PW-16-3392Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. PW -12-16-3392
Permit Type: Public Works
Work Classification: Public Works
Permit Status: APPROVED
Issue Date: 12128/2016
Expiration: 03/28/2017
Parcel Number
Applicant
905 NE 92 Street
Miami Shores, FL 33138-
1132060050010
Block: Lot:
PAUL GOLDENBERG
Owner Information
Address
Phone
CeII
PAUL GOLDENBERG
16445 COLLINS Avenue
SUNNY ISLES FL 33160-
16445 COLLINS Avenue
SUNNY ISLES FL 33160-
Contractor(s)
TECO PEOPLES GAS SYSTEM
Phone CeII Phone
(305)957-3857 (305)970-1783
Valuation:
Total Sq Feet:
$ 1,000.00
0
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.25
$2.25
$0.20
$150.00
$9.00
$0.80
$165.10
Pay Date
Invoice #
12/28/2016
12/16/2016
Pay Type
PW -12-16-62384
Check #: 1183 $ 115.10 $ 50.00
Check #: 1114 $ 50.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Final
Excavation
Review Plumbing
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: 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. Futhermore, I authorize the above-named contractor to do the work stated.
Authonzed Signaturr er / Applicant / Contractor / Agent
Building Department Copy
December 28, 2016
Date
December 28, 2016 1
e):\�.
Lr
BUILDING
PERMIT APPLICATION
El BUILDING ❑ ELECTRIC
El PLUMBING ❑ MECHANICAL
JOB ADDRESS: 905 NE 92 ST.
City:
Miami Shores Village
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
--
DEC 1 6 2016
FBC 20
Master Permit No.PW +(CJ _33-1
Sub Permit No._
❑ ROOFING ❑ REVISION
ElPUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
Miami Shores County:
Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type:
Load: Construction Type:
Flood Zone:
BFE:
NO X
FFE:
OWNER: Name (Fee Simple Titleholder): RIGHT OF WAY Phone#:
Address:
City: State: _ Zip:
Tenant/Lessee Name:
Email:
Phone#:
CONTRACTOR: Company Name: TECO PEOPLES GAS
Address: 5101 NW 21 AVE. STE. 460
Phone#: 954-453-0806
City: FT. LAUDERDALE State: FL
Qualifier Name: JESUS VEGA
Zip: 33309
Phone#: 954-453-0806
State Certification or Registration #: El 608 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City:State: Zip:
Value of Work for this Permit: $ 1000
Type of Work: ❑ Addition n Alteration
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace
❑ Demolition
Description of Work: PERMIT RE -NEW FOR A GAS SERVICE LINE
Specify color of color thru tile:
Submittal Fee $ !S PPr permit Fee $
Scanning Fee $ i Radon Fee $ Z . G—
• 2) Training/Education Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
CCF$ D W4 CO/CC$
DBPR $ '2. • 2.S Notary $
goDouble Fee $
Bond $
TOTAL FEE NOW DUE $ 1 I . 0
Bonding Comprany'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 / 0- --\N-
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 , by / ,1 day of t , 20 / v by
, who is personally known to c 1aSe 5 ,--.9-44- o is personally know to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
me or wh
oduced
identifi :tion andjwho did take a oath.
NOTA PUBLIC:
si JP'
4i ui��G•,
••
Print:
Seal:
as
•
HUBERT NUNEZ
Notary Public - State of Florida
My Comm. Expires Sep 11, P017
Commission # FF 79
National Notary Assn.
'ough
************************************************************************************************************
APPROVED BY
(Revised02/24/2014)
Plans Examiner
Structural Review
Zoning
Clerk
•
•
•
•
• •
•
• •
•
•
•
•
•
••
FULL UNE
SURFACE REPLACEMENT
SURFACE
SAW CUT ASPHALT
(TYPICAL)
REPLACEMENT BASE
(NEW MATERIAL)
12'
VARIES
12'
RESTORATION OF ROAD CUT
FOR UTILITY CROSSING
• ••
• • •
••••
•
••
•
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•
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Stitt IttTORATION DETAIL
• • ewe NOT TO SCALE
• ••
• • •
• •
ALL EXISTING UTILITIES SHOWN ON
THESE PLANS ARE TO BE
CONSIDERED APPROXIMATE &
SHOULD BE VERIFIED BY THE
CONTRACTOR PRIOR TO THE
START OF WORK OPERATIONS.
RTY
0
SCALE: 1"=30'
MAY 0 4 2016
BY:
•
•
R/W
IMM IMMI
SWALES.
SNE. 9th AVE
50'
)•%, a.1•
E.U.N.
ROP. 34" PLASTIC
GAS SVC. TO BE
DIRECTIONAL BORED
•
•
TIE IN SVC. TO GAS MAI
MT T.T/E.F.V.
PERMIT #:
Miami Shcres Village
APPROVED
BY
DATE
ZONING DEPT
--4
BLDG DEPT
C 0 c % 0
S'JBJECT I'O CChIPLIfN WITH ALL FEDEI(I.
>TA7 E= ANL) CC UN" iY RULES AND REGULATIONS
ROP. GAS RISER
GAS
38'
XIST .2" BSE:
GAS MAIN
8
p
8
50'
a a L3
O
W
X. GRD.
CS.
L
4
PROP. PLASTIC
L--
- __
in
4
GAS SVC. TO BE
DIRECTIONAL BORED
, 36"
MIN.
I
c'"
Gb—GA:—GAS-GASI
GAS -GAS
l
I
0
I
0
12" BSE.
GAS1 MAIN
PROFILE CROSSING NE. 92 ST.
SCALE: (V) 1:5' (H) NTS.
# 905
B
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111111111111ln L.
50'
O`
1
LEGEND
CENTER LINE
M MONUMENT LINE
R/W RIGHT OF WAY
P/L PROPERTY LINE
E.O.P. EDGE OF PAVEMENT
T.T. TAPPING TEE
E.F.V. EXCESS FLOW VALVE
SVC. SERVICE LINE
PE. PLASTIC
STM. SEW. STORM SEWER
GENERAL NOTES
R/W
NE. 9th
't AVE
e •Fi/W
1. REPLACED BASE MATERIAL OVER DITCH SHALL BE TWICE THE
THICKNESS OF THE BASE. MIN. 8" AND MAX. 18"
2. BASE MATERIAL SHALL BE PLACED IN 6" MAX. (LOOSE MEASUREMENT)
LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98% OF
MAX. DENSITY PER AASHTO T-180
3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED
4. SURFACE MATERIAL SHALL BE CONSISTENT HATH SURROUNDING SURFACE
MATERIAL (1.5" MIN. THICKNESS)
5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE
CONTENT OF 709.(60% FOR LOCAL STREETS)
6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES
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Drawing File: \\browardfs\volt\USERS\PGMXC\Documents\RESIDENTIAL\2016\NE 92 ST. 905. MIAMI SHORES. FL\905 NE 92 ST.MIAMI SHORES, FL.dwg 04/22/2016
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200' 200 400'
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9 • • • • .;/r/rirr7�•
1 I Work Area • • •
200' I I Less Than
1 200'
t • •
JL JL JL
200'
• • ••• ••
SYMBOLS
MWork Area
• Channelizing Device (See Index No. 600)
03 Work Zone Sign
1J Flagger
S Lane Identification + Direction of Traffic
•••�/ W • ■ •rr� ork A•f/fa
rea
SO'
200'
More Than
200'
GENERAL NOTES
1. Work operations shall be confined to one travel lane, leaving
the opposing travel lane open to traffic.
2. When vehicles in a parking zone block the line of sight to TCZ
signs or when TCZ signs encroach on a normal pedestrian
walkway, the signs shall be post mounted and located in
accordance with Index No. 17302.
3. if work area is confined to an outside auxiliary lane, the work
area shall be barricaded and the FLAGGER signs replaced by
ROAD WORK AHEAD signs. Flaggers are not required.
4. Flaggers shall be in sight of each other or in direct
communication at all times.
r
5. The FLAGGER legend sign may be substituted for the symbol sign.
6. The maximum spacing between devices shall be no greater than 25:
7. For general TCZ requirements and additional information, refer to
Index No. 600.
8. The two Channelizing devices directly in front and directly at the
end of the work area may be omitted provided vehicles in the work
area have high-intensity rotating. flashing, oscillating, or strobe
lights operating.
9. Use Temporary Raised Rumble Strips in accordance with Index 603.
Placement of Rumble Strips and additional signs should begin at
FLAGGER sign location.
CONDITIONS
WHERE ANY VEHICLE, EQUIPMENT, WORKERS
OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REQUIRING THE CLOSURE OF ONE
TRAFFIC LANE, FOR WORK AREAS LESS THAN
200' DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
CONDITIONS
WHERE ANY VEHICLE, EQUIPMENT, WORKERS
OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REOUIRING THE CLOSURE OF ONE
TRAFFIC LANE, FOR WORK AREAS 200' OR
MORE DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
DURATION NOTES
I. ROAD WORK AHEAD sign may be omitted if all of the following
conditions are met:
a. Work operations are 60 minutes or less.
b. Speed is 45 mph or less.
c. NO sight obstructions to vehicles approaching the work area for
a distance of 600 feet.
d. Vehicles in the work area have high-intensity, rotating,
flashing, oscillating, or strobe lights operating.
e. Volume and complexity of the roadway has been considered.
LAST
REVISION
07/01/15
0
DESCRIPTION:
FOOT
2016
DESIGN STANDARDS
TWO-LANE, TWO-WAY, WORK NEAR INTERSECTION
INDEX
NO.
605
SHEET
NO.
1 of 1
JL JL
q■■■■■
•
■
200' I I Less Than
200
JL JL
/f/ /./ /777
WOrk Area
JL
cC>
SYMBOLS
MWork Area
■ Channelizing Device (See Index No. 6001
lip Work Zone Sign
u Flagger
Lane Identification + Direction of Traffic
g ■ ■ ■ ■ ■r,1 vrir,
• •v Work Area
50
200'
More Than
200'
GENERAL NOTES
1. Work operations shall be confined to one travel lane, leaving 5. The FLAGGER legend sign may he substituted for the symbol sign.
the opposing travel lane open to traffic.
2. When vehicles in a parking zone block the line of sight to TCZ
signs or when TCZ signs encroach on a normal pedestrian
walkway, the signs shall be post mounted and located in
accordance with Index No. 17302.
3. If work area is confined to an outside auxiliary lane, the work
area shall be barricaded and the FLAGGER signs replaced by
ROAD WORK AHEAD signs. Flaggers are not required.
4. Flaggers shall be in sight of each other or in direct
communication at all times.
6. The maximum spacing between devices shall be no greater than 25.'
7. For general TCZ requirements and additional information, refer to
Index No. 600.
8. The two channelizing devices directly in front and directly at the
end of the work area may be omitted provided vehicles in the work
area have high-intensity rotating, flashing, oscillating, or strobe
lights operating.
9. Use Temporary Raised Rumble Strips in accordance with Index 603.
Placement of Rumble Strips and additional signs should begin at
FLAGGER sign location.
CONDITIONS
WHERE ANY VEHICLE, EQUIPMENT, WORKERS
OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REQUIRING THE CLOSURE OF ONE
TRAFFIC LANE, FOR WORK AREAS LESS THAN
200' DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
CONDITIONS
WHERE ANY VEHICLE, EQUIPMENT, WORKERS
OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REQUIRING THE CLOSURE OF ONE
TRAFFIC LANE, FOR WORK AREAS 200' OR
MORE DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
DURATION NOTES
1. ROAD WORK AHEAD sign may be omitted if all of the following
conditions are met:
a. Work operations are 60 minutes or less.
b. Speed is 45 mph or less.
c. No sight obstructions to vehicles approaching the work area for
a distance of 600 feet.
d. Vehicles in the work area have high-intensity, rotating,
flashing, oscillating. or strobe lights operating.
e. Volume and complexity of the roadway has been considered.
LAST
REVISION
07/01/15
00
0
00
10
DESCRIPTION:
FDOT
2016
DESIGN STANDARDS
TWO-LANE, TWO-WAY, WORK NEAR IINTERSECTIION
INDEX.
NO.
605
SHEET
NO.
1 of 1