Loading...
HomeMy WebLinkAboutSubstitution Memo from Planning DirectorCITY OF MIAMI, FLORIDA INTER -OFFICE MEMORANDUM TO: Arthur Noriega V, City Manager DATE: October 23, 2023 SUBJECT: Substitution of PZ.9 — Development Agreement 4218 NE 2 Ave FROM: Lakisha Hull, AICP, LEED AP BD+C Director, Planning Department ENCLOSURE: Supporting Documents The purpose of this Substitution Memorandum for Item PZ_9 on the October 26, 2023 City Commission Agenda is to update the 326-page Supporting Document titled "d. 14839 — Supporting Documents,' on the October 26, 2023 City Commission Agenda, to replace with a 76-page document as enclosed. The enclosure includes lobbyist registration forms. acknowledgement by applicant, disclosures of ownerships, affidavit of authority to act, confirmation of 500' radius map for public hearing noticing, fees paid, and no open code violations. Upon approval, the complete 76-page Supporting Document for the above -referenced Development Agreement will be provided to the City Clerk's Office for distribution to the Mayor and all Commissioners. Approved: Arthur Nega V, City Manager i483c1 Ss1ji0nM40 front Director i SKETCH & LEGAL DESCRIPTION EXHIBIT "A" PROPERTY ADDRESS: 4218 NE 2 AVENUE, MIAMI, FLORIDA 33137 Folio// 01-3124-024-0940 4240 NE 2 AVENUE, MIAMI, FLORIDA 33137 Folio# 01-3124--024-0950 4200 NE 2 AVENUE, MIAMI, FLORIDA 33137 Folio# 01-3124-024-0930 RECEIVED 2013 OCT 26 AN 8: 33 LICE O Y OF el PSlCLER LEGAL DESCRIPTION: Lots 1, 2, 3 and 4, LESS the East 5 feet thereof and all of Lot 24, in Block 5, of "BILTMORE", according to the Plot thereof, as recorded in Plat Book 6, Page 57, of the Public Records of Miami —Dade County, Florida. SURVEYOR'S NOTES: 1) This is not a BOUNDARY SURVEY, but only a GRAPHIC DEPICTION of the description shown hereon, 2) Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper Additions or deletions to survey maps or reports by other than the signing party or parties are prohibited without written consent of the signing party or parties. 3 There may be additional Restrictions not shown on this survey that may be found in the Public Records of this County, Examination of ABSTRACT OF TITLE will have to be made to determine recorded instruments, if any affecting this property. 4) No Title search has been performed to determine if there are any conflict existing or arising out of the creation of the Easements, Right of Ways, Parcel Descriptions, or any ether type of encumbrances that the herein described legal may be utilized for. �) The North arrow and bearings shown hereon are based on aforementioned recorded plat, SURVEYOR'S CERTIFICATE: I Hereby Certify to the best of my knowledge and belief that this drawing is o true and correct representation of the SKET F- .AHD LEG .-L JESC PIr T,CH of the real property described hereon. I further certify that this survey was prepared in accordance with the applicable provisions of Chapter 5J-17, Florida Administrative Code. isCOY' 4=001137'. LB /7282 LAND ■URVCYDRO, INC. JACOB GOMIS Date: September 28, 2023 Professional Surveyor & Mapper Job Number; RP23-1296 Stott of Florida Reg. No. 6231 6175 NW 153rd STREET SUITE 321, MIAMI LAKES, FL 33014 PHONE: 305-822-6062 ' FAX: 305-827-9669 NOTE: This Sketch is NOT A BOUNDARY SURVEY, This Document is not kill and complete without all Sheets, Containing o total of (2) Sheet Page 1 of 2 SKETCH & LEGAL DESCRIPTION EXHIBIT "A" SCALE: 1" = 401 LEGEND -•----- = CENTERLINE -r A *CMS' Ig PLAT KO PA 67 LOT-5 11-001-6 50.00' •DL1w06C PLAT BOOK 6, PAGE 67 LOT 44. 6LA0C-6 Cif d Krinr N.E. 43rd 81.90' STREET vuicer PLAT eocK 6. PAGE 67 LOT-4, BLOO{-6 'SL1110RE. PLAT SOCK 6, PACE 67 LOT-3. 131-46-6 (AREA = 25,212.5 SQUARE FEET +/—) 'F�TIIoIlE' PLAT 9OOK 6. PACE 67 101-2. BLOCX-1 1=25.00' A 53'08'23" A=23.19' J 'BLnLO6r PLAT BOOK 6. PACE 67 LOT -I, 6L00C-6 �. 360 l R=25.04' 6=53137'18" l' A� 23.18',I wrn- N.E. 42nd STREET 4 _ _� RCIV LB J7282 LA NO i6.6RVE193 INC. 6175 NW 153rd STREET SUITE 321, MIAMI LAKES, FL 33014 PHONE: 305-822-6062 * FA) 305-827-9669 Date: September 28, 2023 Job Number: RP23-1296 NOTE: This Sketch Is NOT A BOUNDARY SURVEY. This Document is not full and complete without all Sheets, Containing a total of (2) Sheet Page 2 of 2 ACKNOWLEDGEMENT BY APPLICANT 1. The Department of Resilience and Public Works, Transportation, Ccordinated Review Committee and other City and County agencies review zoning public hearing requests and provide input, which may affect the scheduling and outcome of my hearing. These reviews may require additional hearings before other City and County boards, which may result in the modification of plans, studies and/or the proffering of agreements to be recorded. The submission and acceptance of a request for public hearing means that the application is ready to be scheduled for public hearing. I am also aware that I must comply promptly with any City or County conditions and notify the Hearing Boards (Hearing Boards) in writing if my public hearing application will be withdrawn. 2. Filing fees may not be the total cost of a hearing. Some requests require notices to be mailed to property owners up to a rnile from the subject property and I am responsible for paying the additional radius mailing costs. In addition to mating costs, 1 am responsible for additional fees related to application changes, plan revisions, deferrals, re -advertising, etc. that may be incurred. i understand that fees must be paid promptly. The only fees that will be refunded after the submission and acceptance of an application for public hearing has occurred will be the surcharge fees related to appeals, as expressly listed in Chapter 62 of the City Code (Code). 3. Requests for public hearing will be scheduled by the Hearing Boards in accordance with the scheduling timeline set forth in the Code and the Zoning Ordinance of the City of Miami (Miami 21), as applicable. I must submit any requests to reschedule, continue or defer my hearing date to the attention of the decision -making body for its consideration and vote at the public hearing on which my application is scheduled to be heard. I understand that any requests by the applicant to reschedule, continue or defer the hearing date that are granted shall incur a $1,000.00 fee, as per the Code. 4. Applicable Florida Building Code requirements, or other applicable requirements, may affect my ability to obtain a building permit even if my zoning application is approved: and a building permit will probably be required. 1 am responsible for obtaining any required permits and inspections for all structures and additions proposed, or built, without permits. in addition, a Certificate of Use (C.U.) must be obtained for the use of the property after it has been approved at a zoning public hearing. Failure to obtain the required permits and/or C.U., Certificates of Completion (C.C.), or Certificate of Occupancy (C.O.) will result in an enforcement action against any occupant and owner. Submittal of the zoning public hearing request may not forestall enforcement action against the property. 5. If my request is denied, deferred, or otherwise not approved. 1 understand that I will not be reimbursed for any fees paid. 6. Any requests by the applicant to reschedule. continue or defer the hearing date that are granted shall incur a $1,000.00 fee, as per the Code. 7. Any covenant to be voluntarily proffered must be submitted in word format to the Planning Department and to the Office of the City Attorney through ePlan for review and comments from the Planning Department, Office of the City Attorney, and any other City departments as deemed necessary. The covenant will be reviewed in ePlan and the applicant will be notified of any necessary changes, corrections or comments through ePlan. Once the covenant receives a recommendation of approval from the Planning department and as to legal form, Hearing Boards staff will extract the approved covenant directly from ePlan to Include as part of the agenda. The applicant is responsible to submit to the Hearing Boards the signed covenant with a current Opinion of Title no later than two (2) weeks prior to the initial public hearing. I understand that any requests by the applicant to reschedule, continue or defer the hearing date that are granted shall incur a $1,000.00 fee, per instance, as per the Code. AcknowGedgment by Applicant updated 08.13.2020 PageI of OD 420,0 LLC 8, Any and all documents submitted must be accompanied by a cover letter indicating the subject matter, application number and hearing date. DD 4200 LLC Applicant(s) Name Printed ApplIcani(sJSIgnaiutane d Date STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me by means of fl physical presence or 0 online notarization, this , 20 by acknowledging),, who is personally known to me or who has produced identification. (name of person as [Notary Seal] Notary Public Name typea, printed or stamped My Commission Expires: STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me by means of 0 physical presence or 0 online notarization, this 20 by (name of officer or agent, title of officer or agent), of (narne of corporation acknowledging), a State of Florida corporation, on behalf of the corporation. He/she is personally known to me or has produced as identification. [Notary Seal] Notary Public Name typed, printed or stamped My Commission Expires: Acknowledgment by Applicant Updated 08.13.2020 Page 2 of s STATE OF FLORIDA COUNTY OF MIAMI-DADS The foregoing instrument was acknowledged before me by means of, physical presenceorD online notarization, this Se 4 \ e.. 4 , 2023 by Pr1 S f g 1 F(ZeC•1Cen ` lidi1/446 Geeerra (name of member, manager, officer or agent, title of member, manager, officer or agent), AS At'a 3�` Zed S i //14"1 y of CID 4200 LLC (name of company acknowledging), a State of Florida limited liability company, on behalf of the company„ who is personally known to me or has produced as identification. [Notary Sealj Notary Fabric Name typed, printed or stamped My Commission Expires: -(4' STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me by means of 0 physical presence or 0 online notarization, this 20by (name of acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a partnership. He/she is personally known to me or has produced as identifimtion. [Notary Seal] Notary Public Name typed, printed or stamped My Commission Expires: Acknow'edgrrrent by Applicant Jpdated Oa.13.2020 Page 3 or 4 ACKNOWLEDGEMENT BY APPLICANT 1. The Department of Resilience and Public Works, Transportation, Coordinated Review Committee and other City and County agencies review zoning public hearing requests and provide input, which may affect the scheduling and outcome of my hearing. These reviews may require additional hearings before other City and County boards, which may result in the modification of plans, studies and/or the proffering of agreerrents to be recorded. The submission and acceptance of a request for public hearing means that the application is ready to be scheduled for public hearing. I am also aware that I must comply promptly with any City or County conditions and notify the Hearing Boards (Hearing Boards) In writing if my public hearing application will be withdrawn. 2. Filing fees may not be the total cost of a hearing. Borne requests require notices to be malted to property owners up to a mile from the subject property and I am responsible For paying the additional radius mailing costs. In addition to mailing costs, 1 am responsible far additional fees related to application changes, plan revisions, deferrals, re -advertising, etc. that may be incurred. I understand that fees must be paid promptly. The cniy fees that will be refunded after the submission and acceptance of an application for public hearing has occurred will be the surcharge fees related to appeals, as expressly listed in Chapter 62 of the City Code (Code). 3. Requests for public hearing will be scheduled by the Hearing Boards in accordance with the scheduling timeline set forth in the Code and the Zoning Ordinance of the City of Miami (Miami 21), as applicable, l must submit any requests to reschedule, continue or defer n-y hearing date to the attention of the decision -making body for its consideration and vote at the public hearing on which my application is scheduled to be heard. I understand that any requests by the applicant to reschedule, continue or defer the hearing date that are granted shall incur a $1,000.00 fee, as per the Code. 4. Applicable Florida Building Code requirements, or other applicable requirements, may affect my ability to obtain a building permit even if my zoning application is approved, and a building permit will probably be required. I am responsible for obtaining any required permits and inspections for all structures and additions proposed, or built, without permits. In addition, a Certificate of Use (C.U.) must be obtained for the use of the property after it has been approved at a zoning public hearing. Failure to obtain the required permits and/or C.IJ.,, Certificates of Completion (C.C.), or Certificate of Occupancy (C.O.) will result in an enforcement action against any occupant and owner. Submittal of the zoning public hearing request may not forestall enforcement action against the property. 5. If my request is denied, deferred. or otherwise not approved, I understand that i will not be reimbursed for any fees paid. 6. Any requests by the applicant to reschedule, oontinue or defer the hearing date that are granted shall incur a $1,000.00 fee, as per the Code. 7. Any covenant to be voluntarily proffered must be submitted in word format to the Planning Department and to the Office of the City Attorney throt.tgh ePlan fnr review and comments from the Planning Department, Office of the City Attorney, and any other City departments as deemed necessary. The covenant will be reviewed in ePlan and the applicant will be notified of any necessary changes, corrections or comments through ePlan. Once the covenant receives a recommendation of approval from the Planning department and as to legal form, Hearing Boards staff will extract the approved covenant directly from ePlan to include as part of the agenda. The applicant is responsible to submit to the Hearing Boards the signed covenant with a current Opinion of Title no later than two (2) weeks prior to the initial public hearing. I understand that any requests by the applicant to reschedule, continue or defer the hearing date that are granted shall incur a $1,000.00 fee, per instance, as per the Code. Acknowledgment ay Appbcarrr Updated O8.132o20 Page 1 014 Flagle- Holding Group Inc. 8. Any and ail documents submitted must be accompanied by a cover letter indicating the subject matter, application number and hearing date. Ffagler Holding Group Inc. Applicants) Name Printed Applicant(s) Signature and Date STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me by means of 0 physical presence or 0 online notarization, this , 20 by (name of person acknowledging), who is personally known to me or who has produced as identification. [Notary Seal] Notary Public Name typed, printed or stamped My Commission Expires: STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me by means of M physical presence or 0 online notarization, this September 15 2023 by Ricardo Dunin, President or agent, title of officer or agent), of Hagler Holding Group Inc. (name of officer (name of corporation acknowledging), a State of Florida corporation, on behalf of the corporation. Helshe is personally known to me or has produced as identification. [Notary Seal] Acknowledgment by Applicant Updated 08.13.2020 Page 2 old ,uelSwiYrro,, r'f r, cc. MY COMMISSION EXPIRES 2-2-2026. s tips:= pQ s �'i rY OF FL ;�ti,.•`` • �I„„,•„„ 1FI r 110.010 Notary Public Lori Buckler Name typed, printed or stamped My Commission Expires: 21212026 Note: Annual Registration Expires on 12/31/2023 CITY OF MIAMI LOBBYIST REGISTRATION FORM Instructions: Please complete all sections of this form and submit the completed form, with the applicable fcc(s), to the Office of the City Clerk, If you need mare space to complete a section, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you :oust type or print "None" or "N/A" in that section. IF ANY SECTION IS LEFT BLANK, THE FORM WILL NOT BE ACCEPTED. Important: 1t is the responsibility of the lobbyist to ensure that ALL active lobbyist registration forms, Including active lobbyist registration forms submitted in previous years, remain up-to-date. (I) Lobbyist Name; Torres -Toledo, Cecilia (Last Name, First Name, Middle Initial) Are you a Principal of the corporation, partnership, trust, etc.? YES NO (you must check YES or NO) Business Phone: 305-374-5600 Email; cecilia.torres-toledo@akerman.com akerman.com Business Address (Include zip Code): SE 7 Street, Suite 1100, Miami, FL 33131 (2) Principal Represented: 4200 DD LLC (Name of corporation, partnership, mist, etc., you arc representing) Business Address (include Zip Code): 4218. N E 2nd Avenue, 2nd Floor Miami, Florida 33137 (3) IF YOU PROVIDED INFORMATION IN SECTION 2 ABOVE, PLEASE REVIEW .THIS SECTION CAREFULLY. If a lobbyist represents a corporation, partnership or trust, the lobbyist must'disclosthe nave and business address of the chief officer, partner or beneficiary of the corporation, partnership or trust, and the names and addresses of all persons holding, directly or Indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust. Attach separate sheet if needed. If this section Is not apnlfcab1e you must type or print "None" or "NIA". See attached (4) Specific issue associated with lobbying. Describe with as much detail as Is practical. Attach a separate sheet if needed. if you are using this form for your Annual Registration, please write "Annual Registration" and the year that you are registering for (ex: Annual Registration 2023). Land use and zoning issues related to 4218 NE 2nd Avenue, 4200 NE 2nd Avenue, 4240 NE 2nd Avenue and 171 NE 42nd Street Page I of 2 Office of the City Cleric, 3500 Ann American Drive, Miami, FL 33133 / Phone: (305) 250-5361 / Email: clerics rr miamigov.com CM-LRF (Rev. 12/2022) (5) Lobbyists shall he required to state the existence of any direct or indirect business association, partnership, or financial relationship with the Mayor, any member of the City Commission, any member of a City board, the City Manager or a member of the City staff before whom he/she lobbies or intends to lobby. Attach separate sheet If needed. If this section is not applicable you must type or print "None" or "N/A". N/A Lobbyists, as defined in City Code Section 2-653, shall pay an annual registration fee of $525.00, plus $I05,00 for each principal represented for each issue lobbied on behalf of any one principal. Each issue associated with lobbying shall be described with as much detail as is practical. The City Clerk, or the City Clerk's designee, shall reject any registration statement that does not provide a clear description of the specific issue on which such lobbyist has been retained to lobby or if any section of this form is left blank. Regardless of the date of the annual registration, all lobbyists' annual registrations shall expire December 31 of each calendar year and shall be renewed on a calendar year basis. Each lobbyist shall, within sixty (60) days after registering as a lobbyist, submit to the Office of the City Clerk a certificate of completion of an ethics course offered by the Miami -Dade County Commission on Ethics & Public Trust ("Ethics Commission"). Lobbyists who have completed the initial ethics course mandated by the preceding sentence and have continuously registered as a lobbyist thereafter shall be required to complete a refresher ethics course offered by the Ethics Commission every two (2) years, Each lobbyist who has completed a refresher ethics course shall submit a certificate of completion within sixty (60) days after registering as a lobbyist. I do solemnly swear that all of the foregoing facts are true and correct, and I have read or ani familiar with the provisions contained in Chapter 2, Article VI, Sections 2-651 through Z-658 of the Miami City Code, as amended. STATE OF Florida COUNTY OF + f j'boa- hoct~. Sworn to (or affirmed) and subscribed before me by means o Signature of Lobbyist physical presence or ❑online notarization, this I day 5 rY iaer AO by 'C eCi t TO SS led° (Month[ Signature of r Lary ; bIic (Year) (Name of person making statement) Personally Known: 47 OR Produced Identification: Type of Identification Produced: nia rib, Gonzalez, Name of Notary Typed, Printed or Stamped (NOTARY SEAL) LIMA GONZALEZ • * Comeluion g oG 34402 FOR OFFICE USE ONLY: Check # Receipt ti CM•LRF (Rev. 12/2022) Page 2 of 2 Attachment to Disclosure of Ownership DD 4200 LLC Percentage of Ownership: 100% by 4200 NE 2" Avenue Investors LLC, which is owned as follows: 0.130% by 4200 NE 2"' Avenue Ventures LLC which is owned as follows: 33.333% by entities owned by Allison Greenfield 33.333% by Lionheart Management, LLC 33.333% by Well -Duo LLC 95.528% by Wellmeaning-INNL Qualified Opportunity Zone Fund I LLC 4.342% by Well -Duo Opportunity Zone Vintage Fund I LLC Subject Property Address: 4200 NE 2nd Avenue Folio: 01-3124-024-0930 Lot 1, less the East 5 feet thereof, Block 6, of BrLTM©RE, according to the Plat thereof, as recorded in Plat Book 6, at Page 67, of the Public Records of Miami -Dade County, Florida. 4240 NE 2nd Avenue Folio: 01-3124-024-0950 Lot 4, less the East 5 feet thereof, in Block 6, BILTMORE, according to the Plat thereof, as recorded in Plat Book 6, at Page 67, of the Public Records of Miami -Dade County, Florida. Note: Annual Registration Expires an 12/31/2023 CITY OF MIAMI LOBBYIST REGISTRATION FORM Instructions: Please complete all sections of this form and submit the completed form, with the applicable fec(s), to the Office of the City Clerk, If you need more space to complete a section, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must type or print "None" or "NIA" In that section. IF ANY SECTION IS LEFT BLANK, THE FORM WILL NOT BE ACCEPTED. Important: It is the responsibility of the lobbyist to ensure that ALL active lobbyist registration forms, including active lobbyist registration forms submitted in previous years, remain up-to-date. (I) Lobbyist Name: Amuial, Marissa R. (Last Name, First Name, Middle Initial) Are you ai Principal of the corporation, partnership, trust, etc.? ',Esc!NO l ' 1 (you must check YES or NO) Business Phone: 305-374-5600 Email: marissa.amuial@akerman.com Business Address (include Zip Cade): 98 S E 7 Street, Suite 1100, Miami, FL 33131 (2) Principal Represented: 4200 DD LLC (Name of corporation, partnership, trust, etc., you are representing) (3) Business Address (include zip Cade): 4218 NE 2nd Avenue, 2nd Floor Miami, Florida 33137 IF YOU PROVIDED INFORMATION IN SECTION 2 ABOVE, PLEASE REVIEW 'THIS SECTION CAREFULLY. If a lobbyist represents a corporation, partnership or trust, the lobbyist must disclose the nante and business address of the chief officer, partner or beneficiary of the corporation, partnership or trust, and the names and addresses of all persons holding, directly or indirectly, at least live percent (5%) ownership interest in said corporation, partnership or trust. Attach separate sheet if needed. If this section is not applicable you must type or print ''None" or "N/A". See attached (4) Specific Issue associated with lobbying. Describe with as much detail as is practical. Attach a -separate sheet if needed. If you are using this form for your Annual Registration, please write "Annual Registration" and the year that you are registering for (ex: Annual Registration 2023). Land use and zoning issues related to 4218 NE 2nd Avenue, 4200 NE 2nd Avenue, 4240 NE 2nd Avenue and 171 NE 42nd Street Page 1 of 2 Once of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 / Phone: (305) 250-5361 I Email: clerks r[timiamigov.cam CM-LRF (Rev. 12/2022) (5) Lobbyists shall be required to state the existence of any direct or indirect business association, partnership, or financial relationship with the Mayor, any member of the City Commission, any member of a City board, the City Manager or a member of the City staff before whore he/she lobbies or intends to lobby. Attach separate sheet if needed. If this section is not applicable you must type or print "None" or "N/A". Lobbyists, as defined in City Code Section 2-653, shall pay an annual registration fee of $525.00, plus $105.00 for each principal represented for each issue lobbied on behalf of any one principal. Each issue associated with lobbying shall be described with as much detail as is practical. The City Clerk, or the City Clerk's designee, shall reject any registration statement that does not provide a clear description of the specific issue on which such lobbyist has been retained to lobby or if any section of this form is left blank. Regardless of the date of the annual registration, all lobbyists' annual registrations shall expire December 31 of each calendar year and shall be renewed on a calendar year basis. Each lobbyist shall, within sixty (60) days after registering as a Lobbyist, submit to the Office of the City Clerk a certificate of completion of an ethics coarse offered by the Miami -Dade County Commission on Ethics & Public Trust ("Ethics Commission"). Lobbyists who have completed the initial ethics course mandated by the preceding sentence and have continuously registered as a lobbyist thereafter shall be required to complete a refresher ethics course offered by the Ethics Commission every two (2) years. Each lobbyist who has completed a refresher ethics course shall submit a certificate of completion within sixty (60) days after registering as a lobbyist. I do solemnly swear that all of the foregoing facts are true and correct, and l have read or am familiar with the provisions contained in Chapter 2, Article VI, Sections 2-651 through 2-658 of the Miami Cry Code, as amended. STATE OF COUNTY OF �+ i - Dade {) t4,02 Signature of Lobbyist .s— Sworn to (or affirmed) and subscribed before me by means of physical presence or Donline notarization, th apkern r (Month) Signature o o'.a ubiic 3.3 ,by (Year) Marls G,. Anui a day Personally Known: OR Produced tdenGfication: (Name of person making statement) Thrl to Come Z Type of identification Produced: Name of Notary Typed, Printed or Stamped (NOTARY SEAL) osrRY S( M�tARIAGONZALEZ + . 1 * Commission t GG 318492 Expires October 22, 2023 or F ScrdrdnwBudge*InSo FOR OFFICE USE ONLY: Check t Receipt # CM-LRF (Rev. 12/2022) Page 2 of 2 Attachment to Disclosure of Ownership DD 4200 LLC Percentage of Ownership: 100% by 4200 NE 2" d Avenue investors LLC, which is owned as follows: 0.130% by 4200 NE 2"`' Avenue Ventures LLC which is owned as follows: 33.333% by entities owned by Allison Greenfield 33.333% by Lionheart Management, LLC 33.333% by Well -Duo LLC 95.528% by Wellmeaning-INNL Qualified Opportunity Zone Fund I LLC 4.342% by Well -Duo Opportunity Zone Vintage Fund 1 LLC Subject Property Address: 4200 NE Znd Avenue Folio: 01-3124-024-0930 Lot 1, less the East 5 feet thereof, Block 6, of BILTMORE, according to the Plat thereof, as recorded in Plat Book 6, at Page 67, of the Public Records of Miami -Dade County, Florida. 4240 NE 2nd Avenue Folio: 01.3124.024-0950 Lot 4, less the East 5 feet thereof, in Block 6, BILTMORE, according to the Plat thereof, as recorded in Plat Book 6, at Page 67, of the Public Records of Miami -Dade County, Florida. Note: Annual Registration Expires an 12/31/2023 CITY OF MIAMI LOBBYIST REGISTRATION FORM Instructions: Please complete all sections of this forth and submit the completed form, with the applicable fee(s), to the Office of the City Clerk. If you need more space to complete a section, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must type or print "None" or "N/A" in that section. IF ANY SECTION IS LEFT BLANK, THE FORM WILL NOT BE ACCEPTED. Important: It is the responsibility of the lobbyist to ensure that ALL active lobbyist registration forms, including active lobbyist registration forms submitted in previous years, remain up-to-date. (1) Lobbyist Name: Kasdin, Nelsen O. (Last Name, First Nutnc, Middle Initial) Are you a Principal of the corporation, partnership, trust, etc.? YES E NO [1 (you roust check YES or NO) Business Phone: 305-374-5600 Email: neisen.kasdin@akerman.com flusiness Address (include Zip Code) 98 SE 7 Street, Suite 1100, Miami, FL 33131 (2) Principal Represented: (3) 4200 DD LLC (Name of corporation, partnership, truss, etc„ you are representing) Business Address (include Zip Code): 4218 N E 2nd Avenue, 2nd Floor Miami, Florida 33137 IF Von PROVIDED INFORMATION IN SECTION 2 ABOVE, PLEASE REVIEW THIS SECTION CAREFULLY. If a lobbyist represents a corporation, partnership or trust, the lobbyist must disclose the name and business address of the chief officer, partner or beneficiary of the corporation, partnership or trust, and the names and addresses of all persons holding, directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust. Attach separate sheet if needed. If this section is not applicable you must type or print *'None" or "N/A". - - See attached (4) Specific issue associated with lobbying. Describe with as much detail as ispracticai. Attach a sepaii`ate sheet if needed. If you are using this form for your Annual Registration, please write "Annual Registration" and the year that you are registering for (ex: Annual Registration 2023). Land use and zoning issues related to 4218 NE 2nd Avenue, 4200 NE 2nd Avenue, 4240 NE 2nd Avenue and 171 NE 42nd Street Page 1 of 2 Office of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 / Phone: (305) 250-5361 / Email: clerks@miamigov.com CM-LRF (Rev. 12/2022) (5) Lobbyists shall be required to state the existence of any direct or indirect business association, partnership, or financial relationship with the Mayor, any member of the City Commission, any member of a City board, the City Manager or a member of the City staff before whom he/she lobbies or intends to lobby. Attach separate sheet if needed. If this section is not applicable you must type or print "None" or "NIA". None. Lobbyists, as defined in City Code Section 2-653, shall pay an annual registration fee of 5525.00, plus 5105.00 for each principal represented for each issue lobbied on behalf of any one principal. Each issue associated with lobbying shall be described with as much detail as is practical. The City Clerk, or the City Clerk's designee, shall reject any registration statement that does not provide a clear description of the specific issue on which such lobbyist has been retained to lobby or if any section of this form is left blank. Regardless of the date of the annual registration, all lobbyists' annual registrations shall expire December 31 of each calendar year and shall be renewed on a calendar year basis. Each lobbyist shall, within sixty (60) days after registering as a lobbyist, submit to the Office of the City Clerk a certificate of completion of an ethics course offered by the Miami -Dade County Commission on Ethics & Public Trust ("Ethics Commission"). Lobbyists who have completed the initial ethics course mandated by the preceding sentence and have continuously registered as a lobbyist thereafter shall be required to complete a refresher ethics course offered by the Ethics Commission every two (2) years. Each lobbyist who has completed a refresher ethics course shall submit a certificate of completion within sixty (60) days after registering as a lobbyist. I do solemnly swear that all of the foregoing facts are true and correct, and I have read or am familiar with the provisions contained in Chapter 2, Article VI, Sections 2-651 through 2-658 of the lama City Code, as amended. 5i ature of Lobbyist STATE OF Florida Miami -Dade COUNTY OF Sworn to (or affirmed) and subscribed before me by means of Elphysical presence or n online notarization, this •13 day of SCP)fentlX{ 2023 , by Nelsen 0. Kasdin (Month) (Year) (Name of person making statement) Signature of No Personally Known: Type of Identification Produced: OR Produced Identification: nelar i l�l + 01171.E I Z Name of Notary Typed, Printed or Stamped (NOTARY SEAL) �!�`. MARIAGONZALEZ Amir• Caffinisalaft t GG 348492 ' i ee E October22, Maofe eor+IrdllnilhAtititiowySinkiss FOR OFFICE USE ONLY: Check # Receipt # CM-LRF (Rev, 11/2021) Page 2 of 2 Attachment to Disclosure of Ownership DO 4200 LLC Percentage of Ownership: 100% by 4200 NE 2nd Avenue Investors LLC, which is owned as follows: 0.130% by 4200 NE 2nd Avenue Ventures LLC which is owned as follows: 33.333% by entities owned by Allison Greenfield 33.333% by Lionheart Management, LLC 33.333%® by Well -Duo LLC 95.528% by Wellrneaning-INNL Qualified Opportunity Zone Fund I LLC 4.342% by Well -Duo Opportunity Zone Vintage Fund ! LLC Subject Property Address: 4200 NE 2nd Avenue Folio: 01-3124-024-0930 Lot 1, less the East 5 feet thereof, Block. 6, of BILTMQRE, according to the Plat thereof, as recorded in Plat Book 6, at Page 67, of the Public Records of Miami -Dade County, Florida. 4240 NE 2nd Avenue Folio: 01-3124-024-0950 Lot 4, less the East 5 feet thereof, in Block 6, BILTMORE, according to the Plat thereof, as recorded in Plat Book 6, at Page 67, of the Public Records of Miami -Dade County, Florida. Note: Annual Registration, Expires on 12/31/2023 CITY OF MIAM1 LOBBYIST REGISTRATION FORM Instructions: Please complete all sections of this form and submit the completed forth, with the applicable fee(s), to the Office of the City Clerk. If you need more spaceto complete a section, use a separate sheet(s) of paper. if you have nothing to report in a particular section, you must type or print "None" or "N/A" in that section. IF ANY SECTION IS LEFT BLANK, THE FORM WILL NOT BE ACCEPTED. Important: It is the responsibility of the lobbyist to ensure that ALL active lobbyist registration forms, including active lobbyist registration forms submitted in previous years, remain up-to-date. (1) Lobbyist Name: Torres -Toledo, Cecilia (Last Name, First Na nc. Middle Initial) Are you a Principal of the corporation, partnership, trust, etc.? YES 7 NO Business Phone: 305-982-5547 nu must check YES or NO) Email: cecilia.torres-toledo@akerman.com Business Address (include Zip Code): 98 SE 7 Street, Suite 1 100 Miami, Florida 33131 (2) Principal Represented: FLAGLER HOLDING GROUP, INC (3) (Name of corporation, partnership, trust, etc., you are representing) Business Address (include Zip Code): 4218 NE 2nd Avenue, 2nd Floor MIAMI, FL 33137 IF YOU PROVIDED INFORMATION _ IN SECTION 2 ABOVE. PLEASE REVIEW THIS .SECTION CAREFULLY. I f a lobbyist represents a corporation, partnership or trust, the lobbyist must.c)Iscloselhe narie and business address of the chief officer, partner or beneficiary of the corporation, partnership or trusi, and the names and addresses of all persons holding, directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust. Attach separate sheet If needed. If this section is not applicable you must type or print "None" or "N/A". - Ophir Sternberg, Manager of Lionheart Management LLC,-.421:- Ricardo Dunin, President of Flagler Holding Group, Irio.,c4218 (4) Specific issue associated with lobbying. Describe with as much detail as is practical. Attach a separate sheet if needed. If you are using this form for your Annual Registration, please write "Annual Registration" and the year that you are registering for (ex: Annual Registration 2023), Land use and zoning issues related to 4218 NE 2nd Avenue Page t of 2 Office of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 / Phone: (305) 230-5361 / Entail: clerksJtniamigov.cor CM-LRF (Rev, 12/2022) (5) Lobbyists shall be required to state the existence of any direct or indirect business association, partnership, or financial relationship with the Mayor, any member of the City Commission, any member of a Clty hoard, the City Manager or a member of the City staff before whore he/she lobbies or Intends to lobby. Attach separate sheet if needed. If this section is not applicable you must hype or print "None" or "NIA". NJA 1obbyists, as defined in City Code Section 2-653, shall pay an annual registration fee of S525.00, plus $105.00 for each principal represented for each issue lobbied on behalf of any one principal. Eaelr issue associated with lobbying shall be described with as much detail as is practical. The City Clerk, or the City Clerk's designee, shall reject any registration statement that does not provide a clear description of the specific issue on which such lobbyist has been retained to lobby nr if any section of this form is left blank. Regardless of the date of the annual registration, all lobbyists' annual registrations shall expire December 31 of each calendar year and shall be renewed on a calendar year basis. I:ach lobbyist shall, within sixty (60) days after registering as a lobbyist, submit to the Office of the City Clerk a certificate of completion of an ethics course offered by the Miami -Dade County Commission on Ethics & Public Trust (`Ethics Commission"). Lobbyists who have completed the initial ethics course 'mandated by the preceding sentence and have continuously registered as u lobbyist thereafter shall be required to complete a refresher ethics course offered by the Ethics Commission every two (2) years. Each lobbyist who has completed a refresher ethics course shall submit a certificate of completion within sixty (60) days after registering as a lobbyist. 1 du solemnly swear that all of the foregoing facts are true and correct, and I have read or am familiar with the provisions contained in Chapter 2, Article VI, Sections 2-651 through 2-658 of the Mianri City Code, as amended. STATE OF i•_r f tit Ca__ COUNTY OF ,• i! I J;• Clti.1 Sworn to (or affirmed) and subscribed before me by means of nF • r • G:° t" (Month) f ' r.. by Signature gRf"Lobl l.?. _ yslcal presence or Eoniine notaritatiot►,.this 1001 14,1rej• 1 le..40 al (Year) (Name of person making statement) Signature of Nafxry Public . ) Personally Known' OR Produced Identificalion• Type of Identification Produced: ) .11,l I 1 " LT 1-? l 14.4.1.1 L-- FOR OFFICE USE ONLY: Check W Name of Notary Typed, Printed or Stamped (NOTARY SEAL) MAMA GONZAt. Comrrfsefon N GG 3tt492 j Expires October 22, 2023 0r Fto+ mood ran, g„py«Hahvr SHypy Receipt a CM•LRF (Rev 12/2022) Page 2 of 2 Note: Annual Registration Expires on 12/31/2023 CITY OF MIAMI LOBBYIST REGISTRATION FORM Instructions: Please complete all sections of this form and submit the completed forth, with the applicable fee(s), to the Office of the City Clerk. If you need more space to complete a section, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must type or print "None" or "N/A" in that section. IF ANY SECTION IS LEFT BLANK, TUE FORM WILL NOT BE ACCEPTED. Important: It is the responsibility of the lobbyist to ensure that ALL active lobbyist registration forms, including active lobbyist registration forms submitted in previous years, remain up-to-date. (1) Lobbyist Name: Marissa Amuial (Last Name, First Name, Middle Initial) Are you a Principal of the corporation, partnership, trust, etc.? YES [1 NO (vou must check YES or NO) Business Phone: 305-374w5500 Email: marissa.amuial@akerrnan.com Business Address (include Zip Cade): 98 SE 7 Street, Suite 1 100 Miami, Florida 33131 (2) Principal Represented: FLAGLER HOLDING GROUP, INC (3) (Name of corporation, partnership, trust, etc., you are repre'cnting) Business Address (include lip Cade): 4218 NE 2nd Avenue, 2nd Floor MIAMI, FL 33137 IF YOU PROVIDED INFORMATION IN SECTION 2 ABOVE, PLEASE REVIEW THIS SECTION CAREFULLY. If a lobbyist represents a corporation, partnership or trust, the lobbyist niusdisclose the name and business address of the chief officer, partner or beneficiary of the corporation, partners% oaust, and the names and addresses of all persons holding, directly or indirectly, at Ieast five percent (5°wngshi interest in said corporation, partnership or trust. Attach separate sheet if needed. If this section ot4pli' le you must typk^ or print "None" or "N/A". cp4 -- t fir, Ophir Sternberg, Manager of Lionheart Managemer JJ.C, 4#!18 Ricardo Dunin, President of Flagler Holding Group Jrv., 4218 x Crf (4) Specific issue associated with lobbying. Describe with as much detail as is practical. Attach a separate sheet if needed. If you are using this form for your Annual Registration, please write "Annual Registration" and the year that you are registering for (ex: Annual Registration 2023). Land use and zoning issues related to 4218 NE 2nd Avenue Page 1 of 2 Office of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 / Phone: (305) 250-5361 / Email: clerks@miamigov.com CM-LRF (Rev. 12/2022) (5) Lobbyists shall be required to state the existence of any direct or indirect business association, partnership, or financial relationship with the Mayor, any member of the City Commission, any member of a City board, the City Manager or a member of the City staff before whore he/she lobbies or intends to lobby. Attach separate sheet if needed. If this section is not applicable you must type or print "None" or "N/A". nla Lobbyists, as defined in City Code Section 2-653, shall pay an annual registration Tee of $525.00, plus $105.00 for each principal represented for each issue lobbied on behalf of any one principal. Each issue associated with lobbying shall be described with as much detail as is practical. The City Clerk, or the City Clerk's designee, shall reject any registration statement that does not provide a clear description of the specific issue on which such lobbyist has been retained to lobby or if any section of this form is left blank. Regardless of the date of the annual registration, all lobbyists' annual registrations shall expire December 31 of each calendar year and shall be renewed on a calendar year basis. Each lobbyist shall, within sixty (60) days after registering as a lobbyist, submit to the Office of the City Clerk a certificate of completion of an ethics course offered by the Miami -Dade County Commission on Ethics & Public Trust ("Ethics Commission"). Lobbyists who have completed the initial ethics course mandated by the preceding sentence and have continuously registered as a lobbyist thereafter shall be required to complete a refresher ethics course offered by the Ethics Commission every two (2) years. Each lobbyist who has completed jefresher ethics course shalt submit a certificate of completion within sixty (60) days after registering as a lobbyt. cp.. -rs rri l do solemnly swear that all of the foregoing facts are true and correct, and 1 have read o fin fRibilki,witii the provisions contained in Chapter 2, Article VI, Sections 2-651 through 2-658 of the Miami Citydade, aratn led. ca CD Signature of Lobbyist STATEOF Florida COUNTY OF Miami -Dade sworn to (or affirmed) and subscribed before me by means of of Irl (Month) 2023 (Year) Signature a No ublic Personally Known: physical presence or ®online notarization, this IC) day by Marissa Amuia! OR Produced Identification: (Name of person making statement) ril9r6 tZ 2Q! 2- Name of Notary Typed, Printed or Stamped (NOTARY SEAL) 4p1 , , MARIA GONZAl.EZ Commission % GO 348492 Type of Identification Produced: � � Expires 0ctober22, 2023 f00. Banded MN kVA Notary $01*.f. FOR OFFICE USE ONLY: Check tt Receipt # CM-tRF (Rev. 12/2022) Page 2 of 2 Note:,Annual Registration Expires on 12/31/2023 CITY OF MIAMI LOBBYIST REGISTRATION FORM Instructions: Please complete all sections of this form and submit the completed form, with the applicable fce(s), to the Office of the City CIerk. If you need more space to complete a section, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must type or print "None" or "N/A" in that section. IF ANY SECTION IS LEFT BLANK, THE FORM WILL NOT BE ACCEPTED. Important: It is the responsibility of the lobbyist to ensure that ALL active lobbyist registration forms, including active lobbyist registration forms submitted in previous years, remain up-to-date. (1) Lobbyist Name: Nelsen Kasdin (Last Name, First Name, Middle Initial) Are you a Principal of the corporation, partnership, trust, etc.? YES PI NO (von must check 1'ES car NO) Business Phone: 305-374-5600 Email: neisen.kasdin akerman.cam 98 SE 7 Street, Suite 1100 Business Address (include Zip Code): Miami, Florida 33131 (2) Principal Represented: FLAGLER HOLDING GROUP INC (Name of -corporation, partnership, trust, etc., you are representing) 421Business Address (include Zip Code): 8 nd Avenue, 2nd Floes MIAMI, FL 33137 -<- (3) IF YOU PROVIDED INFORMATION IN SECTION 2 ABOVE, PLEASE REtr'[1 ` 'tl ION CAREFULLY. If a lobbyist represents a corporation, partnership or trust, the lobbyist muiq digose the name and business address of the chief officer, partner or beneficiary of the corporation, partnersWp oUtrust, and the names and addresses of all persons holding, directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust. Attach separate sheet if needed. If this section is not applicable von must type or print "None" or "NIA", Ophir Sternberg, Manager of Lionheart Management LLC, 4218 Ricardo Dunin, President of Flagler Holding Group, Inc., 4218 (4) Specific issue associated with lobbying. Describe with as much detail as is practical. Attach a separate sheet if needed. If you are using this forma for your Annual Registration, please write "Annual Registration" and the year that you are registering for (ex: Annual Registration 2023). Land use and zoning issues related to 4218 NE 2nd Avenue Page 1 of 2 Office of the City Clerk. 3500 Pan American Drive, Miami, FL 33I33 / Phone: (305) 250-536t / Email: cierks@miamigov.com CM-i.RF (Rev. 12/2022) (5) Lobbyists shall be required to state the existence of any direct or indirect business association, partnership, or financial relationship with the Mayor, any member of the City Commission, any member of a City board, the City Manager or a member of the City staff before whom he/she lobbies or intends to lobby. Attach separate sheet if needed. If this section is not applicable you roust type or print "None" or "N/A". nla Lobbyists, as defined in City Code Section 2-653, shall pay an annual registration fee of $525.00, plus $105.00 for each principal represented for each issue lobbied on behalf of any one principal, Each issue associated with lobbying shall be described with as much detail as is practical. The City Clerk, or the City Clerk's designee, shall reject any registration statement that does not provide a clear description of the specific issue on which such lobbyist has been retained to lobby or if any section of this form is left blank. Regardless of the date of the annual registration, all lobbyists' annual registrations shall expire December 31 of each calendar year and shall be renewed en a calendar year basis. Each lobbyist shall, within sixty (60) days after registering as a lobbyist, submit to the Office of the City Clerk a certificate of completion of an ethics course offered by the Miami -Dade County Commission on Ethics & Public Trust ("Ethics Commission"). Lobbyists who have completed the initial ethics course mandated by the preceding sentence and have continuously registered as a lobbyist thereafter shall be required to complete a refresher ethics course offered by the Ethics Commission every two (2) years. Each lobbyist who has completed a refresher ethics course shall submit a certificate of completion within sixty (60) days after registering as a lobbyist. n r.a -,n es 1 do solemnly swear that all of the foregoing facts are true and correct, and 1 have read or ail fa"` iar with the provisions contained in Chapter 2, Article VI, Sections 2-651 through 11658 of the Miami City Qgt, a re ed. _'i i 5TATEOF Florida COUNTY OF Miami -Dade f ; Signature of LobbyisE—c Sworn to (or affirmed) and subscribed before me by means of U physical presence or of Apr; l 2023 (Year) (Month) Signature of IQbtaf ?blic r c.� C) 0i online notarization, this 6 day ,by Nelsen Kasdin Personally Known: OR Produced Identification: Type of Identification Produced: FOR OFFICE USE ONLY: Check # CM-t RF (Rev. 12/2022) Page 2 of 2 (Name of person making statement) Name of Notary Typed, Printed or Stamped Receiptf# (NOTARY SEAL) HARK GONZALEEZ Commission rt GG 343492 Expires AFFIDAVIT OF AUTHORITY TO ACT Before me this day, the undersigned personally appeared Allison Greenfield as Authorized signatory of OD 4200 LLC who being by me first deposes and says: 1, That he/she is the owner or the legal representative of the owner, submitting the public hearing application as required by the Code of the City of Miami, Florida, affecting the real property located in the City of Miami, as listed on the foregoing pages. 2. That all owners who he/she represents, if any, have given his/her full and complete permission for him/her to act in his/her behalf for the change or modification of a classification or regulation of zoning as set out in the foregoing petition, El including or 0 not including responses to day-to-day City staff inquires. 3. That the foregoing and following pages are part of this affidavit and contain the current names, mailing addresses, telephone numbers and legal descriptions of the real property of which he/she is the owner or legal representative. 4. That the facts, as represented in the application and documents submitted in conjunction with this affidavit, are true and correct, 5. That a refund, if any, by the City is to be issued to the following person al the address indicated: clo Lionheart Capital, LLC 200 VV. Cyprus Creek Blvd, Ft. Lauderdale, FL 33309 Further Affiant sayeth not. Allison Greenfield as Authorized Signatory of DD 4200 LL.0 Applicant(s) Name Printed Applicant(s) Signature STATE OF FLORIDA -- COUNTY OF MINA-❑ADE The foregoing was acknowledged before me this (`f day of September 20 23 by Allison Greenfield as Authorized Signatory who is a(n) individual/partner/agent/corporation of btu 4200 LLC a(n) individual/partnership/corporation. He/She is E personally known to me or 0 who has produced — as identification and who 0 did M did not take an oath. (Stamp) i41511f iellllle ljeeee�//� 'I S 9k7,, r MY COMMISSION EXPIRES 6-21-2026 . __ � OF F1 Q,, �� , Olifell+�111V1i1k,° A Signature AFFIDAVIT OF AUTHORITY TO ACT Ricardo Dunin, President of Flagler Bolding Group, Inc. who being by me first deposes and says: 1. That he/she is the owner or the legal representative of the owner, submitting the public hearing application as required by the Code of the City of Miami, Florida, affecting the real property located in the City of Miami, as listed on the foregoing pages. 2. That all owners who he/she represents, if any, have given his/her full and complete permission for him/her to act in his/her behalf for the change or modification of a classification or regulation of zoning as set out in the foregoing petition, ® including or ❑ not including responses to day-to-day City staff inquires. 3. That the foregoing and following pages are part of this affidavit and contain the current names, mailing addresses, telephone numbers and legal descriptions of the real property of which he/she is the owner or legal representative. 4. That the facts, as represented in the application and documents submitted in conjunction with this affidavit, are true and correct. 5. That a refund, if any, by the City is to be issued to the following person at the address indicated: c/o Lionheart Capital 200 W. Cypress Creek Bfvd., Ft. Lauderdale FL 33309 Further Affiant sayeth not. Ricardo Dunin, President Applicant(s) Name Printed Applicant(s) Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this 15 day of September 20 23 f by Ricardo Dunin, President who is a(n) individual/partner/agent/corporation of Fiagier Holding Group, Inc. a(n) individual/partnership/corporation. He/She is Opersonally known to me or Dwho has produced as identification and who ['did X did not take an oath. (Stamp) rtv. 10-l8 CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO SUPPORT OR WITHHOLD OBJECTION The City of Miami requires any person or entity requesting approval relief or other action from the City Commission or any of its boards, authorities, agencies, councils or committees, to disclose at the commencement (or continuance) of the hearing(s) on the issue, any consideration provided or committed, directly or on its behalf, to any entity or person for an agreement to support or withhold objection to the requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation, fee, commission, promise or grant of any money, property, service, credit or financial assistance of any kind or value, whether direct or implied, or any promise or agreement to provide any of the foregoing in the future. Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2- 653, and appearing before the City Commission or any of its boards, authorities, agencies, councils or committees solely in the capacity of a lobbyist and not as the applicant, or owners' legal representative are not required to fill out this form. Name: First Name: Middle Name: Last Name: Hoare Address: Home Address Line 1: Home Address Line 2: City: State: Florida Zip: Contact Information: Home Phone Number: Cell Phone Number: Fax Number: Email: BUSSINESS or APPLICANT or ENTITY NAME DD 4200 LLC Address Line : 200 Cypress Creek Blvd. Address Line 2: Ft. Lauderdale, FL 33309 Doc. No.:86543 Page 1 of 3 CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO SUPPORT OR WITHHOLD OBJECTION Please describe the issue for which you are seeking approval, relief or other action from the City Commission, board, authority, agency, council, or committee. First Amendrrent to the Flagler Development Agreement Has any consideration been provided or committed, directly or on your behalf, to any entity or person for an agreement to support or withhold objection to the requested approval, relief or action? No If your answer to Question 2 is No, do not answer questions 3, 4 & 5 proceed to read and execute the Acknowledgment. If your answer to Question 2 is Yes,, please answer questions 3, 4 & 5 and read and execute the Acknowledgement. 1. Please provide the name, address and phone number of the person(s) or entities to whom consideration has been provided or committed. • Name of Person/Entity: • Phone Number of PersonlEntity: • Address of Person/Entity: 2. Please describe the nature of the consideration 3. Describe what is being requested in exchange for the consideration. Doc. No.:86543 Page 2 of 3 CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO SUPPORT OR WITHHOLD OBJECTION ACKNOWLEDGEMENT OF COMPLIANCE I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent the disclosure requirements of Ordinance 12918 and such circumvention shall be deemed a violation of the Ordinance; and that in addition to the criminal or civil penalties that may be imposed under the City Code, upon determination by the City Commission that the foregoing disclosure requirement was not fully and timely satisfied the following may occur: 1. the application or order, as applicable, shall be deemed void without further force or effect; and 2. no application from any person or entity for the same issue shall be reviewed or considered by the applicable board(s) until expiration of a period of one year after the nullification of the application or order. PERSON SUBMITTING DISCLOSURE: Authorized Signatory Print Name Allison. Greenfield as _for DD 4200 LLC Signature Sworn to and subscribed before me this /4 day of September 20023 The foregoing instrument was acknowledged before me byAlilson Greenfied as Authorized Signatory, who has produced as identification and or is personalty known to me nd who did STATE OF FLORIDA [C1I,pTY[OF[+MIJA` M�lf/}MY COMMISSION EXPIRES: f „ c2 } � 6 *It`N5551I i11111171f1y1j/ iiL 1 S. 0'I,,, N� hYAtj-cto MY COMMISSION I= EXPIRES 6-21-2026 90 sP rfr/664'; Ails ................. WiU R,II \\���� c 1!le111Al11i11.{LIII Doc. No.:86543 Page 3 of 3 CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO SUPPORT OR WITHHOLD OBJECTION The City of Miami requires any person or entity requesting approval relief or other action from the City Commission or any of its boards, authorities, agencies, councils or committees, to disclose at the commencement (or continuance) of the hearing(s) on the issue, any consideration provided or committed, directly or on its behalf, to any entity or person for an agreement to support or withhold objection to the requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation, fee, commission, promise or grant of any money, property, service, credit or financial assistance of any kind or value, whether direct or implied, or any promise or agreement to provide any of the foregoing in the future. Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2- 653, and appearing before the City Commission or any of its boards, authorities, agencies, councils or committees solely in the capacity of a lobbyist and not as the applicant, or owners' legal representative are not required to fill out this form. Name: First Narne: Middle Name: Last Name: Home Address: Home Address Line 1: Home Address Line 2: City: State: Florida Zip: Contact Information: Home Phone Number: Cell Phone Number: Fax Number: Email: BUSSINESS or APPLICANT or ENTITY NAME Flagler Holding Group Inc. Address Line 1: 3326 Mary Street Address Line 2: Miami, Florida 33133 Doc. No.:86543 Page 1 of 3 CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO SUPPORT OR WITHHOLD OBJECTION Please describe the issue for which you are seeking approval, relief or other action from the City Commission, board, authority, agency, council, or committee. First Amendment to the Hagler Development Agreement Has any consideration been provided or committed, directly or on your behalf, to any entity or person for an agreement to support or withhold objection to the requested approval, relief or action? No if your answer to Question 2 is No, do not answer questions 3, 4 & 5 proceed to read and execute the Acknowledgment. if your answer to Question 2 is Yes, please answer questions 3, 4 & 5 and read and execute the Acknowledgement. 1. Please provide the name, address and phone number of the person(s) or entities to whom consideration has been provided or committed. • Name of Person/Entity: ■ Phone Number of Person/Entity: • Address of Person/Entity: 2. Please describe the nature of the consideration 3. Describe what is being requested in exchange for the consideration. Doc. No.:86543 Page 2 of 3 CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO SUPPORT OR WITHHOLD OBJECTION ACKNOWLEDGEMENT OF COMPLIANCE I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent the disclosure requirements of Ordinance 12918 and such circumvention shall be deemed a violation of the Ordinance; and that in addition to the criminal or civil penalties that may be imposed under the City Code, upon determination by the City Commission that the foregoing disclosure requirement was not fully and timely satisfied the following may occur: 1. the application or order, as applicable, shall be deemed void without further force or effect; and 2. no application from any person or entity for the same issue shall be reviewed or considered by the applicable board(s) until expiration of a period of one year after the nullification of the application or order. PERSON SUBMITTING DISCLOSURE: Print Name Ricardo Dunin as President of Flagler Holding Group Inc. Signature Sworn to and subscribed before me this 15th day of September 2023 The foregoing instrument was acknowledged before me. by Ricardo Dunin who has produced did/did not take an oath. STATE OF FLORIDA CITY OF MIAMI MY COMMISSION EXPIRES: 01,0017111}IIY fm}/y/// / / �,•p1tBtJC1!'14 40, sa`� PPAYF4 'ss rL;: MY COMMISSION EXPIRES 2.2-2026 flyPPly I! 1!}YIIIL44l as identification and/or is personally known to me and who Doc. No.:86543 Page 3 of 3 DISCLOSURE OF OWNERSHIP List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires all parties making any presentation, formal reques: or petition to the City Commission or any City board with respect to any real property to make full disclosure, in writing, of all parties having a financial interest, either direct or indirect, in the subject matter of said presentation, formal request or petition. Such disclosure shall include, but not be limited to, disclosure of all natural persons having an ownership interest, direct or indirect, in the subject real property. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Narne(s) DO 4200 LLC Percentage of Ownership See attached Subject Property Address(es) See attached List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): See attached Legal Description(s): See attached , Owner(s) or Attorney Name Owner(s) or Attorney Signature) STATE OF FLORIDA - COUNTY OF MIAMI-DADE The foregoing was acknowledged before met is )44 cay of September 2023 , by itirsof,1 gaee.r e l,t As Au- 0e.,-zed silnilfoity -,)‹ _ who is a(n) individual/partner/agent/cor oration of LID 4200 LLC J a(n) �� Illil�•n !{r, I I individual/partnership/corporation. He/She is personally known to ms4, ?. b� ,Qroduced as identification and who Cl did .clic p e aft, oath. 0 '. , 01,aik 9n _ .,. MY COMMISSION EXPIRES , c zt 2a2E . Signature '11, '•;;'; Stamp) $...*: ,�- Rev. 10-1S 'Ii+'/AAlti{ � Nc\o° Attachment to Disclosure of Ownership DO 4200 LLC Percentage of Ownership: 100% by 4200 NE 2" Avenue Investors LLC, which is owned as follows: 0.130% by 4200 NE 2"a Avenue Ventures LLC which is owned as follows: 33,333% by entities owned by Allison Greenfield 33.333% by Llonheart Management, LLC 33.333% by Well -Duo LLC 95.528% by Wellmeaning-INNL Qualified Opportunity Zone Fund 1 LLC 4.342% by Well -Duo Opportunity Zone Vintage Fund I LLC Subject Property Address: 4200 NE 2nd Avenue Folio: 01-3124-024-0930 Lot 1, less the East 5 feet thereof, Block 6, of BILTMORE, according to the Plat thereof, as recorded in Plat Book 6, at Page 67, of the Public Records of Miami -Dade County, Florida. 4240 NE 2nd Avenue Folio: 01-3124-024-0950 Lot 4, less the East 5 feet thereof, in Block 6, BILTMORE, according to the Plat thereof, as recorded In Nat Book 6, at Page 67, of the Public Records of Miami -Dade County, Florida. as Rcv. 10-18 DISCLOSURE OF OWNERSHIP List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires all parties making any presentation, formal request or petition to the City Commission or any City board with respect to any real property to make full disclosure, In writing, of a!I parties having a financial interest, either direct or indirect, in the subject matter of said presentation, formal request or petition. Such disclosure shall include, but not be limited to, disclosure of ail natural persons having an ownership interest, direct or indirect, in the subject real property. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(s) Flagler Holding Group Inc. Percentage of Ownership See attached Subject Property Address(es) See attached List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question 41 above. Please supply additional lists, if necessary. Street Address(es): See attached Legal Description(s): See attached Ricardo Dunin Owner(s) or Attorney Name Owner(s) or Attorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this 15th day of September 2023 20 23 by Ricardo Dunin who is a(n) individual/partner/agent/corporation of Flagler Holding Group 'man) individual/ partnership/corporation. He/She is ❑Xpersonalty known to me or ❑who h9,0018+F''`���. identification and who ❑did IgJdid not tali" a8••t�t 'Q ( r � • MY COMMISSION EXPIRES 2-2-2026 # toss • •. tP �q�t;. ;Ys ,s,••:' OF F�LO �'`7�'I.a Attachment to Disclosure of Ownership Flagler Holding Group, Inc. Percentage of Ownership; 100% by Ricardo Dunin Subject Property Addresses; 4218 NE 2nd Avenue Folio No, 01-3124-024-0440 BILTMORE SUB pB 6-67 Lot 2, 3 and 24, Block 6 State of Florida Department of State I certify from the records of this office that DD 4200 LLC is a limited liability company organized under the laws of the State of Florida, filed on November 10, 2022. The document number of this limited liability company is L22000483891. I further certify that said limited liability company has paid all fees due this office through December 31, 2023, that its most recent annual report was filed on March 13, 2023, and that its status is active. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twelfth day of September, 2023 Secretary of fate Tracking Number: 8361082949CU To authenticate this certificate,visit the following site,enter this number, and then follow the instructions displayed. https:lls ervi ces.s u n b iz.o rg/FilingssCertiftcateof statu sICertificatcAu the n tic a ti on State of Florida Department of State I certify from the records of this office that FLAGLER HOLDING GROUP, INC, is a corporation organized under the laws of the State of Florida, filed on December 18, 1998. The document number of this corporation is P98000105383. I further certify that said corporation has paid all fees due this office through December 31, 2023, that its most recent annual report/uniform business report was filed on April 11, 2023, and that its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of the Stale of Florida at Tallahassee, the Capital, this the Twelfth day of September, 2023 & "miry of Late Tracking Number! 0791404051CU To authenticate this certificate,visit the following site,enter this number, and then follow the instructions displayed- https :lls ere i cc s.su n biz.orgfF'ilings/Ce rtificateOfS tat u sfC a rtifi c a teA u then ticatio n WRITTEN CONSENT OF DD 4200 LLC The undersigned, being the authorized signatory of DD 4200 LLC, a Florida limited liability company (the "Company"), does hereby consent and agree to the adoption of, and does hereby adopt, the following resolutions of the Company in lieu of holding a meeting in accordance with the governing documents of the Company, and directs that these resolutions be filed in the records of the Company: WHEREAS, in regard to the Company's property at 4200 NE 2"d Avenue and 4240 NE 2nd Avenue in Miami, Florida, the undersigned authorized signatory deems it advisable and in the best interests of the Company for the Company to join in and submit an application to the City of Miami seeking approval of amendments to the Miami Design District Retail Street Special Area Plan and relevant associated development agreements generally prepared in accordance with the application forms published by the City of Miami (collectively, the "Application");. and WHEREAS, in connection with the preparation, filing and formal review and processing of the Application, including without limitation the execution and delivery of any and all documents and forms required for the Application, the undersigned authorized signatory deems it advisable and in the best interests of the Company for the Company to grant Neisen Kasdin, Esq., Marissa Amuial, Esq. and Cecilia Torres -Toledo, Esq. a power of attorney pursuant to that certain Power of Attorney attached hereto as Exhibit A (the "Power of Attorney"). NOW THEREFORE, BE IT RESOLVED, that the Application and the Power of Attorney are hereby authorized, approved, adopted, confirmed and ratified in all respects; FURTHER RESOLVED, that any member, President, officer or other authorized representative of the Company (each being referred to herein as an "Authorized Person"), be and hereby is, authorized and empowered to execute and deliver on behalf of the Company any and all agreements, instruments, certificates or documents necessary to consummate or effectuate the Application and the Power of Attorney, in the name and on behalf of the Company; FURTHER RESOLVED, any Authorized Person is hereby authorized, empowered and directed, in the name and on behalf of the Company to make or cause to be made, and to execute and deliver, all such agreements, documents, instruments and certifications, and to do or cause to be done all such acts and things, and to take all such steps, as he or she may at any time or times deem necessary or desirable in order to carry out the intent and purposes of the foregoing resolutions; and FURTHER RESOLVED, that the authorities and approvals hereby conferred shall be deemed retroactive, and any and all acts authorized and approved herein that were performed prior to the passage of this resolution be, and they hereby are, approved, ratified and confirmed in all respects. (Signature on following page] 72685313;1 IN WITNESS WHEREOF, the undersigned has executed this Written Consent as of the 14 day of Seplerrlber, 2023. ]JD 4200 LLC By: 7 r Name: Alli�san Gieeenfi i Title: Authorized Signatory 72686313;1 EXIIIBIT A POWER OF ATTORNEY 726R6313,1 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that DD 4200 LLC, a Florida limited liability company, has made, constituted and appointed, and by these presents do make, constitute and appoint NEISEN KASDIN, ESQ., MARISSA AMUTAL, ESQ., and CECILIA TORRES- TOLEDO, ESQ. its true and lawful attorneys in its stead to execute all documents and instruments required with respect to applications for the property located at 4200 NE 2nd Avenue and 4240 NE 2nd Avenue in .Miami, Florida in the City of Miami, submitted to the City of Miami Planning Department, giving and granting unto NEISEN KASDIN, ESQ., MARISSA AMUTAL, ESQ., and CECILIA TORRES-TOLEDO, ESQ. its said attorneys, full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done with respect to the aforementioned applications as fuI1y, to all intents and purposes, as it might or could do if personally present (including, without limitation, preparing, executing and filing all documents and applications), with full power of substitution and revocation, hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof. IN WITNESS WHEREOF, I have hereunto set my/our hand(s) and seal(s) this 14 day of September 2023. Signed and delivered in the presence of: I r N \ec - l�snn &field...._ Title: Authorized Signatory-- STATE OF FLORIDA ) )SS: COUNTY OF MIAMI-DADE ) The foregoing instrument was acknowledged before me this r II day of September, 2023, by Allison Greenfield as Authorized Signatory of DD 4200 LLC, who appeared by means of [ X J physical presence or [ I online notarization, and is [X I personally known to me [ ] or who has produced a as identification. `• 01.0,H I IINIIIIy jX', _ .1di- NOTARY PUBLIC Print Name: 4426 S. '414 My commission expires: (r- --' �qa)•4 111 l .. L1 14. `q1 Y MYCQMMISsjoN I= g EXPIRES 6-21-2026 - sn 0,0 ... 41' 72686313;1 WRITTEN CONSENT OF FLACLER HOLDING GROUP, INC. The undersigned, being President of FLAGLER HOLDING GROUP, INC., a Florida corporation (the "Company"), does hereby consent and agree to the adoption of, and does hereby adopt, the following resolutions of the Company in lieu of holding a meeting in accordance with the governing documents of the Company, and directs that these resolutions be filed in the records of the Company: WHEREAS, in regard to the Company's property at 4218 NE 2 Avenue in Miami, Florida, the undersigned President deems it advisable and in the best interests of the Company for the Company to join in and submit an application to the City of Miami seeking approval of amendments to the Miami Design District Retail Street Special Area Plan and relevant associated development agreements generally prepared in accordance with the application forms published by the City of Miami (collectively, the "Application"); and WHEREAS, in connection with the preparation, filing and formal review and processing of the .Application, including without limitation the execution and delivery of any and all documents and forms required for the Application, the undersigned President deems it advisable and in the best interests of the Company for the Company to grant Nelsen Kasdin, Esq., Marissa Arnuial, Esq. and Cecilia Tones -Toledo, Esq. a power of attorney pursuant to that certain Power of Attorney attached hereto as Exhibit A (the Tower of Attorney"). NOW THEREFORE, BE IT RESOLVED, that the Application and the Power of Attorney are hereby authorized, approved, adopted, confirmed and ratified in all respects; FURTHER RESOLVED, that any member, President, officer or other authorized representative of the Company (each being referred to herein as au "Authorized Person" ), be and hereby is, authorized and empowered to execute and deliver on behalf of the Company any and all agreements, instruments, certificates or documents necessary to consummate or effectuate the Application and the Power of Attorney, in the name and on behalf of the Company; FURTHER RESOLVED, any Authorized Person is hereby authorized, empowered and directed, in the name and on behalf of the Company to make or cause to be made, and to execute and deliver, all such agreements, documents, instruments and certifications, and to do or cause to be done all such acts and things, and to take all such steps, as he or she may at any time or times deem necessary or desirable in order to carry out the intent and purposes of the foregoing resolutions; and FURTHER RESOLVED, that the authorities and approvals hereby conferred shall be deemed retroactive, and any and all acts authorized and approved herein that were performed prior to the passage of this resolution be, and they hereby are, approved, ratified and confirmed in all respects, fSignature on following page] 7O593697;1 IN WITNESS WHEREOF, the undersigned has executed this WIittcn Consent as of the . i day of May, 2023. FLAGLER HOLDING GROUP, INC. By: c . _ Ricardo Dunin, President 70593497;1 EXHIBIT A POWER OF ATTORNEY 70593697;1 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that FLAGLER HOLDING GROUP, INC., a Florida company, has made, constituted and appointed, and by these presents do make, constitute and appoint NEISEN KASDIN, ESQ., MARISSA AMUI.AL, ESQ., and CECILIA TORRES-TOLEDO, ESQ. its true and lawful attorneys in its stead to execute all documents and instruments required with respect to applications for the property located at 4218 NE 2 Ave in the City of Miami, submitted to the City of Miami Planning Department, giving and granting unto NEISEN ICASDLN, ESQ., MARISSA AMUIAL, ESQ., and CECILIA TORRES-TOLEDO, ESQ. its said attorneys, full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done with respect to the aforementioned applications as fully, to all intents and purposes, as it might or could do if personally present (including, without limitation, preparing, executing and filing all documents and applications), with full power of substitution and revocation, hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof. IN WITNESS WHEREOF, I have hereunto set my/our hand(s) and seal(s) this -`1 day of May 2023. Signed and delivered in the presence of: Wi ss: Lar' Buckler Witness: n Hoyos STATE OF FLORIDA COUNTY OF MIAMI-DADS } )SS: } FLAGLER HOLDING GROUP, INC. By: • - Ricardo Mania, President The foregoing instillment was acknowledged before me this 14 day of May, 2023, by Ricardo Dunin, as President of FLAGLER HOLDING GROUP, INC., who appeared by means of [ X ] physical presence or [ ] online notarization, and is [ X ] personally known to me [ ] or who has produced a _ as identification. NOTARY PUBLIC Print Narne: Karla Rooks My commission expires: 10/19/2026 70593697;1 Notary Public Stale of Florida 11111 Maria Pooh de Castillo My Commlallon ►1M 37104 Expires t0i1912o28 Sworn to an ul s ii �G' e b rneans of X physical presence OR online notarization this � day of _Signatary Ofbb i LLC. DISCLOSURE AFFIDAVIT OF NO MONIES DUE TO THE CITY (gag f fflig_tnit r .,r 03-05-2021 In accordance with Section 2-208 of the Code of the City of Miami, Florida, as amended, ("City Code") titled, "New permits prohibited, non- homestead properties", permits shall not be issued for a non -homestead property with any outstanding code enforcement violations, building violations, or any relevant city lien or invoice due and owing to the City- Permits required to cure life safety issues, permits which are required to bring outstanding violations into compliance, or permits for any properties owned by a governmental entity are exempted from this prohibition. Each owner for each address listed as a party to the application needs to sign and submit this disclosure/affidavit If an omission is the result of City of Miami oversight, then the City wilt notify the applicant and provide time for the applicant to resolve the issue within ninety (90) days. The project can be terminated by the City of Miami after the 90'" day. Note: If you are a lessee on City of Miami -owned property, you must contact the Department of Real Estate and Asset Management to have this form completed by an authorized person. Name (title and name of entity as well, if applicable): Allfson Greenfield as Authorized Signatory of DO 4200 LLC Address/ City / State / Zip: 4200 NE 2 Avenue, Miami FL 33197 Phone No:. 305-982-5614 Email: marissa.amuial@akerman.com Allison Greenfield as Authorized Signatory,of DD 4200 L.LC hereby certify that all the addresses listed on this application are (please check one of the following): ( 1 homestead properties. [X] non -homestead properties, and that there are no open code enforcement violations, building violations, City liens, or invoices due and owing to the City on any of the addresses listed on this application. l certify that any City of Miami covenants on the properties are in full compliance and no associated monies due to the City. I certify there are no past due rent payments or associated interest due to the City for any of the addresses listed on this application. [ ] non -homestead properties that have open code enforcement violations, building violations, City liens, and/or invoices due and owing to the City. Please explain (required): I understand this application shall be terminated after ninety (90) days should any of the addresses listed on this application be found to not be in compliance with Section 2-208 of the City Code or with any covenant conditions attached to the land. -t'w112 ignaturel{thci,Prtspe y �v�rler Date } State of Florida } County of Miami -pad . S,M7jflj���ri r S 4,,E 20 2 G' '•, 1, Allison Greenfield as Authorized penally known or Produced Identification ( 3 Ai vie �hf Identigcatia+► .oducEd_. /�i Q) Page 1 of 1 DISCLOSURE AFFIDAVIT OF NO MONIES DUE TO THE CITY 03 05.2021 in accordance with Section 2-208 of the Code of the City of Miami, Florida, as amended, ("City Cade") titled, "New permits prohibited, non- homestead properties", permits shall not be issued for a non -homestead property with any outstanding code enforcement violations, building violations, or any relevant city lien or invoice due and owing to the City. Permits required to cure life safety issues, permits which are required to bring outstanding violations into compliance, or permits for any properties owned by a governmental entity are exempted from this prohibition. Each owner for each address listed as a party to the application needs to sign and submit this disclosure/affidavit If an omission is the result of City of Miami oversight, then the City will notify the applicant and provide time for the applicant to resolve the issue within ninety (90) days. The project can be terminated by the City of Miami after the 90"" day. Note: 1f you are a lessee on City of Miami -owned property, you must contact the Department of Real Estate and Asset Management to have this form completed by an authorized person. Name (title and name of entity as well, if applicable): Allison Greenfield as Authorized Signaroryof DD 4200 L._C Address/ City / State / zip: 4240 NE 2 Avenue, Miami FL 33197 Phone No: 3©5-982-5614 Email: marissa.amuial@akerman.com of OD 420011C I, Allison Greenfield as Authorized Signatory, hereby certify that atl the addresses listed on this application are (please check one of the following): [ ] homestead properties. [X] non -homestead properties, and that there are no open code enforcement violations, building violations, City liens, or invoices due and owing to the City on any of the addresses listed on this application. I certify that any City of Miami covenants on the properties are in full compliance and no associated monies due to the City.1 certify there are no past due rent payments or associated interest due to the City for any of the addresses listed on this application. [ ] non -homestead properties that have open code enforcement violations, building violations, City liens, and/or invoices due and owing to the City. Please explain (required): i understand this application shall be terminated after ninety (90) days should any of the addresses listed on this application be found to not be in compliance with Section 2-208 of the City Code or with any covenant conditions attached to the land. Signature of the Property Owner CtilLi/Z3 Date } State of Florida } County of Miami-tlt cM�NHrLN � N1rh,4rr `,ti� ?LA S De �11 Sworn to d s .. ? ref e by means of X physical presence OR online notarization this f j day of S �� 3; by Allison Greenfield as Authorize r#; Peson)ly known i}(} or Produced Identification ( [ Typ o@dejttification produced Signatory of DD 4200 tLC (SEAL)! i MY COMMISSION EXPIRES fi 21 2026 Page iof1 rdr iT11C1I7il Ipublic hearing notification services certified lists of property owners within a specific radius + radius maps + mailing labels + mahouts + notice of public hearing site posting rdrmiami.com i diana@rdrmiami.com 1305.498.1614 September 14, 2023 City of Miami Hearing Boards Miami Riverside Center 444 SW 2nd Avenue, 3rd Floor Miami, FL 33130 Re: Property owner information required for public hearing mail noticing (500' radius): 4200 NE 2 Avenue, Miami, FL 33137 (Folio: 01-3124-024-0930) 4218 NE 2 Avenue, Miami, FL 33137 (Folio: 01-3124-024-0940) 4240 NE 2 Avenue, Miami, FL 33137 (Folio: 01-3124-024-0950) Total number of property owners, excluding individual condos, including associations: 96 I certify that the attached ownership list and map are a complete and accurate representation of the real estate property and property owners within a 500-foot radius of the subject property listed above. This information reflects the most current records on file in the Miami -Dade County Tax Assessor's Office. I also understand that a new list will be requested by the City of Miami Hearing Boards if it is determined the property owner information list initially submitted is older than six (6) months. Sincerely, Diana B. Rio RDR Miami I Rio Development Resources 305.498.1614 diana@rdrmiami.com rdr n o mi pubiic hearing notification services certified lists of property owners within a specific radius + radius maps + moiling labels + mahouts + notice of public hearing site posting rdrmiami.com I diana@rdrmiami.com 1305.498.1614 500' RADIUS MAP (N.T.S.) m co m m HE 45TH ST NE 40TH ST 4200 NE 2 Avenue, Miami, FL 33137 (Folio: 01-3124-024-0930) 4218 NE 2 Avenue, Miami, FL 33137 (Folio: 01-3124-024-0940) 4240 NE 2 Avenue, Miami, FL 33137 (Folio: 01-3124-024-0950) OWNER'S NAME(S) 230 NE 44 LLC 4200 ASSOCIATES LLC 4201 NE 2ND AVE LLC 4300 NE 2ND LLC 4314 NE 2ND AVE LLC ABRAHAM PITSIRILOS LYDIA PITSIRILOS ALEXANDER PITSIRILOS ABRAHAM PITSIRILOS LYDIA PITSIRILOS ALEXANDER PITSIRILOS ABRAHAM PITSIRILOS LYDIA PITSIRILOS ALEXANDER PITSIRILOS ANDREW F MILLER ANNE N RAPHAEL JEAN LOUIS ANTONIO GOMEZ ORODEA AVON T & CARRIE E BROWN BARTIMUS CUBBEDGE PHILLIPS TRS BARTIMUS CUBBEDGE PHILLIPS TR BBDD RETAIL LLC BNJL RE HOLDING LLC BNJL RE HOLDING LLC BOY BLUE LLC ATTN: MARIO LEJTMAN r CASA SARITA LLC CESAR H CHACON &W MAYRA CHACON CHRISTOPHER C SAN JOSE JANELIZ SAN JOSE CID DESIGN DISTRICT LLC C/O ARLE MREJEN P A CYNTHIA NEWSOM DACRA DESIGN 4141 LLC DANALEX PROPERTIES LLC DANALEX PROPERTIES LLC DANILO JUNIOR ALVARENGA NIKCOLE ALVARENGA ELVIA ALVARENGA DAVID BRACHA &W JOAN DAWN DENARO DAYSSI MAGDALENA RUEDA SANCHEZ NELSON EDUARDO SANCHEZ DESIGN DISTRICT 200 LLC DESIGN DISTRICT DEV LLC DESIGN DISTRICT DEV PARTNERS LLC DESIGN DISTRICT PLEX LLC DJL LOT LLC DJL LOT LLC EDDIE SODDEN &W MARBETH BODDEN ELIANA ELLERN TRS ELIANA ELLERN TR ELIAS TOBON EVELYN CADET LE REM FARAH CADET FAIDHERE BOYER & EDWIDGE DANTICAT FEC RR CO % J P WILLIAMS RE MGR FLAGLER HOLDING GRP INC FRANCES HALL GAMAA LLC GATOR ACQUISITIONS INC GATOR AQUISITIONS INC GENE MARTIN HUGHES JR TRS GENE AND CHARISSE HUGHES TR CHARISSE FOR❑ HUGHES T GIRAUD FEVRIN HARIKLIA R GIOSMAS JACK BENMELEH TARA BENMELEH JASON ALLEN DORIS RENAE ALLEN JONATHAN M NEUMAN BRENDA K NEUMAN LAVANDA FRANCIS LILIANA MOYANO MARIA URDANETA LNL LLC LORADMATA INVEST LLC LUCIEN EXIL EST OF LYDIA DORIVAL MARGARET E HILL MARIAI USA INVESTMENTS LLC MARIE R MESADIEU EST OF MARIUS P€ERRE & VERGE SAINRELUS MARK A STEPHAN &W WENDY MATS R B TYLOSKOG MBP001 INVESTMENT LLC MDDA BLUE SKY LLC MDDA BLUE SKY LLC MDDA MORNING DEW LLC MEDFORD 143NE LLC MICHAEL GFOELLER TATIANA D GFOELLER VOLKOFF MOKSHA FITZGIBBONS NIEVES HERNANDEZ OAK PLAZA ASSOCIATES DEL LLC C/O MIAMI DESIGN DISTRICT ASSOCIATES MANAGER LLC OAK PLAZA ASSOCIATES DEL LLC MIAMI DESIGN ❑ISTRICT ASSOCIATES MANAGER LLC OAK PLAZA ASSOCIATES DEL LLC MIAMI DESIGN DISTRICT ASSOCIATES MANAGER LLC OAK PLAZA ASSOCIATES DEL LLC MIAMI DESIGN DISTRICT ASSOCIATES MANAGER LLC OCEAN DESIGN 160 LLC PARADISE PLAZA ASSOCIATES LLC PARADISE PLAZA ASSOCIATES LLC PARADISE PLAZA ASSOCIATES LLC PELICAN INVESTMENT GROUP LLC PETER JOHN HAWRYLEWICZ KENNETH WAYNE LIEBER PHYLLIS E WILLIAMS ETALS JTRS THOMAS WILLIAMS JR JTRS TERESA WILLIAMS JTRS PROPERTY INVESTMENTS GROUP LLC RAMZI ACHI TRS REAL ESTATE PROBLEM SOLVERS LLC ROBIN PORTER ROBURGA ENTERPRISES LLC SCHOOL BOARD OF MIAMI-DADE COUNTY SEA PROP II LLC ST REGIS PH LLC STEPHEN ❑AVID WOODEY SWAY 2014 1 BORROWER LLC VANINA J JELINEK JTRS ANDRES SCAYOLA JTRS WASHINGTON F GAMBOA WILLIAM W CHARLES ALISA PITCHENIK MAILING STREET ADDRESS 927 LINCOLN RD #212 CITY . MIAMI BEACH STATE FL ZIP CODE 33139 3841 NE 2 AVE 400 MIAMI FL 33137 150 BROADWAY STE 800 NEW YORK NY 10038 4218 NE 2 AVE MIAMI FL 33137 4545 N MERIDIAN AVE MIAMI BEACH FL 33140 120 NE 44 ST MIAMI FL 33137 120 NE 44 ST MIAMI FL 33137 120 NE 44 ST MIAMI FL 33137 251 NE 44 ST MIAMI FL 33137 136 NE 44 ST MIAMI FL 33137-3416 2551 SW 21 ST MIAMI _ FL 33145 151 NE 42 ST MIAMI FL 33137-3517 135 NE 43 ST MIAMI FL 33137 767 5 AVE 12 FL NEW YORK NY 10153 700 NE 69 ST _ MIAMI FL 33138 700 NE 69 ST MIAMI FL 33138 915 N MANSFIELD AVE HOLLYWOOD CA 90038 4545 N MERIDIAN AVE MIAMI BEACH FL 33140 42 EAST DR NORTH MIAMI BEACH FL 33162 2000 N BAYSHORE DR 614 MIAMI FL 33137 18851 NE 29 AVE STE 413 AVENTURA FL 33180 130 NE 44 ST MIAMI FL 33137 3841 NE 2 AVE STE 400 MIAMI FL 33137 4700 LAKE RD MIAMI FL 33137 4700 LAKE RD MIAMI FL 33137 139 NE 44 ST MIAMI FL 33137 111 NE 42 ST MIAMI FL 33137-3517 136 NE 43 ST _ MIAMI FL 33137-3412 4135 NE 1 AVE MIAMI FL 33137 12A S WALNUT ST MILFORD DE 19963 3841 NE 2 AVE SUITE 400 MIAMI FL 33137 6547 MIDNIGHT PASS RD #3 SARASOTA FL 34242 13921 SW 38 TER MIAMI FL 33175 4545 N MERIDIAN AVE _ MIAMI BEACH FL 33140 4545 N MERIDIAN AVE MIAMI BEACH FL 33140 260 NE 44 ST MIAMI FL 33137 169 NE 44 ST MIAMI FL 33137 144 NE 43 ST MIAMI FL 33137-3412 700 NE 69 ST MIAMI FL 33138 203 NE 44 ST MIAMI FL 33137-3433 7150 PHILIPS HIGHWAY JACKSONVILLE FL 32256 4218 NE 2 AVE MIAMI FL 33137-3520 200 NE 45 ST MIAMI FL 33137-3436 635 NE 52 ST MIAMI FL 33137 7850 NW 146 ST 4 FL MIAMI LAKES FL 33016 7850 NW 146 ST 4 FL MIAMI LAKES FL 33016 152 NE 44 ST MIAMI FL 33137 201 NE 43 ST MIAMI FL 33137 280 WILDWOOD LN E DEERFIELD BCH FL 33442-1404 153 NE 44 ST MIAMI FL _ 33137 PO BOX 370157 MIAMI FL 33137 119 NE 43 ST MIAMI FL 33137 220 NE 44 ST MIAMI FL 33137 150 NE 45 ST MIAMI FL 33137 4545 N MERIDIAN AVE MIAMI BEACH FL 33140-2944 129 NE 44 ST MIAMI FL 33137 240 NE 44 ST MIAMI FL 33137-3434 211 NE 44 ST MIAMI FL 33137-3433 231 NE 43 ST MIAMI FL 33137-3446 5601 COLLINS AVE #1112 MIAMI BEACH FL 33140 250 NE 44 ST MIAMI FL 33137-3434 168 NE 45 ST MIAMI FL 33137-3420 101 NE 43 ST MIAMI FL 33137-3411 150 NE 43 ST MIAMI FL 33137-3412 10311 NW 62 ST DORAL FL 33178 3841 NE 2 AVE #400 MIAMI FL 33137 3841 NE 2 AVE #400 MIAMI FL 33137 3841 NE 2 AVE #400 MIAMI FL 33137 10494 NW 50 ST SUNRISE FL 33351 168 NE 44 ST MIAMI FL 33137 160 NE 43 ST MIAMI FL 33137 145 NE 42 ST MIAMI FL 33137-3517 3841 NE 2 AVE 400 MIAMI FL 33137 3841 NE 2 AVE SUITE 400 MIAMI FL 33137 3841 NE 2 AVE SUITE 400 MIAMI FL 33137 3841 NE 2 AVE SUITE 400 MIAMI FL 33137 34132 SE DAVID POWELL RD FALL CITY WA 98024 3841 NE 2 AVE STE 400 MIAMI FL 33137 3841 NE 2 AVE STE 400 MIAMI FL 33137 3841 NE 2 AVE STE 400 MIAMI FL 33137 900 EAST ATLANTIC AVE STE 5 ❑ELRAY BEACH FL _ 33483 1749 NE MIAMI CT 101 MIAMI FL 33132 1220 GORHAM ST JACKSONVILLE FL 32226 1505 SW 12 ST MIAMI FL 33135 176 NE 43 ST _ MIAMI FL 33137-3412 213 NE 43 ST MIAMI FL 33137-3446 122 NE 43 ST MIAMI FL 33137 100 NE 43 ST MIAMI FL 33137 1450 NE 2 AVE MIAMI FL 33132-1308 3835 EL PRADO BLVD MIAMI FL 33133 108 LAKELAND AVE DOVER DE 19901 178 NE 45 ST MIAMI FL 33137 8665 EAST HARTFORD DR STE 200 SCOTTSDALE AZ 85255 231 NE 44 ST MIAMI FL 33137 126 NE 43 ST MIAMI FL 33137 127 NE 43 ST MIAMI FL 33137 COUNTRY USA FOLIO NUMBER ' 0132190090260 FOLIO NUMBER ' 0132190090260 USA ' 0131240240930 " 0131240240930 USA ' 0132190090070 ' 0132190090070 USA ' 0131240240380 ' 0131240240380 USA ' 0131240240390 ' 0131240240390 USA ' 0131240240480 ' 0131240240480 USA 0131240240483 0131240240483 USA 0131240240486 0131240240486 USA ' 0132190070060 ' 0132190070060 USA ' 0131240240460 ' 0131240240460 USA ' 0132190070140 ' 0132190070140 USA ' 0131240241100 ' 0131240241100 USA _ _ ' 0131240240530 " 0131240240530 USA ' 0131240270010 ' 0131240270010 USA " 0131240240230 ' 0131240240230 USA ' 0131240240240 ' 0131240240240 USA ' 0132190120060 ' 0132190120060 USA ' 0131240240560 ' 0131240240560 USA " 0131240241110 ' 0131240241110 USA ' 0131240240500 " 0131240240500 USA ' 0131240240550 ' 0131240240550 USA ' 0131240240470 ' 0131240240470 USA ' 0132190090010 ' 0132190090010 USA ' 0131240240210 ' 0131240240210 USA ' 0131240240370 ' 0131240240370 USA ' 0131240240340 ' 0131240240340 USA ' 0131240241050 ' 0131240241050 USA ' 0131240241010 ' 0131240241010 USA ' 0131240241140 1 0131240241140 USA ' 0132190090281 " 0132190090281 USA ' 0131240240970 ' 0131240240970 USA ' 0131240480010 ' 0131240480010 USA ' 0131240241120 ' 0131240241120 USA ' 0131240240570 ' 0131240240570 USA ' 0131240240410 ' 0131240240410 USA ' 0132190090230 ' 0132190090230 USA ' 0131240240350 ' 0131240240350 USA " 0131240241000 " 0131240241000 USA ' 0131240240250 ' 0131240240250 USA ' 0132190070020 ' 0132190070020 USA ' 0132190000280 ' 0132190000280 USA ' 0131240240940 ' 0131240240940 USA ' 0132190070150 ' 0132190070150 USA ' 0132190090180 ' 0132190090180 USA ' 0131240270070 ' 0131240270070 USA ' 0131240270062 ' 0131240270062 USA ' 0131240240440 ' 0131240240440 USA ' 0132190090170 ' 0132190090170 USA ' 0131240240220 ' 0131240240220 USA ' 0131240240341 ' 0131240240341 USA 01-31240240300 01-31240240300 USA ' 0131240240510 ' 0131240240510 USA ' 0132190090270 ' 0132190090270 USA ' 0131240240280 ' 0131240240280 USA ' 0131240240400 ' 0131240240400 USA ' 0131240240330 " 0131240240330 USA " 0132190090250 ' 0132190090250 USA ' 0132190070030 ' 0132190070030 USA ' 0132190090200 ' 0132190090200 USA ' 0132190070130 ' 0132190070130 USA ' 0132190090240 ' 0132190090240 USA ' 0131240240270 ' 0131240240270 USA ° 0131240240490 ' 0131240240490 USA ' 0131240240990 ' 0131240240990 USA ,' 0132190070040 ' 0132190070040 USA ' 0131240241075 " 0131240241075 USA ' 0131240241070 ' 0131240241070 USA " 0131240240950 ' 0131240240950 USA ' 0131240240540 ' 0131240240540 USA ' 0131240240420 ' 0131240240420 USA ' 0131240240980 ' 0131240240980 USA " 0131240241090 ' 0131240241090 USA ' 0131240241560 ' 0131240241560 USA ' 0131240480060 ' 0131240480060 USA ' 0131240480020 ' 0131240480020 USA ' 0131240480030 ' 0131240480030 USA ' 0131240240430 ' 0131240240430 USA ' 0131240241550 ' 0131240241550 USA ' 0131240480050 ' 0131240480050 USA " 0131240480040 ' 0131240480040 USA ' 0131240241170 ' 0131240241170 USA ' 0131240240450 ' 0131240240450 USA ' 0132190090220 ' 0132190090220 USA " 0132190090210 ' 0132190090210 USA ' 0131240240960 ' 0131240240960 USA ' 0132190090190 ' 0132190090190 USA ' 0131240241030 ' 0131240241030 USA ' 0131240241040 ' 0131240241040 USA ' 0132190140011 ' 0132190140011 USA ' 0131240240290 ' 0131240240290 USA ' 0132190090280 ° 0132190090280 USA ' 0131240240260 ' 0131240240260 USA ' 0131240240320 ' 0131240240320 USA ° 0132190070050 ' 0132190070050 USA ' 0131240241020 " 0131240241020 USA ' 0131240240520 " 0131240240520 LEGAL DESCRIPTION BRENTWOOD REV PL PB 44-6 E6OFT OF W250FT OF N1/2 TR 3 SAME AS LOT 10 BLK 3 PB 40-66 I BILTMORE SUB PB 6-67 LOT 1 LESS E5FT TO CITY BLK 6 LOT SIZE 50.000 X 102 OR 20428-0650 C BRENTWOOD REV PL PB 44-6 TR 2 & LOT 5 BLK 2 OF PB 40-66 OR 14486-1841 0390 6 BILTMORE SUB PB 6-67 LOT 1 LESS E5FT TO CITY BLK 3 LOT SIZE 52.500 X 102 OR 14152-3085 C BILTMORE SUB PB 6-67 LOT 2 LESS E5FT TO CITY BLK 3 LOT SIZE 52.500 X 102 OR 21272-3463 C BILTMORE SUB PB 6-67 LOTS 12 TO 14 INC BLK 3 LOT SIZE 150.000 X 105 OR 16278-3345 0394 4 BILTMORE SUB PB 6-67 LOT 13 BLK 3 LOT SIZE 5250 SO FT M/L FAU 01-3124-024-0480 BILTMORE SUB PB 6-67 LOT 14 BLK 3 LOT SIZE 5250 SO FT M/L FAU 01-3124-024-0480 BRENTWOO❑ PB 40-66 LOTS 5 & 6 BLK 4 LOT SIZE 130.000 X 115 OR 16335-3650 1293 1 BILTMORE SUB P8 6-67 LOT 10 BLK 3 LOT SIZE 50.000 X 105 OR 11242-941 1081 1 BRENTWOOD PB 40-66 LOT 14 BLK 4 LOT SIZE 60.000 X 115 73R-134795 OR 17665-0313 0597 1 C BILTMORE SUB PB 6-67 LOT 21 BLK 6 LOT SIZE SITE VALUE OR 10645-936 0180 1 BILTMORE SUB PB 6-67 LOT 19 BLK 3 LOT SIZE 50.000 X 105 24 53 41 COMM BILTMORE PB 6-132 LOT 1 LESS E5FT BLK 1 LOT SIZE 3375 SQ FT OR 21128-485 6ILTMORE SUB PB 6-67 W50FT OF LOTS 3 & 4 BLK 2 LOT SIZE 50,000 X 105 OR 22805-3500 1004 24 53 41 BILTMORE SUB PB 6-67 E57FT OF LOTS 3 & 4 LESS E5FT TO CITY BLK 2 LOT SIZE 105.0 MAGNOLIA PARK AMD PL PB 4-150 LOT 9 & 10FT ALLEY E & ADJ LOT SIZE 42.000 X 110 COC 255 24 53 41 BILTMORE SUB PB 6-67 LOTS 22 & 23 BLK 3 LOT SIZE 100.000 X 105 OR 20591-0741/237' BILTMORE SUB PB 6-67 LOT 22 BLK 6 OR 18430-3873 1298 1 BILTMORE SUB PB 6-67 LOT 16 BLK 3 LOT SIZE SITE VALUE OR 21194-1530 03 2003 1 BILTMORE SUB PB 6-67 LOT 21 BLK 3 LOT SIZE 50.000 X 105 OR 21107-1375 03 2003 1 BILTMORE SUB PB 6-67 LOT 11 BLK 3 LOT SIZE 50.000 X 105 OR 17312-4748 0896 1 COC 25301-2 19 53 42 BRENTWOOD REV PL PB 44-6 TRACT A & TRACT 1 /AKA LOTS 1 TO 5 INC BLK 1 PER PB BILTMORE SUB PB 6-67 LOT 1 BLK 2 LESS E5FT & EXT AREA OF CURVE IN SE COR FOR R/W LO 24 53 41 BILTMORE SUB PB 6-67 LOT 24 BLK 2 LOT SIZE 50.000 X 105 OR 16323-4262 0394 1 24 53 41 BILTMORE SUB PB 6-67 LOT 19 & W1/2 OF LOT 20 BLK 2 LOT SIZE SITE VALUE OR 1653. BILTMORE SUB PB 6-67 LOTS 15 & 16 BLK 6 LOT SIZE 100.000 X 100 OR 17774-0001 0897 1 BILTMORE SUB PB 6-67 LOT 10 BLK 6 LOT SIZE 50.000 X 100 OR 18552-2821 04 1999 1 COC 2145I BILTMORE SUB PB 6-67 LOTS 1 & 2 BLK 7 LOT SIZE 100.000 X 115 OR 10665-33 0280 1 OR 23012- BRENTWOOD REV PL PB 44-6 W7OFT OF N1/2 OF TR 3 /FKA LOT 13 PB 40-66 LOT SIZE 70.000 X 24 53 41 BILTMORE SUB PB 6-67 LOT 6 BLK 6 LOT SIZE 50.000 X 100 OR 16861-1276 0795 5 COC BRIDGE SUBDIVISION PB 171-100 T-23542 TR A LOT SIZE 15788 SQ FT M/L FAU 01 3124 024 1510 BILTMORE SUB PB 6-67 LOT 23 BLK 6 LOT SIZE 50.000 X 100 OR 20387-1120 04 2002 1 BILTMORE SUB PB 6-67 LOT 24 BLK 3 LOT SIZE 50.000 X 105 OR 20257-2154 02/2002 2 (2) COC 2E BILTMORE SUB PB 6-67 LOT 5 BLK 3 LOT SIZE 50,000 X 105 OR 21048-3344 06 2002 5 COC 26210• BRENTWOOD REV PL P8 44-6 E86,42FT OF N1/2 TRACT 3 SAME AS LOT 7 BLK 3 PB 40-66 LOT SI 24 53 41 BILTMORE SUB PB 6-67 LOTS 22 & 23 BLK 2 LOT SIZE 100.000 X 105 OR 9822-1347 COC BILTMORE SUB PB 6-67 LOT 9 BLK 6 73R-21791 LOT SIZE SITE VALUE OR 17874-1438 1197 1 BILTMORE SUB PB 6-67 LOT 5 BLK 2 LOT SIZE 50.000 X 105 OR 19659-1053 05 2001 1 BRENTWOOD PB 40-66 LOT 1 BLK 4 LOT SIZE 75,000 X 115 OR 20698-3678 09 2002 1 19 53 42 9.33 AC Mil_ F E C RAN ACROSS SEC LESS LEASES 24 53 41 BILTMORE SUB PB 6-67 LOTS 2-3 & 24 BLK 6 LOT SIZE IRREGULAR OR 18025-0866 0398 19 53 42 BRENTWOOD PB 40-66 LOT 15 BLK 4 LOT SIZE 75.000 X 115 OR 14344-477 1189 4 19 53 42 .17 AC BRENTWOOD REV PL PB 44-6 E65FT OF WI4OFT OF S1/2 TR 3 SAME AS LOT 2 B COMM BILTMORE PB 6-132 LOTS 16 THRU 20 BLK 1 LOT SIZE 125.000 X 100 COMM BILTMORE PB 6-132 LOT 15 BLK 1 LOT SIZE 25,000 X 100 F/A/U 01-3124-027-0070 BILTMORE SUB PB 6-67 LOT 8 BLK 3 LOT SIZE SITE VALUE OR 18021-3077 0398 4 19 53 42 .20 AC BRENTWOOD REV PL PB 44-6 W75FT OF S1/2 OF TRACT 3 SAME AS LOT 1 BLK BILTMORE SUB PB 6-67 LOT 2 BLK 2 LOT SIZE 52.500 X 107 OR 19882-4664 0801 1 24 53 41 BILTMORE SUB PB 6-67 LOT 21 & E1/2 OF LOT 20 BLK 2 LOT SIZE SITE VALUE OR 1745E 1 COC 25943-0693 08 2007 5 BILTMORE SUB PB 6-67 LOT 17 BLK 3 LOT SIZE 50.000 X 105 OR 18634-4506 05 1999 1 BRENTWOOD REV PL PB 44-6 E6OFT OF W 190FT OF N112 TR 3 SAME AS LOT 11 BLK 3 PB 40-66 I 24 53 41 BILTMORE SUB PB 6-67 LOT 8 LESS W2IN OF S25FT THEREOF BLK 2 LOT SIZE 50.010 X BILTMORE SUB PB 6-67 LOT 3 & 4 LESS ESFT TO CITY BLK 3 LOT SIZE SITE VALUE OR 17799-101 BILTMORE SUB PB 6-67 LOT 18 BLK 2 LOT SIZE SITE VALUE OR 18269-0746 0998 1 COC 26288-3E BRENTWOOD REV PL PB 44-6 E6OFT OF W310FT OF N1/2 TR 3 SAME AS LOT 9 BLK 3 PB 40-66 Li BRENTWOOD PB 40-66 LOT 2 BLK 4 LOT SIZE 65.000 X 115 OR 18444-3102 1298 1 19 53 42 .17 AC BRENTWOOD REV PL PB 44-6 E65FT OF W270FT OF S1/2 TR 3 SAME AS LOT 4 8 BRENTWOO❑ PB 40-66 LOT 13 BLK 4 LOT SIZE 60.000 X 115 OR 12410-2339 0185 4 COC 25895-4 BRENTWOOD REV PL PB 44-6 E6OFT OF W370FT OF N1/2 TR 3 SAME AS LOT 8 BLK 3 PB 40-66 Li BILTMORE SUB PB 6-67 LOT 7 BLK 2 OR 14374-3306 1289 1 BILTMORE SUB PB 6-67 LOT 15 BLK 3 LOT SIZE 50.000 X 105 OR 18057-4835 0498 1 BILTMORE SUB PB 6-67 LOT 8 BLK 6 LOT SIZE SITE VALUE OR 20489-4006 06 2002 1 COC 24287- BRENTWOOD PB 40-66 LOT 3 BLK 4 LOT SIZE 65.000 X 115 OR 21423-2219/21423-2221 0503 4 CO BILTMORE SUB PB 6-67 LOT 19 BLK 6 LOT SIZE 50.000 X 100 FAU 01 3124 024 1070 OR 23492-19 BILTMORE SUB PB 6-67 LOTS '17 & 18 BLK 6 LOT SIZE 100 X 100 OR 23492-1956 0605 2 BILTMORE SUB PB 6-67 LOT 4 BLK 6 LOT SIZE 50.000 X 107 OR 16861-1276 0795 5 24 53 41 BILTMORE SUB PB 6-67 LOT 20 BLK 3 LOT SIZE 50.000 X 105 OR 16537-0265 0994 1 24 53 41 BILTMORE SUB PB 6-67 LOT 6 BLK 3 LOT SIZE 50.000 X 105 OR 18443-2750 0199 6 BILTMORE SUB PB 6-67 LOT 7 BLK 6 LOT SIZE 50.000 X 100 OR 19122-3837 04 2000 4 BILTMORE SUB P8 6-67 LOT 20 BLK 6 LOT SIZE SITE VALUE 75R-253807 24 53 41 .50 AC BILTMORE SUB PB 6-67 E107FT OF UNNUMBERED TR LESS RD MARKED Z T ME BRIDGE SUBDIVISION PB 171-100 T-23542 TR F LOT SIZE 6625 SQ FT M/L FAU 01 3124 027 0060 BRIDGE SUBDIVISION PB 171-100 T-23542 TR B LOT SIZE 12204 SQ FT MIL FAU 01 3124 024 1490 BRIDGE SUBDIVISION PB 171-100 T-23542 TR C LOT SIZE 13296 SQ FT M/L FAU 01 3124 024 147C BILTMORE SUB PB 6-67 LOT 7 BLK 3 LOT SIZE SITE VALUE OR 17304-2097 0796 1 COC 23241-24; 24 53 41 1.95 AC M/L BILTMORE SUB PB 6-67 W325FT UNNUMBERED TR MARKED Z T MERRITT F BRIDGE SUBDIVISION PB 171-100 T-23542 TR E LOT SIZE 11906 SQ FT M/L FAU 01 3124 027 0040 BRIDGE SUBDIVISION PB 171-100 T-23542 TR D LOT SIZE 34929 SQ FT MIL FAU 01 3124 027 002C 24 53 41 BILTMORE SUB PB 6-67 LOT 6 BLK 7 LOT SIZE SITE VALUE OR 11053-1489 0381 1 COC s BILTMORE SUB P8 6-67 LOT 9 BLK 3 LOT SIZE SITE VALUE OR 18021-3077 0398 4 BRENTWOOD REV PL PB 44-6 BEG SE COR TR 3 W64.39FT N115FT E 92.91 FT SLY118.28FT ALG BRENTWOOD REV PL PB 44-6 E65FT OF W335FT OF S1/2 TR 3 SAME AS LOT 5 BLK 3 PB 40-66 Li BILTMORE SUB PB 6-67 LOT 5 BLK 6 LOT SIZE 50.000 X 100 COC 25918-4124 08 2007 1 19 53 42 .17 AC BRENTWOOD REV PL PB 44-6 E65FT OF W205FT OF S1i2 TR 3 /SAME AS LOT 3 E BILTMORE SUB PB 6-67 LOT 12 BLK 6 LOT SIZE SITE VALUE OR 20575-3581 07 2002 1 24 53 41 BILTMORE SUB PB 6-67 LOTS 13 & 14 BLK 6 OR 19480-2164 12 2000 1 WALTONS SUB A RESUB PB 39-96 LOTS 1 & K & LOTS 5 THRU 8 OF MAGNOLIA PARK AMD PL PE BILTMORE SUB PB 6-67 LOT 9 & W 2 INCHES OF S25FT OF LOT 8 & E1/2 LOT 10 BLK 2 LOT SIZE BRENTWOOD REV PL PB 44-6 E6OFT OF WI3OFT OF N112 OF TR 3 FKA LOT 12 PB 40-66 LOT SIZI BILTMORE SUB PB 6-67 LOT 6 BLK 2 LOT SIZE 50.000 X 105 OR 19002-1398/20859-4504 0200 1 BILTMORE SUB PB 6-67 LOT 17 BLK 2 LOT SIZE SITE VALUE OR 19454-0749 01 2001 1 COC 2559C 19 53 42 BRENTWOOD PB 40-66 LOT 4 BLK 4 LOT SIZE 65.000 X 115 OR 19665-2111 04 2001 1 CO BILTMORE SUB PB 6-67 LOT 11 BLK 6 LOT SIZE SITE VALUE OR 18781-4734 09 1999 1 COG 2583E BILTMORE SUB PB 6-67 LOT 18 BLK 3 LOT SIZE SITE VALUE OR 12179-2626 0684 1 COC 24376-01. LOT SIZE 60.000 X 115 OR 11803-1376 0583 5 COC 25896-2430 08 2007 5 T SIZE 5354 SO FT MIL OR 18724-1804 0899 1 COC 23773-0004 07 2005 1 TOME LESS RAN & LOTS 3, 4 & 5 BLK 7 LOT SIZE 84954 SQ FT MIL ELY/L OF TR 3 TO POB AKA LOT 6 LOT SIZE IRREGULAR OR 9202-464 Dear Constituent: Welcome to the City of Miami! This package is intended to provide you with all open Code Enforcement violations and Iiens attached to the subject property, or properties, as of the current date and time the following report was created. Closed violations and future violations are not included. A violation may become a lien when the property owner does not timely remedy the violation. This report may include two types of liens. Certified Iiens and non -certified liens. Certified liens have a set amount to be paid. Conversely, most non -certified Iiens continue to accrue interest or a per diem fine; therefore, those Iiens must be satisfied with the City as quickly as possible. All outstanding violations and Iiens must be satisfactorily resolved before the City can issue a Certificate of Use (CU); however, the City inspects all properties prior to the issuance of a CU and those inspections may yield additional items, which must be addressed by the owner at the property prior to issuance of a CU. This search does not include encumbrances, other liens, restrictions or the like,. recorded in the Public Records of Miami -Dade County, Florida. Please contact Miami -Dade County for the aforementioned items. Code Violation/Lien Inquiry Letter Page 1 of 5 City of Miami Rita Silva 98 SE 7th St. Suite 1100 Miami FL 33132 09/13/2023 Property Search Notice Per your request (copy attached), the undersigned has searched the records of the Director of Finance in and for the City of Miami, Florida, for any liens and other fees outstanding against the following described property as of: 09113/2021 The result is valid up to 30 days from the processing date. In addition, due to daily penalty and interest calculations, the amount shown is subject to change as reflected below. Folio Number: 01-3124-024-0930 Property Address: 4200 NE 2 AV Legal Description: BILTMORE SUB PB 6-67 LOT 1 LESS E5FT TO CITY BLK 6 LOT SIZE 50.000 X 102 OR 20428-0650 0402 4 Amount Payable On: 09/12/2023 to 10/ 13/2023 0.00 This notice does not include liens imposed by federal, state, county or City agencies or boards or any other liens recorded in the public records of Miami -Dade County. Erica T. Paschal Finance Director To ensure proper credit of your payment, include a copy of all pages of the property search findings along with your payment and mail to: City of Miami, Treasury Management/Payment Processing, 444 SW 2nd Avenue, 6th Floor, Room 636-1, Miami, FL 33130. if you have any questions, please call (305) 416-1570. Please retain this page for your records. Page 2 of 5 Rita Silva 98 SE 7th St. Suite 1100 Miami FL 33132 Folio Number: Property Address: Legal Description: lien No. (Case Number) City of Miami 09/13/2023 01-3124-024-0930 4200 NE 2 AV BILTMORE SUB PB 6-67 LOT 1 LESS ESFT TO CITY BLK 6 LOT SIZE 50.000 X 102 OR 20428-0650 0402 4 Property Search Findings - Pending Liens Description If you have any questions, please call (305) 416-1570. Please retain this page for your records. Address Page 3 of 5 City of Miami Rita Silva 98 SE 7th St. Suite 1100 Miami FL 33132 09/13/2023 Folio Number: 01-3124-024-0930 Property Address: 4200 NE 2 AV Legal Description: BILTMORE SUB PB 6-67 LOT 1 LESS E5FT TO CITY BLK 6 LOT SIZE 50.000 X 102 OR 20428-0650 0402 4 Invoice Customer No. Property Search Findings -Open Invoices Lien No. Description Amount Due Sub -Total 0.00 If you have any questions, please call (305) 416-1570. Please retain this page for your records. Page 4 of 5 Violations Detail Report Folio Number: 01-3124-024-0930 NO OPEN VIOLATIONS FOUND. Page 5 of 5 Dear Constituent: Welcome to the City of Miami! This package is intended to provide you with all open Code Enforcement violations and Iiens attached to the subject property, or properties, as of the current date and time the following report was created. Closed violations and future violations are not included. A violation may become a lien when the property owner does not timely remedy the violation. This report may include two types of Iiens: Certified Hens and non -certified liens. Certified liens have a set amount to be paid. Conversely, most non -certified Iiens continue to accrue interest or a per diem fine; therefore, those Iiens must be satisfied with the City as quickly as possible. All outstanding violations and Iiens must be satisfactorily resolved before the City can issue a Certificate of Use (CU); however, the City inspects all properties prior to the issuance of a CU and those inspections may yield additional items, which must be addressed by the owner at the property prior to issuance of a CU. This search does not include encumbrances, other Iiens, restrictions or the like, recorded in the Public Records of Miami -Dade County, Florida. Please contact Miami -Dade County for the aforementioned items. Code Violation/Lien Inquiry Letter Page 1 of 5 Rita Silva 98 SE 7th St. Suite 1100 Miami FL 33132 City of Miami Property' Search Notice 09/13/2023 Per your request (copy attached), the undersigned has searched the records of the Director of Finance in and for the City of Miami, Florida, for any liens and other fees outstanding against the following described property as of: 09/13/2023. The result is valid up to 30 days from the processing date. In addition, due to daily penalty and interest calculations, the amount shown is subject to change as reflected below. Folio Number: 01-3124-024-0950 Property Address: 4240 NE 2 AV Legal Description: BILTMORE SUB PB 6-67 LOT 4 BLK 6 LOT SIZE 50.000 X 107 OR 16861-1276 0795 5 Amount Payable On: 09/12/2023 to 10/13/2023 0.00 This notice does not include liens imposed by federal, state, county or City agencies or boards or any other liens recorded in the public records of Miami -Dade County. Erica T. Paschal Finance Director To ensure proper credit of your payment, include a copy of all pages of the property search findings along with your payment and mail to: City of Miami, Treasury Management/Payment Processing, 444 SW 2"a Avenue, 6th Floor, Room 636-1, Miami, FL 33130. If you have any questions, please call (305) 416-1570. Please retain this page for your records. Page 2 of 5 Rita Silva 98 SE 7th St. Suite 1100 Miami FL 33132 Folio Number: Property Address: Legal Description: Lien No. (Case Number) City of Miami 09/13/2023 01-3124-024-0950 4240 NE 2 AV BILTMORE SUB PB 6-67 LOT 4 BLK 6 LOT SIZE 50.000 X 107 OR 16861-1276 0795 5 Property Search Findings - Pending Liens Description If you have any questions, please call (305) 416-1570. Please retain this page for your records. Address Page 3 of 5 City of Miami Rita Silva 98 SE 7th St. Suite 1100 Miami FL 33132 09/13/2023 Folio Number: 01-3124-024-0950 Property Address: 4240 NE 2 AV Legal Description: BILTMORE SUB PB 6-67 LOT 4 BLK 6 LOT SIZE 50.000 X 107 OR 16861-1276 0795 5 lr\l Invoice Customer No. Property Search Findings -Open Invoices Lien No. Description Amount Due Sub -Total 0.00 If you have any questions, please call (305) 416-1570. Please retain this page for your records. Page 4 of 5 Violations Detail Report Folio Number: 01-3124-024-0950 NO OPEN VIOLATIONS FOUND. �Y C�° i f. * irrirr et Department of Finance Online Payments Receipt Your Reference Number: 2023276001-440 10/03/2023 9:27:47 PM Web_user TRANSACTIONS If you have a Transaction ID, please click here 2023276001-440-1 $8,856.00 TRANS ID: 1018431 BUSINESS NAME: COM Lien Search S3,000.00 FEE NAME: PUBLIC HEARING - ADVERTISING Lien Search $4,250.00 FEE NAME: DEVELOPMENT AGREEMENT OR MODIFICATION OF DEVELOPMENT AGREEMENT Lien Search $153.00 FEE NAME: PUBLIC HEARING - MEETING MAIL NOTICE - REGIST ERED HOAS AND PERSONS Lien Search $9. 00 FEE NAME: PUBLIC HEARING - MEETING MAIL NOTICE - APPLIC ANT/APPEALLANT Lien Search $400.00 FEE NAME: PUBLIC HEARING - ONE PROPERTY POSTING Lien Search $864.00 FEE NAME: PUBLIC HEARING - MEETING MAIL NOTICE - NEIGHB ORS Lien Search $180.00 FEE NAME: PUBLIC HEARING - ADDITIONAL PROPERTY POSTINGS TOTAL AMOUNT: $8,856.00 PAYMENT ECheck FIRST NAME: A lison ZIP: 33137 0 si i u $8,856.00 CE2023276001-440 fl to of 4iiiiami BUILDING DEPARTMENT Transaction Statement Financial Transaction ID: 947417 Transaction Date: Jan 27 2023 4:06PM Permit Number: PZ2316004 Flagler Holding Group, Inc 4218 NE 2 AV (305)573-3900 FEE SUMMARY Fee Category Fee Code Fee Description Quantity Unit Type Amount PLANNING MS-103 MISCELLANEOUS - PLANNING 8500.0000 DOLLARS $8,500.00 Total: $8,500.00 Rev. 3u1/02/2012 Generated on 3an/27/2023 4:06 PM