PW-18-2485RED: -` JEG
JAM 2 9 2ly
0
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
Permit#: �J 9-- "' Z
Name of Applicant (if utility see below): '7 "�e6 J`&� 'lae €s 65�4s svS f W-
Owner off the following described property:
Legal Description: Lot Block Subdivision
Folio #;
Address: l d 2 A-N D 4 e) BS c' gjE-OT
UTILITY NAME: C, C�CJ�� /� I — v�.� �" 7
Qualifier/Authorized Agent:clS�—
Address: 6 l _
City: State: ,G} ZIP:
Telephone: - Email: t
State Certification or Registration #:nrx Certificate of Compet #
CONTRACTOR NAME:ED �EG� c�-s CTi4 S
Qualifier/Authorized Agent: yr—i- s ✓c A
Address: 1! -7 '719 J
City:State: ,'e . ZIP: 3 G z
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: J NS7-/+LL .vEul i , Ze,---,o^' A1- 10e, jC1201--c -
Type of Work: ❑ Paving
❑ Landscape
r�
DESIGNER: Architect/,E ginger:
Address: '
City:
Telephone:
Registration #:
❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Antenna ❑ Other:
Value of Work for this Permit: $
State:
Email:
ZIP:
Square/Lineal Footage of Work:
***** 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
is personally known to me or who has produced
as
identification.
Signature's
Company/Utili Agent
The foregoing instrument was acknowledged before
me this Z - day of • 120 / 9 , by
identificati
Sign: <:SLga;--
Print: Print:
SEAL: SEAL:
kna?n n�D me or who has produced
— as
MY COMMISSION # GO 104234
EXPIRES: September 11. 202.1
0ON
***********************************
APPROVED BY: i A Public Works Director, or Designee
2017-04-15
'+ RECEIVED
-,� Miami Shores Village
" Public Works Department SEP 19 2018
w (305)795-2210
,.+ Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 33138 0-14 4-1
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: W
Name of Applicant (if utility see below): TECO PEOPLES GAS
Owner off the following described property:
Legal Description: Lot 11 & 15ft 0f11 Block 102 Subdivision MIAMI SHORES SEC 4
Folio #; 11-3206-017-201
Address: 600 GRAND CONCOURSE.
UTILITY NAME: TECO PEOPLES GAS
Qualifier/Authorized Agent: JESUS VEGA
Address: 5101 NW 21 AVE. ��
City: FT. LAUDERDALE State: FL ZIP: 33309 O
Telephone: 954-453-0806 Email: MCABRERA@TECOENERGY.COM
State Certification or Registration #: E1608 Certificate of Competency #
CONTRACTOR NAME:
Qualifier/Authorized Agent:
Address:
City: State: ZI
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 ■❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
Citv:
Telephone:
Registration #:
State:
Email:
Value of Work for this Permit: $1000
Permit Fee $ 100.00
Notary $
Bond $
ZIP:
Square/Lineal Footage of Work: 5 LINEAL
*****Fees*****
-Train ing/Education $ 0.20 Technology Fee $ 0.80 Scanning $
(if required) Total Fee Now Due $
.i
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
is personally known to me or who has produced
as
identification.
NOTARY PUBLIC:
Sign:
Print:
SEAL:
Signature�—
Company/Utility t
The foregoing instrument s acknowledged be re
me this day of 20 by
.Su E who
personally kno to me or who has produced
as
Print:
SEAL:
MY COMMISSION # GG 104234
EXPIRES: September 11, 2021
****** * *********** *************************
APPROVED BY: Public Works Director, or Designee
2017-04-15
15 11
Ccristruution Trades Qualify ing Board
EPS CERTIFICATE OF COMPETENCY
El 608
PEOPLES GAS SYSTEM INC
U ILT— J0,
VEGA JESUS
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: CON-T-0613-2004-05
QUALIFYING TRADE(S)
0014 FUEL TRANS & DISTRI
jaw" 0. emeem PA
$*web" of ow load w jVd2ffWd1*
mw—oaft C—ft nkaYr W wowty 0"
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.. PW-9-18-248S Permit IVR Number: 631580
}' Permit Type: Public Works
�. Work Classification: Public Works
Permit Status: Approved
issue Date: 10/04/2018 1 Expiration:12/18/2018
Parcel Number
Project
600 GRAND CONCOURSE, Miami Shores, FL 1132060172010 <NONE> �Lj
Contacts
SUSAN BENKE Owner PAUL BENKE Owner
600 GRAND CONCOURSE, MIAMI, FL 331382474 600 GRAND CONCOURSE, MIAMI, FL 331382474
PAUL BENKE Applicant TECO PEOPLES GAS SYSTEM Contractor
600 GRAND CONCOURSE, MIAMI, FL 331382474 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 Scl Feet: 5.00 11
Fees
Amount
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$0.80
Total:
$110.00
Building Department Copy
Payments
Amt]PaidTotalFees
$1Deposit
$Check
# 2240
$Amount
Due:
C9y�Fi�
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: certify PFuthermore,
t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulirlg coruction zoningI authorize the above named contractor to do the work stated.
re: Owner / Applicant / Contractor / Agent
Date
October 04, 2018 Page 2 of 4
SYMBOLS:
® Work Area
• Channelizing Device (See Index 102-600)
[p Work Zone Sign
Flagger
* Lane Identification + Direction of Traffic
D
• ev
a
.•
;,Fier* •
•
•
• •
• !pace
•
2_0 •
• C
Tablet
••
••
••• •�•
A
••••• ••• •'• 7•• •••_ V V V
• •r• 7
k AEa
Device Spacing (See Table 1)
Tangent
Taper Length
50' To 100' * May Be omitted if ROAD WORK AHEAD sign is installed upstream within the project limits.
WITHOUT TEMPORARY RAISED RUMBLE STRIPS
GENERAL NOTES:
1. Special Conditions may be required in accordance with these notes
4. When a side road intersects the highway within the TTC zone, place
and the following sheets;
additional TTC devices in accordance with other applicable TCZ Indexes,
A. Railroad Crossings:
5. The two channelizing devices directly in front of the work area may be
a. If an active railroad crossing is located closer to the Work Area than
omitted provided vehicles in the work area have high -intensity rotating,
the queue length plus 300 feet, extend the Buffer Space as shown on
flashing, oscillating, or strobe lights operating.
Sheet 3.
b. if the queuing of vehicles across an active railroad crossing cannot be
6. When Buffer Space cannot be attained due to geometric constraints, use
avoided, provide a uniformed traffic control officer or topping at the
the greatest attainable length, not less than 200 It, for posted speeds
highway -rail grade crossing to prevent vehicles from stopping within
greater than 25 mph.
the highway -nail grade crossing, even if automatic train warning
devices
7. ROAD WORK AHEAD and the BE PREPARED TO STOP signs may be omitted if
are place.
B. If the Work Area encroaches On the Centerline, use the Layout for
all of the following conditions are met:
Temporary Lane Shift to Shoulder on Sheet 3 only if the Existing
A, Mork operations are 60 minutes or less.
Paved Shoulder width is sufficient to provide for an 11' lane
B. Speed limit is d5 mph or less.
between the Work Area and the Edge o/ Existing Paved Shoultleg,
C. There are no sight obstructions to vehicles approaching the work area for
Reduce the posted speed when appropriate,
a distance equal to the Buffer Space shown in Table 1.
2. Temporary Raised Rumble Strips:
O. Vehicles in the work area have high -intensity, rotating. flashing, oscillating,
or strobe lights operating.
A. Use when both of the following conditions are met concurrently:
E. Volume and complexity of the roadway has been considered.
a. Existing Posted Speed is 55 mph or greater;
F. If a railroad crossing is present, vehicles will not queue across rail tracks.
b. Work duration is greater than 60 minutes.
G. AFADs are not in use.
B. Use a consistent Strip color throughout the work zone.
B. See Index 102-600 for TCZ requirements information.
C. Place each Rumble Strip Set transversely across the lane at locations
general and additional
shown.
D. Use Option 1 or Option 2 as shown on Sheet 2. Use only one option
9. Automated Flagger Assistance Devices (AFADs) may be used in accordance
throughout work zone.
with Specifications Section 102, 990 and the APL vendor drawings.
3. Additional one-way control may be provided by the following means:
A. Flag -carrying vehicle;
B. Official vehicle;
C. Pilot vehicles;
D. Traffic signals.
When flaggers are the sole means of one-way control, the flaggers
must be in sight of each other or in direct communication at all times.
TABLE t
Posted
Speed
DEVICE SPACING
Distance
Between
Signs
A B C D
Buffer
Space
Maximum Spacing
of Cones or
Tubular Markers
Maximum Spacing of
Type I or Type 11
Barricades/Panels/Drums
On a
Taper
On a
Tangent
On a
Taper
On a
Tangent
15
20,
50'
217
50'
200'
1 200'
200'
100'
155'
30
20'
so,
20'
50'
20V
200'
200'
100'
200'
35
20'
50'
20'
50'
200'
200'
200'
100'
250'
40
20'
50,
20'
50'
200'
200
200'
10&
305'
45
20'
50,
20'
50,
350'
350'
350'
175'
360,
50
20'
50'
20'
1 100,
500'
500'
1 500'
25d
425'
55
20'
50'
20'
100'
2640'
1500'
1000'
500'
495'
60
20'
S0'
20'
100
2640'
"00'
100'
500'
570'
65
20'
S0'
20'
100
2640
I500
1000
SOd
645'
70
20'
S0'
20'
100'
2640'
1500
1000'
In'
730'
CONDITIONS
WHERE ANY VEHICLE, EQUIPMENT,
WORKERS OR THEIR ACTIVITIES
ENCROACH THE AREA BETWEEN
THE CENTERLINE AND A LINE 2'
OUTSIDE THE EDGE OF TRAVEL WAY.
LAST DESCRIPTION: FY 2018-19 INDEX SHEET
REVISION TWO-LANE, Two -WAY,
11/ot/t7 �T STANDARD PLANS WORD WIITHIIN THE TRAVEL WAY ]02-603 1 of 3
A
m _GRAND Cot"
585
sTs m �— 674 6co
620
011110 9860 LEGEND
�. f CENTER LINE
548 m �' 9824 M MONUMENT LINE
Dopy
as 9920 R/w RIGHT OF WAY
P/L PROPERTY LINE
�.,1 G 9800 _ E.O.P. EDGE OF PAVEMENT
\ m NE5iHAV�V~�~~ EFV. EXCESS FLT. TAPPING OW VALVE
SW_ SERVICE LINE
PE PLASTIC
t
STM. SEW. STORM SEWER
LOCATION MAP �N.T.Es.�
••
• • • , SLWAMSAW CUT ASPMT
I
see* I, Nro7H 7A'
RECEIVED
• e
•..�.• ,r SEP 19 2010
• JJ 55 fORP.•TIQM OF ROAD CUT
•*•••FOR L3TILIkY CROSSING Q4 +01
GENERAL NOTES
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 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% (60X FOR LOCAL STREETS)
6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION OF EXISTING UTILITIES
6"
MN
SOD RESTORATION DETAIL
SCALE NOT M 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.
12
. GRD.
12
—1
------- ------
I OP. 3/4- PLASTIC
EX 6- C.S. GAS MAI 36- MIN, I DIRECTIONAL BORE
8
1
II
1 ' r_ec GAS
I I
1 1
1 �
4
PROFILE CROSSING ALLEY SCALE: H NTS. V 1:5'
4
/
...SET > DH -...
&'-CROSS '
CURVE .DATA
A-70:40!05' &
T=17.72'
i.
W4 ; ss:co 'I
PROP. GASH
RISER
PROP. 314" P.E.
SVC. TO BE
DIRECTIONAL
BORED
'?
co
C 0 - , OV
N
G1 ;
w t E
s
SCALE:1'=30'
.qa
xo�
EC?
'
Ov
15'/
EXIST. 2" P.E. GA
a . g
0,
/5
MAIN 1-3
'
0
EXIST. 2" C.S. GAS � 35.
70'
MAIN 1-3
s &D...
- 'I �CAP
I
I 0 dN wALK
� l ' ' � ' ' �
45
XIST. 6 C.S. GAS
�. 9820
_s
J TIE IN SVC. TO GASAMAI
MAIN 1-3
I
IMT T. T/E.F. V.
j —
9800
--
NO.
OF ire:
FG / r
Drowina File: G:\Documents\MIAMI SHORES\600 GRAND CONCOURSE. MIAMI SHORES. FL 33138\600 GRAND CONCOURSE IAMI SHORES.dwa µ09/11 /2018
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