12-1205-005M 1 A M I-DADE
VERIFICATION FORM
EXPIRES ONE YEAR FROM DATE ON FORM
miamidade.gov
ATLAS PAGE: M -18 INV #: jqqj&FORM #: 201336217 DATE:
NAME OF OWNER: ;DR KAREN RABEN M2013001476
PROPERTY ADDRESS: 7000 SW 62 AVE # 525
PROPOSED USAGE / f2186 SF MEDICAL OFFICE
NO. OF UNITS:
REPLACES: PREVIOUS .2186 MEDICAL OFFICE (2008 LICENSE)
USAGE / NO. OF UNITS:
PROPERTY LEGAL: 25 54 40 1.12 AC M/L E330.87FT OF S130FT OF N245FT OF SE1 /4 OF SE1 /4 OF SW1 14
FOLIO NUMBER: 09 -4025- 000 -0591 GALLONS PER DAY INCREASE: 0
PREVIOUS FLOW: 437 PREVIOUS SQUARE FOOTAGE: 0 ❑ NEW CONSTRUCTION
PROPOSED FLOW: 437; PROPOSED SQUARE FOOTAGE: 2.186, [] INTERIOR RENOVATION
Water and Sewer
PO Box 330316.3575 S. Lejeune Road
Miami, Florida 33233 -0316
T 305 - 665 -7471
1/22/2013
THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) _16_ 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 GOVERNMENT L AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR
WITHDRAWAL.
Antonio C. Sotolongo - New
Business Representative
BY:
SIGNATURE OF REPRES NI ATIVE AUTHORIZED BY
NEW BUSINESS COMMENTS: VP FEE 150.00 + WSC 90.00= $240.00 TOTAL // VF VALID ONLY W PD INVOICE
PLANS REVIEW COMMENTS:
CRITERIA: LESS THAN 50 %
THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) _15_ 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 NTICIPATED DAILY WATER AND /OR SEWAGE FLOW FOR THIS PROJECT WILL BE: NO
GALLONS [0) GALLONS PER DAY I dCREASE.
�( Antonio C. Sotolongo - New
BY:
Business Representative
'/
SIGNATURE OF RI
NEW BUSINESS COMMENTS:
PLANS REVIEW COMMENTS:
CONTACT NAME: SUSAN
CONTACT PHONE: 305 5�
AUTHORIZED BY:
;I�NTATIVE AUTHORIZED BY
D.E R.M. SEWER ALLOCATION LETTER DATED: 1/9/2013 201300067
Printed On: 2/512013 NB: Antonio C. Sotolongo
12:31:41 PM PR: