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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