{ "document_id": 12755, "page": 13, "width_pt": 612, "height_pt": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "engine": "paddleocr_vl", "source_run_id": 12866, "item_count": 17, "counts_by_type": { "figure": 1, "footer": 2, "header": 2, "heading": 2, "text": 10 }, "build_ms": 2, "items": [ { "id": "p13.1", "order": 1, "type": "figure", "bbox": { "l": 35.28, "t": 769.2, "r": 114.48, "b": 689.28 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" } }, { "id": "p13.2", "order": 2, "type": "header", "bbox": { "l": 118.8, "t": 768.24, "r": 599.04, "b": 725.76 }, "text": "DEVELOPMENT SERVICES DEPARTMENT – ZONING & LANDSCAPING DIVISION\nBOARD OF ADJUSTMENT - AGENT AUTHORIZATION FORM", "attrs": { "block_label": "header" }, "level": 2 }, { "id": "p13.3", "order": 3, "type": "header", "bbox": { "l": 120.24, "t": 711.36, "r": 374.16, "b": 684.72 }, "text": "Rev: 0 | Revision Date: 01/30/2024 | Print Date: 0/00/0000\nI.D. Number: BOAAAF", "attrs": { "block_label": "header" }, "level": 2 }, { "id": "p13.4", "order": 4, "type": "heading", "bbox": { "l": 220.08, "t": 640.08, "r": 424.08, "b": 623.52 }, "text": "AGENT AUTHORIZATION FORM", "attrs": { "block_label": "paragraph_title" }, "level": 3 }, { "id": "p13.5", "order": 5, "type": "text", "bbox": { "l": 114.72, "t": 581.76, "r": 539.52, "b": 563.04 }, "text": "Additional Insured: GV-IP 110 Tower Owner LLC % GEM Realty Capital Inc (\"Owner\") as the current title owner of the real [Print First and Last Name of the title Owner OR Name of Corporation]" }, { "id": "p13.6", "order": 6, "type": "text", "bbox": { "l": 107.04, "t": 560.64, "r": 539.04, "b": 547.44 }, "text": "properly located at 110 SE 6th Street, Fort Lauderdale, FL 33301" }, { "id": "p13.7", "order": 7, "type": "text", "bbox": { "l": 406.8, "t": 560.16, "r": 538.32, "b": 547.92 }, "text": "(“Property”), do hereby authorize" }, { "id": "p13.8", "order": 8, "type": "text", "bbox": { "l": 246.72, "t": 549.6, "r": 317.28, "b": 540.24 }, "text": "[Print Property Address]" }, { "id": "p13.9", "order": 9, "type": "heading", "bbox": { "l": 115.44, "t": 541.68, "r": 217.68, "b": 528.48 }, "text": "William Reicherter", "attrs": { "block_label": "paragraph_title" }, "level": 3 }, { "id": "p13.10", "order": 10, "type": "text", "bbox": { "l": 123.36, "t": 537.12, "r": 539.04, "b": 522 }, "text": "___ (\"Authorized Agent\") to act as my agent regarding the submittal" }, { "id": "p13.11", "order": 11, "type": "text", "bbox": { "l": 125.04, "t": 526.8, "r": 230.64, "b": 516.96 }, "text": "[Print First and Last Name of Agent]" }, { "id": "p13.12", "order": 12, "type": "text", "bbox": { "l": 103.68, "t": 517.2, "r": 519.12, "b": 473.52 }, "text": "of a variance/special exception application to the City of Fort Lauderdale and appear at any and all scheduled hearings before the Board of Adjustment for the City of Fort Lauderdale, on the date, time and location specified on the Hearing Notice." }, { "id": "p13.13", "order": 13, "type": "text", "bbox": { "l": 102.72, "t": 459.12, "r": 538.56, "b": 340.8 }, "text": "I authorize my agent to communicate with the City of Fort Lauderdale regarding my pending variance/special exception application and, by signing this authorization form, I hereby authorize the City of Fort Lauderdale to accept and rely on any and all communications from my Authorized Agent, whether written or oral, regarding all issues related to my pending variance/special exception application. I understand and agree that, as the Property Owner, I remain responsible for all terms and conditions outlined in the variance/special exception application, all required hearing appearances related to my variance/special exception application, and any request by the City of Fort Lauderdale and/or the Board of Adjustment to submit additional document(s) and or record(s) in support of my pending variance/special exception application." }, { "id": "p13.14", "order": 14, "type": "text", "bbox": { "l": 103.44, "t": 330.96, "r": 540.24, "b": 227.76 }, "text": "Notwithstanding the City's receipt of my completed and executed Agent Authorization Form. I understand and agree, the City will mail or deliver all notices relating to my pending variance/special exception application to my property address, as listed on my variance/special exception application. I further understand and agree, the City of Fort Lauderdale and the Board of Adjustment assume no liability for my failure or my Authorized Agent's failure to comply with any terms or conditions outlined in my variance/special exception application, and/or my failure or my Authorized Agent's failure to appear on my behalf at any duly noticed hearings before the Board of Adjustment." }, { "id": "p13.15", "order": 15, "type": "text", "bbox": { "l": 103.44, "t": 218.16, "r": 541.2, "b": 100.8 }, "text": "I further agree to INDEMNIFY AND HOLD HARMLESS and hereby RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS AND FOREVER COVENANT NOT TO SUE the City of Fort Lauderdale, its elected officials, employees, servants, representatives, associates, officers, agents, guests, invitees, volunteers, partners, successors and assigns from any and all liability, claims, demands, action, judgments, costs, expenses, court costs, attorney fees and causes of action whatsoever arising out of or related to any loss or damage to property, and/or injury to any person, including death, WHETHER CAUSED BY, ALLEGEDLY CAUSED BY, OR CONTRIBUTED IN WHOLE OR IN PART by the action, failure to act, negligence, breach of contract or other misconduct by my me, my Authorized Agent, my employees, servants, representatives, associates, officers, agents, volunteers, partners, successors and assigns." }, { "id": "p13.16", "order": 16, "type": "footer", "bbox": { "l": 69.36, "t": 54.96, "r": 122.88, "b": 42.24 }, "text": "Page 1 of 2", "attrs": { "block_label": "number" } }, { "id": "p13.17", "order": 17, "type": "footer", "bbox": { "l": 155.52, "t": 53.04, "r": 358.32, "b": 31.2 }, "text": "Approval by: Mohammed Malik. Manager Uncontrolled in hard copy unless otherwise marked", "attrs": { "block_label": "footer" } } ], "excluded_furniture": { "first": [], "last": [ { "id": "p13.f1", "order": 18, "type": "footer", "bbox": { "l": 460.32, "t": 54.96, "r": 575.28, "b": 20.4 }, "text": "", "attrs": { "block_label": "footer_image" } } ] } }