PW-11-2066FPLWR# 4340231
Miami Shores Village Nov 07 Nu
Public Works Department
10060 N.W. 2"d Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Public Works
Permit Application
FBC 2004
..�No. �1 a �17�(0
Permit Type: Public Works WATER
Owner's Name (Fee Simple Titleholder) Florida Power & Light Phone #: 305-561-6120
Owner's Address 4200 W. Fl aci l e r St
City Miami
Tenant/Lessee Name
N/A
State F 1 Zip 33134
Phone # N/A
Job Address (where the work is being done) 9020 NE 8 AVE
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated: Yes N/A No X
Utility's
Centrastor Company Name FLORIDA POWER AND LIGHT COMPANY Phone #: (306) 442 -5160
Utility's
Centracta?e Address 4200 W. FLAGLER ST. - EPM / LF0
City: MIAMI State: FLORIDA Zip: 33134,
Architect/Engineer's Name (If applicable) Jeffrey Corder Phone#: 386-586-6428
$ Value of Work For this Penult: $ 10,386 Lineal Footage Of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New i i Repair/Replace ❑ Demolition
Describe Work: REPLACE 1 POLE AND INSTALL 1 24" HANDHOLE
Perms Fee �`
Submittal Fee $ $ _r__. —___ CCF $ CO/CC
Notary $ Trainin iEflt d sn Fee $ Technology Fee $
Scanning $ Radon i Zoning Bond $
Code Enforcement Structures Plan Review $
Total Fee Now Due $
(Continued on opposite side)
Bonding Company's Name (0 applicable)
Banding Company's Address
City
N/A
Mortgage Lender's Name (if applicable) N/A
Mortgage Lender's Address
City State Zip
Application Is hereby made to obtain a pencdt 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 PLUMSING,' 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 win 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 this Issuance of a Public Works pent* with an estimated value exceeding $2504 the applicant must
promise M good faith that a copyof The notice of commencement and construction lien law brochure will be delivered to Me person whose
property is subject to attachment Also, a certified copy of recoaiednoilco of commencement must be posted at the job site for the first
Inspection which occurs seven (7) days after the bulking permit Is issued M the absence of such posted notice, the inspection will not be
approved and a reinspecrion tee will be charged.
Signature
N/A Signature
Owner or Agent
Utility Representative /- CorJracter
The foregoing instrument was acknowledged before me this 1st , day of N o vemb e r , 2011 by
Ma r i da 1 i a Morgan , who is personally known to er-who- hasueed N/A
identification, end who-didldid not take an oath.
NOTARY P
/
.710
Print:' ; glad b ,Qo
NOTARY PUBLIC:
Sign. / /-11
Print:
as
My Commission Expires
APPLICATION APPROVED BY:
1U1T/2005
INACCESSIBLE
Osmos@ ,
13 kV El FUTURE 23 kV El 23 kV El SALT SPRAY FEEDER 3434
FLORIDA POWER m LIGHT COMPANY N
POLES WITH IMAGES
NORTH DADE
SHORES Week En 0 Camay Itinit&II-DADE
Pee tier: 03434
.toy Nth WOW
Cartratbac 05111116193 Wass Sent . bat. crew ID EISEPS Stipends= CHOOKETT,DAVID ,!
ReSereete 88>PS1OJ
DebE 03102D10 Sttilte R. BST Was Center MS- IY!lIAMISHORES
Fcrerna t PABLO SAENZ Rameitse Nam
POLES
4735771 SWF E1ID15 E41013
X -EL WW2 .Y:24. 163
Unarm SEE LOCATION NOTE LINDER REMUS AND NOTES
Unique ED 21473313334
Pate LaadMIts LOCATION: 9020 N.E. 8 AVE.
Stiengin Required Mg 737
a
al TYPE
SRO 302 0 3004 BD ¥
1
.a
t�l
a
N
NOTE: UPDATE AMS, THERE
IS NO STREETLIGHT @ THIS
LOCATION
a
0
w
AND NOTES
e Nat Treat Reatalt UerirlTgr«ata
Omer Exa SpurO Outs. WWI Rot. �t CLIare.
FPL Ou. by
ms
Y Lin* to is Pis Cygle !Ate Fel Eel
Year Last Its. Lest
Sr PTC CrostettidErcet Poe. Type:
FEEDER LeAgth Gam Est mate. Location
Maw 9020N.E$AVt_ IWRNumber:
sistana 10111 Number.
• • Nand Simms
TRIM TREES WITH A 10 FT
RADIUS OF POLE
» t -- — ,
3 -- 2T -13KV & 2T 990; j4
NE 10TH ST
r_
40' /3-J
40'/2 -J
TRANSFER OH
FACILITIES
FRAME DCS:
E- 29.0.0
INSTALL 24" HH
IF NEEDED
MOT. 602
Ast
if pole placement
Ioeafon does rat meet
the minimum single
point distance of 32°
from edge of curb or
pack of sidewalk;
Contact your CCR: for
fatiberinsIndions. I s-
CALL SUNSHINE @ 1-800-432-4770
AT LEAST 48 HRS PRIOR TO
CONSTRUCTION
AS -BUILT CREW PRINT
FORMANSSNNiATUREI
OATH
ALL REQUITED GROUND ROOSNAVE5wN DRIVEN S VERIF®TO
BEMIRE FPL STANDARIAVALUES ARE BROWN AT ALL =AMORE
F8888ANS SIGNATURE
DAM
.tom "EMIAc P 0 88UJ
SUPERVISORS SIGNATURE
DAM
AS -BUILT COPY
CERT. DATE
Easement? Yes ❑ No
Tree Work? Yes No
Trees Access? Yes ® No ❑
Survey/Stake? Yes ❑ No
Designer/Stake? Yes ❑ No
Tree Staking Reqd? Yes ❑ No
WarkwithSMO?Yes ❑No
CT/Special Mtr? Yes ❑ No Ig
PERMIT
REDO
City
County Rd. X
County Air
State Road
FAA
FPS 1 INSTALL & TRANSFER OH FACILITIES TO FPL POLES
FEEDER 3434 MIAMI SHORES SUBSTATION
UNINCORPORATED, DADE COUNTY
WMD
RR Xing
DR. Dist
Requested Tel. Co. Set Poles? YES ❑ NO El
Requested Tel. Co. Transfer? YES ® NO ❑
Request CATV Transfer? YES 0 NO
POLE LINE FEET 0'
Transm.
Job Owner. Jeff Corder
Phone: 386 -586 - 6428
Tete. Atta hment Per
IREPima Oa Arb Na.
SM DUCT BANK FT.
POLE LINE FT. ON TRAN. POLES 0' TRENCH Fr.
Designed by: Diana Villegas
Date: 10/24/11
Drawn by: DV Check by:
Dwg No. PAGE 2 OF 2
Rural Location Sec. 06 TWP.
53 S,R. 42 E.
0'
SCALE: N.T.S I St. Lt MAP No.
Pri Map No. AA -0265
TUN= MODEL No. - 1 Map Posting? YES
NO ❑ Posted by:
WR 4340231 IWR
M/A ND
R: IL
11/01/2011
Engineering and Project Management
4200 W. Flagler Street, Miami, Florida 33134
Office: (305) 442 -5140 Fax: (305) 442 -5123
Miami Shores Village
Attn.: Mr. Norman Bruhn
Director of Building Department
10050 N.E. 2 Avenue
Miami Shores, Florida 33138
Dear Mr. Bruhn:
SUBJECT: WR# 4340231
PROCESS #:
(Need to hand carry permit)
FPL plans to construct electrical facilities within you City limits. Attached for you approval
for a "No fee" permit are the following documents:
a. Permit application form
b. Two copies of the job sketch with the proposed facilities highlighted
If you have any questions, please call our engineer Mr. Jeffrey Corder
at (386) 586 -6428; Otherwise, indicate your approval on the print, together with a permit,
and return it to:
FPL
Attn.: Maridalia Morgan
Permit Administrator
4200 W. Flagler Street — EMP /LFO
Miami, Florida 33134
Very truly yours,
CGfaridaf/r CPfcrgaN
For Engineer