PW-18-2487Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: PW-9-18-2487 Permit IVR Number. 631S82
Permit Type: Public Works
J� Work Classification: Public Works
Permit Status: Approved
Issue Date:10/04/2018 Expiration: 12/18/2018
Location Address Parcel Number Project
9125 N BAYSHORE DR, Miami Shores, FL 33150 1132050010590 <NONE>
Contacts
MARK & DARLENE HUTCHINSON Owner MARK & DARLENE HUTCHINSON Applicant
9125 N BAYSHORE DR, MIAMI SHORES, FL 33138 9125 N BAYSHORE DR, MIAMI SHORES, FL 33138
Other:7867122347 Other:7867122347
TECO PEOPLES GAS SYSTEM Contractor
JESUS VEGA
15779 W DIXIE HWY, MIAMI, FL 33162
Business:
305957385777247
Other:3059701783
Description: TO INSTALL A NEW GAS SERVICE LINE (3/4" Valuation: $ 1,000.00 Inspection Requests:
PLASTIC) BY DIRECTIONAL BORE 305-762-4949
Total Sq Feet: 2.00
M=j
Fees
Amount
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$0.80
Total:
$110.00
Payments
Amt Paid
Total Fees
$110.00
Deposit
$50.00
Check # 2240
$60.00
Amount Due:
$0.00
Building Department Copy
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.
OWNS S AF/F� I AVIT: c ify at all the foregoing inf rmation is accurate and that all work will be done in compliance with all applicable laws
regul irig coKs�ction n zo ' g. uthermore, I authorize tl above named contractor to do the work stated.
Owner 1 Applicant / Contractor / Agent Date
October 04, 2018 Page 2 of 4
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LOCATION MAP N.T.S.
R L LAZE
SURFACE I-••-••,� •_• _•_••_•• I.,—SACWCCUTASPHALT
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IltRA�I�1ROSNT
FOrLT•Y. CROSSING
•••••• •••• ••••••
�NERAL NINES
• 1i •It&LACEij VASETHATERIAt OVER DITCH SHALL BE TWICE THE
THICKNESSoOF.E 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 98X OF
MAX. DENSITY PER AASHTO T-180
3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED
4. SURFACE MATERIAL SHALL BE CONSISTENT NTH SURROUNDING SURFACE
MATERIAL (1.5" MIN. THICKNESS)
5. BASE MATERIAL SHALL HAVE A MIN. LBR. OF 100 AND A MIN. CARBONATE
CONTENT OF 70% (60X FOR LOCAL STREETS)
6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES
LEGEN D
f 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
6.
VAN
SOD RESTORATION DETAIL
SCALE: 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.
50'
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12
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RAP. 3 4" PLASTIC
GAS .5 o. BORE
DIRE
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I 36" MIN.
8
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6.1 2" C.S. GAiS MAI
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1PROFILE CROSSING NE.BAYSHORE DR. SCALE: H NTS. V 1:5'
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TO BE DIRECTIONAL BORED
O RECEIVED
S'P 19.10IR
EXIST. 2" C.S GAS MAIN
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Drawing File: G:\Documents\MIAMI SHORES\9125 N BAYSHORE DR, MIAMI SHORES\912b N BATbHUKt UK M.Owg Ui/„iZU10
. . ... . . . ...
.. .. . . . .. .. .
. . . . . . . . . .
•:
• • • f • • • • • • • ROAD
• • • • • • • • • • WORK
f • • • • • • • • • AHEAD
• • • • • • •
• •• ••• •• •••
zoo' 200' 400'
J_I CONDITIONS J • • • • • • • • N• • �• •� 0 WHERE ANY VEHICLE, EQUIPMENT, WORKERS
• • OR THEIR ACTIVITIES ENCROACH ON THE
• • • • • • • • • • PAVEMENT REQUIRING THE CLOSURE OF ONE
■ ■ ■ TRAFFIC LANE, FOR WORK AREAS LESS THAN
■ ■ War Ar • • ! • •
• • 200' DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
4oa � 100' Less than
zaa
ROAD
WORK ROAD
AHEAD WORK
AHEAD
zoo 409
I CONDITIONS
J J � 'V WHERE ANY VEHICLE, EQUIPMENT, WORKERS
OR THEIR ACTIVITIES ENCROACH ON THE
PAVEMENT REQUIRING THE CLOSURE OF ONE
b ■ ■ ■ ■ r TRAFFIC LANE, FOR WORK AREAS 200' OR
Work Area MORE DOWNSTREAM FROM AN INTERSECTION
FOR A PERIOD OF MORE THAN 60 MINUTES.
400' � Sa
200' zoo
ROAD More Than
WORK 20a
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 trafficconditions are met:
■ Channelizing Device (See Index No. 600) 6. The maximum spacing between devices shall be no greater than 25.'
2. When vehicles in a parking zone block the line of sigh[ to TCZ a. Work operations are 60 minutes or less.
Work Zone Sign signs or when TCZ signs encroach on a normal pedestrian 7. For general TCZ requirements and additional information, refer to b. Speed is 45 mph or less.
walkway, the signs shall be post mounted and located in Index No. 600. c. No sight obstructions to vehicles approaching the work area for
accordance with Index No. 17302a distance of 600 feet.
Flagger R. 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.
b Lane Identification + Direction of Traffic 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.
ROAD WORK AHEAD signs. Flaggers are not requiredlights operating.
4. F/aggers shall be in sight of each other or in direct 9. Use Temporary Raised Rumble Strips in accordance with Index 603.
communication at all times. Placement of Rumble Strips and additional signs should begin at
FLAGGER sign location.
LAST � DESCRIPTION:
REVISION �, FY 2017-18 INDEX
SNOT
07101115 W Mon DESIGN STANDARDS TWO-LANE, TWO-WAY, WORD NEAR INTERSECTION
605 1 Of 1
41.
4
w
RECEIVED
Miami Shores Village
Public Works Department ScP 19 2018
95-2210
Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FL 33138 CL-N,
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: i w 1 E3-ZM b-4
Name of Applicant (if utility see below): TECO PEOPLES GAS
Owner off the following described property:
Legal Description: Lot C Block Subdivision WATERSEDGE
Folio #; 11-3205-001-0590
Address: 9125 N BAYSHORE DR.
UTILITY NAME: TECO PEOPLES GAS
Qualifier/Authorized Agent: JESUS VEGA
Address: 5101 NW 21 AVE.
City. FT. LAUDERDALE State: FL ZIP: 33309
Telephone: 9554-453-0806 Email: MCABRERA@TECOENERGY.COM
State Certification or Registration #: E1608 Certificate of Competency #
CONTRACTOR NAME:
Qualifier/Authorized Agent:
Address:
City: State: ZIP:
Telephone: Email:
State Certification or Registration #: Certificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: TO INSTALL A NEW GAS SERVICE LINE (3/4" PLASTIC) BY DIRECTIONAL BORE
Type of Work: ❑ Paving x Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City: State: ZIP:
Telephone: Email:
Registration #:
Value of Work for this Permit: $ 100o Square/Lineal Footage of Work: 2 LINEAL
*****Fees*****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $
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
Applicant or Authorized Agent
The foregoing instrument was acknowledged before
me this day of 20, by
who
Signature
Company/Utili64gent
The foregoing instrument was acknowledged bef re
me this day of 20�by
Eg .4 who
is personally known to me or who has produced i personal) to me or who has produced
as as
identification. identifation.
•.�rr r•nr'•.
HUBERT NUNEZ
NOTARY PUBLIC: UBLI rw CGr�1r1�CC1UN 1i GG 10a2a4
• �`;, EXPIRES: Scplember 11, 2021
Sign: Bonded Thru Nolxy Pnhlx: �B1lICYWffir-rS
Print: Print: - Z
SEAL: SEAL:
APPROVED BY: Public Works Director, or Designee
2017-04-15