PW-16-54 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)7564972
Inspection Number: INSP-250621 Permit Number: PW-1-16-54
Scheduled Inspection Date: January 27,2016 Permit Type: Public Works
Inspector: Diaz,Osvaldo
Inspection Type: Final
Owner. ROBINSON,DAVID&MELINA Work Classification: Public Works
Job Address:970 NE 94 Street
Miami Shores,FL Phone Number
(305)213-0319
Parcel Number 1132060350030
Project: <NONE>
Contractor: TECO PEOPLES GAS SYSTEM Phone:(305)957-3857
Building Department Comments
INSTALLING A NEW GAS SERVICE LINE BY Infractio Passed Comments
DIRECTIONAL DRILLING INSPECTOR COMMENTS False
TO CLOSE PERMIT#PW15-143
nspector Comments
Passed E�r
Failed
r
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
January 26,2016 For Inspections please call:(305)762-4949 Page 25 of 62
Permit NO. PW-1-16-54
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
Phone: (305)795-2204
Int I Issue Date: 111412016 Expiration: 04/13/2016
Project Address Parcel Number Applicant
970 NE 94 Street 1132060350030 DAVID&MELINA ROBINSON
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
DAVID 8,MELINA ROBINSON 970 NE 94 Street (305)213-0319
MIAMI SHORES FL 33138-
970 NE 94 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
TECO PEOPLES GAS SYSTEM (305)957-3857 (305)970-1783
- Total Sq Feet: 0
Scanning:3 Available Inspections:
Inspection Type:
Final
Excavation
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.2o Invoice# PW-1-16-58277
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 AVIT: I certify that all theVfofegoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction nd oni g. Futhermore,I7�e&e theabove- med ntractor to do the work stated.
January 14,2016
orized Signature:Owner A plicant / ontractor / Agent ate
Building Departme t opy
January 14,2016 1
Miami Shores Village
' JAN 1 2016
Building Department ,
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 (N`�
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 g q�D —
BUILDING Master Permit No. 0
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING [:] MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
ee CONTRACTOR DRAWINGS
JOB ADDRESS: qlb - L`'° 9q*5-r
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 M E1608 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit:$2000 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration N New ❑ Repair/Replace ❑ Demolition
Description of Work: A42-A
"
Specify color of color thru tile:
Submittal Fee$ 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)
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. 1 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 was cknowledged before me this
day of 20 ,by day of 2 / 5- by
who is personally known to V�Q A-s o is personally know to
me or who has produced as me or who has produced as
identification and who did take an oath. identificafaho did take an oath.
rz: T
NOTARY PUBLIC: NOTARY HUBERT NUNEZ
Notary Public-State of Florida
° .`; r fAly Comm. Expires Sep 11,2017
V 1'.� -
Commission # FF 093679
Sign: Sign: �t;
Print: Print:
Seal: Seal:
APPROVED BY I t Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
\�C Miami Shores Village JAN 2 1 z
of
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.P_ -4)2-2:- .
PERMIT APPLICATION Sub Permit No.
❑BUILDING n ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING [:] MECHANICAL OPUBLIC WORKS CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: 970 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: FIFE:
OWNER:Name(Fee Simple Titleholder): R) rp
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: 33
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$ �fv�. CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ G4 ' 6O
(Revised02/24/2014)
p,
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 oflie Cecorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the builopg 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
31,
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instruments s acknowledged before me this
day of 20 ,by Z gQ day of � 20 JA by
who is personally known to � ��_�.4 -/a_!., Cffff5ts
me or who has produced as me or who has produced
identification and who did take an oath. identification a who did take an oath.
P,
NOTARY PUBLIC: NOTARY PUB C: y HUBERT NUNEZ
>e r9
Notary Public-State of Florida
v = IJIy Ccmm.Expires Sep 11,2017
Sign: Sign: Cummission#FF 043679
onei Assn.
Print: Print
Seal: Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
ConSonlra9des I
BUSINESS CERTIFICATE 0F`COMPETENCY
El 608
Owl,
PEOPLES GAS SYSTEM INC
�D.B.A..
VEGA JESUS
Is CeMfled under the PTOVIsiOns Of Chapter 10 of Miami-Dade County
VALID F109 W14TRACTING UNTIL 0913W2015
North Miami Contractor 11) NU tuber: 160800000
Town of Bay Harbor Island Contractor ID Number: CONT-0613-2004--05
QUALIFYING TRADE(S)
0014 FUEL TRANS& DISTRI
";/J.'�
Chanes Danger P.E. ma
r5ecreLwv of the Board —..1a;redade.gw(6tAd
ROAD
WORK
AHEAD
200 200 400'
CONDITIONS
/ J \ • / ` / �_ WHERE ANY VEHICLE,EQUIPMENT,WORKERS
a ,� OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REQUIRING THE CLOSURE OF ONE
a • • �• • TRAFFIC LANE,FOR WORK AREAS LESS THAN
b + Work Area 1• b 100 DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
400 200 Le 20dThan
ROAD
WORK ROAD
AHEAD WORK
AHEAD
200 400
I I CONDITIONS
WHERE ANY VEHICLE,EQUIPMENT,WORKERS
a OR THEIRACTIVITIES ENCROACH ON THE
13 PAVEMENT REOUIRING THE CLOSURE OF ONE
TRAFFIC LANE,FOR WORK AREAS 200 OR
• • Work Area • MORE DOWNSTREAM FROM AN INTERSECTION
400
FOR A PERIOD OF MORE THAN 60 MINUTES.
� 50
.ea zoD
ROAD More Than
WORK 200
AHEAD
DURATION NOTES
SYMBOLS GENERAL NOTES
® Work Area 1.Work operations shall be confined to one travel lane,leaving 5.The FLAGGER legend sign may be substituted for the symbol sign. 1.ROAD WORK AHEAD sign may be omitted if all of the following
the opposing travel lane open to traffic. conditions are met:
Sign With 18"x 18"(Min.) 6.The maximum spacing between devices shall be no greater than 25.'
v Orange Flag And Type B Light 2.When vehicles in a parking zone block the line of 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 Zone Sign B.The two channelizing devices directly in front and directly at the d.Vehicles in the work area have high-intensity,rotating,
3.If work area is confined to an outside auxiliary lane,the work end of the work area may be omitted provided vehicles in the work flashing,oscillating,or strobe lights operating.
° area shall be barricaded and the FLAGGER signs replaced by area have high-intensity rotating,flashing,oscillating,or strobe e.Volume and complexity of the roadway has been considered.
Flagger ROAD WORK AHEAD signs.Flaggers are not required. lights operating.
b Lane Identification+Direction of Traffic 4,Flaggers shall be in sight of each other or in direct
communication at all times.
LAST 20 DESCRIPTION: ZOIS INDEX SHEET
REVISION Fpp TWO-]LANE, TWO-WAY, WORD NEAR INTERSECTION NQ. No.
07/01114 �— DESIGN STANDARDS 605 10f,
N No
° { s o I;
to
W 'rte E
1� 'U0 N
S
p
,A\ SCALE: 1"=40'
nE IN SVC TO GAS MAI •� C�/A, 783' kl
WITH T.T./E.F.V. .0 •�41CVV ,1 po190 4' xir. 2"CS. GAS MAIN
Q
END OF 1�
THE MAIN ` oa /H ✓`O R W
I
V 0 � 1 / iJ QO 3 - If o®�---h^--^0300 L�'Q.1�Y!'`_o o ` 0 0 o�a o� = • A \�___ , r ® q •� Q `�9
lid a I 33' t%AA Z.
I 14
p�1 2. /, „ ) 7p, dotS, •- ` ry `� IPA
"; R' " O
N3'. ROP. s/4 PLASTIC
�[ •� p '—_—
Q 3 97o BOR
GAS SVC DIRECTIONAL
BORE.
m
v I Q' � o Q
roti0 ' f20,fbC?' /f8.01P� '
U �e
Nits, � l GENERAL NOTES ap
1. REPLACE BASE MATERIAL OVER DITCH SHAD.BE TWICE THE O
p THICKNESS OF THE BASE, MIN. 8' AND MAX. 18'
{(� s p� 6'- Vim., p 2. BASE MATERIAL SHALL BE PLACE IN 6- MAX. (LOOSE MEASUREMENT)
V 1P-' t� n ® Tw ` p LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98%OF
/ Mia Cres Village O h MAX. DENSITY PER AASHTO T-180 E
`� 3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED fA
A� A 4. SURFACE MATERIAL SHALL BE CONSISTENT NTH SURROUNDING SURFACE
® N Ls7
�Y -�- t. p I(� MATERIAL t�7 W f0
APPROvED I 8. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE P:
CONTENT OF 70%(SOX FOR LOCAL STREETS) p W
N o�� pA 6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES C Z
AAon , = p I 7. ALL ROADWAY RESTORATION F.D.O.T R/W SHALL COMPLY WITH INDEX
Z0NING DEPT p�
�\ (3(0 �V H�•` (( A 310.
� 0 ` % �° A �ob4 oV , LEGEND a
-� lu'FI ALL EXISTING UTILITIES SHOWN ON � CENTER UNE
SUBJECT I O
(Q 00 c �� i i `���, ` THESE PLANS ARE TO BE MONUMENT UNE (A a
CONSIDERED APPROXIMATE &
STAT-A d������I ' _.- RAW RIGHT OF WAY Q z u
SHOULD BE VERIFIED BY THE
c
--- CONTRACTOR PRIOR TO THE P/L PROPERTY UNE m W a
START OF WORK OPERATIONS. P. '� IN W x m
T. N a o�
V. CES FLO VAL
SVC W UNE W m
30' AIN a N z
\ O GRD. \ LAW
I I SURFACE SURFACE REPLACEMENT SAW CUT ASPHALT 3' —+1
W t ' 13 (TYPICAL) I I
----uj -- _ f
PROP. 3/4 PLASTI --
DIRECTIONAL BORED
1 36' MIN.
REPLACEMENT BASE Z t
( MATERIAL) ,,y' DITCH F 1.S' 6"
co O
4 — 1 -i eas I A M GAS MAIN
,r ,r a
I I
SOD RESTORATION DETAIL'
RESTORATION OF ROAD CUT SCALE: NOT TO SCALE JAN 2 12015 x
0 0 FOR UTILITY CROSSING
PROFILE CROSSING NE. 94 ST. SCALE: (V) 1:5' (H) NTS. NO.OF SISHM:
6HM
Drawing File: \\browardfs\voll\USERS\PGMXC\Documents\RESIDEN11AL\2015\NE 94 ST. 970, MIAMI SHORES, FL\970 NE 94 ST.MIAMI SHORES, FL.dwg 01/16/2015