PW-15-1149 �1t� - 1 "
Miami Shores VillageWorks-
10050 N.E.2nd Avenue NE w€?f�C r»#ssft 01�:Public C
• i'�!"
Miami Shores,FL 33138 0000 F en173t5tafu -APPROVEi
Phone: (305)795-2204
cue Dai Expiration: 08/20/2016
Project Address Parcel Number Applicant
1461 NE 102 Street 1132050240140 I
JACQUELINE BUTLER
Miami Shores, FL 33138-2621 Block: Lot:
Owner Information Address Phone Cell
JACQUELINE BUTLER 1461 NE 102 Street
MIAMI SHORES FL 33138-2621
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
TECO PEOPLES GAS SYSTEM (305)957-3857 (305)970-1783
Total Sq Feet: 0
Scanning:1 Available Inspections:
Inspection Type:
Final
Excavation
Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# PW-5-15-55568
DBPR Fee $2.25 05/15/2015 Check#:5425 $50.00 $109.10
DCA Fee $2.25
Education Surcharge $0.20 05/22/2015 Check#:5429 $ 109.10 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
�40
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: rtify th t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoni Futhe re,I authorize a ve-named contractor to do the work stated.
May 22, 2015
Authoriz gnatur . ner / Applicant / Contractor / Agent Date
Building Department Copy
May 22,2015 1
s
Miami Shores Village
Building Department MAY 14 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 I d
INSPECTION LINE PHONE NUMBER:(305)762-4949
15-� FBC20 tC)
BUILDING Master Permit NoTV-j I�s_ 0 I Li
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL OPUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 17 I A/F /o?- 9T
Com: 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 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: ")Cl�ty: State: Zip:
Value of Work for this Permit:$ 1000 Squae1q r ootage of Work:
Type of Work: ❑ Addition ❑ Alteration Q New / it/Replace El Demolition
Description of Work: INSTALLING A NEW GAS SERVICE LINE BY D CTIONAL DRILLING
Specify color of color thru tile: b
Submittal Fee$ �� Permit Fee$ )'6®, t CCF$ ' CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ ."7 fi, Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ )CA -1c)
(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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature � a
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 ,by day of yv q-" 20 by
who is personally known to who i personally knw�ln to
me or who has produced as me or who has produced as
identification and who did take an oath. dentifica 'c d
HU ERT NUNEZ
NOTARY PUBLIC: CELLEICAR PU L ,=o:+"'°04�.; rotary Public-State of Florid17CANQ ' . Comm.Expires Sep 11,20
Y
y°tet a, Commission # FF 03679
Sign: Si Bonded Throrigh National Notary Assn.
•—
Print: Prin :
Seal: Seal:
APPROVED BY °�/� ' Pal ns Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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DISTANCE BETWEEN SIGNS TABLE I DEVICE SPACING VIBil � Date. FER SPACE
Speed sowing AIS.) max.Distance Between Devices(ft.) peed Dia¢.
—(Mph)— A B C D Tape 1 or TYpe 88 proved (mph) (ft.)
40 or less 209 200 200 IBB Speed Cotte or
45 359 35o 359 X75 (mphl Tubcdar penile,. Banked"or Vr roved Date 25 855
Pals W Dr isapp 30 2M
55 or 'eater 2"9 649 IBB9 540 Taper 7-w— Tailor I T 35 250
25 8o 45 20 50 2B 30 40 305
The terD1 MILE -6 used as 50 to 79 29 59 29 IBB 45 3 9
an altalternatee to to tilt ROAD g/rJp3$K AHEAD 5a3a.
SO 425
50B'69YOM tie ROAD WOW AHEAD sigr ar GENERAL NOTES DURATION NOTES 55 495
midway between signs whichever is less. !.:pork mp6rU ions shaxl eo conlirred to one traffic lase,lea inu the apposite lame
1.RB'AD 699.WEAD a:d trite BE PREPAPED TO STOP signs tray 60 570
open[a uaflic. se omrlC6d if alp mf rke fr —,"'¢raaa.tirs are�: 65 645
^'BE PREPARED TO STOP sign Tay o6 aru'Cled
for speeds of 45 NPH or less. 2.Additional—ay cohtrol m ke eltected ey the foilow, a.Wo`°k sK +ati —e 6x9-.,I—oo ices
aD' rtg moans: y,Spred Ld r ds 45 nngfc r less. 70 F�
1.Flag-carrying vanilla: C,flo sight oosdrr mons Cm urir:'.l'es apff^marltr'.�xy C(re ioark area Wleern Buffer So'se rammot
Z PlOfficial icles;e; far a disfaaea eq w fe the halter space. be aKBimed Sur to g—ef"e
J.Pilot vesicles; J.Vrtv¢Ies im Lille root*:area law,mo,ml6t ay,"xaei q' constraieds.¢Pre greatest
4.Traffic Signals.
SYMBOLS /Pa3Avak3,oteilfatntkg,ee*srtroae 04-5 arye-aa<ng. atTairr3-le cerrPn shall ee
When flaggers are the sole nems.of One-way Control.the flaggers.hal&e im e'V.W.-awo-Ake ny of Mir'"U.9 ileac0..rot tmnSldcrea. used.a�A nn t6 rft n 290 t£.
® sigh of each ath-or in direct commalicatian ae all lix .
Work Area
3.The OUE-LADE ROAD signs are to he fully covered aYrd the FtAGGER signs eich6r
9�C Slgn With 16'v lirMin.) marred or fully covered when no work is aeirg performed and the highway is
Orange Flag And Type B Hight open to two�fr ay traffic.
■ Chanhzing Deice(see Ind-Wo.690) 4.When a side road lt& 05 thhigfraay wv�e th7TS zoe.additionl TTS CONDITIONS
devices shall be placed in accord3 re with oth--f applica-1e TCZ lrvd6ees. VINERE AND'VEHICLE.ECUIPMENT.
$ D Work Zone Sign VIORKERS OR THEIR ACTIVITIES
5.The two channelizing devices directly in front of the work area and tilt m; ENCROACH THE AREA BEMEEN
[Jw Flogger channelizing device directly,at the end of the work area-ray,Ca pcitted proUidEJ THE CEITTERI/NE AND A UNE 2'
vehicles in the work area hare high-Intensity rotatl4g,flashing,osciila(In'a-
Automated Flapper Assistance O-ices stroke lights operating. OUTSIDE THE EDGE OF TRAVEL WAY.
(AFAD).With Gate
� Lane lAevdfiication 3 Direction a/Traffic 6.For Temporary Raised Ihrm-Ja Strops,gametal TCZ r6tp,irem6ats amt 3dAationaJ
information,.ever to leder Ito.680.
LAST 2 OESCRIPTIDN:
REVISION y M ,,N 2015 ®- ®-WAY, ANDS% SNEE7
07/01/14 DESIGN STANDARDS WORK � VEL WAY
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BY. Q
ALL EXISTING UTILITIES SHOWN ONm W
THESE PLANS ARE TO BE Aj
CONSIDERED APPROXIMATE &
SHOULD BE VERIFIED BY THE 80' ® W
CONTRACTOR PRIOR TO THE W w E a $
START OF WORK OPERATIONS. C, j
ROP.J/s-PLAS77C > W
DIRECTIONAL BORED
o` �. z
GENERAL NOTES k 36- MIN.
- ®
Q
1. REPLACE BAN MATERIAL OVER DITCH MALL SE TWICE THE LEGEND O , - O
THICKNESS OF THE BASE, MIN. 8' AND MAX. 18' 11 CENTER UNE
2. BASE MATERIAL SHALL BE PLACE IN 6'MAX. (LOW MEASUREMENT) tl
LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 9876 OF MONUMENT UNE EX• 2- SP.GAS MAINZ4 Z
MAX DENSITY PER AASHTO T-180 R/IN RIGHT OF WAY L1
3 ASPHALT CONCRETE PAVEMENT JOINTS SMALL BE MECHANICALLY SAWED U C
4. SURFACE MATERIAL SHALL CONSISTENT METH SURROUNDING SURFACE P/L PROPERTY UNE C)
MATERIAL E.O.P. EDGE OF BUILDING ® C
8. BASE MATERIAL SHALL HAVE A MIN. LBR, OF 100 AND A MIN. CARBONATE —4 — � (-
CONTENT OF 7076(SOX FOR LOCAL STREETS) T.T. TAPPING TEE r a L
8. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES EF.V. EXCESS F1OW VALVE PROFILE CROSSING NE. 102nd ST.
SCALE: (V) 1:4 (H) 1 50
7. ALL ROADWAY RESTORATION WI" F.D.O.T.R/W SHAM COMPLY MATH SVC SERVICE UNE � - N0 OF BB7A$T&
INDEXES 307 AND 310.
BB>ae"r NO.: 1
Drawing File: \\browardfs\voll\USERS\PGMXC\Documents\RESIDENTIAL\2013\NE 102 ST, 1461 MIAMI SHORES FL\1461 NE 102 ST, MIAMI SHORES.dwg 05/11/2015