PW-14-2785 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-225636 Permit Number: PW-12-14-2785
Scheduled Inspection Date:January 15,2015 Permit Type: Public Works
Inspector: Diaz,Osvaldo
Inspection Type: Final
Owner: PALMISANO, INGRID&ERIC Work Classification: Public Works
Job Address:1035 NE 96 Street
Miami Shores,FL Phone Number
Parcel Number 1132060143730
Project: <NONE>
Contractor: TECO PEOPLES GAS SYSTEM Phone: (305)957-3857
Building Department Comments
INSTALLING GAS SERVICE LINE BY DIRECTIONAL Infractio Passed Comments
DRILLING INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
January 14,2016 For Inspections please call: (305)762-4949 Page 17 of 37
Miami Shores Village
Building Department DEC 19 2014
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBCp20 �
BUILDING Master Permit No�&
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑MECHANICAL OPUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1035 NE 96 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: 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 New ❑ Repair/Replace ❑ Demolition
Description of Work: INSTALLING A NEW GAS SERVICE LINE BY DIRECTIONAL DRILLING
Specify color of color thru tile:
Submittal Fee$ a 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$ C22q, (oo
(Revised02/24/2014)
t
f
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 11 J 157 day of P20 /5E ,by
who is personally known to who' personally known
me or who has produced as me or who a produced
90 . I
identification and who did take an oath. identificati n nd who did take an oath. U. t
a
NOTARY PUBLIC: NOTARY P B C: _ R N-,I
W r K O
Sign: Sig
x n. E 6
Print Print HUBERT NUNE2 tj U
°;�y` j�:a Pub A',
Seal: Seal: ?�,v P•* Mytary ExPfi s FSep F 04367 z
Comm.
Co m�mias�l/o�nHotarY
OF F`��PBd I�IIuuU'. pn
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
CTOB
Construction Trades Qualifying Board
BUSINESS CERTIFICATE OF COMPETENCY
E1608
PEOPLES CAS SYSTEM INC
D.B.A.:
� � 9
VEGA ,! _SUS
Is certified under the provisions of Chapter 10 of Miami-Dade County
North Miami Contractor ID Number: 160800000
Town of Bay Harbor Island Contractor ID Number: CONT-06:13-2004-05
QUALIFYING TRADE(S)
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Comments: CERTIFIED TRAFFIC COVI MOL SUPERVISOR
ALL EQUIPMENT TO BE PLACED AND COMPLY WITH FDOT DESIGN STANDARDS Cen ��UM ��,�
INDEX 600 SERIES AND TA-20 OF MUTCD PLAN TO BE SUBMITTED TO GOVERNING fwwwwt oy,wx„ cvtA,lwo flow
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GAS MAIN S
SOD RESTORATION DETAIL TIE IN SVC TO GAS MAI
RESTORATION OF ROAD CUT SCALE. NOT To SCALE WITH T.T./E.F.V ba
FOR UTILITY CROSSING _ _ R/W_ _ _ _ _ _ND OF GAS MAIN Vw
EXIT. 2" BSE. GAS MAI — Y_ A
— — '2' 5 —� ISALLEALLEY
rl;...............
R/W — — — — — -- ---- ,�,�, . RlW
LEGEND Q PROP. 3/4" PLASTIC
CENIER LINE GAS SVC. INSERTED IN I
ALL EXISTING UTILITIES SHOWN ON A EXIT. 4' PVC SLEEVE I I �:, i ; FUTURE POOL
. I
MONUMENT LINE THESE PLANS ARE TO BE �I DIRECTIONAL BORE. I iR��1
R/W RIGHT OF WAY
CONSIDERED APPROXIMATE &
EO.P. Eat OFPROPETY L NE SHOULD BE VERIFIED BY THE t j
CONTRACTOR PRIOR TO THE z 3'
T.T. TAPPING TEE START OF WORK OPERATIONS. I _ _
F-F.V. EXCESS FLOW VALVE
SVC SERVICE LINE
I s
WM. WATER MAIN EXIST. 4' PVC SLEEVE a
3 a
I
W
IRI 118
I ,
GENERAL NOTES
1. REPLACE BASE MATERIAL OVER DITCH SHALL BE TWICE THE
THICKNESS OF THE BASL PI0 MAX 18'
2. BASE MATERIAL SHALL BE PLACE IN 8MAX. (LOOSE MEASUREMENT)
LAYER AND EACH AX DENSITY PER AYER THOROUGHLY 1T UGROLLED OR TAMPED TO 8816 OF o
3. ASPHALT CONCRETE PAVEMENT JOINTS SHAD.BE MECHANICALLY SAWED
4. SURFACE MATERIAL SHALL BE CONSSTENT WITH SURROUNDING SURFACE
MATERIAL
S. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE
CONTENT OF 70%(8056 FOR LOCAL STREETS)
8. CONTRACTOR MALL SOFT DIG TO VERIFY LOCATION OF EXISTING umu'nES y
7. ALL ROADWAY RESTORATION WITHIN F.D.O.T R/W SHALL COMPLY WITH INDEX
LL.
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=V
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IL �£
15' W g
a EX. o_ --
N.E.%TH STREET
W' W i3 N.E. 96th STREET
PROP. 3/4"PLASTI - -
GAS SVC. TO
aREC'RONAL BORED 'MIN I I
4 4
2 BSE. GAS MAIN PLVMMGN" f�
Approved
Disapproved t
0 0
PROFILE CROSSING THE ALLEY SCALE: (V) 1:5' (H) NTS, xo OF
semmo:
>3 r No-
Drawing File: \\browardfs\voll\USERS\PGMXC\Documents\RESIDENTIAL\2014\NE 96 ST. 1035, MIAMI SHORES, FL\1035 NE 96 ST.MIAMI SHORES, FL.dwg 12/18/2014