HomeMy WebLinkAboutHold Harmless AffidavitCITY OF MIAMI
INDEMNIFICATION 1 HOLD HARMLESS
AFFIDAVIT
DATE: `I1_'0_k
RE: PROPERTY($) LOCATED AT:
`5`�W f4 -A-1 A DATE �®
car_0 V APPROVED` A—
TO: CITY OF MIAMI, FLORIDA PLANNING DEPARTMENT
ATTN: PLANNiNG DIRECTOR
444 SW 2 AVENUE
MIAMI, FL 33130
1
41
FROM:
Legal owner of the above property.
The undersigned hereby affirms that he/she is the legal owner of .the above -referenced
property Furthermore, the undersigned hereby acknowledges that he/she has heretofore
made application(s)for and received approval from the City of Miami, Florida, for the
following:
CLASS I 1 CLASS 11 #C8.JOn�1�20010 by Planning Dept.
(Type of permit) (Date approved) (City Dept. 1 City commission)
CLASS I / CLASS 11 #07- On / 2007 by Planning Dept.
(Type of permit) (Date approved) (City Dept. / City commissiM)
CLASS I 1 CLASS 11 #07- On / 2007 by Plannin Dept
(Type of permit) (Dale approved) (City Dept. / City commission)
In connection with the foregoing, .the undersigned is hereby requesting the City of Miami,
Florida, to issue a building permit (s) for the construction of the following described
improvement (s) on the property prior to the expiration of the deadline for the applicable
appeal period
The undersigned understands that in connection with the above–referenced property the
applicable appeal period deadline (s) for the above mentioned approval(s) is/are, as
follows:
l 12007.
In consideration of the City of Miami, Florida agreeing to issue a building permit(s) to the
undersigned as herein requested, the undersigned agrees as follows:
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INDEMNIFICATION f HOLD HARMLESS
AFFIDAVIT
Special Permit 408 -OW
(a) Pay all actual or estimated permit and other applicable city regulatory fees
associated with the improvements prior to issuance of any building permits by the
City of Miami;
(b) And acknowledge he/she is proceeding at their own risk and hereby agrees to
assume all responsibility and to indemnify and hold harmless the City in connection
herewith; and
(c) Agrees to immediately cease all construction on the property in the event an
appeal is filed within the above stated appeal period;
(d) And acknowledge that nothing herein shall prejudice the City's right: to impose
conditions on approval which are required by State, County and or City ordinance
and regulations or are otherwise necessary to insure the public health , safety and
welfare of the citizens of the City of Miami, Florida ; nor shall the City be stopped
from enforcing the terms of this affidavit by reason of its issuance of the building
permit(s) ; and
(e) Agree that the issuance of building permit(s) to the undersigned is not a grant of
any vested right whatsoever for use, or completion of construction on the property;
and
(f) The undersigned hereby agrees to indemnify, defend, and hold harmless the City
from any claims, demands, liabilities, losses, causes of action of any nature
whatsoever arising out of or in connection with the permit(s) issued or any part
thereof, from and against all cost, fees expenses, liabilities, any orders, judgments,
or decrees which may be entered and from against all cost for attorneys fees,
expenses and liabilities incurred in the defense of such claim or in the investigation
thereof.
2fi 12-e)
rint Ownpr's Name
Owners Signature
(STATE OF FLORIDA
COUNTY OF MIAMI-DADE)
The undersigned instrument was acknowledged before me this ° a day of
ff ,e,eA6 a 4, 2008. He /she has personally appeared before me and is known to me or has
produced as identification and did (did not) take an oath.
:.� Name:
SERGIO R. PENTON Notary Public —State of Florida
W COMMISSION# DO 610620 Commission no:
'r EXPIRES. November 4,2010 My commission expires:
6MdedThiu N0ry pd* UodGn dl9M
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