Loading...
PW-11-2138Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 166813 Permit Number: PW -11 -11 -2138 Scheduled Inspection Date: January 25, 2012 Inspector: Hernandez, Rafael Owner: GUGUEN, ALICE Job Address: 10601 NE 6 Avenue Miami Shores, FL 33138- Project <NONE> Contractor: TECO PEOPLES GAS SYSTEM Permit Type: Public Works Inspection Type: Final Work Classification: Public Works Phone Number Parcel Number 1122310120020 Phone: (305)957 -3857 Building Department Comments PROPOSED DIRECTIONAL BORE NEW 3/4" PLASTIC GAS SERVICE FROM EXISTING 3/4" GAS STUB IN DRIVEWAY TO RISER LOCATION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments January 24, 2012 For Inspections please call: (305)762 -4949 Page 8 of 30 It 1:14\11—SVIAL ublic Works Permit Application FBC 2004 Pomdt Type: Public Works WATER Owners Name (Fes Sample Titleholder) Phones Oft. ° 553 b / 2 8 Owners Address 00 66/ At • E 4e4,C' city , 1%ie JIM/Ws State; rr0 zip 730 .3Pf. Tenant/Lessee Name- Phone It Miami Shores Village Public Works Department 10050 N.E. 2nd Avenue, Miami Shores. Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 1 r ,��� Pemtit NC ) I t -2A3 0) 5-7(4-6M Job Address (Whets the work is being done) /Ut'oo/ Ar-t Cw 41.0 City Miami Shores Vitage County Miami Dade is Building Historically Designated: YES NO ✓ Contractors Company Name e' J E f /ES Contractors Address Z'Esr Q ®.r /C City Advis /i/s e A-) • 33138' zip phones: 36 S' 97o e3 73 Architect/Engineers Name (if applicable) ? P Etap /$S $ Value of Work For this Permit . *9�o ® G State Zip Bto Phone t s 0-47. Lineal Footage Or Work /6 /d RAJ h / t2 Type of Work: ❑ Addition ❑ Alteration New I I Repair/Replace ❑ Demolition Describe Work: peurpoS°�`e) To ? R/Eeu 3/y '' pfis -s a.c. f s-S S'-.01e. c �+tc.oanrs 04aa'1 .Sre..4/' G,m fZ /a.a, 440 as red r P r ra Gessc: e° c,..,-. no.= wk., i.J 714 A ::,1 f a-$ .««....+.......... Fees - ......,++- .....�..• Submittal Fee $ J o (..�� ---� Permit Fee $ it"(") CCF $ CO/CC Notary $ Training/Education Fee $ Technology Fee 8 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review $ Total Fee Now Due $ (Continued on opposite side) Lzo Bonding Company's Name (if applicable) Bonding.Company's Address N/A • City State ZIP Mortgage Lender's Name (if applicable) NIA Mortgage Lender's Address City State rip Application Is hereby made to obtain a permit to do the work and Installations as indicated. 1 certify that no work or installation has commenced prior to the Issuance of a permft 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 CbNDmONERS, 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 Asa condlHon to this issuance of a Public Works permit with an estimated value exceeding $2800, the applicant must promise hn good faith that a copy of the notice of commencement and construction Hen taw brodwre wIDbe' = red to the person whose property Is subject to attechment Also, a certified copy of the recorded notice ofcommencemcntmustbe ' , at the Job site forthe first inspection which occws seven (s•7 days after the building permit hs.issued In the absence of such posted notice, the Inspection wll not be approved and a refnspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing Instrument was acknowledged before me this The foregoing instrument was aclmowtedged before me this day of . 20 it , by ---.rr-rca who is rson,T, i NOTARY Ss 44. tgehavd (.. HELL §,- MY COMMISSION it DD830091 day of tiea0 FL Notary Discount Assoc. Co. 1400-3-NOTARY Print: My Commission Expires: 1 ,20'l,� yossyr _ sla,n.1°N La AnVION- 1 ZZIOG6�� =..a a , 16 £8Qk1 #NOISSIKIAI00' " o Sign: Print:, My Commission Expires: APPLICATION APPROVED BY: 11/17/2005 Public Works Director or his designee. ACCORD ® CERTIFICATE OF LIABILITY INSURANCE °A ;no,"�Y"' 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(les) 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 certlflcate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MCGRIFF, SEIBELS &WILLIAMS, INC. P.O. Box 10265 Birmingham, AL 35202 CONTACT NAME: FAX INC. Ito. EMI: : 800 -478 -2211 (A/C, No): �-m w ADDRESS: INSURER(S) AFFORDING COVERAGE NA)C # INSURER A :Associated Electric & Gas Ins. Svcs. COMMERCIAL GENERAL LIABILITY INSURED Peoples Gas System TECO Energy, Inc. P.O. Box 111 Tampa, FL 33601 INSURER B :Liberty Insurance Corp. X0521A1A11 Self- Insured Retention $1,000,000 INSURER c :Zurich American Insurance Company 16535 INSURER D : $ 1,000,000 INSURER E : $ INSURER F : X I CLAIMS -MADE OCCUR COVERAGES CERTIFICATE NUMBER:EE74Y5HU REVISION NUMBER: 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. INSR LTR OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MM/DDIYYYY) LIMITS A GENERALU►BIUTY COMMERCIAL GENERAL LIABILITY X0521A1A11 Self- Insured Retention $1,000,000 07/01/2011 07/01/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ X I CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: —1 POLICY n n LOC PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILEUABILrY — ANY AUTO ALL OWNED AUTOS AUTOS _ SCHEDULED AUTOS NON-OWNED AUTOS X0521A1A11 Self - Insured Retentlon $250,000 07/01/2011 07/01/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per sadden/) $ PROPERTY ) GE (aac /dnt $ $ A X UMBRELLA UAB EXCESS LAB - X OCCUR CLAIMS -MADE X0521A1A11 07/01/2011 07/01/2012 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED 1 1 RETENTION $ $ A C WORKERS COMPENSATION AND EMPLOYERS' UABIUTY y/ N N / A EWS931859700 X0521A1A11 07/01/2011 07/01/2012 x IrWCYTATU- 1 I TH ER E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY UMIT $ 1,000,000 B EXCESS WC Excess Workers' Compensation EW564N004918121 07/01/2011 07/01/2012 Each Accident or Each Employee for Disease $ $ 35,000,000 $ $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) Excess Liability policy provides insurance In excess of Peoples Gas System's Self- Insured Retention as stated above. WC Statutory Limit is excess of $35,000,000 (Insured by Liberty Insurance Corporation) CERTIFICATE HOLDER CANCELLATION City of Miami Shores 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE °age 1 of 1 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD C fOf at4600ing Boa, 0 - * • -- wit.ATE OF C,QMPETENC,'. VEDA JESUS E1608 PEOPLES GAS SYSTEM NC 6-- • Le4lied t!nefrx tits Of hikffil-rode Srit Notit4 Nita mi Contrartor amber. I603100000 sTovol Harbor tshrld itraf7.t, ID Numb (::.:ONT-0613-:1004-OF r. ^0:1.6.1o:snzzgarmfozg. 9714 %Ad 01, -.522a:1442,ow.a2a:4;020.142:42•214-:01221i22A.0202`022022.0X6,42n122.21*214'6242:20, • d4gi. • e Amok= eft:4os Assoeiettion.. reby: :rec ti t Steven Mitchell has •attended the Filor da Advanced Refre& 'Training Course September 10, 2009 Date Ft. Lauderdale, FL Location - AMERICAN TRAFFIC SAFETY SERVICES ASSOCIATION ; Rum gm Lim This is to affirm that Mr. Steven Mitchell ID #37 4.-IT O has satisfactorily completed the Training - &Prode1u34cA-ts Dept. Director Florida Advanced Work Zone Traffic Control Refresher Course Date Completed:9110/2009 Status:Passed Final t Executiva Director Location:Ft. Lauderdale, FL Instructor:mg. Catherine G. Witt Date Refresher Course Required:9/10/2013 cdA r . Zi. 2. • . sraittLaWatalgitalga."Ware2"202s6202%432.22,24,0*225;1022(2,02244Ma's, a ^ ■ 4 , o 4 0 w , a,,?. ..• , , .. . . - * ; • e " • 4," tir r %., I, ,-- .. 4 ++,1. • .j. .,, i, 04 d .• If, • < <4,,441 ,, •'•• F.q, Irf..4:';;;r14;-• • 7.gr..ottontim . nmaxstucokunza END ROAD WORK Buffer Spoaa 50' Sea Table DIS rANCE BETWEEN SIGNS Spoed Spacing (ft ) (mph) A 8 C 0 40 or Is 200 200 200 100 45 350 350 350 175 50 500 500 500 250 55 or greater 2640 1640 1000 500 s The ROAD WORK 1 MILE eon may ba used as an alternate to the ROAO WORK AHEAD sign. s s 500' beyond the ROAD WORK AHEAD sign or midway between signs whichever is less. s x -s HE PREPARED ro STOP sign may ba omitted for speeds of 45 MPI4 or less. SYMBOLS Work Area Sign With 18" x 18" (Min,) Orango Flog And Typo B Light • Channo4ing Dovico (See 1ndox No, 6001 Work Zane Sign n.. Flogger - Automotod Flogger Assistance Dovieas (AFAQ), With Cato c=o. .Lane Identification + Direction of Traffic Davin Spacing -Toper Sea Table 1 TABLE 1 DEVICE SPACING 5peed (mph) Max. Distance Betwoon Devine (ft.) Cones or Tubular starkers Typo I or Type Ii Panels or Vortical Panels or Drums Toper Tangent Toper Tangent 25 to 49 20 50 20 50 50 to 70 20 50 20 100 GENERAL 1. Work operations shallba confined to ono traffic, lane, Moving the apposite Iona open to trofflo. 2. Additionolono -way cantrolmoy be alfoctad by the following mans, (1) Flog- carrying vohicloi (2) OfRolalvehlole+ (3) Pilot vaNalaal (4) Troffla signals, When fIaggors are the sole moans of one -way control, the angora shallba in eight of sash othor or in Orval aommunl)atlon at all times, 3, rho ONE -LANE ROAD airs oro to bo fully aavarod and the FLAOGER signs olthmr removed or fully eovorod whon no work la 5a4, porformod end tho highway la span to two -way Porno, 4, Whom a aide road intorsacta the highway within the rrO Gone, additional rr5 devices shallba planed In accordanoo with athor applIoobl4 TCZ Indane. NOTES 5, Tho two ahannalixing devices directly in front of the work araa and the ono channelising devlao dlracay at tho and of the work area may be omlttod provided vehicles In the work ono hove high - intensify rotating, Noshing, eaalIlating, or strobe lights operating, 8, For ganaral TCZ roquhamants and odditlanalInformation, rotor to Index No, 800, DURATION NOTES 1, RDAO WORK 414£AD and the BE PREPARED TO STOP signs may be omlttod If a(lof tho following oond7None oro mot+ 01 Work aparatlans are 80 minitoa or loss, 5) Speed limit Is 45 mph or loss, al No sight abetructlona to vehicles approaching the work area for a distance equal to Ma buffer space. d) Vehlolee in tho work aroo have high- intensity, rotating, flashing, osellloting, or strobe lights operating. el Volume and complexity of the roadway ha* been cansideree. /c49/ i -id BUFFER SPACE Speed (mph) 0(st. (ft.) 25 155 30 200 35 250 40 505 45 J60 50 425 55 495 60 570 65 645 70 730 Whom Buffer Span cannot be attained duo to geometric oonatraints, the oreatsol attainable length shell)be used, but not leas than 200 ft. CONDITIONS WHERE ANY VEHICLE, EQUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH THE AREA BETWEEN THE CENTERLINE AND A LINE 2' ��s OUTSIDE THE 000E OF TRAVEL WAY. //1•, d �1vru•�— 2010 PDOT Dos ton Standard. TWO -LANE TWO-WAY, WORK WITHIN THE TRAVEL WAY Ron Shoot No, 07101/08 1 oft �e�3 1 • 1 �Ir =Wel =II • alb •lp - •• '•••••••• :•••••••s••OM • i •• _!• •- — — s -Li 4 } J 1 Flexile /Pawl. 30° M a x . D D D D D E D D 5° 5° 5° 5° 5 5° 5 420' Max. 30° Max. .$Max. A D D D D D E D DE °° 5° 5° 5° 5° 5° 5° 5° 50 Powt_� *°E " Jointfs) 1"equired 'then Length Exceeds 30° 420 °Max.:t Flexible /Fowl_ I 1 5° C 5° 5' A 18n,.rad Pawl. C 5° Graded Turnout 30» x. 33 °Max. 00 AD 5° 5° 5° SAWED JOINTS Graded Turnoutm A 5° 5° 5° 5° 5° 5° 5° 5° 5° OPEN JOINTS EXAGGER" TED SCALE LONGITUDINAL SECTIONS SIDEWALK JOINTS JOINT LEGEND A- "° Expansion Joints (Preformed Joint Hier) - Ye" Dummy Joints pooled C - °° /Formed /1, en Joints D- ® Saw Cart Joints, 1V " Deep (' %, Hour) Max. 5° Centers E- 54" Sew Cut Joints, 13/2" Deep (112 Hour) Max. 30° Centers F- 34" Expansion Joint en Interme,•l,ate locations when c as ',° ecled by the Engineer. un Of Sidewa Exceeds 1120 °. ,lied for in the plans or at locations NOTES FOR CONCRETE SIDEWALKS ON UNCURBED ROADWAYS I. Sidewalks shag 4be constructed in accordance with Section 522 of the FOOT Standard S ecifications. 2. Provide detectable warnings that extend / /'e full width of the sidewalk and 24" dee,,., from the edge of pavement where sidewalks adjoin the following vehicular ways: -side roads and streets - driveways with signalized entrances - driveways with entrance volumes greater than 600vpd - driveways with entrance speeds of 25 ; ,h or greater -Tic It in- right out composite . ;riweways Detect,' 1, warning surfaces shallconform to the requirements described in the Genet Notes of Index 304. To the extent practical, the roams of truncated domes in a detect le warning surface should be of'', Jed to be perpendicular or radial to the street, roadway, or driveway, as For sidewalks continuous through driveways, detectable warning surfaces are not required_ 3 For turnouts see Index No. 5115. 4_ Construct sidewalks smith 11° thick E ;:;earn thro,,,;,1, the Emits of any surface mounted Pedestrian /1!icycle Picket ;•'wing or Pipe Guider ,.,,,f shown in the plans. See Sheet I for det,.,,rls_ 5. Sidewalk shall be ;*aid for under // a contract unit ;•,rice for Sidewalk Concrete l___ Thick), SY. 2° Detecta/. /e Warner Surface Eo/ge Of Traveled Way CONTINUOUS SIDEWALK 2° Detect *le Warning Surface Driveway Edge f Traveled Way When driveway is new construction, reconstruction, or altered, cross slope within Existing driveways that are not %,, I. altered may be left as they are. DISCONTINUOUS SIDEWALK PLAN CONCRETE SIDEWALK FOR UNCURBED ROADWAYS 2° Detectable Warning Surface Sidewalk Varies (5° Std. 0.02 Max. SECTION CC .e% ▪ area sh „e; not exceed 0.02. Or Street 2010 FDOT Design Standards CONCRETE SIDEWALK Revlsiaan Sheet No. purl of 2 310 55W (543 CA' APTLY TACK COAT To ALL (5U1' S AND EIMGES EXIST. ETTAD PAAIENENT 4" TOP SO4. soc A/ SaECT NATIVE 37FIALTIC CONCRETE AS REWIRED er' SPECIFICATIONS -IICKTIC.SS TO MATCH EXISTING. 1' / H113CL ASPHALTIC CONCRETE RESUTMAT / AS REQUIRED VY SPECIFY:A HONS. 002444 OLD / r ASPELALT SURFACE / / MT / PAGF_„ G 42( 5413 ROAD GED Two TG/Es ORIGINAL THICKNESS 14" MAX AND 12* TAAL PLACED IN 6' LATEHS AND COMPACTED TO 9e5 OF ,,,TAT ETON GENEITY PER A ASI, ITO T-- I FRENCH GAGA II FLIED FY 31 CoLIFACTED LIFTS TO 185 OF MAXIMUM / DENSITY PER AASHTO / PIPE A I80/ - SURFACE RESTORATION N R/W ABOVE THE PIPE ZONE EXIST. ROAD PAVENIENT EXIST BASE 2 SA Ar GUT 5 AF PLY TACK COAT TO ALL :i4,,Elp,,E ,4-13C,s,,,,,,,st,,,r1)--.....__SURFACES AHD EDGES GRANULAR BACIFFILL COMPACTED IN - -._LIFTS MAPROVED BEDDING 5, MATERIAL UP TO 5.SERITIG UNE OF PIPE RIGHT OF WAY TRENCH REPAIR, MIWNG, AND OVERLAY -5' PARKING T.,•-.E.:A ,Am'Ai, :C.; EAT-Es IS!, AL 35 T-5` RESIDENTIAL STREETS INSTALLED 4' 5E1047 GWE 5,5005 MAIN- - 1G° MAJOR STREETS (4 LANE) I.SEE SPECIFICATION 2320 SECTION 3.6 FOR MARAING -OPE AL L,L.30E4 sma-rs (9 22(15) 2 UNLESS OTHERWISE SPECIFIED LECTED NATURAL SHALL GE FREE OF STONES LARGER THAN 3/8' 044. EY- MAX. 12' MEL- REPL ACE ALL 52(43 MIKINCS AND REFLECTRAE EJRITERS TYPICAL TRENCH AND PAVEMENT RESTORATION FOR TRANSVERSE CROSSING LEGEND / OKI OF AY PAL PROPERTY ILENE T/T TAPPING TEE En, EXCESS FLOW VALVE WC SERVICE LINE SP STEEL ,'LASTIC COAT PE POLYETIHIELENE OTES CONSTRUCTION 1.. LOCATE MD PrAIECT ALL klfifillifflIES HIM /3/ OF . CONISTRUCTIlelit S1.11114511-1111141E 1--Kg0-432-4-7/70 2.. RESTORE AUL AREAS 10 '..1•Agr., comntokis 3_ ALL CONSTRUCTION TO IGLU JI.D COVIERINIMIEIVI I WO STANDARDS_ PROPOSED RISER METER SET LOCATION pu,) f2A 35( Ptt 'k iettg PROP DIRECTIONAL BORE 3/4" PLASTIC GAS SERVICE i FROM EXISTING 3/4" GAS STUB IN DRIVEWAY TO RISER LOCATION 11) 10601 N.E.6TH AVE - - ."—EX1STING 3/4" GAT STUB OM 6826 MEM - , .•••••,/,',.r..; /4111.11PAIL,'WCIiiii r ■,1 ,,111 IINMP11011111.WW111..■, • f/ii1:__., _____1 ,....„,_,....,__. , 4 kV ROW • w riialaizor wftwAwittano NM NO LANE OF TRAFFIC TO BE BLOCCKED OR DISTURBED 1-CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTIURES. 2-MAINTAIN A MINIMUN HORIZONTAL SEPARATION OF 5' FROM ANY CITY UTILITIES. 3-MAINTAIN A MINIMUN VERTICAL SEPARATION OF 18" OF ANY CITY UTIUTIES. TECO / PEOPLES GAS - N. MIAMI OPERATIONS 1 ().',1 [RUE AVE 1,0,.1,1,3:1 i/0)4 3g4f" PlE GAS SIM IscALEr : DATE 11/7/11 1 SHEET 1 of 1