PW-11-9276\04- l*k
77791-A
MY
2.011
Miami Shores Wage BY: .Y'
Public Works Department
tooso 2nd Avenue, Mir 8tvatikr44;04,34138
Tel f304119.5.2204. fax .(305) 7$•.E19.72
Public Works
Permit Application
FRC 2004
Permit Type: Public Works WATER
Owners Name (Fee Simple T hotder) Phone
Owners Address
city
TettentiLessee Name
JobAddress the work is being done)
City Wed Shotett Viilage tounty Miami Oade
ts SuBdIng Historiadly Designate
YES
tiCt
Contrachs's Company Name MIAMI-.0006- p4A-rsie sEweg... DEp-r. Phone*: (1b-6the W04
Contracte's Addiess
city ivilAM eft* i=topoi% 4s, ,S5 140
Sone* (rif?24,S001
Areltftectft*dneer,e Nano 0111200able) ,4J E(
Uttesifeetage OPAratit 151
;Wee orWortc Fer ttde Penult
Toe of Wert-
Desonlse Went
119400 a°
o maw DMerabon 0 Repairmesace, 0 nemanon
4441-At.idliow ec J _tga Higv4Arriamio fog
14E lel- 4T U.-FA-19i 012 -1c4s4)
40.00400.H... Fees IltRION.11110:****11Th**
Pe/11;10 $ /PO
Sub 74 SSP $
mittfid Fe ; rm e
kotert$ TralehOlidanotioil t
Ulm** S. Haim t . ZoOltig,
Code-EntortOrnet#t
Total fee NOW Dee
(Sordintted en opposte side)
at r gic twat Plan "wow
Bonding Companys Name (If applicable)
Bonding Co4tpany's Address
City State
Mortgage Lender's Nante (if applicable)
rocittgage under's Address
City. State
Appficatinti is hereby made to Wain a permit to do the work and 111411140On as indicated. 1 certifythat no wit* or Installation hat
commenced prior to the issuance of a permit and that all work will be performed to feet the,standards of all laws regulating cansbuclion 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 compliers* with all aptgicabfe
laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 'MIZE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT MTH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Nodoi to Applicant As a condition to this imam* Of a Public Works permit wilfran estimated value exceeding V500, theapprgentomet
intilliSe in good faith that a copy* f the notice of commencement and construction lien law &odium will be delivered to the pereeet whom*
propeity le so* f to attachment Also, a certified copy of the recorded nofice Of cornMencement must be Posted id their* slle far thefint
inspection whit* oecure seven (7) days after the buffding penrirlis Issued M Me absence of such posted notice, the inspeollenWilnef be
approved wide teinspedion fee will be charged.
Signature Signature
Owner or Agent
)(lo) ropmfroo)
The foregoing instrument was admowledged before me thin, t The foregoing instrument Wert adMOVEledged hi:Orem-this 717-4(4-
day of 1 ,20 II by A /24. 1117./444A-0-r daY cf aci by
6httk is peisonally known to Me who has produced Who is perconagyknow to me or has produced
NOTARY PUBLIC:
Sign:
as iderdlicallortand *to did take an oath.
as identification and who did take an oath.
NOTARY MUG:
prkt
My Commission exoter.
APPUOA
11/1712005
BYt
NEYAAP.
• couelegoN # DD770
EXPIRES April 10, 2012
9-- - nondallotaryserme.com
My CammIsMonExpites:
Water & Sewer
P.O. Box 330316 • 3071 SW 38th Avenue
Miami, Florida 33233 -0316
T 305 - 665 -7471
miamidade.gov
May 20, 2011
Miami Shores Village
Building Department
c/o Mr. Claudio Grande, CBO
Building Official/Director
10050 NE 2 Avenue
Miami Shores, FL 33138 -2382
Re: Water Service Installation for:
5XX NE 107 ST
AFA # 155 ER # 16484
Dear Mr. Grande:
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,
%Js
A ex etamar
Permit Unit Supervisor
New Customer Division
Office: 786- 268 -5259
ARETA01@miamidade.gov
VILLAGE OF MIAMI SHORES
MIAMI -DADE COUNTY
SEC. 31 -52-42
000000000000000 041•60.0
652.76'
SCALE: N.T.S.
N.E. /07 ST.
w
30'
R/W
EXISTING 12" WATER MAIN
MATERIAL TO BE FIELD VERIFIED
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT
t
SUBJEC�TB (,Awa lI HdLt. f DERAL
STA v Fr'rA► \\ INV �I C- - �I NS
NEW 1" SERVICE FOR
IRRIGATION. SET BOX
AND SPACER.
LOCATE AS SHOWN
30'
R/W
GENERAL NOTES
1.48 HOURS BEFORE DIGGING CALL SUNSHINE
STATE ONE CALL AT 1-800-432-4770
2. LANE CLOSURES PER F.D.O.T. DESIGN
STANDARD INDEX # 602.
3. PAVEMENT RESTORATION PER M.D.C.P. W.M. R -21.1.
4. SIDEWALK RESTORATION PER M.D.C.P. W.M. R -13.1
5. MAINTAIN MIN. 30" COVER ON ALL SERVICE LINES.
6. DO NOT SET METER(S) AT THIS TIME.
NEW IRRIGATION SERVICE
FOR
5XX N.E. 107 STREET
DRAWN: H.B. I DATE: 5/2/2011 I CKD - _ A. R.
AFA -155 ER -16484
MIAMI - DA CATER AND SEWER DEPARTMENT J
PUBLIC WORKS DEPARTMENT
MIAMI -DADE COUNTY
Work Information Form
(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 IlNo
2. Briefly state type of construction to be performed and the location boundaries of the work:
NEW 1" IRRIGATION SERVICE FOR: 5XX N.E. 107 ST. TO BE INSTALLED APPROXIMATELY
675 FT. EAST OF N.E. 6 AVE.
3. Will this construction affect, in any way, normal traffic flow?
4. Will work be started within 15 days of permit issuance?
❑ Yes 1 No
❑ Yes �o
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 l No
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 E1N /A
9. Does construction work pass through a signalized intersection or mid -block pedestrian signal?
❑ Yes 1No (If yes, see Special Provisions below).
10. Does trench or excavation fall within the paved roadway? ❑ Yes I 'No
11. Will work damage existing sidewalk, curbs and gutters? ❑ Yes riNo
12. Give dimensions (from edge of pavement) showing cut or trenching NOT APPLICABLE
CONSTRUCTION APPROXIMATELY 3 FT. OFF OF PAVEMENT ON EASTBOUND LANE SHOULDER
13. List name and telephone number of person to contact if further information is needed
ALEX RETAMAR
PERMIT UNIT SUPERVISOR 786- 268 -5259
14. Please provide e-mail address areta01@miamidade.gov
SPECIAL PROVISIONS - SIGNALIZATION IN CONSTRUCTION AREA
Any construction work which affects the operation and /or maintenance of a signalization (signalized intersection, mid - block, flashing
signal, flashing sign, etc.), shall require the contractor to accept responsibility for the operation and maintenance of the signalization
from the date and time that work begins until such time as the work is complete, the signalization is retumed to normal operation, and
inspectors from the Public 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 signalization and signalization related equipment in complete accordance with the current version of the "Miami -Dade County
Special Provis„y or Traffic Signal Construction and Maintenance."
Si • natu
MIAMI -DADE WATER & SEWER 786 -268 -5259
Company Telephone No.
THIS FORM MUST ACCOMPANY PERMIT APPLICATION
END
ROAD WORK
43
Device Spacing -Toper
ROAD
WORK
AHEAD
SFEEDINS FINES
MISLED
WEN ER4ltaRl{
FAESSN(
DISTANCE BETWEEN SIGNS
Speed
(mphi
Spacing NO
Speed
A
8
40 mph or less
200
200
45 mph
350
350
50 mph or greater
500
500
x 500'beyond the ROAD WORK
AHEAD sign or midway between
signs whichever Is less.
SYMBOLS
® Work Area
Sign With 18" x 18" (Mind Orange
Flag And Type 8 Light
0
• Channellzing Device (See Index No. 6001
Work Zone Sign
d Lane tdenflficotion t Direction of Traffic
See Table 1
Device Spacing - Tangent
See Table t
Table 1
Oevlce Spacing
Speed
(mphi
Max. Oistonce 8etween Devices ftt.)
Cones or
Tubular Markers
Baricadesr or Vertical
Panels or Drums
Taper
tangent
Taper •
Tangent
25
25
50
25
50
30 to 45
25
50
JO
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
shailbe substituted for the WORKERS sign. For location of
daggers and FLAOCER signs, see Index No. 803.
2. WORKERS sign to be removed or fully covered :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 o side road intersects the highway with(, the TTC
zone, additional TTC devices shaft be placed in accordance
with other applicable TCZ Indexes.
5. For general TCZ requirements and additlonalinformation,
refer to Index No. 600.
END
ROAD WORK
DURATION NOTES
1. Signs and chonnelising devices may be omitted if Oaf the
following conditions are met,
a) Work operations are 60 minutes or less.
bl Vehicles in the work area have high - intensity, rotating,
flashing, osciffoting, or strobe lights operating.
Table I!
Taper Length - Shoulder
Speed
fm hl
P
�jL (ill
Notes
8'
10'
12'
Sh1dr.
Shldr.
Shldr.
25
28
35
42
30
40
50
60
L= WS2
35
55
68
82
60
40
72
90
107
45
120
150
180
50
1.33
167
200
55
147
183
220
60
160
200
240
L= WS
65
173
217
260
70
187
233
280
8' minimum shoulder width
%¢= Length of shoulder toper in feet
W. Width of totalshaulder in feet
(combined paved and unpaved width)
S. Posted speed limit (mph)
CONDITIONS
WHERE ANY VEHICLE, EQUIPMENT,
WORKERS OR THEIR ACTIVITIES
ENCROACH THE AREA CLOSER
THAN 15'8UT NOT CLOSER THAN
2' TO THE EDGE OF TRAVEL WAY.
2010 FDOT Design Standetds
7WO -LANE TWO -WAY, WORK ON SHOULDER
WNHai La>i Shoot No.
07/01/07 1 of 1
602
4
Retamar, Alex (WASD)
From: Retamar, Alex (WASD)
Sent: Friday, May 20, 2011 8:46 AM
To: 'Norman Bruhn'
Cc: Murphy, James (WASD); Hemandez, Esperanza (WASD); Rodriguez, Neysa L. (WASD)
Subject: Miam Shores Village Public Works Dept. permit for installation of 1 -inch irrigation service for
5XX NE 107 St. (AFA -155 ER- 16484)
Mr. Bruhn:
As per our conversation please see attached permit package for above mentioned which I'm delivering hard copy and
paying for permit today
to your office. As agreed, our forces can start with installation, as their installation schedule allows, once they receive
package I'm delivering today.
I appreciate very much your assistance in this matter.
Thank you,
AFA -155 ER -16484
5XX NE 107 st...
Alex Retamar, Permit Unit Supervisor
New Customer Division
Miami -Dade Water and Sewer Department
3575 S. LeJeune Rd. • Miami, Florida 33146
786 - 268 -5259 Phone • 786 - 268 -5151 Fax
1