06-240-003VERIFICATION FORM
EXPIRES ONE YEAR FROM DATE ON FORM
ATLAS PAGE: M-19 INV#: 82466 FORM #: 20068276 DATE: 2/3/2006
NAME OF OWNER: KYOJIN OF MIAMI INC
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PROPERTY ADDRESS: 6212 S DIXIE HWY -
PROPOSED USAGE / !RESTAURANT WITH 164 SEATS
NO. OF UNITS:
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REPLACES: PREVIOUS RESTAURANT 225 SEATS - -- - -
USAGE / NO. OF UNITS:
PROPERTY LEGAL: ;BEG AT A PT 135.35FTN OF SE CDR TR 2 PALM MIAMI HGTS AMD j
FOLIO NUMBER: - 09-4036-035-0010 GALLONS PER DAY INCREASE: 3,050
PREVIOUS FLOW: ; 8,200 ! PREVIOUS SQUARE FOOTAGE: ; 4,990 I
❑ NEW CONSTRUCTION
PROPOSED FLOW: 11,250 ; PROPOSED SQUARE FOOTAGE: 4,9901 ❑ INTERIOR RENOVATION
THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) _8_ 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:
Emily Murray - New Business
Supervisor One
SIGNATURE OF REPRESENTATIVE AUTHORIZED BY
NEW BUSINESS COMMENTS: EXISTING PS #9071155946 W&S. NO INCREASE IN GALLONAGE. AS PER
OCCUPATIONAL LICENCE DATED 10/1/94.
PLANS REVIEW COMMENTS:
CRITERIA:
THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) _8_ INCH
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: THREE
THOUSAND FIFTY [3050) GALLONS PER DAY INCREASE.
BY:
Emily Murray - New Business
Supervisor One
SIGNATURE OF REPRESENTATIVE AUTHORIZED BY
NEW BUSINESS COMMENTS: !SUBJECT TO D.E.R.M. CERTIFICATION LETTER #2006012308382510 DATED JANUARY 23,
-2006.
PLANS REVIEW COMMENTS: I - -
CONTACT NAME: TIONG TAN Printed On: 3/3/2006 NB: Emily Murray
CONTACT PHONE: L561) 866-0722 3:10:50 PM PR: