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Se NY l,,Ef <br />Community Development Department <br />Construestbu Company Aullioa ebd ilgegt: phone# Fnx# <br />18070 Collins Avenue, 3al Floor Sunny Isles Bench, Florida 33160 <br />•\.,v, Asa , <br />ar <br />Phone: (305) 792-1772 Fax: (305) 792-1569 <br />Flu <br />A1212licadon for Extended Construction Hours <br />Must be Submitted at Least Ten (10) Calendar Days Prior to Occurrence of the Activity/Uo to 6 Months <br />Prope'tty Owne'r's Nritri_e Phone# Fnx# <br />Address City State Zip Email <br />Construestbu Company Aullioa ebd ilgegt: phone# Fnx# <br />Address City State Zip Email <br />Sqb=Contrieror':(Ifdiffa>enf'hom tluthotficdtlgen"t) Phone# Fax# <br />Address City State 'lip 13mnil <br />Ogsedphon rif Work, Aft icl Ltst ofItt-Xie <br />Start Time, End Tirt et start Dat& End Date: <br />Days..of the. \!leek <br />FOR'OFFIGE USE°ONLY(. APRROVA%5' <br />Clay Parker, Building Official <br />acs ❑No ❑ With Comments Approved by: Date: <br />Helena Forbes, Code Compliance Division Manager <br />❑Yes (3 No ❑ With Comments Approved by: Date: <br />Terms and Conditions fier Approval <br />1) Notify the office of Community Development live weeks in advance of all requests for extended camacie pours <br />2) The Develop., has to assign an on-site rcprescnmtive to provide for immediate resolution for noise complaints <br />3) The extended hours of construction shall not have an adverse effect on adjacent property owners its defined by the City Biantger <br />d) hicludc letters, and proof of service, from contiguous Condominium Associations. <br />5) Any cost incurred by the City to accommodato n request to extend construction boom will be borne by the Developer <br />6) fir case it scheduled extension of hours is canceled and rescheduled, additiomd 3 hours minimum fees will be charged <br />7) The landscape buffer area between the street and construction forme must be kept in pristine suite. <br />8) Please notify the Department, in writing and on it weekly basis, of the specific days when a pour will Inks phare <br />9) Any police/lifeguard/Fro personnel requirement must be paid in advance. <br />Ndtiariaed,ei,'gnatpre o£AppZicsnt• <br />t{otar3zed eignatuse o£:Reaporreiit]:a Agar' <br />® Sli—tura aF Applimnt <br />® Signature of Responsible Party <br />Dane <br />nate <br />Subscribed and Swam before mu this day <br />Subscribed and Savom before me this day <br />(geht)_____,,,,.._.___—___._.._...._._._...._..____ <br />uC--- _------ _---- -------- --------- (year')__._.__.._..__....._,..__..---.__.._._..._.__.. <br />L }• <br />by <br />Check ane: ❑ Pennnally Known ❑ Produced Identification <br />Chedr ane: ❑ Pe -o lly Kai— l] 11mdu-1 klemificatinn <br />Type of kft,ra ficatinn (if nn}•) <br />Type of Itlanritwadon (if naw) <br />Notary Public <br />N,,,.,,• Stamp <br />Notsiy Public <br />Nnrery Snanp <br />\ly Con mission lixpires <br />My Commission N%Pires <br />92 <br />