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MIAMI DADF rOUNTY
MIAMI—DADE COUNTY
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES
O 11805 SW 26 STREET
MIAMI, FL 33175-2474
�
' (786) 315 2000
MISCELLANEOUS RECEIPT
PROCESS NO: X2018010612
PEDRO G PEREZ
13369 SW 42 ST
MIAMI, FL 33175
IREVIEW FEE FEE- UNIT
TYPE CODE DESCRIPTION UNITS DESC
WASA Y001 WASD FEES 000000000
TOTAL:
�
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%roE u�nou��mvon~�p�����~ COUNTY
»
/2017 14:42 YDENIS 341710190050 TCPM939R CENTRAL
10/19/2017
FEE
AMOUNT
30.00
30.00
Water and Sewer
iAr� i`D�ADE
PO Box 330316.3071 SW 38 Avenue
VERIFICATION FORM
Miami, Florida 33233-0316
T 305-665-7471
T VALID WITHOUT A PAID INVOICE AND EXPIRES ONE YEAR FROM THE
DATE ON FORM
AAU'F:'g°V E-7 INV#: 40827 FORM #: 201767103 DATE:
10/18/2017
NAME OF OWNER: iIVLiS DURAN MANTILLA - M2018000461
PROPERTY ADDRESS: 530 NE 107 ST
PROPOSED USAGE / ADDITION OF 264 SF TO EXISTING SFR PER PLANS
NO. OF I
�J
UNITS:
REPLACES: PREVIOUS EXISTING SFR PER PTXA, CCB ACCT 8226780147
USAGE / NO. OF UNITS:
—
PROPERTY LEGAL: AMD PL MIAMI SHORES SEC 5
FOLIO NUMBER: 11-2310-140-050 GALLONS PER DAY INCREASE: 0- -- — —
PROPOSED FLOW: 220PREVIOUS SQUARE FOOTAGE: 1,528
❑ NEW CONSTRUCTION
PREVIOUS FLOW: 220 PROPOSED SQUARE FOOTAGE: 1,792
INTERIOR RENOVATION
ADOPTED FLOW: 0 ❑ CRITICAL HABITAT
❑ SEWER ONLY
THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES
HAVE A(N) INCH
�$�
WATER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT
PROPERTY, (OR, IF "WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER FACILITIES
BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID # NIA) SUBJECT TO PROHIBITIONS
OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS
WITHDRAWAL.
OF WATER SUPPLY OR
William Martinez - New Business
BY --!Representative
SIGNATURE OF REPRESENTATIVE AUTHORIZED BY
NEW BUSINESS COMMENTS: NNI, VF $30 • IF A NEW SERVICE IS REQUIRED. MUST BE INSTALLED ON WTR MAIN
ABUTTING FRONT OF PROPERTY AT OWNERS EXPENSE,
THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES NOT HAVE A(N) �- i INCH
GRAVITY SEWER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE
THE SUBJECT PROPERTY, (OR, IF "WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF SEWER
SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID # N/A).
SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AG CIES HAVING JURISDICTION OVER MATTERS
OF SEWAGE DISPOSAL. FURTHERMORE, APPROVAL OF ALL SEWAGE F INTO THE DEPARTMENT'S SYSTEM MUST
BE OBTAINED FROM D.E.R.M. THE ANTICIPATED DAILY WATER AND/O EWAGE FLOW FOR THIS PROJECT WILL BE: NO
GALLONS [0] GALLONS PER DAY INCREASE.
William Martinez - NewBusiness
BY Representative
--
SIGNATURE OF REPRESENTATIVE AUTHORIZED BY
NEW BUSINESS COMMENTS:
Subject to RER terms & conditions set forth in Consent Decree (Case No.1:12-CV-24400-FAM)
)r DOH Onsite Sewer Treatment & Disposal Rules & Statutes
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 786-268-5360. 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: PEDRO PEREZ Printed On: 10/18/2017 NB: William Martinez
CONTACT PHONE: �305223- 9 A— 9:15:53 AM
PR:
AUTHORIZED BY: f /
MIAMFDADE
Water & Sewer Department
New Business Office
P.O. Box 330316
Miami, FL 33233-0316
Invoice
Invoice Number
N00040827
Customer Number
00013052
Invoice Date
October 18, 2017
Business Process Number (X)
2018010612
Total Amount Due $30.00
PEDRO G PEREZ
13369 SW 42 ST
MIAMI FL 33175
Note: ER Water
VF FEE FOR A 264 SF ADDITION TO EXISTING SFR, TOTAL PROPOSED 1,792 SF @ 530 NE 107
ST, FOLIO 112310140050, PROCESS M2018000461, VF 201767103 ER Sewer
Agreement ID
VF Res (R-A) Water
Total Standard Charges
Total Invoice
Printed on 10/19/2017 by e309866 at WESTOFFICE
1 EA 30.00 30.00 0.00 30.00
$30.00
$30.00
MIAMI-MDE CDUNTY
DEPT. DF RED ATE)RY d EMIMIC F-SOuRCES
10119/2817 14:43
REGISTER TCPM939R CENTRAL
CASHIER YDENI5
TRANWTID4 34 171019M
PRMS t X20t9&O612
CASH TENI)EREE s311.0e
--------------- =-
TOTAL : $30.0
Mission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
iHEALTH
Vision: To be the Healthiest State in the Nation
November 02, 2017
(EMPIRE)
2423 SW 147 Avenue 344
Miami, FL 33185
RE: Contingency Letter
Application Document No: AP1309585
Centrax Permit Number: 13-SM-1793452
OSTDS Number:
530 NE 107 St
Miami, FL 33138
Lot:9 1 /2 & 2 8 Block:109 Subdivision:
Dear Applicant:
Rick Scott
Governor
Celeste Philip, MD, MP41
Surgeon General and Secretary
This will acknowledge receipt of an application dated 10/04/2017 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
From a review of your completed application, it has been determined your existing system is
adequate for the proposed use.
Scope of work: Addition of a new Master Bedroom and proposed bathroom.
NO OBJECTION letter issued by Gerard Philizaire on 11/02/2017
If you have any questions on this matter, please call our office at (305) 623-3500.
Enclosures
cc:
Sincerely,
Gerard Philizaire, Engineering Specialist II
Florida Health f- i I de Counf
Florida Department of Health
in DADE COUNTY www.FloridasHealth.com
1725 NW 167 St, Opa Locka, FL 33056 TWITTER:HealthyFLA
PHONE: (305) 623-3500 . FAX: (305) 623-3645 FACE BOO K:FLDepartmentofHealth
YOUTUBE:fldoh