Department of Planning And Zoning 11805 S.W. 26 Street, Suite 113 Miami, Florida 33175-2474 Tel.: (786) 315-2650 Fax: (786) 315-2926 Date: _______/ _______/ _______ ____________________________ Process Number To whom it may concern: The undersigned, as owner of the property located at ___________________________________ __________________________________________________________________________ Miami-Dade County, Florida, hereby absolves Miami-Dade County of any and all legal responsibility for any claims, loss, damage or expense which may arise as a result of the placement of a ____________ in the utility easement area. Furthermore, I have contacted the following utilities and have received their consent. Sunshine Network 1-800-432-4770 Ticket Number _________________ Date _________________ *NOTE: Please allow a minimum of four working days after last call for field check before returning to the Department of Planning and Zoning for final zoning approval. Sincerely, ___________________________ Property Owner ___________________________ Print Name Rev. 2/01/05 er American LegalNet, Inc. www.FormsWorkflow.com UTILITY COMPANIES APPROVAL REQUIRED WHEN ENCROACHING INTO A UTILITY EASEMENT When calling the below listed utility companies please advise them that you are building a structure that will encroach into a utility easement and require a release letter from them. Miami-Dade Water & Sewer Department Plans Review Section: Utilities Department at: (786) 268-5344 or (786) 268-5113, Contact Person: Mr. Arnett E. Lee Jr. aleej@miamidade.gov Florida Power and Light: Customer Service, Service Representative at: North Dade Area: (305) 770-7900 Homestead thru Kendall Area: (305) 387-6649 West Dade Area: (305) 599-4099 BellSouth/AT&T: Provide address or phone number so that you can be forwarded to an Engineer in charge of your area: 1 (800) 216-5688 Or Dial 611 from your home phone and request the release letter. Gas Companies:    Florida City Gas – Distribution Dept. 1 (877) 737-2477, Contact Person: Angie Bowers Peoples Gas – Engineering Dept., Contact Person: Yolande Hong’ting Fax: (305) 945-0171 Or Tel.: (305) 957-3857 Ext. 7247 Cable TV Companies:   Adelphia Cable Communications, Contact Person: Mattie Tel.: (561) 368-5100 Or Fax: (561) 393-6209 Comcast Cable, Contact Person: OT Harden (305) 770-5327 To find out which cable TV company services your area, contact Consumer Services, Office of Cable Television Coordination at (305) 375-3677 ****************************************************************************** Underground utilities locater service: Sunshine Network 1 (800) 432-4770 Revised: April 21, 2008 gi American LegalNet, Inc. www.FormsWorkflow.com