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PW-11-1195Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 161596 Permit Number: PW -7 -11 -1195 Inspection Date: December 19, 2011 Inspector: Hernandez, Rafael Owner: MCINTOSH, ANDREW Job Address: 434 GRAND CONCOURSE Miami Shores, FL Project: <NONE> Contractor: TECO PEOPLES GAS SYSTEM Permit Type: Public Works Inspection Type: Final Work Classification: Public Works Phone Number (305)756 -6365 Parcel Number 1132060170050 Phone: (305)957 -3857 Building Department Comments NEW GAS MAIN IN ALLEYWAY Passed Inspector Comments P Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 December 19, 2011 Page 1 of 1 1 1 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Parcel Number Applicant 434 GRAND CONCOURSE Miami Shores, FL 1132060170050 Block: Lot: ANDREW MCINTOSH Owner Information Address Phone CeII ANDREW MCINTOSH 434 GRAND CONCOURSE MIAMI SHORES FL 33138 -2463 (305)756 -6365 Contractor(s) Phone CeII Phone TECO PEOPLES GAS SYSTEM (305)957 -3857 (305)970 -1783 Valuation: Total Sq Feet: $ 1,500.00 405 1 Scanning: 1 Fees Due CCF CCF DBPR Fee DBPR Fee DCA Fee DCA Fee Education Surcharge Education Surcharge Permit Fee Permit Fee Scanning Fee Scanning Fee Technology Fee Technology Fee Amount $0.00 $1.20 $8.08 $0.00 $8.08 $0.00 $0.00 $0.40 $0.00 $150.00 $3.00 $0.00 $1.60 $0.00 Total: $168.36 Pay Date Pay Type Amt Paid Amt Due Invoice # PL- 7- 11- 41351 07/25/2011 Check #: 1429 $ 118.36 $ 50.00 07/06/2011 Check #: 1231 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Press Test 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 1 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy July 25, 2011 Date July 25, 2011 1 14 Miami Shores ViIlage Public Works Department 10050 N.E. 2nd Avenue, Miami Shores. Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Public Works Permit Application FBC 2004 Pent* Type: Fabric Waltg WATgR / / Owners Name (Fee Simple Titteho der) Al/elre w J/vl'/ e / O s4 Phoned: owners Addreea 'i3 a/1tUd eaneowesE Cur 4//4,n .hones Perm�tNo`1'�0' I rl 195 305 7S= -'36� Tenant/Lessee Narire N / 4 • state- R4- Phone It caiLlJob Address (where the wart[ Is being done) '4,34' ( 2 �7C Cc, P7 Co ct rs 2 Z►3o R,I[ i vy ��► City Miami Shores VMage County Miami Dade Is Building Historically Designated: YES NO Contractor% Company Name TECO p es 9'a5 Contactors Address ( S77 14 CST D/ A /6 gut) I city J' e-t_ state F/ ArdrlteetEnglneers Name (If applicable) E va>u. of Work Rallis Permit /SOD. DO Zip Plsnd g: 305— 70 / 3 7 3 Zip 33 160 Phone B: 30 S S 7v / 373 Lineal Footage Or work: Type of Work ❑ Addition ❑ Alteration LJ New ❑ Repair/Replace 0 Damon Describe Work: gaip o 10 P,22tf-1 o 4a l 204 e Ai eto 2" Cress If e.v. � ;4, Submittal Fee $ Notary $ Scanning $ Code Enforcement $ �.,.. Fees 1....,.411........... Permit Fee $ I CCF $ CO/CC Training/Education Fee $ Total Fee Now Due $ (Continued on opposite side) Technology Fee $ Radon $ Zoning Bond $ Structural Plan Review $ \\4131e Bonding Company's Name (if appfcabte) Bonding.Corppany's Address N/A City State Zip • Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address City State Tp 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 theta work will be performed to meet the standards of all laws regulating constuction in thls jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 10 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant As a condition to tNs issuance ofa Public Works permit with an emoted value exceeding dingy $2$ O the applicant must promise in good faith that a copy of time notice of commencement and construction Gan taw bioduee will be' nmd to the person whose property is subject to eftaob rent Also, a certified copyofthe recorded notice of commencemeutmust be misted at the jab site for the fast inspection whldm occurs seven (7) days after Me building penmit is issued in the absence of such posted notice, the inspeclion wN not be approved and a reinspectlon fee will be charged Signature � '� Q The foregoing day of 6 who is personally NOTARY Sign: Print: Owner or Agent wMl OMlate # DD830091 ' Q1 EgfIRES November 29, 2012 • 3-N o e or o as ice r C: i49 'F Aievevt 1411k e( Signature is 2 7 The foregoing day of to has produced Who is person Contractor on and who did take an oath. My Commission Expires: APPLICATION APPROVED BY: 11/17/2005 Public Works Director or his designee. The ROAD .WORK :1' MILE sign may be used as an taternote to the ROAD 'WORK AHEAD .500'beyorsi.- the -ROAD .WORK. AHEAD sign of Philw»y between ,sigma whichever is?ess. *i4 .B'RRO:yRED'.To STOP sign may be ofnttedlor :epeeds, .of 45 MPH or less. aWadi Area Sign 146th 18' x t8" land.. Orange nog And Type 8 ,Light • Crown Fing :Device '(Seer Index 14o. 600) wet* Zone Sign. .. Fkrgger • Automated Flogger Assistance Devices WV). With Gate • Loge 1denffficotion: {._Dirwation of Traffic • TALE 1 DEVICE. SPACING Speed .tmphl -- Fes) Seating tft.) A: , '.8 C 0 .. 40 -or less ;240 .200 .200. 100 45 • -.150,350 350 175 50 - :300 506 250 55 .or= tweeter 26401640 1000 500 The ROAD .WORK :1' MILE sign may be used as an taternote to the ROAD 'WORK AHEAD .500'beyorsi.- the -ROAD .WORK. AHEAD sign of Philw»y between ,sigma whichever is?ess. *i4 .B'RRO:yRED'.To STOP sign may be ofnttedlor :epeeds, .of 45 MPH or less. aWadi Area Sign 146th 18' x t8" land.. Orange nog And Type 8 ,Light • Crown Fing :Device '(Seer Index 14o. 600) wet* Zone Sign. .. Fkrgger • Automated Flogger Assistance Devices WV). With Gate • Loge 1denffficotion: {._Dirwation of Traffic • TALE 1 DEVICE. SPACING Speed .tmphl -- Nam Distance 'Between Devices tft.) Coned rk TubWar M2kers Type tor Type 11 Barricades or Vertical Panels or Drums - .Toper . Tangent - Taper Tangent :25: to ;45' 20 50 20 50 50 to 70' 2t? 5o 20 100 GENERA '1. War* 4Porationtiteltagbe ',confined to one:.froffk .. lane. leaving the-apposite thine open to traffic. 2. Additionetone. woy'oonh'olmali:be effacfed:'-by'the fokowiig muse. -. (1) Ftercamektg: vehicle: f2tOf8cia vehkith t31.Pl7ot veMe/eet (4) "traffic 8Igrxds. Wheal ftaggers aratthe,lale or means of are -way =brat, the tiog s:.stm$bo':3r of each other or in died '01 3. me-:ONE-LANE :0040 signs ere to'..be ROY- 6overad and the FLA signs" either removed or .funy covered 44hen no. work is beiAg.performed and the highway' 0F air• to f**-way. traffic.. 4.. When o side road •intersects the..Nghway- within -the rTC zone,. additionalTTC devices- shadbe:pMced it accordance with`._ other appl le: TCZ.Indexes. MITES 5. The two chonneIaing devices dxecdy it front of the work area and the one chonneising device &reedy at the end of the work area may be omitted provided vehicles on the work area have high- intensity rotating, ffashfng, oseilatieg, or strobe lights operating. 6. For general TCZ requirements and addtionalitformation, refer to Index No. 600. DtRATION NOTES L ROAD WORK AHEAD and the 8E PREPARED To STOP signs moy be omitted if °Hof the following conditions ore mot, a) Work operations ore 60 minutes or less. b) Speed unit is 45 mph or less. c) No sight obstructions to vehicles approaCMng the work area for o O$atance coin to the buffer space d) Vehicles in the work area hove high-intensity, rotating, noshing, oscillating, or strobe tights operating. e) Voknme and complexity of the roadway has been considered. '/3y &2anc/ e'/earsi 2010 FOOT Design Stendelds BUFFER SPACE Speed :mph) Dist. i tt. t 25 155 30 200 35 250 40 305 45 360 50 425 55 495 60 570 65 645 70 730 When Butter Space cannot be attained due to geometric constraints, the greatest attainable length shalbe used, but not less than 200 ft. CONDITIONS WHERE ANY VEHICLE, EQUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH THE AREA BETWEEN THE CENTERLINE AND A 1.1hf 2' OUTSIDE THE EDGE 01 TRAVEL WAY. /mil f stn.. TWO -LANE TWO -WAY, WORK W1TH 1N THE TRAVEL WAY a�� Sneet ae. R.dion 07/01 1 of 2 1603 ,/ • .: VIS:rott,CE-SETwEliv Slays .:Spt ad_ Soaring ift ) (mod . A: , . B C D 40 -or less ' 200 200 .200. 100' : 45 350 '.350- 350 .175 . -.50' - • , : =500 500 250 55'rr= areatet..2646 7640 1000 500 -- .r. The Ra '.WORK:I'MILE sign. troy be used on "alien-Kite to :the ROAD WORK . AHEAD as., •500'-beyand ,the •WORK AHEAD sign •or ni+dway,between= .signs whichever ,xar : tar pREPm -771 STOP sign may be otn)tted -Jar - speeds of 45 MPH ar kpss: snarls Watt -Ater: . Sign With 18" x18" 'Win.).. Orange Roo .And Type B.;b(ght Choonelieng:Aevira'(See Index No. 600) Work Zone Sign. Fbagger Automated ;Flogger Assistance: Devices (AFAR); With Date Lane IdentifuotioE .: tlireeSon of Traffic TABLE I DE acE. SPACING Speed onphl Mar. 0sttinae'Between Devtces eft.) Cones or tubular Makers Type I'or Type II B r Vertical Panels orDr Toper . Tangent Taper tangent 25: to 45 20 50 20 . 50 50` to 70 20 0 20 too 'GENERAL '1. Work operobotts .:a#a6ba- :aonfbred-'to one traffic kkne, kiaVIng ffi- XOsfte•toile open to tro1Hc. 2. Additionalone7w0y east olma : he effected:'by' he. Folfowing-rnean (1) Ftdgruanying: villainies (210f8cialreltia/et (3) Pflot vehtelest: (4) traffic signals. Mee f oggers: exa. gte Ra(e :means of one-way aontr0' The figggiirs,4 s$114A .his of :'each' Other. or M db e 0?i'✓itl+k -et: 3. rhe.IINE.,Liht A40 .signs'ore to. be 64•'eovared, and the. nAtorp. stns: either removed or •fully covered:when ?P ar* is heing.perfoimemt end the highway: ie. two .to. fwa-w0y" trolfis.. • 4.. When 0 siSe rooddtferrwects.. the .tdghwoy withtn: the TTC sootodd1tkintiir79 :devices efkodbe.ploced M accords e: w)tti other .oppksobteT'TI'ihdeXes. NOTES 5. The two ehameTaing devices directly in front of the work area and the one charmeffzing device dnready at the end of the work area may be omitted provided vehicles in the work areo have high- intensity rofotmg. Noshing, oseAAaNng, or strobe lights operating. 6. For general TCZ requirements and addifionalinformatkm, refer to Index tlo. 600. DURATION NOTES L ROAD WORK AHEAD and the BE PREPARED TO STOP signs may be omitted if allot the following conditions we met, o) Work operations are 60 minutes or less. b) Speed Emit is 45 mph or less. c) No sight obstructions to vehicles approaching the work area for a distonce equal to the buffer space d) Vehicles in the work area hove high - intensity, rotating, flashing, oscillating, or strobe lights operating. a) Vobene and complexity of the roadway hos been considered. BUFFER SPACE SPA Dist. (ft. ) 25 155 30 200 35 250 40 305 45 3611 5E 42.. 55 495 60 570 65 645 70 730 When Buffer Space cannot be attained due to geometric constraints, the greotest attainable length, shed be used, but not less than 700 ft. CONDITIONS WHERE ANY VEHICLE. EQUIPMENT, WORKERS OR THEIR ACTIVITIES ENCROACH THE AREA BETWEEN THE CENTERLINE AND A LIAR:' 2' OUTSIDE THE EDGE OF TRAVEL W4Y. Vat/ a2Gnef 64 diwt4 -- zed 2010 FOOT Dear Stondoots TWO -LANE TWO-WAY, WORK WITHIN 771E TRAVEL WAY Letl BMW No. Revblon 07/01/0@ 1 of 2 1603 A be CERTIFICATE OF LIABILITY INSURANCE DAB(M 01D/Y1Y1r) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlflcate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on thls certlflcate does not confer rights to the certlflcate holder In lieu of such endorsement(s). PRODUCER MCGRIFF, SEIBELS & WILLIAMS, INC. P.O. Box 10265 Birmingham, AL 35202 CONTACT PHONE No. Exit 800476 -2211 I FAX No): E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A :Associated Electric & Gas !OS. SVCS. LIABILITY COMMERCIAL GENERAL LIABILITY INSURED Peoples Gas System TECO Energy, Inc. P.O. Box 111 Tampa, FL 33601 INSURER B :Liberty Insurance Corp. X0521AIA11 Self- Insured Retention $1 ,000,000 INSURER C : 07/01/2012 INSURER D : $ 1,000,000 INSURER E : $ INSURER F : X I CLAIMS -MADE [] OCCUR COVERAGES CERTIFICATE NUMBER:F8ZM7JA6 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR VOID POUCY NUMBER POUCY EFF (MMIDDIYYYY) POUCY EXP (MMIDDIYYYY) UMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY X0521AIA11 Self- Insured Retention $1 ,000,000 07/01/2011 07/01/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence/ $ X I CLAIMS -MADE [] OCCUR A one e person) MED EXP (Any $ PERSONAL $ ADV INJURY $ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT AFTLI$SS PER: POLICY n J I I GC PRODUCTS - COMP /OP AGG $ $ A AUTOMOBILE LIABILITY LIABILITY ANY Auto SOS AUTOS ' �.,,,' SCHEDULED O NON-OWNED AUTOS X0521AIA11 Self- Insured Retention $250,000 07/01/2011 07/01/2012 COMBINED SINGLE LIMIT (Ea accident) _$ 1'000'000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY GE acdnt $ $ A X UMBRELLA LIAB EXCESS - - OCCUR LAIMS -MADE X0521AIA11 07/01/2011 07/01/2012 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 RETENTIO . $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY / ANY PROPRIETOR/PARTNER/EX OFFICER/MEur: _S_ .._ - : z. n r � • ry 'H) If yes describe under DESCRIPTION OF OPERATIONS below Y / N N / A 1 WC STATU- I 1OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ EL. DISEASE - EA EMPLOYEE $ EL. DISEASE - POLICY LIMIT $ B EXCESS WC Excess Workers' Compensation EW564N004918121 07/01/2011 07/01/2012 Each Accident or Each Employee for Disease $ $ 1,000,000 $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) Excess Liability policy provides insurance In excess of Peoples Gas System's Self- Insured Retention as stated above. CERTIFICATE HOLDER CANCELLATION City of Miami Shores 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) Page 1 of 1 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD /�C pp ,�iCO/TiD,,, CERTIFICATE OF INSURANCE ISSUE DATE 07/02/2010 PRODUCER MCGRIFF, SEIBELS & WIWAMS, INC. O. Box 10265 ;mingham, AL 35202 800 - 476-2211 This certificate is Issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. COMPANIES AFFORDING COVERAGE Company Associated Electric & Gas Ins. Svcs. A INSURED Peoples Gas System TECO Energy, Inc. P.O. Box 111 Tampa, FL 33601 Company B • Company cc:: Company D Company - E This is to certify that the policies of insurance described herein have been Issued to the Insu ed named herein for the policy period indicated. Notwithstanding any requirement, term or condition of contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, conditions and exclusions of such polities. Limits shown may have been reduced by paid claims, CO LT TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS OF UABILITY A GENERAL LIABILITY ❑ Commerdai General liability t;+ Claim Made ❑ Occurrence ❑ Owners' and Contractors' Protection ❑ ❑ General pate Whit rplim per; ❑ Policy O Project ❑ Location X0521A1A10 Self- Insured Retention $1,000,000 07/01/2010 07/01/2011 EACH OCCURRENCE $ 1,000,E FIRE DAMAGE $ MEDICAL EXPENSE $ PERS. AND ADVERTISING INJURY $ GENERAL AGGREGATE $ 1,000,000 PRODUCTS AND COMP. OPER. AGG. $ A AUTOMOBILE LIABILITY ❑ Any Automobile ❑ All owned Automobiles X0521A1A10 Self- Insured Retention $250,000 07/01/2010 07/01/2011 COMBINED SINGLE UMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ❑ scheduled Automobiles PROPERTY DAMAGE (Per accident $ ❑ rdred Automobiles ❑ Non -owned Automobiles ❑ COMPREHENSIVE COLLISION WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY WC Statutory Umit 1 1 Other 1 1 EL EACH ACCIDENT $ EL DISEASE (Each employee) $ _EL DISEASE (Policy Umit) $ A EXCESS LIABILITY ❑ occurrence M Claims Made X0521A1A10 07/01/2010 07/01 /2011 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS WC Excess Workers' Compensation C0521A1A10 07/01/2010 07/01/2011 Each Accident or Each $ Employee for Disease $ 1,000,000 $ $ $ Excess Liability policy provides insurance in excess of Peoples Gas System's Self- Insured Retention as stated above. CERTIFICATE HOLDER City of Miami Shores 0050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Authorized Representative ; WN 7.0 p m o w mo> Z N D - O aC)O -r -r mzmc 7 211c : so o _,Z »Zm ti Ozs ZFa,y, c Ada l C •COO m NOo, 1 O� Z z IA rn Y. V r- 00 Z 11d134 NOI1V IO1S32i OOS W CA > H 0 0 0 G z A f z m m t- o c 11 Q 0 rn ld3G JNINO a3AOtidd`d m afelliA smogs rwelW CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY E1608 PEOPLES GAS SYSTEM INC D.B.A.: Usl.p.tscL._ J7). VEGA JESUS Is certified under the provisions of Chapter 10 of Miami-Dade County VALID FOR CONTRACTING (MI11.0913012011 QUALIFYING TRADE(S) 0014 FUEL TRANS & DISTR1 o coo 00000:c:.,:,. ^:•.:::::<•: :0;.....:<:e:c•:0.,, , 0Oo40 000 0:0000000 :.: :•x:4:4:4:4:4:4:0:4:4 L'Giov; .....: TRAFFIC SAFETY SERVICES ASSOCIATION �gq This is to emu that . ID #37 .Steven Mitchell Satisfiretorily completed the Miles Attalsaiseed Work Zane Ihsteiteurtrot Wisher Course Date CosavietudefleaRe StstamPassed Phial Lo . Vim, i Instnicter:Ms. Colitedne G. win Date Gres>her Course Required:9 /10/2013 Training & Products Dept: Director vd ilot. < ). ' 01998 GOES 3481 All Rights Reserved LITHO. IN U.S.A.