HomeMy WebLinkAboutAttachment D - Driveway-Notice of IntentFORM 850 -M -24
SYSTEMS PLANNING
09/02
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Page 1 of 4
PROPOSED STATE HIGHWAY ACCESS CONNECTION
NOTICE OF INTENT TO ISSUE PERMIT
Important: This Notice does not authorize construction to begin and is not a final permit.
ALSO NOTE: THIS NOTICE OF INTENT IS ONLY VALID FOR 1 YEAR FROM SIGNING DATE IN PART 6
PART 1: APPLICANT INFORMATION
APPLICATION NUMBER: 2014A69152
Project Name: .Samson Oceanfront Park I11S 1S NOT AN
State Road Name /Number:_ SR A1A, Collins.4ve. ADD oNg=p 1=0 I _PERMIT
Section Number: Section 87060
Maintenance Office: NorthDade Inkey Aromashadu _
Permit Staff Representative
Applicant: City ofSunny Isles Beach
(Responsible Officer): Elka Linton- Dorset
Maiiing Address: 18070 Collins Ave.. Sunny Isles Beach Fl 33160
Street city State Zip
Telephone: 305- 947 -0606
PART 2: NOTICE OF INTENT TO ISSUE PERMIT 1
YOU ARE HEREBY ADVISED:
The Florida Department of Transportation has completed its review of the subject connection permit Application received
11/19/2014 for consistency with Rule Chapter 14 -96, Rule Chapter 14 -97, and current Department spacing, location
and design criteria and hereby issues this "Notice of Intent" to:
Issue the subject permit consistent with the permit Application.
X Issue the subject permit consistent with the permit Application and subject to the
attached Provisions.
IMPORTANT
This notice of intent to issue a germit does NOT constitute Department permit issuance. The permit will be issued after
the permittee shows proof that a valid local government development approval or development order has been given to
the sites served by the connection and special provisions of the approval consistent with the permit applications and
conditions previously noted.
No connection work on the right -of -way shall be initiated until the Department Permit is actually issued. Any changes to
the site(s) plan will require re- evaluation of the connection(s). This notice is only valid one year from the date of issuance
and can only be extended with approval by the Department for problems outside the control of the applicant pursuant to
Rule 14 -96. This Notice of Intent is transferable as specified only in Rule 14 -96, FAC.
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FORM 850- 040 -24
SYSTEMS PLANNING
09!02
Page 2 of 4
PART 3CE)NOMONS
Conditions to be met before Permit will be issued:
Development approval from the appropriate local government consistent with the
Notice of Intent to Permit. (i.e. building permit.)
E Provide Liability Insurance verging that the applicant or the applicant's contractor
has coverage under a liability insurance policy including property damage, in the
amount of $500,000.00 combined single limitfor each occurrence.
(FDQT as the additional insured with respect to general liability and certificate
holder. The cancellation notice shall be 30 days)
cc: Javier Rodriguez, P.E.
6861 SW 196 Ave., Suite 302
Pembroke Pines, Florida 33332 Tel 954 -680 -7771
Use additional sheet if necessary
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FORM 850 - 040 -24
SYSTEMS PLANNING
09102
Page 3 of 4
PART 4: NOTICE OF DEPARTMENT AUTHORITY
1. All approved connection(s) and turning movements are subject to the Department's continuing authority to revoke
or modify such connection(s) or turning movements in order to protect safety and traffic operations on the state
highway or State Highway System.
Transportation Control Features in the state right of way. Transportation control features in the Department's
right of way, including, but not limited to, traffic signals, medians, median openings, or any other transportation
control features or measures in the state right of way are operational and safety characteristics of the State
Highway and are not means of access. The Department may install, remove or modify any present or future
transportation control feature in the state right of way such as median opening, traffic control device or a feature
affecting turning movements through a connection, to make changes to promote safety in the right of way or
efficient traffic operations on the highway.
PARTS: DEPARTMENT CONTACT
NAME: Ali Khalilahmadi
ADDRESS: 1000 NW 111 " Ave
Miami FL 33172
PHONE: 305 470 -5367
PART 6: SIGNATURE OF DEPARTMENT AUTHORITY
SIGNATURE OF DEPARTMENT OFF
PRINT OR TYPE NAME: Ali
P.E., PTOE.
PRINT OR TYPE POSITION: Assistant District Permits Engineer
DATE: February 9, 2015 PHONE; 305 470 -5367
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FORM 850-040 -24
SYSTEMS PLANNING
09/02
Page 4 of 4
PART 7: APPEAL PROCEDURES
You may request an administrative hearing pursuant to Sections 120.569 and 120.57, Florida Statutes. If you disagree with the facts
stated in the foregoing Notice of Intended Department Action (hereinafter Notice), you may request a formal administrative hearing
pursuant to Section 120.57(1), Florida Statutes. If you agree with the facts stated in the Notice, you may request an informal
administrative hearing pursuant to Section 120.57(2), Florida Statutes. You must send the written request to:
Clerk of Agency Proceedings
Department of Transportation
Haydon Bums Building
605 Suwannee Street, M.S. 58
Tallahassee, Florida 32399 -0458
The written request for an administrative hearing must conform to the requirements of either Rule 28- 106.201(2) or Rule 28- 106.301(2),
Florida Administrative Code, and must be received by the Clerk of Agency Proceedings by 5 :00 P.M., no later than 21 days after you
received the Notice. The written request for an administrative hearing should include a copy of the Notice, and must be legible, on 8 % by
11 inch white paper, and contain:
1. Your name, address, telephone number, and Department identifying number on the Notice, if known, and name,
address and telephone number of your representative, if any;
2. An explanation of how you are affected by the action described in the Notice.
3. A statement of how and when you received the Notice.
4. A statement of all disputed issues of material fact. If there are none, you must so indicate.
A concise statement of the ultimate facts alleged, as well as the rules and statutes which entitle you to relief; and
6. A demand for relief.
A formal hearing will be held if there are disputed issued of material fact. If a formal hearing is held, this matter will be referred to the
Division of Administrative Hearings, where you may present witnesses and evidence and cross examine other witnesses before an
administrative law judge. If there are no disputed issues of material fact, an informal hearing will be held, in which case you will have the
right to provide the Department with any written documentation or legal arguments which you wish the Department to consider.
Mediation, pursuant to Section 120.573, Florida Statutes, may be available if agreed to by all parties, and on such terms as may be
agreed upon by all parties. The right to an administrative hearing is not affected when mediation does not result in a settlement.
If a written request for an administrative hearing is not timely received you will have waived your right to have the intended action
reviewed pursuant to Chapter 120, Florida Statutes, and the action set forth in the Notice shall be conclusive and final.
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