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PLC-18-2378 (2)Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: PLC-9-18-2378 -r~:Z Permit Type: Plumbing -Commercial @MUV Work Classification.- Addition/Alteration Issue Date: Location Address Parcel Number 9830 NE 2 AVE, Miami Shores, FL 33138-2347 1132060132240 Contacts Permit Status: Approved Expiration: 02/03/2020 MIAMI SHORES CENTER LLC Owner MIAMI SHORES CENTER LLC Applicant 20171 ST 309, MIAMI BEACH, FL 33141 20171 ST 309, MIAMI BEACH, FL 33141 Mobile:7862368569 ORIT@ELYSEEINC.COM Mobile:7862368569 ORIT@ELYSEEINC.COM Other:3058648885 Other:3058648885 IMBURGIA CONSTRUCTION SERVICES, Contractor INC. LOUIS IMBURGIA 12555 Biscayne Blvd #888, North Miami, FL 33181 Business:3059406957 NOELLE@IMBURGIAREALTY.COM Mobile: 3055255707 Description: CONNECT TO SEWER LINES Valuation: $ 14,000.00 Inspection Requests: 305-762-4949 Total Sq Feet: 75.00 Fees Amount CCF $8.40 DBPR Fee $6.30 DCA Fee $4.20 Education Surcharge $2.80 Permit Fee $420.00 Scanning Fee $12.00 Technology Fee $11.20 Total: $464.90 Building Department Copy Payments Date Paid Amt Paid Total Fees $464.90 Credit Card 08/06/2019 $264.90 Credit Card 09/06/2018 $200.00 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named co actor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date August 06, 2019 Page 2 of 2 p5\ V BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 Master Permit No Sub Permit No. F�EC F;'TNT1FD UG 0 2018 s FBC 20 ►� -P�C19 23� 9 `BUILDING ELECTRIC ROOFING REVISION EXTENSION EJRENEWAL PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CONTRACTOR JOB ADDRESS: 1930 N6 07 M A x 1 — CANCELLATION Ej SHOP DRAWINGS City: Miami Shores Countv: Miami Dade zip: 3513p Folio/Parcel#: ((- 302 Q G - O 13 - 924y Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: Nb BFE: FFE: OWNER: Name (Fee Simple Titleholder): RiOANt SIVQs CLAW U-b Phone#: (305) 8&L(- Address: rX I() -2( i' zlc u* * 3001 City: R'ka "' State: FL, zip: 3 3 14 xg Tenant/Lessee Name: 1�Q��01NJ �� CDNAI"l UNQ--Cc Phone#: (305) %0 - S5 Email: OCti (0) Q,IV5te—'%r\C, • `CA CONTRACTOR: Company Name: -- PA6\ cCi%& C0M-t'tkd60'(\ 1�en� Phone#: 365 Address�:1, I a 555 OiISCCIV Pl4 . 9 W& # 98 City: I W(' +) l Wa*, State: Zip: II Qualifier Name: W LA.15 a7Mbtk(' fti Phone#: ('30 I) 92'-0-�J3O�- State Certification or Registration•-#: � Certificate of Competency #: DESIGNER: Architect/Ea"er: _Q�1�(1AP.Dk Phone#: (-4ggo Lin- (X0 Address: City: State: frV Zip: 3 FS(O Value of Work for this Permit: $ �y f ( 0(Square/Linear Footage of Work: �rj Tu-t Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Con n" - -h V IAJ-6 Specify color of color thru tile: Submittal Fee $_ Scanning Fee $ _ Technology Fee $_ Structural Reviews Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ _ Notary $ Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bondin ompany's Name (if applicable) _ Bon ng Company's Address / City State Mortgage Lender's N e (if applicable)/ — Mortgage Lender';/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 that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature IL -Al-, Of4 OWNER or A E The fore oing instrument was acknowledged before me this day of , 20 by ho i personally known me or who has produced as identification and who did take an oath. NOTARY PUBLIC: G Sign: Print:IT Seal: ############### APPROVED BY (Revised02/24/20141 Signature CONTRACTOR The foregoing instrut was acknowledged before me this me day of ! S /— 20 k by t t who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: /L��[ Print: [�11�F-/ -,- Ufi't't n-� --- IPu ORIT MlMoun MY COMMISSION # 0(3162408 Seal: 14, 2021 tir!iv n "''•. `: :ATHERINE A. DUFFIN ;ay pp '., �(PIRE3:9Q1I1@t �� +�. f + I Notary Public - State of F;orida oR r°• Boded M x ; -4, Commission a GG 104296 Mycomm,Ex�ire �� 1 �i# #### ####### #### ############### fo gM'Nel�k#'l�'o T**** ary kw Plans Examiner Zoning Structural Review Clerk Property Search Application - Miami -Dade County Page 1 of 1 OFFICEOFTHE PROPERTY Summary Report Property Information Folio: 11-3206-013-2240 Property Address: 9830 NE 2 AVE Miami Shores, FL 33138-2313 Owner MIAMI SHORES CENTER LLC .._____............... Mailing Address 210 71 STREET #309 MIAMI BEACH, FL 33141 PA Primary Zone 6400 COMMERCIAL - CENTRAL Primary Land Use 1211 MIXED USE - STORE/RESIDENTIAL : RETAIL OUTLET Beds / Baths / Half 0/6/0 Floors 2 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 16,735 Sq.Ft Lot Size 13,459 Sq.Ft 1947 Year Built Assessment Information Year 2018 2017 2016 Land Value ....... _ $349,934 $349,934 $349,934 ....... --- Building Value $678,445 $678,445 $350,066 XF Value $25,735 $25,960 $0 Market Value $1,054,114 $1,054,339 $700,000 Assessed Value $693,451 $630,410 $573,100 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Assessment $360,663 $423,929 $126,900 Cap Reduction Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOT 2 & E57FT OF LOTS 3 & 4 & _.................... N4.92FT OF E57FT OF LOT 5 & ....._.... _ ................ S19.71 FT OF E49.67FT OF LOT 5 BLK 17 Generated On : 9/6/2018 Taxable Value Information 2018 2017,2016 County Exemption Value $0 $0 $0 Taxable Value $693,451 $630,410 $573,100 School Board Exemption Value $0 $0 $0 _._..___ Taxable Value _...... $1,054,114 $1,054,339 -_....__.__ $700,000 City Exemption Value $0 $0 $0 Taxable Value $693,451 $630,410 $573,100 Regional Exemption Value $0 $0' $0 Taxable Value 1 $693,451 $630,4101 $573,100 Sales Information Previous OR Book - Price Qualification Description Sale Page 02/01/2002 $1,244,000 20241-3676 Other disqualified Deeds that include more than one 05/01/1985 $500,000 12511-0993 parcel 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 https://www.miamidade.gov/propertysearch/ 9/6/2018 Detail by Entity Name Page 1 of 2 Honda Department of State roer �) to •:. ..,, '•• •� .,•. ' i:... •iK ,. � ?: De2artmert of State / Diviaion of Corporations / Search Records / Deteil By Document Number / Detail by Entity Name Florida Limited Liability Company MIAMI SHORES CENTER, LLC Filing information Document Number L02000000072 FEI/EIN Number 02-0533246 Date Filed 12/26/2001 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 05/31/2017 Event Effective Date NONE Principal Address 210 - 71 ST STREET SUITE 309 MIAMI BEACH, FL 33141 Changed: 04/03/2009 Mailing Address 210 - 71 ST STREET SUITE 309 MIAMI BEACH, FL 33141 Changed: 04/03/2009 Renistered Agent Name & Address PIOTRKOWSKI, JOEL SESQ 317 71ST STREET MIAMI BEACH. FL 33141 Name Changed: 01/04/2011 Address Changed: 01/04/2011 Authorized Person(s) Detail Name & Address Title Manager Mussaffi Investments, Inc. DIv,mo 4 O(:. (; )RPORAy -NS http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 9/6/2018 Detail by Entity Name Page 2 of 2 210 71ST STREET, SUITE 309 MIAMI BEACH, FL 33141 Title Manager Yehezkel, Haim 210 - 71 ST STREET SUITE 309 MIAMI BEACH, FL 33141 Annual Reports Report Year Filed Date 2016 02/10/2016 2017 02/23/2017 2018 04/18/2018 Document Images 04/182018 -- ANNUAL REPORT (l; l31 j2 t-7...-..._LC_F....... rrtent 02/23201 7 -- ANNUAL REPORT 0511122016 - LQ Arnendment 0`[•"10i2016 - ANNUAL REPORT 03,10412015 -- ANNUAL REPORT D3l122014--;1NNUAt. RF..F'OR.....T ............................................................................................. 0411220 i3 -- ANNUAL REPORT 01/31;2012ANNUAL REPORT 01104.12011 -ANNUAL REPORT 02/1 a/2010 -- ANNUAL REPOR I Q4li3 sr 9� ...-...._.A-N.U8L..F{FPURT 02/0612008 -- ANNUAL REPORT 01/292007 --ANNUAL. REPORT 03212006 ANNUAL REPORT 02f21/2005 -- ANNUAL REPORT 04/24/2003 -- ANNUAL REPORT 071302002 -- ANNUAL. REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format Vieva image in PDF format View image in PDF format View image in PDF format http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 9/6/2018 R5V Pum; t PLC, -9- t$ - a3� $ e-Permitting Search 121 N 1 :-77 � -y-- MIAMI-DADE ! f Status of Plans Process: M2018019278 Application Date: 09/20/2018 Storage Location: By: Date Picked up: Review Reviewed By 11 Est Comp Date Disp Date Disposition DERM AGRAS MARICHAL, FRANK 09/20/2018 03/04/2019 A WASA MARTELL, YVETTE I 09/20/2018 12/11/2018 ;' !� PAYU FEE COL 09/21/2018 09/21/2018 HRS GERARD PHILIZAIRE 01/28/2019 04/08/2019 e 9 * r4 0000 Disposition Legend: A=Approved, D=Disapproved, N=N/A, P=Approvedli Moled Note: PAYU relates to payment of up -front fees only. Page: • • • REVIEW STATUS INQUIRY SUCCESSFUL (NO MORE ENTRIES) BLDG Hor^e Page I BLDG Main Menu I BLDG Permit Menu I BLDG Plans Processing Menu I Insoection Tvces I Address Formet Home I About I Phone Direc'ory I Privacy I DisGaimer E-mail your comments, questions and suggestions to Webmr•ster This page was last edited on: February 23, 2004 Web Site ® 2004 Miami -Dade County. All rights reserved. M71 2019-ALLOCATION-00760 3/4/2019 Issued Date: 3/4/2019 MIAMI SHORES CENTER LLC 210 71 STREET #309 MIAMI BEACH„ FL 33141 Sewer Connection at 9830 NE 2 Ave / 9830 NE 2nd Ave Miami Shores, FL 33138 RE: Sanitary Sewer Certification of Adequate Capacity The Miami -Dade County Department of Regulatory and Economic Resources (RER) has received your application for approval of additional sewer flows'for the following project which is more specifically described in the attached project summary. 0 00 0 0 �. Project Name: Sewer Connection at 9830 NE 2 Ave / M2018019277 & M2018019278 Project Location: 9830 NE 2 AVE, MIAMI SHORES, FL 331382313 . • •; • • • • • • • • • • Previous Use: Building in Septic System. 000009 • • • Proposed Use: 5,245 SF Office; 5,245 SF Retail; 1,000 SF Medical Office; 5,245 SF Office, 830 SF OffioefiZZO SF Thaatarindoor.. . Previous Flow: 0 GPD •.... �.... ..... Total Calculated Flow: 1621 GPD ...... . ..;..' Allocated Flow (additional sewer flows): 1621 GPD • • • • • • • • .. .. . ...... Sewer Utility: PRIVATE • Receiving Pump Station: 99 - 1351 A RER has evaluated your request in accordance with the terms and conditions set forth in Appendix A of the.%nsent flecree (CASP.... No. 1:12-CV-24400-FAM) between the United States of America and Miami -Dade County. RER herebyscertiftes that�adeWate • treatment and transmission capacity is available for the above described project, pursuant to the criterion stipulated in Appendix A of said Consent Decree. Furthermore, be advised that this approval does not constitute departmental approval for the proposed project and is subject to the terms and conditions set forth in the Consent Decree. Additional reviews and approvals may be required from other sections having jurisdiction over specific aspects of this project. Also, be advised that the gallons per day (GPD) flow determination indicated herein are for sewer allocation purposes only (in compliance with the Consent Decree requirements) and may not be representative of GPD flows used in calculating connection fees by the utility providing the service. Be advised that this Sanitary Sewer Certification of Adequate Capacity (this letter) will expire within 90 days of the issue date if the applicant does not obtain a building process number from the corresponding building official. However, if the building process number has already been obtained, this letter will expire within 180 days of the expiration date of the process number. Finally, if a Building Permit was secured for this project, this letter will expire within 150 days of the expiration date of the Building Permit. Should you have any questions regarding this matter, please contact the Miami -Dade Permitting and Inspecting Center (MDPIC) (786) 315-2800 or RER Office of Plan Review Services, Downtown Office (305) 372-6789. Sincerely, Lee N. Hefty Director of Environmental Resources Management 4-a For/By: Frank Lezcano, Engineer III - Environmental Plan Review. Department of Regulatory and Economic Resources. Page 1 of 2 Sanitary Sewer Certification of Adequate Capacity Project Summary: Owner's Name: MIAMI SHORES CENTER LLC Owner's Address: 210 71 STREET #309 MIAMI BEACH„ FL 33141 EEOS Allocation Number: 2019-ALLOCATION-00760 Project: Sewer Connection at 9830 NE 2 Ave / M2018019277 & M2018019278 ••Proposed,Use: 6,245 SF Office; 5,245 SF Retail; • • `hor. eater Indo• • ... • .. *Bump Station 99-1351A- • • • •Proiected N,APOT: 0.01 * . . ProposedeProjeeted NAPOT!2.09 ..... . . ...... 1,000 SF Medical Office; 5,245 SF Office, 830 SF Office; 330 SF • • .i .� `t i . • • • • • �{ � 4 ,�Pa� '{ 9 1 ,�i, S � 4 .. . �.;1 : !i a � • M� � a p • � . -3 _ 4{.7`„•j X rca = � • } �, • A t E' S `a i S'z •b��k t? Y � � AAN ' iY.k� 'S`+. M k6�.rC'i�ly f _t t . . F a r `••{; : •F• .�� ry i. '�4'. V 830 NE 2nd Ave 1*1%060132 1,621 APP 3/4/2019 • PtC182378- SWR Total: 1,621 GPD Page 2 of 2 Water and Sewer PO Box 330316 Miami, Florida 33233-0316 T 786-268-5360 F 786-268-5150 VERIFICATION FORM DATE: December 11, 2018 BLDG PROCESS M M2018019277 / M2018019278 VF# 18-20160-VF - 141 INVOICE(S)#: N00054837 THIS FORM IS NOT VALID WITHOUT A PAID INVOIGt AND tXPIKtb ONt YtAK 1-KUM I Mt UA I t UN rUKnn PROJECT NAME: MIAMI SHORES CENTER LLC PROJECT/AGREEMENT NUMBER: 20180 PROJECT DESCRIPTION: FIRST TIME SEWER CONNECTION WITH PRIVATE PUMP STATION THIS VERIFICATION LETTER CERTIFIES THAT AVAILABILITY OF A WATER AND/OR SEWER MAIN ONLY, AND IT DOES NCrr DUARANT_THE EXISTENCE OF A WATER SERVICE LINE, FIRE LINE OR OF A SEWER LATERAL WITH SUFFICIENT DEP'":"SERVE-THE 'PROPeRTY'FOR ADDITIONAL INFORMATION EMAIL NEWBUSINESSSUPVLIST@MIAMIDADE.GOV. SHOULD IT BECOME NEOEeGAIW TO INSTALL A SERVICE LOINE AND/OR A SEWER LATERAL MDWASD REQUIRES THAT THE DEVELOPER RETAINS SERVICES FROM DESIGNERSAND CONTPACTORS W" MILL SETS FOR DESIGNING, BUILDING, AND CONNECTING TO PUBLIC WATER AND SEWER SYSTEMS. A WATER'A PIk SEWt9MIREEMEWjMY BE REQUIRED. AN INSPECTION FOR ANY EXISTING SERVICES WILL BE PROCESSED WITH THIS FORM, fi%A SERVICE 4PGRADf•TAY•BE REQUIRED WHICH MAY TAKE UP TO 12 WEEKS. • • • • • • • • THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) 12 INCH d6ATM MAIN A`ND/OR DOES Wf CAVE A(N) INCH GRAVITY SEWER MAIN ABUTTING THE SUBJECT PROPERTY. • • • • • • • • 'Proposed Use'� Office Building 5 /100 sq ft 5245 262 . . . 262 Retail 10 /100 sq ft 5245 525 " ' • • • 25 • • Physician's Office (including Dentist, Chiropractor, • • • • Optometrist, Acupuncturist, and Ophthalmologist. Rated 1000 200 200 as office: Psychiatrist, Psychologist, Speech therapist (20 d/100 sq ft Office Building5 /100 s ft 5 262 Office Building5 /100 s ft 830 442 2 42 Theatre Indoor 1 d/seat 330 330 330 Previous Use Square Footaget #'Units Water Gallons Per Day_, Sewer�Gallons P& Day 2018 - Office Buildin 5 d/100 s ft 5245 262 0 2018 - Retail 10 /100 sq ft 5245 525 0 2018 - Physician's Office (including Dentist, Chiropractor, Optometrist, Acupuncturist, and Ophthalmologist. Rated 1000 200 0 as office: Psychiatrist, Psychologist, Speech therapist (20 gpd/1 sq ft 2018 - Office Building 5 /100 sq ft 5245 262 0 2018 - Office Building 5 /100 sq ft 830 42 0 2018 - Theatre Indoor 1 /seat) 330 330 0 WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, SUBJECT TO PROHIBITIONS, OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF THE ANTICIPATED DAILY WATER AND/OR SEWAGE FLOW FOR THIS PROJECT WHICH WILL BE THE NUMBER OF GALLONS PER DAY INCREASE STATED ABOVE. IF WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER AND/OR SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT IF APPLICABLE WITH THE DEPARTMENT. FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENT'S SYSTEM MUST BE OBTAINED FROM D.E.R.M. SUBJECT TO RER'S TERMS AND CONDITIONS SET FORTH IN THE CONSENT DECREE (CASE NO. 1:12-CV-24400-FAM) OR DOH ONSITE SEWER TREATMENT 8 DISPOSAL SYSTEM RULES & STATUES. COMMENTS: Refunds are based on the date of payment and subject to State Statute 95-11. Some fees are not refundable. On 5/8" meter for domestic Page 1 of 3 COUNTY Water and Sewer PO Box 330316 Miami, Florida 33233-0316 miamidade.a T 786-268-5360 F 786-268-5150 service and no irrigation meter: N/A FIRST TIME SEWER CONNECTION FOR OFFICE, MEDICAL OFFICE, RETAIL & THEATER PER CITY OF MIAMI SHORES REPORT REPLACING OFFICE, MEDICAL OFFICE, RETAIL & THEATER WATER ONLY (SEE M2018012592 / N00053939 FOR 180 NE 99 S & M2018019279180 NE 99 ST) CUSTOMER NAME: JOE CHAN I CUSTOMER PHONE: Prepare by: Latarsha Cleare Printed Name of Reviewer Attached the Comprehensive Planning Approved by: Luis Delgado Printed Name of Supervisor and Water Supply Certification Letter • • •••• •••••• • • • • •••••• •• • •••••• • •••• •••• • • •••• •••• ••••• •••••• • • ••••• •• •• • •••••• • • • • • •••••• Page 2 of 3 MtAMEOADE miamidadegov Water and Sewer PO Box 330316 Miami, Florida 33233-0316 T 786-268-5360 F 786-268-5150 Water Supply Certification Number: WSC-20180-VF -141 Water Supply Certification Issued Date: December 11, 2018 Building Process Number:M2018019277 / M2018019278 Agent/Representative: Owner: JOE CHAN MIAMI SHORES CENTER LLC 210 - 71ST STREET SUITE 309 MIAMI BEACHFLORIDA 33141 Re: Adequate Water Supply Certification for the Project MIAMI SHORES CENTER LLC, Number 18.20180-VF -141 The Miami -Dade Water and Sewer Department (Department) has received your request to receive water services to serve the following project which is more specifically described in the attached Agreement, Verification Form, or Ordinance Letter. • 1132060132240 9830 NE 2 AVE 33138 SEC 1 AMD v BLK 170• 16,70 : • : 16,785 1132060132241 9806 NE 2 AVE 33138 LOTS LOT 54 & BLK 1J• : •• 13,575 • -03,575, ----- Proposed Use Square Footage/ #'Units Water Gallons Per: D.Y Sew S A Ions P_ r DLY Office Building 5 /100 sq ft 5245 262 • • • • • • • • 262 • • • • • Retail 10 100 sq ft 5245 525 •• •. • 25 Physician's Office (including Dentist, Chiropractor, ....., ,• Optometrist, Acupuncturist, and Ophthalmologist. Rated 1000 200 • • 200 • • ••:. as office: Psychiatrist, Psychologist, Speech therapist (20 • • • • o • d/100 s ft) :**Goo Office Building 5 d/100 sq ft 5245 1 262 • • • • • • 62 • • Office Building 5 /100 sq ft 830 1 42 • • • • 42 Theatre Indoor 1 /seat 330 330 330 Previous Use Square.Footage/Day Sewer Gallons Per D. 2018 - Office Building 5 d/100 sq ft 5245 262 0 2018 - Retail 10 d/100 sq ft 5245 525 0 2018 - Physician's Office (including Dentist, Chiropractor, Optometrist, Acupuncturist, and Ophthalmologist. Rated 1000 200 0 as office: Psychiatrist, Psychologist, Speech therapist (20 d/100 sq ft 2018 - Office Building 5 /100 sq ft 5245 262 0 2018- Office Building 5 d/100 s ft 830 42 0 2018 - Theatre Indoor 1 /seat 330 330 0 Totals The Department has evaluated your request pursuant to Policy CIE-513 and WS-2C in the County's Comprehensive Development Master Plan and Limiting Condition No. 5. of the South Florida Water Management District Water Use Permit Number 13-00017-W. Based on its review of all applicable information, the Department hereby certifies that adequate water supply is available to serve the above described project. This Adequate Water Supply Certification will expire if a building permit is not applied for within 365 days of the date of issuance of said certification. If an Agreement is executed for the proposed project, the certification will remain active with the terms of the Agreement until such time as the building permit is applied for. If a building permit is applied for in accordance with the aforementioned conditions, this certification will remain active with the building permit process. Furthermore, be advised that this adequate water supply certification does not constitute Department approval for the proposed project. Additional reviews and approval may be required from sections having jurisdiction over specific aspects of this project. Should you have any questions regarding this matter, please contact Maria A. Valdes, Chief, Planning and Water Certification Section, (786) 552-8198 or via email at mavald ,miam?dade.gov. Sincerely, Latarsha Cleare New Business Representative Page 3 of 3 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM t PERMIT #: 13-SC-1936432 APPLICATION # : AP 1405779 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1210196 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (Miami Shores Center LLC) PROPERTY ADDRESS: 9806 NE 2 Ave Miami. FL 33138 LOT: NA BLOCK: 17 SUBDIVISION: PROPERTY ID #: 11-3206-013-2241 [SECTION, TOWNSHIP, RANGE, PARCEL NUM91 ] . [OR TAX ID NUMBER] • • •f••• •••••• • SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND •STANDARDS OF 'SEC-r1hA°°°° 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM °DOES NOT • GUARANTF:g••f: SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE "•I% MATFi,}le. FACTD, ° WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLI�Maf T TO *AaC1FY T$L;° PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING•fqu"��: NUILfklk VOID°.°°° ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE• OfTH OTtER FEDERAij°°°° • STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. 1°°°°° • • SYSTEM DESIGN AND SPECIFICATIONS • ° • ! • • • ° T [ j GALLONS / GPD CAPACITY • ° ° see* A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS) K [ ) GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps ( ] D [ ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: ( ) STANDARD I CONFIGURATION: [ J TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D F 0 T H E R SYSTEM SYSTEM ( ] FILLED [ ] FUND ( ] BED [ ] ][ABOVE/ BELOW] BENCHMARK/REFERENCE POINT It BELOW] BENCHMARK/REFERENCE POINT i"" r WV.LmLu. L V.uy ) INLhES EXUAVATIUN REQUIRED: I J INCHES Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out.(b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) The tank shall be filled with clean sand or other suitable material, and completely covered with soil.Have the system inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered. SPECIFICATIONS BY: TITLE: APPROVED BY:TITLE: Environmental Specialist II Dade CHD Erick Varcra DATE ISSUED: 04/03/2019 EXPIRATION DATE: 07/02/2019 DR 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 AP1405779 SE-1 Page 1 of 3