PW-17-2185Project Address
Miami Shores Village
10050 N.E. 2nd Avenue N
Miami Shores, FL 33138-0000
Phone: (305)795-2204
9290 N BAYSHORE Drive
Miami Shores, FL 33138-
Owner Information
Permit
Permit NO. RW -8-17-2185
Permit Type: Public Works
Work Classification: Public Works
Permit Status: APPROVED
Issue Date: 9/21/2017
Expiration: 12/20/2017
Address
Parcel Number
1132050270240
Block: Lot:
9290 N BAYSHORE Drive
MIAMI SHORES FL 33138-2949
9290 N BAYSHORE Drive
MIAMI SHORES FL 33138-2949
Applicant
RICKI LONDON
Phone
Cell
Contractor(s)
TECO PEOPLES GAS SYSTEM
Phone Cell Phone
(305)957-3857 (305)970-1783
Valuation:
Total Sq Feet:
$ 1,000.00
0
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$0.00
$0.00
$0.20
$100.00
$3.00
$0.80
$104.00
Pay Date Pay Type
Invoice # PW -8-17-65021
09/21/2017 Check #: 1600 $ 54.00 $ 50.00
08/29/2017 Check #: 1593 $ 50.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Excavation
Review Public Works
Final Public Works
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 AFFID' IT: I certify
construction and • in t' he
Autho
hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ore, I authorize the above-named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
Buildin. ' - pa ment Copy
September 21, 2017
Date
September 21, 2017 1
Miami Shores Village
Public Works Department
(305)795-2210
Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FL 33138
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
RECEIVE[.
AUG 2 97017
Permit#: X 1V \ -2_11(5
Name of Applicant (if utility see below): gg p7Gcs I✓A' 5
Owner off the following described property:
Legal Description: Lot Block
Folio #; !/ 3 2 o_s" o O Z y- d
Subdivision
Address: 9-z. nr O N
i)R.
UTILITY NAME: 7-2-c?G /6.0/4,‹ -ES �A-S
Qualifier/Authorized Agent: 1/,="s acs VE 5 A
Address: S/ d l /t.) 44.) Z 1 fq-e-& 460
City: F% G /3,c D c RD A-[.. it State: F . ZIP: 33 3 c
Telephone:(1s4- ¥S3 _a 8 04 Email: nti c At 6 /a 6R A e Te C a Z,4 R.9 y c- L i_
State Certification or Registration #: Certificate of Competency # ,s.: - /6 O g.
CONTRACTOR NAME: 7 c �cO6zcS VA -S
Qualifier/Authorized Agent: i Esus ✓F A
Address: Si a I "u IA) Z► 4-c)E # 6 ,
City: L A-rADE6zj A -4-e- State: 7. ZIP: '5-3309
Telephone: -#'S-41.9-...513 -'Dg-Q6 Email: 6 w\
State Certification or Registration #:
Certificate o Competency #: - /6 O
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way:
SJA-GG q-/0tJ
P / izce___7'ioN.4c I?'
Type of Work: ❑ Paving
0 Utility
" Si 1c.52-44--5",S—Iz-V'Ge
❑ Sidewalk D Electric 0 Irrigation
❑ Landscape ❑ Antenna 0 Other: (Z%34C- ear 0.) 14-41 c
DESIGNER: Architect/Engineer:
Address:
City: State: ZIP:
Telephone: Email:
Registration #:
Value of Work for this Permit: $ 14-61-0 Square/Lineal Footage of Work:
***** Fees*****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scannin
Bond $ (if required) Total Fee Now Due $ 1
Bonding Company's Name (if applicable):
Bonding Company's Address:
City: State: ZIP:
Application is hereby made to obtain a public works permit to do the work in the right of way 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, regulation construction in
this jurisdiction. I understand that separate permits must be secured for
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be
done in compliance with applicable laws regulating construction and specifically construction in the
right-of-way.
"WARNING TO APPLICANT: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO THE RIGHT-OF-WAY. 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 public works permit with an estimated value
exceeding $2,500, 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 the
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 public works permit.is issued. In the
absence of such posted notice, the inspection will not be approved and a reinspection will be charged.
Signature Signature6..g..., ---'1Applicant or Authorized Agent Company/Utility Agent
The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before
me this day of , 20 , by me this 2-9 day of LZ.. ----1 , 20)-7 , by
who Cs us t/E9 A . who
is personally known to me or who has produced is pers nail known to me or who has produced
as
identification.
NOTARY PUBLIC:
as
Sign:
Print:
SEAL:
APPROVED BY:
2017-04-15
Print:
SEAL:
i2 .t1 v.c�
_
HUBERT NUNEZ
MY COMMISSION # GG 104234
EXPIRES: September 11.2021
:1-* Bonded TMu Notary PublleUndorwritors
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
, Public Works Director, or Designee
1
• • ••• • • • •••
• • • • • • • • • • • •
• • • • • • • • • •
• • • • • • • • •
14,
• • • • • •
• • ••• • • •
• • • •
• • • • • • • •
• • • • • • • •
• • • • • • •
• • • • • •
• • ••• ••
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• •
• • ••
b
0
0'
200'
r: i■i;z/149/r.•
•• • • A„,.i'o41 Afja
•
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1•• / •Less Than 1 •
I • • ••• ••• \ /
200 I I
JJ�
l Work Area /
SYMBOLS
® Work Area
0'
0•
Channelizing Device (See Index No. 600)
Work Zone Sign
Flogger
Lane Identification + Direction or Traffic
)r
GENERAL
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
arca shall be barricaded and the FLAGGER signs replaced by
ROAD WORK AHEAD signs. Flaggers are not required.
4. Flaggers shall De in sight of each other or in direct
communication at all times.
NOTES
5. The FLAGGER legend sign may be substituted for the symbol 5190.
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, EOUIPMENT, WORKERS
OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REOUIRING 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, EOUIPMENT. WORKERS
OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REQUIRING THE CLOSURE OF ONE
TRAFFIC LANE, FOR WORK AREAS 200' OA
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 arca for
a distance of 600 feet.
d. Vehicles in the work area have high-intensity, rotating,
flashing, oscillating, of strobe lights operating.
e. Volume and complexity of the roadway has been considered.
LAST
REVISION
07/01/15
DESCRIPTION:
FlA DESIGN STANDARDS
FY 2017-18
TWO-LANE, TWO-WAY, WORK NEAR INTERSECTION
INDEX
NO.
605
SHEET
NO.
1of1
i
N P/L
NE 93rd STREET
Lu
W
0
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m
# 9290
J
0
LJ
70'
GAS GAS
•
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•
•
•
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••
• ••
•
• ••
• •
• •
9 .2017
•• ••
• •
PROP. NEW RISER
METER SET LOCATION
P,E R �:#; •""• PROP. 3
• . MiamiTicrpsVIII
Village
•
••• ••
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C.
turcL
DATE
••• • ••
APFRO'CELL•'
••• ••••
ZONING'DUX
•• ••
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BL G EPT
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1
S UCT fO CCM NCE WITH ALL WDEd11
STATE ANL) C(M i Y riLL S AND giga
' ..^h ^_ . , _
R/W
PA
E.O.P.
T.T.
E.F. V.
svc
WM.
PE.
STM.
CENTER LINE
MONUMENT LINE
RIGHT OF WAY
PROPERTY LINE
EDGE OF BUILDING
TAPPING TEE
EXCESS FLOW VALVE
SERVICE LINE
WATER MAIN
PLASTIC
SEW. STORM SEWER
PLASTIC
IRECTIONAL
w
J
cn
(n
Q
0
O
u
20'
0'
0
O
ui
TIE IN SVC TO GAS MAIN
WITH T.T./E. F. V.
RESTORE GRASS SWALE
TO CITY SPEC.
EX. 2" P.E.
J GAS MAIN
4 --►1
cn
cn
U7
0
In
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MATERIAL OVER DITCH SHALL BE TWICE
THE THICKNESS OF THE BASE, MIN. 8" AND MAX. 18"
2. BASE MATERIAL SHALL BE PLACE 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 WITH
SURROUNDING SURFACE MATERIAL (1.5" MIN. THICKNESS)
5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A
MIN. CARBONATE CONTENT OF 70%
(60% FOR LOCAL STREETS)
6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF
EXISTING UTILITIES.
SCALE: 1"-30'
SURFACE
07-26-2017
FULL LANE
SURFACE REPLACEMENT
SAW CUT ASPHALT
(TYPICAL)
REPLACE]IENT BASE
(NEW MATERIAL)
DITCH WIDTH .�
RESTORATION OF ROAD CUT
FOR UTILITY CROSSING
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.
SOD RESTORATION DETAIL
SCALE: NOT TO SCALE
PROP.
GAS
DIRECTIONAL
�—mi
50'
4
3/4" PLASTI
X. GRD.
SVC. TO BE
BORED
..
_ _�-
.^
.q---- 1..1
2
1
36" MIN.i
1
�
I
\
GAS
-1
GAS -f-- GAS
— 71100SGAS
-
EX."
P.E;
_2
_2
GA`
MAIN
-3
-3
_ 1
-4
1
1
1
1
-4
PROFILE CROSSING N BAYSHORES DR
SCALE: (V) 1:5'
(H) NTS.
PROJECT ADDRESS:
rn
0
0
z
NO. OP min—m.1
SHEEP NO.: 1
Drawing File: \\browardfs\voll \users\stbxj\Documents\Marlen Cabrera\Marlen Cabrera\JOBS\9290 N BAYSHORE DRIVE, MIAMI SHORES\9290 NE BAYSHORE DR.dwg 07/26/2017