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PL-12-1171Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 175166 Permit Number: PL -6 -12 -1171 Scheduled Inspection Date: December 12, 2012 Inspector: Hernandez, Rafael Owner: RODRIGUEZ, JOHN Job Address: 29 NW 107 Street Miami Shores, FL 33168- Project: <NONE> Contractor: TECO PEOPLES GAS SYSTEM Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Phone Number (305)776 -0889 Parcel Number 1121360070460 Phone: (305)957 -3857 Building Department Comments INSTALL 71' OF NATURAL GAS LINE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 11, 2012 For Inspections please call: (305)762 -4949 Page 10 of 41 p) L-H(� �2-- B 'I ING PERMIT APPLICATION FBC20 ‘0 IVIi�.�hi SH6flE5 Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 ?Sc.- £ l9- ass/ RECEIVED JUN 2 6 2012 Permit No. Master Permit No. 9L CL-1. 0I Permit Type: PLUMBING p OWNER: Name (Fee Simple Titleholder): Jo L R. dr,�r.4.r. Z Phone# T) 776 —OM, Address: .�9 /1/ 4/ / /D7 �i.- City: / 1 at..... , cs�i e r c j State: /-L zip: )t Tenant/Lessee Name: Phone#: Email: 3o &..i v o O. G.e /. caw► JOB ADDRESS: a 9 AA/ s' City: Miami Shores County: FoliolParcel #: /1- 2/36 — 007-- O ye6a Is the Building Historically Designated: Yes NO Flood Zone: Miami Dade Zip: .33/68 CONTRACTOR: Company Name: 7CC O Pe ctiio /.e s (rG S Phone#: 6.5"V) kr2-o %9 Jt � Address: S /0/ Alta ..4%/ vd0 City: A J •- -olte J k t. State: /42. acs Veil J - Certificate of Competency #: y Phone #: Qualifier Name: ,f' State Certification or Registration #: 6 /6e Contact Phone #: os'C/) W3 -U 2 9 V Email Address: DESIGNER: Architect/Engineer: Zip: 3330P Phone#(3a$-) 9 YD - ea? Value of Work for this Permit: $ '400 Square/Linear Footage of Work: 7/ Type of Work: OAddress DAlteration piNew °Repair/Replace Description of Work: . s+ 34c.. 1/ 7/ I 1 S er.." c f e' .- t ..,29 ODemolition �1�a s Ike' c 4-7 4114- l mod., 4/A/ 4/A/ , 7 .5 54. s *********** * ** ** *** * * * * *** * ** *** ** * * ***Fe� *********** * * * * * ** * * ** * * * * *** * * * * * * * * * * *** Submittal Fee $ , �. } Permit Fee $ %� CCF $ CO /CC $ V'F Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1 . '10 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 F.T.FCTRICAL 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 foregoing instrument was acknowledged before me this day.of citMk , 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign:( Print: My Co ssion Expires: ••., MAX CHAMORRO :li Commission # DD 930875 :47i, Expires October 6, 2013 °Ss roy Fain Uneanoa800.3$5.7019 Signature Contractor The foregoing instrument was acknowledged before me this day of 20 e , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY P "'• MAX CHAMORRO mmission # DD 930875 res October 6, 2013 Bonded TheTroyFenhu eew, 7019 Sign: Print: My Commission Expires: **** * ******************* * ** **x:*x• **** * * * ***x:****** ** : **ds*:: x******************** *x: ************x:**:x******rnx:*** APPROVED BY ,g) (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Plans Examiner Zoning Structural Review Clerk .4 PROP. 71' OF 3/4" PLASTIC GAS SVC TO BE DIRECTIONAL BORED 61C°44s'q,e 4 • l LEGEND: TIE IN SVC TO GAS MAIN WITH T.T. / E.F.V. EXIST. 2" CS 5'NOFR/W R/W - RIGHT OF WAY P/L - PROPERTY UNE C/L - CENTERLINE E.O.P. - EDGE OF PAVEMENT E.O.B. - EDGE OF BUILDING T.T. - TAPPING TEE E.F.V. - EXCESS FLOW VALVE SVC - SERVICE UNE CCMPUAtI 1. REPLACE BASE MATE LI k-tw.E BE TWICE THE THICKNESVOFf FAD J " 0 MAX. 18' 2. BASE MATER i71C'S#F AX. LOOSE MEASUREMENT) LAYER AND EACH LAYER THOROUGHLY 0 OR TAMPED TO 98% OF MAX. DENSITY PER AASHTO T -180 3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED 4. SURFACE MATERIAL SHALL BE CONSISTENT WITH SURROUNDING SURFACE MATERIAL 5. BASE MATERIAL SHALL HAVE A MIN. LBR OF 100 AND A MIN. CARBONATE CONTENT OF 70% (60% FOR LOCAL STREETS) ADDITIONAL. NOTES: BACK ALLEY 0 Feet 7 ©' R/W O - IA 2 C/L 5' 12 1n 8 6 P OP. 3/4" PE BO2E 2" aS GAS WA•ER MAIN 6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES 7. MAINTAIN A MINIMUM HORIZANTAL SEPARATION OF 5' FROM ANY CITY UTIUTIES 8. MAINTAIN A MINIMUM VERTICAL SEPARATION OF 18" OF ANY CITY UTILITIES SCALE: 1"= 10' HORIZONTAL 1 "= 5' VERTICAL RESTORATION OF ROAD CUT FOR UTIUTY CROSSING 1 51 iiiMur '7, GCO 34 WWW.PE 1 a END ROAD WORK Buffer Spare See Table 250 c B A SPEED NO 011200 DOUBLED VIEW WORKERS PRESENT !/ROAD\ k WORK .AHEAD/ >' ONE LANE ROAD ,AHEAD ` DISTANCE BETWEEN SIGNS Speed Spec ng (ft.) (mph) A B C 0 40 or less 200 200 200 100 45 350 350 350 175 50 500 500 500 250 55 or greater 2640 1640 1000 500 The ROAD WORK 1 MILE sign may be used as an alternate to the ROAD WORK AHEAD sign. 500 beyond the ROAD WORK AHEAD sign or midway between signs whichever is less. ." BE PREPARED TO STOP sign may be omitted for speeds of 45 MPH or less. SYMBOLS ® Work Area �/ 0 Sign With 18° x 18 (Min.) Orange Flag And Type B Light • Channelizing Device (See index No. 600) Work Zone Sign Erw Flagger _ Automated Flaggor Assistance Devices (AFAD), With Gate •=a Lane identification + Direction 01 Traffic BE PREPARED a TO STOP \ „ ,. 4 Device spacing -Taper See Table I • TABLE 1 DEVICE SPACING Speed (mph) Max. Distance Between Devices (ft) Cones or Tubular Markers Type 1 or Type 11 Barricades or Vertical Panels or Drums Taper Tangent Taper Tangent 25 to 45 20 50 20 50 50 to 70 20 50 20 100 GENERAL NOTES 1. Work operations shall be confined to one traffic lane, leaving the opposite lane open to traffic. 2. Additional one -way control may be effected by the following means: 1. Flag - carrying vehicle; 2. Official vehicle; 3. Pilot vehicles; 4. Traffic signals. When flaggers are the sole means of one -way control, the flaggers shall be in sight of each other or in direct communication at all times. 3. The ONE -LANE ROAD signs are to be fully covered and the FLAGGER signs either removed or fully covered when no work is being performed and the highway is open to two-way traffic. 4. When a side road intersects the highway within the TTC zone, additional TTC devices shall be placed to accordance with other applicable TCZ Indexes. 5. The two channelizing devices directly in front of the work area and the one channelizing device directly at the end of the work area may be omitted provided vehicles in the work area have high - intensity rotating. flashing, oscillating, or strobe lights operating. 6. For general TCZ requirements and additional information, refer t0 Index No. 600. END ROAD WORK DURATION NOTES 1. ROAD WORK AHEAD and the BE PREPARED TO STOP signs may be omitted 11 all of the following conditions are met a. Work operations are 60 minutes or less. b. Speed limit is 45 mph or less. c. No sight obstructions to vehicles approaching the work area for a distance equal to the buffer space. d. Vehicles In the work area have high- Intenslty, rotating, flashing, oscillating, or strobe lights operating. e. Volume and complexity of the roadway has been considered. BUFFER SPACE Speed (mph) Dist. (ft.) 25 155 30 200 35 250 40 305 45 360 50 425 55 495 60 570 65 645 70 730 When Buffer Space cannot be attained due to geometric constraints. the greatest attainable length shall be used, but not less than 200 ft. CONDITIONS WHERE ANY VEHICLE, EQUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH THE AREA BETWEEN THE CENTERLINE AND A UNE 2' OUTSIDE THE EDGE OF TRAVEL WAY. LAST REVISION 07/01/09 DESCRIPTION: FDOT DESIGN STANDARDS FY 2012/2013 TWO -LANE, TWO -WAY, WORK WITHIN THE TRAVEL WAY INDEX NO. 603 SHEET NO. 1