Owner/Indiv. OWNER'S STATEMENT OF LANDSCAPE COMPLIANCE FOR PUBLIC HEARING PUBLIC HEARING 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 plans being submitted comply with the requirements of Chapter18A (Landscape Code) except for any non-use variance(s) requested as part of this public hearing as to species, height, trunk width and location at time of planting and that the species as shown are in compliance with those approved by Miami-Dade County and that none of the species were selected from the "prohibited species" list. I/We hereby certify as an arborist and/or landscape architect that there are/are no (circle one) specimen trees on the property. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to prepare and submit this landscaping/irrigation plan. ______________________________________ Individual Owner’s Signature ______________________________________ Print Name of Owner Address:_______________________________ ______________________________________ Officer’s Signature ______________________________________ Print Name of Corporation (Owner) Address:_______________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ 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 FOR PUBLIC HEARING PUBLIC HEARING 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 plans being submitted comply with the requirements of Chapter 18A (Landscaping Code) except for any non-use variance’s requested as part of this public hearing as to species, height, trunk width and location at time of planting and that the species as shown are in compliance with those approved by Miami-Dade County and that none of the species were selected from the "prohibited species" list. I/We hereby certify as an arborist and/or landscape architect that there are/are no (circle one) specimen trees on the property. 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 Professional /Corp. PROFESSIONAL PREPARER'S STATEMENT OF LANDSCAPING COMPLIANCE FOR PUBLIC HEARING PUBLIC HEARING 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 this zoning hearing complies with the requirements of Ordinance 18A (Landscape code) except for any non-use variances(s) requested as part of this public hearing 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 Species” list. I/We hereby certify as an arborist and/or landscape architect that there are/are no (circle one) specimen trees on the property. 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 _________________ 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