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Home My WebLink AboutR-00-0243J-00-312 3/09/00 RESOLUTION NO. 0 0- 243 A RESOLUTION OF THE MIAMI CITY COMMISSION APPOINTING CERTAIN INDIVIDUALS AS REGULAR MEMBERS AND AS AN ALTERNATE MEMBER OF THE PLANNING ADVISORY BOARD FOR TERMS AS DESIGNATED HEREIN. I BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The following individuals are hereby appointed as regular members and as an alternate member of the Planning Advisory Board, each for a term to expire on January 12, 2001, or until the nominating commissioner leaves office, whichever occurs first: APPOINTEES: NOMINATED BY: Jose Arnaez Commissioner Wifredo Gort Raymond Mc Elroy Commissioner Tomas Regalado Steven Polakoff Commissioner Joe Sanchez Dana Manner Commissioner Joe Sanchez (Alternate) James Black Commissioner Arthur E. Teele, Jr. Mark Sardegna Commissioner Johnny Winton CITY OF CQI SS' �EETIi�G MAR - 9 2000 Resolution No. 0 f� Q� PASSED AND ADOPTED this 9th day of March 2000. WALTER j J . F M CITY C ERK Page 2 of 2 IVE C SHALL IATELY. Vu— 43 Honorable Members of TO the City mission FROM: Walter J. an City Clerk CITY OF MIAMI, FLORIDA 47 INTER -OFFICE MEMORANDUM February 16, 2000 DATE FILE SUBJECT: Planning Advisory Board REFERENCES. March 9, 2000 Agenda ENCLOSURES: List of Members, Resolution The Planning Advisory Board was created to advise and make recommendations to the Commission in phases of the City's comprehensive planning program. Pursuant to requirements under City Code Section 62-123, our office placed a notice in a newspaper of general circulation in the City in November 1999, advertising for applications for prospective appointments to the Planning Advisory Board. During the Commission meeting of January 13, 2000, our office was instructed to readvertise for additional applications. The deadline to submit applications is February 11, 2000. Nine appointments are needed at this time for terms which all expired on January 12,-2000: • Vice -Chairman Gort has two nominations for seats currently held by Jesus Casanova and Jose Arnaez, who both exceeded the number of absences allowed by the Code. • Commissioner Teele has two nominations: one for vacant seat created because J.G. Ferguson resigned and one for seat currently held by James Black. • Commissioner Sanchez has two nominations: one for seat currently held by Frank Lengyel, who exceeded the number of absences allowed by the Code; and one for alternate seat currently held by Dana Manner. • Commissioner Regalado has one nomination for seat currently held by Raymond McElroy. • Commissioner Winton has two nominations: one for seat currently vacant because Commissioner Regalado appointed Doris Scheer, who had been previously nominated by former Commissioner Plummer; and one seat currently held by Steven Polakoff, who had been nominated by former Commissioner Plummer. Appointments shall be made only from individuals who have submitted applications. Applications were received from the following individuals: Jose E. Arnaez James Chipman Black Gioia DeCarlo Rodolfo De La Guardia Frank E. Lengyel Dana L. Manner Raymond McElroy Steven Polakoff 0®-- 243 Our office, has verified that all applicants listed above comply with the City residency requirement. If the Commission is dissatisfied with the list of applicants who have submitted their applications, the Commission may direct the Clerk to readvertise for more applicants. Please be aware that City Code Section 62-124 states in part: "In .reaching a decision on appointment to a vacancy on the planning advisory board or on the zoning board, the city commission shall give due regard to, and be guided by the necessity for representation on the boards, of. (1) Geographical sections and areas of the city; (2) Social, economic and demographic characteristics of the city; (3) Qualifications, background, experience and abilities of appointees to fulfill the duties and responsibilities of board membership or alternate membership; prospective appointees shall be. subject to a personal appearance before the city commission, to afford the city commission an opportunity to ascertain prospective nomineesproficiency, in the English language, educational background and general knowledge of planning and zoning. (4) Prior demonstration by prospective appointees of interest in and concern for planning and planning implementation, as may be evidenced by previous attendance at planning or land use control seminars; (5) Membership in organizations having the primary aim of the furtherance of ' dissemination, of knowledge of and support of sound. planning and implementation programs; (6) Other activity evidencing knowledge and interest ,in thepublic purposes of planning and plan implementation; (7) Potential conflicts of interest; (8) Demonstrated maturity and objectivity of judgment; and (9). Needs for expertise, if any, in the membership and alternate membership of boards. Appointees shall be persons in a;position to represent the public interest and no person shall be appointed having, personal or private interests likely to conflict with the public interest. . No person shall be appointed who has any interest in .the profits or, , emoluments of any contract, job, work, or service for the city; Before making any appointment, the city commission shall determine. that the persons so appointed satisfies the requirements of sections 2-611 (Conflicts of Interest) et seq., and no person shall be confirmed in appointment who has not filed the statement required by section 2-615 (List of real estate owned - Required of certain officials). In addition, the code of ethics of Metropolitan, Dade County shall apply to members and alternate members of the planning, advisory board and of the zoning board. By copy of this memorandum, we are requesting the Agenda Office to place this issue on the March 9, 2000' Commission agenda. For your information, attached please find a copy of the current membership of said board. WJF:sl c: Miriam Maer, Assistant City Attorney %43 } Maria J. Chiaro, Assistant City Attorney Teresita Fernandez, Liaison/Chief, Hearing Boards Elvi Alonso, Agenda Coordinator James Black, Chairperson Jesus Casanova; Member Jose Arnaez, Member Frank Lengyel, Member 00- 243 PLANNING ADVISORY BOARD (10 members) 16 APPOINTED BY NAME, ADDRESS, PHONE RESOLUTION TERM REQUIRED EXPIRE Q SANCHEZ Frank E. Lengyel, 1270 S.W. 14 St., M-33145 (H= 305-858- R-99-77 1-12-00 city elector 8068; W= 888-524-0159; F= 305-858-8001) 1-26-99 A=3-17-99(2) sworn [exceeded the number of absences allowed by Code] 7-21-99 (2) 10-20-99 (2) SANCHEZ alternate: (Mr.) Dana Manner, 645 S.W. 25 Rd., M (W=305- R-99-235 1-12-00 City elector 500-3165; H=305-859-9727) 3-23-99 A=12-15-99 sworn real-99 GORT Jose E. Arnaez, 1110 N.W. 30 Ct. (H= 305-643-5785; W= 305- R-99-77 1-12-00 City elector l 445-1155) 1-26-99 A=7-21-99(2) sworn []exceeded the number of absences allowed by Code 12-15-99 (2) GORT Jesus Casanova, 1893 N.W. 15 St., M-33125 (H=305-325- R-99-343 1-12-00 real-97 8272) 5-11-99 A=2-17-99(2) sworn [exceeded the number of absences allowed by Code] 5-19-99 7-21-99 9-22-99 c.7.ZEGALADO Raymond McElroy, 2355 S.W. 27 Lane, M-33133 (W=305- R-99-235 1-12-00 real-98 856-0131; H= 305-856-0195) 3-23-99 A=9-22-99 sworn 12-13-99 MUST FILE: (1) STATEMENT OF FINANCIAL INTEREST, (2) REAL ESTATE DISCLOSURE, AND (3) OATH REQUIRED 2/16/00 page # i PLANNING ADVISORY BOARD (10 members) 16 REGALADO Doris Scheer,, 1840 Coral Gate Dr., M-33145 .(H=305-448- R-00-52 1-12701 real-98 5232; W=305-576-2360; F=305-573-9684) 1-13-00 . sworn RES-OK TEELE (Ferguson, 1115 N.W. 50 St., M-33142 (H=305-364- R-99-343 1-12-00 City elect 8287; W= 305-751-8642) 5-11-99 sworn [resigned] TEELE James Black, Chairperson, 8500 S.W. 107 St., M-33156 R-99-77 1-12-00 City elector (H=305-275-8227; W=305-661-4443) 1-26-99 _ A=7-21-99 sworn 12-13-99 real-98 WINTON Vacancy (created when Commissioner Regalado appointed Doris Scheer, who had been previously nominated by former Commissioner Plummer) PLUMMER Steven Polakoff, 5701 North Bayshore Drive, M (W= 305-534- _ R-99-77 1712-00 City electo 1424; H= 305-759-3999) 1-26-99 real-98 sworn .I MUST FILE: (1) STATEMENT OF FINANCIAL INTEREST, (2) REAL ESTATE DISCLOSURE, AND (3) OATH REQUIRED 2/16/00 page # 2 C] CO3 Lowman, Sylvia From: S03 Fernandez, Teresita Sent: Wednesday, February 09, 2000 9:10 AM To: CO3 Lowman, Sylvia Cc: A16 Lee, Brenda Subject: PAB member resignation Please be advised that Mrs. JG Ferguson, at the last PAB meeting of 1999 expressed her desire to resign from the board. She did not attend the first meeting of January 2000, and upon my brief encounter with her at the lobby of the MRC building, she reiterated that she can no longer be a PAB member, due to her busy schedule. I have not received a resignation letter from her. �r X43 n!-n-_-i--� CITY OF MIAMI APPLICATION- Lrnn 1• r 1) FOR PLANNING ADVISORY BOARD and/or.ZONING BOARD CIT,\: :r F:.FL NAME: Jose E. Arnaez "`"" RESIDENCE ADDRESS: 1 1 10 N, 30th Ct . HOME PHONE: 305-6435785 BUSINESS PHONE: 305 4451155 Ordinance No. 11581 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: Tesign Services Associates Inc. (Company Name) BUSINESS ADDRESS: 5455S.W. 8th St. Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? n o Would you like to serve on the Planning Advisory Board? YES Would you like to serve on the Zoning Board? NC Please state if you have a preference for either board: FLANNIrTG BOARD ( EXI STII`T� Members shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City. Please fill in attached Residency Compliance form. Owners of property in the City of Miami. please answer the following question: Is all the property you own in the City of Miami in conformance with City Ordinances? YES If "no," please give details below: Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? YE S Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? yS S <forms>pz application Ca. 11/12/99 -- 4 Do you, foresee anv conflicts of interest as defined in Miami City Code Article V Sections 2-611 619 and Miami-Dade County Code Section 2-11:1? rrn Are you prepared to file a list of real estate interests owned. either personally or corporately within the City of Miami (see attached -forms) with the City Clerk, pursuant to Section 2-61`5 of the City of Miami Code? Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami-Dade County Ordinance No. 77=1 3?YB S List your experience relating to the fields_ of planning and zoning: BACHELOR OF ARCHITE'CTUR3 UNIVERSITY OF NIAY..I' ARCHITFCTUR4I: EX_FERIq,NCE' FCR OVER2P, YEARS IN .MIAYI Are you a United States citizen? YE S Are you presently indebted to the City of.Miami for any real or personal property tax, license fee, or property lien? NO If "iyes," give details: Signature:' �. Date: 1— Crit'o of Ifittmi IOSE E. ARNAEZ ' Mrmbi•r ' Plannir c Adx•ism, B'a'rd OFFICE OF HEARING BOARDS 4.14 Sad'. 2nd Ayr., ?th Flr„x Aliami, FL331.30/(305)-116-20:3O/Fa x:436-203.5 mailing Addri•,.:.P.('). Box .3 ill,',1)tt mmnii. FL :;:32,}.3-0708 <forms>pz application . 11'/ 12%99 • • CITY OF MIAMI, FLORIDA RESIDENCY COMPLIANCE FORM (IN CONFORMANCE WITH SECTION 2-884 OF THE CIT V CODE) Please submit your completed form to: City of Miami Office of the City Clerk 3500 Pan American Drive Miami, Florida 33133 Date: 10 2000 — I Jose F. Arnaez Planning advisery board (name of board) a member of comply with the residency requirement under Code Section 2-884, namely: (do/do not) "(a) All members of City boards shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City..." (Note: If you do comply with the residency requirement (Code Sec. 2-884), please provide us with the following information.) A. I presently reside in the City of Miami at the following address: 1110 N.W. 30th Ct. Miami,fla 33125 B. I own a business and/or real property within the City of Miami limits at the following address: (Note: Kindly specify if it is a business or a property) same .(own my house only) C. I work within City of Miami limits. My business address is: YES 11� PNLE gARPS PROPOY SYSTEM - PROPERTY NAME &EGAL INQUIRY (32) DATE: 02/09/2000 15:25:31 FOLIO NO: 01-3133-042-0020 LEGAL ADDR: 1110 NW 30 CT GRP FOLIO: g g gPROP ADDR: 1110 NW 30 CT CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 04 OWNER NAME AND ADDRESS ki 9 VALUE HISTORY JOSE E ARNAEZ &W MARTHA YEAR: 1998 1999 1110 NW 30 CT LAND: 48,008 48,008 MIAMI FLA BLDG: 63,667 67,350 TOTAL: 111,675 115,358 ZIP: 331252956 HEX: 25,000 25,000 WVDS: 0 0 LEGAL DESCRIPTION TOTEX: 25,000 25,000 HACKER HEIGHTS PB 66-36 NNONEX: 86,675 90,358 LOT 2 GRSS TX: 2,252 2,337 LOT SIZE 70.600 X 85 CNTY TX: 1,388 1,521 OR 10521-2447 0979 1 igCITY TX: 864 816 SALE AMT: 50,000 SALE DATE: 09/1979 SALE TYPE:IN 1/I EXT FOLIO KEY: NEXT ADDRESS KEY:9 9 ACTION: 1 -CONTINUE ACTION: XMIT: Ing g 00� 0243 CITY OF MIAMI, FLORIDA STATEMENT OF REAL PROPERTY OWNED (IN CONFORMANCE WITH SEC. 2-615 OF THE CITY CODE) L=Legal Legal Description Common Address Title SAMPLE ENTRY: E=Equitable Lot 7, Primrose Section 4, PB 52 437 Northeast 54i1 Street L 1 1 10 N. W ! 30th C T; vwnea Zoning W=Wholly P=1n Part W R-1 Home with Wife R 2 home I, Jose ?1;. Arnaez OATH dlemnly swear that the above is a true and accurteent of my interests in real located within the CITY OF MIAMI or so locatednot ore than 500 feet outside the mun c pal(I limits oft the CITY OF MIAMI, property NAME: (Please Print) _ Jose IT. A rnae z State of Florida County of Dade NOTARY PUBLIC SEAL OF OFFICE: TITLE/POSITION WITII Planning Advisory Board member NAME O B \ARD/C ITT (If pplicable) P ' A. T3. SIGNATURE. ATE: 1-10-2000 On this the 10 day of Januar before me, the undersigned Notary Public of the Sta o "Florida, the foregoing instrument was acknowledged by Jose F. Arnaez (Name of person signing and his/her title (public officer, trustee or personal representative) WITNESS hand and official seal. — OFFICIAL NOTARY SEAL MARIO C MA�INEZ rrNOTARY PUBLIC STATE OF FLpRfD,t, NOTAR PUBLIC, S ATEEOF FLORIDA COMMISSION NO. CC800422 �..W1—my ruonc: mint, stamp, or Type as Commissioned)` Personally known to me, or O Produced identification: IN DID take an oath, or (Type of Identification Produced) O DID NOT take an oath Share/samucl/lepal description dnc C] CITY OP MIAMI, FLORIDA S'I A'1'1;MEN'r OF C'ORWRA7E REAL PROPERTY (IN -CONFORMANCE WITII SFC. 2-615 OF TMC CITY CODE) Legal Description tiA-vei-i Ik_ Scven Park Inc.ne. Lol 32 131k 12 Miami, North 13/46 Common Address 852. Northeast 71" Street Tille L=Legal E =Cquilable 1 Owned W=Wholly P=1n Part W Zoning Class Present Use RG -2 Parking Lot NOT APUTABI;T OATII do solemnly swear that the above is a true and accurate statement of corporate real property in which I have a controlling interest or in which I am an officer, accepting such -real property located more than 500 feet outside the municipal limits of the CITY OF MIAMI. NAME: (Please Print) 1 ITLEMOSITION WITH CITY OF MIAMI NAIVIF OI' BOARD/COMMIT'I-E-E (If Applicable) SIGNATURE: DATE: Slate of Florida County of NOTARY PUBLIC SEAL OF OFFICE: On this the day of 19 _, before me, the undersigned Notary Public of the State.of Florida, the foregoing instrument was acknowledged by (Name of person signing and his/her title (public officer, trustee or personal representative) WITNESS my hand and official seal. NOTARY PUBLIC, STATE OF FLORIDA (Name of Notary Public: Print, Stamp, or 1 ype as Commissioned) ❑ Personally known to me, or ❑ Produced identification: (Type of Identification Produced) ❑ DID take an oath, or M ry V O CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: James Chipman Black RESIDENCE ADDRESS: 8500 S.W. 10.7th Street, Miami, Florida 33156 HOMEPHONE: 305-275-8227 BUSINESSPHONE:305-661-4443 Ordinance No. 11581 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: Gateway Mortgage Bankers, Inc. (Company Name) BUSINESS ADDRESS -5900 S.W. 73 Street, South Miami, Florida 33143 Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? NO Would you like to serve on the Planning Advisory Board? Y E S Would you like to serve on the Zoning Board? I would be w i l l i n g to serve on t h e Zoning Board if asked Please state if you have a preference for either board: Planning Advisory Board Members shall be electors of the City of Miami. Are you a registered voter in tke-City of Miami? Voter's Registration Number: .r C Owners of property in the City of Miami, please answer the following question: Ro� dl'ther'�'�'-, property you own in the City of Miami in conformance with City Ordinances? Ye'g w If "no," please give details below: y -T O Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? Y e s Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? v e s <forms>p4 application 06/26/98 00- 243 t. Do you foresee any conflicts of interest as defined in Miami City Code Article V. Sections 2-611 - 619 and Mi4mmi-Dade County Code Section 2-11.1? n o t Are you prepared to file a list of real estate interests owned, either personally or corporately within •the City of Miami (see attached forms) with the City Clerk, pursuant to Section 2-615„ of the City of Miami Code? v e s Are you`prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-1.3? , yes List your experience relating to the fields of planning and zoning: Attended a REgional Planning Workshop at the Don Shula 1 Hotel in Miami Lakes in the Spring of .1998 as part of our iL requirement as mem bers of the PAB Are you a United States citizen? y e s Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? v as If "yes," give details: Property .tax nn 1 c)t in me-nnnt- rrnvo Signature: Date o :- O <formypz application 06/26/98 t . '-' (24 SAMPLE ENTRY: —NST-R—Y �C OT -,Z-f A, -43r lb 3 Cr t oka1T -- G 20 L,g P q wr P,& !__xj "--- LEGAL_ DESCRIPTION Lot 7, Primrose Section 4, PB 52. CITY OF MIAMI. FLORIDA S TEMENT OF REAL PROPERTY OWNED (IN CONFOiW4CE WIT" BEC. 2-615 OF THE CITY CODE) COMMON ADDRESS _ TITLE OWNED ZONING L■LeLsl Y■liA7ll7 — CLAS f --------437 L■L�rltable Palo' Part =----- N E 54 Street -------- ------------ ----i ------------ ------------ w R-1 _ 35?r±_ 3SY� _ ac�u a r_ � --- -----1=----- -----_�------- --- T? -�_--- Lor- �T Gf-- Jicj 2 ----------�_--��-��---------- -------------//-------- j ---------- Oh--- ------------ C On this qhs%--- of x( C ------------ ------------ 4 wnn 0( Y --'--� ----� =----- --------- :Z --- --- IW■e w p■. y yMq Wk shoe •AI■e .fie w wtTT4F�f.ae/ind err. : %� L L • Al1YNauc. STATE OF FLORIDA OATH Fir °'1frF, PATRICIA F. LYON ---- y5MY COMMISSION *# OC 840997 known 1s a*' o ❑ IdreriRollatL -- lstemont of my Interests _____0 do solemnly eeerrolo efa real swear that the above 1s a tree and leested set Property were then 600 feet orlsl" the weal" lsoalod limits withiw the CITY Of MIAMI or Pel of the CITY Of MIAMI. PRESENT_USE ---Hose 9 ------------ NAME: (Please Print) �1 .4�'YIP� C. (rq-C� �� —�TITLE/POlITdON WBTH—CY4T,�► NAME Of GO A3f/COMMITIEE P 1 1• _�i4/�hG��S �Gt —_ ___—_ — _—_—__—_--- DATE: _ --------- Jo — ----- L Jo A.(io y 01 :11 11,0 Cc 110 66b! (1 �� I : "'i * 64 81GNATURE: uw Of Floelde C On this qhs%--- of x( C i' (� IhrISL Oefoes wr. k d the fins at FtoeWe ehs fasgWey InMeu- w�akchnewhrdfed by 4 wnn 0( Y ; OTARY PUSUC EAL OF OFFICE: IW■e w p■. y yMq Wk shoe •AI■e .fie w wtTT4F�f.ae/ind err. : %� L L • Al1YNauc. STATE OF FLORIDA Fir °'1frF, PATRICIA F. LYON Ae s'W ^'w Yw*• w VIr• w v--we.w4 0 y5MY COMMISSION *# OC 840997 known 1s a*' o ❑ IdreriRollatL �Q0rp EXPIRES: May 27.2003 Am > a >-.�:• �, . .,,, c ..... e w . 1i to tAr..w wap w. ri nm wrv► ..a..- . w A3f/COMMITIEE P 1 1• _�i4/�hG��S �Gt —_ ___—_ — _—_—__—_--- DATE: _ --------- Jo — ----- L Jo A.(io y 01 :11 11,0 Cc 110 66b! (1 �� I : "'i * 64 :CITY OF MIAMI, FLORIDA ' RESIDENCY COMPLIANCE FORM (IN CONFORMANCE WITH SECTION 2-428 OF THE CITY CODE) Please submit your completed form to: City of Miami Office of the City Clerk 3500 Pan American Drive Miami, Florida 33133 Date: 12/29/98 I,James Chipman Black , a member of City of Miami Planning Advisory Board (Name) do comply with the residency requirement under Code Section 2-428, namely: (do / do not) "(a) All members of City boards shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City..." (Note: If you do comply with the residency requirement (Code Sec. 2-428), please provide us with the following information.) A. I presently reside in the City of Miami at the following address: B. I own a business and/or real property within the City of Miami limits at the following address: (Note: Kindly specify if it is a business or a property) I own real property located at 3547 and 3549 Loquat Avenue, Miami, Florida C. I work within City of Miami limits. My business address is: LFXe,M �(r: V. PNLE �JARPS PROPSY SYSTEM - PROPERTY NAME OEGAL INQUIRY (32) DATE: 02/09/2000 15:26:27 FOLIO NO: 01-4121-013-0670 LEGAL ADDR: 3549 LOQUAT AVE GRP FOLIO: � :� PROP ADDR: 3549 LOQUAT AV CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 04 OWNER NAME AND ADDRESS R � VALUE HISTORY JAMES C BLACK & KENT BLACK YEAR: 1998 1999 3503 LOQUAT AVE LAND: 83,988 83,988 COCONUT GROVE FL BLDG: 62,972 66,883 TOTAL: 146,960 150,871 ZIP: 331336215 HEX: 25,000 25,000 WVDS: 0 0 LEGAL DESCRIPTIONOTEX: 25,000 25,000 COCONUT GROVE PARK 2ND AMD PLAT ONEX: 121,960 125,871 PB 1-62 GRSS TX:, 3,795 3,947 LOT 7 & E16 2/3FT OF LOT 6 BLK J. CNTY TX: 2,365 2,595 LOT SIZE 66.660 X 140 CITY TX: 1,430 1,351 OR 16264-4253 0294 1 SALE AMT: 175,000 SALE DATE: 02/1994 SALE TYPE: 1/I EXT FOLIO KEY: NEXT ADDRESS KEY: ki ACTION: 1 -CONTINUE ACTION: 01% �%XMIT: 00- 243 CITY OF MIAMI APPLICATION _'' FOR PLANNING ADVISORY BOARD and/or ZONING BARD CD--� NAME: ? /1 RESIDENCE ADDRESS: HOME PHONE:.-")-,—'- BUSINESS PHONE: Ordinance No. 11581 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: `' _ '-1 `\f (Company Name) BUSINESS ADDRESS:'`'`; L Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? Would you like to serve on the Planning Advisory Board? c Would you like to serve on the Zoning Board? ,! I Please state if you have a preference for either board: i �_ iv i �• Members shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City. Please fill in attached Residency Compliance form. Owners of property in the City of Miami, please answer the following question: Is all the property you own in the City of Miami in conformance with City Ordinances? If "no," please give details below: Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? .� Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? <forms>pz application O — 11,12/99 Do you foresee any conflicts of"interest as defined in Miami City Code Article V. _ Sections 2-611 - 619 and Miami -Dade Countv Code Section 2=11.1`' Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attached forms) with the City Clerk, pursuant to Section 2-615 of the City of Miami Code? r C- Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? V List your experience relating to the fields of planning and zoning: -6f ` +-1- : f, x,41 • �, l , �� ' , -�. ` , . ,-,; .•ter - - Are you a United States citizen? y Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? /�, c�� If "yes," give details'- Signature: etails`Signature: Date: V0`" <forms>pz app l icat ion 11/12/99, • CITY OF MIAMI, FLORIDA RESIDENCY COMPLIANCE FORM (IN CONFORMANCE WITH SECTION 2-884 OF THE CITY CODE) Please submit your completed form to: City of Miami Office of the City Clerk 3500 Pan American Drive Miami, Florida 33133 Date: a member of k name OI ooara) comply with the residency requirement under Code Section 2-884, namely: (do/do not) "(a) All members of City boards shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City..." (Note: If you do comply with the residency requirement (.Code Sec. 2-884), please provide us with the following information.) A. I presently reside in the City of Miami at the following address: �_- ' B. I own a business and/or real property within the City of Miami limits at the following address: (Note: Kindly specify if it is a business or a property) C. I work within City of Miami limits. My business address is: Signature 00— LAO PNLE R WPS PROPOY SYSTEM - PROPERTY NAME OEGAL INQUIRY SALE TYPE: 1/I 1/I DATE: 02/09/2000 FOLIO NO: 01-3135-026-0840 LEGAL ADDR: 828 NW 9 CT GRP FOLIO: ki RPROP ADDR: 828 NW 9 CT CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 02� OWNER NAME AND ADDRESS VALUE HISTORY GRACE & GIOIA DECARLO YEAR: 1998 1999 828 NW 9 CT LAND: 36,537 36,537 MIAMI FL BLDG: 82,828 101,861 TOTAL: 119,365 138,398 ZIP: 331363009 HEX: 0 0 WVDS: 0 0 LEGAL DESCRIPTION TOTEX: 0 0 COUNTRY CLUB ADD PB 8-72 ONEX: 119,365 138,398 LOT 63 S GRSS TX: 3,713 4,130 LOT SIZE IRREGULAR CNTY TX: 2,306 2,621 OR 18587-4107 04 1999 1 -*CITY TX: 1 407 1 508 NEXT FOLIO KEY: ACTION: 1 -CONTINUE SALE AMT: 185,000 150,000 SALE DATE: 04/1999 01/1999 SALE TYPE: 1/I 1/I NEXT ADDRESS KEY: (32) 15:27:06 04/1995 4/ ACTION: 01� �XMIT: O u 2 4 3 Legal Description SAMPLE ENTRY: Lot 7, Primrose Section 4, PB 52 CITY OF MIAMI, FLORIDA STATEMENT OF REAL PROPERTY OWNED (IN CONFORMANCE WITH SEC. 2-615 OF THE CITY CODE) Title L=Legal E=Equitable 437 Northeast,541h Street I L I — I vwneaI Zoning Class W=Wholly P=►n Part W R -I r Present Use Home E, OATH , do solemnly swear that the above is a true and accurate statement of my interests in real property located within the CITY OF MIAMI or located not more than 500 feet outside the municipal limits of the CITY OF MIAMI. NAME: (Please Print) t_ r.�l. �� ;,.L► I TITLE/POSITION WITII CITY OF MIAMI NAME OF BOARD/COMMITTEE (If Applicable) ------------ SIGNATURE: ��- Stale of Florida ay of On this the"�4re 1— County of Dl* me, the undersigned Notary Publ of the Stale Florida, the forego ng instrument was 01 ack owledged by NOTARY PUBLIC �� C SEAL OF OFFICE: (Name of person signing and his/her ti a (p officer, trustee or personal representative) W E 9 -my and and olfici eal. . NOTARY PUBLIC ST E OF L IDA OFFICIAL NO.....YSEAL H1,4e4 — SHIRLEY DF RS • (Name of Lary ublic: Print, Stamp, or Type as Commissioned) known N�1'ARY PUBLIC S1 ATE OF FLORIDA COMMISSION NO. CC78 to me, or 13 Produced Produced identification: 7924 My Ss EXP. NOV. 15,2007 ❑ DID lake an oath, or (Type of Identification Produced) ❑ DID NOT take an oath Share/samuel/legal descriplinn &jc CITY OF MIAMI, FLORIDA S I'ATFMEN"I' OF C'0R1'0RA76 RIiAL PROPERTY (IN CONFORMANCE WI"I'II SEC. 2-615 OUTHE CITY CODE) Legal Dcsct ihliout Conmton Address sAMPII: I:N►It1: Title Owned Zoning Class Seven Park Inc. L=Legal W=Wholly h)(32 131k 12 Miami, E=Equitable . P=1n Part North 13/46 852 Northeast 71" Street I" W RG -2 Present lyse Parking Lot 1 OAT'll do y swear that have a controlling interest or in which I am an officer, accepting suclh real property located te above is a true ed more(ban500 f statement of corporate real rP property in which CITY OF MIAMI. feet outside the municipal limits of the NAME: (Please Print) 1'1'11.1'/POSITION WITI I CITY 01; MIAMI NAME OI-'1)OARD/COMMIT"I'I.I? (If Applicable) SICiNA'I'l1RE: _ _ _ DA'fli:. State of Florida On this the day of the undersigned Notary Public of the Slate of Florida, the foregoing instrument County of was acknowledged by NOTARY P11131.1(' SEA I. OF OFFICE: (Name of person signing and his/her title (public officer, Trustee or personal representative) WITNESS my hand and official seal. NOTARY PUIII-IC, STATE OF FLORIDA (Name of Notary Public: Print, Stamp, or Type as Commissioned) ❑ Personally known to me, or ❑ Produced identification: 11 UID take an oath, or (Type of Identification Produced) 11 DID NO flake an oath re2b-11-00 03:33A P.03 �l- (CU®uV 1 -4 -LV Nu.Vuy 1 -VL CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD 1` '�� '�'� �-li GV SCJ �. NAME: A RESIDENCE ADDRESS: G�o z 10 HOME PHONE: 305- � 5q- 8107 BUS ¢IESS PHONE: Ordinance No. 11581 states: "No employee of Miami -Davie County, Florida, or any municipality therein other thee/ City cif Miami employccs. shall scrve on or be appointed to any Board of the City of Miami." CAC—) o;.f I LFS 06 PRiNCTPAT. R1 TCTNFRR/FMPT. iYFR: �y� iZ% i)k�, �,/� Gw;4 A (Company Name) BUSINESS ADDU -SS: -626 NAre you an employee of iami-Dade County or any municipality therein ocher than the City of Miami? 0 Would you like to serve on the Planning Advisory Board?il, I E Would you I ike to serve on the Zoning Board? . _ _ I k S Please state if you have a preference for either board: 1 Mcmbcrs shall cither be pernmient residents of the City, nwn real pTprerty in the City, or work or maintain a business in the City. Please fill in attached Residency Compliance forrn. Owillcm of pzupcity cel the City of Miauri, please answer the following question: is all the property you own in the City of Miami in conformance with City Ordinances? 1 �. Tf"no,' please give details bclow: I� WiII you be able: to faithfully allc td cncctittba of tin; twunl nz icyuiied by Section 62-126 of the Miami City Code? Will you be able to attend Planning and Zoning seminars as required by Section 62.124 of the Miami City Code? <fww>pi appliotion 11/12/99 0— 243 rob -'1 1,-00. 03: 33AP P. 04 rru VV ty ii i�u.tw� �..�. Do you foresee any conflicts of interest as defantd in Miami City Codc Article V, Sections 2.611 619 and Mi,uni-Dade County Code Section .2-11.1? NIn Are you prepared to file a last of real estate interests owned, tither personally or corpcwately within the City of Miami f ice attached forms) with the City Clerk, punuent ro Section 2-615 of the City of Miami Code? Are you prepared to file 2a statement of financial interests pursuant to Florida Statuty� Sari. 112-3145 and/or Miami -Dade County Ordinance No. 77,43? List yor, experience relating to1h . a fields of p�, ing and roving 7 � r..: �• AGI � � n L+-aU �� • c�.ry K.ti cu�.{t� t A 4� �SMTe .Taaat, W ut fL�e IN Awl, Ire (04Sw L` Z.Jt1in � t Are you a United States citizen? vE Are you presently indebted to the City of Mianii for any real or personal prop" tax, license for., or property lien? 11'" yaps," give details: f. o Signature: . r'eb-11-00 03:33A P.Orj is: fCU *1U A4.IZ INU.UU'r t .Uti CITY OF MIAMI, FLORIDA RESTDFNCY COMPLIANCE FORM (IN CONFORMANCE WITH SECr1ON 2.U4 OF THE CITY CODE) Please submit your completed form to: City of Miami Office of the City Clerk 3500 Pan American Drive Miami, Florida 33133 Date: i 0 `C)Q 11 OF- LO C:10MCV A , a member of (narm of board) 40--___ comply with the residency requirement under Code Section 2•884, n&M01y: (do/do not) "(a) All winbers of City boards shall either be ptrinanent residents of the City, own real property in the City, or work or maintain a business in tht City..." (Note: If you do comply with the residency requirement (Code Sec. 2-884). please provide us with the following information.) A. I presently reside in the City of Mismi at the follvwing address: OCC �� i �►, i rC D. Yoiin a busin u as for real property within the City or Mianni limits at the lewia�sdds: (Note: Kindly specify if it is a business or a property) 4? EAst Fl (r s C. I work within City of Miami limits. My business address is: J r r• Si MY OF MW L, FLJMDA STA7EMEWTT OF RE" rR®t rrV OWED (1N CONFORMAMCE WnM SEC. 2415 OF TM CLTY CODE) LMA 13axTiption ' SAMPLE ENTRY: Lnc 7. hirmoae Section 4, PS 52 Coslwona Addaess 437 Mor&sma 54a Street TNr L -la d E=Equitable L Owsed W=Wbaly P -lo Part W Zoninj C!M R-1 Pttr m IN; "me " /"d . do awedr that tbe, above it a caro aild a wa= staft oreM of any.ittiarestt io oral pqwny located Widda lb! Ca7Y OF MIAMf a looted not romdm500fot ooa/t+ide the mookipi lirdm of the CITY OF MlA14 )o Wt MTLEiWXrirDPi QF1tI�MO j�oao!� &&. Gt,.. �rii vArH . do awedr that tbe, above it a caro aild a wa= staft oreM of any.ittiarestt io oral pqwny located Widda lb! Ca7Y OF MIAMf a looted not romdm500fot ooa/t+ide the mookipi lirdm of the CITY OF MlA14 )o Wt MTLEiWXrirDPi QF1tI�MO twrtEOF zslrrrS QMAN p,�jjuo„r ` slcraAnp(E: t�TE 2 - 1 u. -civ Sum 31 Pto" On as 6, _� ary bM4pe nit r � C Br d a du-aadmopd ?salty V Wtd of on S Ao vktw tk like pint imunmmer Rty of wa. adotawkajed ly INUTARY PUDLac 3s Ar aFOEFiCE: ("� ofpem$*wagambiiUs.rillc4pmiaaRidv,botmorpatsanl° ruwaw:) %"TMM bmdtid kiss NOT ATE OF R,ORiAA' sir;.. NLOA V.1sRiE1C co fwc my MArmid I a 0151 I V ro sovs: Mao 11 mmol {t'IYIYt O r'YMrIC' CJs �Nt11Aj �lall� Slip Of lhfpt RiCOSgv.a+l ?fes,..`` 8011401TtitIJOAlyflbaC UIIr11AMn a/ftme lY(roa dmar O p 1/Rdyacd i�wti6alitn: (ryp of Mmbftsrton poedtced) C d O O PM Ww w ask or _ I Q DMNOTaamanamb I� �� SbivsamwYt�al dmairMotaAoc v -L N 0 tL d' 0 0 0 1 rl P4 I 4I L CITY OF MIAMI, FLORIDA STATEMENT OF CgffaVR.4T_ EREALPROPERTy ON CONFORMANCE W17H SEC. 2-615 OF THE CITY CODF;t Legal Dcsrriptiun SAN.PLI_ M711LY. Seven Park Inc. La 32 elk 12 Miami, \Orth B146 COMCI0R Address 832 Northeast 7° Sarce1 Title L=Legal E=Equitable f L Owned W=WboI.y P=b Pact W zwting Class RG -2 Nem, U>oc Patialt Lot vrJG SFA L aF OFFICE (N an s•rnmg srd IwsJtrcs atlr (OWNIc E-w1mr. troMet cr 11 r9prWabbi cl l Wr(WE roy hand andaf -cid Mal "MARY P')JBUC.SrATEOF F10JUDA a� 9-`�' (Ns- qf Mtiiry Peblic. ltwd, S111M or Typt AN Con3wipiooad) � Pt'soe►Nlylrnow�l to me. oe ] PcWuoed dwilkau n: (Typaof tleorGoetiee, Feoluo/dy 7 DID tate an osrt� ar 1 �) LIQ W_J Q OATH _ _ do sola my serear tbat 1be above is s tree tnd acturate:tatemeni of corpwale real propem m W%CIA i havea comallutj interest or in chick I ata an officer, accepting sucb real pmp" located afore tan 500 feet aubt & the MoRkipal ;irmb of 1he CITY OF mmi NAME. (Phase Print)i /4 &J, S 71TLFjV0Srn:)Pf WFrmcrfy OF?MIAMI NAMFOF 8CA M WA -1 r• r -AJ - 'cA)j / Uf 5 kl SIGNATli OAW ] DID NO -f ulic as imth r4:�til:F•. NiCIA V. PRIER! — 5ulc of flondsOr. County of r r Rafe ITn thr fay of� me the ueAen�s„ed NWry P■bhc or the S is of Flesrds, Me fOtY�pinl instromenr win br _ a= RDTARY PUBLIC '• :i�k�' Thal ftnbr l''AC tb,,,0U! SFA L aF OFFICE (N an s•rnmg srd IwsJtrcs atlr (OWNIc E-w1mr. troMet cr 11 r9prWabbi cl l Wr(WE roy hand andaf -cid Mal "MARY P')JBUC.SrATEOF F10JUDA a� 9-`�' (Ns- qf Mtiiry Peblic. ltwd, S111M or Typt AN Con3wipiooad) � Pt'soe►Nlylrnow�l to me. oe ] PcWuoed dwilkau n: (Typaof tleorGoetiee, Feoluo/dy 7 DID tate an osrt� ar ] DID NO -f ulic as imth r4:�til:F•. NiCIA V. PRIER! — •� .: µY comil swN r CC W5151 _ a= ptPIRFS: M_ 11. 200f '• :i�k�' Thal ftnbr l''AC tb,,,0U! i T (D cr r'eb-11-00 03:34A P. O£3 MAIN OFFICE 626 NE 124 STREET N. Miami, FI, 33161 305.991.4747 RUDY DE LA GUARDIA, ESQ. Education THOMAS M. COOLEY LAW LANSING, MT JURTS DOCTOR, JANIZARY 1991 UNIVERSITY OF Mletivil CORAL GAGLES, FL B.A., J UNF. 1996 MAJOR: POLIITGAT. `C1VNCF; Profcssionai FEBRUARY 1992 PRESENT Experience FRANK, BROOKS & DF LA GUARDIA MIAMI, FI. ASS()t_'IATE ATTORNEY 1992-19981 PARTNER APPOINTMENTS HONORARY C'OUNSUL, REPIJBTJC: OF PANAMA Recognized by the U.S. DEPARTMENT OF STATE October 1998 Professional FLORIDA BAR Memberships admitted April 1991 rEDERAL DAR, SOUTI IERN DISTRICT OF FLORIDA admitted 1993 AMERICAN BAR ASSOCIATION BANKRUPTCY BAR ASSOCIATION Professional Associations CITY OF MIAMI CODF. RNFORCEMEN'i 130ARD MEMBER 1999 — PR FSFNT MIAM1 DARE COUNTY C..T.A.C. BOARD MFNBI~R 1996-1999 ONE NATION. INC. (nonprofit providing immigration services) Board Membcr 1999 to present Treasurer 2000 REPUBLICAN PARTY OF DADF C0iJT�TTY Tivasurer - 1998 to present INTEFLAMF.RICAN BUSINESSMAN ASSOCIATION (A.I.H.E.) 00- 6243 CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: /�/ c��% /U K E . L �/V Gy E L RESIDENCE ADDRESS: /a 7 0 ScJ /4 <S HOME PHONE:.30�?7' C&ZLf BUSINESS PHONE% _(?9F J5l y D1 5� Ordinance No. 11581 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: S'-�/Uor D47 (Company Name) BUSINESS ADDRESS:��40 ?9/1/(S_72�� OW-, Are you an employee of Miami -Dade County or any municipality therein otlik0than the,,, City of Miami? /J O Would you like to serve on the Planning Advisory Board? YES -. =a o Would you like to serve on the Zoning Board? YES Please state if you have a preference for either board:E r r v Members shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City. Please fill in attached Residency Compliance form. Owners of property in the City of Miami, please answer the following question: Is all the property you own in the City of Miami in conformance with City Ordinances? If "no," please give details below: Will you be able to faithfully attend eetings of the board as required by Section 62-126 ►. of the Miami City Code? �C Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code) yE�j <forms>pz application 0- U s 7X 4Y 11/12/99 �// Do you foresee anv conflicts -of interest as defined in Miami Citv Code Article Vq Sections 2-611 - 619 and Miami -Dade Countv Code Section 2=11.1?. f�•' `' Are you prepared to file a, list of real estate interests owned. either'personally or corporately within the City of Miami (see attached forms) with the City Clerk. pursuant to Section 2-615 of the City of Miami Code? Are you prepared to file.a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-139 List your experience relating to the fields of planning and zoning: Are you a United States citizen? YE_� Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? /V G' If "yes, give details: Signature: Date: d9Z -AL` ..�� 11 • CITY OF MIAMI, FLORIDA RESIDENCY COMPLIANCE FORM (IN CONFORMANCE WITH SECTION 2-884 OF THE CITE' CODE) Please submit your completed form to: City of Miami Office of the City Clerk 3500 Pan American Drive Miami, Florida 33133 Date: L��L -/6 1-4 (name of board) /', z2 / ' IJ( -!r j f,' I"t, l O a member of b, comply with the residency requirement under Code Section 2-884, namely: (do/do not) "(a) All members of City boards shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City..." (Note: If you do comply with the residency requirement (Code Sec.. 2-884), please provide us with the following information.) A. I presently reside inthe City of Miami at the following address: C. I own a business and/or real property within the City of Miami Iimits at the following address: (Note: Kindly specify if it is a business or a property) I work within City of Miami limits. My business address is: Signature Oy � CITY OF MIAMI, FLORIDA STATEMENT OF REAL PROPERTY OWNED (1N CONFORMANCE WITH SEC. 2-615 OF THE CITY CODE) Legal DescriptionCommon Address Title Owned Zoning Class Present Us SAMPLE ENTRY: L=Legal W=Wholly E=Equitable P=1n Part Lot 7, Primrose Section 4, PB 52 437 Northeast 541h Street 17I % />` /�/6 I W R -I Home C 7 / T �� i �s' PIS /a 7c Si;�/ ��/,1j �V ��Q��k �C�UcIyCL_ OATH do solemnly swear that the above is a true and accurate statement of my interests in real property located within the CITY OF MIAMI or located not more than 500 feet outside the municipal limits of the CITY OF MIAMI. Fie NAME: (Please Print) Wl/w L L "t el-y&(— TITLE/POSITION WITH TY OF MIAMI f� NAME OF BOA4t MITTEE ( licpble) /'. n SIGNATURE: State of FI ida On this the dsy of F a&j O -1 the undersigned Notary Public of the Stat of Florf i4d_ the forereme, County of , aw u was acknowledged by gong instrument NOTARY PUBLIC SEAL OF OFFICE: (Name of person signing er title (public officer, trustee or personal representative) WITNESS my and official se I. O4,PY Pile(' OFRCIALNOTARYSEAL ESTNEA GUERRERO NOT//AI�RY PUBLIC, S EO LORIDA *WRAWSSIONNUMBER 6 71J ,eG. 0 9 Ic O CC80, M (Name of Notary Public: Print, Stamp, or Type as CoW MY COMMISSION DORIESmmissioned) OF p�0 NOV. 19 200.3 ❑ Personally known to me, M --Produced identification:_ ❑ DID NOT take an oath Sharc/samilel/legal desciipli , dnc • CITY OF MIAMI, FLORIDA S I ATIiMENT OP CORPORATE REAL PROPERTY (1N CONFO.RMAN(-:E WI'I'II.SEC. 2-615 017'1'1IE CITY CODE) Legal Description Connnon Address Title SAMI I h LN I I(Y: Owned Zoning Class Present use - W—Wh Seven Park I1,4.egal ollnc. - - — Y. �. Lot 32 131k 12 Miami, E,=Equitable P=In-Part Not 13/46 852 Northeast 7i11 Street L. W RG -2' Parking Lot O A 'I'll do solemnly swear that the above is a true and accurate statement of corporate real propelty in which I have a controlling interest or in which I am an Officer; accepting such real property located more than 500 feet outside the municipal limits of the CITY OI' MIAMI. NAME: (Please Print) I=�''r►i:��y�=i: ITI LF/POSITION WIT CITY OF MIAMI - NAM 1; OF 11 MITI IA." (I A he le) SIGNATURE: Slate of Florida Yhi this the �� da of / c�Du O Y 19 _, before mc, the undersigned Notary Public of the Stale of loride, the foregoing instrument f'ounty of was acknowledged by NO'FARY PUBLIC 6&34c) SliAl. OF UFFIC'F: (Name of person sign' and his/ r tiltc (public officer, trustee or personal representative) WI my hat and official se E &e OFACIALptOTARYS�:AL �i ESTHEAOUERRERO OOMMISSIONNUABER NOTARY PUBLIC, ATF OF FLORIDA � Mr u9%OCOM ISSION EXPIRES -NOV. 19,2003 (Name of Notary Public: Print, Stamp, or Type as ('ommissioned) ❑❑ P rsonally known tom , I!r Produced identification ' _ (Ty e of Identificati n Produced) ❑ DID take an oath, or 1'"1 FORM 10 ANNUAL DISCLOSURE OF GIFTS FR GOVERNMER ENTITIES AND DIRECT SUPPORT ORGANIZATIONS ANL, HONORARIUM EVENT RELATED EXPENSES LAST NAME — FIRST NAME — MIDDLE NAME: THIS STATEMENT REFLECTS GIFTS AND HONORARIUM EVENT # 2 EVENT RELATED EXPENSES RECEIVED DURING 1998. YOU NEED NOT FILE THIS FORM IF YOU HAVE EVENT # 1 NOTHING TO REPORT ON IT. MAILING ADDRESS: INSTRUCTIONS on who / I ! ;� `L{ / NAME OF AGENCY: PAYING EXPENSES CITY: ZIP: COUNTY:? OFFICE OR POSITION HELD: _ ADDRESS OF NOTICE. Under provisions of Sec. 112.317, Fla. Stat., a failure to make any require, disclosure constitutes grounds for and may be punished by one of more of the following impeachment, removal or suspension from office or employment, demotion, reduction it salary, reprimand, or a fine up to $10,000. PART A — GIFTS (HAVING A PUBLIC PURPOSE) FROM GOVERNMENTAL ENTITIES NAME OF PERSON PROVIDING GIFT(S) IN 1998 TOTAL VALUE OF GIFTS FROM THAT PERSON DESCRIPTION OF INDIVIDUAL GIFTS DATE EACH GIFT RECEIVED AMOUNT OF HONORARIUM EXPENSES for when and where to file this form are located on the reverse THE EVENT DESCRIPTION OF EXPENSES AAAT t� side. PAID ON EACH DAY - - --- - - -•• • - • •�••• •+••.w .wrrvn 1 vnNINIYILA I IVry, NAME OF PERSON TOTAL VALUE OF GIFTS DESCRIPTION OF DATE EACH PROVIDING GIFT(S) IN 1998 FROM THAT PERSON INDIVIDUAL GIFTS GIFT RECEIVED PART C— HONORARIUM EVENT RELATED EXPENSES EVENT # 2 EVENT # 1 INSTRUCTIONS on who NAME OF PERSON PAYING EXPENSES must file this form and how to fill ADDRESS OF PERSON it out are on the reverse side. AFFILIATION OF PERSON FILING INSTRUCTIONS AMOUNT OF HONORARIUM EXPENSES for when and where to file this form are located on the reverse THE EVENT DESCRIPTION OF EXPENSES side. PAID ON EACH DAY TOTAL VALUE OF EXPENSES FOR THE EVENT CE FORM 10 -REV. 1/99 tt�onunuea on reverse sidej e � �43PAGEI PART D — INTANGIBLE PERSONAL PROPERTY [Stocks.. bon ds. certificates of deposit, etc.] - TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES li PART E — LIABILITIES IN EXCESS OF NET WORTH [Major debts] NAME OF CREDITOR BUSINESS ENTITY # 1 ADDRESS OF CREDITOR �7- 1 J FILING INSTRUCTIONS FOR. FORM 1 WHAT TO FILE: After completing all parts of this form, including signing and ADDRESS OF BUSINESS ENTITY WHEN TO FELE: Initially, each dating it, send back only the first sheet (pages 1 and 2) for filing. Note: You of the county in which you permanently IPART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] . IF ANY PARTS OF,*THROUGH F 96WfNUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATU BUSINESS ENTITY # 1 BUSINESS ENTITY #-2 BUSINESS ENTITY # 3 NAME OF BUSINESS -ENTITY J FILING INSTRUCTIONS FOR. FORM 1 WHAT TO FILE: After completing all parts of this form, including signing and ADDRESS OF BUSINESS ENTITY WHEN TO FELE: Initially, each dating it, send back only the first sheet (pages 1 and 2) for filing. Note: You of the county in which you permanently PRINCIPAL BUSINESS also ,may be required to file Form 10, which is reside. (If you do not permanently reside in Florida, file with the Supervisor of the the date of his or her appointment or of the ACTIVITY county where your agency has its head - beginning of employment. form for detailed instructions: POSITION HELD Appointees who must be confirmed by the NOTE' MULTIPLE FI LI N G state employees file with the Department WITH ENTITY UNNECESSARY' Generally, aper- of State, Room 1802, -The Capitol, if that is less than 30 days. from the date of I OWN MORE THAN A 5% Tallahassee, Florida . 32399-0250. their appointment. fiscal year is not required. to file a second Form �1 for the same However; INTEREST IN THE BUSIOESS Thereafter, local officers, state officers, year. scan- didate who previously filed,t because what category your position falls under, NATURE OF MY of another public position must mumust at st least file " copy see the "Who Must File" Instructions on page If you. were mailed the form required to file by July 1st following each calendar year they hold their positions. OWNERSHIP INTERE.9T -by a the Secretary of State or a County Candidates for publicly -elected state or IF ANY PARTS OF,*THROUGH F 96WfNUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATU PAGE 2 t DATE SIGNED: J FILING INSTRUCTIONS FOR. FORM 1 WHAT TO FILE: After completing all parts of this form, including signing and WHERE TO FILE: Local offi- cers file, with the Supervisor of Elections WHEN TO FELE: Initially, each dating it, send back only the first sheet (pages 1 and 2) for filing. Note: You of the county in which you permanently local officer, state officer, and specified state employee must file within 30 days of also ,may be required to file Form 10, which is reside. (If you do not permanently reside in Florida, file with the Supervisor of the the date of his or her appointment or of the the last page of this packet. Please see that county where your agency has its head - beginning of employment. form for detailed instructions: quarters.) State officers or specified Appointees who must be confirmed by the NOTE' MULTIPLE FI LI N G state employees file with the Department Senate must file prior to confirmation, even UNNECESSARY' Generally, aper- of State, Room 1802, -The Capitol, if that is less than 30 days. from the date of son who has filed Form 1 for a calendar or Tallahassee, Florida . 32399-0250. their appointment. fiscal year is not required. to file a second Form �1 for the same However; Candidates file this form together w-ith- your qualifying papers. To determine Thereafter, local officers, state officers, year. scan- didate who previously filed,t because what category your position falls under, and specified state employees are of another public position must mumust at st least file " copy see the "Who Must File" Instructions on page If you. were mailed the form required to file by July 1st following each calendar year they hold their positions. a of his or her original Form 1 when qualifying. -by a the Secretary of State or a County Candidates for publicly -elected state or Supervisor of Elections foryour'annual local office must file at the same time they disclosure filing, return the'form to that file their qualifying papers. location. (Continued on p.3)"4P' CE FORM 1 - REV: 1199 _ PAGE 2 t Ja�21 '01 0 . CITY OF MIAMI APPLICATION 15:16 No.003 F.G-- FOR PLANNING ADVISORY BOARD and/or ZONING BgARD C,- C, - NAME: NAME: M %AN A L. M AN N t2 RESIDENCE ADDRESS: 645 Sw Z5n4 &qo -. HOME PHONE: 305.852• g7Z7 BUSINESS PHONE: 305 500 31 U, Ordinance No. 11581 states: "No employee of Miami -Dade County, Morida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami.,, PRINCIPAL 13USINESS/EMPi.OYER: +�` P- 5Y57 -en (Company Name) BUSINESS ADDRESS: 3(p oo QW 8ZN n Pv c. M iAmt , FL 5--,7,j(0(a Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? N 0 Would you like to serve on the Planning Advisory Board? �Y95 Would you like to serve on the Zoning Board? Y� 5 Please state if you have a preference for either board: 'PaB Members shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City. Please fill in attached Residency Compliance form. Owners of property in the City of Miami, please answer the -following question: Is all the property you own in the City of Miami in conformance with City Ordinances? £S If "no," please give details below: N/A Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? YJ -5 Will you be able to attend Planning and Zoning seminars as required by Section 62-124 Of the Miami City Code? yf-5 00- 243 <fonnss>pz application 11/12/99 TEL Jan '01 15:16 No.003 P.C3 Do you foresee any conflicts of interest as defined in Miami City Code Article V, Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.1 ? N,0 Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attached forms) with the City Clerk, pursuant to Section 2-615 of the City of Miami Code? Ye S Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County .Ordinance No. 77-13? yiE5 List your experience, relating to the fields of planning and zonuig; M 6NIaf g- I5691D 1:25R "T -HS C -a Sf N6j_ 412 IL, I gt` t. PrS5iP At S5;TrFl-f BI?Dk9e 15' ft9sMa+.t O(A„gIt ncos I+-4 CIT/FL, . MT3 - ON Ivf,9$ ITY 6 F MIAM c w 111-4 12 RfD rT5 DF . gsi" 1=iN A+sGE Are you.a United" States citizen? Y� S Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property, lien? t30 if ``yes," give details: N/ p, - Signature: / !^ Date: CO- 243 <forms>pz application 11/12/99 - N no co. CO- 243 <forms>pz application 11/12/99 To Jan ji101 15:16 No.003 P.04 r r CITY OF MIAMI, FLORIDA C - _ _ RESIDENCY COMPLIANCE FORM (IN CONFORMANCE WITH SECTION 2-884 OF THE CITY CODEj: - _ Please submit your completed form to: r City of Miami CID Office of the City Clerk 3500 Pall American Drive Miami, Florida 33133 Date: / - /S • 40 I, DAf J A- L. a member of /P46WAfIN6 AD✓/,5pYzy j?QW (name of board) 6 comply with the residency requirement under Code Section 2-884, namely: (do/do not) `6(a) All members of City boards Shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City..." (Note: If you dodo c� with the residency requirement (Code Sec. 2-884), please provide us with the following information.) A. I presently reside In the City of Miami at the following address: 6,�S Sw Z 7* & /YIlfmi , )5:Z 33izy B. I own a business and/or real property within the City of Miami limits at the following address: (Note: Kindly specify if it is a business or a property) /55 cSaJ ?fytl /a?v C. I work within City of Miami limits. My business address is: Signature � c� 1 0 - PNLE ?� RARPS PROPOY SYSTEM - PROPERTY NAME OEGAL INQUIRY DATE: 02/09/2000 FOLIO NO: 01-4138-010-0200 LEGAL ADDR: 645 SW 25 RD GRP FOLIO: PROP ADDR: 645 SW 25 RD CANCELED: NO ORIGIN:. DC BL PRESENT: YES ST EX: 00 00 CLUC: O1k% OWNER NAME AND ADDRESS �% VALUE HISTORY DANA L MANNER &W YVONNE YEAR: 1998 1999 RODRIGUEZ-SCHACK LAND: 80,730 94,770 645 SW 25 RD BLDG: 65,775 67,906 MIAMI FL TOTAL: 146,505 162,676 ZIP: 331292207 HEX: 25,000 25,000 WVDS: 0 0 LEGAL DESCRIPTION OTEX: 25,000 25,000 38-39 54 41 ONEX: 121,505 137,676 BRICKELL ESTS PB 17-52 GRSS TX: 3,205 3,251 LOT 1 LESS NE10FT & LOT 2 LESS CNTY TX: :SE25FT 1,964 2,082 & LESS NE10FT BLK 39 CITY TX: 1,240 1,169 LOT SIZE 75.000 X 117 SALE AMT: 150 000 57 500 NEXT FOLIO KEY: ACTION: 1 -CONTINUE <MORE> SALE DATE: 03/1996 04/1978 SALE TYPE: 1/I 1/I NEXT ADDRESS KEY: (32) 15:27:50 1 10/1977 4/I ACTION: 01R RXMIT: I R d0- 243 CITY OF MIAMI, FLORIDA STATEMENT OF REAL, PROPERTY OWNED (IN CONFORMANCE WI 11H SEC, 2..615 OF THE CITY CODE) Legal Description Gammon Address Title Ownod Zoning Class Pttseat Use SAMPLE ENTRY: L=Legal qi VVho�y E=Equitable P=in Part Lot 7, Primrose Section 4, PB 52437 Northeast 54,b Street L W RI Home L I, tDA+-T� L . 111 C*J N eR- OATH located within the CITY OF MIAMI drsolemnly now mor* d the above feel s ats� the aeuand umicmiµalstatement j tem nt the C mks in real property TTY OF MIAMI. NAME: (Please Prml) 1)k N A t: • I' l AN N M . 7ITLE/F06m0N w)m CCIY OF MIAMI mrG m 13 NAME OF B0ARDIC0MWrnM f f Applicable) IM N I N 6 ADV I SNV ' W la'It IVI I :10 !,)11) I'1 U i;:1' 011*3? uu,k{_,:.).jd 0 L4 a O r✓ Z 0 0 O w -v Sha,tir�n� description.dot o SIGNATURE: DATE: State of Florida On this the It day of ✓�1NG�9Ry before me„ County of _000 by Publk ofthe She ofFlcuidi, the forePing Wanawd w�° wledgcd NOTARY PUBLIC L tai L mots nth Q.. SEAL OF OFFICE: (Name of MSM signlag tatd hWher title q MY Iund and official (public olfioc, trust ----- ud seal. •.•��1'• •y�:�, � . URRUTIA COMMISSION ,f CC &%M o� a EKPIFt2000 N AUffi RY P.1C, STATE OF FLORWA P Banded Th �ust WMdun E (Nam of Notary Public:Print, Stamp, or TM as (.orrmiistiowd) Pasooally lmmm to me, or � fjj7jj Proeuoea IQe�irrcation: O D[D talm an oath, or (iYPe of Iderrtincmcm Produced) X DID NOT tate w oath la'It IVI I :10 !,)11) I'1 U i;:1' 011*3? uu,k{_,:.).jd 0 L4 a O r✓ Z 0 0 O w -v Sha,tir�n� description.dot o CITY OF MIAMI, FLORIDA STATEMENT OF CORPORATE REAL PROPERTY (1N CONFORMANCE WITH SEC. 2-615 OF THE CfTY CODE) - Legal Description SAMPLI ENTRY: Common Address Title Owned Zoning Class Present Use Seven Park Inca L=Legal W=WhOHy r Lot 32 Blk 12 Miami, E=Equitable p=)[n Part, North 13146 852 Northeast Ta Street- L W RG . -2 _Parkiiiq Lot ' OATH - 1, �A A L 1�l t�-N N , do solemnly swear that the above is a true and accurate Stflterr1C11t of corporate real property I have a controlling interest or in Which —1'an p to which officer, a such real P g property located more than S00 feet outside the mwaicipal limits of (he. CITY OF MIAMI. J NAME: (Please Print) m ON NifL, TITLE/POSMON WITH CITY OF MIAMI NAME OF 130gRpICOMMITTEE (IfApplieaMe) TUIV N 1 Nb PfVV l S012c/- •L.t�t�c-+v '< SIGNATURE: DATE: L4 a d� State of FWda On this thedayof� Ltl}l2 .before um, the undersi ed, gn Notary Public of the State o Florida, the foregoing instrument County of o �. w.osacknow�ledgedby NOTARY PUBLIC SEAL OF OFFICE: (Name of person signirg and IrWber title (public officer. bwtee or :1 ' I l ! l' I I ! ` -10 j I ,j Ln W SS my hand sw official seal.... ,� . ' ,� f"�-DIANE14". M. , ?, I"�I'�('MY :UR:RUTIA COMMISSIO96b, NOTARY PUBLhC. STATE OF FLORIDA �� 1F_ I'V1. aQ Qlfr EXPIRES: Aur BdThru Notary rtten 8 a 1 ; ; y Z 0 (Name of Notary Public Print, Stamp, or Type, m Commissioned)j U _1 O Q rso 1 Penally kmwr to mt or r l] Produced tdatification: (TYPeof Identification Produced) D DID take an cath, or p 0 . � X DID NOT take an oath CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME • 'D RESIDENCE ADDRESS: Z3 55 S W 27 L Rte-44� ►�� 3 3 HOME PHONE: 3a- �_ 01 g 5 BUSINESS PHONE:8S6-0 13� Ordinance No. 11581 states: "No employee of Miami -Dade County, Florida, municipality therein other than City of Miami employees, shall serve on or eO1 any to any Board of the City of Miami. 79 appointed PRINCIPAL BUSINESS/EMPLOYER: EP F - ws QvCTio.r. =.c r C (Company Name) BUSINESS ADDRESS: 35 'f 7 Are you an employee of Miami -Dade County or any municipality City of Miami? p ty therein other than the Would you like to serve on the Planning Advisory Board? P 1 Would you like to serve on the Zoning Board? ------------ Please state if you have a preference for either board: . �a P L Members shall either be permanent residents of the Ci � Z work or maintain a business in the Ci City, ° real Property in the Ci form. tY lease fill in attached Residen City, or cy Compliance Owners of property in the City of Miami, please answer the followin Property you own in the City of Miami in conformance with Ci g question: Is all the ty Ordinances? mss. If "no," please give details below: y G "C f C_ Will you be able to faithfully attend meetings of the board as re of the Miami City Code? required by Section 62-121'x_ Will you be able to attend Planning and Zonin z: o of the Miami City'Code? g seminars as required by Section 62-124 c- 00- <forms>p2 application 11/12/99 Do you foresee any conflicts`of interest. as defined in Miami City Code Article V. Sections 27611 -.619. and Miami -Dade County'Code Section 2-11.1 ? Are you prepared to file a list "of.real estate interests owned, either personally or corpoirately within the City of Miami (see.attached. forms) with the City Clerk, pursuant to Section 2-615 of the City of Miami Code? e S Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? List your experience relating to the fields of planning and zoning.- Flo oning:Flo r[iGfA �C�4 t, Are you a United States citizen? C1 . Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? ,l/d ;k If `yes," give details: Signature: Date: _ /Af 00 <fortns>pz application 11/12/99 CITY OF MIAMI, FLORIDA STATE ------ REAL PROPERTY OWNED (IN CONFORMANCE WITH SEC. 2-615 OF THE CITY CODE Description ) Common AddrPaa SA- M_P_LE ENTRY: Lot 7, Primrose Section 4, PB 52 /0f3a I, located within the CITY OF State of Florida County of fta. t f NOTARY PUBLIC u SEAL OF OFFICE: 1 437 Northeast 541" Street ;L7 L -Legal E=Equitable L W=Wholly P=1n Part W R -I Home OA TH do solemnly swear that the above is a true and accurate statement of my Interests in real property MIAMI or located not more than 500 feet outside the municipal limits o NAME. (Please Print I1101of the CITY OF MIAMI. A u ►N1S� (,�, TITLE/POSITION WIT" CITY OF MIAMI !tV,, „ NAME OF BOA OMMITTEE (If Applicable) SIGNATU On this the _j&)— y , a ( DATE: the undersigned Notary of ary Public of the State of lorid he foore regoing o nes was acknowledged by °, B g Instrument 11 DID take an oath, or ( t yPe of identification Produced) O DID NOT We an oath 9' • C� • CITY OF MIAMI, FLORIDA RESIDENCY COMPLIANCE FORM ON CONFORMANCE WITH SECTION 2-884 OF THE CITY CODE) Please submit your completed form to: City of Miami Office of the City Clerk 3500 Pan American Drive Miami, Florida 33133 Date: / -/y.. p U I, i('a c•n..�._.. Merl , a member of (name of board) —do-- comply with the residency requirement under Code S _ (do/do not) Section 2 884, namely: "(a) All members of City boards shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City..." (Note: If you do comdly with the residency Provide us with the following information.) requirement (Code Sec. 2-884), please A. I presently reside in the City of Miami at the following address: 23 35 Sw a% B. I own a business and/or real property within the Ci of following address: (Note: Kindly specify if it is s business Miami as Jim at the property) � �•t� 135�54� Z7�g-,,,e C• I work within City of Miami limits. My business address is: -1355 Sw 77� Signature u0-- 243 PNLE �ARPS PRO*Y SYSTEM - PROPERTY NAME ®LEGAL INQUIRY (32) DATE: 02/09/2000 15:28:47 FOLIO NO: 01-4115-008-2530 LEGAL ADDR: 2355 SW 27 LN GRP FOLIO: � PROP ADDR: 2355 SW 27 LA CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 01� OWNER NAME AND ADDRESS � R VALUE HISTORY RAYMOND F MCELROY YEAR: 1998 1999 2355 SW 27 LN LAND: 70,000 70,000 MIAMI FL BLDG: 51,055 54,021 TOTAL: 121,055 124,021 ZIP: 331333109 HEX: 25,000 25,000 WVDS: 0 0 LEGAL DESCRIPTIONVNEX: TEX: 25,000 25,000 SILVER BLUFF ESTATES - SEC C 96,055 99,021 PB 10-65 GRSS TX: 2,891 2,950 LOT 32 & LOT 33 BLK 48 CNTY TX: 1,774 1,897 LOT SIZE 50.000 X 100 CITY TX: 1,116 1,053 OR 16280-4547 0394 1 SALE AMT: 125,000 SALE DATE: 03/1994 SALE TYPE: 1/I LEXT FOLIO KEY: NEXT ADDRESS KEY: CTION: 1-CONTINUE r ACTION: 01� XMIT: u0-- 243 Legal I )esti il)l ion SAMI'I.I: LN I V Y: Seven Park Inc. Lot 32 Illk 12 Miami, Noilh 13/46 G A -e_ - CITY OF MIAMI, FLORIDA S FATEM ENT OF CORl'OR: I TE RL•'AL PROPERTY (IN ('ONFORMANCE WITH SEC. 2-615 OF THE CITY CODE) Connrton Address 852 Northeast 7't' Street TitleOwned L -Legal E=Equitable L W=Wholly P=1n Part W Zoning Class RG -2 Present Use Parkin Lot NOTARY Ill )I)LI(' SEAL OF OFFICE: OATH 1' ------- , do solemnly swear that the above is a true and accurate statement of corporate real property in which 1 have a controlling interest or in which I am an officer, accepting such real property located more than 500 feet outside the municipal limits of the CITY OF MIAMI. NAME: (Please Print) TITI.1?/POSI1ION WITII CITY OI' MIAMI NAMI? OF BOARD/COMMITTI?li (If Applicable) SIGNATURE 1)A'I'li: On this the day of 19 _, before me, the undersigned Notary Public of the State of Florida, the foregoing instrument was acknowledged by (Name of person signing and his/her title (public officer, trustee or personal representative) WITNESS my hand and official seal. NOTARY PUBLIC, STATE OF FLORIDA (Name of Notary Public: Print, Stamp, or Type as Commissioned) ❑ Personally known to me, or O Produced identification: 11 DID take an oath, or (Type of Identification Produced) n 0 State of Florida County of NOTARY Ill )I)LI(' SEAL OF OFFICE: NAME: (Please Print) TITI.1?/POSI1ION WITII CITY OI' MIAMI NAMI? OF BOARD/COMMITTI?li (If Applicable) SIGNATURE 1)A'I'li: On this the day of 19 _, before me, the undersigned Notary Public of the State of Florida, the foregoing instrument was acknowledged by (Name of person signing and his/her title (public officer, trustee or personal representative) WITNESS my hand and official seal. NOTARY PUBLIC, STATE OF FLORIDA (Name of Notary Public: Print, Stamp, or Type as Commissioned) ❑ Personally known to me, or O Produced identification: 11 DID take an oath, or (Type of Identification Produced) n 0 • CITY OF MIAMI APPLICATION FO12 PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: RESIDENCE ADDRESS: S'7O ( J�1 • !��`�isj(L.�k�,( HOME PHONE: 30�75'q-.3'7-91 BUSINESS PHONE: 3oS; 538. (( � Ordinance No. 11581 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: V I�j'i"f�C�c,20t�"�21 l�S (Company Name) BUSINESS ADDRESS: I (U 6 eL Are you an employee of Miami -Dade County or an}' municipality therein other than the City of Miami? �) O Would you like to serve on the Planning Advisory Board? � Ls Would you like to serve on the Zoning Board? LA Q's Please state if you have a preference for either board: Members shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City. Please fill in attached Residency Compliance form. Owners of property in the City of Miami, please answer the following question: Is all the property you own in the City of Miami in conformance with.City Ordinances? G If "no," please give details below: <� �= Will you be able to faithfully attend meetings of the board as required by Secti@2-1' of the Miami City Code? —y - Will you be able to attend Planning and Zoning seminars as required by Sectic�A�— -12_ of the Miami City Code? W <forms>pz application 11/12/99 'e2 0- X43 331- Do youforesee any conflicts of interest as -defined in Miami Cit -v Code Article V. Sections 2-6.11 - 61.9 and Miami -Dade County Code Section 2-11..1? Are you prepared to file a list'of real estate interests owned, either personally'or corporately within the City of Miami (see attached forms) with the City Clerk, pursuant to Section 2-615 of the City of Miami Code? SES Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77,-13? `ii:S List your experience relating to the fields of planning. and zoning: 5A-7- PL A -AJ AT i Al C, BOA -Z Z> Z PA sT Are you a;United States citizen? 7 �s Are you presently indebted to the City of Miami for any real or personal property tax', license fee, or property lien? (� If "yes," give details: Signature: Date: t M C-) r w N <forms>pz application ,..11/12/99 �® 24a�� • • CITY OF MIAMI, FLORIDA RESIDENCY COMPLIANCE FORM - .r . (IN CONFORMANCE WITH SECTION 2-884 OF THE CITY CODE) — ^ - C, ^ Please submit your completed form to: City of Miami Office of the City Clerk i 3500 Pan American Drive Miami, Florida 33133 Date: w - I, 5 O V o r C - In Y-11 I r') (name of board) Do . (do/do not) c,101k r c• li1JG'i-✓ Q rr , a member of comply with the residency requirement under Code Section 2-884, namely: "(a) All members of City boards shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the Citv... f) (Note: If you do comply with the residency requirement (Code S-ec. 2-884), please provide us with the following information.) A. I presently reside in the City of Miami at the following address: -- S 7o t A -Vs Hvax D2 ti- 3 B. I own a business and/or real property within the City of Miami limits at the following address: (Note: Kindly specify if it is a business or a property) ,aALV 2�1> C. I work within City of Miami limits. My business address is: 58 D l Bi -YAlj 6 L ✓D GJI �•�-- 13� � "T�s -nanl ray ��I3. Z000 J Signature 0- A43 PNLE RARPS PRO&Y SYSTEM - PROPERTY NAM*LEGAL INQUIRY (32) DATE: 02/09/2000 15:29:20 FOLIO NO: 01-3218-036-0030 LEGAL ADDR: 5701 N BAYSHORE DR GRP FOLIO: LIPROP ADDR: 5701 N BAYSHORE DR CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 04 OWNER NAME AND ADDRESS VALUE HISTORY MICHAEL E CARVER & YEAR: 1998 1999 STEVEN L POLAKOFF LAND: 191,974 191,974 5701 N BAYSHORE DR BLDG: 513,471 515,865 MIAMI FL TOTAL: 705,445 707,839 ZIP: 331372331 HEX: 25,000 25,000 WVDS: 0 0 LEGAL DESCRIPTION TOTEX: 25,000 25,000 BAYSHORE UNIT NO 2 PB 9-98 NONEX: 680,445 682,839 S107FT OF BLK 9 GRSS TX: 10,999 10,802 LOT SIZE 107 X 300 CNTY TX: 6,684 6,744 OR 16078-2133 0993 2 CITY TX: 4,314 4 057 NEXT FOLIO KEY: ACTION: 1-CONTTINU4 SALE AMT: 385,000 SALE DATE: 09/1993 SALE TYPE: 2/I NEXT ADDRESS KEY: ACTION: 01� �XMIT: oo- ' 4 CITY OF MIAMI, FLORIDA STATEMENT OF REAL PROPERTY OWNED (IN CONFORMANCE WITH SEC. 2-615 OF THE CITY CODE) Legal Description Common Address Title Owned County of DAN SAMPLE ENTRY: L=Legal W=Wholly Zoning Class Present Use NOTARY PUBLIC E=Equitable P=1n Part y EAL OF OFFICE: Lot 7, Primrose Section 4, PB 52 437 Northeast 54'" Street (, W"ESS ESS my hand Fdo ial se t. 14 02 / t- Z P$ Cl- cis , LOT. , Bue-,.a. 5801 arSuF�i�l>G !„ W R-1 Home �C`9 (� AC -�C�:. [ %L/ $oy of -7 L, Mame of Notary Public: Print, Stamp, or Type as Commissioned) Personally i I :• 1 i i . /K known to me, or ❑ Produced identification: RI. i3thY5Nva� Z'ID -� (Type of Identification Produced) ❑ DID take an oath, or t .rt I i 1 �' l OATII 1 do solemnly swear that the above is a true and ac curate located within the CITY OF MIAMI or located not more than 500 feet outside the municipal llimits oft e CITY OF MIAent of my interests in MI. NAME: eal property NAME: (Please Print) STO VC -A -PM-A-(,'-OC—F IG TITLE/POSITION WITH CITY OF MIAMI -P4i/1/4/4(a Abk/j �j,r V NAME OF BOARD/COMMITTEE (If Applicable) 7.i0IJAiI 14!!? ApV1 SD" 60AAz> SIGNATUhI : DATE: -Ed1 Sharc/sanuicl/Icf,al dcscriplinn duc • • State of Florida On this the 1-27+k day of _ D 7F-4Co 19V before me, County of DAN the undersigned Notary Public of the Stale of Florida, the foregoing instrument �� was acknowledged by NOTARY PUBLIC ST 0 ✓ew {PO L-0kW-rte y EAL OF OFFICE: (Name of person signing and his/her title (public officer, trustee or personal representative) W"ESS ESS my hand Fdo ial se t. U' INA KAUt gKIg NTAR PUBLIC, STATE OF FLORIDA l� 'II J tj I! 1 J�01 1;t113 COMMISSIOR C 87ATE 733"4ORMA �C`9 (� AC -�C�:. [ %L/ l ., , ''i f EXPIRES2g� SOWED 14"-NOTMYt Mame of Notary Public: Print, Stamp, or Type as Commissioned) Personally i I :• 1 i i . /K known to me, or ❑ Produced identification: 'no U61 �j Z Z'ID (Type of Identification Produced) ❑ DID take an oath, or t .rt I i 1 �' 11DID NOT lake an oath - ' Sharc/sanuicl/Icf,al dcscriplinn duc • •