PLC-11-2106Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
CC' II- tu9S
Inspection Number: INSP - 166639
Permit Number: PLC -11 -11 -2106
Scheduled Inspection Date: June 27, 2012
Inspector: Hernandez, Rafael
Owner: , SHORES SQUARE INVESTMENTS
Job Address: 9025 BISCAYNE Boulevard
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: CENTERLINE PLUMBING INC
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060110051 -25
Phone: (305)4014170
Building Department Comments
PLUMBING WORK FOR DOCTORS OFFICE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
June 26, 2012
For Inspections please call: (305)762 -4949
Page 3 of 36
Permit Number: PLC -11 -11 -2106 1
•
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: I NS P- 175736
Inspection Date: July 11, 2012
Inspector: Hernandez, Rafael
Owner: , SHORES SQUARE INVESTMENTS
Job Address: 9025 BISCAYNE Boulevard
Miami Shores, FL 33138 -0000
Project <NONE>
Contractor: CENTERLINE PLUMBING INC
Permit Type: Plumbing - Commercial
Inspection Type: Plumbing
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060110051 -25
Phone: (305)401 -8170
Building Department Comments
PLUMBING WORK FOR DOCTORS OFFICE
Passed
Inspector Comments
BACK FLOW PREVENTOR CERTIFICATE
Ir
irl
r '
I A
I
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
July 11, 2012
For Inspections please call: (305)762 -4949
Page 1 of 1
4
Brothers Backflow Specialists Inc
6800 Bird Road, #439
Miami, Florida 33155
Telephone: 954- 382 -2099
CFC1426564
BACKFLOW PREVENTION ASSEMBLY FIELD TEST REPORT
DATE OF TEST: s 12 / /fZ
NAME OF PREMISE: CONTACT: at_ e°4-e. "L-1
STREET ADDRESS :�' ✓ c env
CITY, STATE, ZIP: fh tonne /e-
LOCATION OF ASSEMBLY:
/2-0
TEL:
FAX:
TYPE OF DEVICE: RI4 D.C. [' PVB Q AVB Q OTHER:
MANUFACTURER:COO C^' MODEL: t�
METER NO.:
INVOICE NO.
SERIAL NO.: 1 SIZE:
LINE PRESSURE psi:
NOTE: ALL REPAIRS /REPLACEMENTS SHALL BE COMPLETED WITHIN (10) DAYS.
REMARKS:
EXISTING DEVICE ['j NEW iNSTALLATI !.
I HEREBY CERTIFY THAT THIS DATA IS ACCURATE AND REFLECTS THE PROPER OPERAT.c 1
TEST GAUGE USED MIDWEST 845 CERTIFIED TESTING COMPANY
PASSED 1$T pc [' 2ND FAILED- REPAIR NEEDED ['
INITIAL TEST BY: Pedro Santana CERTIFIED TESTER NO. M 111
REPAIRED BY: DATE REPAIRED
CEIRTIFIED TESTER SIGNATURE pedr&Santzina,
CERTIFIED TES
'°4.4117—
FINAL TEST BY:
NTENANCE OF THE ASSEMBLY
Brothers Backflow Specialists
EXP. DATE:
MO. DAY
30
CHECK VALVE #1
RELIEF VALVE
CHECK VALVE #2
PRES VACUUM BREAKER
T
E
8
T
Q Leaked
Closed Tight
Gauge Pressure across
Check Valve
psi
Opened at psi
Leaked
Closed Tight
Gauge Pressure A oss
Check Valve 1 psi
Air Inlet opened at
[' Did Not Open
Check Valve:
['Leaked
Held at
psi
2 56
QDid Not open
psi
R
E
P
A
1
R
S
Q Cleaned Only
REPLACED:
Q Rubber Kit
Q CV Assembly
Y
or
0 Disc
Q 0 -Ring
Q Seat
Q Spring
[' Stem /Guide
Q Retainer
Q Lock Nuts
Q Other
[' Cleaned Only
REPLACED:
Q Rubber Kitt
[' RV Assembly
or
['Disc
Q Diaphragm(s)
Q Seat
Q Spring
[' Guide
[' 0.Ring
Q Other
Q Cleaned Only
REPLACED:
Q Rubber Kit
Q CV Assembly
Or
QDisc
Q 0 -Ring
[' Seat
Q Spring
Q Stem/Guide
Q Retainer
Q Lock Nuts
Q Other
Q Cleaned Only
REPLACED:
p Rubber Kit
Q CV Assembly
or
QDisc, CV
Q Spring, Air
Q Spring, Air
Q Spring, CV
Q Retainer
Q 0 -Ring
F
I
N
A
1
Gauge Pressure Across
Check Valve
psi
Relief Valve Opened
At psi
Gauge Pressure Across
Check Valve psi
Air Inlet
psi
psi
Check Valve
NOTE: ALL REPAIRS /REPLACEMENTS SHALL BE COMPLETED WITHIN (10) DAYS.
REMARKS:
EXISTING DEVICE ['j NEW iNSTALLATI !.
I HEREBY CERTIFY THAT THIS DATA IS ACCURATE AND REFLECTS THE PROPER OPERAT.c 1
TEST GAUGE USED MIDWEST 845 CERTIFIED TESTING COMPANY
PASSED 1$T pc [' 2ND FAILED- REPAIR NEEDED ['
INITIAL TEST BY: Pedro Santana CERTIFIED TESTER NO. M 111
REPAIRED BY: DATE REPAIRED
CEIRTIFIED TESTER SIGNATURE pedr&Santzina,
CERTIFIED TES
'°4.4117—
FINAL TEST BY:
NTENANCE OF THE ASSEMBLY
Brothers Backflow Specialists
EXP. DATE:
MO. DAY
30
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Perini
I. NOV i 4 2011 )
tNo. Ply') 11-21a,
Master Permit No. 11 -1693
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder): Shores Square Investments Phone#: 305 - 779 -8048
Address: 9037 Biscayne Blvd.
City: Miami Shores State: Zip: 33138
Tenant/Lessee Name: Edmundo R. Tamayo, M.D. phone#: 305 - 835 -6322
Finail tama157 @bellsouth.net
JOB ADDRESS: 9025 Biscayne Blvd.
City: Miami Shores
Folio/Parcel#: 1132060110051 25
County: Miami Dade
zip: 33138
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address: 1255 Dove Ave
City: Miami Springs State: - Zip: 33166
Qualifier Name: Todd Stiff Phone#: 305 -970 -8997
State Certification or Registration #: RF -0066949 Certificate of Competency #: 95P000250
Contact Phone# :305- 970 -8997 Email Address: toddstiff @mac.com
NO Flood Zone:
Centerline Plumbing, Inc.
Phone#: 305 -885 -1925
DESIGNER: Architect/Engineer:
Ramos Architects
Phone#: 305 - 445 -6140
Value of Work for this Permit: $ 18,500.00 Square/I.inear Footage of Work: 5,000 sq. ft.
Type of Work DAddress ®Alteration
Description of Work plumbing for doctor's office
❑New DRepair/Replace ODemolition
* ****a ***max;, ,- : *********************Fees * *** * ** x**** ********* * ** **** * ********* * **
o�
Submittal Fee $ /1 Permit Fee $ ,,5,. ------C CF $ CO /CC $
Scanning Fee $ / Radon Fee $
Notary $ ining/Ei ducation Fee $ Technology Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
TOTAL IEEE NOW DUE $ " + • O1/4--2-.
Bonding Company's Name (if applicable) 'N /A
Bonding Company's Address N/A
City State 7'm
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address N/A
City
N/A
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I comfy 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 tmderstand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S Al vWAVIT: 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 penult 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 cent/led copy of the recorded notice of commencement must be pasted as the fob site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspectlon will not be approved and o relnspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of ,20 .by ,
who is personally lutown to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Contraeter
Sign:
Print
My Commission Expires:
APPROVED BY
1 /V /r Plans Examiner
Structural Review
(Rcviscd 07 /10i07)(Revised ofdIOtl..a09t(Revised 3!15109)
Zoning
Clerk
QUA:L IFYINE3'i'11AQ S)
0001 PLUMBING
0022 MEDICAL GAS INSTALLATION
CENTERLINE PLUMBING INC
RAFAEL FERNANDEZ
1255 DOVE AVE
MIAMI SPRINGS FL 33166
CENTERLINE PLUMBING INC
RAFAEL FERNANDEZ
1255 DOVE AVE
MIAMI SPRINGS FL 33166
lulludl »aul,liau�lunlIn,H�louai�cl ulal,all
CERTIFICATE OF LIABILITY INSURANCE
11/04111
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(8), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) 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 954-778-2222
Brown & Brown of Florida, Inc.
1201 W Cypress Creek Rd # 130 954-77944a
P.Q. Box 5727
Ft. Lauderdale, FL 33310-5727
Michael Gorham
CONTACT
NAME:
PHONE FAX
Arc Ext): INC. Not
E-MAIL ADDRESS:
CUSTOMER ID #: CENTE01
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED Centerline Plumbing, Inc.
1255 Dove Ave
Miami Springs, FL 33166
N,suRERA:Travelers Indem Co of America
25666
INSURER B : Travelers Prop Cas Co of Amer
25674
INSURER c : FFVA Mutual Insurance Co.
10385
INSURER D :
08/21/12
INSURER E :
$ 1,000,000
INSURER F :
PRDAMGO EoNccTuErD re nce)
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. LINTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL.
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
fMNUDDIYYYY)
POLICY EXP
(MMIDDIYYYV)
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
OCCUR
CO3A408031 TIA11
08/21/11
08/21/12
EACH OCCURRENCE
$ 1,000,000
X
PRDAMGO EoNccTuErD re nce)
$ 300,000
CLAIMS-MADE
X
MED EXP (Any one person)
$ 5,000
X
PD Ded: $1,000
PERSONAL & ADY INJURY
$ 1,000,000
X
Contractual & XCU
GENERAL AGGREGATE
$ 2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS- COMP/OP AGG
$ 2,000,000
7 POLICY X JIM. LOC
Emp Ben.
$ 1,000,000
A
AUTOMOBILE
UABRITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BA3A408031 CNS11
08/21111
08121112
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
$
B
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS-MADE
CUP3A408031TIL11
08/21/11
08121/12
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
DEDUCTIBLE
RETENTION $ 10,000
$
X
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORiPARTNER/EXECUTNE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS
YIN
N / A
WC84000268252011A
08/21111
08/21/12
X WCSTATU- OTH-
TORY LIMIT_ ER
EL EACH ACCIDENT
$ 500,000
EL DISEASE - EA EMPLOYEE
$ 500,000
below
EL DISEASE - POLICY LIMIT
$ 500,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mom space is required)
CERTIFICATE HOLDER
CANCELLATION
MIAMISH
Miami Shores Village
10050 NE 2nd Avenue
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
s-1/11144,4.2/14.4
161988-2009 ACORD CORPORATION. All rights reserved.
•
'MIAMWADE
VERIFICATION FORM
EXPIRES ONE YEAR FROM DATE ON FORM
mtamidade.gov f�
ATLAS PAGE: E -8 INV#: fs� J�� FORM #: 201130699 DATE:
Water and Sewer
PO Box 330316 • 3575 S. Lejeune Road
Miami, Florida 33233 -0316
T 305- 665 -7471
10/25/2011
NAME OF OWNER:
PROPERTY ADDRESS:
PROPOSED USAGE /
NO. OF UNITS:
REPLACES: PREVIOUS
USAGE / NO. OF UNITS:
PROPERTY LEGAL:
MEDICAL OFFICE IMPROVEMENT
!9025 BISCAYNE BLVD
5,003 SF MEDICAL OFFICE PER PLANS
7,350 SF MEDICAL OFFICE WITH 5 PHYSICIANS PAID ON INVOICE # 121026
DEC PEONgWrIn
0 7 2011
6 53 42 ASBURY PARK PB 4 -110 BEG 30FTW OF SE COR LOT 5 RUN W272 08FT N177FT
W260.97FT TO E R/W/L BISC BLVD
FOLIO NUMBER: 11- 3206 - 011 -0051 I GALLONS PER DAY INCREASE: -249
PREVIOUS FLOW: 1,250 PREVIOUS SQUARE FOOTAGE: 7,350 ❑ NEW CONSTRUCTION
PROPOSED FLOW: 1,001 PROPOSED SQUARE FOOTAGE: 5,003 M INTERIOR RENOVATION
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
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 # N /A) SUBJECT TO PROHIBITIONS
OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR
WITHDRAWAL.
BY:
Gonzalo Garcia Jr. - New Business
Representative
SIGNATU OF REP ESE TIVE AUTHORIZED BY
NE ': USINESS C. MENT IF CONNECTION TO 12" MAINS IN BISC BL AND /OR NE 90 ST IS NEEDED EITHER FOR
SERVICE, FL OR EXTENSION, COLLECT APPLICABLE WM CCC, MFS 11 -9 -2009 VF $150
PLANS REVIEW COMMENTS:
CRITERIA: F-4
THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) __8_ 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 AGENCIES HAVING JURISDICTION OVER MATTERS
OF SEWAGE DISPOSAL. FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENT'S SYSTEM MUST
BE OBTAINED FROM D.E.R.M. THE ANTICIPATED DAILY WATER AND /OR SEWAGE FLOW FOR THIS PROJECT WILL BE: TWO
HUNDRED FO' TY NINE ( -249] GALLONS PER DAY INCREASE.
BY:
SIGNAT - - E OF
EW BUSINESS OMMEt4tS:
PLANS REVIEW COMMENTS:
Gonzalo Garcia Jr. - New Business
Representative
4,
ATIVE AUTHORIZED BY
D.E.R.M. SEWER ALLOCATION LETTER DATED: 2010 - ALLOCATION -02480 PER CG STILL
ACTIVE
CONTACT NAME: RICARDO BE - MUDEZ
CONTACT PHONE: (305) 989 -' 31
AUTHORIZED BY:
Printed On: 11/2/2011 NB: Gonzalo Garcia Jr.
10:43:03 AM
PR:
Carlos Alvarez, Mayor
10/18/2010
Issued Date: 10/18/2010
Ivan Fuentes
3850 Bird Rd #801
Miami, FL 33146
11111 1111111111111 1111111
iu
It v. 1 L
L
vthagement
r�''�" Plan Review and Development Approvals Divi3ion
Pere rrelylcti•1S �G.l id . i2•-Q 4-ez fi t14 iry, 701 NW 1st Court • 2nd Floor
i'_ef}er- CIO- ALL —ammo 4 1/4 i of . Miami, Florida 33136 -3902
T 305 - 372.6899 F 305- 372.6550
V2,5 �►` 1
miamidade.gov
RE: Sewer System Treatment and Transmission Capacity Certification
The Miami -Dade County Department of Environmental Resources Menagement (DERM) has received your application for approval of
a sewer service connection to serve the following project which Is more specifically described in the attached project summary.
Project Name: Shore Square Shopping Center/2010100813310680
Project Location: 9005 - 9099 BISCAYNE BLVD, MIAMI SHORES, FL 33138
Previous Use: 66,905 SF Shopping Center on septic connecting to sewer.
Proposed Use: 57,555 Retail, 7,350 SF Physician Office and 2,000 SF Take Out Restaurant.
PERMITTING. CONSTRUCTION, COMPLETION AND CERTIFICATION OF THE SANITARY SEWER EXTENSION NO. SE 2010 -
SEW -EXT -00073. PLEASE BE ADVISED THAT ISSUANCE OF ANY CERTIFICATE OF OCCUPANCY, CERTIFICATE OF
COMPLETION, CERTIFICATE OF USE AND /OR OCCUPATIONAL LICENSE FOR THE SUBJECT PROJECT WILL BE WITHHELD •
PENDING COMPLIANCE WITH ANY AND ALL CONDITIONS STIPULATED BY APPLICABLE LOCAL AND STATE PERMITS FOR
THE COLLECTION/TRANSMISSION SYSTEM IMPROVEMENT(S) HEREIN REQUIRED.
Previous Flow: 0 GPD
Total Calculated Flow: 9226 GPD
Allocated Flow: 9226 GPD
Sewer Utility: UNINCORPORATED DADE COUNTY
Receiving Pump Station: 30 - 0049
DERM has evaluated your request in accordance with the terms and conditions set forth in Paragraph 16 C of the First Partial Consent
Decree (CASE NO. 93-1109 CIV- MORENO) between the United States of America and Miami -Dade County. DERM hereby certifies
that adequate treatment and transmission capacity, as herein defined, is available for the above described project.
Furthermore, be advised that this approval does not constitute Departmental approval for the proposed project. Additional reviews
and approval may be required from 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 Consent Decree
requirements) and may not be representative of GPD flows used in calculating connection fees by the utility providing the service.
Please be aware that this certification is subject to the terms and conditions set forth in the Sewer Service Connection Affidavit filed by
the applicant, a copy of which Is hereby attached.
Should you have any questions regarding this matter, please contact the Miami -Dade Permitting and Inspecting Center (MDPIC) (786)
315 -2800 or DERM Office of Plan Review Services, Downtown Office (305) 372 -6899.
Sincerely.
Carlos Espinosa, P
Directo
Dep t �j'ironmen = R 'rtes Management
By.
Ca ez, P.E.
Chief, Office o Plan Review Services
a : �{ S r,, •' - _ L .. i :: •�.. G.. i 1. �^ �-.1 F'! iI
Page 1 Of
r
MIAM
COUNTY
Carlos Alvarez, Mayor
INN I I 1 Ell
.• v. 1 i 1 . . J
`nvnai> ihkat@aQki }►agement
Plan Review and DevelopmentApprovals Division
701 NW 1St Court • 2nd Floor
Miami, Florida 33136 -3902
T 305- 372 -6899 F 305 -372 -6550
miamidade.gov
Owner's Name:
Owner's Address:
EEOS Allocation Number 2010- ALLOCATION -02480
Project: Shore Square Shopping Center/2010100813310680
Proposed Use: 57,555 Retail, 7,350 SF Physician Office and 2,000 SF Take Out Restaurant.
PERMITTING, CONSTRUCTION, COMPLETION AND CERTIFICATION OF THE SANITARY
SEWER EXTENSION NO. SE 2010 -SEW EXT- 00073. PLEASE BE ADVISED THAT
ISSUANCE OF ANY CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLETION,
CERTIFICATE OF USE AND /OR OCCUPATIONAL LICENSE FOR THE SUBJECT
PROJECT WILL BE WITHHELD PENDING COMPLIANCE WITH ANY AND ALL
CONDITIONS STIPULATED BY APPLICABLE LOCAL AND STATE PERMITS FOR THE
COLLECTION/TRANSMISSION SYSTEM IMPROVEMENT(S) HEREIN REQUIRED_
Pump Station: 30 -0049
Projected NAPOT: 4.13
Folio Lot /Block Address
Bldg Prop rt
Flow Sewer Sewer Sewer Exp. Date
(GPD) Status Cert Date Recerl
Date
11320601100$1 /
P10164
6005 -8oee
Biscayne Blvd,
Miami Shores
1132060110060 /
N/A
1432080110070 /
N/A
Total': .7e71 - - • - �;
, ; i f't .e t' 1, f
$ l• r ,. . t' .
•
8,226 APP 10/18/2010
0 _ 10/18/2010
1/16/2011
1/16/2011
0 _ 10/18/2010 1/16/2011
.4 ySn
i
w, .. ' Page 2 of