PW-16-1165 Permit NO. PW-4-16-1165
rt Miami Shores Village Permit Type:Public Works
10050 N.E.2nd Avenue NE -' Work Classification:Public Works
Miami Shores,FL 33138-0000 Perl" 11
Permit Status:APPROVED
Phone: (305)795-2204
yFCOR1DP __..
Issue Date:811812016 Expiration: 11/16/2016
Project Address Parcel Number Applicant
9475 NE 2 Avenue 1132060133760
BANK OF AMERICA NA
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
BANK OF AMERICA NA 13510 BALLANTYNE CORP Place
CHARLOTTE NC 28277-
9475 NE 2 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone $ 33,500.00
Valuation:
GOLDEN SANDS CONSTRUCTION MA (305)633-3336 Total Sq Feet: 3500
Scanning:7 Available Inspections:
Inspection Type:
Final
Excavation
Review Planning
Review Building
Review Building
Review Structural
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $20.40 Invoice# PW-4-16-59597
DBPR Fee $52.50 08/18/2016 Credit Card $3,600.40 $200.00
DCA Fee $52.50
Education Surcharge $6.80 04/29/2016 Credit Card $200.00 $0.00
Permit Fee $3,500.00
Permit Fee $120.00
Scanning Fee $21.00
Technology Fee $27.20
Total: $3,800.40
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is acQATate at all Mrk will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named tra a work stated.
August 18, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 18, 2016 1
Miami Shores Village ; EIS
I 4AR 99LS-
Building
Department BY:
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel: (305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201
BUILDING Master Permit No-?-w V_
PERMIT APPLICATION sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL QPUBLIC WORKS ❑ CHANGE OF E] CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS. 942NE 2nd Ave., Miami Shores, FL 33138
City: Miami Shores County: Miami Dade Zip:33138
Folio/Parcel#: 1132060133760 Is the Building Historically Designated:Yes NO X
Occupancy Type: M Load: See plans Construction Type: II - B Flood Zone: X BFE: 81 FFE:
OWNER:Name(Fee Simple Titleholder):Bank of America Corp., National Association Phone#:954.541.6773
Address: 101 N. Tryon Street,
City: Charlotte State: North Carolina Zip: 28255
Tenant/Lessee Name: Bank of America Phone#:954.541.6773
Email: Ellie.Sanchez@am.jll.com
CONTRACTOR:Company Name: Golden Sands General Contractors, Inc Phone#:
Address: 2500 NW 39th St
City: Miami State: Florida Zip: 33142
Qualifier Name: Mary Frances Maguire Phone#: (863) 984-7500
State Certification or Registration#: CGC062617 Certificate of Competency#:
DESIGNER:Architect/Engineer: Infinity Engineering Group, LLC (PERMIT CONTACT)phone#: 813-380-6930
Address: 1135 Marbella Plaza Drive City: Tampa State: FL Zip: ,33[619
Value of Work for this Permit: J00_00 Square/Linear Footage of Work: 1 SCI
Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work: Alterations to Parking lot slopes and striping to accommodate ADA spaces.
Alteration to sidewalks and ramps for ADA compliance.
Specify color of color thru tile: (�'-tt''�� ,�-LL��
Submittal Fee$ �� • � Permit Fee$ y)SW•W CCF$ '020 •4O CO/CC$ !9(X.
Scanning Fee$_ ' 0�) Radon Fee$ '�;2 -150 DBPR$ �2 '5V Notary$
Technology Fee$ �� • 2-0-Training/Education Fee$ G, - 90 Double Fee$
Structural Reviews$ W Bond$ l�J
TOTAL FEE NOW DUE$ GOO-,Lin
V
(Revised02/24/2014)
Bonding Company's Name(if applicable) N/A
Bonding Company's Address N/A
City N/A State N/A Zip N/A
Mortgage Lender's Name(if applicable) N/A
Mortgage Lender's Address N/A
City N/A State N/A Zip N/A
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: 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 permit 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 certified copy of the recorded notice of commencement must be posted at the job site
for the first inspec ' ch occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will no be ro ed and a rei ection fee will be charged.
Signatur Signature
OWNER or AGENT CONTRA OR
Th,e.foregoing instrument was acknowledged beforeme this The foregoing instrum nt was acknowledged before me this
day of 20 ( (* by day of 6L- tknown
y
Felipe Izquierdo-SVP BOA who isRersonally known to Mary Frances Maguire ho is persono
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sig am. Sign:
6w! 1AK
Print: PAY P& Print:
1�1..
Seal: y,. MY COMMISSION#FF127876 Seal: MY COMMISSION#FF 931193
° a= EXPIRES:January 13,2020
OF .` EXPIRES Jtiane 1, 2018 BoM�dThNNoteryPubfrcOndernrtars
(407)398.0153 Floridallotaryservice.com
�-
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
March 27, 2016
Miami Shores Village �A l�Y�/��l�T����
Building Department
10050 NE 2nd Avenue
Miami Shores, FL 33138 4�1
305-762-4949
RE: Bank of America—Interior Renovation INFINITY ENGINEERING
Miami Shores Village—ADA GROUP,LLC
9499 NE 2nd Ave.
Miami Shores, FL 33138
Dear Plans Reviewers:
This letter is to clarify our submittal to you for the exterior portion of work, and to provide a cost
estimate.The work to be done includes:
1. Selective demolition of concrete sidewalk, landscaping, and access ramps, to be replaced with
ADA compliant sidewalk and access ramps with detectable warnings.
2. Demolition of concrete curbing to be replaced along newly replaced sidewalk and lot.
3. Milling of old asphalt surface for ADA parking spaces. New level asphalt and/or sealcoating to be
installed per ADA grading requirements.
4. Striping for new asphalt areas.
5. New bollards/signage for renovated parking areas.
Cost Estimate:
1. Demolition existing sidewalk and associated curb: $ 4,500.00
2. Installation of new concrete sidewalk: $ 7,500.00
3. Installation of new concrete curb: $ 1,500.00
4. Millwork on existing asphalt: $ 2,500.00
5. Installation of new asphalt, base, and sealcoat: $15,000.00
6. New Live Oak and installation: $ 1,500.00
7. New signage and bollards: $ 1,000.00
8. New Striping: $ 1,500.00
Total: $35,000.00
Please let me know if you have any questions or concerns. My number is(813)380-6930.
Sincerely'',
Si/ //
C�4ud'dtCNl4.Pil
Chris Haines
Permit Coordinator
Infinity Engineering Group, LLC.
1135 Marbella Plaza Drive
Tampa, Florida 33619
ChrisH@iegroup.net I www.iegroup.net
1135 Marbella Plaza Drive,Tampa, Florida 33619 T: (813)434-4770 F: (813)445-4211
r
ASSISTANT SECRETARY'S CERTIFICATE
OF
BANK OF AMERICA, NATIONAL ASSOCIATION
The undersigned, Allison L. Gilliam, an Assistant Secretary of Bank of America,
National Association (the "Association"), a national banking association organized and existing
under the laws of the United States of America and having its principal place of business in the
City of Charlotte, County of Mecklenburg, State of North Carolina, does hereby certify that:
1. The following person has been duly elected or appointed to the office in
the Association as indicated; and that such person holds such office at this time.
Name Title
Felipe Izquierdo Senior Vice President
2. The following is a true and complete copy of an excerpt from the Bylaws
of said Association, and the same is in full force and effect as of the date hereof.
Section 5.2. Execution of Instruments. All indentures, mortgages, deeds,
conveyances, contracts, notes, loan documents, letters of credit, master agreements, swap
agreements, guarantees, discharges, releases, satisfactions, settlements, affidavits, bonds,
undertakings, powers of attorney, and other instruments or contracts may be signed,
executed, acknowledged, verified, attested, delivered or accepted on behalf of the Association
by the Chairman of the Board, the Chief Executive Officer, the President, any Vice Chairman of
the Board, any Division President, any Managing Director, any Director (as described in Section
4.7 of these Bylaws), any Principal, any Executive Vice President, any Senior Vice President, any
Vice President, any Assistant Vice President, any Officer, or any individual who is listed on the
Association's personnel records in a position equal to any of the aforementioned officer
positions, or such other officers, employees or agents as the Board of Directors, the Chief
Executive Officer or any officer reporting directly to the Chief Executive Officer may direct in a
written delegation kept in the minute book of the Association. The provisions of this Section
5.2 are supplementary to any other provision of these Bylaws and shall not be construed to
authorize execution of instruments otherwise dictated by law.
IN WITNESS WHEREOF, I have hereupon set my hand and affixed the seal of said
Association this 17`h day of December, 2015.
(SEAL)
it Allison L. Gilliam
`Kr ' Assistant Secretary
•''�
AS;
T Department of Regulatory and Economic Resources
Miami-Dade County
Plan Review Summary
Process Number: M2016011816
r
FINAL CORE REVIEW DATE: 6/7/2016 OVERALL STATUS: Overall Disapproval
PROJECT DETAILS: CONTACT DETAILS:
FOLIO: 11-3206-013-3760 NAME: RICK PETERS
ADDRESS: 9499 NE 2 AVE, , FL EMAIL:
PERMIT TYPE DESC.: RESTRIPE, RAMPS ETC PHONE#: 9548053802
DISAPPROVAL CODES:
Disapproval Code 01: 0301 -Tree permit required. See application at
Miamidade.gov/derm/library/permits/tree_removal_pack
TASK REVIEWED BY STATUS DATE STATUS
Initial Core Review Kirk Wong 05/26/2016 Reviewed
Comments: Asphalt pavement to be sawcut and removed; concrete sidewalk and ramps to be sawcut and removed;
five existing parking signs to be removed; relocate and reinstall seven wheel stops; landscaping and oak tree to be
removed and replaced; sealcoating existing asphalt at Bank of America. Requires Asbestos, Pav/Dr and Trees
approvals.
ASBES Review Marta I March 05/31/2016 Not Required
Comments: C01.01 Exterior alterations for ADA upgrades and removal of an ATM structure with roof less than 160 sf
at existing bank.
P D Review Diana Jo Lau 06/02/2016 Approved
Comments: 05/31/2016: Proposed ADA parking reconfiguration not impacting existing drainage system. Sheet
CO3.01 shows adequate grading to retain stormwater runoff on site.
TREES Review Hilcia De la Cruz 06/07/2016 Disapproved
Comments: Our aerial historic records indicate the presence (currently or in the past)of tree resources. Please
clarify the information as follows:
IF YOU DO NOT NEED TO REMOVE TREES:
1. On SITE PLAN, show trees within twenty feet(20')of ANY type of construction, including driveways, septic tanks,
fences, pipes, buildings, construction roads, pool, structures to be demolished, etc.
2. Show distance from these trees to construction.
3. Label the trees as existing to remain.
4. On SITE PLAN show 6-8' barriers around trees less than 18 inches in diameter and show 10-12' barriers around
trees 18 inches in diameter or greater.
IF YOU NEED TO REMOVE OR RELOCATE TREES:
Permit applications are processed by the Tree Program. The following items must be submitted to apply for a permit:
1. Filled out TREE REMOVAL/RELOCATION application form.
2.Application fee (check or credit card).
3. Two copies of site plan showing all trees.
Please do not hesitate to email me with any question(s)you may have regarding the review comments for this
project. While I may not respond immediately to your email, because I may be assisting another customer at the time
I receive your email, I will reply within 24 hours of receiving your email unless I am out of the office. My email
address and that of my direct supervisor are as follows: My Email: cruzh@miamidade.gov My Supervisors Email:
AbrahR@miamidade.gov.
Final Core Review Kirk Wong 06/07/2016 Overall Disapproval
Comments: Please do not hesitate to e-mail me with any question(s)you may have regarding the review comments
for this project. My e-mail address and that of my supervisor are:Wongk@miamidade.gov/yuly@miamidade.gov
; y' Department of Regulatory and Economic Resources
Environmental Resources Management
MIAMI-DADE 701 NW 1st Court,6th Floor
0 A Miami, Florida 33136-3912
s >:.«r� T 305-372-6574 F 305-372-6479
Carlos A. Gimenez, Mayor
miamidade.gov
TREE REMOVAL PERMIT
Permit Number:7202 Issuance Date:06/14/2016
Project Manager:Christina Stocking Expiration Date:06/14/2017
Permittee:Bank of America Corporation
Address:101 N.Tryon Street,Charlotte,North Carolina 28255
Contact phone#:954-541-6773
E-mail address:ChrisH@iegroup.net
Project Location: 9499 NE 2nd Avenue,Miami Shores,Florida 33138
Folio(s): 11-3206-013-3760
Bond Required:No Permit Fees:$187.00
Approved Work:
Removal of the following non-specimen trees:One(1) Live oak(Quercus virginiana)tree.
All work shall be performed in accordance with the landscape plans titled "Bank of America Miami Shores ADA Upgrade -
Demolition Plan", prepared by Nelco Architecture, Inc., and stamped approved by the Miami-Dade County Tree Program on
May 13,2016.
Total canopy approved for removal is 500 square feet.
REPLANTING REQUIREMENTS
To replace lost tree canopy,the permittee shall replant 500 sq.ft.of tree canopy. Replanting shall be performed in accordance
with the landscape plans titled"Bank of America Miami Shores ADA Upgrade-Site Plan",prepared by Nelco Architecture, Inc.,
and dated as received by Miami-Dade County,May 10,2016.
All replacement trees shall have a minimum quality of Florida No. 1 grade or better.
Replanting shall take place within 12 months of the approved tree removal work conducted under this permit and prior to the
permit expiration date. The replanting shall be consistent with the site sketch and species list provided. Any changes to the
canopy replacement location or species list shall be approved in writing by the Department of Regulatory & Economic
Resources Division of Environmental Resource Management(DERM).
Replanting must be verified and approved by DERM.The applicant shall notify the DERM project manager when the replanting
is complete and schedule a final inspection(two weeks notice is required).
Miami-Dade County
De ent ofRegulato Economic Resources
Reviewed by:
SPECIAL PERMIT CONDITIONS
1. During all site work and construction,no soil,vehicles,heavy equipment(such as bulldozers or backhoes),fill,building
materials, construction debris, or dead vegetation shall be placed, stored, or deposited within the areas of protective
barriers,nor shall there be disposal of any waste material such as paints,oils,solvents,asphalt,concrete,mortar or any
other material harmful to trees or understory plants within the areas surrounded by protective barriers.Natural grade
shall be maintained within protective barriers.In the event that the natural grade of the site is changed as a result of site
development such that the safety of the tree(s) may be endangered,tree wells or retaining walls will be required.
2. Protective barriers shall be constructed around each tree or cluster of trees prior to the commencement of construction
activities on-site. The protective barriers shall be constructed of wood,plastic or metal and shall be a minimum of four
(4)feet above ground level and be placed no less than six(6) feet(radius distance) from the trunk of any protected tree
or cluster of trees.Protective barriers shall be in place prior to the start of any construction,must remain in place until
development is completed and the Department has authorized their removal.
3. A barrier inspection shall be required prior to commencement of any work or construction on the property that is
subject to this permit, including but not limited to any preconstruction clearing or grading of the parcel. A Barrier
Inspection Request form shall be submitted at least two (2)weeks before commencement of any work pursuant to this
condition and work is prohibited until the barrier inspection has been conducted and the barriers approved by DERM.
4. The cutting,pruning or trimming of trees shall be done in accordance with the most recent American National Standards
(ANSI)A-300 Standard Practices for Tree Care Operations.All tree cutting,pruning or trimming not done in accordance
with the referenced standards shall be considered effective destruction and is prohibited by this condition for
jurisdictional trees unless this permit is modified or prior written approval has otherwise been obtained from the
Department.
S. Fences and walls shall be constructed to avoid disturbance to any protected tree(s). Post holes and trenches located
close to the tree(s) shall be dug by hand and adjusted as necessary,using techniques such as discontinuous footings,to
avoid damage to major roots.
6. Underground utility lines shall be placed outside the areas surrounded by protective barriers. If placement is not
possible,disturbance shall be minimized by using techniques such as tunneling or overhead utility lines.
GENERAL PERMIT CONDITIONS
1. This permit does not convey to the permittee or create for the permittee any property right, or any interest in real
property, nor does it authorize any entrance upon or activities on property which is not owned or controlled by the
permittee.
2. All activities shall be implemented as set forth in the plans,specifications and performance criteria as approved by this
permit. Any deviation from the permitted activity and the conditions for undertaking that activity shall constitute a
violation of this permit.
LJQ 07-10-2014 2
3. This permit and plans shall be kept on-site during all phases of preconstructian activities such as demolition,clearing of
parcel, earthwork,re-grading and through construction. .The complete permit shall be available for review at the work
site upon request by DERM staff. The permittee shall require the contractor to review the complete permit prior to
commencement of the activity authorized by this permit.
4. Pursuant to Section 24-49 of the Miami-Dade County Code and the minimum requirements of the Miami-Dade County
Landscape Ordinance,prohibited plant species shall be removed or eradicated from each property upon development or
redevelopment. This condition shall not apply to properties that are not being developed or redeveloped. A prohibited
plant species list is included below. These prohibited species shall be removed upon development or redevelopment and
within one year of permit issuance. Furthermore, prohibited plant species shall not be sold, propagated, planted,
imported or transported on property that is subject to this permit unless a variance has been granted by Miami-Dade
County.
Abrus precatorius(Rosary pea) Flacourtia indica(Governor's plum) Pennisetum purpureum(Elephantgrass)
Acacia auriculiformis(earleaf acacia) Hydrilla verticillata(hydrilla) Pistia stratiotes(Water lettuce)
Adenanthera pavonina(red sandalwood) Hygrophila polyspermy(Indian swampweed) Pueraria montana var.lobata(Kudzu)
Albizia lebbeck(Woman's tongue) Hymenachne amplexicaulis(West Indian marsh grass) Rhodomyrtus tomentosa(Rose myrtle)
Antigonon leptopus(Coral vine) Imperata cylindrica(Cogongrass) Rhynchelytrum repens(Natal grass)
Ardisia crenata(coral ardisia) Ipomoea aquatica(Water-spinach) Ricinus communis(castorbean)
Ardisia elliptica(shoebutton ardisia) Josminum dichotomum(Gold Coast jasmine) Sapium sebiferum(Chinese tallowtree)
Bischofia javanica(bishopwood) Jasminum jluminense(Brazilian jasmine) Scaevola taccada(Beach naupaka)
Casuarina spp.(Australian pine) Leucaena leucocephala(lead tree) SchefJlera actinophylla(Umbrella tree)
Cestrum diurnum(Day jessamine) Ludwigia peruviana(Peruvian primrosewillow) Schinus terebinthifolius(Brazilian pepper)
Cinnamomum camphors(Camphortree) Lygodium spp.except L.palmatum Senna pendula var.glabrata(climbing cassia)
Colubrina asiatica(Asian nakedwood) Macfadyena unguis-cati(Catclaw vine) Solanum tompicense(Aquatic soda apple)
Cupanlopsis anacardioides(Carrotwood) Melaleuca quinqueneivia(Punk tree) Solanum viarum(Tropical soda apple)
Dalbergia sissoo(Indian rosewood) Melia azedarach(Chinaberry) Talipariti tiliaceum(Mahoe,sea hibiscus)
Dioscorea alata(White yam) Merremia tuberosa(yellow morning-glory) Tectarla incisa(Incised halberd fern)
Dioscorea bulbifera(Air potato) Mikania mkrantha(Mile-a-minute,bittervine) Thespesia populnea(Seaside mahoe)
Eichornia crassipes(Water-hyacintli) Mimosa pigra(Black mimosa) Tribulus cistoides(Puncture vine)
Ficus altissima(Council tree) Neyraudia reynaudiana(Burmareed) Urochloa mutica(Paragrass)
Ficus henghalensis(Banyan tree) Paederia spp.(Sewervine,skunkvine)
Ficus microcarpa(Indian laurel) Pankum repens(Torpedograss)
5. Pursuant to Sections 24-49 of the Miami-Dade County Code,each property subject to this permit shall be maintained to
prevent the growth or accumulation of all prohibited species including non-native grasses,weeds and undergrowth.
b. The survival of all trees counted towards canopy mitigation shall be ensured to live at least one(1)year from the date the
final inspection was passed. if the tree(s) die,they must be replaced by the same Florida grade number one tree of equal
or greater size.if the property owner of the mitigated tree(s) changes,the permittee will be held as the responsible party
and will be required to replace any destroyed or non-living tree(s).
7. Replanting/relocation must be verified and approved by DERM.The applicant shall notify DERM when the replanting is
completed and call to schedule a final inspection(two weeks notice is required).
8. Any contributions made to the Tree Trust Fund to satisfy canopy replacement requirements will be used for planting on
publicly owned parcels unless otherwise specified.
9. Prior to performing any work that would have the potential to impact underground utilities, the permittee and
contractor shall verify the location of all underground and overhead utility lines and verify that no utilities will be
damaged by the work. Contact Sunshine 811 One-Call at 811 or on the web: http://www.sunshine8ll.com/ to locate
underground utility lines. No clearing, excavation, earthwork, tree removal or planting shall commence until the
permittee and contractor have verified that utilities will not be damaged by any work.
L1Q 07-10-2014 3
ALL WORK SHALL BE IN ACCORDANCE WITH THE CONDITIONS CONTAINED HEREIN.THE PERMITTEE IS RESPONSIBLE FOR
COMPLIANCE OF ALL CONTRACTORS AND SUBCONTRACTORS WITH THE CONDITIONS AND LIMITATIONS OF THIS PERMIT
AS APPLICABLE. EXCEPT AS AUTHORIZED BY THIS PERMIT, ANY PROTECTED TREE(S) THAT ARE REMOVED OR
EFFECTIVELY DESTROYED SHALL CONSTITUTE A VIOLATION OF SECTION 24-49 OF THE CODE OF MIAMI-DADE COUNTY
AND WILL BE PURSUED AS SUCH. IN ADDITION,ANY NON-COMPLIANCE WITH THE CONDITIONS OF THIS PERMIT WILL
SUBJECT THE PERMITTEE AND RESPONSIBLE CONTRACTORS OR INDIVIDUALS TO THE PENALTY PROVISIONS OF SECTION
24-49,24-30,24-31 AND 8CC OF THE CODE OF MIAMI-DADE COUNTY.
ISSUANCE OF THIS PERMIT DOES NOT RELIEVE THE PERMITTEE FROM THE REQUIREMENT TO OBTAIN AND COMPLY
WITH ALL NECESSARY APPROVALS OR PERMITS FROM THE LOCAL MUNICIPALITY, OR ANY OTHER GOVERNMENT
ENTITY HAVING JURISDICTION RELATING TO THE AUTHORIZATIONS CONTAINED HEREIN.
I HAVE READ THE CONDITIONS CONTAINED IN THIS PERMIT AND FULLY UNDERSTAND THEM, IN SIGNING THIS
PERMIT, I ACKNOWLEDGE THAT FAILURE TO COMPLY WITH ALL CONDITIONS OF THIS PERMIT MAY RESULT IN
PERMIT REVOCATION,BOND FORFEITURE,WITHHOLDING OF MY CERTIFICATE OF OCCUPANCY,AND ENFORCEMENT
ACTION AGAINST ME BY THE DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES. I ASSUME FULL
RESPONSIBILITY FOR THE ACTIONS OF ALL MY EMPLOYEES, AGENTS, AND PERSONS UNDER DIRECT OR INDIRECT
CONTRACTUAL OBLIGATION TO ME WITH RESPECT TO COMPLIANCE WITH THE CONDITIONS AND LIMITATIONS
CONTAINED WITHIN THIS PERMIT.
V"c
" 0610gl" f�
Ignatur of Owner/Authorized Ifate Signed
Representative/Owner's Agent
e =2 2CyI�!fie ; canQ
Pbfnt Name Title
LJQ 07-10-2014 4
S
iTREE COMMENTS
CHANGES NEEDED FOR NATURAL RESOURCES APPROVAL
(All changes must be m "ha ically reproduced)
DATE OF NOTICE:
Our aerial historic records indicate the presence currently or in the past)of tree resources.
Please clarify the information as follows:
IF YOU DO NOT NEED TO REMOVE TREES:
1. On SITE PLAN, show trees within twenty feet(20') of ANY type of
construction, including driveways, septic tanks, fences, pipes, buildings,
construction roads, structures to be demolished, etc.
2. Show distance from these trees to construction.
3. Label the trees as existing to remain.
4. On SITE PLAN show 6-8' barriers around trees less than 18 inches in
diameter at breast height* (DBH) and show 10-12' barriers around trees 18 inches in
diameter at breast height or greater.
[If trees are too close to construction for proper sized barriers, please contact
our office—(786) 315-2800.]
*18 inches in diameter at breast height is the same as 56.5 inches in circumference.
5. We MAY need to see pictures of the site or the downtown office may have to
do an inspection to be sure that no trees will be damaged by the construction.
IF YOU NEED TO REMOVE OR RELOCATE TREES:
Permit applications are processed by the Tree Program. The following
items must be submitted to apply for a permit:
1. Filled out TREE REMOVAL/RELOCATION application form. 0
2. Application fee (check or credit card). Q'e __ M_ Fee sehed••'-. I
3. Two copies of site plan showing all trees. Please mark the trees to be
removed/relocated. If there are more than 10 trees on-site, you need to
provide two copies of a tree survey.
TREE PROGRAM:
701 NW 1 st COURT, 6th floor. (305) 372-6574
WALK-THRU FROM 8:00 a.m. TO 12:00 p.m.
EVENING HOURS BY APPOINTMENT ONLY
REVIEWER: PHONE: (786) 315-2800
Tree Permit Application hI/i►MU3AU'E ,
jA
Tree Permitting Programer 4
701 N.W.1 Court,6th floor
Miami,Florida 33136
T(305)372-6574 F(305)372-6479
FOR DEPARTMENTAL USE ONLY Updated 10/12
Date Received: Application Number:
Received By: Application Fee(other fees may be applicable):
Application Type: ❑Removal ❑Relocation ❑Removal&Relocation []Modification ❑Extension
After-the-Fact: []Yes ❑No
Application must be filled out in its entirety. Please indicate N/A for non-applicable fields.
1.Applicant Information: 2. Applicant's Authorized Permit Agent:
The name and contact information for the Agent that is authorized by the owner to process the
Name: application,furnish supplemental information relating to the application and bind the applicant
to all requirements of the application/permit document.
Address:
Name:
Zip Code:
Address:
Phone#: Fax#:
Zip Code:
Email:
Phone#: Fax#:
•This should be the applicant/owner's information for contact purposes.
Email:
3.Site Location and Description where the proposed activity exists or will occur:
Folio#(s):
Site Address:
Does intended use of the property require re-zoning or plat?[]Yes []No
City or Town:
4.Current Use/Location of Trees(check all that apply):
❑Single Family E]Multi-Family []Commercial E]Business ❑Agricultural ❑Swale/Right-of-Way ❑Other
5.Work Description:
Building permit process number(If Applicable):
Number and type of tree(s)to be removed,or relocated.Include trees affected by improper trimming or removed without a permit:
Location of the tree(s)stated above:
Reason for permit request:
Attachments(check all that apply):(e.g.site sketch,plans etc.):
❑Site Sketch ❑Plans ❑Photographs ❑Arborist Assessment ❑Tree Survey ❑Other
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6.IMPORTANT NOTICE TO APPLICANT:
The written consent of the Property Owner is required for all applications to be considered complete. Your application
WILL NOT BE PROCESSED unless the Property Owner consent portion of the application is completed below. You have the
obligation to notify the Department in writing of any changes to information provided in this application.
Application is hereby made for a Miami-Dade County tree permit to authorize the activities described herein. I agree to or affirm the
following:
• 1 possess the authority to authorize the proposed activities at the subject property,and
• 1 am familiar with the information,data and plans contained in this application,and
• To the best of my knowledge and belief,the information,data and plans submitted are true,complete and accurate,and
• 1 am authorizing the permit agent listed in Section 2 of this application to process the application, furnish supplemental
information,and bind the property owner(s)to all requirements of this application/permit document,and
• 1 agree to provide access and allow entry to the project site to inspectors and authorized representatives of Miami-Dade
County for the purpose of making the preliminary analyses of the site and to monitor permitted activities and adherence to all
permit conditions.
A. IF THE APPLICANT IS AN INDIVIDUAL
Signature of Applicant Print Property Applicant's Name Date
B. IF THE APPLICANT IS OTHER THAN AN INDIVIDUAL OR NATURAL PERSON
(Examples:Corporation, Partnership,Trust,LLC, LLP,etc.)
Print Name of Applicant(Enter the complete name as registered) Type(Corp,LLC,LLP,etc.) State of Registration/Incorporation
Under the penalty of perjury,I certify that I have the authority to sign this application/permit document on behalf of the Property
Owner,to bind the Property Owner,and if so required to authorize the issuance of a bond on behalf of the Property Owner.(If
asked,you must provide proof of such authority to the Department).***Please Note: If additional signatures are required,
pursuant to your governing documents,operating agreements,or other applicable agreements or laws,you must attach additional
signature pages.***
Signature of Authorized Representative Print Authorized Representative's Name Title Date
C. IF THE APPLICANT IS A JOINT VENTURE Each party must sign below (if more than two members, list on attached
page)
Print Name of Applicant(Enter the complete name as registered) Type(Corp,LLC,LLP,etc.) State of Registration/Incorporation
Print Name of Applicant(Enter the complete name as registered) Type(Corp,LLC,LLP,etc.) State of Registration/Incorporation
Under the penalty of perjury,I certify that I have the authority to sign this application/permit document on behalf of the Property
Owner,to bind the Property Owner,and if so required to authorize the issuance of a bond on behalf of the Property Owner.(If
asked,you must provide proof of such authority to the Department).***Please Note: If additional signatures are required,
pursuant to your governing documents,operating agreements,or other applicable agreements or laws,you must attach additional
signature pages. ***
Signature of Authorized Representative Print Authorized Representative's Name Title Date
Signature of Authorized Representative Print Authorized Representative's Name Title Date
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7.WRITTEN CONSENT OF THE PROPERTY OWNER FOR THE PROPOSED WORK LOCATION
]/We are the fee simple owner(s) of the real property located at
Miami-Dade County, Florida, otherwise identified in the public records of Miami-Dade County as Folio
No(s). .I/we am/are aware and familiar with the contents of this application for a Miami-
Dade County tree permit to perform the work on the subject property,as described in this application.I/we hereby consent to the work
described in this tree permit application.
A. IF THE PROPERTY OWNER IS AN INDIVIDUAL
Signature of Property Owner Print Property Owner's Name Date
Signature of Property Owner Print Property Owner's Name Date
B. IF THE PROPERTY OWNER IS OTHER THAN AN INDIVIDUAL OR NATURAL PERSON
(Examples:Corporation,Partnership,Joint Venture,Trust,LLC,LLP,etc.)
Print Name of Property Owner(Enter the complete name as registered) Type(Corp,LLC,LLP,etc.) State of Registration/Incorporation
Address of Property Owner
Under the penalty of perjury,I certify that I have the authority to sign this application/permit document on behalf of the Property
Owner,to bind the Property Owner,and if so required to authorize the issuance of a bond on behalf of the Property Owner.(If
asked,you must provide proof of such authority to the Department).***Please Note: If additional signatures are required,
pursuant to your governing documents,operating agreements,or other applicable agreements or laws,you must attach additional
signature pages.***
Signature of Authorized Representative Print Authorized Representative's Name Title Date
Signature of Authorized Representative Print Authorized Representative's Name Title Date
P(e?Se R.evlpe i Above
Appropriate signature(s)must be included in:
Box 6:either A, B or C(Owner or other Applicant)
AND
Box 7:either A or B(Property Owner)
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Tree Permit Application Additional Signatures Page '
(Please attach to Tree Permit Application if Needed)
Folio#(s):
Site Address:
1. IF THE PROPERTY OWNER IS AN INDIVIDUAL
Signature of Property Owner Print Name of Property Owner Date
Signature of Property Owner Print Name of Property Owner Date
2. IF THE PROPERTY OWNER IS OTHER THAN AN INDIVIDUAL OR NATURAL PERSON
(Examples:Corporation,Partnership,Trust,LLC,LLP,etc.)
Print Name of Property Owner(Enter the complete name as registered) Type(Corp,LLC,LLP,etc.) State of Registration/Incorporation
Under the penalty of perjury,we certify that we have the collective authority to sign this application/permit document on behalf of
the Property Owner,to bind the Property Owner,and if so required to authorize the issuance of a bond on behalf of the Property
Owner.(If asked,you must provide proof of such authority to the Department).***Please Note: If additional signatures are
required,pursuant to your governing documents,operating agreements,or other applicable agreements or laws,you must attach
additional signature pages.***
Signature Print Name Title Date
Signature Print Name Title Date
Signature Print Name Title Date
Signature Print Name Title Date
Signature Print Name Title Date
Signature Print Name Title Date
Signature Print Name Title Date
Signature Print Name Title Date
Signature Print Name Title Date
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