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PW-18-2485 (2)RED: -` 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 s