HomeMy WebLinkAboutApplicationCITY OF MIAMI
PLANNING & ZONING DEPARTMENT
444 S.W. 2ND AVENUE, 3RD FLOOR
MIAMI, FLORIDA 33130
TELEPHONE: (305) 416-1400
FAX: (305) 416- 2156
Contact Person Phone/Email:
TREE PERMIT APPLICATION V j O
FOR DEPARTMENTAL USE ONLY
Name ( Owner): 1-4Ar3-t sv°' LAX
Address: R >z )—AO 7l6 Sr 1-,1 I 0-1 t "FL., 373 413
Phone: , i'c:>'i all 2 -4 431
Email: cDrt✓ f t) < t <lx77ca - 0.fars,
FOR NEW CONSTRUCTION ONLY:
Master Process Number: rA.a 1 • oc:cn,�� I -r,!e't-13CSr'r1
Permit Type: Ei New Construction n Non -Construction
Boundaries: n Private Property n Public Property
Scope of Work: ❑Planting EiRemoval Trimming
Relocation Root Pruning
Other: ® After -the -Fact ® Completion / Extensions
Single/Two-Family Housing n Multi -family / Commercial
Folio Number: 1 - 4112 CT CI r-i , 01 GC
Property Address (for completion permits, provide a copy of the permit card): 2)9 `t `.a' i..C)c'(,..4 T' AqE AtM s frt. 141
Number of Trees:
Work Description (for completion permits, provide reason for expiration):
aF Tyr — f �.T rereydr. 1;)) c 1a, e, awl rn i CI I, ni ev, 'Fre
`P\oo1 prGLiinifC1 ( 3 f;cws rrCes)
Owner/Authorized Agent's name (print): 5%"a'.Owner's signature:
(STATE OF FLORIDA) (COUNTY OF MIAMI-DADE)
The foregoing instrument was acknowledged before me this IQ day of , 20 /' c, A.D.,
ersonally appeared before me, an officer authorized to administer oathsnd take acknowledgements, by
u i 2 S•" r ..e.. +.1 f3 a,l ()1-- asOwn_erManager/ Authorized Agent of
39 > u4.'- who is personaily known to me or who roduu
ced
L 0-. `> 4T 3.£ i° C:g as identification.
JAA,c-61/4..,44/VL
Notary Public, Stateiof Florida
INDIANA AGUIRRE
Illy COMMISSION # FF 068693
t;XPIF1ES February 9, 2610
Qe d Thru Notary Public linden..Ate
Submission of this application does not authorize the removal or alteration of any vegetation. A tree permit must be issued prior to
the commencement of any removals, relocations, trimming, root pruning and/or mitigation planting.