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HomeMy WebLinkAboutR-00-0326• • J-00-430 4/13/00 0, '' 26 RESOLUTION NO. V s.� A RESOLUTION OF THE MIAMI CITY COMMISSION APPOINTING AN INDIVIDUAL AS A REGULAR MEMBER OF THE ZONING BOARD FOR A TERM AS DESIGNATED HEREIN. BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The following individual is hereby appointed as a regular member of the Zoning Board, for a term as designated herein, or until the nominating commissioner leaves office, whichever occurs first: APPOINTEE: Angel Urquiola NOMINATED BY: Commissioner Tomas Regalado TERM EXPIRATION DATE: January 12, 2001 PASSED AND ADOPTED this 13th day of April , 2000. THIS AD ISTRATIVE ACT S L BECOME YFECTIVA0I%MEDL. r TER JI FOE CITY CLERK CITY COMMISSION MEETING OF APR 13 2000 Resolution No. CIN OF MIAMI, FLORIDA 22 INTER -OFFICE MEMORANDUM Honorable Members of TO: the City Commission P1 w DATE Walter J. F City Clerk REFERENCES March 21, 1999 Zoning Board April 13, 2000 Agenda FILE: ENCLOSURES: List of Members, Resolution The Zoning Board was created to: (1) hear applicants for the rezoning of specific properties and make recommendations to the Commission; (2) act as a quasi-judicial instrument for granting variances or conditional uses; and (3) perform such other functions as requested by the Commission. 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 Zoning Board. During the Commission meeting of January 13, 2000, our office was instructed to readvertise for additional applications. This issue was deferred from the March 9, 2000 Commission meeting. Three appointments are needed at this time whose terms all expired January 12, 2000: • Commissioner Winton has two nominations: one for seat currently held by George E. Barket, who had been nominated by former Commissioner Plummer; and one seat currently held by Gloria Mary Basila, who had been nominated by former Commissioner Plummer and who exceeded the number of absences allowed by the Code. • Commissioner Regalado has one nomination for seat currently. held by Osvaldo Moran, who does not comply with the City residency requirement, which requirement may be waived by a four-fifths vote of the City Commission. Appointments shall be made only from individuals who have submitted applications. Applications were received from the following individuals, who have been verified to comply with the City residency requirement, except from Mr. Moran: George E. Barket Osvaldo Moran Gioia DeCarlo Denis Ney Rod Frank E. Len el Angel Ur uiola If the Commission is dissatisfied with the list of applicants who have submitted their applications, the Commission may direct the Clerk to re -advertise 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: . (l) 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 nominees' proficiency 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 the public 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 official's). 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. This . issue was deferred from the January 13, 2000 Commission meeting. WJF:sl c: Joel E. Maxwell, Assistant City Attorney Maria J. Chiaro, Assistant City Attorney Teresita Fernandez, Chief, Hearing Boards Elvi Alonso, Agenda Coordinator George E. Barket, Chairperson Gloria Mary Basila, Member ZONING BOAR (10 members) APPOINTED BY NAME, ADDRESS, PHONE RESOLUTION TERM EXPIRE SANCHEZ Juvenal Pina, 905 Brickell Bay Drive, #421, M-33131 (H=372- R-00-237 1-12-01 9354; W=374-4377 3-9-00 SANCHEZ Rodolfo De LaGuardia, 36-8 N.W. 1 Pl., M-33150 (W=305- R-00-237 1-12-01 891-4747; H=305-754-8707) 3-9-00 A= GORT Ileana Hernandez -Acosta, 2333 Brickell Ave., #1812, M- R-00-237 1-12-01 33129-2435 (H= 305-856-9504; W= 305-856-1940) 3-9-00 A= GORT Humberto Pellon, alternate, 1700 N. W. North River Dr. # 109, R-00-237 1-12-01 M-33125 (H= 305-775-4367; W=541-4800) 3-9-00 A REGALADO Osvaldo Moran, Vice Chairprson, 12180 S.W. 87 Ave., M- R-00-237 1-12-01 33176 (H=253-2156; W=275-6959) 3-9-00 A= [does not comply with residency requirement) REGALADO Ricardo Ruiz, 3150 S.W. 15 St., M-33145 (305-567-0168) R-00-53 1-12-01 1-13-00 cdl� MUST FILE: (1) STATEMENT OF FINANCIAL INTEREST, (2) REAL ESTATE DISCLOSURE, AND (3) OATH REQUIRED 3/20/00 page # i 20 REQUIRED RES -OK real -99 RES -OK* real -99 real -99 RES -OK real -99 RES -OK real -99 0 RES -OK real -99' .ZONING BOARD (10 members) 20 TEELE Charles J. Flowers, 1000 N.W: North River Drive #106, M- R-00-53 -1-12-01 RES -OK 33136 (H= 305-326-1718; W= 305-385-9781) 1-13-00 real -98 sworn TEELE Georges Williams, 8100 N.E. -12 Avenue, M-33138 (H=305- R-00-53 1-12-01RES-0 757-8030; w=305-576-7768) . 1-13-00 sworn PLUMMER Gloria Mary Basila, 2930 S. Miami Ave., M-33129 (305-854- . R-99-78 1-12-00 RES -OK 2191) 1-26-99 A=4-5-99 (2) _ real -99 [exceeded the number of absences allowed by Code] 5-3-99 11-15-99 PLUMMER George E. Barket, Chairperson, 2001 S.W. 4 Ave., M-33129 R-91=898 12-31-94 real -96 (854-3795) 12-5-91 A=5-17-99 - -10-4-99 MUST FILE: (1) STATEMENT OF FINANCIAL INTEREST, (2) REAL ESTATE DISCLOSURE, AND (3) OATH REQUIRED 3/20/00 page #2 CITY OF MIAMI APPLICATION = 71 FOR PLANNING ADVISORY BOARD and/or ZONING Bo;kRD -� �r NAME:. ; �� ;' s - RESIDENCE `DRESS:f �� iG��%G �17�!-�� HOME PHON �Z- -- 'j�';`��Z/_BUSINESS PHONE: , }r' -r -J /Z, 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: , & ! �--c' . — omp y e) - n BUSINESS ADDRESS: 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? Would you like to serve on the Zoning Board? 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: I , i 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 of the Miami City Code? Will you be able to atten( of the Miami City Code? meetings of the board as required by Section 62-126 r and Zoning seminars as required by Section 62-124 <forms>pz application G O e 9 2 V, 11 / 12/99 Do you foresee anv conflicts of interest as defined in Miami City Code Article 'V. Sections 2-611 -. 619and 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 att. hed forms) with the Cit-_ Clerk, pursuant to Section 2-61 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. 77-13? Lisour.�x rience elating the fields of aiming an zoning: Are you a United States' citizen? Are you presently. indebted to City of Miami for any real or -personal property tax, license fee, or property lien? �- If `'yes," give details: Signature Date: n _ ^w .. r- TV <forms>pz application 11 / 12/99. , CITY OF MIAMI, FLORIDA RESIDENCY COMPLIANCE FORM (IN CONFORMANCE WITH SECTION 2-884 OF THE CIT V CODE) Date:% I, Please submit your completed form to: City of Miami -ti o Office of the City Clerk 3500 Pan American Drive Miami, Florida 33133 a member of. (flame 'of board) C--'/ c 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 comniy 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: 10 C. 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 work within of Miami limits. My business address is: 0- 10 ge: 1 Document Name: &itled • -:.,E ARPS_ PROPERTY SYSTEM - PROPERTY NAME / LEGAL INQUIRY (32, DATE: 12/27/1999-13:39: :2 25,000 141,834 149,486 4,223 =OLIO NO: 01-4138-001-1370 LEGAL ADDR: 2001 SW 4 AVE 1,642. GRP FOLIO: PROP ADDR: 2001 SW 4 AV CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 01 OWNER NAME AND ADDRESS VALUE HISTORY GEORGE E BARKET &W LINDA. YEAR: 1998 1999 2001 SW 4 AVE LAND: 69.,453 75,122 MIAMI FLA BLDG: 97,381 99,364 TOTAL: 166,834 174,486 ZIP: 331291302 HEX: 25,000 25,000 WVDS: 0 0 LEGAL DESCRIPTION TOTEX: HOLLEMAN PARK PB 8-23 NONEX: LOT 1 BLK 10 GRSS TX: LOT SIZE 52.500 X 135 CNTY TX: CITY TX: SALE AMT: SALE DATE: SALE TYPE: NEXT FOLIO KEY: NEXT ADDRESS KEY: ACTION: 1 -CONTINUE Window ARPSWIN/1 at PRODUCTION TAI ate: 12/27/99 Time: 1:48:44PM 25,000 25,000 141,834 149,486 4,223 4,229 2,581 2,682 1,642. 1,546 41380011370 ACTION: 01 XMIT: 4 22 Pg=1 FORM RCV.L 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 Zon SAMPLE ENTRY: L=Legal W=Wholly E=Equitable P=1n Part Lot 7, Primrose Section 4, PB 52 437 Northeast 54" Street L W R -I Re Use Home 0 OATH I ed `� do solemnly swear that the above is a true 'in the CITY OF and accurate statement of my MIAMI or located not more than 500 feet interests in real property outside the municipal limits of the CITY OF MIAMI. NAME: (Please Print) TITLE/POSITION WITH CITY OF MIAMI �`/l// /V�� NAME OF BOARD/ MMITTEE (If Applicable) _ .3'J//V ' L`}��-- C7 SIGNATURE: DATE: .r, C7 Slate of FloridaOn this the I L � day of r' 19 p_t: n i7 t %),•"d County of ' before me, the undersigned Notary Public of th State f Flori the foregoing instrument was owledged by %'rri I - NOTARY PUBLIC _r.T SEAL OF OFFICE: a of pe n signing and his/her title (public officer, trustee or personal representative) W ESS r— hand an c1a, seal.- NOTARY PUBLIC, ATE OF FLORIDAml.ay C�72 PG OFR GALNOTARYSM ®G ESTWRGUERRERO 'Yl Ji�YLRC-T/l t7 0 ;4) (rvame of No ublic. Print, Stamp, or Type as Commissioned) Ic tONM11A8EA Personally known to me, or CC603069 MYc01RttSSME 7�OF 13 Produced identification: f`o� tiiFS NOV.19 (Type of Identification Produced) 13 DID take an oath, or ❑ DID NOT take an oath :q ..r !ri 0 Share/samucl/lepal descriplirai doc Re: Form 1, Statement of Real .Property Owned Part: D, .Real.. Property, Location or Legal Description of 812 property -owned in State of' Florida, excluding personal residence and vacation homes: 2931-37 S.W.; 3rd Avenue, Miami, Florida 50% ownership 3545 S.W. 3rd Avenue, 'Miami, Florida 100% ownership 249-59,1/2. N.W. 79th Street, Miami,, Florida 50% ownership 26I h.W,.79th Street, Mias;i, Florida 50ownership 275 N.W.'.79th.-Street, Miami, Florida ',50% ownership 419-23 N.W. 79th Street Miami,-shipFlorida 50� owne 7100-04 1:.W. 2nd Avenue,, Miami,: Florida 50% ownership 3,065 N.'W. 54th Streeti Miami,,:, Florida 50% ownership 73.7 N.W. 79th Street, Miami, Florida 50% ownership 3000 N.W. 12th Avenue,'Miami , Florida 50% ownership. 231-35 N.W. .1st Avenue', Miami, Florida 50€ ownership 8227 Crespi Blvd,"Miami Beach, Florida 50% ownership 97-99 N.W. 54th Street,`Miami, Florida 50� ownership 18.6'', N.W. 13th Street,. Miami; Florida 50% ownership 6235 Crespi Blvd, N.iami Beach, Florida.. 50%ownership 800 N.W. 2nd Avenue, Miami, Florida 50% ownership 145.1 N - . 7th Street,. Miami, Florida 5o% ownership 640 N.W-12th Avenue, Miami, Florida 50% ownership ''301-311 S.W. 20th Road-; Miami, Florida 5 0 rt ownership 1936 S_ W. 28th Court, Miami, Florida 50% -ownership 4420 N.W. 7th. Avenue, Miami, Florida 50€ ownership '. 1381-83 S..W. 22nd Terrace, Miami, Florida So% ownership 338 S.W. 29th' Road,, Miami, Florida 50% ownership 377 S.W. 30th Road, Miami, Florida 50% ownership 637 h'. Flagler Street, Miami, Florida 50% ownership 1242-50 S.W. 22nd Street, Miami, Florida SOS ownership 2331-33' N.W. 7th Place, Miami, Florida 50It ownership - Unimproved ten (10) acres located between- S.W 287th and 288th Streets, Redland Road, Homestead, Florida 50% ownership. Unimproved 'acreage: North 1/2- sof the East 126 feet .of .the north .125 . feet of,. Tract Be, of ,S'ugarloaf Townsites, recorded -in Plat Book 3, Page 180,.' of the Public Records of Monroe County, Florida, (a/k/a lot 13) 1001 ownership South 1/2 of the East, 126 feet, of the' north 125 feet of tract 86, .of Sugarloaf Townsites, 'recorded in plat Book 3, page 180 of the Public Records -of Monroe County, Florida (a/k/a-.Lot 14 of Sugarloaf To�insite Addition) 100% ownership. 4 CITY OF MIAMI, FLORIDA S I A'I'I;MEN"f OF CORI'OR: t TE REAL PROPERTY (IN CONFORMANCE WITH SEC. 2-615 OF THE CITY COI)I:I I.cgal I)escrIRY:lt Common Address snr`1Pi. f: LNi �tT the Owned Zoning Class Present Use Sevcn Park Inc. L=Legal W=Wholly Lot 32131k 12 Miami, E=Equitable P=1n Part North 13/46 852 Northeast Tt' Street I. W RG -2 Parkin Lot e 1 4��Irolling 0ATII do solemnly swear that the above is a true and accurate statement of co orate reala e a interest or in which I am an officer, accepting such real property located more than 500 feet outside the municipalcli uitsrly tol'1(IteltCfl AMI. NAME: (Please Print TITLE/POSITION WITII CITY OF MIAMI NAM I? OF I)OARU COMMITTEI: If i _7 SIGNATUR C % ATE: State of Florida y of 2� r� On this the —Z-- da 19 before me, the undersigned Notary Public of the St C'ounly of was acknowledged by ale of Florida, the foregoing instrument (v � U NOTARY.PUBI.1C' SEA1. Of - OFFICL•: (Name of person signing a er title (public officer, trustee or personal representative) WITNESS my hand a officials I. NOTARY PUBLIC, T' QV P OFRCIALNORARYSEAL y7 y, f�F 1.OR'IDA 0 VB;r ESTHER(3UEMEno __ _ � OOMkltSS10N NIA�tBER (Name of otary Public: Print, Stamp, or Type as Commissioned) �O CC883o6g %Personally know n to me, or �i` P� My COMMISSIONEJ�IREg ❑ Produced identification: --- Of It NOV.19 oo3 DID lake an oath, or (Type of Identification Produced) ❑ ❑ DID N(11' rnkv n U • .n U111 i 'I X-. n U • • U CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD c T r NAME: RESIDENCE ADDRESS: HOME PHONE: - �: - y ;-_: 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:�- (Company Name) BUSINESS ADDRESS: .9�!- �_!r �,� �� . - lir ? � + 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? Would you like to serve on the Zoning Board? 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? 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? \j <forms>pz application 11/12%99 0"^% 3 2 6' 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 2-11.10 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 Cita 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. 77-13? c List your experience relating to the fields of planning and zoning: Are you a United States citizen? 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: /'0 .. <forms>pz application 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: i a member of (name of board) 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 co_ 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 '-- 2�. PNLE CARPS PROP *Y SYSTEM - PROPERTY NAME'EGAL,INQUIRY� (32) SALE TYPE: 1/I 1/T 4/ DATE: 02/09/2000 16:29:11 FOLIO NO: 01-3135-026-0840 LEGAL ADDR: 828 NW 9 CT GRP FOLIO: i� - PROP ADDR: 828 NW 9 CT CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 02� OWNER NAME AND ADDRESS t � 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 LEGAL DESCRIPTION WVDS: 0 0 TOTEX: 0 0 COUNTRY CLUB ADD PB 8-72 NONEX: 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 04/1995 SALE TYPE: 1/I 1/T 4/ NEXT ADDRESS KEY: I] 6-0- ACTION: 01L� ,:�XMIT: Legal Descri 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) Common Address T-.- L=Legal _ W=Wholly vwnea Zoning Class E=Equitable P=1n Part 437 Northeast 541h Street L _ 1 W R-1 Present Use Home i 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) TITLEIPOSITION WITH CITY OF MIAMI NAME OF BOAROCOMMITTEE (If Applicable) SIGNATURE: ATE: > State of Florida On this the ay of ' fore me, County of the undersigned Notary Publof the State Florida, the foregoing instrument was acknowledged by NOTARY PUBLIC 1d SEAL OF OFFICE: Mame of person signing and his/her ti e W E gm (p officer, trustee or personal representative) y and and off)ci cal. NOTARY PUBLIC ST E OF L IDA ENOTARYPL'M NOTARYSEAL D FLOWERS t'.'. (Name of tary ublic: Print, Stamp, or Type as Commissioned) S ATE OF FLOR[DAPersonally known to me, or NO. CC787924❑ Produced identification: N EXT'. NOV, 15,2002 11 DID take an oath, or (Type of Identification Produced) ❑ DID NOT take an oath Share/sanmel/legal descriptinn dnc n CITY Of MIAMI, FLORIDA STATEMENT OP C'ORPORA7E REAL PROPER"IY (IN CONFORMANCE WITH SEC. 2-615 O1. 1111E CITY COD1 ) Legal Desciiptiun Common Address Title ` SAMPI L EN I V Y: Seven Park lnc. L=Legal Owned W=Wholly , Zoning Class Present Use Loo 32 lilk 12 Miami; E=Isyuilable P=1n Part Not lil46 852 Northeast 71" Stree( L W RG -2 Parkin Lot OAI'll 1' --.,_do solemnly swear that the above is a true and accurate statement of corporate real .property to which I. have a conitolling interest or in which 1 am an officer, accepting such real. propert CITY OF MIAMI. y located more than 500 feet outside the municipal limits of the NAME: (Please Print) ` TITIA"MOSITION WITII ('ITY OF MIAMI NAMP OF"HOARDWOMMII.11?I? (If Applicable) SI(iNA•I'IJRI:: _ DATE: State of Florida On this the day of 19 before mc, the undersigned Notary Public of the Slate of Florida, the foregoing instrument founly of was acknowledged by . NOTARY P IWI(' SEA I. Of OfFICE:. (Name of person signing and his/her title (public officer, trustee or personal represenlalive) WITNESS my hand and, official seat. W) NOTARY PUBLIC, STATE OF FLORIDA l (Name of Notary Public: Print, Stamp, or Type as Commissioned) _ O Personally known to me, or O Produced identification: (Type of Identification Produced) O DID lake an oath, or 13 DID NOT take an oath Do you foresee any conflicts of interest as defined in Miami Citi- Code _Article V., Sections 2-611 - 619 and Miami -Dade Countv Code Section 2-1 1.1? A' 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. 112-3146 and/or Miami -Dade County Ordinance No. 77-13? List your experience relating to the fields of planning and zoning: 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? If "yes." give details: Signature:��%�� Date: �1/Z '/L' `6!: ' <forms>pz application ,C° 11/12/99 v b '- o t� T CD <forms>pz application ,C° 11/12/99 v b CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: `/(/I Al K L�,_7 . L t;_/V &--/ E i_ RESIDENCE ADDRESS: Ia -? D SCj S777, 7%, 14flx l,, HOME PHONE:BUSINESS PHONE/J 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: (Company Name) BUSINESS ADDRESS: iso Are you an employee. of Miami -Dade County or any municipality therein othk than the,, City of Miami? /) O - U Would you like to serve on the Planning Advisory Board? YES,.v C_ Y� S Would you like to serve on the Zoning Board? - . F ' 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? YE 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 CityCode? Y� Will you be able to attend Punning of the Miami City Code? y�� and Zoning seminars as required by Section 62-124 <forms>pz application 11/12/99 0 CITY OF MIAMI, FLORIDA RESIDENCY COMPLIANCE FORM (IN CONFORMANCE WITH SECTION 2-884 OF THE CITU CODE) Please submit your completed form to: City of Miami Office of the City Clerk 3500 Pan American Drive Miami, Florida 33133 Date: /%'L -/Z' `(-)6' (name of board) U(1 (do/do not) 'G .4 A, J" -'1,J 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 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 GO— %2 CITY OF MIAMI, FLORIDA STATEMENTOF REAL PROPERTY OWNED (IN CONFORMANCE WITH SEC. 2-615 OF THE CITY CODE) Legal Description Common Ad]res Title Owned Zonin Class L=Le al g Present Use SAMPLE ENTRY: g W=Wholly E=Equitable P=ln'Part- Lot 7, Primrose Section 4, PB 52 437 Northeast 54' VV – ` /-1 . n/- /cif , L W R-1 (tome r YC— L- do solemnly swear OATH located within the CITY OF Y ear that the above is a true and accurate statement of my interests in real property MIAMI or located not more than -500feetoutside the municipal limits of the CITY OF MIAMI. NAME: (Please Print) ��� 1� L L �y(= 4— TITLE/POSITION WITII TY OF MIAMI NAME OF BOAR MITTEE ( IicFtile) r • Iv"a . SIGNATURE: G'�i . Stale of FI IdaOn this the 44 )`�!Jar of . a&) O . � before me, l the undersigned Notary Public of the Stat of Florida, the foregoing instrument County of w - L was acknowledged by NOTARY PUBLIC" SEAL OF OFFICE: (Name of person stgnin er title (public officer, trustee or personal representative) WITNE S my and official se ,. CZ. E Pt, OFFlCIALt1MAYSM BG ESTHER(iUERRERO NOTARY PUBLIC, S E 0 LORIDA ,ni COMMIS510NM1AABER -G F/ e e cca03oe9 (Name of Notary Public. Print, Stamp, or Type as Commissioned) F1p59 MY COMMISSION EVIRES O Personally known to me-, NOV. 19 2003 �`� �oduced identification:— 13 DID lake an oath, or (Ty1fe of Identification Produced) O DID NOT take an oath ShacJ�'III Ile 1)1C ;d do uildi m d , Legal I )escrihliun SAMI'I.I: LN1RY: Sever) Park Inc. Lot 32 IIIk 12 Miami, North 11/46 I CITY OF MIAMI, FLORIDA S I n'I:I:M I:N'1' OI' COR /'OR;17'E RE,I L I'ROPI RTY (IN <'ONFUR111ANCli WI"f1I SEC'. 2-615 OF "I'l1G CITY C'OI)1:) Conunon Address 1'ille Owned Zoning Class Present Use IA.cgal W=Wholly f=liquilahle P=1n Part 852 Northeast 7't' Street I, W 1 RG -2 Parkin; Lot y swear e above is a true and accurate have a controlling interest or in which I amdo an officer,lac eptinglsuclh real properly located ted more than Srnent of corporate real property in which CI'T'Y OF MIAMI. 00 feet outside the municipal limits cth the Stale of Florida County of NOTARY 1'111)1.1(' ` SFAL OF OFFICE: Z NAME: (Please Print) '11'1 LEIPOSITION WI On this the Ad day of the undersigned Notary Public of the Stale of was acknowledged by 110 cPpo , //I _�'_, before mc, f orida, the foregoing inslrumcnl (Name of person sig and his r title (public officer, trustee or personal representative) WITN iy ha and official se FFICJAL NOTARY SEAL (oil pU��i OESTHEAGUERREnno 1 NOTARY PUBLIC, ATE OF FLORIDA 'r MAMt6S10NM1M8ER CCA83069 71 My MYOOMMMONEXPIRES (Name of Notary Public: Print, Slamp or 1' c a NOY.19 2003 D PP rsonally known In m yp s ommissroned) Produced identification: (ly a of Identific. n Produced► D DID take an oath, or tl hlh nln r .,I,, J S A THROUGH C ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ REMEMBER TO ATTACH COPIES OF ALL STATEMENTS PROVIDED TO. YOU BY PERSONS AND ENTITIES PROVIDING O^n PAYING, _0= `- GIFTS AND HONORARIUM EVENT RELATED EXPENSES DISCLOSED ON THIS FORM. YOU MUST DISCLOSE ALL O= THESE KINDS 0= G;= AND EXPENSES EVEN THOUGH YOU DID NOT RECEIVE A STATEMENT OR REPORT FROM THE PERSON OR ENTITY PROVIDING T�=r,. ,,- MAY EXPLAIN ANY DIFFERENCES BETWEEN THE ATTACHED REPORTS AND STATEMENTS AND THE INFORMATION PROVIDED ON Tom:= FORM BY ATTACHING AN.EXPLANATION TO THE FORM. SIGNATURE: INSTRUCTIONS FOR COMPLETING ' AND FILING FORM 10: WHEN AND WHERE TO FILE: By July 1, 1999. Persons who file Form 1 or Form 6 should file this form with their Form 1 or Form 6. State procurement employees (see definition below) file this form with the Department of State, Room 1802, The Capitol, Tallahassee, Florida 32399-0250. f r rn need not be filed unless a _M2g=12le gift or expense was received during the time you held public office or emplpym nt- WHO MUST FILE FORM 10: All persons who are required to file Form 1, Statement of Financial Interests, and all persons Who file Form 6, Full and Public Disclosure of Financial Interests, except judges (comprehensive lists are part of each of those forms). In addition, state "procurement employees" are required to file Form 10. You are a "procurement employee" if you: (1) Are an employee of an office, department, board. commission, or council of the executive or judicial branches of.., _state government; (2) Participate in the procurement of contractual services or commodities costing more than 51,000 in any year; (3) Through decision, approval, disapproval, recommendation, preparation of any part of a purchase request, influence the content of any specification or procurement standard, rendering of advice, investigation, auditing, or in any other advisory capacity. INTRODUCTORY INFORMATION (At the Top of the Form): NAME OF AGENCY: This should be the name of the governmental unit which you serve or served, or by which you are or were employed., For example, 'City' of Tallahassee," "Florida Senate," or "Department of Transportation." OFFICE OR POSITION HELD: Use the title of the office or position you hold or held �.c rvmm lu - REV. 1/99 TE SIGNED: ` during 1998 (in some cases you'may not hold that position now, but you still would be required to file to disclose your interests during the last year you held that position). For example, "City Council Member," "Member." "Purchasing Agent," or "Bureau Chief." ADDRESS OF REPORTING INDIVIDUALS: The following persons .should not use their home -addresses: active or former law enforcement personnel, including correctional and correctional, probation officers; current or former state attorneys, assistant state attorneys, statewide prosecutors, assistant statewide Reporting individuals who file Form 1 and Prosecutors: firefighters; personnel of Form 6 and state procurement employees are D.H. R.S. whose duties .include the prohibited from accepting an honorarium (a investigation of abuse, neglect, exploitation, payment in exchange for a speech, oral fraud, theft, or other criminal activities: presentation, writing, and the like) from a political spouses of the above; county and municipal committee or committee of continuous existence. from a lobbyist who lobbies them or their public code inspectors and code enforcement agency (or has done so within the previous 12 officers; and Department of Revenue or local government• personnel responsible for months); and from the employer, principal. revenue collection and enforcment or child- partner, or firm of such a lobbyist. However, support enforcement. these persons and entities may pay or provide a reporting individual or procurement employee and his or her spouse for actual and reasonable transportation, lodging, event or meeting registration fee, and food and beverage expenses related to an event at which a speech, presentation, or writing will be made by the public officer or employee. Part C should be.used to describe these honorarium event related expenses. Under the law, the persons or entities paying for or providing such expenses are required to provide you with a statement concerning them within 60 days of the honorarium event; attach this statement to Form 10. entity may give`s gift worth over S10o to a oerso- who files Form 1 or Form 6, or to a state Procurement employee if the person or employee is an officer or employee of that governmental entity.. Part B should be used to list such gifts Under the law, these direct support organizations are required to provide you with a statement concerning these gifts by March 1: attach this statement to Form 10. PART C — HONORARIUM EVENT RELATED EXPENSES [Required by Sec. 112.3149. Fla. Stat.] PART A — GIFTS FROM GOVERNMENTAL ENTITIES [Required by Sec. 112.3148, Fla. Stat.] Entities of the legislative or judicial branches, departments and commissions of the executive branch, counties, municipalities, airport, authorities, school boards, water management districts created by 373.069, F.S., and the Tri County Commuter Rail Authority may give, either directly or indirectly, a gift worth over $100 to persons who file Form 1 or Form 6 or to state Procurement employees if a public purpose can be shown for the gift. Part A should be used to list.such gifts. Under the law, these governmental entities are required to provide you with a statement concerning these gifts by -March y; - attach this statement to Form 10. PART B — GIFTS FROM DIRECT SUPPORT ORGANIZATIONS [Sec. 112.3148, Fla. Stat.] Direct support organizations specifically authorized by law to support a governmental FOR MORE INFORMATION Questions about this form or the ethics laws may be addressed to the Commission on Ethics, Post Office Drawer 15709, Tallahassee, Florida 32317-5709: telephone (850) 488-7864 (Suncom 278-7864). Please folfew the filing !IIS$YCtions abov and do .,..• al this form the Commis ion on thiel, ,fT � PAGE 2 .J • PARTD' —INTANGIBLE PERSONAL, PROPERTY [Stocks. bonds. certificates of deposit. etc.I TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E — LIABILITIES IN EXCESS OF NET WORTH f Major debts] NAME OF CREDITOR ADDRESS OF CREDITOR -3-' % _i-" ►' y�, ''?�'� . ,, l� - 1 PART F— INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses) BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS ENTITY # 3 NAME OF BUSINESS ENTITY ADDRESS OF PRINCIPA ACTIVITY L BUSINESS , f POSITION HELD / WITH ENTITY 1 OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTER T IF ANY PARTS OF,,f THROUGH F �bt�iNUED ON.A SEPARATE SHEET, PLEASE CHECK HERE C1 SIGNATU - %�' DATE SIGNED: . FILING INSTRUCTIONS FOR FORM 1 WHAT TO FILE: After completing ail parts of this form, including signing and WHERE TO FILE: Loca/ offi- cers file with the Supervisor of Elections WHEN TO FILE: Initially, each dating it, send back only the first sheet of the county in which you permanently local officer, state officer, and specified (pages 1 and 2) for filing. Note: You also may be required to file Form 10, which is reside. (If you do not permanently reside state employee must file within 30 days of the date of his or her appointment or of the the last page of this packet. Please see that in Florida, file with the Supervisor of the 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 FILING State—empl°yeesfile with the Department Senate must file prior to confirmation, even UNNECESSARY: Generally, ape r- r- 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 Tallahassee, Florida 32399-0250. their appointment. fiscal year is not required to fife a second Candidates file this form together with - Form 1 for the same year. However, acan- your qualifying papers.- To determine Thereafter, lope/ officers, state officers, didate who previously filed Form 1 because what category your position falls under and specified state employees are of another, public position must at least file see the Who Must File" Instructions on required to file by July 1st following each a copy of his or her original Form 1 when page 3. If you were' mailed the form by calendar year they hold their positions. qualifying. the Secretary of State or a County Candidates for publicly -elected state or Supervisor of Elections for your 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) ®' CE FORM 1 -REV. 1/99 ' � 2 6 PAGE 2 • Do you foresee any conflicts of interest as defined in Miami Cite Code Article V. Sections 2-611 - 619 and Miami -Dade Countv Code Section 2-11.19. Are'vou prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attached forms) with the Citv Clerk. pursuant to Section 2-615 of the City of Miami Code? Ve 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? ie List it experience relating to the fields of planning and zoning: 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? If "Yes," give details: Signature:`'�-- Date: <forms>pz applicationo 11/12/99 ' � C e qJ4 G CITY OF MIAMI APPLICATION - FOR PLANNING ADVISORY BOARD and/or ZONING' BOFL ARD t; NAME` C) fl A v RESIDENCE ADDRESS: �.�Cl C'Un�� HOME PHONE:3e% - � 5-3,2 If Z BUSINESS PHONE: �l �,? , � C -T1S 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: %�` "`�`%C) (Company Name) C BUSINESS ADDRESS:����%�-S Are you an employee of Miami=Dade County or any municipality therein other than the City of Miami? ''1__�0' Would you like to serve on the Planning Advisory Board? Would you like to serve on the Zoning Board?'� 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? 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? �' P Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? <forms>pz application � ,: e 6 6 11/12/99 CITY OF MIAMI, FLORIDA RESIDENCY COMPLIANCE FORM (IN CONFORMANCE WITH SECTION 5-884 OF TIIE CITY CODE) Please submit your completed form to: City of Miami Office of the City Clerk 3500 Pan American Drive g Miami, Florida 33133 Date: a member of (name of board) comply with the residency requirement under Code Section 2.884, namely: (do/do not) Na) 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 fulluwing address: $. 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 widdu City of Miami i®its. My business address is: Signature O— 326 Do you foresee any conflicts of interest as defined in Miami Citv Code Article�k', Sections 2-611 - 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 corporately within the City of Miami (see attac ed forms) with the Citv_ Clerk, pursuant to Section 2-615 of the. City of Miami Code? < Are you preparedto Pile a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? C (i ) List your. experience relating to. the fields of planning and zoning:, -C Are you a.United States citizen? Are you presently indebted to the City ofk4iafni for any real or personal property tax, license fee, or property lien? ' If "yes," give details: Signature: Date: <forms>pz application 11/12/99 6,0)-- 32> CITY OF MIAMI APPLICATION ' FOR PLANNING ADVISORY BOARD and/or ZONING BOD h�C M N ' +- NAME: ­ C_:,11 p RESIDENCE ADDRESS: 7�; q HOME PHONE: 6 BUSINESS PHONE: 1L. 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: (Compan Name) 2 �� .BUSINESS ADDRESS: ` Are you an employee of. Miami -Dade County or any municipality therein other than the City of Miami? It" Z Would you like to serve on the Planning Advisory Board? `J r Would you like to serve on the Zoning Board? 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? --- 012 If "no," please give details below: Will you be able to faithfully att nVnetings of the board as required by Section 62-126 of the Miami City Code? G Will you be able to attend Planning �d Zoning seminars as required by Section 62-124 of the Miami City Code?� <forms>pz application ! 11/12/99' 2 C7 • 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 c Office of the City Clerk 3500 Pan American Drive Miami, Florida 33133 Date: , a member of or doara) 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 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: �Z-> 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 %iami limits. My businaddr ss is: Signature 00- X26 Page: 1 Document Name: itled PNLE ARPS PROPERTY SYSTEM - PROPERTY NAME / LEGAL INQUIRY (32) 45 DATE: 12/27/1999 13:38: FOLIO NO: 01-4104-012-0130 LEGAL ADDR: 2759 NW 6 ST GRP -FOLIO: PROP ADDR: 2759 NW 6 ST CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 01 OWNER NAME AND ADDRESS VALUE HISTORY NEY D RODRIGUEZ &W CARIDAD C YEAR: 1998 1999 2759 NW 6 ST LAND: 44,095 44,095 MIAMI FLA BLDG: 62,982 64,741 TOTAL: 107,077 108,836 ZIP: 331254325 HEX: 25,000 25,000 WVDS: 500 500 LEGAL DESCRIPTION TOTEX: 25,500 25,500 GROSSE POINTE HIGHLANDS PB 34-82 NONEX: 81,577 83,336 LOT 21 BLK 1 GRSS TX: 1,739 1,845 LOT SIZE 65.000 X 116 CNTY TX: 1,077 1,218 CITY TX: 662 626 SALE AMT: SALE DATE: SALE TYPE: NEXT FOLIO KEY: NEXT ADDRESS KEY: 41040120130 ACTION: 1 -CONTINUE ACTION: 01 Window ARPSWIN/1 at PRODUCTION XMIT: TAI 4 22 Pg=1 FORM RCV L Date: 12/27/99 Time: 1:48:13PM F 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 Zoning Class Present Use SAMPLE ENTRY: L=Legal W=Wholly E=Equitable P=In Part Lot 7, Primrose Section 4, PB 52 437 Northeast 5411 Street L W R-1 Home 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. Share/sanmel/legal descriplinn dI)c • • NAME: (Please Print) TITLE/POSITION WITH CITY OF MIAMI NAME OF BOARD/COMMITTEE (If Applicable) SIGNATURE: DATE: State of Florida On this the day of 19 before me, County of ___, the undersigned Notary Public of the State of Florida, the foregoing instrument was acknowledged by NOTARY PUBLIC SEAL OF OFFICE: (Name of person signing and his/her title (public olTicer, trustee or personal representative) WITNESS rpy hand and official seal. NOTARY PUBLIC, STATE OF FLORIDA (Name of Notary Public: Print, Stamp, or Type as Commissioned) ❑ Personally known to me, or ❑ Produced identification: (Type of Identification Produced) ❑ DID take an oath, or ❑ DID NOT take an oath Share/sanmel/legal descriplinn dI)c • • CITY OF MIAMI, FLORIDA S'I ATEMEN"r Or COR/'ORA7'G REAL PROPERTY (IN CONFORMANCE WITI I SEC. 2-615 OF 'rHE CITY CODE) Legal Desctiptiott Conmion Address Title . -SANHILL LN l RY: Seven I'atk Inc. � Owned L—Legal W=Whop y ZoningClass Present Use Lot 32-131k 12 Miami, - E=Equitable P=1n Part North 13/46 852 Norlheasl 7't' Street 1. W RG -2 Parkinp Lot OATH -- , do solemnly swear that the above is a true and accurate -statement of corporate real property in which I have a controlling interest or to which I am an officer, accepting such real property located more than 500 feet outside the municipal limits of the CrrY OF MIAMI, NAME; (Please Print) T'I"I'1.E/l'OSIT-ION WI'flI CITY OI' MIAMI - NAMI? Of 130ARU/COMMIT"f Eli (If Applicable) . SIGNATURE: State of Florida On this the day of I9 before me, _ _, . the undersigned Notary Public of the State of Florida, the foregoing instrument County,of _. was acknowledged by NOTARY PUDI-IC ^, ' SEAL OF OFFICE: (Name of person signing and his/her title -- (public officer, trustee or personal representative) wrrN1:SS my hand and official seal. NOTARY PUBLIC, STATE OF FI.ORIDA (Name of Notary Public: Print, Stamp, or Type as Commissioned) O Personally known to me; -or- 11 Produced identification: (Type of Identification Produced) O DID take an oath; or 11 DID NOT take an oath • CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING:BOARD NAME: /,� V c.r/ U .0 RESIDENCE ADDRESS: A, - HOME PHONE: gp4�'- :416--O7 /79 BUSINESS PHONE: 4 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: E T /p, (Company Name) BUSINESS ADDRESS: k/. X Are you an employee of Miami=Dade County or any municipality therein other than the City of Miami? /11Y/`) Would you like to serve on the Planning Advisory Board? Would you like to serve on the Zoning Board? 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? 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? ' .g S Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? yr,�:7 S <forms>pz application 11/12/99— �'� Do you foresee any conflicts,of interest as defined in Miami Citv Code Article V. Sections 2-611 - 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 corporately 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: Are you..a United States citizen? Are you presently indebted to the City of Miami `for any real or personal property tax, licensefee, or property lien? If "yes," give details: Signature.:.- Date: . D.3 - <forms>pz application .11/.12/99 • 0 CI'T'Y 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: c%'3 - l> 4f':.9 o (name of board) ,e--/ / /)2 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. C. I presently reside in the City of Miami at the following address: 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 work within City of Miami limits. MY business address is: Signature 4yu— Q U 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 Zoning Class Present Use SAMPLE ENTRY: L=Legal W=Wholly E=Equitable. _P=In-Part Lot 7, Primrose Section 4, PB 52 - 437 Northeast 54'h Street L W R-1 Home 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). J7N .6 E �� �/ / '/' Ap TITLE/POSITION WIT" CITY OFMIAMi NAME OF BOARD/COMMITTEE (If Applicable) .v ' . D �., ell i SIGNATURE: �'Z e'P_ DATE:. Stale of Florida On this the day of49,.before me, the undersigned Notary Public of the State of Florida, the foregoing instrument County of Y��C1Li1�tQ was a wledged b NOTARY PUBLIC SEAL OF OFFICE: (Name of person signing and his/her title (p blic officer, tdAtee or ersonal representative) WITNESS my hand and official seal. C4raY PGe!/;OFIAL NOTARY SEAL EEN OAMASOC77)NOTARY PUBLIC, STATE OF FLORIDAISSION NUMBER of Notary Public: Print, Stamp, or Typ CC908333(Name Io IBES Personally known to me; or O.31 2003 ❑ Produced identification: (Type of Identification Produced) ❑ DID take an oath, or ❑ DID NOT take an oath Share/samucl/legal dcscrip ion.doc. . CITY OF MIAMI, FLORIDA -STATEMENT OF CORPORATE REAL PROPERTY (IN CONFORMANCE WITH SEC. 2-615 OF TILE CITY COD1) Legal Description Common Address Title SAMI'I.L LNTRY: Owned Zoning Class Present Use Seven Park Inc. L=Legal W=Wholly Lot'32 131k 12 Miami, E=Equitable P=1n Part North 13/46 852 Northeast 7"' Street I. W RG -2 Parkine Lot OATH I' ,, 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: (['lease Print) TITLE/POSITION WITH CITY OI' MIAMI NAMI, OF BOARD/COMMITTEE (If Applicahle) _ SIGNATURE: DATE: Slate of Florida On this the day of 19 _, before me, the undersigned Notary Public of the State of Florida, the foregoing instrument County of was acknowledged by NOTARY PUBLIC SEAL OF OFFICE: (Name of person signing and his/her title (public officer, trustee or personal represen(ative) WITNESS my hand and official seal. NOTARY PUCO BLIC, STATE OF FLORIDA (Name of Notary Public: Print, Stamp, or Type as Commissioned) s ❑ Personally known to me, or ❑ Produced identification: ❑ DID lake an oath, or (Type of Identification Produced) 0 DID NOT lake an oath • v s