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Home My WebLink AboutSupporting DocumentsAFFIDAVIT OF AUTHORITY TO ACT Before me this day, the undersigned personally appeared Ben Fernandez, Esq., 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, 0 including or ❑ not including responses to day to day 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. Further Affiant sayeth not. Ben Fernandez, Esq. I J Applicant(s) Name Applicants) Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE O / O&'Ll The foregoing was acknowledged before me this day of -Y", 2009, by Ben Fernandez. Esq. who is a(n) individual/partner/agent/corporation of Bercow Radell & Fernandez. PA a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and #070 (did -not) take an oath. (Stamp) Si natur �ot�1 pllbiic State �52 Go-�amispion DD ®, iE p: 0310512(110 4 Rev. 12-16-08 DISCLOSURE OF OWNERSHIP 1. List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. 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. 10 Owner's Name(es) Ive Group One, LC Percentage of Ownership See Exhibit B Subject Property Address(es) 1252, 1262, 1272, SW 21 st Terrace 1249 SW 22nd Street (01-4139-007-3440), and 1265 SW 22nd Street (01-4139-007-3350), 2. 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): N/A Ben Fernandez, Esq. Owner(s) or Attorney Name Legal Description(s): N/A STATE OF FLORIDA -- COUNTY OF MIAMI -DADS The foregoing was acknowledged before me this �� day of PPKC2009, by Ben Fernandez, Esq. who is a(n) individual/partner/agent/corporation of Bercow Radell & Fernandez. PA a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and Vhho did (did not) take an oa . OE (Stamp) i�� NotaryPublicStateofFlorida S, natU Betty uererna My Commission DD524988 = Expires 08/05/2010 5 Rev, 12-16-08 Exhibit A LEGAL DESCRIPTION LOOT 8 THROUGH LOT 10 INCLUSIVE AND LOT 17 THROUGH LOT 23 (NCLUME OF BLOCK 68 OF THE PLAT OF "EAST SHF=NANDOAH" ACCORDING TO THE PLAT THEREOF, AS RECORDED IN FLAT BOOK 14 AT PAGE 55 OF THE PUBLIC RECORDS OF MIAMI -DARE COUNTY, FLORIDA, FOLIO 01-4139-007-3350 PROPERTY ADDRESS (PER TAX ROLL) 1265 SW 22nd STREET FOR LOTS 3 - 10 AND LOTS ►7 - 22 BLOCK 63 FOLIO 01-4139-007-3440 PROPERTY ADDRESS (PER. TAX ROLL)1249 SW 22nd STREET FOR LOT 23 BLOCK 68 61 Exhibit B Company Name Project IVE Group One Coral Way Property Ive Group Services Corp BVI New Sharholders % Shareholders Number, Of Units Consideration Calo ero Alaimo (President) 1630.435 $1,630.45 Francisco Fernandez Galan (Sec) 1032.61 $1,032.61 Judah Leo Benlolo 434.785 $434.76 Robert Battistel 163.045 $163.05 Washington Gustavo Cardozo 543.48 $543.48 Ive Group One Inc. 1195.645 $1,195.65 otal� 1�� X5000 x$5;000 UO Additional Investors and Company Ive Group Services Corp BVI New Sharholders % Managing Members Share Holders Calo ero Alaimo 16.3% $410,025.096 Willian Cohen Francisco Fernandez Galan 10.32% $259,644.84 fuan Carlos Hornes Judah Leo Benlolo 4.35% $109,390.32 Victor Azrak Robert Battistel 1.63% $40,989.93 Issac Garzon Washington Gustavo Cardozo 5.43% $136,675.03 Raymundo Botbol Ive Group One, Inc. 11.95% $300,634.77 otal R','IR All Ive Group Inc are owned by Ive Group Services Investors Alfero Rueda % $275,000.00 May -05 Ambram Chocron % $275,000,00 March -05 Luis Bethencourt % $220,000.00 February -05 Sindoni 4% $1,320,000.00 February -05 Moises % $220,000.00 February -05 Available 8% Total 0% $2,310,000.00 Ga3�d ioil� KIM, 3,567,30.00 07/03/031265 SW 22 Street $2,013,863.17LAND1 Purchase 01//20/051249SW 22 Street $505,043.50LAND 2 Purchase Total $2,518,906.67 L) D X. T a�.�N n State of Fl Department of State I certify from the records of this office that IVE GROUP ONE LC is a limited liability company organized under the laws of the State of Florida, filed on June 17, 2003. The document number of this limited liability company is L03000021813. I further certify that said limited liability company has paid all fees due this office through December 31, 2008, that its most recent annual report was filed on March 17, 2008, and its status is active. I further certify that said limited liability company has not filed Articles of Dissolution. Given under my hand and the Great Seal of Florida, at Tallahassee, the Capital, this the Seventh day of January, 2009 -4 -_ Secretary of State Authentication ID: 200139952852-010709-L03000021813 G(�DB To authenticate this certificate, visit the following site, enter this ID, and then follow the instructions displayed. https://efile.sunbiz.org/certauthver.html ^ 4 Aecord and Return to: —_— r` + Geoffrey M. Wayne, P.A. 1201 Brickell Avenue Suite 220 Miami, Florida 33131-3207 C#111 CODE 2563 0141390073350 Prepared by: Paul H. Kupfer, Esq. 00004311 Kupfer, Kupfer'& Skolnick, P.A. 1700 University Drive, Suite #110 Coral Springs, FL 33071 (954) 755-3600 . I��IIOallllllllllllll�i�lil�ll��ll�l�ll�f f CFN 2003RO4 60755 OR Bit 21408 P99 2662 - 26631 (2p95) RECORDED 07/08/2003-15247.36 DEED DDC TAX 12r000.00 SURTAX 9e000.00 HARVEY RUVINr CLERK OF COURT NIANI-DADE COUNTY► FLORIDA WARRANTY DEED Statutory Form FS689.02 14-4 THIS INDENTURE, made this 7 , day of July, 2003, between Villa Ten Inc. a corporation existing under the laws of the State of Florida, having its principal place of business at 1700 University Drive, Suite 110, Coral Springs, Florida 33071 in the County of Broward and State of Florida, as Grantor, and Ive Group One LC, a Florida limited liability' company, and whose post office address is 1201 Brickell Avenue, #220, Miami, Florida 33131, of the County of Miami -Dade, State of Florida, as Grantee. WITNESSETH: That said Grantor, for and inconsideration of the sum of Ten Dollars ($10.00), and other good and valuable consideration, to said Grantor in hand paid by said Grantee, the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, and sold to the said Grantee, and Grantee's heirs and assigns forever, the following described land, situate, lying and being in MIAMI-DADE County, Florida, having a tax folio number of 0141390073350, to -wit: Lots 81 9, 10, 17, 18, 19, 20, 21 and 22, Block 68 of EAST SHENANDOAH, according to the Plat thereof, as recorded in Plat Book 14 Page 55, of the Public Records of Miami -Dade County, Florida. SUBJECT TO: I. Zoning, restrictions, prohibitions and other requirements imposed by governmental authorities. 2. Restrictions, easements or other matters appearing on the Plat, or otherwise common to the subdivision. 3. Taxes for the current year and subsequent years, and said Grantor hereby fully warrants the title to said land, and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, Grantor has caused Orese presents to be signed in its name by its proper officer, and its corporate seal to be affixed, the day and year above written. Signed, sealed and delivered in our preonce: n Witness t ign Name) (V�r///R /ria 4'0A)z% (Print Name of Witness) Witness (Sign Name) Z- 1_61, /✓ o n Vin IV -0 v "9 - (Print Name of Witness) WS Vision Form SDD07FL R.Y. 72/1769• BY: (CO; Book21408/Page2662 Page 1 of 2 t OR BK 21408 PG 2663 LAST PAGE STATE OF FLORIDA COUNTY OF BROWARD The foregoing instrument was acknowledged before me this July % , 2003, by Paul H. Kupfer, Attorney in Fact for Villa Ten Inc., a Florida corporation, of who is personally known to me or who produced drivers license as identification. dk' Virginia Grant ComtnlsslOn N 00 857981 Nota . is e Expires Be 12 2003 ��wtt�r Atlantic Bonding Bando Cu„ Inc. uu (Print Name ofota1� ry) My Commission Expires; Serial Number, if any SWS Velon Form SDD07FL Rev. 12/17/90 Book21408/Page2663 Page 2 of 2 r �lqY rA y CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO "''°F-�`_ 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: Ben J. Fernandez (First Name) (Middle) (Last Name) HOME ADDRESS: 1 837 SW 23rd Street (Address Line 1) CITY. Miami STATE: Florida ZIP: 33145 HOME PHONE: 305-857-0337 CELL PHONE: 305-978-2866 FAX: 305-377-6222 EMAIL: BFernandez@BRZoningLaw.com I3USSINESS or APPLICANT or ENTITY NAME Bercow Radell & Fernandez, PA I3LISINESS ADDRESS: 200 South Biscayne Blvd., Suite 850 Miami, FL 33131 (Address Line 2) 1. Please describe the issue for which you are seeking approval, relief or other action from the City Commission, board, authority, agency, council, or committee. Special Exception for a hotel on the property at 1249 & 1265 SW 22nd Street, Miami, Florida. 2. 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? R YES x❑ 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. Doc. No.:86543 3. Please provide the name, address and phone number of the person(s) or entities to whom consideration has been provided or committed. Name Address Phone# a. N I/ -A b. N/A e. N/A Additional names can be placed on a separate page attached to this form. 4. Please describe the nature of the consideration. N/A N/A N/A 5. Describe what is being requested in exchange for the consideration. N/A N/A N/A ACKNOWLEDGEMENT OF COMPLIANCE I hereby acknowledge that itis 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 until expiratio/ of a p riod of one year after the nullification of the applicatio"f-order PERSON SUBMITTING DISCLOSURE: I Ben Fernandez Print Name Sworn to and subscribed be January before me this day of 200 0 9. Theforegoing instrument ii,as aclumilledged before ine by Ben FernaAdez 'fo I i-vho has produced as identification andlor is personally knoim to me and who did/did not take an oath. STATE OF FLORIDA CITY OF MIAMI MY COMMISSION otary EXPIRES: /Bet gL11rena Print Name Enclosure(s) ,Doc, No.:86543 Page 2 [mS;rovulm (*VV rl�U�13!ibn 00524M DOM 030010