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04-21-09 Item 2aof SouTy''. City of South Miami South Miami ti 9 PUBLIC WORKS DEPARTMENT All-AmedcaChy INCORPORATE 4795 SW 75th Avenue P I '® �c '92' Miami, FL 33155 O Rl0 Tel. (305) 663-6350 Fax (305) 668-7208 zoo, MEMORANDUM To: The Honorable Mayor and Members of the City Commission Via: W. Ajibola Balogun, City Manager —Lo From: Jose Olivo, P.E., Public Works Director � .J Subject: 5966 South Dixie Highway Development Right -of -Way Permits Date: April 14, 2009 Ca As per your request, the following is a list of right -of -way permit fees charged so far to the developer /contractor for the above referenced subject: Permit No. 08- 10000055 08- 10000056 09- 10000024 09- 10000027 09- 10000028 09- 10000029 Description Drainage & Roadway Work Water & Sewer Work Staging Area for Trucks delivering Construction Materials Use of Crane . Use of Crane Street Closure for Concrete Pour Amount $1,695.00 $ 335.00 $1,000.00 /mo. (due on 27th day of every mo. until 9- 30 -09) $ 300.00 $2,200.00 $1,600.00 Attached please find a copy of all public right -of- way permits issued. Should you require any additional information please feel free to contact me. Thank you. F OUT / THE CITY OF SOUTH MIAMI ° s PERMIT# PUBLIC WORKS DEPARTMENT 4795 SW 75h Avenue, Miami, Florida 33155 INCORPORATED Phone: (305) 663 -6350 - Fax (305) 668 -7208 1827 Ogl PERMIT APPLICATION FOR WORK WITHIN THE PUBLIC RIGHT -OF -WAY Note: ALL FIELDS SHALL BE FILLED PROJECT LOCATION: APPLICANT: PHONE /CELL. # a7 E -mail: .106exT � AG /C (foM APPLICANT'S ADDRESS:/ ✓ 0 3 I Sw s-2 521- /1/14' 111 I' / Z- 3L3.%tQ3 STREET , CITY STATE ZIP I HEREBY REQUEST A PERMIT FOR THE FOLLOWING: (BE SPECIFIC AND ATTACH PLANS AND ADDITIONAL SHEETS) 60XAC7 6,t) Su) 7`4 (fvt/t-g G`)+,-Z-, ���Cu126 ESTIMATED PROJECT COST: $ ©D ©�D, OD PROJECT DURATION: 3 +o 1� AN1"hs 04--0 --0� ANTICIPATED EFFECTS ON VEHICULAR AND PEDESTRIAN TRAFFIC DURING PROJECT / MAINTENANCE OF TRAFFIC PROVISIONS (INCLUDE PLANS OR SKETCHES): "IN SIGNING THIS APPLICATION, I UNDERSTAND THAT SEPARATE CITY AND /OR COUNTY PERMITS MAY BE REQUIRED FOR THIS PROJECT. FURTHERMORE/( I AM AWARE THAT I AM RESPONSIBLE FOR ENSURING THAT THE PROJECT IS COMP ED IN ACCORDANCE WI LANS AND SPECIFICATIONS AS STIPULATED IN THE P I A P OV L CONDITIONS." SIGNATURE 6F CONTRACTOR/QUALIFIER NOTARY ti"_wl �'r°�+: �%M Notary Pablk - Stata d AM PRINT NAME & CONTRACTORS LICENSE NO. DATE °i` X1710 nua`� � ®dldedTltldnhNltlduO�Yflaw� FOR OFFICE USE ONLY RECEIVED + DATE APPROVED/ DISAPPROVED + DATE COMMENTS PERMIT FEES PUBLIC WORKS AUTHORIZATION: /� �� DATE: V.11.2007 - 01 CITY OF SOUTH MIAMI bb! Payment Due Selection P i-ication nbr 08 10000055 5966 SOUTH DIXIE HIGHWAY Select fees due, press Enter. 1=Select entire amount Amount Fee Opt to apply Type, Trans amt Amount due 1 1695.00 PF 1695.00 1695.00 Str/Seq Permit 000,000 PW 00, 8/28/08 14:27:36 Inspection Potal 1695.00 F3=Exit F5=Select all fees F10=View 2 F12=Cancel F21=User defaults CH, ``-f F 5o Up ,­--'THE CITY OF SOUTH MIAMI PERMIT# PUBLIC WORKS DEPARTMENT 4795 SW 75`h Avenue, Miami, Florida 33155 INCORPORATF.O O� /� �• Phone: (305) 663 -6350 - Fax (305) 668 -7208 1927 0Rt PERMIT APPLICATION FOR WORK WITHIN THE PUBLIC RIGHT -OF -WAY Note: ALL FIELDS SHALL BE FILLED PROJECT LC APPLICANT: PHONE /CELL. # APPLICANT'S ADDRESS: - c.crnn I HEREBY REQUEST A PERMIT FOR THE FOLLOWING: (BE SPECIFIC AND ATTACH PLANS AND ADDITIONAL SHEETS) ESTIMATED PROJECT COST: $ 4(p, b� PROJECT DURATION: 34 ANTICIPATED EFFECTS ON VEHICULAR AND PEDESTRIAN TRAFFIC DURING PROJECT / MAINTENANCE OF TRAFFIC PROVISIONS (INCLUDE PLANS OR SKETCHES): "IN SIGNING THIS APPLICATION, I UNDERSTAND THAT SEPARATE CITY AND /OR COUNTY PERMITS MAY BE REQUIRED FOR THIS PROJECT THE ORE, I AM AWARE THAT I AM RESPONSIBLE FOR ENSURING TWAT THE PROJECT IS COMPLETED IN ATHE NS AND SPECIFICATIONS AS STIPULATED IN TH M AP OVAL COQtt�ITIONS." CONTRACTOR/QUALIFIER NOTARY 21r7j ZY9 �oks l's DID PRINT NAME & CONTRACTORS LICENSE NO. DATE 4 •: Nofery MCKEtIffE • > N of Roft FOR OFFICE USE ONLY Ba�drd Throu�e N�Y�MAieM,w RECEIVED + DATE APPROVED/ DISAPPROVED + DATE COMMENTS E I PUBLIC WORKS AUTHORIZATION: DATE: V.11.2007 a. CITY OF SOUTH MIAMI Payment Due Selection "r'l4ication nbr 08 10000056 °}roperty . . . . . 5966 SOUTH DIXIE HIGHWAY Select fees due, press Enter. 1= Select entire amount Amount Fee. .Opt to apply Type ' Trans amt Amount due 1 335.00 PF 335.00 335.00 Str /Seq Permit 000 000 PW 00 8/28/08 14:27:07 Inspection 'otal 335.00 F3 =Exit FS= Select all fees F10 =View 2 F12= Cancel F21 =User defaults '-60 �Ob 4 b O U T Permit No. 08- 10000055/56 21� Pagel of 2 h?NCORPORATE D,/ 1927 (3 It -1 City of South Miami PERMIT CONDITIONS We accept the conditions listed below (sign): Name: ��� -i/I C" �'t �`�`� Title: Date: Permits for construction work must be on project site at all times. 2. All materials and labor under the project shall be in strict accordance with the requirements of the City of South Miami, Miami -Dade County, and all other local, state, and national codes, where applicable. 3. All construction shall be performed in a safe manner in accordance with the rules and regulations of the Occupational Safety and Health Administration (OSHA). 4. Traffic shall be maintained in accordance with Florida Department of Transportation (FDOT) Maintenance of Traffic (MOT) standards, Miami -Dade County standards, Manual of Uniform Traffic Control Devices (MUTCD) and any additional requirements by the City of South Miami Public Works Department & Police Department. No street shall be closed without written authorization from the Public Works Department and City of South Miami Police Department. 5. Access for local traffic shall be maintained at all times. 6. During construction, the project site and all adjacent areas must be maintained in a neat and clean manner. 7. All pavement open -cut during utility installation or repair shall be temporarily restored with asphalt or steel plates at the end of each workday. NO TRENCHES OR PITS SHALL BE LEFT OPEN OVERNIGHT. 8. All utilities location markings within the right -of -way shall be removed before project closeout. 9. Disturbed areas shall be restored to equal or better condition than they were before the work started. The restoration shall include the following: • Road /pavement areas shall be restored at least 25' from the edges of disturbed areas and to the edges of pavement. • Sidewalk panels shall be replaced, i.e., the sidewalk shall be restored in full width. • Landscaped areas, including and not limited to grass, sod, shrubs and trees replacement, shall be fully restored. 10. All rims of manholes and water valves to beat grade when repair is finished. 11. If all restoration work is not performed within 30 days of work completion, the City of South Miami Public Works Department may restore the work area and charge the applicant for the cost of restoration plus a minimum of 15% for administrative fee and any additional incidental fees. 12. Contractor shall conduct daily dust control and implement storm water erosion and sediment control measures for pollution prevention. Permit No. 08- 10000055/56 Page 2 of 2 13. Work is not permitted on Saturdays, Sundays and Holidays. Work is only allowed from 8 am to 5 pm, unless otherwise authorized. 14. No material or equipment shall be staged in the public R/W overnight. 15. Applicant shall submit MOT to Chief Bobby Richardson, City of South Miami Police Department . for review and approval prior to construction. Chief of Police maybe reached at 305- 663 -6301. 16. Once the work is complete, Contractor shall notify the City of South Miami Public Works Department for a substantial completion inspection. 17. Contractor shall adhere to all requirements as noted in the Pre- construction Minutes attached dated 8- 29 -08. 4 $Our THE CITY OF SOUTH MIAMI ^�, PERMIT# PUBLIC WORKS DEPARTMENT s !j 4795 SW 75'b Avenue, Miami, Florida 33155 NCORM"T[ Phone: (305) 663- 6350. - Fax (305) 668 -7208 1927 r L0R19 PERMIT APPLICATION, FOR WORK WITHIN' THE PUBLIC RIGHT -OF -WAY PROJECT LOCATION, U � ' / 1 (�/`�Lj e__ ���� -ii -� ,j APPLICANT: ()�f �C - L) n 1 �! 9L`, r l�tJ ti i� 'NAME: LJ� I. ifaiAD WE In S PHONE /CELL. # `I? Lr _qq�y `-7 1 � E -mail: ed uardo on Ccm APPLICANT'S ADDRESS: CITY STATE ZIP I HEREBY REQUEST A PERMIT FOR THE FOLLOWING: (BE SPECIFIC AND ATTACH PLANS AND ADDITIONAL SHEETS) 4W- -44 ESTIMATED PROJECT COST: $ ,vZA • PROJECT DURATION: ANTICIPATED EFFECTS ON VEHICULAR AND PEDESTRIAN TRAFFIC DURING PROJECT / MAINTENANCE OF TRAFFIC PROVISIONS (INCLUDE PLANS OR SKETCHES): 'IN SIGNING THIS APP (CATION, I UNDERSTAND THAT SEPARATE CITY AND /OR COUNTY PERMITS MAY BE REQUIRED FOR THIS PROJECT. FURTH ORE, I AM AWARE THAT i AM RESPONSIBLE FOR ENSURING THAT THE PROJECT IS COMPLET D IN ACCORDANCE THE PLANS AND SPECIFICATIONS AS STIPULATED IN THE P MIT APPROVA NDI IONNS.' SIGNATU F CO RA OR/QUALIFIER TA 7z f f f `� I z LSZ ©OtY PUBLIC - STATE OF FLORIDA PRINT NAME & CONTRACTORS LICENSE NO. DATE o ,, �comII11SSi0n #DD644362 F,xDires: FEB. 26.2 11 FOR OFFICE USE ONLY A' "ANTIC BONDING CO., INC. RECEIVED + DATE APPROVED/ DISAPPROVED + DATE COMMENTS. PERMIT FEES oy PUBLIC WORKS AUTHORIZATION: DATE: V.11.2001 BP820U01 Application nbr Property . . . . Select fees due, 1= Select entire Amount Opt to apply 1 1000.00 CITY OF SOUTH MIAMI Payment Due Selection C9 10000024 5966 SOUTH DIXIE HIGHWAY press Enter. amount Fee Type Trans amt Amount due/ PF 1000.00 1000.0R' Total 1000.00 F3 =Exit FS= Select all fees Str /Seq Permit 000 000 PW 00 F10 #iew 2 F12= Cancel 3/27/09 09:30:29 Inspection. F21 =User defaults Cpl' 2�a9�— i `rf 4•�i4 :L� s.it 4 l.f'.i •r� -iJ 4J:.J a00 Permit No. 09- 10000024 Page 1 of i City of South Miami PERMIT CONDITIO We accept the conditions listed below (sign): fJ Name: �i/.t &e.1 , iL✓1/,Q/Y _[ Title: Date: 1. Permits for construction work must be on project site at all times. 2. All materials and labor under the project shall be in strict accordance with the requirements of the City of South Miami, Miami -Dade County, and all other local, state, and national codes, where applicable. 3. All construction shall be performed in a safe manner in accordance with the rules and regulations of the Occupational Safety and Health Administration (OSHA). 4. Traffic shall be maintained in accordance with Florida Department of Transportation (FDOT) Maintenance of Traffic (MOT) standards, Miami -Dade County standards, Manual of Uniform Traffic Control Devices (MUTCD) and any additional requirements by the City of South Miami Public Works Department & Police Department. No street shall be closed without written authorization from the Public Works Department and City of South Miami Police Department. 5. Access for local traffic shall be maintained at all times. 6. During construction, the project site and all adjacent areas must be maintained in a neat and clean manner. Contractor is encouraged to notify any affected property owners prior to construction. 7. All pavement open -cut during utility installation or repair shall be temporarily restored with asphalt or steel plates at the end of each workday. NO TRENCHES OR PITS SHALL BE LEFT OPEN OVERNIGHT. 8. All utilities location markings within the right -of -way shall be removed before project closeout. 9. Disturbed areas shall be restored to equal or better condition than they were before the work started. The restoration shall include the following: • Road /pavement areas shall be restored at least 25' from the edges of disturbed areas and to the edges of pavement. • Sidewalk panels shall be replaced, i.e., the sidewalk shall be restored in full width. • Landscaped areas, including and not limited to grass, sod, shrubs and trees replacement, shall be fully restored. • Brick pavers at intersections. The full intersection shall be restored regardless of the size of the disturbed area. 10. All rims of manholes and water valves to be at grade when repair is finished. 11. If all restoration work is not performed within 30 days of work completion, the City of South Miami Public Works Department may restore the work area and charge the applicant for the Permit No. 09- 10000024 Page 2 of 2 cost of restoration plus a minimum of 15% for administrative fee and any additional incidental fees. 12. Contractor shall conduct daily dust control and implement storm water erosion and sediment control measures for pollution prevention. 13. Work is not permitted on Saturdays, Sundays and Holidays. Work is only allowed from 8 am to 5 pm. 14. No material or equipment shall be staged in the public R/W overnight. 15. Applicant shall submit MOT to Chief Bobby Richardson, City of South Miami (CSM) Police Department for review and approval prior to construction. Chief of Police may be reached at 305- 663 -6301. 16. Contractor shall notify the City of South Miami Public Works Department once work is completed. 17. Any damage to private property shall be restored to its original condition or better and as accepted by the Owner. 18. A monthly permit fee of $1,000.00 shall be made on the 27`b day of each month. Contractor shall pay the monthly permit fee at the cashier's window located at City Hall 6130 Sunset Drive. Contractor shall provide a copy of receipt for payment to Public Works as proof of payment. } soor { THE CITY OF SOUTH MIAMI � °4 9 1 PERMIT# PUBLIC WORKS DEPARTMENT 4795 SW 75u' Avenue, Miami, Florida 33155 , MCGR,OMTC 2� . {` Phone: (305) 663 -6350 - Fax (305) 668 -7208 o9x�9r l PERMIT APPLICATION FOR WORK WITHIN THE PUBLIC RIGHT -OF -WAY PROJECT LOCATION: .� NAME: [ ,`/�6 rI�? N.�t�.._i APPLICANT: PHONE /CELL. # �4lfi' / E- mail:�/L/,�'��j'L�/ APPLICANT'S ADDRESS: / �7 � /�`� ! �"L �f'�'' STREET CITY STATE ZIP I HEREBY REQUEST A PERMIT FOR THE FOLLOWING: (BE SPECIFIC AND ATTACH PLANS AND ADDITIONAL SHEETS) ESTIMATED PROJECT COST: $ PROJECT DURATION: ANTICIPATED EFFECTS ON VEHICULAR AND PEDESTRIAN TRAFFIC DURING PROJECT / MAINTENANCE OF TRAFFIC PROVISIONS (INCLUDE PLANS OR SKETCHES): ` fL E Do "IN SIGNING T HIS APPLI ATION, I UNDERSTAND THAT SEPARATE CITY AND /OR COUNTY PERMITS MAY BE REQUIRED FOR THIS PROJECT. FUR E, I AM AWARE THAT I AM RESPONSIBLE FOR ENSUNG THAT THE PROJECT IS COMPLETED IN ACCORDANCE WIC Fi T PLANS AND SPECIFICATIONS AS STIPULATED IN THE PERMIT APPROVAL CONDITIONS.° / I A SIGNATURE OF ONTRACTOR/ UALIFIER NOTARY YP C -,STATE OF FLORIDA R. Traad PRINT NAME & CONTRACTORS LICENSE NO DAT mrr3: ion r , 26, 2011 ' � '6, 2012 FOR OFFICE USE ONLY RECEIVED I APPROVED I + DATE DISAPPROVED + DATE PUBLIC WORKS AUTHORIZATIO V.11.2007 COMMENTS V -4Gl— cl C 7_,�P e- .P /,rt,r A7 'd PERMIT FEES Soo D D . f DATE: d \l City of South Miami We accept the conditions listed below (sign): Name: Title: Permit No. 09- 10000027 Page 1 of 2 Date: /L%� 1. Permits for construction work must be on project site at all times. 2. All materials and labor under the project shall be in strict accordance with the requirements of the City of South Miami, Miami -Dade County, and all other local, state, and national codes, where applicable. 3. All construction shall be performed in a safe manner in accordance with the rules and regulations of the Occupational Safety and Health Administration (OSHA). 4. Traffic shall be maintained in accordance with Florida Department of Transportation (FDOT) Maintenance of Traffic (MOT) standards, Miami -Dade County standards, Manual of Uniform Traffic Control Devices (MUTCD) and any additional requirements by the City of South Miami Public Works Department & Police Department. No street shall be closed without written authorization from the Public Works Department and City of South Miami Police Department. 5. Access for local traffic shall be maintained at all times. 6. During construction, the project site and all adjacent areas must be maintained in a neat and clean manner. Contractor is encouraged to notify any affected property owners prior to construction. 7. All pavement open -cut during utility installation or repair shall be temporarily restored with asphalt or steel plates at the end of each workday. NO TRENCHES OR PITS SHALL BE LEFT OPEN OVERNIGHT. 8. All utilities location markings within the right -of -way shall be removed before project closeout. 9. Disturbed areas shall be restored to equal or better condition than they were before the work started. The restoration shall include the following: • Road /pavement areas shall be restored at least 25' from the edges of disturbed areas and to the edges of pavement. • Sidewalk panels shall be replaced, i.e., the sidewalk shall be restored in full width. • Landscaped areas, including and not limited to grass, sod, shrubs and trees replacement, shall be fully restored. • Brick pavers at intersections. The full intersection shall be restored regardless of the size of the disturbed area. 10. All rims of manholes and water valves to be at grade when repair is finished. 11. If all restoration work is not performed within 30 days of work completion, the City of South Miami Public Works Department may restore the work area and charge the applicant for the Permit No. 09- 10000027 Page 2 of 2 cost of restoration plus a minimum of 15% for administrative fee and any -additional incidental fees. 12. Contractor shall conduct daily dust control and implement storm water erosion and sediment control measures for pollution prevention. 13. Work is not permitted on Saturdays, Sundays and Holidays. Work is only allowed from 8 am to 5 pm. I 14. No material or equipment shall be staged in the public R/W overnight. 15. Applicant shall submit MOT to Chief Bobby Richardson, City of South Miami (CSM) Police Department for review and approval prior to construction. Chief,of Police may be reached at 305- 663 -6301. 16. Contractor shall notify the City of South Miami Public Works Department once work is completed. 17. Any damage to private property shall be restored to its original condition or better and as accepted by the Owner. 18, Crane shall be properly secured and barricaded while not in use. CITY OF SOUTH MIAMI Payment Due Selection Application nbr 09 10000027 Property 5966 SOUTH DIXIE HIGHWAY Select fees due, press Enter. 1= Select entire amount Amount Fee Opt to apply Type Trans amt Amount due 1 300.00 PF 300.00 300.00 Total 300.00 F3 =Exit FS= Select all fees Str /Seq Permit 000 000 PW 00 a 4/08/09 11:28:20 Inspection F10 =View 2 F12= Cancel F21 =User defaults j+ aa3�o sour THE CITY OF SOUTH MIAMI °4 �. PERMIT# PUBLIC WORKS DEPARTMENT s 4795 SW 75`h Avenue, Miami, Florida 33155 NCORVORATE Phone: (305) 663 -6350 - Fax (305) 668 -7208 .� 1927 L0It19 PERMIT APPLICATION FOR WORK WITHIN THE PUBLIC RIGHT -OF -WAY Note: ALL FIELDS SHALL BE FILLED PROJECT LOCATION: �" �j APPLICANT: 15� I iV { ��) �t Xi� NAME: PHONE /CELL. # E -mail: APPLICANT'S ADDRESS: -UU� u) 5D IlU S7RFFT CITY STATE ZIP I HEREBY REQUEST A PERMIT FOR THE FOLLOWING: (BE SPECIFIC AND ATTACH PLANS AND ADDITIONAL SHEETS) 20 RLb ESTIMATED PROJECT COST: $ PROJECT DURATION: ANTICIPATED EFFECTS ON VEHICULAR AND PEDESTRIAN TRAFFIC DURING PROJECT / MAINTENANCE OF TRAFFIC PROVISIONS (INCLUDE PLANS OR SKETCHES): "IN SIGNING THIS PLICATION, I UNDERSTAND THAT SEPARATE CITY AND /OR COUNTY PERMITS MAY BE REQUIRED FOR THIS PROJECT. FURT MORE, I AM AWARE THAT I AM RESPONSIBLE FOR ENSURING THAT THE PROJECT IS COMPLETED IN ACCORDANC H THE PLANS AND SPECIFICATIONS AS STIPULATED IN THE PERMIT APPROVAL CONDITIONS." SIGN E OF CONTRACTOR /QUALIFIER NOFTARY o��Y puaG Notary Public State of Florida _ y / Yesenia Vega —"D My Commission DD64 PRINT NAME & CONTRACTORS LICENSE NO. DATE of FL9, Expires 02/26/2011 FOR OFFICE USE ONLY RECEIVED + DATE APPROVED/ DISAPPROVED + DATE COMMENTS PERMIT FEES �11CD = PUBLIC WORKS AUTHORIZATION: /" DATE: V.11.2007 Permit No. 09- 10000028 Page 1 of 2 �J 2 53:'.7 City of South Miami PERMIT CONDITION We accept the conditions listed below (sign): Name: Title: Date: 1. Permits for construction work must be on project site at all times. 2. All materials and labor under the project shall be in strict accordance with the requirements of the City of South Miami, Miami -Dade County, and all other local, state, and national codes, where applicable. 3. All construction shall be performed in a safe manner in accordance with the rules and regulations of the Occupational Safety and Health Administration (OSHA). 4. Traffic shall be maintained in accordance with Florida Department of Transportation (FDOT) Maintenance of Traffic (MOT) standards, Miami -Dade County standards, Manual of Uniform Traffic Control Devices (MUTCD) and any additional requirements by the City of South Miami Public Works Department & Police Department. No street shall be closed without written authorization from the Public Works Department and City of South Miami Police Department. 5. Access for local traffic shall be maintained at all times. 6. During construction, the project site and all adjacent areas must be maintained in a neat and clean manner. Contractor is encouraged to notify any affected property owners prior to construction. 7. All pavement open -cut during utility installation or repair shall be temporarily restored with asphalt or steel plates at the end of each workday. NO TRENCHES OR PITS SHALL BE LEFT OPEN OVERNIGHT. 8. All utilities location markings within the right -of -way shall be removed before. project closeout. 9. Disturbed areas shall be restored to equal or better condition than they were before the work started. The restoration shall include the following: • Road /pavement areas shall be restored at least 25' from the edges of disturbed areas and to the edges of pavement. • Sidewalk panels shall be replaced, i.e., the sidewalk shall be restored in full width. • Landscaped areas, including and not limited to grass, sod, shrubs and trees replacement, shall be fully restored. • Brick pavers at intersections. The full intersection shall be restored regardless of the size of the disturbed area. 10. All rims of manholes and water valves to be at grade when repair is finished. 11. If all restoration work is not performed within 30 days of work completion, the City of South Miami Public Works Department may restore the work area and charge the applicant for the Permit No. 09- 10000028 Page 2 of 2 cost of restoration plus a minimum of 15% for administrative fee and any additional incidental fees. 12. Contractor shall conduct daily dust control and implement storm water erosion and sediment control measures for pollution prevention. 13. Work is not permitted on Saturdays, Sundays and Holidays. Work is only allowed from 8 am to 5 pm. 14. No material or equipment shall be staged in the public R/W overnight unless specifically authorized by the Department. 15. Applicant shall submit MOT to Chief Bobby Richardson, City of South Miami (CSM) Police Department for review and approval prior to construction. Chief of Police may be reached at 305- 663 -6301. 16. Contractor shall notify the City of South Miami Public Works Department once work is completed. 17. Any damage to private property shall be restored to its original condition or better and as accepted by the Owner. 18. Crane shall be properly secured and barricaded while not in use as well. 19. Permit expires on July 7, 2009. 20. In the event of an emergency (eg.: approaching hurricanes, extensive flooding, etc..) the crane shall be removed from the site. B2820U01 CITY OF SOUTH MIAMI Payment Due Selection Application nbr . . 09 10000028 Property . . . . 5966 SOUTH DIXIE HIGHWAY Select fees due, press Enter. 1= Select entire amount Opt 1 Amount Fee to apply Type Trans amt Amount due Str /Seq Permit 2200.00 PF 2200.00 2200.00 000 000 PW 00 Cotal 2200.00 4/09/09 13:13:46 Inspection F3 =Exit F5= Select all fees F10 =View 2 F12= Cancel F21 =User defaults THE CITY OF SOUTH MIAMI o4 sourA� PERMIT 4 PUBLIC WORKS DEPARTMENT 4795 SW 75h Avenue, Miami, Florida 33155 INCORPORATE ' Phone: (305) 663 -6350 - Fax (305) 668 -7208 7027 r LQR19 PERMIT APPLICATION FOR WORK WITHIN THE PUBLIC RIGHT -OF -WAIL' Note: ALL FIELDS SHALL BE FILLED PROJECT LC APPLICANT: PHONE /CELL. # 't li E -mail: nia r(O g P nkkuzY (x)` VW_)e--, I , WIC, APPLICANT'S ADDRESS: STREET CITY STATE ZIP I HEREBY REQUEST A PERMIT FOR THE FOLLOWING: (BE SPECIFIC AND ATTACH PLANS AND ADDITIONAL SHEETS) . Z 4 C_ ESTIMATED PROJECT COST: $ ,,J. PROJECT DURATION: ANTICIPATED EFFECTS ON VEHICULAR AND PEDESTRIAN TRAFFIC DURING PROJECT / MAINTENANCE OF TRAFFIC PROVISIONS (INCLUDE PLANS OR SKETCHES): "IN SIGNING THIS AP (CATION, I UNDERSTAND THAT SEPARATE CITY AND /OR COUNTY PERMITS MAY BE REQUIRED FOR THIS PROJECT. FURTflERMORE, I AM AWARE THAT I AM RESPONSIBLE FOR ENSURING THAT THE PROJECT IS COMPLETED IN ACCORDANdErWI THE PLANS AND SPECIFICATIONS AS STIPULATED IN THE PERMIT APPROVAL CONDITIONS." OF CONTRACTOR /QUALIFIER PRINT NAME & FOR OFFICE USE ONLY CENSE �Z �yEr °�e Notary Public State of Florida GARY Y esenia Vega My �C21DC� Exces02/2GltDDG44527 DATE RECEIVED + DATE APPROVED/ DISAPPROVED + DATE COMMENTS PERMIT FEES 04 C.t/Yt� PUBLIC WORKS AUTHORIZATION: C�/ DATE: 3 V.11.2007 BP820U01 Application nbr . . Property . . . . . . CITY OF SOUTH MIAMI Payment Due Selection 09 10000029 5966 SOUTH DIXIE HIGHWAY Select fees due, press Enter. 1= Select entire amount Amount Fee Opt to apply Type Trans amt 1 1600.00 PF 1600.00 Total 1600.00 F3 =Exit FS= Select all fees Amount due 1600.00 F10 =View 2 4/13/09 11:12:01 Str /Seq Permit 000 000 PW 00 Inspection F12= Cancel F21 =User defaults P,{ t V1 r A) City of South Miami We accept the conditions listed below (sign): r` Name: &,a/z "oPO Cl wmo'-.l Title: r Permit No. 09- 10000029 Page 1 of 2 Dater ✓Q 1. Permits for construction work must be on project site at all times. 2. All materials and labor under the project shall be in strict accordance with the requirements of the City of South Miami, Miami -Dade County, and all other local, state, and national codes, where applicable. 3. All construction shall be performed in a safe manner in accordance with the rules and regulations of the Occupational Safety and Health Administration (OSHA). 4. Traffic shall be maintained in accordance with Florida Department of Transportation (FDOT) Maintenance of Traffic (MOT) standards, Miami -Dade County standards, Manual of Uniform Traffic Control Devices (MUTCD) and any additional requirements by the City of South Miami Public Works Department & Police Department. No street shall be closed without written authorization from the Public Works Department and City of South Miami Police Department. 5. Access for local traffic shall be maintained at all times. 6. During construction, the project site and all adjacent areas must be maintained in a neat and clean manner. Contractor is encouraged to notify any affected property owners prior to construction. 7. All pavement open -cut during utility installation or repair shall be temporarily restored with asphalt or steel.plates at the end of each workday. NO TRENCHES OR PITS SHALL BE LEFT OPEN OVERNIGHT. 8. All utilities location markings within the right -of -way shall be removed before project closeout. 9. Disturbed areas shall be restored to equal or better condition than they were before the work started. The restoration shall include the following: • Road /pavement areas shall be restored at least 25' from the edges of disturbed areas and to the edges of pavement. • Sidewalk panels shall be replaced, i.e., the sidewalk shall be restored in full width. • Landscaped areas, including and not limited to grass, sod, shrubs and trees replacement, shall be fully restored. • Brick pavers at intersections. The full intersection shall be restored regardless of the size of the disturbed area. 10. All rims of manholes and water valves to be at grade when repair is finished. 11. If all restoration work is not performed within 30 days of work completion, the City of South Miami Public Works Department may restore the work area and charge the applicant for the Permit No. 09- 10000029 Page 2 of 2 cost of restoration plus a minimum of 15% for administrative fee and any additional incidental fees. 12. Contractor shall conduct daily dust control and implement storm water erosion and sediment control measures for pollution prevention. 13. Work is not permitted on Saturdays, Sundays and Holidays. Work is only allowed from 8 am to 5 pm. 14. No material or equipment shall be staged in the public R/W overnight unless specifically authorized by the Department. 15. Applicant shall submit MOT to Chief Bobby Richardson, City of South Miami (CSM) Police Department for review and approval prior to construction. Chief of Police may be reached at 305- 663 -6301. 16. Contractor shall notify the City of South Miami Public Works Department once work is completed. 17. Any damage to private property shall be restored to its original condition or better and as accepted by the Owner.