Spacing -Taper
See Table Z
DISTANCE BETWEEN SIGNS
Speed
Spacing (ft.)
Speed
A
B
40 mph or less
200
200
45 mph
350
350
50 mph or Greater
500
500
* 500'beyond the ROAD WORK
AHEAD sign or midway between
signs whichever is less.
SYMBOLS
® Work Area
Sign With 18" x 18" (Min.) Orange
Flag And Type 8 Light
q Channellzing Device (See Index No. 600)
[h Work Zone Sign
2 Lane Identification * Direction of Traffic
Table Z
Device Spacing
Max. Dtstmme Between Devtoes (ft.)
Speed
Cones or
TYPO ar Type It
(mph)
T08I1w Markers
B&W odes or 0e111al
Poets or Alma
25
Toper
Tangent
Taper
Tangent
25
25
50
25
50
30 to 45
25
50
30
50
50 to 70
25
50
50
100
GENERAL NOTES
1. When four or more work vehicles enter the through traffic
lanes In a one hour period or less (excluding establishing
and terminating the work areal, the advanced FLAGGER sign
shall be substituted for the WORKERS sign. For location of
flaggers and RAWER signs, see Index No. 603.
2. WORKERS sign to be removed or fully oovered when no
work Is being performed.
3. SHOULDER WORK sign 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 road Intersects the highway within the TTC
zone, additional TTC devices doll be placed In accordance
with other applicable TCZ Indexes.
5. For general TCZ requirements and additional information,
refer to Index No. 600.
DURATION NOTES
1. Signs and c annellzing devices may be omitted if all of the
following conditions are met:
a 1 Work operations are 60 minutes or less.
bl Vehicles in the work area hove high-intensity, rotating,
flashing, osclllating, or strobe lights operating.
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Table IL
Taper Length - Shoulder
41 (ft)
Speed
( mph 1
8'
Shldr.
10'
Shldr.
12'
Shldr.
Notes
25
28
35
42
— -
30
40
50
60
L-W58
35
55
68
82
60
40
72
90
107
45
/20
/50
180
u
50
/33
167
200
55
147
/83
220
L -WS
60
160
200
240
65
173
217
260
70
187
233
280
8' minimum shoulder width
if... Length of shoulder toper to feet
W - Width of total shoulder in feet
(combined paved and unpaved width
5- Posted speed limit(mph)
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CONDITIONS
WHERE ANY VEHICLE, EQUIPMENT,
WORKERS OR THEIR ACTIVITIES
ENCROACH THE AREA CLOSER
THAN 15'BUT NOT CLOSER THAN
2'TO THE EDGE OF TRAVEL WAY.
2008 FDOT Design Standards
TWO -LANE TWO -WAY, WORK ON SHOULDER
Sheet Na.
07/01/07 1 of 1
Intl N
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