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HomeMy WebLinkAboutResolution 2026-34312RESOLUTION NO. 2026-34312 A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH FLORIDA, APPROVING AND AUTHORIZING THE CITY MANAGER AND CITY CLERK TO EXECUTE A NON-EXCLUSIVE, PERPETUAL EASEMENT AND RELATED DONATION OF PROPERTY, PURSUANT TO FLORIDA STATUTES SECTION 337.25, IN FAVOR OF THE FLORIDA DEPARTMENT OF TRANSPORTATION (FDOT); SAID EASEMENT CONTAINING AN EASEMENT AREA DESCRIBED AS PARCEL 800 AND HAVING APPROXIMATELY 128 SQUARE FEET, LOCATED AT THE NORTHEAST CORNER OF THE NORMANDY ISLE PARK & POOL FACILITY, LYING IN A PORTION OF LOT 13 OF BLOCK 30, OF THE SECOND REVISED PLAT OF PORTIONS OF OCEAN SIDE SECTION AND TROUVILLE SECTION OF ISLE OF NORMANDY, RECORDED IN PLAT BOOK 40, AT PAGE 35, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA, AS MORE PARTICULARLY DESCRIBED IN THE EASEMENT, FOR THE PURPOSE OF CONSTRUCTING, INSTALLING, AND MAINTAINING A TRAFFIC SIGNALIZATION CONTROL BOX AND SIDEWALK. WHEREAS, pursuant to Florida Statutes Section 337.25, the Florida Department of Transportation (FDOT) is requesting that the City donate to FDOT a non-exclusive Perpetual Easement ("Easement") for use of an easement area having approximately 128 square feet ("Easement Area"), located at the northeast corner of the Normandy Isle Park & Pool facility (the "Park"), as more particularly described in the Perpetual Easement attached to the City Commission Memorandum accompanying this Resolution as Exhibit "A", for the purpose of constructing, installing, and maintaining a traffic signalization control box and sidewalk; and WHEREAS, in connection with such donation, the City Manager would be executing a Donation of Property form provided by FDOT, a copy of which is attached to the City Commission Memorandum as Exhibit "B"; and WHEREAS, the Easement Area, identified as Parcel 800 in the sketch and legal description attached as Exhibit "A" to the Easement is lying in a portion of Lot 13 of Block 30, of the SECOND REVISED PLAT OF PORTIONS OF OCEAN SIDE SECTION AND TROUVILLE SECTION OF ISLE OF NORMANDY, recorded in Plat Book 40, at Page 35, of the Public Records of Miami -Dade County, Florida, as more particularly described therein; and WHEREAS, the Easement Area, although located within the Park property, is already being used to house FDOT's traffic signalization control box and for sidewalk purposes; and WHEREAS, in connection with an FDOT roadway project along Normandy Drive (SR 934 (WB), which is a state road, FDOT will need to maintain access to the existing controller cabinet during construction and will need to replace the adjacent pull boxes and sidewalk; and WHEREAS, the proposed Easement would formalize the current use of the Easement Area, although the adjacent pull boxes and sidewalk will be slightly relocated; and WHEREAS, the Department of Parks, Facilities, Fleet & Beaches has reviewed all documents provided by FDOT and has determined that the City's property interests are not adversely affected and the Easement Area is needed for valid transportation purposes; and WHEREAS, based upon the need for transportation purposes and the fact that the Easement Area is already being used for the same transportation purposes, the City Manager recommends approving and authorizing the City to execute the proposed Easement in favor of FDOT and the associated Donation of Property. NOW THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, that the Mayor and City Commission hereby approve and authorize the City Manager and City Clerk to execute a non- exclusive, Perpetual Easement and related Donation of Property, pursuant to Florida Statutes Section 337.25, in favor of the Florida Department of Transportation (FDOT); said Easement containing an Easement Area described as Parcel 800 and having approximately 128 square feet, located at the northeast corner of the Normandy Isle Park & Pool facility, lying in a portion of Lot 13 of Block 30, of the SECOND REVISED PLAT OF PORTIONS OF OCEAN SIDE SECTION AND TROUVILLE SECTION OF ISLE OF NORMANDY, recorded in Plat Book 40, at Page 35, of the Public Records of Miami -Dade County, Florida, as more particularly described in the Easement, for the purpose of constructing, installing, and maintaining a traffic signalization control box and sidewalk. PASSED and ADOPTED this v2V day of ton 2026. ATTEST: JUN 2 6 2026 Rafael E. Granado, City Clerk teven Meiner, Mayor APPROVED AS TO FORM & LANGUAGE & FOR EXECUTION city A omey AfT Date Resolutions - C7 L MIAMI BEACH COMMISSION MEMORANDUM TO: Honorable Mayor and Members of the City Commission FROM: Eric Carpenter, City Manager DATE. June 24, 2026 TITLE: A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH FLORIDA. APPROVING AND AUTHORIZING THE CITY MANAGER AND CITY CLERK TO EXECUTE A NON-EXCLUSIVE, PERPETUAL EASEMENT AND RELATED DONATION OF PROPERTY. PURSUANT TO FLORIDA STATUTES SECTION 337.25, IN FAVOR OF THE FLORIDA DEPARTMENT OF TRANSPORTATION (FDOT), SAID EASEMENT CONTAINING AN EASEMENT AREA DESCRIBED AS PARCEL 800 AND HAVING APPROXIMATELY 128 SQUARE FEET, LOCATED AT THE NORTHEAST CORNER OF THE NORMANDY ISLE PARK & POOL FACILITY, LYING IN A PORTION OF LOT 13 OF BLOCK 30, OF THE SECOND REVISED PLAT OF PORTIONS OF OCEAN SIDE SECTION AND TROUVILLE SECTION OF ISLE OF NORMANDY, RECORDED IN PLAT BOOK 40, AT PAGE 35, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA, AS MORE PARTICULARLY DESCRIBED IN THE EASEMENT. FOR THE PURPOSE OF CONSTRUCTING, INSTALLING, AND MAINTAINING A TRAFFIC SIGNALIZATION CONTROL BOX AND SIDEWALK. RECOMMENDATION The Administration recommends adopting the Resolution. BACKGROUND/HISTORY The Florida Department of Transportation (FDOT) is requesting that the City grant FDOT a non- exclusive Perpetual Easement (Easement) for use of an easement area having approximately 128 square feet ("Easement Area'), located at the northeast corner of the Normandy Isle Park & Pool facility (the 'Park"), as more particularly described in the Perpetual Easement attached hereto as Exhibit "A" as Parcel 800, for the purpose of constructing, installing, and maintaining a traffic signalization control box and sidewalk. The Easement Area, although located within the Park property, is already being used to house FDOT's traffic signalization control box and for sidewalk purposes. In connection with an FDOT roadway project along Normandy Drive (SR 934 (WB), which is a state road, FDOT will need to maintain access to the existing controller cabinet during construction and will need to replace the adjacent pull boxes and sidewalk. This Easement would formalize the current use of the Easement Area. although the adjacent pull boxes and sidewalk will be slightly relocated. The Easement Area, identified as Parcel 800 in the sketch and legal description attached as Exhibit "A" to the Easement is lying in a portion of Lot 13 of Block 30, of the second revised plat of portions of ocean side section and Trouville section of Isle of Normandy, recorded in Plat Book 40, at Page 35, of the Public Records of Miami -Dade County, Florida. as more particularly described in Exhibit A" to the Easement. 591 of 2591 ANALYSIS Pursuant to Florida Statutes Section 337.25, FDOT is also requesting that the City donate the Easement Area for transportation purposes through the use of the proposed non-exclusive, perpetual Easement. In connection with such donation, the City Manager would be executing a Donation of Property form provided by FDOT, a copy of which is attached hereto as Exhibit "B". The Department of Parks, Facilities, Fleet & Beaches has reviewed all documents provided by FDOT and has determined that the City's property interests are not adversely affected and the Easement Area is needed for valid transportation purposes. FISCAL IMPACT STATEMENT (� Does this Ordinance require a Business Impact Estimate? (FOR ORDINANCES ONLY) If applicable, the Business Impact Estimate (BIE) was published on: See BIE at: https://www.miamibeachfi.gov/city-hall/city-clerk/meeting-notices/ Does this Agenda Item support the Strategic Plan?: If so, specify what Objectives) FINANCIAL INFORMATION No fiscal impact. CONCLUSION Based upon the need for transportation purposes and the fact that the Easement Area is already being used for the same transportation purposes, the City Manager recommends approving and authorizing the City to execute the proposed Easement in favor of FDOT, for the purpose of constructing, installing. and maintaining a traffic signalization control box and sidewalk, and associated Donation of Property document. in connection with the FDOT transportation project adjacent to northeast corner of the Normandy Isle Park & Pool facility. Attachments Exhibit A — Perpetual Easement Exhibit B — Donation of Property Resolution Applicable Area North Beach 592 of 2591 Is this a "Residents Right to Know" item, pursuant to City Code Section 2-17? Yes Is this item related to a G.O. Bond Project? No Was this Agenda Item initially requested by a lobbyist which, as defined in Code Sec. 2-481 includes a principal engaged in lobbying? No If so, specify the name of lobbyist(s) and principal(s): Department Parks, Facilities, Fleet & Beaches Sponsor(s) Co-sponsor(s) Condensed Title Execute Perpetual Easement, Install Traffic Signalization Control Box/Sidewalk. PFFB Previous Action (For City Clerk Use Only) 593 of 2591 Docuspn Envelope ID: 74058969-FC5"890-829F-5F1A689817FA 07-PE.02-04/93 This instrument prepared by, or under the direction of, T Alicia Trujillo, Esq. L District Six Chief Counsel Document prepared by: MF� State of Florida Department of Transportation 1000 N. W. I I I m Avenue Miami, Florida 33172 August 25, 2025 EXHIBIT "A" Parcel No. Item/Segment No. Managing District Parcel Folio PERPETUAL EA"M ENT 900 452557-1 :6 : 02-3210-017-0090 THIS EASEMENT made effective this day of 1 20 , by CITY OF MIAMI BEACH, a municipal corporation of the State of Florida, Grantor, to the STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION its successors and assigns, Grantee, whose address is 1000 NW I 1 Ith Avenue, Miami, Florida WITNESSETH: That the Grantor for and in consideration of the swn of One Dollar and other valuable consideration paid, the receipt and sufficiency of which is hereby acknowledged, hereby grants unto the Grantee, its successors and assigns, a perpetual non-exclusive easement (herein referred to as "Easement") in, over, under, upon and through the parcel described below (the "Easement Property") for the purpose of constructing, installing, and maintaining a traffic signalization control box and sidewalk. The Easement Property is legally described below, and depicted in Exhibit "A" attached hereto and made a part hereof: Parcel 800 F.P. No.: 452557-1 A portion of Lot 13 of Block 30 "SECOND REVISED PLAT OF PORTIONS OF OCEAN SIDE SECTION AND TROUVILLE SECTION OF ISLE OF NORMANDY", according to the Plat thereof, as recorded in Plat Book 40, Page 35 of the Public Records of Miami -Dade County, Florida being more particularly described as follows: COMMENCE at the intersection of the Baseline of Survey for State Road 934 (Normandy Drive) with the centerline of Rue Granville, at Baseline Station 34+09.24, as shown on the Florida Department of Transportation Right -of -Way Monumentation Map for State Road 934, Section 87080, as recorded in Road Plat Book 153, Page 94, of Public Records of Miami -Dade County, Florida; THENCE North 87'33'37" East along said Baseline of Survey for State Road 934, a distance of 407.64 feet to the point of curvature of a circular curve concave to the Northwest, having a radius of 1,654.34 feet, THENCE Northeasterly along the arc of said curve through a central angle of 10'26'51 ", an arc distance of 301.66 feet; THENCE South 12'53' 14" East radial to the las described curve for a distance of 40.00 feet to the Southerly Existing Right of Way line of said State Road 934 (Normandy Drive) as shown on said Monumentation Map for State Road 934, also being a point on a circular curve concave to the Northwest and the POINT OF BEGINNING; THENCE Northeasterly along the arc of said circular curve, having a radius of 1,694.34 feet and a tangent bearing of North 77°06'46" East through a central angle of 1'47'35", for an arc distance of 53.02 feet to the beginning of a circular curve concave to the Southwest and having a radius of 25.00 feet; THENC:F. Southeasterly along the arc of said circular curve through a central angle of 81'49'36" for an arc distance of 35.70 feet to a point on a circular curve concave to the Southwest and having a radius of 24.82 fed and a tangent bearing of North 28'25'24" West; THENCE Northwesterly along the arc of said circular curve through a central angle of 73'33'58" for an arc distance of 31.97 fed; thence South 77153'48" West a distance of 42.21 feet; thence South 91' 59' 53" West a distance of 12.73 feet to the POINT OF BEGINNING. All of the foregoing lying in the NW 1/4 of Section 10, Township 53 South, Range 42 East, City of Miami Beach, Miami -Dade County, Florida and containing 128 square feet, more or less 1 0f 6 594 of 2591 Docusign Envelope ID: 7405B969-FC59-8B9G-829F-5FlA689817FA THIS EASEMENT is granted upon the condition that any work performed upon the Easement Property shall be in a good and workmanlike manner, and in accordance with all rules, regulations, codes, and ordinances of any state, local or municipal authorities having appropriate jurisdiction thereof. TO I iAVE AND TO HOLD the same unto said Grantee, its successors and assigns forever, and the Grantor will defend the title to said lands against all persons claiming by, through or under said Grantor. IN W ITNESS WI IEREOF, the Grantor has caused these presents to be executed in its name by its Commission acting by the proper officials thereunto duly authorized, the day and year first above written. ATTEST: Rafael E. Granado Its City Clerk Address: 1700 Convention Center Dr. Miami. -FL 33331 Witness: _ Print Name: Address: 1700 Convention Center Dr. Miami. Beach, FL 33331 STATE OF FLORIDA COUNTY OF CITY OF MIAMI BEACH a municipal corporation of the State of Florida By: Eric T. Carpenter Its City Manager 1700 Convention Center Dr. Miami Beach, FL 33331 Address The foregoing instrument was acknowledged before me by means of [] physical presence or [] online notarization, this __ day of _ 20 , by Eric T. Carpenter , City Manager, who is personally known to me or who has produced _ _ as identification. Notary Stamp (Signature of person taking acknowledgment) (Type, print or stamp name under signature) Title or rank and serial number, if any: 595 of 2591 Docusign Enve" ID 7405B969-FC5"090-629F-5F1A688a17FA EXHIBIT "A1l ENERAL NOTES: - Bearings are based on the Baseline of Survey of State Road 934, having a bearing of N 87.33'37' E from P.I. Sta. 34+09.24 to P.C. Sta. 38+16.88. as shown on the Florida Department of Transportation (FDOT) Right of Way Monumentation Map for State Road 934, Section 87080. as recorded In Road Plat Book 153 at Page 94 of the Public Records of Miaml-Dade County, Florida. - Existing Right of Way lines and Baseline were derived from said Right of Way Monumentation Map for State Road 934, as recorded in Road Plat Book 153 at Page 94. Station and offsets shown hereon are relative to the Baseline of Survey of State Road 934. Lands shown hereon were abstracted for rght-of-way, easement of record, ownership, abandonments, deed restrict ons, and Murphy Act Deeds. Title Search prepared by GUARANTEED F orida Title Escrow & Abstract Inc. ,Search No. 61-086-001, certified through September 10, 2025 at eleven o'clock P.M. - Reproductions of this map are not valid without the original signature and seal of the Florda Licensed Surveyor and Mapper in responsible charge. - Additions and/or deletions to survey maps, sketches or reports by any party other than the signing party are prohibited without the written consent of the signing party. - This document consists of three (3) sheets and shall not be considered full, valid, and complete unless each sheet is attached to the other. - This Sketch to Accompany Legal Descrption is in comp lance with the Standards of Practice as set forth by the Florida Board of Profess onal Land Surveyors and Mappers, referenced in Rule 51-17 Florida Administrative code pursuant to Section 472.027, Florida Statues. LEGEND: C.B. C.D. D EXIST. FDOT F.P. GOV'T L L.A. LB LT N/A (P) P.B. P.C. PG. P.I. P.O.B. P.O.C. P.T. R RGE. Baseline RT R/W Right Right of Way Centerline R.M.B. Road Map Book Curve Delta Angle SEC. Section Chord Bearing S.F. Square Feet Chord Distance S.R. -State Road Degrees STA. Station Existing T Tangent Florida Department of T.B. Tangent Bearing Transportation TWP. Township Finanuai Project Government 800 Parcel number Arc Length � ; Limited Access Licensed Business Left Not Applicable Per Plat Plat Book Gaspar A 01griall signed by Gaspar A Point of CurvatureLobaina Page Date 202S.13.1010:17:48 Point of Intersection Lo ba i n a .04'00• Point of Beginning Point of Commencement GASPAR A LOBAINA DATE Point of Tangency FLORIDA PROFESSIONAL SURVEYOR AND Radius MAPPER NO. 2873 Range THIS IS NOT A SURVEY FLORIDA DEPARTMENT OF TRANSPORTATION SKETCH TO ACCOMPANY LEGAL DESCRIPTION STATE ROAD NO. 934 MIAMI-DADE COUNTY n an "uwu w A+-Rran sOr oAT* sawn -- 1OM NW 41 Street. ST1t200 OOML. R.OR�A ). I $0 GENERAL NOTES D"VM A ► O/ 10 20251 rf wn 1 oecTen' 0l ` ill, 14»231 F,P NO 4S2557-1 SECTION 97080 SHEET I OF 3 3 of 596 of 2591 Docusign Envelope ID: 7405B969-FC59-8890-829F-5FIA689817FA EXHIBIT "A" LEGAL DESCRIPTION PARCEL 800 A portion of Lot 13 of Block 30 "SECOND REVISED PLAT OF PORTIONS OF OCEAN SIDE SECTION AND TROUVILLE SECTION OF ISLE OF NORMANDY", according to the Plat thereof, as recorded in Plat Book 40, Page 35 of the Public Records of Miami -Dade County, Florida being more particularly described as follows: COMMENCE at the intersection of the Base ine of Survey for State Road 934 (Normandy Drive) w'th the centerine of Rue Granville, at Baseline Stat on 34+09.24, as shown on the Florida Department of Transportation Right -of -Way Monumentation Map for State Road 934, Section 87080, as recorded in Road Plat Book 153, Page 94, of Public Records of Miami -Dade County, Florda; THENCE North 87e33'37" East along said Baseline of Survey for State Road 934, a distance of 407.64 feet to the point of curvature of a circular curve concave to the Northwest, having a radius of 1,654.34 feet, THENCE Northeasterly along the arc of said curve through a central angle of 10°26'51% an arc distance of 301.66 feet; THENCE South 12.53'14" East radial to the las described curve for a distance of 40.00 feet to the Southerly Existing Right of Way line of said State Road 934 (Normandy Drive) as shown on said Monumentation Map for State Road 934, also being a point on a circular curve concave to the Northwest and the POINT OF BEGINNING; THENCE Northeasterly along the arc of said circular curve, having a radius of 1,694.34 feet and a tangent bearing of North 77°06'46" East through a central angle of 1.47'35", for an arc distance of 53.02 feet to the beginning of a circular curve concave to the Southwest and having a radius of 25.00 feet; THENCE Southeasterly along the arc of said circular curve through a central angle of 81°49'36" for an arc distance of 35.70 feet to a point on a circular curve concave to the Southwest and having a radius of 24.82 feet and a tangent bearing of North 28'25'24" West; THENCE Northwesterly along the arc of said circular curve through a central angle of 73.33'SB" for an arc distance of 31.87 feet; thence South 77e53'48" West a distance of 42.21 feet; thence South 81' 59' 53" West a distance of 12.73 feet to the POINT OF BEGINNING. All of the foregoing lying in the NW 1/4 of Section 10, Township 53 South, Range 42 East, City of Miami Beach, Miam -Dade County, F'orida and containing 128 square feet, more or less. This document consists of three (3) sheets and shall not be considered full, valid, and complete unless each sheet is attached to the other. THIS IS NOT A SURVEY - -- - FLORIDA DEPARTMENT OF TRANSPORTATION SKETCH TO ACCOMPANY LEGAL DESCRIPTION — STATE ROAD NO. 934 MIAMI-DADE COUNTY T -- e+ p R-cm4n 8 AtHoc4[sH -- - n bir[ 1030'. NW 41 Street. ST1200 �� Ha,Atrs -_ — DRAWN s--A E 00 10 2025 DORAL• FLORIDA 11178 SEE GENERA- NOTES HHn�Or IN DATE I CHECKED GL as 102025 F P NO 452557-1 SECTION 87080 SHEET 2 OF 3 4 of F 597 of 2591 Docusign Envelope ID 7405B96g-FC5MB90-829F-5FIA989817FA I J i 1 d ao 09.24 87.33'37' 407,6q, EXHIBIT "A" CITY OF MIAMI BEACH MIAMI-DADE COUNTY NW 114 SECTION 10, TOWNSHIP 53 S RANGE 42 F S.R. 934 (NORMANDY DRIVE) WEST BOUND 40 5_TA.41t}I3.54 I Y It SURVEY I / Curve C4 SEE S12'53'14"E DETAIL 'A' BELOW v EXIST. R/W LINE 4000 am _J(R.M.B 79-30) r 104.40'(P) \ P.O.B. 41+18.54 ,tih 1 40.00'RT Q? 375(P) Curve C4 W w a i ^ 13 '` '-LU ;4 `, u A-10126151" (LT) M+, 30 L-301.66' In s = R-1,654.34' n 135.91'(P) C) 0 25 50 a 14 cctn Scale: 1�� 50' SECOND REVISED PLAT OF ~ W PORTIONS OF OCEAN SIDE SECTION MIAMI VIEW SECTION ISLE OF AND TROUVILLE SECTION NORMANDY PART-2 OF ISLE OF NORMANDY —MINK —MINK P.B. 41. PG. 75 P.B. 40, PG. 35 DETAIL "A" NOT TO SCALE P.O.B. 41�+- 7 Q,32, 600 T,B. N77006'46'E 4 00'RT , /41+18.54 40.00'RT Curve C1 e 3942 � C11%, ��? T B. N28"25-24-4 41 +70 61.62' RT LINE BEARING DISTANC Ll 577.53'48'W 42.21' L2 S81'59'53'W 12,73' This document cons'sts of three (3) sheets and shall not be considered full, valid, and complete unless each sheet Is attached to the other. Curve C 1 A=01'47' 35"(LT) L=53.02' R=1,694.34' C B. =N76'12'58"E Curve C2 A=81'49'36114T) L= 35.70' R=25.00' C B.—S63-46'02"E Curve C3 A-73.33'58"(LT) L-31.87' R-24, 82' C.B,-N66' 12'23'W ARCEL 4=_ _ 0—MiER'S_ NA rME PARCEL AR_A t REfAA1hPER , 800 CITY OF MIAMI BEACH 128 S.F. J N/A - - - - - THIS 15 NOT A SURVEY FLORIDA DEPARTMENT OF TRANSPORTATION f -1 SKETCH TO ACCOMPANY LEGAL DESCRIPTION — STATE ROAD NO T C AP MlVSOM r On CH OM9 G.L� G.L t 934 MUUMI-DADE COUNTY — — ow1[ L_DOIIA0.00ID4 .U],� ; oRT� fpMIQ M1lIA� p 1 ANK W* GFMFAAL NOM F P. W. 452557-1 SEMON 870W I SHEET 3 OF 3 of 598 of 2591 EXHIBIT "R" 575-030.�2 FDOT RIGHT OF WAY occ - an2 Florida Department of Transportation ROl' IWIs%I,I Is u; ;,� Rl_ht 'Ax, JARED W. PERDUE, P.E. (.ONT:R\OR 'Pxx,VA I;I'h %.r11,;, 1:,,,m1 SECRETARY \1i,nni 11 Donation of Property to the Florida Department of Transportation October 29, 2025 City of Miami Beach c/o Alexander Alvarez. Right of Way Manager & John Rebar, Parks & Recreation Director 1700 Convention Center Dr Miami Beach. FL 33139-1819 ITEM/SEGMENT NO.: MANAGING DISTRICT: F.A.P. NO.: STATE ROAD NO.: COUNTY: PARCEL NO.: INTEREST CONVEYED 452557-1 6 N/A 934/Normandy Drive Miami -Dade 800 Perpetual Easement This is to advise that the undersigned, as owner of the property or property interest referenced above and as shown on Right of Way maps for referenced project, desires to make a voluntary donation of said property or property interest to the State of Florida for the use and benefit of the Florida Department of Transportation. The undersigned hereby acknowledges that he/she has been fully advised by a Department representative of his/her right to have the referenced property or property interest appraised, to accompany the appraiser during the appraisal inspection of the property, to receive full compensation for the above referenced property, and to receive reimbursement for reasonable fees and costs incurred, if any. Having been fully informed of the above rights, I hereby waive those rights unless otherwise noted below. Owner's Signature Type or Print Property Owner's Name Street Address City, State, Zip Code Date 599 of 2591 FDOT Florida Department of Transportation 575-030-12 RIGHT Of WAY OGC - Ou22 INSTRUCTIONS FOR COMPLETION OF THE DONATION OF PROPERTY TO THE FLORIDA DEPARTMENT OF TRANSPORTATION (FORM 575-030-12) This form should be punted on official DOT letterhead. DATE AND INSIDE ADDRESS: Space is provided for a date and inside address of the property owner. PROJECTIPARCEL The following information can be located in the legal documents and Right of INFORMATION: Way map for each project and is required on official Department forms: Item/Segment No. Managing District F.A.P. No. State Road No. County Parcel No. OWNER'S SIGNATURE BLOCK: The owner must sign and provide an address and date before the Department can accept the donation. ORIGINAL: Parcel File COPIES: Owner(s) 600 of 2591