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PW-14-1683 Miami Shores Village CRJVPD Building Department 4_AU1G, _110050 N.E.2nd Avenue,Miami Shores,Florida 33138 B Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2060 [, BUILDING Master Permit IN PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 500 NE. 96 ST. City: Miami Shores County: Miami Dade Zip: x'3-1 / Folio/Parcel#: Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): RIGHT OF WAY Phone#: Address: City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: TECO PEOPLES GAS Phone#: 954-453-0806 Address: 5101 NW 21 AVE. STE. 460 City: FT. LAUDERDALE State: FL. Zip: 33309 Qualifier Name: JESUS VEGA Phone#: 954-453-0806 State Certification or Registration#: E1608 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$1000 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace ❑ Demolition Description of Work: INSTALLING A NEW GAS SERVICE LINE Specify color of color thru tile: Submittal Fee$'S - Permit Fee$ U CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ kO (Revised02/24/2014) 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 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$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. • A Signature Signature SY OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing-in-tr t k w dged before me this I day of 20 ,by 20 /!�L/ by who is personally known to who is personally known to me or who has produced as mor who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: Seal: Seal: MAX J.CM70c " ^iic- Floft _•" rov ***** #Plans ��s�onAPPROVED BY Examiner Zoning Structural Review Clerk (Revised02/24/2014) Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY E1608 PEOPLES GAS SYSTEM INC D.B.A.: U J,2, VEGA JE 68 Is Certified under the Provisions of Chapter 10 of Miami-Dade County VALID FOft CONTRACTING UNTIL09/3012015 North Miarni Contractor l0 Plumber: 160800000 Town of Bay Harbor Island Contractor ID (Timber- CONT-0613-2004-05 QUALIFYING TRADES) 0014 FUEL TRANS& DISTRI CTaAes Danpar P E. Secretary o4 Bre Board MI A I f Www.Aandatla.9ov(Euilding A CERTIFICATE OF LIABILITY INSURANCE DATE 2 01'14'"' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE 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 policy(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 CONTACT MCGRIFF,SEIBELS&WILLIAMS,INC. DE P.O.Box 10265 AMIC n Ext):800 .476-2211 AI No): Birmingham,AL 35202 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC INsuRER A Zurich American Insurance Company 16535 INSURED INSURER B:Associated Electric&Gas Ins.Svcs. Peoples Gas System TECO Energy,Inc, INsuRER C:LM Insurance Corporation 33600 702 North Franklin Street Tampa,FL 33602 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:LACEQQUC 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. LIMITS VrRR TYPE OF INSURANCE N WVD POLICY NUMBER ADDLSUBR POLIO EFF POLICY EXP B GENERAL LIABILITY XL5129403P 07/01/2014 07/01/2015 EACH OCCURRENCE $ 1,000,000 Self-Insured Retention X COMMERCIAL GENERAL LIABILITY $11000,000 PREMISES Es occurrence $ X CLAIMS-MADE F—I OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY MR LOC $ B AUTOMOBILE LIABILITY XL5129403P 07/01/2014 07/01/2015COtBMSINGLE LIMIT 1,000,000 Self-Insured Retention X ANY AUTO $250,000 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident B UMBRELLA LIAR OCCUR1XI-5`129403P 07/01/2014 07/01/2015 EACH OCCURRENCE $ 1,000,000 X EXCESS LIMB Hx CLAIMS-MADEAGGREGATE $ 11000,009 DED I I RETENTION$ 1 $ A WORKERS COMPENSATION Excess Workers'Compensation: 07/01/2014 07/01/2015 x WC STATU- OTH- B AND EMPLOYERS'LIABILITY YIN EWS9318597-03(Statutory Limit iS r LIMITS �I W RIETORMARTNERIEXECU7ivE EMBER EXCLUDED? ❑ NIA A excess Corporation) 5,00 , OD Insured by LM E.L.EACH ACCIDENT $ 11000,000 (Mandatory in NH) Employer's Liability.XL5129403P E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Excess Workers'Compensation EW5-64N-004918-124 07/01/2014 07/01/2015 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. Jesus Vega Is the qualifier for TECO Peoples Gas. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Miami Shores AUTHORIZED REPRESENTATIVE 10050 NE 2nd Ave Miami Shores,FL 33138 owf .•�os.� Page 1 of 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Miami Shores Village APPROVED BY DATE " T73 ZONING DEPT BLDG DEPT rA ��� ROAD SUBJECT TO COMPLIANCE WITH ALL FEDERAL WORK END AHEAD - - ROAD WDRK STATE AND COUNTY RULES AND REGULATIONS .2 _r ;�—199d] 41 a a D D [h • • • p 8 I Taper Length=VL Work Area h F See Table II END Table 11 ROAD ROAD wORK Taper Length - Shoulder WORK Device Spacing-Taper Device Spacing-Tangent 500 See Table 1 See Table 1 I 0�68 (ft) Does AHEAD SPEEOINO FINES Speed • 0088LE0 (mphN� ••• •• • MEN NORNERS dr.PRESENT25 • • •Table 1 30 61!e0000"':•• ••Device S acin 35 f►° • • Max.Distance Between Devices(ft.) 40 72 90 107 •••• •• • 1000 Speed Cones or Type I or TYPO II 45 120 650 180• Barricades or Vertical •••• ••• • DISTANCE BETWEEN SIGNS (mph) Tubular Markers Panels or Drums 50 •1 167 200 • • Speed Spacing(ft.) Taper Tangent Taper Tangent 55 oe6le o4183 2200•L• 0 •0090 A 8 25 25 50 25 50 60 ]to Y00 240 ••• •• 40 mph or less 200 200 30 to 45 25 50 30 50 65 173 217 260 •• 45 mph 350 350 50[0 70 15 50 50 100 70 •1 3 280 0 0 6 50 mph or greater 500 500 •• ••• 'Midway between signs. B m�iimum shoulder width ... • y8 KL= Liogth o•sheMlder taper In feet •• ••• SYMBOLS GENERAL NOTES DURATION NOTES W— Width of total shoulder W AD (combined paved and unpaved width) $ ® Work Area 1.When four or more work vehicles enter the through traffic lanes in a one hour 1.Signs and channelizing devices may be omitted if all of the Sign With 18"x 18'(Min.)Orange period or less(excluding establishing and terminating the work area),the advanced following conditions are met: S= Posted speed limit(mph) FLAGGER sign shall be substituted for the WORKERS sign.For location of fiaggers a.Work operations are 60 minutes or less. Flag And Type 8 Light and FLAGGER signs,see Index No.603. b.Vehicles in the work area have high-intensity,rotating, flashing,oscillating,or strobe lights operating. } ■ Channelizing Device(See Index No.600) 2.SHOULDER WORK sign may be used as an alternate to the WORKER symbol sign only C on the side where the shoulder work is being performed. R Work Zone Sign 3.When a side road intersects the highway within the TTC zone,additional TTC devices shall be placed in accordance with other applicable TCZ Indexes. Lane Identification+Direction of Traffic CONDITIONS uesn 4.For general TCZ requirements and additionai Information,refer to Index No.600. WHERE ANY VEHICLE,EOUIPMEM, PIZ X41 R WORKERS OR THEIR ACTNITIES ENCROACH THE AREA CLOSER t THAN IS BUT NOT CLOSER TNAN 7 TO THE EDGE OF TRAVEL WAY. 3 v� LAST 11DESCRIPTION: INDEX SHEET L FDOT 2014 REVISION NO. NO. 07 LAST 12 DESIGN STANDARDS TWO-LANE, 7CW®-W1,g', WORK ON SHOULDER 602 1 of 1 RML LANE • • • • • . . • • • ••• • • • • ••• N a To d SIAACE SIAiFACE REPIACO47iT SAM CUT ASPHALT , ♦ �'-° � "CAL) • • • • R \' sod IMPLACEM +r SASE • • • • • • • • ••• (MW Wim) 10 MRH=IN 10 • • • • • • • • • W E - I c d' •• • • • •• ••• •• U � Ir VARIES 19, • • • • • •• • • - Qt •• 0.0 ••• •• s N.E. 86th STREET 1rurT'ra`rA1 WW m a � HPE-RPLAT I >' RESTORATION OF ROAD CUT _ - FOR UTILITY CROSSING 80 H7U RQ2S.t �" tAL<T' PAVEMENT' 3 "Tan=266 $ M LEGEND • n . p 15Q.Q0 ( R 4 (trgtl - f � CENTER UNE ...:. .. .......... •Q°�L ^��' 9 as_r 3"PA'RKUV.41 r=i M MONUMENT UNE j 1 x c0 P/L PROPERTY UNE { " R5 CGNr.S\A!K." 4R" 4'C.L F. € r. z ■ R '� E.O.P. EDGE OF PAVEMENT ( 1f Flp.12 1 U NO Ii).w Ra - cAsN T.T. TAPPING TEE ♦ (1•ClCTa) a O E.F.Y EXCESS FLOW VALVE I p' SVC SERVICE UNE 1 c SOD RESTORATION DETAIL s SCALE. NOT TO SCALE g ( 3U.UaY 1 P:11'.!, ' P 020'OUT 3 60 (NOD) a 2Q4 $. qty GENERAL NOTES 1. REPLACED BASE MATERIAL OVER DITCH SHALL BE TWICE THE ALL EXISTING UTILITIES SHOWN ON 1 THICKNESS OF THE BASE, MIN. 8" AND MAX. 18' 2. BASE MATERIAL SHALL BE PLACED IN 8" MAX. (LOOSE MEASUREMENT) THESE PLANS ARE TO BE a gg�sS �0• LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98%OF CONSIDERED APPROXIMATE & 1 '04 1 aab 'fs MAX. DENSITY PER AASHTO T-180 SHOULD BE VERIFIED BY THE 3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED CONTRACTOR PRIOR TO THE Q = 1 4. SURFACE MATERIAL SHALL BE CONSISTENT WITH SURROUNDING SURFACE F- X 78111@ STORY MATERIAL(1.5" MIN. THICKNESS) START OF WORK OPERATIONS. o — (,, �, RESWIE CEte OL 5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 1010 AND A MIN. CARBONATE .0 Ix CONTENT OF 70%(SOX FOR LOCAL STREETS) M ' #500 6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF'EXISTING UTIUTIES 1 19.5'` 1 WOOD ■ 5- Y = ROOr R 3. ! 60' v .. a .m j U.T„ ROP. 3'a" PE. �" > GAS SERV. UNE Q 3 a lb ✓ e DIRECTIONAL BORE O 6 LL GRD. fix Z -1 1 . • I'T - T_ I U 31 Iw F 3 1 3' I G I 8' ► W W $ $ 1 -- ;t o.5' 1 20 ' BLOOM 54 BUCK s4 BLOC 9 ------ --------- ------- ------ --- -------- a ' --- ROP.3 4" PE. 1 .�t l - ��4 0 3 W Tr 38"MIN. GAS SVC. AS ®GAS C H 1 d z L BORE '68' 4 i I i 4 1 p 4"Ht LF. 0.2W OLFT EX.2" PE. GAS MAIN (NC).N) PAL 'Is O. 1 I p 1S'AL1.6Y (NO w.) Hn 0 0 - - -4 -4 > PROFILE CROSSING NE. 5 AVE. SCALE: (H) NTS.(V) 1:5' 11 N0.O.of OF SHE : Drawing File: \\browardfs\volt\USERS\PGMXC\Documents\RESIDENTIAL\2014\NE 96 ST. 500, MIAMI SHORES, FL\500 NE 96 ST.MIAMI SHORES, FLdwg 07/25/2014