PW-16-53 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax:(305)7564972
Inspection Number. INSP-250616 Permit Number: PW-1-16-53
Scheduled Inspection Date:January 26,2016 Permit Type: Public Works
Inspector: Diaz,Osvaldo Inspection Type: Final
Owner. COY,J FRANK MC Work Classification: Public Works
Job Address:85 NE 94 Street
Miami Shores,FL 33138- Phone Number
Parcel Number 1132060130580
Project <NONE>
Contractor. TECO PEOPLES GAS SYSTEM Phone:(305)957-3857
Building Department Comments
INSTALLING A NEW GAS SERVICE LINE BY dMYaetdo Passed Comments
DIRECTIONAL DRILLING INSPECTOR COMMENTS False
TO CLOSE PERMIT#PW15-142
Inspector Comments
Passed �z
Failed
2� l
Correction
Needed
Re-Inspection a
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
January 25,2016 For inspections please call:(305)762-4949 Page 21 of 41
Permit NO. PW-1-16-53
��,s y Miami Shores Village Permit Type:Public Works
10050 N.E.2nd Avenue NE Perm 'It work classification:Public Works
•••�, Miami Shores,FL 33138-0000 Permit Status:APPROVED
yF�M" Phone: (305)795-2204
Issue Date: 1/14/2016 Expiration: 04/13/2016
Project Address Parcel Number Applicant
85 NE 94 Street 1132060130580
J FRANK MC COY
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
J FRANK MC COY 85 NE 94 ST
MIAMI FL 33138-2819
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
TECO PEOPLES GAS SYSTEM (305)957-3857 (305)970-1783
-- Total Sq Feet: p
Scanning:3 Available Inspections:
Inspection Type:
Final
Excavation
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# PW-1-16-58276
DBPR Fee $2.00 01/14/2016 Check#:6069 $ 116.20 $0.00
DCA Fee $2.00
Education Surcharge $0.40
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $116.20
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 AFFIDAV T: I certify that all the foregoing in f ation is accurate nd that all work will be done in compliance with all applicable laws regulating
constru ion a ing. thermore,I authorize th ve-named tra or do the work stated.
January 14,2016
AuffFofffed Signature:Owner / 6int / Contractor Agent ate
Building Department
January 14,2016 1
Miami Shores Village
Building Department JAN 1 1 2016 •
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 1 yl -T
FBC 20
BUILDING Master Permit No. -`c; —
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING n MECHANICAL nN PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: [) tom'�' q 4*%% ;5T
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 Simple Titleholder):RIGHT-OF-WAY Phone#:
Address:
City: State Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: TECO PEOPLES GAS Phone#: 954-453-0811
Address: 5101 N.W. 21 AVE., SUITE 460
City. FT. LAUDERDALE state: FL Zip: 33309
Qualifier Name: JESUS VEGA, JR. Phone#: 945-453-0811
State Certification or Registration#: E1608 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address City: State: Zip:
Value of Work for this Permit:$2000 Square/linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration /J 0 New ❑l Repair/Replace ❑ Demolition
Description of Work: ��svr �f .c�c r v ( � 042—
Specify
42—
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Rev1sed02/24/2014)
6
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.....
OWNEWS AFFIDAVIT: 1 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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument w i acknowledged before me this
day of ,20 ,by :;2 day of CSC, by
who is personally known to �S"cS who is rsonally know to
me or who has produced as me r who has roduced as
identification and who did take an oath. identificati an who did take an oath.
NOTARY PUBLIC: NOTARY BL
Sign:
Print: HURL-
PT P )
Notary Public State of Florida l
Seal: Seal: f.,, f l.=M Com
- y m. Expires Sep 11,2017,
-`��' �' Commission # FF 043679
bonded Through National Notary Assn.
r r �,y � w;
APPROVED BY I 6 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village JAN
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No. oJr 11169
PERMIT APPLICATION Sub Permit No.
F-IBUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL QPUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 85 NE 94 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 Simple Titleholder): RIGHT OF WAY Phone#:
Address:
City: Stat: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: TECO PEOPL S GAS Phone#: 954-453-0806
Address: 5101 NW 21 AVE. STE. 460
City: FT. LAUDERDALE Sta` :�'/ zip: 33309
Qualifier Name: JESUS VEGA Phone#: 954-453-0806
State Certification or Registration#: E1608 Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1000 Square/Linear Footage of Work: 58
Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace ❑ Demolition
Description of Work: INSTALLING A NEW GAS SERVICE LINE BY DIRECTIONAL DRILLING
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ cud' CCF$ CO/CC$
e:-
Scanning Fee$ Radon Fee$ DBPR$ " Y'` Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 44— G
(Revised02/24/2014)
r
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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument as acknowledged before me this
day of20 by O�� day of �'Y` 20/S by
who is personally known tois personally known o
me or who has produced as me orwh�h p oduced as
J
identification and who did take an oath. identifcati , d a al.
NOTARY PUBLIC: NOTARY PU LIC: ,,.�` B., HUBERT NUNEZ
Notary Public-State of Florida
•; ;•=My Comm.Expires Sep 11,2017
Commission#FF 043079
Sign: Sig '""RL ,' sn.'
Print: Print:
Seal: Seal:
APPROVED BY �,®_/�lt'('S Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
CTOB
Construction Trades` ifying Board
BUSINESS CERTIFICATE OF COMPETENCY
El 608
PEOPLES GAS SYSTEM INC
D.B.A.:
.' V0T_Je).
VEGA JESUS
Is certified under the provisions of Chapter 10 of Miami-Dade County
`°ALIO FOR CONTRACTING UNTIL 09/3012015
North Miami Contractor ID Number: 161800000
Town of Bay Harbor Island Contractor ID Number: CONT-0613-2004-05
QUALIFYING TRADES)
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CONDITIONS
J l l • / WHERE ANY VEHICLE,EQUIPMENT,WORKERS
C� 4� OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REQUIRING THE CLOSURE OF ONE
•• •••• Work Area • TRAFFIC LANE,FOR WORK AREAS LESS THAN
200'DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
D 400 20C Le 20 Than
ROAD
WORK RDAD
AHEAD
AHEAD
2oa 400'
I I I I CONDITIONS
l ) l J WHERE ANY VEHICLE,EQUIPMENT,WORKERS
4= Com- OR THEIRACTIVITIES ENCROACH ON THE
PAVEMENT REQUIRING THE CLOSURE OF ONE
cy •• TRAFFIC LANE,FOR WORK AREAS 20V OR
• • Work Area • MORE DOWNSTREAM FROM AN INTERSECTION
FORA PERIOD OF MORE THAN 60 MINUTES.
4001 � 501
2001 2001
ROAD More Than
WORK 2001
AHEAD
DURATION NOTES
SYMBOLS GENERAL NOTES
® Work Area 1.Work operations shall be confined to one travel lane,leaving S.The FLAGGER legend sign may be substituted for the symbol sign. 1.ROAD WORK AHEAD sign may be omitted if all of the fallowing
the opposing travel lane open to traffic. conditions are met:
Sign With lff x 18'(Min.) 6.The maximum spacing between devices shall 6e no greater than 25.'
v Orange Flag And Type 8 Light 2.When vehicles in a parking zone block the line o1 sight to TCZ a.Work operations are 60 minutes or less.
signs or when TCZ signs encroach on a normal pedestrian 7.For Temporary Raised Rumble Strips,general TCZ requirements b.Speed is 45 mph or less.
■ Channelizing Device(See Index No.600) walkway,the signs shall be post mounted and located in and additional information,refer to Index No.600. C.No sight obstructions to vehicles approaching the work area for
accordance with Index No.17302. a distance of 600 feet.
Work Zane Sign 8.The two channelizing devices directly in front and directly at the it.Vehicles in the work area have high-intensity,rotating,
3.If work area is confined to an outside auxiliary lane,the work and of the work area may be omitted provided vehicles in the work flashing,oscillating,or strobe lights operating,
m Flogger area shall be barricaded and the FLAGGER signs rep/aced by area have high-intensity rotating,flashing,oscillating,or strobe e.Volume and complexity of the roadway has been considered.
ROAD WORK AHEAD signs.F/aggers are not required. lights operating.
ca Lane Identification+Direction of Traffic 4,Flaggers shall be in sight of each other at in direct
communication at all times.
R
LAST JZ�� DESCRIPTION: INDEX SHEET
REVISION 2015 NO. NO.
07101114DESIGN STANDARDS TWO-LANE, TWO-WAY, WORK NEAR IINTERSECTIION
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SCALE: 1"=30'
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PROP. 3/4" PLASTIC a 50 , �*g' 1 C.B.S. 1 '
GAS SVC. DIRECTIONAL ��� M/, RES. #85 0 0 r5
W
BORE. ' = I PROFILE CROSSING NE. 94 ST. SCALE: (V) 1:5' H NTS. a
10 1 C9
PUNTERFULL LANE
I� ggg2.4' �ENr 3'
SURFACE
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GRASS ,,„ ,9.68' t
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SOD RESTORATION DETAIL
- f,•_:: ! RESTORATION OF ROAD CUTJA 2015 SCALE.' NOT TO SCALE E
GRASS :ASPHALT:. Itl U
A FOR UTILITY CROSSING o °°
By ul a
N.E. 94th STREE DATE
ill AitwT PAVEMENT 7S ALL EXISTING UTILITIES SHOWN ON N W W
_ THESE PLANS ARE TO BE j
a E O'P i CONSIDERED APPROXIMATE & O 3i;%
SWALE -s' SHOULD BE VERIFIED BY THE
0 0 0 0 0 0®a 0 0 0 0
X41 CONTRACTOR PRIOR TO THE d z
*ION FEE)ERAL START OF WORK OPERATIONS.
17' APJE)REGULATIOPIS
— - - RAW
TIE IN SVC TO GAS MAI ♦ v GENERAL NOTES c
WI TH T.T./E.F.V. LEGEND
EXIT. 6" PE.GAS MAIN 1. REPLACE BASE MATERIAL OVER DITCH SHALL BE TWICE THE CENTER UNE
THICKNESS OF THE BASE. MIN..8• AND MAX. 18'
2. BASE MATERIAL SHALL BE PLACE IN 6" MAX. (LOOSE MEASUREMENT) M MONUMENT UNE
LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98%OF R/W RIGHT OF WAY
MAX. DENSITY PER AASHTO T-180 E.� PROPERTY LINE
3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED
4. SURFACE MATERIAL SHALL BE CONSISTENT WITH SURROUNDING SURFACE EDGE OF BUILDING
MATERIAL
5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE T.T. TAPPING TEE
CONTENT OF 70%(60%FOR LOCAL STREETS) LEV. EXCESS FLOW VALVE z
6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES SVC SERVICE UNE
7. O ROADWAY RESTORATION WITHIN F.D.O.T R/W SHALL COMPLY WITH INDEX WM. WATER MAIN NO.OF SImm.L
mom NO.: 1
Drawing File: \\browardfs\voll\USERS\PGMXC\Documents\RESIDENTIAL\2015\NE 94 ST. 85, MIAMI SHORES, FL\85 NE 94 ST.MIAMI SHORES, FL.dwg 01/16/2015