PW-14-2444Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-222945 Permit Number: PW -11-14-2444
Scheduled Inspection Date: February 04, 2015 Permit Type: Public Works
Inspector: Diaz, Osvaldo
Owner: BUCKLAND, CASSIDY
Job Address: 358 NE 94 Street
Miami Shores, FL
Project: <NONE>
Contractor: TECO PEOPLES GAS SYSTEM
Building Department Comments
GAS MAIN
Inspection Type. Final
Work Classification: Public Works
Phone Number (786)797-0522
Parcel Number 1132060136150
INSPECTOR COMMENTS False
Inspector Comments
Passed
�5
Failed��`�G�
Correction
Needed ❑ /�
?-1
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Phone: (305)957-3857
February 03, 2015 For Inspections please call: (305)7624949 Page 7 of 33
CONTRACTOR: Company Name: TECO PEOPLES GAS Phone#:
Address: 5101 NW 21 AVE.
City_ FT. LAUDERDALE State: FL Zip: 33309
Qualifier Name: JESUS VEGA Phone#: 954-453-0806
State Certification or Registration t E1608 Certificate of Competency#:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ 1000 Square/Linear Footage of Work:
Zip: _
Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace ❑ Demolition
Description of Work: GI.-_CDo Q A HCl
Specify color of color thru the:
Submittal Fee $ -Permit Fee $ � - QZ7) CCF $ 6 A0 0 CO/CC $
Scanning Fee $ �r, Radon Fee $ 12 -W DBPR $ Notary $
Technology Fee $ Training/Education Fee $ (3 ` 2z Double Fee��$yy''
Structural Reviews $ Bond $ Y�
TOTAL FEE NOW DUE $ ' !I
(Revised02/24/2014)
Miami Shores Village
NOV 0 6 2014
Building Department k
10050 N.E.2nd Avenue, Miami Shores, Florida 331
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FB//C 2/01/D
BUILDING
Master Permit No. R J
PERMIT APPLICATION
Sub Permit No.
❑BUILDING ❑ ELECTRIC
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL
MPUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 358 NE 94th ST.
City: Miami Shores
County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO X
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simpleiitleholder)):
OFF WAY Phone#:
Address Iq P q
`RIGHT
I, J"T
yy��pp .
City: 1:1 o
z C State:_ L ., � Zip:
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Name: TECO PEOPLES GAS Phone#:
Address: 5101 NW 21 AVE.
City_ FT. LAUDERDALE State: FL Zip: 33309
Qualifier Name: JESUS VEGA Phone#: 954-453-0806
State Certification or Registration t E1608 Certificate of Competency#:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ 1000 Square/Linear Footage of Work:
Zip: _
Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace ❑ Demolition
Description of Work: GI.-_CDo Q A HCl
Specify color of color thru the:
Submittal Fee $ -Permit Fee $ � - QZ7) CCF $ 6 A0 0 CO/CC $
Scanning Fee $ �r, Radon Fee $ 12 -W DBPR $ Notary $
Technology Fee $ Training/Education Fee $ (3 ` 2z Double Fee��$yy''
Structural Reviews $ Bond $ Y�
TOTAL FEE NOW DUE $ ' !I
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 $250, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 . by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
as
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
�.a
day of /C%® t/ , 20,1-4-- by
sus 69 A- rjQ who' ersonallykn n't
me or who has produced as
identif)catio nd o di ���„ aH HUBERT NUNEZ
NOTARY UBWN
UC:
;��a°`�r`�; Notary Public - State of Florida
•I My Comm. Expires Sep 11, 2017
, Commission # FF 043679
, F Ft��
�iiIts % ` Bonded Through National Notary Assn.
Sion:
Print:
Seal: Seal:
��x$*ea�x$**w�a�awwe+�*t���s[��e��x�*x�*�a�x�,�ww�s�es�erwwee*eeeaa�a�s���x*�x+�x�sewee*�e�a�a�s��s«w*��x�a�a�wa�s*ea�+�waa�ww�*ue�e�eea�ewwsx��s.
APPROVED BY �' •,� / / /� �' /� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
1. Flag -carrying vehicle;
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. ng, 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 sole means of one-way control, the /iaggers shall be in
of each other or in direct communication at all times.
®sight
Work Area
3. The ONE -LANE ROAD signs are to be fully covered and the FLAGGER signs either
9^C
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
CITY
devices shall be placed In accordance with other applicable TCZ Indexes.
WHERE ANY VEHICLE, EQUIPMENT,
[]�
work Zone Sign
WORKERS OR THEIR ACTIVITIES
S. The two thannelizing devices directly In front of the work area and the one
ENCROACH THE AREA BETWEEN
Flagger
channehzing device directly at the end of the work area may be omitted provided
THE CENTEBLfNE AND A LINE 7
vehicles in the work area have high-intensity rotating, flashing, oscillating, or
OUTSIDE THE EDGE OF TRAVEL WAY.
Automated Fiagger Assistance Devices
strobe lights operating.
(AFAR). With Gate
V
c=*
Lane Identification + Direction of Traffic
6. For Temporary Raised Rumble Strips, general TCZ requirements and additional
Information, refer to Index No. 600.
.LAST
REVISION
C DESCRIPTION:2075
i`n
r„p
TW®' �'r
INDEX
NO.
SHEET
NO.
07/07/74
DESIGN STANDARDS
W® VEL WAY
603
I of 2
A
5
RESTORATION OF ROAD CUT
FOR UTILITY CROSSING
I--- 3' ---{
f
z
6"
M
GAS MAIN
SOD RESTORATION DETAIL
SCALE. NOT TO SCALE
LEGEND
f CENTER UNE
M MONUMENT UNE
R/W RIGHT OF WAY
PA PROPERTY UNE
E.O.P. EDGE OF PAVEMENT
T.T. TAPPING TEE
E.F.V. EXCESS FLOW VALVE
SVC SERVICE UNE
B/L BUILDING UNE
GENERAL NOTES
1. REPLACED BASE MATERIAL OVER DITCH SHALL BE TWICE THE
THICKNESS OF THE BASE. MIN. 8" AND MAX. 18"
2. BASE MATERIAL SHAH BE PLACED IW 6" MAX. (LOOSE MEASUREMENT)
LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 9896 OF
MAX. DENSITY PER AASHTO T-180
3 ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE ME04ANICALLY SAWED
4. SURFACE MATERIAL SHALL BE CONSISTENT WITH SURROUNDING SURFACE
MATERIAL (1.5" MIN. THICKNESS)
S. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE
CONTENT OF 70% (60% FOR LOCAL STREETS)
6. CONTRACTOR SHALL SOFT CG TO VERIFY LOCATION OF EXISTING UTILITIES
I
09, , REMAINDER LOT 5 BLOCK 46
127.50'
,r --
x
IV
C
ax
� ±v 0 10.50'
9.00' a $ � --1
' 33.60'
PROP. -%" PE:
GAS SERV. LINE
DIRECTIONAL BORE
0
7.00' N n
KJ 'V in
11.50' "
a1 c� 42'�
-------------------------------------- ------------
- -
w � —
A9-
19.60' o_
O
m
~� 24.60' y
12.60' 7�b
35.OV ch
- m # 358
12.00' w
27,60'
Daw
w O w o 15.90' I"
i' O c c 0 22,50'
o r
27.60
1.10' Concrete
CL
4' C.L,F.
15,60'
10.90' v,
4.80' o tcu'
w
0
25.00'
Paver
25.00'
0
Ib
OR
or-"
lop
GRD.
8
8
-------------- -------- ---- PE
NCV 0 6 2014
DIRECTIONAL BORE
36" MIN,
4
w
0
25.00'
Paver
25.00'
0
PROFILE CROSSING NE. 94 ST.
SCALE: (H) NTS.(V) 1:5'
0
d
0
e
12'
1
1 1
37.50'
1
I
it 1
TIE-IN SVC TO GAS MAIN 1
WITH T.T./E.F.V. i
IT
-4 w
C2 rn
N o 1
m 5 �
o I �, - c
o ' o' C
o
I y 1
75'
f�I
jl
1 IT. 6" PE GM
Z-n:37.50'
ri Ary
1
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.
I== No.: 1
Drawing FUS \\browardTB\Voll\U5ERS\PUMXC\DOCUMent$\RE5I0ENTIAL\ZU14\NE 84 5T. .500. MIAMI SHUKtS. I -L\ -,M NL a4 SI.MIAMI WlVlltJ, I L.awg 71/U4/ZU14
OL: 75' a
GRD.
8
8
-------------- -------- ---- PE
4
DIRECTIONAL BORE
36" MIN,
4
EX.6" PE. w
O
PROFILE CROSSING NE. 94 ST.
SCALE: (H) NTS.(V) 1:5'
0
d
0
e
12'
1
1 1
37.50'
1
I
it 1
TIE-IN SVC TO GAS MAIN 1
WITH T.T./E.F.V. i
IT
-4 w
C2 rn
N o 1
m 5 �
o I �, - c
o ' o' C
o
I y 1
75'
f�I
jl
1 IT. 6" PE GM
Z-n:37.50'
ri Ary
1
ALL EXISTING UTILITIES SHOWN ON
THESE PLANS ARE TO BE
CONSIDERED APPROXIMATE &
SHOULD BE VERIFIED BY THE
CONTRACTOR PRIOR TO THE
START OF WORK OPERATIONS.
I== No.: 1
Drawing FUS \\browardTB\Voll\U5ERS\PUMXC\DOCUMent$\RE5I0ENTIAL\ZU14\NE 84 5T. .500. MIAMI SHUKtS. I -L\ -,M NL a4 SI.MIAMI WlVlltJ, I L.awg 71/U4/ZU14