8To:
Via:
Via:
From:
Date:
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
The Honorable Mayor & Members of the City Commission
Hector Mirabile, PhD, City Managyr
South Miami hOd
~rffP
ZOOl
Carmen Baker, Chief Coordinating Officer/Code Enforcement Manager
Maria E. Stout-Tate, Special Events Coordinator
January 17,2012 Agenda Item No.:
Subject: A Resolution authorizing the City Manager to permit Perfect Balance
Martial Arts and Fitness, to hold its 1st Annual Chinese New Year event on
January 28, 2012, in the downtown South Miami area on Dorn Avenue.
Background: Perfect Balance Martial Arts and Fitness has submitted a Special Event application
to hold its 1st Annual Chinese New Year event on January 28,2012.
Expense:
Account:
Attachments:
Perfect Balance Martial Arts and Fitness is a local business which is formulating
their services to hold an armual event to highlight the downtown area, by bringing
families together to enjoy what the City has to offer to its residents through
celebrating the Chinese New Year. This celebration will hold various activities and
musical venues in assoeiation with the Chinese New Year.
The applicant paid a deposit of $600, and an application fee of $60. In addition,
the applicant has paid $560 for Police services, a minimum fee of$150.00 to close
a portion of Dom Avenue (98 linear feet), and $175 for 7 meters at $25.00 per
meter, per day; totaling $1,545.00.
Perfect Balance Martial Arts and Fitness would like to make this event an annual
one; as established by other entities throughout the past.
$1,545.00
Not Applicable
Proposed Resolution
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RESOLUTION NO. _____ _
A Resolution authorizing· the City Manager to permit Perfect Balance
Martial Arts and Fitness to hold its 1st Annual Chinese New Year event on
January 28, 2012, in the South Miami downtown area on Dorn Avenue.
WHEREAS, Perfect Balance Martial Arts and Fitness has submitted a Special
Event Application; and,
WHEREAS, the applicant has requested pennission to hold its event on January
28, 2012; and, .
WHEREAS, the applicant has paid $600 deposit, $60 application fee, $560 for
Police services, and for the proposed street closure, a minimum fee of $150 (98 linear
feet will be closed on Dorn Avenue), and $175 for 7 meters at $25.00 per meter per
day; totaling $1,545.00.
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY
COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA:
Section 1. The City Manager is hereby authorized to approve the 1 st Annual
Chinese New Year event to be held on January 28, 2012, in downtown South Miami on
Dorn Avenue, sponsored by Perfect Balance Martial Arts and Fitness.
Section 2. If any section clause, sentence, or phrase of this resolution is for any
reason held invalid or unconstitutional by a court of competent jurisdiction, the holding
shall not affect the validity of the remaining portions of this resolution.
Section 3. This resolution shall become effective immediately upon adoption
by vote of the City Commission.
PASSED AND ADOPTED this __ day of _____ , 2012.
ATTEST:
CITY CLERK
READ AND APPROVED AS TO FORM,
LANGUAGE, LEGALITY AND
EXECUTION THEREOF
CITY ATTORNEY
APPROVED:
MAYOR
COMMISSION VOTE:
Mayor Stoddard:
Vice Mayor Newman:
Commissioner Beasley:
Commissioner Palmer:
Commissioner Harris:
ECEIVE
SUMMARY OF EVENT JAN 06 2012
This section of the permit application is intended to provide the Special Events Permit 't~~P€i~'1iJl\?fSlt}Nl r
event. Information you provide in this section is public information and may be us eveIeF>if\lT-tfie-Gity ef Sou
Miami's Calendar of Special Events. Application must be submitted no less than twenty-one (21) days prior to the
effective date of the event with ali required documents.
TYPE OF EVENT: 0 Filming 0 Charity Festivals 0 Celebration
o Promotion Other:
LOCATION OF EVENT: _--"C;;:.:b_'.'<'.:...,,:.:::;,::c.--,\~_. _·-,·~::: .. ·::::.~._--,f",\c:.::N;;;",'''''--_'''':W=:·:..'".::...:::.·",..:.",,::,\_-=::;;;'',,,,,,..L\ ...!' _________ _
(Please note: write complete mailing address, as well as name of any buildings and/or parks if applicable)
Is this an annual event? fa1\Io 0 Yes if yes, this is the annual event, previous date -----
EeVENT DATE(S): _--=::r'-~..:..:....:'cc:~c=:.'tI---'?£:c..<.L ____ EVENT DAY(S):_-"s,=..,+.:..:,l'\,-=.. '::::. ... fl::;,,;~~c=. 'l-i ___ _
II,CTUAL EVENT HOURS: :i1:",,,, -~ c;,:;hWJ'l UNTIL: G;.~O G:DJ)pm
(Please note: event may not begin earlier then 8 a.m. or end later then 11 p.rn. in residential areas, or midnight in commercial areas)
!\SSEMBL Y DATE(S): ;;JP\..!VA-~ ;;;;:;? SETUP/DOWN TIMES: i~"'~ a.m/p.m. ", ... " am/p~.
!l,NTICIPATED ATTENDANCE: _~-=-=-""~=-' __ TOTAL EVENT DURATION: :a. hrs o millS
~ame:
~e"/Phone: "1&>(,-:;"",-b,,"">--Cell/Phone: ---------------
:mail: 1Ji~ t;:A 1\(,,,"::' <L ~o l. <""0>--'\ Email: -------------------------
\ .
b Q,<J.., ... .b.\::o.. -+-\-y..Ct.s\'~ /'-J"0.."'" , 'r....At<., '1S."~1 Clh.~
'-01
1-16
The applicant for the Special Event Permit must be the authorized representative of the organization/business conducting
the special event. This person must be available to work with the City's Special Event Permit Committee throughout the
permitting process. A professional event organizer, or other representative, may apply for the Special Event permit on
behalf of the organization/business.
NAME OF ORGANIZATION: (\) 1-\ t"~r~U-
ADDRESS OF ORGANIZATION: __ -=S'l:.....L-"'=-"" __ -"'S-m=..c-"":A-=---_-"'D"-'.-.,...ll",,"".,,>--_______ _
~.{ H.'}~" , (J\ >
OFFICE TELEPHONE: __ 3>_"_-'_'" ,_ .. 6,,-"'_' -'---"--'-'1...:.'1_" ____ FAX: ___________ _
11~~M~f@~fili(~!~JE~~~~~B!~iBi§jt~f:{Rl~lIltljJ,lifie;§.if{?!Q]l1~B~~!§!~~;rj~~I~~~;~)1~~I~I~i~IEM~~%!W!~rf*:~Jiri~~!,
PRESIDENT: At, A~",rJ SECRETARY:-------------
ADDRESS:
PRES. PHONE: ---,3.="", --,~,,--_b"-"..\' "1...>-,---"9_'1'-"1:...5" ____ EMAIL: C-::Ve",-f~ ",l--'5?tl~ ~\~ t' Q. ~tn~) ,':'0"-"
SEC. PHONE: ___________ EMAIL: ____________ _
If the organization is a tenant and/or renter of the event location, please have the property owner complete the following:
D Applicant/Organization owns the event location
[k]19ive permission for the Applicant/Organizatio'n to use my property.
Comments: ___________ ~~~====~~~ __________________________________ __
Property Owner's Name: \--\4ftl/\:o-Y Q\.As;.--hs">'v
Property Owner's Address:
Property Owner's Signature: --F"rl,,\---'<:kJ"-~f~~~~~=::~~~~~L----
Notary Sig l1atl.ll re :-F""""~¥.'=7.fi::jJ~
lZ::'==:.J
FOR SERVICE CALL:
FRANCIS L. DEAN & ASSOCIATES OF FLORIDA, LLC
OCALA, FLORIDA
877/671·3326
www.fdeanfl.com
A
Perfect Balance Martial Arts & Fitness
5900 Sunset Drive
Miami. FL 33143 Cert#AP148295·00
PERIOD INDICATEO,NOTWITHSTANDING ANY REQUIREMENT,
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
~~:".':~ERC"\l C'EN"RA~ LIABILITY
CLAIMS MADE 00 OCCUR I-+=~~~-& CONTRACTOR'S PROT
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON·OWNED AUTOS
ANY AUTO
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE;
I I
I I
FLDG180411
COMPANY R.IVERPORT INSURANCE COMPANY
COMPANY
COMPANY
LIMITS
09/24/11 09/24/12
DAMAGE
$
$
$
$
THE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS OF
THE NAMED INSURED DURING THE POLICY PERIOD.
Martial Arts Activities
City of South Miami
6130 Sunset Drive
Miami. FL 33143
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL
ENDEAVOR TO MAIL .....iill...-DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY ,
A map of the event site is required and should indicate event layout with proposed attractions, recommended
street closures, parade or rwllwalk routes, etc. Please draw you map on the space provided below, or attach
your map to the application upon submittal. The following must be identified and labeled:
1. Event Site (label streets, building, etc.) 3. Canopies, tents, stages 5. Fencing/Barricades x-x-x 7. First aid facilities '"
2. Routes (races, parades, etc.) ~ ~ ~ 4. Restroom facilities R 6. Off duty police officers P 8. Parking Area PA
0 @ @
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Y'4-~J.-1>, .. I~ 'J:> eX, L~
5-16
NOTIFICATION I PETITION
We, the undersigned businesses and/or residents, have been notified of street closures associated
with the event noted about on said date, and hereby agree or disagree to the closure(s). We are afso
aware that this response may not effect this application being approved or disapproved.
Disapproved
Disapproved D
IAnnro',,,'rl [:::r Disapproved
IApprovea D Disapproved D
IAonrn'"Arl D Disapproved D
IAooro'ved D Disapproved
IAonrovAri D Disapproved D
IAooro'ved D Disapproved
IApproved D Disapproved
IAooroved D Disapproved D
6-16
ThTDEIVlNIFICATION AGREElvIEI'lT
THIS AGREEMENT ("Agreement") is entered into by and between -:-::-Q-:-,'2I-",-,/~_' c-' _,::L-:--,g,==-'-7/~,,-, -=c_11,-,~--,-' -,;UJ-:. ,-:_.4J.,--,-,-_' __
("Applicant"), and the City of South Miami ("City") on the date on which the last of the Parties executes this Agreement
RECITALS
WHEREAS, the Applicant has submitted a Special Event Permit Application to the City for (event title)
e-lh"-0.-;;;~ ,,,,,,-",-, ,/'--£N-(lei"/:,,,. k at 5lcn"J:VA flo -1),,--.1 .s.cp (location) on
(date(s» :TlJ.....J >1? ,("Special Event"); and WHEREAS, pursuant to of the City's Code and the
City's Special Event Regulations, the Applicant must execute an indemnification and hold harmless agreement protecting
the City from any and all claims which may arise out ofthe Special Event
NOW, THEREFORE, in consideration of the matters recited above, the mutual covenants set fOlih herein, and other good
consideration the receipt and sufficiency of which is hereby acknowledged, the Parties hereby agree as follows:
1, The above recitals are true and correct
2. Applicant agrees to indemnify, defend and hold the City, its officers, affiliates, employees, successors
and assigns, harmless from and against any and all such claims, suits, actions, damages, or causes of
action arising as a result of the Special Event, or of the condition of the site on which the Special Event
is held including any personal injury or loss of life, or damage to or loss of propeliy, and from and
against any costs, attorney's fees, expenses or liabilities incurred in and about the defense or settlement
of any claims, and the investigation thereof.
3, Permits for Special Events must be on event site at all times,
4. No Street shall be closed without authorization from the City of South Miami Public Works Depmiment
and Po lice Depmiment
5. Traffic shall be maintained in accordance with Florida Department of Transportation (FDOT), Miami-
Dade County standards and any additional requirements by the City of South Miami Public Works
Depaltment and Police Department
6. Event areas shall be restored to equal or better condition than they were before the event started,
7, If all restoration work is not performed within 30 days of work completion, the City of South
Miami Public Works Department may restore the event area and charge the applicant for the cost of
restoration plus a minimum of 15% for administrative fee and any additional incidental fees,
8. Applicant must pay all fees prior to the start of their event(s),
9, Applicants that receive approval for their event more than thiIiy (30) days in advance shall notify the
City of South Miami Special Event/Marketing Coordinator at least fOliy-eight (48) hours prior to start of
their event.
10, Any damage to private property shall be restored to its original condition or better and as accepted by the
Owner.
IN WITNESS WHEREOF, each of the parties hereto has caused this Agreement to be executed and sealed by its duly
authorized signatory(ies) on the date set forth below.
~-, :r: 1t6 c /'/
PRI T NAME APPLICANT
8-16
APPLICANTS TITLE
DATE
, .. ,\~~V~:':'", HIGINIO CASTRO f~m'" :<~ Notary Public· State of Florida s:. ! 0:: My Commission Expires Feb 5, 2012
;~~ #~l Commission # DO 755123 """Ilf.fl'i~'''''''' Bonded Through National Notary Assn,
.. ; : .,'~
CITY OF SOUTH MIAMI POLICE DEPARTMENT
6130 Sunset Drive, South Miami, FI 33143 (305) 663-6301
Extra-Duty Po~ice Officers
Application']
South ~-!i:ilJ;ni
Fiorida
2001
A police officer for employment that is indigenous to their law enforcement authority commonly referred to as "Extra-Duty"
employment. The following policies and procedures must conform in order to schedule a police officer for employment on a
temporary or infrequent basis:
» The South Miami Police Department shall be the final authority in determining the minimum number of officers required to police a
particular event. If more than three officers are hired, a supervisor must also be hired. The City Manager Office and South Miami
Police Department will determine the supervisor to officer ratio for larger events.
» The Applicant will be required to compensate the assigned officer for a minimum of three (3) hours even if the event is of a shorter
duration. Currently the rate for Extra-Duty Police Officer is $40 per hour & $50 per hour for Supervising Officer, plus a $3.00 charge for
radio usage for each officer.
» The Applicant must compensate the officer(s) for their services at least one (1) day prior to the start of the scheduled event that the
officer(s) will be assigned to. No monetary payment will be accepted. No payment by exchange of goods or services is acceptable.
» If, during a scheduled event, the Applicant determines that he/she needs to extend the time an officer(s) works at the assignment, the
Applicant shall compensate officer(s) for a full hour worked if the Officer(s) works for more than 20 minutes and/or less 59 minutes
beyond the regularly scheduled time of the event.
» Applicant must notify of a cancellation request of an Off-Duty Police Officer forty·eight (48) hours prior to the scheduled date of service.
Failure to do so will require the Applicant to compensate the assigned officer for a minimum of three (3) hours.
!\PPLICANT INFORMATION
&mill.'" 7;; :;:'-iI:~.'M;;:i;;7i1' "",,", ',,&k£]£ 'l{-'·4~"J""j'~_·d~<._§~L§~'",W-
;usiness/Organization Name Applicant Name
~ J-"'];)... 1/-41dn; A ?.;, I 'IJ
uSiness/Organization Address City State Zip Code
'3v~-l i. 7 -b~ ;l? ~-t-LA 4.<"u,..) Q ih f. (..0 y\
Fax Number E~ hone Number
if " •. i ,,>4A. ~ "'2""iftii'-·""''¢!i·'*iS ,; 'M ; e r tit tiWF "t'~'e'" 4ti!1"~ttl" WitH" ·,homl"·'
:VENT INFORMATION
;SFq, ·;-i-4 ZZWZtiZZ/1."lll.I£Jll ?A& _. '.iM£illillil'E'kl'lf ' ,p.g, IS ' 4 ,. 4· g. ;d ~ • .'* .i io:::!!blkiilW:.':;~::::::ws::t:::f
r:cl-,j-,v4J
Cellular Number
--'(L""":4+=-N:!.:.....::·~=..,....J.M-=:'O""''''---f}k_t:!fJ/v __ (JJ,j,f.....-'<~r-rJ 5...,..
ame of Event Event Location
In-Site Contact Person Type of Event
Cthrf-~ )~~6 0-=-:c-0 ---;-_
Anticipated Attendance
I acknowledge anUnanCial responsibilities to pay all costs and fees associated with this request form prior to the service date(s):
.. jpp~'Li:. . /~4!1=
OFFICE USES ONLY: D APPROVED AS PRESENTED D DENIED D APPROVED WITH CONDITION
NO. Office: ~ X NO. Radio: /V Ie+ X NO. Hours 7/f ;ts (;:2-9--0-1
/ '
MENT.~~~--~~~~~;r;r----------~------/,~~--~~--~~~~~~ ;~~~:ARTMENT ;J-~~;;,r;'~:~ ~i$~5_-;;;;0 __ ,tJ;;./_C_:ic_-_..!
11-16
City (&;l SQuth Miami
FUND g.
CASH~_~_
.. CHECK NO. \L\OCI __
DATE:4~-,-,\:'R~", __
I::::;D---rS-
ACCOUNTNO~ ___ _
DESCRIPTION E·D. po\\c:e_. a OCP'iQQiD
(ihcs. @ L\O,Q019~:rb2)
J!'lI..lEASlE l\'i!AJKlE ALII.. <CJliI1ECIJ(§ J!' A 'j{ AlIlllLlE TO>:
AMOUNTS> obQ.cn
MICIlTV 0>1F §0>V'1!1llI MKAMIl" ~. CA BIER VAUD ONILY WfffJiEN IBEAiRJING OlFlFlClfAlL REGISTER VAUDA nON
. ,
Stout-Tate, Maria
From:
Sent:
To:
Subject:
Corbin, Larry p,
Wednesday, January 04, 2012 10:08 AM
Stout-Tate, Maria
RE: Special Event -January 28, 2012
Attachments: image001 ,jpg
Maria,
The following is a cost estimate for extra duty officers to cover the marshal arts exhibition on Saturday
January 28, 2012 on SW 59av & 72St.
The event is scheduled 3:00pm -6:00pm and the street will be closed from 12:00pm 06:30pm, therefore
the estimate is for two officers from 12:00pm -7:00pm,
2 Officers, 7 hours each @ $40,00 per hour
$280,00 per officer
Total cost: $560.00
Lieutenant Larry Corbin
Uniform Patrol Division
South Miami Police Department
PH 305-663-6351
FAX 305-663-6353
Maria
luary 03, 2012 12:43 PM
, orbin, Larry P.
Cc: Landa, Rene; Baker, Carmen V,
Subject: Special Event -January 28, 2012
Importance: High
Good afternoon Mr. Barket and Major Landa,
A special event permit has been submitted to hold an event on Dorn Avenue SW 59 TH Avenue off of SW
72 Street (closure of Y, the street),
The event would run from 3:00 p,m, -6:00 p,m, Street closure would be from 12:00 p,m, to 6:30 p.m,
Gentlemen, I would need to know the cost of personnel and how many would be needed; if any,
Approximate visiting population is estimated to be 600 folks,
Please let me know as soon as possible, so that I can finish the resolution,
Thank you for your time and support,
Maria Elena
114/2012
Page 1 of 1
CITY OF SOUTH MIAMI PUBLIC WORKS DEPARTMENT
4795 SW 7S'h Avenue, Miami, FI 33155 (305) 668-7205 Fax (305) 668-7208
Application to Conduct A Special Event FUfi1ction 0fi1
Public Right-of-Way
2001.
)TE: ALL FIELDS SHALL BE FILLED. No action can be taken on this application until all questions have been answered. As set forth
Ordinance No. 21-09-2013; temporary full roadway and sidewalk closure (NO SINGLE LANE ROADWAY CLOSURE PERMITTED) for
ecial events, eight (8) hours max. Including time for setup (EXCLUDES CITY EVENTS AND EVENTS FUNDED BY THE CITY) fees
8: OLF (Linear Foot) to 50LF $1,500, >50LF to 300LF $2,500 and every additional 50LF or fraction $1,000. Please be advised that a
presentative from the Public Works Department wiil have to be present for any/and ail event(s) at a rate of $40 per hour, if a supervisor
required, a rate of $45 per hour. Use blank paper if you need additional writing space. PLEASE PRINT clearly, except for signature.
? 1 f:;;f:;-,.-j /}?JCJl-
,// // /1 I);?
( / (-;Y~j/ ~: f~.-Af~
Authorized ReprEise tativejame rj
L .t
g/~ .
siness/Organization Name
"-<? ., "-,r,~. L. v ~ IV;' _~ .... ja', ~I d;;;J"! __ ,
siness/Organization Address
~~~~--~l;/i-f !,.( Lf Y-
State
(./--I;:xfu
Zip Code
AG'D /j .1.. i;),:J u~ ,V)
Phone Number Fax Number
::mt Name
)ject Location
ent Date(s)
, ,
_"-27'",,,"/+, ",>_"./-1"," ___ Event Day(s)
I E-Mail
ent Start Time ,,'i;,,(;)o P~i (am f pm) Event End Time ~):'>o (am f pm) Anticipated Attendance , -=---'-'1''''--'-
ent Setup Time "-"''''''''===-(am f pm) Breakdown Time -2.:'-='--+'--'-_ (am f pm) Total Duration (include setup)
IERE8Y REQUEST A PERMIT FOR THE FOLLOWING:
icipated effeGts Oil vehiculdr and pedestrian traffic during Project Maintenance of traffic provisions are specific (include sketch jf necessary):
I you be requiring the use of City 8ardcades? .~ 'NO If Yes, how many: b(f~LJ c>;-o/ ''<J
0, what form 0J4afety ba~rier and/or fenc~ng company will ~ b~ ""U:ing ,to obstruct traffic? .. , L~LUA Wd.e ~ 0c~ tJ~~ kf~.::x,;-:-~ .t5~
signing this application, / understand that separate City and/or County permits may be r1quired for this project. FurthermOre.am
are that I am responsible for ensuring that the project is completed in accordance with the plans and specifications as stipulated in the
'mit approval conditions. As well as acknowledge that any right-of-way,. closures will require at least one off-duty officer, public works
'ployee a!}1be1)ricades." a/ L / /' /j I" ./ .£/ /" /? I' /" J / /:'> ' . /1 f t/J . it..") I v1 (_~ / , ;CAy :0-/", .. ~~?j/ . / ./ i "7"'" / 1/ .
NT NAME . APPLICANT me; ATU r / IDATE
.// /
fARY SIGNATURE
"=
~ ,O;.pCE USES ONLY:
APPROVED AS PRESENTED 0
NO. Employee: :x NO. Hours:
Comment: ~ PUBL~URE
Permit No: ----------------
DENIED. 0 APPROVED WITH CON7DIJION
X b. E>~ NO. Barricades: :x >.( h
I
12-16
0;::
PERFECT BALANCE FITNESS INC
5900 SUNSET DRIVE
SOUTH MIAMI, FL 33143
63-587-670
..,;-0 -p.-
D. _"~,,
W '=" .... ",,""
First 5750 Sunset Dnve , " \J Nat;~na, SoulhM,.m',FL33143 I I 1'>-" ~-v ~. /~ .&c~ ~l'" 305.667.5511 :5t7-<'~'7'" /" 7' _. IW
SM
Qu
:;:. WWW.fnbSm,CO":'rl),J .. I('7,r._.(.."__,---___ , ,. ) "~) ,-/~ k-<-~ ____ ~___ __
C-}i j.{. ~-t<~,"':!G-6 :/A"J :)rrsO~a,"\'i)O 0 0 7-~Cj ~--711' ,/ f/,,--,-,c',J 1:11'. -. __
"':i.-
CASH. RECEIPT
CASH ___ _
'CHECK NO. \L\ \\7
DATE: \\ rz \ \2·
, I i City of South Miami
FUND dY o ACCOUNTNO ________ _
PLEASE MAKE ALL mECKS PAYABLE TO:
"CITY OF SOU1'H MIAMI"
'" /_,e", .,"
;~,)_,: ".,~.i ."~
VALID ONLY WHEN BEARING OFFICIAL REGISTER VALlDA710N
City of South Miami
FUND d o '
ll"iLiEMl& MAD' ALIL OI!!l!:CIKS ll" A 'If MILlE TO:
~<CJ!T'Il OlF 1>OIU'1lililMffAMI"
VAiUD ONILY WHEN lBEAJJ<JNG OiFiF!clfAlL REGISTER VAUDATiION
CASH'_~ __
. CHECK NO . ..)..\L\;;,.l,)u,O""--__
DATE: \ \ c\ \ \2. '
I
ACCOUNTNO~ ___ _
AMOUNH 2L\ . 50
l:~
, ,
City of South Miami: Dorn Avenue at Sunset Drive
Street Closure for event on Jan 28, 2012
o 10 20 30 60 90 120 150 ~~~_~~_~_~~~ Feet
CITY OF SOUTH Mlfl,MI PARKING DIVISIO/\!
6130 S4nset Drive, South Miami, FI 33143 (305) 668-2512 Fax (305)663-6346
Parking Sta~is/Meter§ Rentais .Appi~zc«lltion
Pursuant to Section 15 C-l (a) (2) (b) oftlle Code of Ordinance, "Rental Fees for Public On/Street curbside
spaces (Parking space) are $25.00 per space per day, seven days per week based on twenty-four (24) hour use".
QC("feLt J)"laI!\Ce. h1G\r1ia.,\ Atrh, cl Fi1lless _A ,-,-,-I -'-A"'jl"'o'-L.o"--_____ _
Business/Organization !\lame
Business/Organization Address
305 -(,(, 1-8#'5'
Phone Number Fax Number
Applicant Name
F \0..
City State Zip Code
£e".fe.d fJJ<l.V\C"",!Y\tillM;@-J/Ma;;J, GOm
E-Mail
Name of Event: \ ~ AM()',j Chi /)ese N.<?\.D J~. eoewf Type of Event: 'pe.c.<.wlAslf,,-,t.~d s /I'Ilt,r;e.
v
Purpose for,utilizing parking meters: CWswtoe. t!'>f StNp} .,pOl' Cl Spec,aJ? €0ewf
, ., ))of>" 40 €-(~(2 D~[r) ( I
Number of On/Street
curbside spaces requested:
Number of Day's Start
____ curbside spaces desired; _'--_ Time f';l:OD t{;l1 End
Time: -"-'-=--'-'--'-
necessary, please attach
I hereby certify the above information is true, correct and complete as of the date of this submittal. It is understood that
this applicant will be reviewed and may be adjusted periodically by City Staff; if any information should change th.at I shall
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FOR OFFICE USES ONLY: Permit No: --------------------D DENIED [Z'j APPROVED AS PRESENTED D AP~ROVED WITH CONDITION
I X NO Meter 1-X Dally Fee ;;<':;.00 fJM ~ ~ ~.
commen~
NO Meter Days
PARKING DIVISION SIGNATURE DATE Estimated Total Cost
13-16
CASH, ___ _
. CHECK NO. \L\ \\7
DATE: \\r2 \ \2
I i City of South Miami
FUND 9 ACCOUNTNO ________ _
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PLEASE MAKE ALL mECKS PAYABLE TO:
"CJTI( OF SOUTH MIAMi w
VAUD ONLY WHEN BEARING OFFICIAL REGISTER VAUDATION