Loading...
PW-13-1647 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INS P-199531 Permit Number: PW-7-13-1647 Scheduled Inspection Date: October 15,2013 Permit Type: Public Works Inspector: Diaz,Osvaldo Inspection Type: Final Owner: MIRAMONTES,CARLOS&BARBARA Work Classification: Public Works Job Address:674 GRAND Concourse Miami Shores,FL 33138- Phone Number Parcel Number 1132060171950 Project <NONE> Contractor: TECO PEOPLES GAS SYSTEM Phone: (305)957-3857 Building Department Comments INSTALLATION OF NATURAL GAS SERVICE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSPA95713. NOT READY FOR INSPECTION Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 11,2013 For Inspections please call: (305)762-4949 Page 11 of 25 JUL 2 3 BY.mm ........@®.o� Miami Shores Vill a Public Works Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 Public Works Permlt wa, w Permit Application FBC 2004 Permit Type: Public Waft J� �►^ ` q Owners Name(Fee Simple Titleholder) L-e ww-c , //�fr&wft6 yjG S Phone c--P 6 Address city state �'iL uP TenarwLessee Name � Phone Job Addre"(where the work is being done) 67 V Qr'„" b -L C m t.".r G City Miami Shores VBage County Miami Dade Zip . !c Is Building Historically Designated YES NO Contractor's company Name / - Pteone S LJ��, V1 `079 i Contractor's Address 5101 AIV 'rG ✓�C 4! City _,�i� La,c" ��rc+�- stow IOPG zip ArchitecvErtgineera Name(if applicable) Phone III.coo b Value of Work For this Permit /®OO co Cereal Footage Of Work: /B� Type of Work: �❑Addition / Q AfwraUon f1b New E]RepairlReptace ❑ Din Describe Work: :i w s+��rr/�d yv- eX K / 7TTr Y 4,X See-V,#e,G ...»...............Fees>,.....,,,.......... Submittal Fee$ Permit Fee$ 96/dir- I-CCF$ COICC OV Notary$ TeainingtEdvcatlon Fee$ Technology Fee S Scanning$ Radon$ Zoaing Bond$ Coda Enforcement$ Swucutra)Wan Revlaw$ Totgl Fee Now Due$ r •t (Continued on opposite side) �� R Bonding Company s Name(if applicable) Bonding Company's Address N/A City State zip Mortgage Lender's Name(if applicable) N/A Mortgage Lender's Address City State Zip s Application is hereby made to obtain a permit to do the work and installations as indicated.1 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 regulating construction in this 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 taws 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 TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant As a condition to this issuance of a Public Works permit with an estimated value exceeding$2500,the appfcaw must promise in good faith that a raspy of the notice of commencement and construction lien law brochwe wN be delivered to the person whose property is subject to attachment Also,a certified copy of the recorded notice of commermement must be posted at thelob site far the first inspection which occurs seven(7)days after the bw7ding permit is issued.In the absence of such posted notice,the insperhrn w N not be approved and a minspection flee wDl be charged. Signature Signature 31 —144W. Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1 E day of 20L__,by, day of (.� r 20L..3 by 1.1 f�'s f/L��- Q %r. who is personally known to me or who has aced Who know to m has roduoed prod srssnaAY P as kientifiratil on and who did take an oath. as Identification and who did take an oath. NOTARY PUBLIC: Y PUBLIC: Sign: Sign: x1vitut,jr -STATE OF FLORIDA Print Print `7 Yvonne rqoldman mission#EB095912 My Commission Expires: My Commission Expires: �•°•.�p�.r° EXplt eS: APR.22,2015 BONDED THRU AnAN-nC BOND=CO,Ir- APPLICATION APPROVED BY: Public Works Director or his designee. 11/17/2005 +r CTOB Cm�lrxt#on Tram Qualilying Board BUSINESS MR71FICATE OF COMPETENCY E08 rW PEOPLES GAS SYSTEM INC Cr V Jn, VEGA JES17s {� Uit�t ti'ui Gl`G t 90�P_P:�rarr s• +�. f,�g. QUALIFYING TRADE(S) 0014 FUEL TRANS&DISTRI Dam- ` w ClarbsR:E.. aims 'WW,ndmNdaft4- dit A CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES 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 certificate 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 this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT MCGRIFF,SEIBELS&WILLIAMS,INC. NAME. P.O.Box 10265 ='Ext:800-476-2211 ac No): Birmingham,AL 35202 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURER Zurich American Insurance Company 16535 INSURED INSURER B:Associated Electric&Gas Ins.Svcs. Peoples Gas System TECO Energy,Inc. INSURER C:LM Insurance Co oration 33600 702 North Franklin Street Tampa,FL 33602 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:N6LH82KL 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 TYPE OF INSURANCE DL SUBR POLICY EFF POLICY EXP LIMBS LTR I S WVD POLICY NUMBER MIDD MM/DD B GENERAL LIABILITY XL5129402P 07101/2013 07/0112014 EACH OCCURRENCE $ 1,000,000 Self-Insured Retention X COMMERCIAL GENERAL LIABILITY $1,000,000 D G PREMISES Ea occurrence $ X CLAIMS-MADE I--]OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY JEa LOC $ B AUTOMOBILE LIABILITY XL5129402P 07/01/2013 07/01/2014 COMBINED E �: SINGLE LIMIT Self-Insured Retention $ 1,000,000 X ANY AUTO $250,000 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident I B UMBRELLA LIAB OCCUR XL5129402P 07/01/2013 07/01/2014 EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB X CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ A WORKERS COMPENSATION Excess Workers'Compensation: 07/01/2013 07/01/2014 X TORY L T S OTH B AND EMPLOYERS'LIABILITY YIN EWS9318597-02(Statutory Limit is ER ANY PROPRIEfOR/PARTNERlEXECUTIVE I I excess Of$35,000,000 Insured by LM E.L.EACH ACCIDENT $ 1,000,000 OFFICERtMEMBER EXCLUDED? NIA Insurance Corporation) 1,000,000 (Mandatory in NH) Employer's Liability:XL5129402P E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Excess or kers'Compensation EW5-64N-004918-123 07/01/2013 07/01/2014' Each Accident or Each Employee for Disease $ 35,000,000 $ $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) Excess Liability policy provides insurance in excess of Peoples Gas System's Self-Insured Retention as stated above. I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Miami Shores AUTHORIZED REPRESENTATIVE . 10050 NE 2nd Ave Miami Shores,FL 33138 3' Page 1 of 1 ©1888-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD a t ROAD BE ONE LANE sPeEO SLeu was HEAD TO ��� rx��rt>rntT Rs AHEAD R04D WORM Buffer Space D See Table 50, 25d C B A b •• Irk ■ • Wo Area C ROAD D Device Spacing-Tangent 500 END WORK _ iti See Fable 1 ROAD WORK �-AHEAD ,� �� Device Spacing-Taper t FMS ONE LANE ,\ j A see Table t • Rwb�xeas ` ROAD BED A AHEAD �� PREPAREDV �� s �,TO DISTANCE BETWEEN SIGNS TABLE i DEVICE SPACING BUFFER SPACE speed Spacing(ft.) Max.Distance Between Devices(ft.) Speed Dist. (mph) A B C D Type 1 or Type II (mph) (ft.) 40 or less 200 200 200 100 Speed Cones or Barricades or Vertical 25 155 45 350 350 350 175 (mph) Tubular Markers Panels or Verb 30 205 50 Soo 500 500 250 55 or neater 2640 1640 't—SOO 'Taper Tangent Taper Tangent 35 250 25 to 45 20 50 20 1 50 40 305 a +The ROAD WORK 1 MILE sign may be used as m an alternate to the ROAD.WORK AHEAD sign. 50 to 70 10 50 10 100 45 360 50 425 500'beyond the ROAD WORK AHEAD sign or GENERAL NOTES DURATION NOTES �55 465 midway between signs whichever is less. ].Work operations shalt be confined to one traffic lane,leaving the opposite lane I.ROAD WORK AHEAD and the BE PREPARED TO STOP signs may 0 570 BE PREPARED TO STOP sign may be omitted open to traffic. be omitted if all of the following conditions are met: 5 645 for speeds of 45 MPH or less. a.Work operations are 60 minutes or less. 0 730 y 2.Additional one-way control may be effected by the following means. b.Speed limit is 45 mph or less. 1.Flag-carrying vehicle; c.No sight obstructions to vehicles approaching the work area When Buffer Space cannot 2.Official vehicle; for a distance equal to the buffer space. be attained due to geometric 3 3.Pilot vehicles; d.Vehicles in the work area have high-Intensity,rotating, constraints,the greatest $ SYMBOLS 4.Traffic signals. flashing,oscillating,or strobe lights operating. attainable length shall be n e.Volume and complexity of the roadway has been considered. used,but not less than 200 ft. When/loggers are the sole means of one-way control,the flaggers shall be in Work Area sight of each other or in direct communication at all times. 3.The ONE-LANE ROAD signs are to be fully covered and the FLAGGER signs either Sign With 18"x 18" (Min.) removed or fully covered when no work Is being performed and the highway is Orange Flag And Type B Llgnt open to two-way traffic. ■ Channelizing Device(See Index No.600) CONDITIONS 4.When a side road Intersects the highway within the TTC zone,additional TTC devices shall be placed in accordance with other applicable TCZ Indexes. WHERE ANY VEHICLE,EQUIPMENT, _ []� Work Zone Sign WORKERS OR THEIR ACTIVITIES S.The two channelizing devices directly in frond of the work area and the one ENCROACH THE AREA BETWEEN Flagger channelizing device directly at the end of the work area may be omitted provided THE CENTERLINE AND A LINE 2' Automated Flagger Assistance Devices vehicles In the work area have high-intensity rotating,flashing,oscillating,or OUTSIDE THE EDGE OF TRAVEL WAY. _E (AFAD),With Gate strobe lights operating. _ R ==> Lane Identification+Direction of Traffic 6.For general TCZ requirements and additional information,refer to Index No.600. LAST 2 DESCRIPTION: REVISION °�� FDOT DESIGN STANDARDS TWO-LANE, TWO-WAY, t ox sNo 07101108 FY 201212013 WORK WHTHIN THE TRAVEL WAY 603 1 N V !Y • � a 0 2s so (n � � .. Ld a Feet cc - ..r ._ , ','�.+�'�"� rte• U M !- 0 —� � € N cn a t z . PROP. 10' OF 3/4-. PLASTIC GAS SVC TO BE TRENCHED d rn z z s R/W � ° c R/W C/L R/W 0 W EXIST. 2- PE TIE IN SVC TO GAS MAIN a 5' N OF CA WITH T.T. / E.F.V. a DATE.• 07-12-2013 dlOT.• 603 RESTORATION OF ROAD CUT LEGEND: FOR UTILITY CROSSING REI9S/ONSa• I=�aae R/W — RIGHT OF WAY GENERAL NOTES: ADDITIONAL NOTES: ^ '" SAW CUT ASPHALT 2.• SURFACE AW P/L - PROPERTY LINE �• 1. REPLACED BASE MATERIAL OVER DITCH SHALL BE TWICE THE 6. CONTRACTOR SHALL SOFT DIG TO VERIFY LOCATION C/L - CENTERLINE THICKNESS OF THE BASE, MIN. 8- AND MAX. 18- OF EXISTING UTILITIES 2T j! SCALE E.O.P. - EDGE OF PAVEMENT 2. BASE MATERIAL SHALL BE PLACED IN 6- MAX. (LOOSE MEASUREMENT) 7. MAINTAIN A MINIMUM HORIZONTAL SEPARATION OF 1 "= j0' LAYER AND EACH LAYER THOROUGHLY ROLLED OR TAMPED TO 98% OF 5' FROM ANY CITY UTILITIES REPLACEMENT BASE (NEW MATERIAL) I.s' ORCH wIDTN (w) I.s' E.O.B. - EDGE OF BUILDING MAX. DENSITY PER AASHTO T-180 8. MAINTAIN A MINIMUM VERTICAL SEPARATION OF 18« SHEET 3. ASPHALT CONCRETE PAVEMENT JOINTS SHALL BE MECHANICALLY SAWED FROM ANY CITY UTILITIES NO T.T. — TAPPING TEE 4. SURFACE MATERIAL SHALL BE CONSISTENT WITH SURROUNDING SURFACE E.F.V. — EXCESS FLOW VALVE MATERIAL 1 OF 1 5. BASE MATERIAL SHALL HAVE A MIN. LBR OF 100 AND A MIN. CARBONATE SVC — SERVICE LINE CONTENT OF 70% (60% FOR LOCAL STREETS) 12" VARIES 12' j � . JUL 2 3 r�i3 pflV 79 a 4� APPROVED BY � DATE 70NINIG DEPT { BLDG DEP y t� SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COI.INTY RULES AND RFOULATIONS i t oCGs �� 6- �l