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PW-11-1905Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CC- l SR° Inspection Number: INSP - 173813 Scheduled Inspection Date: May 21, 2012 Inspector: Hernandez, Rafael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue NEW DOORM Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: TECO PEOPLES GAS SYSTEM Permit Number: PW -10 -11 -1905 Permit Type: Public Works Inspection Type: Final Work Classification: Public Works Phone Number Parcel Number 1121360010160 -37 Phone: (305)957 -3857 Building Department Comments INSTALL 3/4" PLASTIC GAS FOR NEW RESIDENCE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 165539. pending meter May 18, 2012 For Inspections please call: (305)762 -4949 Page34of38 I • i��,Yl ��' Miami Shores Village Public Works Department 10050 N.E. 2nd Avenue, Miami Shores. Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Public Works Permit Application FBC 2004 Permit Type: Public Worker WATER Owners Name Owrrer % (Fee Simp Tfeholde) 6/A M I W ee5 // 1Y Addre%% //3 Al • • Z M / U5. city I1//9 I S f ( sit Phone Si: No. OCT 1. *2011 30$-- -99- 4653 ZIP 33/x/. TerrangLessee Netne Phone f: /)30d N.E. 2''j a+V6• Job Address (where the work is bebrg ) , (A/ hl c-©A E. SChd 71l &JM) 115 5T City Miami Shores Wage Courtly Miami Dade ZIP Is Building Nay Designated: YES NO . X contractor% Company Nam e- eaO 15S 665 contrectoes Address /577 / t2/. Z / )c /6 MP/ Phone it: N • pf /gym/ bed Cit state ArchlteetlEngineers Name (ti applicable) $ Vella of Work Fer this Permit . /ft It 740 3 df -,a® -/7 9 zip 33/6 Phone B: Lineal Footage of Work /0 A 7r (X�� Type of Work: ❑ Addition El Anatolian F New ❑ Repair/Replace ❑ Demolition Describe Work /III Si-AU— 3/4" r 1914577C, 44S 7 I2 PS- RRSiDeNCe' GSA Submittal Fee $ 1) ' cutefri � Permit Fee $ /5 CCF $ co,cc Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding.Cdrppany% Address N/A City State • Mortgage Lenders Name (if applicable) Mortgage Lenders Address City WA p 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 ail work will be performed to meet the standards of all laws regulating colvalldion in this jurisdicdoc. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 this Issuance ofa Public Works permit with an estimated value exceeding $2500, the app;wantmust promise h n goal faith that a copy of the notice of commencement and cow ruction lien law,bmchute will be' leftvered to the person whose prapertyis subject to attachment Also, a certified copy of the remarried trace of commencement must be *fed at the job site ta^the first b►spectibn which occurs seven (7) days after the buildings plarnit Is Issued In they absence ofstich posted notice, the fnspeellon will not be approved and a reinspecNan fee with be charged. Signature. .-� 0 Owner or Agent The foregoing instrument was acknowledged before me this � day of k , 20 's . by who is personally known to me or who as identification NOTARY PUBLIC: Sign: Print: My Comm' i Signature r kcys3 Contractor • , Who is personally know to me or has produced APPLICATION APPROVED BY: 11/17/2005 NOTA My Commission Expires: Public Works Director or (f his designee. CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY E1608 PEOPLES GAS SYSTEM INC .B.A.. VEGA JESUS Is certified under the provisions of C er 10 of Mianu -Dade County North Miami Contractor ID Number: 160800000 Town of Bay Harbor Island Contractor ID Number: CONT- 0613 - 2004 -05 ® AR a CERTIFICATE OF LIABILTY INSURANCE � °' Y) 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 BY THE 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.A©DITIONAL; INSURED, the policy(les) must be endorsed, If SUBROGATION IS WANED, subject to the terms and conditions Oft policy, certain treacles may require an endorsenenL A statement on this certificate does not confer rights to the certificate holder In lieu of such.endorsemer�s). MCGRIFF, SEIBELS &WILUAMS, INC. P.O. Boa 10285 Blrminghsm, AL 35202 POLICY NUMBER 800476.2211 ppppxI�� =Wok �� gracious) AFFORDING COVERAGE NAIL A INSURER A AssOdated Electric & Gas Ins. Svcs LIABILITY C0MMERCUIL GENERAL LIABILITY INSURED Gas System Peoples TECO Energy, Inc. P.O. Box ill Tampa, R. 33541 INS/ RII:UbertyInsuranceCorp: I1A1AdlRetei dton $/.000.000 'mutant c Zurich American Insurance Company 16535 INSURER D> $ 1:x,000 INSURER 5 $ INSURER F X 1 CLAIMS4AAADE 0 OCCUR COVERAGES CERTIFICATE NUMBER:EE74Y5HU 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 CONTRACTOR 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 WI TYPBOFINSURANCE I R SUER R POLICY NUMBER f rYvvi ;IMM I IlEDrB A GENERAL LIABILITY C0MMERCUIL GENERAL LIABILITY I1A1AdlRetei dton $/.000.000 07/01/2011 0 101/2012 EACH E $ 1:x,000 PREMGETO RENTED PREMISES Ma occturerioa) $ X 1 CLAIMS4AAADE 0 OCCUR MED EXP (Any ono cam) . $ PERSONAL & ACV INJURY $ GENERAL AGGREGATE $ 1,000.000 GEN'L AGGREGATE LIMIT APPUES PER —1 PODGY E E LOC PRODUCTS - COMPIOPAGO $ A — =Mogul — _ LUaLLrrY ANY AUTO ALMS HIRED AUTOS � . Self-Insured RMwbn eAed $2 000 0710112011 01b112012. I NGLFUMIT 4,000 000 BODILY1NJURY Tor $ BODILY INJURY (Pere accident) $ (Per PROPERTY accident) GE $' A X utantieLLA LIAB EXCESS LUAB , X =cm CLAIMS -MADE _ X0521A1A11 07101/2011 07/0112012 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ DED I I RETENTION$ A C WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y / N N 1 A EWS931859700 X0521AIA11 • 07/01/2011 07/01/2012 X I TO ertri. MRB 1 IMEt EL. EACH ACCIDENT $ 1,000,00D ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER EXCLUDED? 1j (Mandatory In NH) If � DESCR O OF OPERATIONS below E.L DISEASE - EA EMPLOYEE $ 1,000,000 EL. DISEASE - POLICY UNIT $ 1,000,000 B EXCESS! C Excess Workers' Compensation EW564N004918121 0710112011. 07/01/2012 Each Accident orkach Employee for Disease $ $ 35,000,000 $ $ DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Alba ACORD 101, Additional Remarks Schedule, U more space Is required) Excess Liability policy provides insurance In excess of Peoples Gas Systems Self-Insured Retention as stated above. WC Statutory Limit is excess of $35,000, 000 (Insured by Liberty Insurance Corporation) CERTIFICATE HOLDER CANCELLATION City of Miami Shores 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION. DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS: AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) Page 1 of 1 © 1988 CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AMERICAN TRAMC SAFETY SERVICES ASSOCIATION to #m that ino Q,(�j 4i':7f hell etathe Fig) M n twig Zone Traffic Control . tager Course Date compiereastnerne statuayssemar G. ,o.o;o'.o:o', .0.0;0:6p O.o•o.5 :;; ,O.o:37,7 -6 ;ofii b:OO ,0_ .a LITHO: IN UB.k 4, (END Ks. ROAD WORK a Toper Length = 1/JL Work Area / See Table 11 / / / / / / / / /// 500' DISTANCE BETWEEN SICNS Speed (mph) Spacing (It.) Speed Type I or Type iI BP tuners or or deal B 40 mph or les8 200 200 45 mph 350 350 50 mph or greater 500 500 * 500' beyond the ROAD WORX AHEAD sign or midway between signs whichever is less. SYMBOLS Illd work AreO 0 Sign W7t1) 18" r 18" (WO Orange Flog And Type 8 Light • Cnannelizing Device (See Index No, 600) Q Work Zone Sign ■ Lane Identification t Direction of Traffic Table I Device Spacing Speed (mph) Mar. Distance Between Devices (1t.1 Cones or Tubular Markers Type I or Type iI BP tuners or or deal Toper Tangent Taper Tangent 25 25 50 25 50 30 to 45 25 50 30 50 50 to 70 25 50 50 100 GENERAL NOTES 1. When lour or mare work vehicles enter the through traffic lanes in o one hour period or less (excluding establishing and terminating the work area), the advanced FLAGGER sign shat be substituted for the WORKERS sign. For location of (loggers and FLACCER signs. see Index No. 603. 2. WORKERS sign to be removed or fully covered when n0 work is being performed. 3. SHOULDER WORK sign may be used as on alternate t0 the WORKER symbol sign only on the side where the shoulder work is being performed. 4. When o side road intersects the highwoy within the TTC zone, odditionolTTC devices shalibe placed in accordance with other applicable TCZ Indexes. 5. For'generalTCZ requirements and additionolinlormotion, refer to Index No. 600. END ROAD WORK DLRATIQN NOTES 1. Signs and channefzing devices may be omitted if aliof the following conditions are met, 01 Work operations are 60 minutes or less. b1 Vehicles in the work area hove high - intensity, rotating, Dashing, oscllotkng, or strobe lights operating. Table 11 Taper Length - Shoulder Speed 5',l. (ft) Notes (Mb) 8' 10' 12' Shirk. SMdr. SAtdr. 23 28 35 42 .30 40. 50 60 L WS' 35 55 68 82 60 40 72 90 107 45 120 150 180 50 133 167 200 55 147 183 220 60 160 200 240 1- 'WS 65 173 217 260 70 187 233 280 8' minimum shoulder width %L= Length of shoulder toper in feet W= Width of totblshouider in feet (combined paved and unpaved width) S. Posted speed Emit imph1 CONDITIONS WHERE ANY VEHICLE, £OUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH THE AREA CLOSER THAN 15'BUT NOT CLOSER THAN 2' TO THE EDGE OF TRAVEL WAY. 2010 FOOT Dsslp l TWO-LANE TWO-WAY, WORK ON SHOULDER L� toast Mc 07 1af1 F62 -.o <J Om PAVEMENT 1.,6•' - f,6 L��C O, Sal, 4+21.13, 4.5 R PROP. 12"X8" TEE AND 6" GATE VALVE - TIED TO TEE ?fig c 'z1 4 4+14. 3, 4. PROP. "12'X4" TEE AND 4. NW 2nd AVENUE PROP. 4" WATER METER PROP. *872 LF (AS PER MDWASD DETAIL TYP. OF 12" D.1! W.M. u PROP. 5' WIDE NIORCED CONC. PER MDWASD DETAIL GS 1.2 2 +80.00 4 R 12"X8' M. ' TEE D 6" G.V. TIED- TO TEE PROP. 12'- M ' LI • cc STA. 1+ PROP II IL" I Mr UM MP 1 V MG IOW A O+ CONNEC 8' G.V. .. NEEDED: STA. 04 Emplassaff=vaTtailimmelmf i ii�y`i� s \gm Air III e r101 4141 grit LAS-MA ' i' <"„" PIS 44YDRl , a f E E f 4 k e E E * f 4 4 E 4 ! e E 4 4 ! 4 4 4 l��1D4 4 HOU. f 4 4 4 * 4 4 4 4 4 ! 4 4- E E 4 4 4 < E 4 PROP. 3ot" PE GO • E OPEN 4C 4 E f f f ♦ E f r*P--/tr, INSTALLATION PER MDW STD. DETAIL, W$ 440 4 4 4 E A. 1 +16.62 1+18.84. . 45=1 I�. II.- J. ! 4 4 4 ! ♦ . t . f f 4 f . f E E rf f k E ♦ !MDWASDE F f f WS 4'12E ♦ !. E k E E r E! ♦ ♦E! PER frosnytArso d • b cy. Buy. L rE f E E k f E r ♦ E//pp 6'DDEAL 4ID e • r . 4 !! f 4 4 ♦ 4 4 -! E E E' ��ihho��h��h OAS MAN SOD RESTORATION DETAIL PRA 4113"e ID3X E E f ! 4 f 4 4 f E ! E E E E f 4- ?. f ! ! 4 4 f f 4 f ! e 4 * E 4 * 4 4 * E P 4 4 4 4 f E 4 - 4 E -E ! E f P E 4 f 4 ! 4 ! f j f E < E * 4 E 4 E f 4 4 • E 4 k 4 E 4 4 4 f E 4 + 4 4 ♦ 4 f 4 4 4 f 4 E f 4 4 4 f E f 4 .4 4 -E 4 f 4 E < E 4 4 f • • * 4 E E 4 4 E • 4 !. * f 4 E f f r �'. 3' DOMESTIC -: SERVICE. SEE MEP PLANS- FOR CCN11NUATICN.. - PROP. 6" FIRE LINE. SEE MEP PLANS FOR - CONT INUATION. PROPOSED RESIDENCE HALL FFE : 13.25 NGVD 4 4 4 4 f 4 r 4 k ! 4 P PROP. FIRE DEPARTMENT A NTH KNOX PAD MODEL 3753 A. 1+04.3 STA 1 +06.6( PROP. 45' -1.. M.J. VERT. BI 4- f E 4 4 4' E 4 . E' f 4 4 4 k E E 4 4 P 4 4 • 4 f ! 4 4 4 4 4 4 E f 4 4 f 4 f 4 OCT 1 7•• 2011 TE' CONSTRUCTION Y. 1. LOCATE AND PROTECT ALL UTILITIES IN. ION. SUNSHINE I . 1 -- 800 -432 AU. AREAS TO PRIOR CONOITIO TRUCTION TO FOLLOW JURISDIC ENT AND.TPG STANDARDS. COPY V a cn gm m _1 EA: OF ,OVER Miami Shores Village BY :DATE wr G DEPT 9LDG DEPT WREII tom-/?--!/ iri.l( -C:TTO COMPLIANCE ;` ALL FEDERAL AND COUNTY: RULES AND REGULATIONS DESIGNED HY: A. ROCHE DRAWN BY: A. ROCHE SCALE: 1" = 30' PICO.FLIte GAS TEA- PEOPLi GAS 16976 W. DEO SAT N. nun SIMI, FL. PROPOSED 3/4" PIASTIC GAS SERVICE - ON NW 2140 AVM TO SERVE RESMENCE HALL HARRY UNIVERSITY-11300 NE 214D AVENUE RIANI WORM FL - 1 01 1