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PW-13-2863
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 205034 Permit Number: PW -12 -13 -2863 Scheduled Inspection Date: March 12, 2014 Permit Type: Public Works Inspector: Rodriguez, Jorge Inspection Type: Final Owner: GARBER, DOUGLAS Work Classification: Public Works Job Address: 53 NE 107 Street Miami Shores, FL Phone Number Parcel Number 1121360070370 Project: <NONE> Contractor: TECO PEOPLES GAS SYSTEM Phone: (305)957 -3857 Building Department Comments INSTALL 995 MAIN March 11, 2014 For Inspections please call: (305)762 -4949 Page 12 of 34 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 11, 2014 For Inspections please call: (305)762 -4949 Page 12 of 34 I I i DEC 2ofs Miami Shores Village .G Public Works Department 10050 N.E. 2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Public Works Piio. �� Permit Application b FBC 2004 Permit Type: PUM Works WATER //�1 L Owners Name (Fee Simple Tltlshcider) �O t� �t v1 r e C7 aP 1Z Plmr+e f Owner's Address 3 E. t 0- s city ' Gi ®r j state - z►p 3 / �' TemnAkmisee Name phone m 3v&'- 7 2 _ S / il! 7_ - Job Address (where the work Is being dons) d It/ �P� '< y `� ,�'3 .VC / O% 47' - cbr t county Miami uWe zip 3 3/ b / Is Building Histo►ieapy Designated: YES NO Jt Contractor's Company Name Tom. G O f e ) Pj G S & PI►rma i G S _� s, 3 _V f�o6 coma.. Address A) K) Z/ Ave b a. City Tr. g ,td e R a le spa L. ap�__�__ ArchiteWEngimsm's Names (y aPpiW") P 4 i-'.Q &.% �4� `j rP r"\ p i $ vaiue of Work For this Pennfl Literal Footage CN 7 x' Typs of work: ❑ Addis, per, WN D m-eno,t Describe Work SubnittW Fee i �D '•� Permit Fee i NM-Y $ Trainitmulucstion Fee $ IXF S Seaming i Radon III Zonh* Code Enflarmment S Strockwai Plan Review f Tabd Fee Now Mo i (Continued on opposite aide) t� TedmoliM Fee $ Boat $ e Bonding Company's Name (if applicable) Bonding Ctmwparry's Address City Mortgage Lender's Name (If applicable) Mortgage Lenders Address State City state WA Tip WA Application is hereby made to oplain a permit to do ft work and installations as indicated. I c'erft that no work or installation has oommenced prior to the Issuenee of a permit and that all work Will be performed to meet the standards of an 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 acm fate 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 VMW YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Appl %ar t: As a condNan to M Issuance of a Public Kbrks permit w17h an estimated value elr ng $2500, the app/icantmust Promise in good falth Bret a copy of due notice of cornmencement and construction lien law brocfhwo will be defivered to ft perm whose properly 19 M*ffi dto attachment Also, a ceeiHied copy of the recorded notice of comment ernmd must be posted of the Job site far•lhe first ingxwkw which aawm seven M days after the building permit is issued In ft absence of such posted nofioe, the Inspection wN rot be approved and a minspectlon fee will be charged Signature Signature 3- s - Owner or Aged Contractor The foregoing instrument was acknowledged before me tfda The foregoing instrument was acknowledged before me this day of 20_, by day of gat . 016 .2011 by --:� S rR.s who is personally known tome or who has produced V I AWSP&sonally knawto�ne or has produced Prink Print: OU Li— My Commission Expires: MY Commission APPLICATION APPROVED BY: 11117/2005 Pubnc Works Director or his designee. CTQB nstruction Trades Qualifying Board ESS CERTIFICATE OF COMPETENCY E1608 PLES GAS SYSTEM INC rj� J, VEGA JESUS !s certified under the provisions of Chapter 10 of Miami-C-saide courity 'AL ID FOR CONTR North Miami Contractor ID Number: 160800000 Town of Bay Harbor Island Contractor ID Number: CONT-0613-2004-05 QUALIFYING TRADE(S) 0014 FUEL. TRANS & DISTRI MAZ 8 .... Wy of the 8-1d .......................... ,ate V CERTIFICATE OF LIABILITY INSURANCE DA0621/20113 n THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTERTHE COVERAGE AFFORDED BYTHE 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 pollcy(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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MCGRIFF, SEIBELS & WILLIAMS, INC. P.O. Box 10265 CONT C NAME: aCNNo Ext : 600 -476 -2211 FAX No): Birmingham, AL 35202 E-MAIL ADDRESS, INSURERS) AFFORDING COVERAGE NAIC S XL5129402P Self- Insured Retention $1,000,000 INSURER A Zurich American Insurance Company 16535 EACH OCCURRENCE INSURED Peoples Gas System INSURER B :Associated Electric & Gas Ins. Svcs. $ INSURER C :LM Insurance Corporation 33600 TECO Energy, Inc. 702 North Franklin Street Tampa, FL 33602 INSURER D : INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:N6LH82KL 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. ILA TYPE OF INSURANCE jNgR Syyyp POLICY NUMBER POLICY EFF PrvlMD YY LIMITS B GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE � OCCUR XL5129402P Self- Insured Retention $1,000,000 0710112013 07101/2014 EACH OCCURRENCE $ 1,000,000 PREM SES (Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 11000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY PRO- LOC $ B AUTOMOBILE LIABILITY XL5129402P Self - Insured Retention 07/01/2013 07/01/2014 OMeStiNdED SINGLE LIMIT 1,000,000 )( BODILY INJURY (Per person) $ ANY AUTO $250,000 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE peracddent $ B UMBRELLA LIAR OCCUR XL5129402P 07/01/2013 07101/2014 EACH OCCURRENCE $ 1,000,000 X X AGGREGATE $ 1,000,000 EXCESS LIAR I CLAIMS -MADE DED RETENTION $ $ B ANDEMPLOYERS COMPENSATION uABiLnY ANY PROPRIETORIPARTNER/EXECUTIVE YIN N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N / A p EEWS9318597 -02(SSttaatutoryL mit is excess of $35,000` 000 Insured by LM Insurance Corporation) Employer's Liability: XL5129402P 07/01/2013 07/01/2014 X oC STATU o R- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 ti describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Excess Workers' Compensation EW5 -64N -004918 -123 07/01/2013 0710112014 Each Accident or Each Employee for Disease $ 35,000,000 $ $ DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Excess Liability policy provides insurance In excess of Peoples Gas System's Self- Insured Retention as stated above. CERTIFICATE HOLDER CANCELLATION Page 1 of 1 ©19W2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Miami Shores AUTHORIZED REPRESENTATIVE 10050 NE 2nd Ave Miami Shores, FL 33138 r� -..fG+ sn� .os•j' Page 1 of 1 ©19W2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD R A HEV7510N o��olio� SYMBOLS ® Work Area 9� Sign With 18" x 18' (Min.) v Orange Flag And Type B Light ■ Channellzing Device (See Index No. 600) D Work Zone Sign Flogger ,i Automated Flogger Assistance Devices (AFAD). With Gate �a Lane Identification + Direction of Traffic 1. Flag - carrying vehicle: y' r r = �_�•_� r_��- a 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 in accordance with other applicable TCZ Indexes. 5. The two channellzing devices directly in front of the work area and the one channellzing 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 to Index No. 600. FDOT DESIGN STANDARDS FY 201212013 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- intensity, rotating, flashing, oscillating, or strobe lights operating. e. Volume and complexity of the roadway has been considered. TWO -LANE, TWO -WAY, WORK WIITHnq THE TRAVEL WAY 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 LINE 7 OUTSIDE THE EDGE OF TRAVEL WAY. IN SHEET NO. NO. 603 1 i e R WORK 9�jl 4� RD % BE D 1HEAD � \PREPARED TO STOP , DISTANCE BETWEEN SIGNS Speed (.Ph) Spacing (ft.) A I 8= 0 40 or less 200 200 200 100 45 350 350 350 175 50 500 1 500 500 250 55 or greater 126401 16401 10001 500 • The ROAD WORK 1 MILE sign may be used as D D B I C Butler Space I See Table t so, _ 2501 C H w � Work ■� Device Spacing -Ta. See Table 1 Device Spacing -Taper See Table I TABLE I DEVICE SPACING BE Max. Distance Between Devices (ft.) ROAD PREPARED ONELANE TO STOP Type I or Type 11 Speed Cones or Barricades or Vertical (mph) Tubular Markers Panels or Drums AHEAD D A Taper Tangeht Taper Tangent 25 to 45 20 50 20 50 50 to 70 20 50 20 100 END ROAD WORK SPACEI P BE Dist. ROAD PREPARED ONELANE TO STOP (mph) SPEEDING FINES WORK ROAD 25 DOMED �¢N NMERS AHEAD AHEAD D A PRESENT 200 END ROAD WORK SPACEI P an alternate to the ROAD WORK AHEAD sign. Speed Dist. 50 (mph) (ft.) •r 5001 beyond the ROAD WORK AHEAD sign or GENERAL NOTES 25 155 55 495 30 200 1. Work operations shall be confined to one traffic lane, leaving the opposite lane 1. ROAD WORK AHEAD and the BE PREPARED TO STOP signs may 35 250 570 40 305 be omitted if all of the following conditions are met: 45 360 an alternate to the ROAD WORK AHEAD sign. 50 425 •r 5001 beyond the ROAD WORK AHEAD sign or GENERAL NOTES DURATION NOTES 55 495 midway between signs whichever Is less. 1. Work operations shall be confined to one traffic lane, leaving the opposite lane 1. ROAD WORK AHEAD and the BE PREPARED TO STOP signs may 60 570 open to traffic. be omitted if all of the following conditions are met: 65 645 au BE PREPARED TO STOP sign may be omitted a. Work operations are 60 minutes or less. for speeds of 45 MPH or less. 2. Additional one -way control may be effected by the following means: b. Speed limit is 45 mph or less. 70 730 7. Flag - carrying vehicle; c. No sight obstructions to vehicles approaching the work area When Buffer Space cannot 2. Official vehicle; for a distance equal to the buffer space. be attained due to geometric 3. Pilot vehicles; d. Vehicles In the work area have high - intensity, rotating, constraints, the greatest 4. Traffic signals. flashing, oscillating, or strobe lights operating. attainable length shall be SYMBOLS e. Volume and complexity of the roadway has been considered. used, but not less than 200 ft. When flaggers are the sale means of one -way control, the flaggers shall be in sight of each other or in direct communication at all times. ® Work Area 3. The ONE -LANE ROAD signs are to be fully covered and the FLAGGER signs either i� Sign With 18" x 18' (Min.) removed or fully covered when no work Is being performed and the highway is v Orange Flag And Type B Light open to two -way traffic. CONDITIONS ■ Channelizing Device (See Index No. 600) 4. When a side road Intersects the highway within the TTC zone, additional TTC devices shall be placed in accordance with other applicable TCZ Indexes, WHERE ANY VEHICLE, EQUIPMENT, [p Work Zone Sign WORKERS OR THEIR ACTIVITIES S. The two channelizing devices directly in front of the work area and the one ENCROACH THE AREA BETWEEN Flagger channelizing device directly at the end of the work area may be omitted provided THE CENTERLINE AND A LINE 2' vehicles in the work area have high- intensity rotating, flashing, oscillating, or OUTSIDE THE EDGE OF TRAVEL WAY. Automated Flagger Assistance Devices strobe lights operating. (AFAD), With Gate Lane identification + Direction of Traffic 6. For general TCZ requirements and additional Information, refer to Index No. 600, LAST REVISION 2 DESCRIPTION: o wt IA9—%IFDOT DESIGN STANDARDS TWO-LANE, TWO-WAY, INDEX NO. SHEET NO. i FY 201212013 WORT WrM]IN THE TRAVEL WAS' 603 1 07/01/0 SURFACE REPLACEMENT BASE (NEW MATERIAL) FULL LANE SURFACE REPLAD 1 1.5' R DITCH WIDTH [3 1.5 1 1Y� I -- - 1-12 - RESTORATION OF ROAD CUT FOR UTILITY CROSSING 3' Z 6" M I GAS MAIN SOD RESTORATION DETAIL N.T.S ALL EXISTING UTILITIES SHOWN ON THESE PLANS ARE TO BE CONSIDERED APPROXIMATE & SHOULD BE VERIFIED BY THE CONTRACTOR PRIOR TO THE START OF WORK OPERATIONS. LEGEND q CENTER LINE IL1 MONUMENT LINE R/W RIGHT OF WAY P/L PROPERTY LINE E.O.P. EDGE OF BUILDING T. T. TAPPING TEE E.F.V. EXCESS FLOW VALVE SVC SERVICE LINE MH. MAN HOLE ..000 Approved GENERAL NOTES 1. REPLACE BASE MATERIAL OVER DITCH SHALL BE TWICE THE THICKNESS OF THE BASE. MIN. 8" AND MAX. 18" 2. BASE MATERIAL SHALL BE PLACE IN 6" MAX. (LOOSE MEASUREMENT) LAYER AND EACH LAYER THOROUGHLY ROLLED 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) 6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES NE. 107th ST. 12 12 8 15' EX. RRR oc 8 PROP. 3'4 PLASTIC 1 36° DIRECTIONAL BORED N. X.2 -BS. GAS MAIN 1 sA9 1 O 0 PROFILE CROSSING AN ALLEY SCALE: (V) 1:5' (H) NTS. 1 W Q in W Z p€C 3 6 2013 BY: pw �3�aE63 a o2. It o ^- r �; • g o6 O � O M M II o m w v a � � W a z IQ A A rn w w � U W W U x° �w a �a Ch CID m co co M a D4 EE to >` o 0 qa z 6 M F M U w 0 o: a Q =� �wa W �m a °f Way a �Z z 0 z" rn O q w � (]y U NO. OF SHEM:1 SHEET NO.: 1 Drawing File: \ \browardfs \volt\ USERS \PGMXC \Documents \RESI DEN TIAL \2013 \NE 107 ST. 53 MIAMI SHORES, FL \53 NE 107 ST.MIAMI SHORES, FL.dwg 12/16/2013 FULL LANE SURFACE REPLACEMENT SAW WT ASPHALT SURFACE (TYPICAL) REPLACEMENT BASE (NEW MATERIAL) 1.3' wilmm RESTORATION OF ROAD CUT FOR UTILITY CROSSING 3' ---� Z � 6" M GAS MAIN SOD RESTORATION DETAIL N.T.S ALL EXISTING UTILITIES SHOWN ON THESE PLANS ARE TO BE CONSIDERED APPROXIMATE & SHOULD BE VERIFIED BY THE CONTRACTOR PRIOR TO THE START OF WORK OPERATIONS. N W E S R/w —— —— —— - - -- - -_ -- ---ALLEY, — -- -- -- -- — 1 TIE IN SVC TO GAS M, WITH T. T. /E. F. V. Alm NE. 107th ST. 4 0 4i LLI ,Q r W Z o o - r- rg a CN cJ �S o c ® z. O M � o II C12 U Q � � d Dax wa 6 z� a� w� A A w � U W W a U °x rnw Ch m CO M a Da F C Fn W a Uj O U3 x w cn x w.. Z in U w 0 x a r Q =� U 2 (n U w J �m o W a �Z OF SHEETS: EP NO.: 1 Drawing File: \ \browardfs \volt \USERS \PGMXC \Documents \RESI DEN TIAL \2013 \NE 107 ST. 53 MIAMI SHORES, FL \53 NE 107 ST.MIAMI SHORES, FL.dwg 12/16/2013 12 _— 12 I -EX GRI9 01 x PROP. 'Y4" PLASTIC "BS. 1 8 GAS SVC. T 36" 114 IN. X.2 GAS MAIN 8 DIREC170NAL BORED o LEGEND GENERAL NOTES - CENTER LINE 1. REPLACE BASE MATERIAL OVER DITCH SHALL BE TWICE THE 1 fn o 0 M MONUMENT LINE THICKNESS OF THE BASE, MIN. B" AND MAX. 18" I o 2. BASE MATERIAL SHALL BE PLACE IN 6" MAX. (LOOSE MEASUREMENT) 2 R/W RIGHT OF WAY LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98% OF _ 5 W PIL PROPERTY LINE MAX. DENSITY PER AASHTO T -180 0 a E.O.P. EDGE OF BUILDING 3. 4. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED SURFACE MATERIAL SHALL BE CONSISTENT WITH SURROUNDING SURFACE PROFILE CROSSING AN ALLEY SCALE: (V) 1:5' (H) NTS. T. T. TAPPING TEE MATERIAL E.F.V. EXCESS FLOW VALVE 5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE CONTENT OF 70% (60% FOR LOCAL STREETS) c SVC SERVICE LINE 6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES MH. MAN HOLE z r Q =� U 2 (n U w J �m o W a �Z OF SHEETS: EP NO.: 1 Drawing File: \ \browardfs \volt \USERS \PGMXC \Documents \RESI DEN TIAL \2013 \NE 107 ST. 53 MIAMI SHORES, FL \53 NE 107 ST.MIAMI SHORES, FL.dwg 12/16/2013