_____________________________________________________________________
-----------------------------------------------------------------------------------------------------------------------------------------------
___________________________________________ __________________
HARVEY RUVIN, CLERK
CIRCUIT & COUNTY COURTS
CODE ENFORCEMENT
111 NW 1st STREET, SUITE 1750
MIAMI, FL 33128
(305) 375-2333
(305) 375-2731 (FAX)
REQUEST FOR COPY OF AUDIO/VISUAL RECORDING
To request a copy of an audio/visual recording of a Code Enforcement “Hearing Session” (ie. one or more cases
heard on a particular Hearing Date and Room), complete and submit this Request Form with the applicable
fee(s). Check the appropriate box(es) indicated below:
$10.00 Copy Fee per Civil Violation Notice number.
$2.00 Additional charge for Clerk’s certification attesting to authenticity of recorded hearing(s).
$8.00 Additional charge for postage and handling, If desired – Priority U.S. Mail delivery only.
Total Payment Remitted: $ __________ (Payment can be submitted in person or by mail to the above
address. Make check payable to: Clerk of Courts, Code EnforcementYou may also pay with AMERICAN
EXPRESS, MASTER CARD or VISA in person of by calling (305) 375-2333.)
THE FEE(S) COVERING THIS REQUEST MUST BE PAID IN FULL WHEN SUBMITTING THIS FORM.
NOTE: A SEPARATE REQUEST FORM IS REQUIRED FOR EACH SPECIFIC “HEARING SESSION”.
Only ONE “Hearing Session” will be copied PER DVD.
Civil Violation Notice Issued By (Department Name): ________________________________________
Date of “Hearing Session”: _______________________ Hearing Room (# or Letter): ______________
Hearing Officer’s Name: ________________________________________
Civil Violation Notice Number(s): ________________________________
Requestor’s Name: _____________________________________________
Requestor’s Mailing
Address: ____________________________________________________________________
Street Unit/Suite No.
City State Zip Code
Requestor’s Daytime Telephone Number: (____) _____________________
Requestor’s Signature:___________________________________________
(PLEASE DO NOT SIGN OR WRITE BELOW THE DOTTED LINE FOR OFFICE USE ONLY.)
THE UNDERSIGNED HEREBY ACKNOWLEDGES RECEIPT OF THE RECORDED HEARING COPY SUBJECT TO THIS REQEUST FORM
Received By (Signature) Date
CLK/CT 859 Rev. 10/12 Clerk’s web address: www.miami-dadeclerk.com
click to sign
signature
click to edit
click to sign
signature
click to edit