Owner/Indiv. OWNER'S STATEMENT OF LANDSCAPE COMPLIANCE PROCESS NUMBER ______________________ I/We hereby certify that as owner/agent for owner of Lot ______, Block ______, Subdivision name ____________________________________, P.B. ______ Page ________, (or metes and bounds) legal description ______________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Located at (address) _________________________________________________, that the landscaping/irrigation plans being submitted comply with the requirements of Ordinance 98-13 (landscaping ordinance) and that the species as shown are in compliance with those approved by MiamiDade County and that none of the species were selected from the "prohibited species" list. Further, if an automatic sprinkler system is being provided it, too, complies with the requirements of the ordinance as to type of heads, spray system, location, etc. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to prepare and submit this landscaping/irrigation plan. __________________________ Owner Signature ____________________________ Agent Signature/Title __________________________ Print Name ____________________________ Print Name STATE OF ___________________ COUNTY OF _________________ I, an officer authorized to take acknowledgments, according to the law and duly qualified and so acting, do hereby certify that on this date appeared before me __________________________________, to me known to be the person described in and who executed the foregoing instrument and he/she acknowledged to me the execution thereof to be his/her free act and deed for the uses and purposes therein mentioned; Witness my signature and official seal this _______ day of ______________________________, 200___, in the County and State aforesaid, the date and year last aforesaid. ___________________________ Notary Public ____________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com Owner/Corp. OWNER'S STATEMENT OF LANDSCAPE COMPLIANCE PROCESS NUMBER ______________________ I/We hereby certify that as owner/agent for owner of Lot ______, Block ______, Subdivision name ____________________________________, P.B. ______ Page ________, (or metes and bounds) legal description ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Located at (address) _________________________________________________, that the landscaping/irrigation plans being submitted comply with the requirements of Ordinance 98-13 (landscaping ordinance) and that the species as shown are in compliance with those approved by MiamiDade County and that none of the species were selected from the "prohibited species" list. Further, if an automatic sprinkler system is being provided it, too, complies with the requirements of the ordinance as to type of heads, spray system, location, etc. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to prepare and submit this landscaping/irrigation plan. __________________________ Owner Signature ____________________________ Agent Signature/Title __________________________ Print Name ____________________________ Print Name STATE OF ___________________ COUNTY OF _________________ The foregoing instrument was acknowledged before me this ______ day of ______________, 200_____, by _____________________________________, of _________________________________________ a __________________________________________ corporation, on behalf of the corporation. He/She is personally known to me or has produced _____________________________, as identification and did/did not take an oath. Witness my signature and official seal this _____ day of ____________________________, 200____, in the County and State aforesaid, the date and year last aforesaid. ___________________________ Notary Public ____________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com Owner/Indiv. OWNER'S CERTIFICATE OF COMPLIANCE FOR FINAL INSPECTION PERMIT NUMBER _____________________ I/We hereby certify that as owner/agent for owner of Lot ______, Block ______, Subdivision name ____________________________________, P.B. ______ Page ________, (or metes and bounds) legal description ______________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Located at (address) _________________________________________________, that the landscaping and sprinkler system (if applicable) have been installed in compliance with the approved plans and that all requirements of Ordinance 98-13 (landscaping ordinance) have been met. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to provide such certification. __________________________ Owner Signature ____________________________ Agent's Signature __________________________ Print Name ____________________________ Print Name STATE OF ___________________ COUNTY OF _________________ I, an officer authorized to take acknowledgments, according to the law and duly qualified and so acting, do hereby certify that on this date appeared before me __________________________________, to me known to be the person described in and who executed the foregoing instrument and he/she acknowledged to me the execution thereof to be his/her free act and deed for the uses and purposes therein mentioned; Witness my signature and official seal this ______ day of _______________________________, 200____, in the County and State aforesaid, the date and year last aforesaid. ___________________________ Notary Public ____________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com Owner/Corp. OWNER'S CERTIFICATE OF COMPLIANCE FOR FINAL INSPECTION PERMIT NUMBER _____________________ I/We hereby certify that as owner/agent for owner of Lot ______, Block ______, Subdivision name ____________________________________, P.B. ______ Page ________, (or metes and bounds) legal description ______________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Located at (address) _________________________________________________, that the landscaping and sprinkler system (if applicable) have been installed in compliance with the approved plans and that all requirements of Ordinance 98-13 (landscaping ordinance) have been met. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to provide such certification. __________________________ Owner Signature ____________________________ Agent's Signature __________________________ Print Name ____________________________ Print Name STATE OF ___________________ COUNTY OF _________________ The foregoing instrument was acknowledged before me this _____ day of __________________, 200____, by __________________________________, of ____________________________________ a __________________________________________ corporation, on behalf of the corporation. He/She is personally known to me or has produced _____________________________, as identification and did/did not take an oath. Witness my signature and official seal this _______ day of ______________________________, 200____, in the County and State aforesaid, the date and year last aforesaid. ___________________________ Notary Public ____________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com Professional PROFESSIONAL PREPARER'S STATEMENT OF LANDSCAPING COMPLIANCE PROCESS NUMBER ______________________ Legal description: Lot ______, Block ______, Subdivision ____________________________________ P.B. ______ Page ________, Development name ____________________________________________ Located at (address) ___________________________________________________________________ I/We hereby certify that the landscaping/irrigation plan being submitted for the above captioned complies with the requirements of Ordinance 98-13 (landscaping ordinance) as to species, height, trunk width and location at time of planting, and that the species as shown are in accordance with the accepted species approved by Miami-Dade County and that none of the species are from the prohibited list. Additionally automatic sprinkler system (if applicable) comply with requirement of said ordinance as to type of heads, spray system, location, etc. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to prepare and submit this landscaping/irrigation plan. _________________________________ Professional Preparer's Signature Seal: (If Corporation) _________________________________ Print Name STATE OF ___________________ COUNTY OF _________________ I, an officer authorized to take acknowledgments, according to the law and duly qualified and so acting, do hereby certify that on this date appeared before me __________________________________, to me known to be the person described in and who executed the foregoing instrument and he/she acknowledged to me the execution thereof to be his/her free act and deed for the uses and purposes therein mentioned; Witness my signature and official seal this _____ day of ____________________________, 200___, in the County and State aforesaid, the date and year last aforesaid. ___________________________ Notary Public ____________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com Professional (Individual or Corporation) PROFESSIONAL PREPARER'S STATEMENT OF LANDSCAPING COMPLIANCE PROCESS NUMBER ______________________ Legal description: Lot ______, Block ______, Subdivision ____________________________________ P.B. ______ Page ________, Development name ____________________________________________ Located at (address) ___________________________________________________________________ I/We hereby certify that the landscaping/irrigation plan being submitted for the above captioned complies with the requirements of Ordinance 98-13 (landscaping ordinance) as to species, height, trunk width and location at time of planting, and that the species as shown are in accordance with the accepted species approved by Miami-Dade County and that none of the species are from the prohibited list. Additionally automatic sprinkler system (if applicable) comply with requirement of said ordinance as to type of heads, spray system, location, etc. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to prepare and submit this landscaping/irrigation plan. _________________________________ Professional Preparer's Signature Seal: _________________________________ Print Name STATE OF ___________________ COUNTY OF _________________ The foregoing instrument was acknowledged before me this _____ day of __________________, 200___, by __________________________________, of _____________________________________ a __________________________________________ corporation, on behalf of the corporation. He/She is personally known to me or has produced _____________________________, as identification and did/did not take an oath. Witness my signature and official seal this _______ day of _____________________________, 200___, in the County and State aforesaid, the date and year last aforesaid. ___________________________ Notary Public ____________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com Professional/Indiv. PROFESSIONAL PREPARER'S CERTIFICATION AT TIME OF FINAL INSPECTION PERMIT NUMBER _______________________ Legal description: Lot ______, Block ______, Subdivision ____________________________________ P.B. ______ Page _______, (or metes and bounds legal) ______________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Development name ___________________________________________________________________ Located at (address) ___________________________________________________________________ ____________________________________________________________________________________ I/We hereby certify that the landscaping and sprinkler system (if applicable) have been installed in compliance with the approved plans and that all requirements of Ordinance 98-13 (landscape ordinance) have been met. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to provide such certification. _________________________________ Professional Preparer's Signature Seal: _________________________________ Print Name STATE OF ___________________ COUNTY OF _________________ I, an officer authorized to take acknowledgments, according to the law and duly qualified and so acting, do hereby certify that on this date appeared before me __________________________________, to me known to be the person described in and who executed the foregoing instrument and he/she acknowledged to me the execution thereof to be his/her free act and deed for the uses and purposes therein mentioned; Witness my signature and official seal this ______ day of ______________________________, 200___, in the County and State aforesaid, the date and year last aforesaid. ___________________________ Notary Public ____________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com Professional/Corp. PROFESSIONAL PREPARER'S CERTIFICATION AT TIME OF FINAL INSPECTION PERMIT NUMBER _______________________ Legal description: Lot ______, Block ______, Subdivision ____________________________________ P.B. ______ Page _______, (or metes and bounds legal) ______________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Development name ___________________________________________________________________ Located at (address) ___________________________________________________________________ ____________________________________________________________________________________ I/We hereby certify that the landscaping and sprinkler system (if applicable) have been installed in compliance with the approved plans and that all requirements of Ordinance 98-13 (landscape ordinance) have been met. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to provide such certification. _________________________________ Professional Preparer's Signature Seal: _________________________________ Print Name STATE OF ___________________ COUNTY OF _________________ The foregoing instrument was acknowledged before me this _____ day of __________________, 200___, by ___________________________________, of ____________________________________ a __________________________________________ corporation, on behalf of the corporation. He/She is personally known to me or has produced _____________________________, as identification and did/did not take an oath. Witness my signature and official seal this _______ day of _____________________________, 200____, in the County and State aforesaid, the date and year last aforesaid. ___________________________ Notary Public ____________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com