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PLC-18-501Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: PLC-2-18-501 C-)- f Permit Type: Plumbing - Commercial _' I P Rl t Work Ctassifrcatfon: Addition/Alteration Permit Status: Approved Issue Date:12/06/2019 1 Expiration: 06/03/2020 Location Address Parcel Number Project 9999 NE 2 AVE, Miami Shores, FL 33138 1132060134490 NE 2 AVE SEWER CONNECTION Contacts CITY NATL BNK OF FLA TRU Owner CITY NATL BNK OF FLA TRU Applicant 25 W FLAGLER ST 711, MIAMI, FL 331301718 25 W FLAGLER ST 711, MIAMI, FL 331301718 SABINA PLUMBING CORP Contractor JOSE A SABINA 11804 SW 232 LN, MIAMI, FL 33032 js@sabinaplumbing.com Description: SEWER CONNECTION Valuation: $ 7,500.00 Inspection Requests: 305-762-4949 Total Scl Feet: 0.00 Fees Amount CCF $4.80 DBPR Fee $3.38 DCA Fee $2.25 Education Surcharge $1.60 Notary Fee $5.00 Permit Fee $225.00 Scanning Fee $9.00 Technology Fee $6.40 Total: $257.43 Payments Date Paid Amt Paid Total Fees $257.43 Credit Card 12/06/2019 $207.43 Credit Card 02/27/2018 $50.00 Amount Due: $0.00 Building Department Copy 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, statement or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by e r mys@ f, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWq, DOOR, OOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurat�Id 4hat II ork will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named c nct E4 the work stated. Authorized Signature: Owner / Applicant / Contractor ! December 06, 2019 Date Page 2 of 2 Miami Shores Village C Building Department artment 6 27 2M 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Tel: (305) 795-2204 Fax: (305) 756-8972 7 � INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC � ( rT 201� BUILDING Master Permit No.lp LaI R — 7y' PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL OPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9999 NE 2ND AVENUE City: Miami Shores �Couunty: Miami Dade Zip: Folio/Parcel#: -//- 5c7KJ�!/!�y �J � /j�""lCov Is the Building Historically Designated: Yes NO X Occupancy Type: PROF. OFFICES Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): AHE REALTY ASSOCIATIES, LLC. C/O JULIO MARTINEZ AS PROPERTY MANAGER Phone#: (305) 756-7747 f-WT 100 Address: 9999 NE 2ND AVENUE, SUITE 305 'UJO EIP'% - Z90 -1)SOS City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: NSA Phone#: Email: JULIOMARTINEZ@SHOREVIEWCENTER.COM CONTRACTOR: Company Name: JOSE A. SABINA Phone#: (305)300-0250 Address: 11804 SW 232 LN City: MIAMI State: FL Zip: 33032 Qualifier Name: JOSE A. SABINA Phone#: State Certification or Registration #: CFC-1429178 Certificate of Competency M CFC-1429178 DESIGNER: Architect/Engineer: N/A Phone#: _ Address: City: State: Zip: Value of Work for this Permit: $ 7,500.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration X New ❑ Repair/Replace ❑ Demolition Description of Work: SEWER CONNECTION Specify color of off color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ _ Bond $ — TOTAL FEE NOW DUE $ 2�' (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip 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 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 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 building permit with an estimated value exceeding $2500, the applicant must promise in good faith tha a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject o attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection ich o rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not I app ov and reinspection fee will be charged. Signatu or AGENT The foregoing instrunNe);f watcknowledged before me this da f ' V 20 by (J/ d who is personally known to P Y me or who has produced as identification and who did take an oath. NOTARY PUBLIC: MY COMMISSION it FF 2311111116 Sign: ' P ES: May 17, 2019 goe Print: Seal: Signatu The foregoing instrument was acknowledged before me this 1 7 day of VM�r 20 1. - by '3061 ii�, who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: T I ' 0--� Sign: Print: Seal: �I ry AIYOOMMIlg1ON EXPMJm20.202i1 8o1Id1011vu NMMY P&M liindiirwd4 as APPROVED BY z� Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) 11/21/2017 Property Search Application - Miami -Dade County TH' P" R P ATY APPRAISH OFFICE I J .,, 0 Summary Report Property Information Folio: 11-3206-013-4490 Property Address: 9999 NE 2 AVE Miami Shores, FL 33138-2352 Owner CITY NATL BNK OF FLA TRU Mailing Address 25 WEST FLAG LER ST #711 MIAMI, FL 33130-1718 PA Primary Zone 6400 COMMERCIAL - CENTRAL Primary Land Use 1713 OFFICE BUILDING - ONE STORY: OFFICE BUILDING Beds / Baths / Half 0/0/0 Floors 3 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 47,771 Sq.Ft Lot Size 31,850 Sq.Ft Year Built 1965 Assessment Information Year 2017 2016` 2015 Land Value $828,100 $828,100 $700,700 Building Value $1,971,900 $659,900 $499,300 XF Value $0 $0 $0 Market Value $2,800,000 $1,488,000 $1,200,000 Assessed Value $1,392,174 $1,265,613 $1,150,558 Benefits Information Benefit Type 2017 2016 2015 Non -Homestead Assessment 1 $,407,826 $222,387 $49,442 Cap Reduction Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 1 5341 &65342 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 10 THRU 14 INC BILK 33 LOT SIZE 245.000 X 130 OR 15864-4092 0393 2 (2) Generated On : 11/21/2017 Taxable Value Information County 2017i 2016. 2015 Exemption Value $0 $0 $0 Taxable Value $1,392,174 $1,265,613 $1,150,558 School Board Exemption Value $0 $C $0 Taxable Value $2,800,000 $1,488,000 $1,200,000 City Exemption Value $0 $0 $0 Taxable Value $1,392,174 $1,265,613 $1,150,558 Regional Exemption Value $0 $0 $0 Taxable Value $1,392,174 $1,265,6131 $1,150,558 Sales Information OR Previous Price Book- Qualification Description Sale Page 23360- Sales which are disqualified as a result of 05/01/2005 $0 4133 examination of the deed 00000- Sales which are disqualified as a result of 03/01/1993 $0 00000 examination of the deed 03/01/1993 $600,000 1 864- Deeds that include more than one parcel 492 092 14249- Sales which are disqualified as a result of 08/01/1989 $0 2507 examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version 44 Shoreview Center 9999 NE 2ND AVENUE, SUITE 305 MIAMI SHORES FL 33138 To Whom It May Concern: I, Alex Edelman, am the owner of AHE Realty Associates, LLC, D/B/A Shoreview Center; building located at 9999 N.E. 2" d Ave. Miami Shores, FL. 33138. This letter is meant to inform you that as Property Manager of Shoreview Center, Julio Martinez is authorized to make any decisions on my behalf (excluding sale or transfer of ownership of said building). Sincerely, ACexEdelman ; Owner of AHE Realty Associates, LLC. DBA Shoreview Center STATE: FLORIDA COUNTY: MIAMI — DADE This instrument was acknowledged before me on this day of 1�el-l.- _ _ , 2016 by all parties listed above. All parties listed have either provided the necessary proof of identification or are personally known to me. (Notary Printed Name) —�— (Notary Signature) (SEAL)MARIA T. GROSSO * MY COMMISSION t FF 231W5 i EXPIRES: May 17. 2019 Bonded Tbfu Budget Nobry Servkn City National Bank W FINANCIAL GROUP November 2, 2016 Village of Miami Shores 10050 N. E. Second Avenue Miami Shores, Florida 33138-2382 Re: Land Trust No. 2401-2045-00 - Miami Shores Land Trust Gentlemen: City National Bank of Florida is the Trustee under Land Trust No.2401-2045-00. This letter confirms that AHE Realty Associates, LLC is the sole Beneficiary of the Land Trust and that Alex Edelman has the power of direction under the Trust. Our records reflect that Mr. Edelman is the sole member of AHE Realty Associates, LLC. Vcry truly yours, C.Jcx.��u Mario . Carballo Trust "ices Direct Line: 305-577-7294 Fax: 305-577-5353 E-Mail: est)inolaCa)citynatiorraLcom CITY NATIONAL BANK 01= IT.ORIDA EXECUTES THIS INS'IRUAfEN'I' SOI.EI.Y AS TRUS'I LL UNDER LANID TRUST NO.XJI- I'FRSON.-I.I.Y AND NOT INDIVIDUALLY AND NO PERSONAL,JUDGEMENT OR DECREE SHALL EV'EIP, BE SOUGI1T OR OBTAINED AGAI\IST THE SAID HANK BY REASON OF'I'HIS INS'FRUMENIT. F:SECURE:LEGAL:LEGALCLERK:2016:TRUSTS:LE=RS:MIAMI SHORES:EDELMAN PO Box 025820 Miami, FL 33102-5620 citynational.com Member FDIC I Equal Housing Lender �i`��trklr','' A,� ?t tit �'1 1w tA1� Local Business Tax Receipt Miami -Dade Counter, State of Florida -THIS IS NOT A Eli - DO `ti'_)IT ::AY 6849039 BUSMESS NAMIGILOCAl"ON a ._ - u SABINA PLUMBING CORP 11804 SW 232 LN MIAMI FL 33032 OWNER SABINA PLUMBING CORP 4Varker(s) RFCFIPT NO. EXPIRES RENEWAL SEPTEMBER 30, 201 B 7123284 Must be dilsplayea at place of business Pursuant to County Cafe Chapter 9A — Art. 9 & 10 SEC. TYPE OF HUSINESS 17F, P1.1_il'.'131' G ; CNTBACTOR PAYMENT RF_CErvEo CF1--*429178 BY TAX COLLECTOR S75.00 10101 /2017 CRECITCARD►-17-06 7 712 This local Business Tex Receipt only confirms payment of ibe local Business Tnx. The Receipt is rM a license, permit~ or a certification of the hclder's qualifications, to do business. Holder trust con, ply with or11y governmental Of non90vernr,entnl regulatory lawsand requirements which apply to the business. The RECEIPT NO. above must be displirfed on all cornmerr.ial vehicles - Miami -Dade Code Sec &-1-276. Fcr more Information. visit wwnro mlrni�t�4,ltYkaxC411Q1g[ ACOR , M C40 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/23/2018 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 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 NAME: IPA C FA . (888) 202-3007 ac No : HiSCox Inc. 520 Madison Avenue 32nd Floor _ E-MAIL DOREss: ContaCt@hISCOX.Com New York, NY 10022 INSURE S AFFORDING COVERAGE NAIC N INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER B : INSURER C : Sabina plumbing Corp 11804 sw 232 In miami, FL 33032 INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 SUBR POUCY NUMBER MMIDDPOLICY/YYYY MM1D /D/WYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FR_1 OCCUR N UDC-1819335-CGL-17 09/20/2017 09/20/2018 EACH OCCURRENCE _ $ 300,000DAMAGE TO RENT PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL s ADV INJURY $ 300,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY E PRO JECT ❑ LOC OTHER: GENERAL AGGREGATE $ 300,000 PRODUCTS - COMP/OP AGG $ 300,000 $ AUTOMOBILE LIABILITYCOM ANY ALTO ALL OWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS BINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBEREXCLUDED9 (Mandatory In NH) If as, describe under DESCRIPTION OF OPERATIONS below N /A I STATUTE ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more spats Is required) CFC1429178 PLUMBING CONTRACTOR MIAMI SHORES VILLAGE BUILDING DEPT. 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 19B8-2014 ACORD CORPORATION. All rignts reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD a� WS JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 2/11/2017 EXPIRATION DATE: 2/11/2019 PERSON: SABINA JOSE A FEIN: 274472749 BUSINESS NAME AND ADDRESS: SABINA PLUMBING CORP 12207 SW 194 TER MIAMI FL 33177 SCOPES OF BUSINESS OR TRADE: LICENSED PLUMBING CONTRACTOR Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner —Workers' Compensation Insurance Exemation Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowe td rk on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation ' suran¢e overage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELO f YOU�ICKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. II a / Signature: liwl Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of , 20 U.J SEAL: sy,°dew o�to me or has produced 504ina p1mmNing Corp. 11804 SW 232 LN MIAMI FL 33032 Wednesday, February 14, 2018 State of FLORIDA, County of: MIAMI-DADE. Before me this day personally appeared JOSE SABINA who, being duly sworn, deposes and says: M That he or she will be the only person working on the project located at: 9999 NE 2ND AVENUE Sworn to (or affirmed) and subscribed before me this.2% days of 20 /6 By Tvn.�F �i4%3//✓f� Personally Know, c/ OR Produced Identification Type of Identification Produced MARIA T. GROSSO * * MY COMMISSION # FF 2319H EXPIRES: May 17, 2019 6@tgedTAru8tdpelNo4rySenkes punt, fype or Stamps Name of Notary Notice to Owner - Workers' Corn Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 nsation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or sub tractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on yo r project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insur nce coverag from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW OU, ACILN WLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: State of Florida County of Miami -Dade The foregoing was acknowledge before me this � � day of _r!_-> C- ' (yl[� , 20 ( —) By. (,-(U NJL� ( 1`� who is personally known to me or has produced Notary: SINDIA ALVAREZ W COMMISSION # GG 238273 Tt nr Notary PubBc as identification. Watery and Se1/ver PO Box 330316 • 3575 S. Lejeune Road ZDAD E Miami, Florida 33233-0316 k VERIFICATION FORM T 305 665-7471 ;ALID WITHOUT A PAID INVOICE AND EXPIRES ONE YEAR FROM THE DATE ON FORM ATLAg-th%Wade.go*_8 - INV#: 43486 — FORM #: 201871528 DATE: 5/25/2018 NAME OF OWNER: CITY NATIONAL BANK OF FLORIDA TRUST - PROPERTY ADDRESS: 9999 NE 2 AVE PROPOSED USAGE / 17558 SF Medical office 28079 SF Office 1434 SF Full Service Restaurant 806 SF Barber Shop NO. OF UNITS: Connecting to Sewer Per Mgmnt Service Statement REPLACES: PREVIOUS EXISTING 64,660 SQ FT OFFICE COMMERCIAL BLDG ON WATER ONLY USAGE / NO. OF UNITS: PROPERTY LEGAL: MIAMI SHORES SEC 1 AMD PB-10-70 LOT 10 THRU 14 INC BLK 33 FOLIO NUMBER: 11-3206-013-4490 -- GALLONS PER DAY INCREASE: 6,466 PROPOSED FLOW: 6,466 PREVIOUS SQUARE FOOTAGE: 47,877 ❑ NEW CONSTRUCTION PREVIOUS FLOW: 0. PROPOSED SQUARE FOOTAGE: 47.877❑ INTERIOR RENOVATION ADOPTED FLOW: p ❑ CRITICAL HABITAT _ 9 SEWER ONLY THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) 12_ INCH _ WATER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT UPON PROPER CONVEYANCE AND PLACEMENT PROPERTY, (OR, IF WILL HAVE", ACEMENT INTO SERVICE OF WATER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID # 21790) SUBJECT TO PROHIBITIONS ' OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR WITHDRAWAL, Delia Rondon - New Business• • • • n I Re rese • BY: i% n3ati e Y • • . • .. • • • . SIGNATURE OF REPRESENTATIVE �� (� E,� 7 AUTHOR1212911 BY• • • • • • • • • • NEW BUSINESS COMMENTS: Sewer CC's of $36,209.60 paid on Invoice N00043486 Exist CC&B Account# 4274757399 .. •.: •••• • •• ••••• THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT WILL HAVE A(N) • • 3_ INCH • • • • •: • GRAVITY SEWER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE 1Z�%IL•L t� TO SERA • THE SUBJECT PROPERTY, (OR, IF "WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICEOF Sg Vgn • SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID #2&1790). • • • SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICT18W.6VCR MAT.TEF;6% ; • • • •; OF SEWAGE DISPOSAL, FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENT'S SYSTEM•VQ§j 0 BE OBTAINED FROM D.E.R.M. THE ANTICIPATED DAILY WATER AND/OR SEWAGE FLOW FOR THIS PROJECT WILL BE: SIX THOUSAND FOUR HUNDRED SIXTY SIX [64661 GALLONS PER DAY INCREASE. Delia Rondon - New Business BY: �4,e5 Representative SIGNATURE OF REPRESENTATIVE AUTHORIZED BY — - NEW BUSINESS COMMENTS: D.E.R.M. SEWER ALLOCATION LETTER DATED: 6-15-2017#2017-01967 S CC'S Pb THIS VERIFICATION LETTER CERTIFIES THE AVAILABILITY OF A WATER AND/OR SEWER MAIN ONLY, AND IT DOES NOT GUARANTEE THE EXISTENCE OF A WATER SERVICE LINE OR OF A SEWER LATERAL WITH SUFFICIENT DEPTH TO SERVE THE PROPERTY. FOR ADDITIONAL INFORMATION CALL 786-268-5249/5295. SHOULD IT BECOME NECESSARY TO INSTALL A SERVICE LINE AND/OR A SEWER LATERAL WASD REQUIRES THAT THE DEVELOPER RETAINS SERVICES FROM DESIGNERS AND CONTRACTORS WITH SKILL SETS FOR DESIGNING, BUILDING AND CONNECTING TO PUBLIC WATER AND SEWER SYSTEMS. CONTACT NAME: JULIO MARTINEZ Printed On: 6/5/2018 NB: Lsabel Rodriguez CONTACT PHONE: (999) 999-9999 11:47:00 AM % PR: AUTHORIZED BY: (o ,�/%1P Z MIAMI•DADE 61 Water & Sewer Department New Business Office P.O. Box 330316 Miami, FL 33233-0316 CITY NATIONAL BANK OF FLORIDA TRUST 9999 NE 2nd Avenue Miami Shores FL 33138 Invoice Number Customer Number Invoice Date Business Process Number (X) Total Amount Due Note: First Time Connection to Sewer for City National Bank of Florida Trust @ 9999 NE 2 Avenue foliol l- 3206-013-4490. See Management Services Statement eA4ed 4/5/2018 CC WASD Sewer Total Standard Charges Total Invoice ER Water ER Sewer Agreement ID 6,466 GPD 5.60 36,209.60 Printed on 4/27/2018 by e128797 at LEJEUNE-SD To pay online go to: http-/Iviww m'amidadeaoy/water/construction-develo mment-payments= Payment must be made within 72 hours of receipt of invoice. Invoice N00043486 00021237 April 27, 2018 $36 209.60 21790 0.00 36,209.60 2259 A1iE Realty Associates, LLC Miami. -Dade Water and Sewer Department 4/26/2018 Date Type Reference Original Amt. Balance Due Discount Payment 4/26/2018 Bill 36,209.60 36,209.60 36,209.60 Check Amount 36,209.60 Wachovia Sewer Connecting Service Charge .�o .6 Miami -Dade Water and Sewer Dept. Date: 4/27/2018 Office: LJNE Mach ID: CASH-I5-LJ Cashier:khdez Batch: 13805 Tran N: 26 0600-AR Invoice Receipt M:01065002 Acct 0: 00021237 Invoice: N00043486 Name: City National Bank of Florida T 0600 PSERP AR Payment $36,209.60 .Payment Total: $36,209.60 Transaction Total: $36,209.60 Check Number: 2259 OC $36,209.60 Thank you for your payment, Have a nice day! 36,209.60 .. PROPOSED WORKSIME F hiinmi-Dade Water; I Sewer Dcpnrbncut hlanag,:n,enI Services Unit Site Visit Dnlc: Ami105, 2U18 II;II Tu: City Nmiemd Rank or FI.,idn'1)usl 9999 NE 2 Ave Mimi Slmres, FI. 33138 PROJEC'I' INFORMATION: Project Nnme: Shoreview Center Address: 9999 NK 2 Avc. Salle 30 ItIItint I Shores, FL. 33138 I ullu 4: 11.32116-013.4490 Witter hale Sewer Itnrtp DESCRIPI'ION GPI) RATE 'rehd GI'D 'NIA S 3.4U Amuuut Unc hclmr are for 1'Irsl's'iwe Cuunttlima la Smrer In 61lnnd Slmres: le 100 Mi;nni Kenn Cmuer-UniceS race (20 GI'U/IOU $t .PL 0]U 1287 7.207.2U 7,207.20 ite41G061Aria Lima, LLC. t Ubn Colc Uoumtet Rerl. - Nil Service Res;uunimle 112 IDOGPD/l00 Sr.rL), Interior Di, ing. I.0 1328 Uulsidc Full Service Dining, Dln, Colo (ien;nlcl Rest, 106 Sq. 1'I. 0(m) 7436.80 7,4.36.80 te 1121, ) 0U3 .FI.) I.0 106 te I11 Pmlilesllairculting-Bmlur Shop(IS CI'U/IOUSO.Iv.) O,IS 121 593.14) 593.60 4,546 Suite 117 frescoes Dialysis inslitwe • Office S lace (20 OPD/IUO St 6776U 677.G0 .rl. 0.20 909 S 090A0 5 090.A0 R97 Suite 200 KolTler, Ado n a & As...iai s - Office Space (5 GPD/100 Sq.FI.) 552 Suite 202 Ku •w Qd andic Clinic - Medical Ullice Climes 2U GPD/100 5 0.05 45 110 252.00 252.00 901 .[-1.0.20 Suhe 203 Treece Financial Oro;) • Ullice S mce (5 UI'D/100.' .rt,) 0.05 45 616.00 61600 1482 Suite 204 The Aldcrom. I-- Finn- OIl)ce Space (5 GI'D/IU'J s .PI. Suilo 208 VACANT • 011iee Space (5 UPD/I00 Sq.FLI 0,05 0.05 74 2S2.00 •114.10 252.00 d I4AU 588 226 Suite 209 rxeculive 011iw Concept - Off..S xu(5(;pD/I OO Sq.FIJ 0.05 77 II dA2.40 442.4U 226 Suite q Jules Ant >amcluic - kkdird 011ice Clinkx (2U GPD/100 S , FL 0.20 45 GLGO GL40 60 226 Suite- VACANT --nice Space (SGPU/100 Sr.r. 0.05 11 252.00 252.00 226 SuiteC Sit" State Rlblie lm;mace Adjuster -Office Spnce(5 GI'D.'IOOSq. rt.) O.US II 61.GU 61.60 226 SaileU VACANT'-OOico Spnee(S CPD/IQO Sq. FL) 0.05 II 61.60 61.60 226 Suite David A. -lack,Ally - Ofhcc Spnce(S GPD/IOU G1.60 61.60 .',1't.) 0.05 II 61.G0 61.60 226 Suite F Patricia I M"Ohall, Psyclluloytisl - Ofice Space (5 GPD/100 Sq.rt.) 0,05 I I 61.60 61.60 226 Suite C Patricia l M;ulmll, Ps chulo'isl Office Spare 5 GPD/IUO S .PL) 0.05 11 226 Suitc II Vacant - O-ice Span: IS 01'U/100 Sa .rl.) 0.05 I I GLGO 6L60 22G Suim 1 li'I'C, LLC - 0117c< Space (5 0111 mao Sr .Pl.) 0.05 I I 61.60 G 1.60 Piw Sear Acouuting and Credit Solutions do RM-dm , Dmais - OOiee 61.60 61.4U 225 Suite J . , ,Mcdiad 0.05 11 61.60 61.60 48.1 Suite 210 Medimedt OIl)ce Clinics (2U GPD/IUD Sq. FLl 0.20 97 1168 Suiln 211 hasou Aldennnn Losv I•Tnu - Office S epee 5 G"0"00 S I�t. 0.05 SR 543.20 543.20 767 Site 213 Arinl Rugene Esq.-011ice Space (5 GPU/IUO Sq.l7O D.OS 324.80 324.80 215 Slue 215 L'xeurlivc 011ico Concept •O17ic<Spuce (S CIPD/IOU Sq.F1.1 JR 212.80 212.8 215 0.05 II 4LG0 616! SuiteA VACANT -Unite SnawIS GPD/100 Sq.1•T.) 0,05 11 61.60 215 Suite B Cudpolie C11:; uses - Office Space IS UPD/I W Sq.N.) 0.05 I GL40 215 Suite M.- Korey - 011ioe Six -IS OPO/IOU Sq.FI.) 0.05 I II 61.60 215 Suite U Canpic-rnsap, PA •Unite Space (5 GI'U/I W Sq.FL) U.US 1 GI!U 4LG0 • 216 Still. I-. VACANT - 011ica Slwce(S GVD/I OO Sq. Ft.) II S I 61.6 61.6U 216 Sure F KEEPINU YOUR-OOKZ.LLC- 011icc Space (5 GPD/100 S .n.) 0.05 II 11 61.6U 61.G0 • 606 Suite 216 Stephen K. "MM.. - Office S IS GVD/100 S .rl. U,OS 30 61.40 IGR.oD GI • 606 Suite 216 Slew., L. Junes, All - 011ice S wo 5 GVD/IOU Sq.rt.) 001 30 16R.(ID 60SI Suite 216 Judith J. Lonied0, All -Office S pace (5 UPD/IOD .Ft. 0.0S 30 168.00 168.00 168,0CIP• 169.0 4541 Suite 217 VACANT - Office S lact, S GPU/100 Sr .F() 0.05 23 1.80 • 962 Snilc 218 L.,, Ch(ro )odic,LLC.-Medirnl Oflic<Clinies (2nGPU/1005 .PI. 0.20 192 I07515.20 128.80 1.075.20M• 550 Suite 219 SlaldeY Johnson Esr . - On)ec Space (5 GPD/100 ' .Ft. 0.05 28 156.80 15('.8 440 Suite 300 Sa .Fl.1 0.20 88 492.80 492.30 •100 Suite 301 DANARI UIE7,P.A - Office Space (5 UPD/100 Sr .FI.) 0.05 20 112.00 112.00 300 Suite 307 Ader Property-O-iceS ace SGPU/100S .r1.) 0,05 15 8400 g4.00 • g28 Stile 304 Jcll'le P. (bole Fs, - Unice S mro (5 GPD/I00 St .Pt.1 0.U5 41 229.60 22,.60 657 Suite 305 1 hchlower Prup.w Kip - Onicc Space (S GPD/100 3q rl) 0.05 83 464.80 •16d.80 1688 Suite 306 While Re T'wombl , RA - OIMco S mce 5 GPD/IOU S .Ft. 0.05 84 470A0 470:10 1,095 tiuile 308 Joel Vm:ar ., DDS - hledicol 011fce --- 20 OPD/100 S .FI. 0.20 217 1215.20 1 21 i'20 414 _ Snilu309 JVA rnainecring Cmnrncmr, Inc.-OITiccSmce(5GPD/I00St.ft.) Suite.110 Marva L. Wiley, PA. - Onice S pace (5 GPD/100 S ,Ft. 0005 21 112G0 117.60 966 0.03 48 268.8U 2G8.80 828 Suilc J I I Jell're A. Millar, LCS W - Omen Spero (5 GPD/IOU Sn.Ft.) 0.05 •11 229.60 229.60 828 SviIc 3I l-A Dr'. Ja G. SIci., MD, PA. • Mntinl Once Clinics (2(1 GI'U/IUD St.FI,) U,20 166 929.60 929.60 2.425 Suiw 312 FANDINO k CARBALI.O • OlIkt, Space IS GPU/IOU St .FL) 0.05 121 677.60 677.60 SENIORCARPCONNECT012-Mcdirnl 011ice Clinics (2U GI'U/100 960 Seim JlJ StI.Ft•) 0.20 19.1 ImRU 1,080.80 1584 Suite 314 13-g een Business Solution - Off-S tt IS 0I11)/100 S ,rl. 0.05 79 44210 442.40 1035 Suite 315 Adnmce lMamm ;ecatical - Medical 011ice Clinics(20 GPD1100 Sel Fl.) 0.21.1 207 1159.20 1159.20 44,502 Suh•Iotn1 of Chnrgcs par T-ant Raster 6,297 356263620 35.263.20 3.315 Undisclused 3 pone Footage - Office S 4ce IS OPU/100 Ss Ft. 0.05 169 94640 946.40 47,977 Talal Chn es: G,4G6 S 66,209.60 S 36,209.60 Cltl?DIT'S: _ Total Credits: 0 0 0 Aniuuut Due After Calculated Credits: 6,466 S 36,209,60 S 3G 209.L0 1'A\'6I ENl'S: NONE 0 0 Total l•n mmnfs; 0 0 h l Due After Crcdlis mid Payun•nls: fl^g{Q 5 36209.60 S JL 209.60 Nate: Onllous Per Day (UPD) • rcpresue an nvcntgu daily need gall -.Be I'm new or incased usage in a Residenlinl. Cummereial or hufusin;d zmmd area and sulcly used Iivcnlculadag connection charges. "C01111eChmp Charges for Water am tint applicable becmase ol'Ihe• gnlodratltcr No of 1989;'Ilic Shmeview Center building was Will in 1965. • fees 000•00 • • • ttef • •• • f•••f 0 • 11 • • • • • e 000 fie • • 0 • • • go*• so 64111,0411,411, • • 0-0 •• • •• •••••• • f • • •••••• • f ••f••e • • • •• • • • • *0: •fief '^ rwa1 sq. FT. or47.877 inchpdw 106 SITU of Onside Diuiug.'1'ulul inleri;r hnilding space has47,771 Sq,Fl. whichagrc will, Propcty Site 91s1t-shaavlew center, Jerome 4.52o)e Appni-eaxds. 2017-ALLOCATION-01967 MIAM1•DADE 6/15/2017 Issued Date: 6/15/2017 Expiration Date: NONE CITY NATL BNK OF FLA TRU 25 WEST FLAGLER ST #711 MIAMI. FL 331301718 RE: Sanitary Sewer Adequate Transmission and Treatment Capacity Certification for a Notice of Required Connection (NORC) Dear CITY NATL BNK OF FLA TRU: It has come to this Department's attention that an approved public sewer is abutting, available and operative in the public right of way of the referenced property mentioned below. The Department hereby certifies that Adequate Transmission and Treatment Capacity (a.k.a. Sanitary Sewer Allocation), as defined in Appendix A of the Consent Decree (CASE No. 1: 1 2-CV-24400- FAM) between the United States of America and Miami -Dade County, is available for the project described below. Project Name: City Natl Bank of Fla. TRU - NORC Project Location: 9999 NE 2 AVE, MIAMI SHORES, FL 331382352 Previous Use: 47,771 SF. commercial building on septic tank. Proposed Use: Commercial building connecting to sewers - NORC. 23,800 SF. Physician's Off - 22,171 SF. Office - 1,800 SF. Full service restaurant Previous Flow: 0 GPD Total Calculated Flow: 7669 GPD Allocated Flow: 7669 GPD Sewer Utility: PRIVATE Receiving Pump Station: 99 - 01337 Furthermore, be advised that additional reviews and approvals may be required from other departments and the utility having jurisdiction over connection to the public sanitary sewers. Also, be advised that the gallons per day (GPD) flow determination indicated herein are for Sanitary Sewer Allocation purposes only, pursuant to the Consent Decree requirements, and may not be representative of the GPD flows used in calculating connection fees by the utility providing the service. , • • • The corresponding Building Official and Utility will be notified of the issuance of this Sanitary Sewer Allocation. : • • • • • • • • • •; • Should you have any questions regarding this matter, please contact the Miami -Dade Wastewater Permitting SectieIR fDmmtown Offiee)et (305) Wilco •: • 6600. ••.••• • • • •••• •• • Sincerely, • • • • • Lee N. Hefty •••••• •• • Director of Environmental Resouces Management ; •. • • • For/By: Oscar Aguirre, Engineer III - Environmental Plan Review Department of Regulatory and Economic Resources. Attachment •••••• •• •• • • • Page 1 of 2 Owner's Name: CITY NATL BNK OF FLA TRU Owner's Address: 25 WEST FLAGLER ST #711 MIAMI, FL 331301718 EEOS Allocation Number: 2017-ALLOCATION-01967 Project: City Natl Bank of Fla. TRU - NORC Proposed Use: Commercial building connecting to sewers - NORC. 23,800 SF. Physician's Off - 22,171 SF. Office - 1,800 SF. Full service restaurant Pump Station: 99-01337 Projected NAPOT: 5.82 1132060134490 / 9999 NE 2 Ave 7,669 APP 6/15/2017 Total: 7,669 GPD sees sees.. sees sees.. . .. sees.. sees.. .. sees.. sees.. sees.. sees eeee sees.. e • e ee Page 2 of 2 .'Plans Tracking System - Miami -Dade County AL Page 1 of 2 9 Miami -Dade County Building t .1% ;. Plans Tracking System Tracking Number Application Date Applicant Last Name Applicant First Name Pickup by Last Name Pickup by First Name Click On The Process Number To See Dispositions �OfJ ,,/ ;4 h-co miami-dade fl us:1608/WWWSERV/ vtBNZAM72 DIA?KEY=M2 1• J,re 0000235750 _ ' Pew' �v 8/31/2018 11:56:40 AM MARTINEZ JULIO� MARTINEZ JULIO MARTINEZ JULIO • •v•• • . • • Location Reviewer Entry Date Exit Date ..Dasti .• Time �� ••••••) Storage(OTV- 1 9/18/2018 12/19/2018 Picict>rp �y MARTINEZ ""'• Front Counter 7:50:59 AM 11:53:54 AM JULIO MARTh Z Bin) JULIO �{ Admin-OTV 9/18/2018 9/18/2018 Storag - 7:49:23 AM 7:50:59 AM Counter Bin) OTV-WASD LATARSHA 9/10/2018 9/17/2018 Admin-OTV CLEARE 4:08:46 PM 3:42:17 PM OTV-DERM LEYSI 8/31/2018 9/10/2018 OTV-WASD CASTELLANOS 2:37:50 PM 3:36:37 PM Pending 8/31/2018 8/31/2018 OTV-DERM Payment 11:56:53 AM 2:37:50 PM Upfront Fee Admin-OTV 8/31/2018 8/31/2018 Pending Payment 11:56:52 AM 11:56.52 AM Upfront Fee Tracking information only reflects reviews that occur while plans are within the custody of the Regulatory and Economic e Resources Department. It does not include reviews that occur through appointments after plans are picked up by you or your representative for Design Professionals Day, Supervisor's List and/or rework meetings. Back to Plans Tracking (plantrack.asp ) l Page Last Edited: Wed Jan 25, 2017 10:40:32 AM http://www.miamidade.gov/building/plantrack2.asp 12/20/2018 Plans Tracking System - Miami -Dade County Page 2 of 2 MIAM" r • .4 Is ..•.•. .. . ...... .... 0000 . .... . .. ••..• . . 00000 . .. ...... .•.•.. 0 • ...... 000. • . . . . • . • . 0000 A http://www.miamidade.gov/building/plantrack2.asp 12/20/2018 Accela Automation: GetPerSet250 - 8150-S Menu I Favorites I Help I Logou[ +PlanReview EEOS - Environmental.......... Favorites _._..._. Enterprise Operations System User ID: ASENCP � � Adorn To.ls why _ ACCItA AgiglGiltE01W ma rtManao� nnlw iratior mnert Peonle Fees _ashie orkFlnN ttarhment Rennrts reference .nnl(- ditioil Application - Summary Application Name: M2018018201 Application Type: PlanReview / WD-Unincorporated Plan Review / Commercial / Addition Application: 2018-WDU-PR-15606 Parcel No.: 1132060134490 File Date: 08/31/2018 Description of Work: Application Status: Disapproved Application Comments Comments: Application Spec Building Reference No.: Info.: Reference Process No.: Rework: Building Reference Date: Building Tracking Number: Building Pickup Date: Received By: Building Return Date: Sqft: Number of Units: Number of Floors: CLUC Code: Permit Type: Subtype: Category Type: Proposed Use: Category: Contractor #: Original Permit No: Permit Type Desc: Fees Sent To Fastrack: Fastrack Interface Status: Application Spec Info. Table: Total Fee Assessed: $330.00 Total Fee Invoiced: $0.00 Balance: $0.00 Contact Info: Name Organization Name 1ULIO MARTINEZ _ Workflow Status: Task Ouality Control Plan Intake Hold Codes FLOOD Review Initial Core Review AIR Review ASBES Review COAST Review GREASE Review INDUST Review P D Review POLREM Review PRETRT Review TANKS Review TREES Review WETLAND Review AIRPORT Review PRED Review M2018018201 6444 mil► ��• �LL d d�siyt� •;� Ae - 48 Q 0013 -OFFICE BUILDING S MPLU Commercial Addition 1421 -OFFICE -PROFESSIONAL BUILDINGS • SEWER CONNECTION 09/10/2018 Successful Contact Type External Contact Relationship Contact Status Plan Review Reviewed • • • • • • • • • • • • • • Disapproved • • 000 • • • •• ••• ••• ••• • • • • • • • •• • • • • r Page I of 2 l Address 9999 NE 2 AVE, MIAMI SHORES, FL 33138 Status Date Action By 09/04/2018 • V9/0y14p18 '09/iWT018 Leysi Castellanos Leysi Castellanos Nadia Ramnanan WATER TREATMENT Review Disapproved 09/06/2018 Pablo Asencio Final Core Review Overall Disapproval 09/10/2018 Leysi Castellanos End of Process • • • • • •• •• • • • • • • GOO ••• • • • •• •• https://eeos.miamidade.gov:4432/operations/permit/index.cfm?FUSEACTION=GetPerSet2... 12/19/2018 r Department of Regulatory and Economic Resources Miami -Dade County Plan Review Summary Process Number: M2018018201 FINAL CORE REVIEW DATE: 9/10/2018 OVERALL STATUS: Overall Disapproval PROJECT DETAILS: CONTACT DETAILS: FOLIO: 11-3206-013-4490 NAME: JULIO MARTINEZ ADDRESS: 9999 NE 2 AVE,, FL EMAIL: PERMIT TYPE DESC.: SEWER CONNECTION PHONE #: 7862900565 DISAPPROVAL CODES: Disapproval Code 01: 0210 - Submitted plans are incomplete. .... Disapproval Code 01: 0214 - Remarks Disapproval Code 02: 0231 - Water & Sewer verification form is required from the Water & SCWer`UtilityjL',drpAany serving the property. (Also referred to as Plumbing Section Form). "`:" " ' Disapproval Code 03: 0316 - Sanitary sewer capacity certification (aka. Allocation Letter) is'rlstltdi'Cd as per Chapter ;....; 24-42.3(1)(a).Download application from miamidade.gov/derm.asp .sees. :'. '. ' Disapproval Code 04: 0214 - Remarks sees ` Do ":". TASK REVIEWED BY STATUS DATE .SI'AJIJS '.. ` ...... Initial Core Review Leysi Castellanos 09/04/2018 eriewed •• . . . . ...... Comments: Permit for Existing 47,771 Sq. Ft. (1-Story) Office Building connecting to sewer. (9999NE 2nd Ave) see "Attachments" for Plans / City Process# PL-018-501) / Increase for DERM / Allocation lettert9 required f Previous • Existing Office Building on Septic - 0 GPD / Proposed Existing 47,771 Sq. Ft. Office Building connecting to sewer 2,389 GPD / Pump Station 99-1337A status CN Conditional Allocation Allowed / Sewer Extension# 2015-SEW- EXT-00245 completed -and certified on 04/26/2017 / GDO# 12083 for Units 110-112 status 10 found in PEN / EQCB' 17-49 on file. For 214 - See comments from Water Treatment Section. - FOG Section review is required. For 231 - Miami Dade Water and Sewer Verification Form is required. Fo`r 316 - Allocation letter isrequired. + GREASE Review w Nadia Ramnanan 09/10/2018 Disapproved 1 M 1 Comments: RFI#1- Miami Shores -connecting from septic to sewer. Records show GDO for Units 110-112 _ (GDO-1 2083/NGT/1 0). Grease Review disapproved- For 210- For new or existing food service establishments connecting to sewers, the following information shall be provided in plans for compliance with MDC Section 24-42.6: 1) Plumbing plans shall LEGIBLY be signed/sealed/dated by a Florida Registered -Professional Engineer MDC Code Section 24-42.6(8)(a). 2) Plans shall show all required fixtures discharging to the grease interceptor. 3) Sizing calculations per MDC-Section 24-42.6(9) shall be provided. 4) Show calculations, and indicate pump out frequency (POF). 5) For new systems: 6) **** Be advised proposed hydromechanical GIs shall be rated at 99% FOG removal efficiency---Pfovide lab test results at the third party certified flow rate of the proposed grease interceptor showing the pounds of grease retention/ FOG removal efficiency at 99% MDC Code Section 24-42.6(9)(c)(iii). GI specifications shall show information for the 99% removal efficiency. 7) Provide a manufacturer specification detail/cut sheet of the proposed GI. 8) A solids interceptor shall be provided prior to existing or proposed FOG control devices that require a flow control device or that are not certified to handle solids. MDC Code Section 24-42.6(8)(u). Separation shall be captured at all FOG discharge sources. Provide the manufacturer specifications for the solids separator/interceptor. Proposed solids interceptor shall matched the calculated/peak flow. 9) Plans shall include sampling point detail specifying the details and dimensions of the design. Proposed sampling ports shall be provided by a manufacturer MDC Code Section 2442.6(8)(h). 10) Tie I�T,.AND the sampling port BOTH require a minimum clearance of 3ft horizontal and 4ft vertical- clearancefnote shell.be shown in plans- MDC Code Section 24-42.6(8)(i). 11) *:0or bepartme erequirements include in plans: #1 The Construction/Installation Inspection table/block for the COVER PAGE, an'AW?he completed GI Summary table/block for PLUMBING SHEETS- all areas on the block shall :....: be filled out accornino jr bhttp://www.miamidade.gov/environment/fats-oils-grease.asp ** ***so: Addit0 allaommenl? may follow according with information submitted. Should you have any questions, contact this Reviewer at RAMI a miamidade.gov ..... - - ...... WATER TFCEATMF.1 IT.@eview Pablo Asencio 09/06/2018 Disapproved Comments: Plum$ilg'131bns for property (Folio # 11-3206-013-4490) sewers connection to existing private pump statiorino.49-13VA located in the property. The plans are disapproved. Please submit revised/reworked plans :....: according tE the following comments. &phd ubM4 ctrtifica3ion'9pplication for Sewer Extension no. 2017-SEW-EXT-00226. Revised / reworked plumbing pans C7kWNOT BE APPROVED without certification application approval. K'2. Submit Private Sanitary Sewer Operating (PSO) Permit application with required fee ($ 188.13 pay by check made to Miami -Dade County) as per fee schedule in page 3 of 3 of the permit application`form (a ached to the plans -city copy). Plumbing plans CANNOT BE APPROVED without receiving a completed permit application form. X 3. Plumbing plans size shall be 11" x 17" minimum or larger. Plans font and drawing shall be leaihtP. X 4. Plumbing plans shall have the plumbing contractor company complete -information including the qualifier license number and name; signed and dated by the qualifier. K 5. Plumbing plans shall show and identify all buildin t re in the ro ert arc surrounding avenu strPPt;o the property, parking areas, parcel properti�, and p ocation. X 6. Provi a plumbing pans showing and identifying the North arrow, scale ipes le n th and maatterial, Pi es slope plumbing system shown must be floor plan view (no elevation on view), hewer specifie sown is not square; it is circular and the technical name is "Wet Well". Specify/identify the pump station as "Existing PS # 99- 1337A to Remain", clearly show the point of connection between new sewer pipes and existing sewer pipe, and—' specs ication notes for proposed -abandoned septic system as per FBC-Plumbing and Village Bldg Dept requirements. Submitted plan sheet 1 of 1 for a past permit application of railing at top of bldg roof IS NOT APPLICABLE ,remove it from plans).ylb~ t . Final Core Review Leysi Castellanos 09/10/2018 Overall Disapproval - Comments: 09/10/2018 For 214 - See comments from Water Treatment Section / See comments from FOG Section. For 231 - Miami Dade Water and Sewer Verification Form is required. For 316 - Allocation letter is pending. PLAN CONDITIONS: NO CONDITIONS - PLAN REVIEW FEES (FEES ARE SUBJECT TO CHANGE PENDING FINAL APPROVAL a FEE CODE DESCRIPTION USER DATE UNIT TOTAL Total FOR MORE INFORMATION PLEASE CONTACT: YOUR DERM CORE REVIEWER: Leysi.Castellanos@miamidade.gov DERM PERMITTING AND INPECTION CENTER, 11805 SW 26 ST, 786-315-2800 DERM OVERTOWN TRANSIT CENTER, 701 NW 1 CT, 305-372-6899 Coastal: dermcr@miamidade.gov EQCB: egcb@miamidade.gov Specialty Engineering Reviews (industrial, storage tanks, industrial waste pretreatment, asbestos, paving & drainage, trees): dermengreviews@miamidade.gov •••• . . .... ...... - Tree Permit applications: dermtreeprogram@miamidade.gov '.�' •.. .' ...... .. . ...... Water Control: dermwatercontrol@miamidade.gov ...:.. = Wetlands: dermwetlands@miamidade.gov .... • . .. ..... • .... . .. ...... 1 T N Y� A OFF, M R�U, 4to4lto Temporary Connection will replaced for a 45 D/1r degree elbow permanently and old Septic Existing Septic System System will be abandoned Clean�out Temporary Valve 6' Pipe I K 5� 45 Degree Temporary Valve 12C � \\ ?D hi�e��Fq/Q I9 cc SHOREVIEW CENTER 9999 NE 2ND AVENUE MIAMI SHORES, FL 33138 ?h- 6' Pipe • ........... New Sewer Connection • ••• . •.. •.. . . . .. . . . . . . . M Clean out o o Ws W W Q � z y y m � 3 a v w (n zd D Q _ E a T3 z o a H 8 o w w a p c3 0 cc a Q C.3 ? z � Cl a J m z w w � in LL ,177&»a . N.E.100th Street Toad Right of Wayo7P I q°•pV 5 I�pry,, �� 87 8'42"E 104.94 f a a P--'° 4'� ,q 1 �� I r �� — ' Is 1 g 6 , Vi N $ EXISTING 6 l A/C UNITS 3 + o _FIF Op p I N 0 0 $ 9 1 1 oilR ( 0 WI z o z9999 �� ; 8 PROPOSED NEW RAILING ,, DESIGNED TO SUPPORT 1,000 C e*le Railing Height S40',1' t�CMU s embedded in concrete and 4'visibk Horizontal rails and bahuters 2.254.25425 HSSQ (Hollow Sted SWm) Steel A 36 welded at all intersections with 10 weld each. Design lad is an impact lead at center of bar 29 of 1,0D0 pounds Balusters are spaced @ T-O' and horizontal bars at ekvations S,4',3' and T. wN87e28'42"E 75.00' F1P V!' jm GG T•�k o N FN&D '3P " N87e2 42"E 7 .00' i �°31• — a : N.E. 99th Street s _ _ _ • • • • • 0 •' • • •r_ Tout Right of War FLOOD L GEND 411' __31. PROCE96 c;gp'Imerciol • FOLIO •tt-3206•-013-4490 • LOTS �L0! I6 • aOCN TT•PLA; 80;N • 10 PACE: 70 AOD0RE5j _• 9999 M AV AIE. MIAIR R 33130 • • • TR. (P ROAD ELEVATION WAS"TANEN&FROM TMTHE ATTACHED CERTIFlED'A1VEy PREpS BCRO/RL GILBERTO GAVARRETE PLS LIC. / 6089 OR' NAME [F.F.ISTING • .00 • • • • • • • • • • • • • • SCALE 1' = 20' J aaAoanAroN.ow _-«— Ncra••IILwArfnl"aNHmmlu.Nxrt IAooroAwvecr LOBATIOit SWM ,YfmCN. r5 +.� 4 II I_s!el i �' Ice I� t i 2 I:41 P,10' i+ tl A n.' 1I2 �1�(1� Z 's sl le'17I1s •1�1i 1 19,rt::l ltt r.••Q ul rl�s• � !. ,7 wl.a �tt tsjw Q Sol I 'a ,� 3JI LI fref2)I la I,f �b, y •.!,3 �[ : •,',t !) V SCOPE OF WORK TO BUILD 50 LINEAR FEET OF NEW RAILING AT TOP OF ROOF TO PROTECT PEOPLE WORKING ON MAINTENANCE OF EXISTING A/C UNITS. ZONING DATA FLOOD ZONE X EXISTING BASE FLOOR ELEVATION N/A EXISTING DIAGRAM 1 LOWEST ADJACENT GRADE 9.)9' HIGURST "ACEN6 GIhADE • • • • *'90' NEl• OT Afftk. • • • • 04E.4176 sa ft. FxIST�G V1a1:: • • • *0* 15i 0 090•.•ft. FRONT SETBACK EXISTING: 2.54' SIDE SETBACK EXISTING 0.57' *SIDE 4 FAWCK • 400 000 EYISTING: 0.25' • ARAR !WTBACK • • • EX19FNG: 62.40' ••LtRNEj • • • • XIjbNG: 25.0' • • •• • • • • • • • • LEGAL DESORIPTION : • LOTS 10 THRU 15 AND WEST 1/2 OF LOT 16 BLOCK 33 OF -AN AMENDED PLAT OF OF MIAMI SHORES SECDON 1' ACCORDf10 TO THE PLLABTT THEREOF AS AFFECT 7KNS.IRFTTREARON RLCILE •¶•ONS INOY MATON YY• R • • • • • • • • • • Lo z o � zZ13 m 2 0 O he z Na W �CA a � z CK o F z o �o U � I OF 1 •••••• •••• • • •••••• •• • •••••• • ••••• •• a •••• ••••• • ••• •••••• •••••• •• •• •• • •••••• • • • • ••...• 46 • • • •• • •• .... ...... . .... 000 • • • .. • . • . .. ... . ..... .... • ...... • ... • • • • 20/ O1 2-wOl Temporary Connection will replaced for a 45 degree elbow permanently and old Septic • ; • •SHQfREIFWCI Aid 9999 NE 2ND AVENUE* • • • • MIAMI SHORES, FL 33138 Existing Septic System • • • . . .. . . . . . . . M • •• •• • • • •• •• MIAMI SHORES VILLAGE Miami Shores, FL 33138 10050 NE 2nd Ave This packet is intended to provide the basic information needed to connect a prooerty�o the U4aml • • • •. • Shores Central Low Pressure Sewer System. The process includes working with *the 'Miami•Shgf% • • • • Building Department and the Miami -Dade County Health Department (DOH). • • • ; • • • to..YlAA fh ,dry" �/e t y � ,• k[�A may. i � e� • }}` S Responsibilities The responsibility to connect a property ultimately falls with the property owner. Owners will hire electrician(s) and plumber(s) to obtain necessary permits. Plumber(s) will make the connections and abandon the existing septic tank. .... ; •Rlotifications • • • .gSQpfrty Owners will receive a "30-Day Notice of service Availability" when the central • • • system is a�+adlattle and ready for their connection. Construction may begin before the "Notice Y JIa •; • • • • • pf Availabilij is issued, however, the sewer tle-in and electrical connection to the grinder • • • • ; ptop systplm must not. be completed untli written notice is received from Mlaml Shores and the owner IW.successfullY passed the applicable Building Inspections. Connection prior to • • this �Iotifitatllwf can lead to sewage back-ups and equipment damage and may result in • atiditionalvcptsdo the property owner. ...... .. . ...... ...... .... . . P I' 2nd Connection Details # CAjVJWrrn0N Miami FL 33138 ELECTRICA wh er The grinder pump station requires a 120/240 volt, 30-Amp, single-phase circult..ia� 913rropert9�l sWitch is responsible for bringing electrical power to the control panel through i00000 p8ne •R e'aze installed next to the pump control panel. Miami Shores will install the pump C4 U .p. t contact the Miami Shores Building Department at (305) 795-2204 for guidance on eIWOcal permitting and installation requirements. • . . PL:;.:'; a fwr. rpIVNECTIQN Building sewer piping must slope away from the building at the usual minimum of 1/8" per foot {1% slope or 1' drop in 10(Y run). Trenching sa When trenching, over excavate to allow slope. flay�6 thepipeon the peePared bedding will result in fast l such as nd or fine gravel. The bedding is easily adjusted to the correct P When planning for the alignment that achievement of the correct slope and' even support for the pipe. will most efficiently pipe your building sewer to the sewer collection system lateral, keep in mind that she Florida Standard Plumbing Code tails for 5wer tIMPOR'zTANT- separation The Miamifrom Shores properties will like y • • �tijess the sewer pipe is at least one foot to • • • •: enco{inter e�Cis_1*iV drainfields. Work with an. established plumber that understands working in this ...... ' cbhZ*Ion. garnear to the existing drainfleld could cause sewer back-ups. . . . ...... ...... : *Qeanouts • .. • .. 0.p cleanout l;00 uired at the building drain connection at a minimum. A cleanout is also require every egrees. if there is more than one change •1( feet aAdatAery change -of direction 40 feet. Please keep ter than 45 �n mind, a long radius bend will allow flow �Of directiointi; cieanout.is required every and . hwrt easilyt4Wa sharp bend. Use PVC Schedule 40 fittings. Review your proposed configuration the • :2Qj*diffic1At sitd4tions with the Building Inspector before construction to better ensure app • • yv�c�rtc. Situate your cleanouts such that there is 18" minimum clearance for working room. The cleanout at the lateral connection must be easily accessible. Connection at the Grinder PUMP Station The connection from the building sewer to the sewer lateral must not be made with any connector utilizing stainless steel bands such a"coupling. PVC ipe at 48" below grade withstand South Florida exposure. The connection point at the station will be a 6 warningi it is imperative that rocks and debris not lateral until ready terconnect.the building sewer or lateral piping Leave a cap on the and of the PVC service ' MIAMI SHORES YiLI.A re Sewer System ` Central Business District Low PressuIc �,,,_,�..,_,,.�....... _.. ..� ��_ mac` .,;�� .��-•-ram+ ,k"� mi Of • %�,:_ to g fi .. PAWL$�� '! "�. ��; •� _�...,,,,,.+., �F.. -fir � ,�� Y-` �, .. In• r PAD;PAW •► ---_pROpEI�(Y. UKEWPM t' GRINDIR PUbW STATION i • • • • • • PL It t. i •• •r • • w 7i Soo •• • • • • OVER.. .... PUMP Co TO it 5ET $TiJH . . .. .. ) ZDED pi}T$II3E THE • • • ••• •. • • • ;14•• • •• • • • CpINDER STATION • w• •� •� • • • • • • CONNECT" D MIAMI SHORES LATERCONN• • • • • • • • • • • LOW PRESS.UgE ; ::: � M :'::See • • • •• • •• •• ••• • • • •• •• • • ••• • • :STATE OF FL(1)' R I D A DFPA'RTMEN"1'0,f`BUSINES:5AND PROFESSIONAL REGULATION ISSUED: SAB044A, JOSE A USINA P L UMBING CORP 119 CERTIFIED undet lho ptovisionij of Ch 480 F:S -1 , ' IL, d Om " 31 2014- L r i 140M 2 i ■