HomeMy WebLinkAboutApplication & Supporting DocumentationHEARING BOARDS
444 SW 2nd Avenue, 7t" Floor • Miami, Florida 33130
Telephone 305-416-2030 • Fax 305-416-2035
www.miamigov.com/hearing boards
ej Id old
Planning Designee Initial & Date
109 FE -13 5 rpt 3: 2.5
AMENDMENT TO THE MIAMI COMPREHENSIVE NEIGHBORHOOD PLAN
Welcome to Hearing Boards! This application is intended to serve as a guide in assisting you with our public
hearing process. Please feel free to contact us at the number above, should you have any questions.
The deadline to file the complete application with supporting documents is the first five working days of
each month from 8:00 am until 3:00 pm, except on the fifth day, at 12:00 pm. The application
submittal date is the date stamped by Hearing Boards' staff on this page. The responses to this
application must be typed and signed in black ink. Please note that pursuant to Section 1304.2.2 of the
Miami Zoning Ordinance, no application shall be deemed to have been filed unless and until the application
shall have been completed. All pertinent and accurate information/documentation; i.e., the plans, reports,
exhibits, shall be presented at the time of filing, in addition to the paid receipt. The applicant is responsible
for the accuracy of the information contained in the application and all supporting materials. Should you
wish, you could bring the materials to our office for review before the deadline to ensure completeness.
You will be responsible, if needed, to bring an interpreter for the English language to any presentation before
city boards, committees and the city commission. A valid power of attorney will be required if neither
applicant or legal counsel representing the applicant execute the application or desire to make a
presentation before city boards, committees and the city commission. All documents, reports, studies,
exhibits (8'/z x11 ") or other materials submitted during this process will be kept as part of the record.
ORDINANCE NO. 11469, CODIFIED IN CHAPTER 2, ARTICLE VI OF THE CITY CODE STATES THAT
ANY PERSON WHO RECEIVES COMPENSATION, REMUNERATION OR EXPENSES FOR
CONDUCTING LOBBYING ACTIVITIES TO REGISTER AS A LOBBYIST WITH THE CITY CLERK, PRIOR
TO ENGAGING IN LOBBYING ACTIVITIES BEFORE CITY STAFF, BOARDS, COMMITTEES AND THE
CITY COMMISSION. A COPY OF SAID ORDINANCE IS AVAILABLE IN THE OFFICE OF THE CITY
CLERK (MIAMI CITY HALL), LOCATED AT 3500 PAN AMERICAN DRIVE, MIAMI, FLORIDA, 33133.
Ordinance No. 12918 states that each person or entity requesting approval, relief or other action from the
City Commission or any of its boards, authorities, agencies, councils or committees regarding any issue,
shall disclose at the commencement (or continuance) of the public hearing(s) on the issue, any
consideration provided or committed, directly or on its behalf, for an agreement to support or withhold
objection to the requested approval, relief or action. The Disclosure of Consideration Provided or
Committed for Agreement to Support or Withhold Objection Affidavit included in this package must be
submitted with the application. The applicant must, at the commencement of any public hearing on the
issue, if there is any disclosure to report, read the disclosure into the record. Also, the applicant must
supplement the affidavit if there is any new information or additional information to disclose.
Copies of City Commission resolutions and ordinances can be obtained at our website through the "Legislative
Hub", or for certified copies, contact the City Clerk's Office at 305-250-5360.
Applications for Zoning Change (Amendment to Zoning Atlas and/or Overlay District) and Land Use Change
(Amend the Comprehensive Neighborhood Plan) will not be accepted unless it is signed or initialed and dated by
the Planning Department designee.
Rev. 12-16-08
MIAMI 1737296.1 7650523941
Please refer to Section 62-32 of the Miami City Code for Comprehensive Plan information.
1. Applicant name(s): A. Vicky Garcia -Toledo, attorney for Douglas Gardens Holding Corp., Inc.. a
Florida not -for profit corporation, holding company of Miami Jewish Home & Hospital for the
Aged,
2. Subject property address(es): 5265 N. Miami Avenue;
and folio number(s): 01-3124-011-0100
3. Current designation: Duplex Residential
4. Future designation: Major Institutional Public Facilities, Transportation and Utilities
5. Has the designation of this property been changed in the last year? If so, when? No
6. Do you own any other property within 200 feet of the subject property? Yes
If yes, has the property been granted a Land Use Change within the last year? No
7. Obtain signature or initial and date by the Planning Department designee prior to submittal.
8. Two (2) 11 x17" original and one (1) 8 '/2 x 11 copy of the survey of the property prepared by a
State of Florida registered land surveyor within six (6) months from the date of the application.
9. The subject property(ies) cannot have any open code enforcement/lien violations.
10. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable.
11. At least two photographs showing the entire property showing land and improvements.
12. A clear and legible copy of the recorded warranty deed and tax forms of the most current year
showing the present owner(s) and legal description of the property.
13. A clear and legible copy of the subject property address(es) and legal description(s) on a
separate sheet, labeled as "Exhibit A", to match with the current survey's legal description.
14. Original Disclosure of Consideration Provided or Committed for Agreement to Support or
Withhold Objection Affidavit,
15. Original Public School Concurrency Management System Entered Requirements form (page 4
of the attached packet).
16. Certified list of owners of real estate within 500 feet of the subject property (see pages 7 and 8).
17. For all corporations and partnerships indicated:
a) Articles of Incorporation;
b) Certificate from Tallahassee showing good standing, less than one (1) year old;
c) Corporate Resolution or a Power of Attorney signed by the secretary of the Corporation
authorizing the person who signed the application to do so;
d) Non-profit organizations: A list of Board of Directors less than one (1) year old.
18. What is the acreage of the project/property site? 5,915 square feet or 0.136 acres
2 Rev. 12-16-08
MIAMI 1737296.1 7650523941
1 �. What is the purpose of this application/nature of proposed use? The proposed use of the
Property is for a parking lot to support the Miami Jewish Home and Hospital for the Aged.
20. Is the property within the boundaries of a historic site, historic district or archeological zone?
Please contact the Planning Department on the 3`d Floor for information. No.
21. Is the property within the boundaries of an Environmental Preservation District? Please contact
the Planning Department on the 3rd Floor for information. Yes.
22. Cost of processing according to Section 62-156 of the Miami City Code*:
Application to Amend the Comprehensive Neighborhood Plan to:
a. Conservation, Recreation, Residential Single Family,
Residential Duplex $ 300.00
b. Residential Medium Density Multifamily $ 450.00
c. Residential High Density Multifamily, Office, Major Public
Facilities, Transportation/Utilities $ 550.00
d. Commercial/Restricted, Commercial/General and Industrial $ 650.00
e. Central Business District (CBD) $ 1,200.00
f. Surcharge for advertising each item $ 1,200.00
Public hearing and public meeting mail notice fees,
including cost of handling and mailing per notice $ 3.50
*Pursuant to Or i 2Zheck,
, all planning and zoning fees in excess of $25, 000. 00, shall be
4paid in the form cashier's check, or money order,
Signature
Name
Telephone 305-350-2409
Address Bilzin Sumberg Baena Price &
Axelrod LLP
200 S. Biscayne Blvd. Suite 2500
Miami, Florida 33131
Date
E-mail Address vgt(cDbilzin.com
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this 5- day of 2009 by
Vicky Garcia -Toledo, as Pr
is personally known to me
(Stamp)
A.
the
3 Rev, 12-16-08
MIAMI 1737296.1 7650523941
WRITTEN CONSENT TO CORPORATE ACTION
BY THE BOARD OF DIRECTORS
OF
DOUGLAS GARDENS HOLDING CORP., INC., AS HOLDING COMPANY FOR THE
MIAMI JEWISH HOME AND HOSPITAL FOR THE AGED INC.
The undersigned, constituting all of the members of the Board of Directors (the "Board")
of DOUGLAS GARDENS HOLDING CORP., INC., a Florida corporation (the "Corporation"),
do hereby waive any and all requirements for notice of the time and place, and any special
purposes, of a meeting of the Board of the Corporation and do hereby consent, pursuant to the
Florida Statutes Sections 607.0821, to the adoption of, and do hereby adopt, the following
preamble, resolutions and the actions specified herein:
WHEREAS, Bilzin Sumberg Baena Price & Axelrod LLP, through its
partner, A. Vicky Garcia -Toledo, Esquire P.A., ("Counsel") will be handling, on
behalf of the Corporation, certain documents and applications, including, but not
limited to, a public hearing application for an Amendment to the Zoning Atlas and
a public hearing application for an Amendment to the Comprehensive Plan
(collectively, the "Applications") with the City of Miami, and/or other
governmental authorities, pertaining to the zoning, land use and platting issues of
that certain property described on Exhibit "A" attached hereto;
NOW, THEREFORE, BE IT RESOLVED, that the Corporation hereby
authorizes, directs and empowers its Counsel to apply for, modify, execute and
deliver the Applications and any and all documents required in connection with
said Applications, on behalf of the Corporation;
FURTHER RESOLVED, that any officer of the Corporation, be and
hereby is, authorized, empowered and directed to take all such further actions and
to execute and deliver all such further agreements, instruments and other
documents in the name and on behalf of the Corporation, that each, in his sole
discretion, shall deem to be necessary, proper or advisable in order to fully carry
out the intent and accomplish the purpose of the foregoing resolution and the
transactions contemplated thereby;
FURTHER RESOLVED, that the taking of any action or the execution
and delivery of any document authorized by the foregoing resolutions in the name
and on behalf of the Corporation, be, and it hereby is authorized and empowered
to be deemed conclusive proof of the approval thereof by the Board of the
Corporation;
AND, FURTHER RESOLVED, that the authorities hereby conferred
shall be deemed retroactive, and any and all acts authorized herein that were
performed prior to the passage of these resolutions be, and they hereby are,
approved, ratified and confirmed in all respects.
[SIGNATURE PAGE FOLLOWS]
MIAMI 173 6093.1 76505 23941
IN WITNESS WHEREOF, the qndersigne 4ave executed this Written Consent in order
to give their consent hereto as of the�� day of Tt Ya. 41L , 2009.
WITNESSES:
Signature
Print Name
Signat e
Print Name
waa--
Signature
Mtbl[L � oo V, (G6
Print Name
Sijndue
Print Name
MIAMI 1736093.1 76505 23 941
DIRECTORS:
Harold Beck
teph H. Cypen
Exhibit "A"
Property Description
Lot 10 less the West 10 feet thereof, Block 1,
ORCHARD VILLA TRACT THIRD SECTION,
according to the Plat thereof,
as recorded in Plat Book 9, Page 30,
of the Public Records of Miami -Dade County Florida
Specific Legal Description, Folio Number, Address, Ownership and Deed Information for
Subject Property
Lot 10 less the West 10 feet thereof, Block 1, ORCHARD VILLA TRACT THIRD SECTION,
according to the Plat thereof, as recorded in Plat Book 9, Page 30, of the Public Records of
Miami -Dade County Florida.
Folio: 013124-011-0100
Address: 5265 N Miami Avenue, Miami, FL 33137
Owner: Douglas Gardens Holding Corp., Inc. a Florida not for profit corporation
Deeds: 26694/3362-3365 Recorded 12/22/2008
MIAMI 1736093.1 765 0523941
AFFIDAVIT OF AUTHORITY TO ACT
Before me this day, the undersigned personally appeared A. Vicky Garcia -Toledo,
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, Z 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.
A. Vicky Garcia -Toledo, PA. /V
A. Vicky Garcia -Toledo, Esq.
Applicant(s) Name Applicant(s) ignature
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this .5 da of it.,2009 b A.
g 9 g YY
Vicky Garcia -Toledo, as President of A. Vicky Garcia -Toledo, P.A., a corporation. She
is personally known to me and who did not take an o?fh.)
Begs Y CHRISTINE A. BOWER �
MY COMMISSION # DD 4996
EXPIRES; February 20, P.010 I nat
(Stamp) F 6ondcd Thru Plchard Insurance Agurn
5 Rev, 12-16-08
MIAMI 1737001.1 7650523941
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.
Owner's Name(es) Douglas Gardens Holding Corp., Inc., A Florida not for profit
corporation, owned by Miami Jewish Home & Hospital for the Aged
Percentage of Ownership 100%
Subject Property Address(es) See Exhibit "A"
Telephone Number 305-350-2409
E-mail Address vgt(c bilzin.com
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): Legal Description(s):
See Exhibit "B" for Detailed List
A. Vicky Garcia -Toledo, PA.
A. Vickv Garcia -Toledo. Esc
Owner(s) or Attorney Name Owner(s) or r ttorney Signature
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this Sday of <.J'. '2009 by A.
Vicky Garcia -Toledo, as President of A. Vicky Garcia�- oledo, P.A., a corporation. She
is personally known to me and who did not take an 96th
(Stamp)
MY COMMISSION u OD 499810
EXPIRES: February 20, 2010
@ehdadThru Honed inautarm Agency
6 Rev. 12-16-08
MIAMI 1737001.1 7650523941
Exhibit "A"
Legal Description
Lot 10 less the West 10 feet thereof, Block 1,
ORCHARD VILLA TRACT THIRD SECTION,
according to the Plat thereof,
as recorded in Plat Book 9, Page 30,
of the Public Records of Miami -Dade County Florida.
Specific Legal Description, Folio Number, Address, Ownership and Deed Information for
Subiect Property
Lot 10 less the West 10 feet thereof, Block 1, ORCHARD VILLA TRACT THIRD
SECTION, according to the Plat thereof, as recorded in Plat Book 9, Page 30, of the
Public Records of Miami -Dade County Florida.
Folio: 013124-011-0100
Address: 5265 N Miami Avenue, Miami, FL 33137
Owner: Douglas Gardens Holding Corp., Inc. a Florida not for profit corporation
Deeds: 26694/3362-3365 Recorded 12/22/2008
7 Rev. 12-16-08
MIAMI 1737001.1 7650523941
Exhibit "B"
Street Address(es): Legal Description(s):
5200 NE 2nd Avenue
Miami, Florida 33137
151 NE 52 Street
Miami, Florida 33137
58 NE 53 Street
Miami, FL 33137
34 NE 53 Street,
Miami, FL 33136
30-32 NE 53 Street
Miami, FL 33137
20 NE 53 Street
Miami, FL 33137
10 NE 53 Street
Miami, FL 33137
11 NE 52 Terrace
Miami, FL 33137
17 NE 52 Terrace
Miami, FL 33137
25 NE 52 Terrace
Miami, FL 33137
5 NE 52 Terrace
Miami, FL 33137
MIAMI 1737001.1 7650523941
Tract C, Douglas Gardens South
Revised PB 146 P. 63
Tract A, Douglas Gardens
Revised PB 123 P. 49
Lot 5 and the East 1 foot of Lot 6,
Block 1, Orchard Villa Tract Third
Section. PB 9, P. 30
West 59 feet of Lot 6, Block 1, of
ORCHARD VILLA TRACT THIRD
SECTION. PB 9, P. 30.
Lot 7, Block 1, of ORCHARD
VILLA TRACT THIRD SECTION
PB. 9, P. 30
Lot 8, Block 1, of ORCHARD
VILLA TRACT THIRD SECTION
PB. 9, P. 30
Lot 9, Block 1, of ORCHARD
VILLA TRACT THIRD SECTION
PB. 9, P. 30
Lot 11, less the West 10 Feet,
Block 1, of ORCHARD VILLA
TRACT THIRD SECTION, PB. 9,
Pa. 30
Lot 12, Block 1, of ORCHARD
VILLA TRACT THIRD SECTION
PB. 9, P. 30
Lot 13, Block 1, of ORCHARD
VILLA TRACT THIRD SECTION
PB. 9, P. 30
Lot 14, Block 1, of ORCHARD
VILLA TRACT THIRD SECTION
PB. 9. P. 30.
Rev. 12-16-08
43 NE 52 Terrace
Miami, FL 33137
7 NE 52 Terrace
Miami. FL 33137
61 NE 52 Terrace
Miami, FL 33137
MIAMI 1737001.1 7650523941
Lot 15, Block 1, of ORCHARD
VILLA TRACT THIRD SECTION
PB. 9, P. 30
Lot 16, Block 1, of ORCHARD
VILLA TRACT THIRD SECTION
PB. 9, P. 30
Tract F, of DOUGLAS GARDENS
REVISED, PB. 9, P. 30.
Rev. 12-16-08
State of Fl
Department of State
I certify from the records of this office that MIAMI JEWISH HOME
AND HOSPITAL FOR THE AGED, INC, is a corporation organized
under the laws of the State of Florida, filed on September 25, 1973.
The document number of this corporation is 727539.
I further certify that said corporation has paid all fees due this office
through December 31, 2008, that its most recent annual report was filed
on February 25, 2008, and 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
Florida, at Tallahassee, the Capital, this the
Thirtieth day of January, 2009
Ti-
m 2..
Secretary of State
y u
Authentication ID; 000142512270-013009-727539
3 To authenticate this certificate,visit the following site, enter this
ID, and then follow the instructions displayed.
https://efile.sunbiz.org/certauthver.html
EXECUTIVE BOARD
Edward (Eddie) Barrocas, Secretary
Harold Beck, President
Samuel (Sam) Byron
Eleanor (Elly) Cristol
Stephen (Steve) H. Cypen, Chairman
Wayne A. Cypen, Past Chairman
David (Dave) Farkas, Treasurer
Ronald (Ronnie) Fieldstone
Martin (Marty) Fine
William (Bill) Foor
Stuart Geller
Sidney (Sid) Goldin
Samuel (Sam) Harte
Peggy Hollander
Jane Kahn Jacobs
Alfred (Fred) Katzin, 15t Vice President
Michael Male
Jill Klaskin Press
Jay Solowsky
Arthur (Artie) Unger, Vice Chairman
MIAMI 1739417.1 765 0523 941
Members of the MJHHA Board Of Directors
ABBOTT, Ada
FRIEDSON, Belvin
ABEL, Mimi
FROST, Dr. Phillip
ADLER, Bunny
FUTERNICK, Morris
APPLESTEIN, Allan
GALE, Joan
ARONOVITZ, Todd
GAMBACH, Roberto
BARASH, Jeffrey
GANZ, Charles
BARROCAS, Alegre
GANZ, Elinor
BARROCAS, Edward
GARAZI, Esther
BARROCAS, Jacob
GARAZI, Solomon
BECK, Harold
GARRETT, Barbara
BECK, Stanley
GELB, Martin
BEHAR, Ike
GELBER, Rep. Dan
BEHAR, Roberto
GELBER, Mayor Seymour
BELOFF, Jonathan
GELLER, Stuart
BLAKE, Marilyn
GERSON, Gary
BLAKE, Teddy
GIBSON, Thelma
BLANK, Jerry
GILBERT, Lucille
BLUM, Irwin
GILBERT, Warren
BLUM, June
GOLDABER, Marilyn
BORGER, Erin
GOLDBERG, Hank
BORGER, Sam
GOLDIN, Sidney
BRAMAN, Norman
GOLDNER, Leo
BRAMSON, Seth
GOLDSTEIN, Bella
BRODIE, Yetta
GOLDSTEIN, Goldie
BRONSTEIN, Dr. Marshall
GOLDSTEIN, Leonard
BYRON, Sam
GOLDSTEIN, Mina
CHERNIN, Ralph
GOODMAN, Jerrold
COHEN, Jerry
GREENBERG, Carol
CRISTOL, A. Jay
GREENBERG, Lorraine
CURTIS, Joe
GRENALD, Ben
CYPEN, Hazel
GROSS, Doug
CYPEN, Judge Irving
GROSSMAN, Claire
CYPEN, Myles
GUMENICK, Randy
CYPEN, Stephen
HALBERSTEIN, Alex
CYPEN, Wayne
HALBERSTEIN, Monique
DAVIS, Joel
HARRIS, Ed
DELASTER, Rebeca
HARRIS, Shirley
DENMARK, Irving
HARTE, Phyllis
DERMER, Yaffa
HARTE, Samuel
DWORKIN, Mickey
HATTENBACH, Muriel
ESFORMES, Nathan
HECHT, Florence
FALK, Joseph
HERTZ, Jacque
FARKAS, David
HIPSMAN, Mitchell
FARR, Myra
HOLLANDER, Peggy
FELDENKREIS, George
HORVITZ, David
FIELDSTONE, Ronald
HURWITZ, Elmer
FINE, Martin
JACOBS, Douglas
FINE, Pat
JAFFE, Dr. Norman
FISCHLER, Dr. Abe
JAFFE, Ros
FOOR, Bill
JOEL, Billy
FREHLING, Robert
KAHN, Dr. Guinter
FRIEDMANN, Albert
KAHN-JACOBS, Jane
FRIEDMANN, Kathy
KAPLAN, Mary Rose
As of 01/30/2009
MIAMI 1739418.1 7650523941
KAPUSTIN, Rafael
ROBBINS, Leonard
KATZ, Eleanor
ROBINSON, Morris
KATZIN, Fred
ROBINSON, Hon. Steven
GOLDEN, Fruma
ROSS, Joe
KAYTON, Claire
ROTH, Seymour
KISLAK, Jay
RUBIN, Hal
KLENK, Charles J.
RUDOLPH, Muriel
KOGAN, Chief Justice Gerald
RUSKIN, Lloyd
KOSNITZKY, Michael
RUSS, Denis
KOSSOFF, Stanley
RUSS, Ruth
LAWRENCE, David
SACKS, Alfred
LEESFIELD, Ira
SAHM, William
LEHRMAN, Dr. Rosalind
SALTI, Rebecca
LESSER, Kathy
SCHAEFER, Rowland
LEVITT, Sonny
SCHEINBLUM, Michael
LEVY, Harry
SCHIFF, Rabbi Solomon
LEWIS, Marcy Miller
SEIDEN, Michele
LIBBIN, Comm. Jerry
SELIGMAN, Mac
LIPPMAN, Rep. Fred
SERURE, Ike
LOPEZ, Liliam
SHAPIRO, Howard
MALE, Michael
SHAPIRO, Ruth
MARCUS, Averill
SHOCHET, Suzanne
MARGOLIS, Sen. Gwen
SILVER, Max
MARGULIES, Martin
SILVER, Peggy
MARK, Robert
SILVERMAN, Dr. Michael
MARTIN, Gloria
SILVERMAN, Ralfe O.P.
MARTIN, Leo
SINGER, Larry
MATZ, Ruben
SLEWETT, Nathan
MAY, Isabel
SMALL, Morris
MIOT, Sandy
SOLOMON, Marilyn
MISHCON, Mayor Jeffrey
SOLOWSKY, Jay
MITTLEMAN, Scott
SOMMER, David
MONDRE, Richard
SONDERLING, Marjorie
MORJAIM, Dr. Isidoro
SONDERLING, Roy
MUSS, Sandra
SREBNICK, Mariita
NEINKEN, Ruth
STEADMAN, Martin
NELSON, Ted
STEIN, George
NEWMAN, Joel
STEIN, Howard
OLEMBERG, Isaac
STEINBERG, Robert
OROVITZ, Michael
TATE, Stanley
PAPIR, Sam
TAYLOR, Mitchell
PARKER, Leonard
TENDRICH, Elayne
PERTNOY, Earl
TOPPEL, Harold
PERTNOY, Sid
TRAUM, Judith
PINCUS, Rosalie
TRAUM, Sydney
POLITANO, Aida
TRAURIG, Jackie
POTAMKIN, Alan
UNGER, Arthur
POTASHNICK, Hildine
WAGNER, Steve
POTASHNICK, Jerry
WARREN, Philip
PRESS, Gary
WASSERMAN, Martin
PRESS, Jill
WEINER, Arnold
RAIFFE, Herbert
WEISBERG, Florence
RAIFFE, Rita
WEISS, Cecile
RAFFEL, Forrest
WERNER, Seth
RETELNY, Rosita
WINN, Sen, Sherman
RICHELSON, Roz
WODNICKI, Dr. Henry
As of 01/30/2009
MIAMI 1739415.1 7650523941
WOLFF, Jr. Henry
ZELCER, Isaac
ZEMEL, Herb
ZILBER, Linda
ZIMMERMAN, Sarah
As of 01/30/2009
MIAMI 1739418.1 7650523941
=;
City of Miami
Public School Concurrency
ConcurrencyMana ement System Entered Requirements
Applicant Fields
Information
Application Type
Land Use and Zoning
Application Sub -Type
Application Name *
A. Vicky Garcia -Toledo, attorney for Douglas Gardens
Holding Corp., Inc.. a Florida not -for profit corporation,
holding company of Miami Jewish Home & Hospital for
the Aged,
Application Phone *
305-350-2409
Application Email *
VGT@bilzin.com
Application Address *
200 S. Biscayne Blvd., Suite 2500, Miami, FL 33139
Contact Fields
Information
Contact Name *
A. Vicky Garcia -Toledo
Contact Phone *
305-350-2409
Contact Email *
VGT@bilzin.com
Local Govt. Name
City of Miami
Local Govt. Phone
305-416-1400
Local Govt. Email
GDGay a ci.miami.fl.us
Local Govt. App. Number (OFFICIAL USE ONLY)
Property Fields
Information
Master Folio Number *
01-3124-011-0100
Additional Folio Number
Total Acreage *
5,915 square feet or 0,136 acres
Proposed Land Use/Zoning *
Major Institutional Public Facilities, Transportation and
Utilities/GI
Single -Family Detached Units *
0
Single -Family Attached Units (Duplex) *
0
Multi -Family Units *
0
Total # of Units *
0
Redevelopment Information (MUSPs) – Re -development applications are for those vacant sites for which a
local government has provided vested rights; or for an already improved property which does not have to be
re -platted as deemed by the local government. The number of units to be input into the CMS is the net
difference between the existing vested number of units and the newly proposed number of units.
Required Fields for Application
A. Vicky Garcia -Toledo, PA. Ifff
A. Vicky Garcia -Toledo, Esq.
Owner(s)/Attorney/Applicant Name Owner(s)/Atto e /Applicant Signature
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
VT e re oings—ac o ledged before me this � day of 200, by
tG _�C 1 a - �� who is a(n) individual/partner/ gent orporation of
a(n) individual/partnership/corporation. HeQje,.)is personally known to me or who has
produced as identification and who did (did not) take an oath.
CHRISTINE A. ®OWER -- n
MY COMMISSION # h1s DD 499 0 (�/
GVhiZ'C.'nl.., �„n, en n
(Stamp) '71,��� �tuisd
MIAMI 1739663,1 7650523941
a
This instrument prepared by
Sle�cn W. 5imnn. ksq.
WI/in Sumherg Baena Price & Axelrod 111)
2011 South Biseuvnc Boulevard
Suite 200
Munni, Floridn 33 13)-2336
CFN
OR Bk 26694 Psis 3362 - 3363; {2pe0
RECORDED 12/22/21108 15:39:17
DEED DDG TAX 487,80
HARVEY RUVIhir CLERK DF COURT
MIAMI-DADE GDUHTY; FLORIDA
Spncc above this Itae far recorder's use only
STATUTORY WARRANTY DEED
THIS DEED, made on this /,ST day of December, 2008, between Marjoe Porter a/k/a
Marjoe Washington Porter a/k/a Marjoe Harris, a single woman (the "Grantor"), whose address
is 5265 North Miami Avenue, Miami, Florida 33127 and Douglas Gardens Holding Corp., Inc_ a
Florida not-for-profit corporation (the "Grantee"), whose address is 5200 NE 2"d Avenue, Miami.
Florida 33137.
WITNESSETH, that Grantor, for and in consideration of the sum of Ten and no/100
($10,00) Dollars, and other good and valuable consideration, to Grantor in hand paid by Grantee,
the receipt whereof is hereby acknowledged, does grant, bargain, sell and convey to the Grantee,
its heirs, successors and assigns forever, the following described land, situate, lying and being in
M iam i -Dade County, Florida, to -wit:
Her entire interest as tenant-in-common in the real property
described as:
Lot 10 less the West 10', Block 1 of ORCHARD VILLA TRACT,
THIRD SECTION, according to the Plat thereof recorded in Plat
Book 9, Page 30 of the Public Records of Miami -Dade County,
Florida,
SUBJECT TO:
Taxes for the year 2009 and subsequent years, which are not yet due and payable,
2, Restrictions, covenants, limitations, agreements, reservations and easements of
record, and applicable zoning ordinances, without reimposing said matters.
MIAMI 1665932,2 7650524324
Book26694/Page3362 CFN#20081020469 Paqe 1 of 2
OR BK 26694 PG 3363
r. rVA LAST PAGE
And Grantor hereby fully warrants the title to the Property, and will defend the same
against the lawful claims of all persons whomsoever.
Signed sealed and delivered
in our pr nce:
Q� 'A �_ —
Print Name:�AV�
4U-4VO IA -
Print Nal . ta�
STATE OF FLORIDA }
} SS:
COUNTY OF MIAMI-DADE
n
Marjoe Port a/k/a
Marjoe Wa ngton Porter a/k/a
Marjoe Harris
The foregoing instrument was acknowledged before me this L day of Dece ber, 2008,
by Marjoe Porter a/k/a Marjoe Washington Porter a/k/a Marjoe Harris who is (personally
known to me or ( ) who produced as identification and who did not
take an oath.
NOTARY SEAL -��Ojyj'
NOTARY P BLIC, STATE YF FLORIDA
Print Name; rr_r�%cD,,vj—
INTEAIAN
MY COMMISSION 4 DD 492128
EXPIRES: November 17, 2009
Bux*dTruN&YPU*Urh wkm
5
2
MIAMI 1665932.2 7650524324
Book26694/Page3363 CFN#20081020469 Paae 2 of 2
This instrument prepared by
Steven W, Simon, Esq,
Bilzin Sumberg Baena Price & Axelrod LLP
200 South Biscayne Boulevard
Suite 2500
Miami, Florida 33 131-2336
DR Bk 26694 Pss 3364 — 33659 Upss)
RECORDED 12J22/2008 15:39:17
DEED DOC TAX 1Y462.80
HARVEY RUVINi CLERK OF COURT
MIAMI—DADE COUNTYr FLORIDA
Space above this line for recorder's use only
STATUTORY WARRANTY DEED
THIS DEED, made on this 19th day of December, 2008, between Bennie L, Harris a/k/a
Bennie Lee Harris, a single man (the "Grantor"), whose address is P,O, Box 2111, Newnan,
Georgia 30264 and Douglas Gardens Holding Corp,, Inc,, a Florida not-for-profit corporation
(the "Grantee"), whose address is 5200 NE 2"d Avenue, Miami, Florida 33137.
WITNESSETH, that Grantor, for and in consideration of the sum of Ten and no/100
($10,00) Dollars, and other good and valuable consideration, to Grantor in hand paid by Grantee,
the receipt whereof is hereby acknowledged, does grant, bargaini sell and convey to the :Grantee,
its heirs, successors and assigns forever, the following described land, situate, lying and being in
Miami -Dade County, Florida, to -wit:
His entire interest as tenant-in-common in the real property
described as:
Lot 10 less the West 10', Block 1 of ORCHARD VILLA TRACT,
THIRD SECTION, according to the Plat thereof recorded in Plat
Book 9, Page 30 of the Public Records of Miami -Dade County,
Florida.
SUBJECT TO:
1. Taxes for the year 2009 and subsequent years, which are not yet due and payable.
2. Restrictions, covenants, limitations, agreements, reservations and easements of
record, and applicable zoning ordinances, without reimposing said matters,
MIAMI 1666197.2 7650524324
Book26694/Page3364 CFN#20081020470 Paqe 1 of 2
OR BK 26694 PG 3365
LAST PAGE
%A
And Grantor hereby fully warrants the title to the Property, and will defend the same
against the lawful claims of all persons whomsoever.
Signed sealed and delivered
in our nresence: ., ,-i .
P n name:
Print Name:
STATE OF FLORIDA )
) SS:
COUNTY OF MIAMI-DADE )
Bennie L, Harris a/1Ja
Bennie Lee Harris
The foregoing instrument was acknowledged before me this 19th day of December, 2008,
by Bennie L. Harris a/k/a Bennie Lee Harris who is (___) personally known to me or (X) who
produced a _6�� Driver's License as identification and who did n e an oath.
V 1
NOTARY SEAL/STAMP
N07A_R_N PUBLIC, St -ATE OF FLORIDA
A�Y:V@Jtk.8ltJfd Print Name:
td1' i M 44M
2
MIAMI 1666197,2 7650524324
Book26694/Page3365 CFN#20081020470
Paqe 2 of 2
CITY OF MIAMI
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: A. Vicky
(First Name)
(Middle)
HOME ADDRESS: 200 S. Biscayne Blvd. Suite 2500
(Address Line 1)
CITY: Miami
HOME PHONE: ,(305)350-2409
EMAIL: vgt(aDbilzin.com
BUSINESS or APPLICANT or ENTITY NAME
(Address Line 2)
STATE: Florida
CELL PHONE:
Garcia -Toledo
(Last Name)
ZIP:33131
FAX: (305) 351-2233
A. Vicky Garcia -Toledo, attorney for Douglas Gardens Holding Corp., Inc.. a Florida not -for
profit corporation, holding company of Miami Jewish Home & Hospital for the Aged
BUSINESS ADDRESS: 200 S. Biscayne Blvd, Suite 2500.
(Address Line 1)
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.
Application for approval of an amendment to the zoning atlas and comprehensive plan.
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?
❑ YES CEJ 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.
MIAMI 1737373.1 765 0523941
3. Please provide the name, address and phone number of the person(s) or entities to whom consideration
has been provided or committed.
Name
a.
b.
C.
Address
* Additional names can be placed on a separate page attached to this form.
4. Please describe the nature of the consideration.
Describe what is being requested in exchange for the consideration.
ACKNOWLEDGEMENT OF COMPLIANCE
Phone#
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 sa a issue shall be reviewed or considered
by the applicable board(s) until expirati d of one year after the nullification of
the application or order.
PERSON SUBMITTING DISCLOSURE:
Signature
A. Vicky Garcia -Toledo, PA.
A. Vicky Garcia -Toledo, Esq.
Print Name
STATE OF FLORIDA -- CO UNTY OF MIAMI-DADE �"
The foregoing was acknowledged befog e me this J day of 2009 by, A. Vicky Garcia -Toledo,
as President of A. Vicky Garcia -Toledo, P.A,, a corporation. She is personally known to me nd who did not take an
oath. _
:eAY Pyr' CHRISTINE A. Oji R c
i' MY COMMISSION D
(Stamp) sonXu dlmuPlrFh�rdrina �1lul"
Enclosure(s)
MIAMI 1737373.1 765 0523 941
g m `$ LEGEND
_ m S A =A,c
ASPH = Asphalt
BM = Bar& Man,
m g'� 8g BRG =aeadngre
c co CB = Catch basin
CBS = Concte0ld, S...
c
... p CH =Chord
. .. - lo.= ChatChetlahood da
Center Line
CLF = Chain Unit Fence
o CI- = Clear
MONUMENT Fd' — N E. 53rd STREET I $ e $ m LONG=Cmncele
40 Od 1 65 00'(M) .. I d. NO: ` m
. 4 4 M) O :.. — - E ;°c
-0
iemeler
m
p eESe`m 3 DH =Doll Hole
I ' 22' ASPITALT PAVEMENT ' o ° m _ _ ` _ DME = Ordinage & Malnlenanre
E
(50 TOTAL R/NJ 1 asement
Eleclnc Boz
K=25.00' o o N89P57 swK ' E Eg En-Ena,Floor t
Flnrsn Floor
I O' O 1-1/1
a. .'c o N FH. =Fra Hydrant
A= I IS 26' N ENDS L
49.82'(M)(P) I — — —/ l'PARxWAY - ` a E - __
4 F.I.R. -Fauna Iron Refer
D=3701 6'35" P.i4'05'CONC, SLrK,• W.M� a n c p FPL -Florida Power. Ugnt
RLF - Found hon P pe
? E _ FD. Found
P.T.
C- c Palo
d. CUT NAILo o a m m E' MP ligt
Meh
35.00 azured
m t
a.
.3m _ M.F. -Metal Fence
CONC. m 'L 3° c F$ c a M.H. = Manhole
DWI! WI!
OCCUPATION O u E E Monu
m M -ment Un.
Fd. 6' 5PIKE /
LINE MON. = Monument
NtA
FENCE CONC. BA5E TSPS / _ _ _ u n _ - _ NO - Not Applicable
/ /.4$' This property described as: 2 < a N D - Nail & Dido
W I u' O P P "J _ Nis Not. Scala
Z2' Lot 10 less the West 10 feet thereof, Block 1, CIS offset
Z rc ' o.aa l5 45' o m h ORCHARD VILLA TRACT THIRD SECTION, _ O.0 L - Osero ad Utility I
W I I k A N
IwWS I° N zO /O T ° OH Oe
hang
oa P plot according o the Plat thereof
a as recorded in Plat Book Page 30,
PB Plat Book,
3 m =
1 o i /5, W of the Public Records of Miami -Dade County, Florida. _ a PC Point of Curry m
E P.C.C.- Pdnt of Compound
PCP = Permanent Canad Point
b Iti ONE STORY °1 N o S o m m .. PG - Page
n, RESIDENCE d4 O N F
F ) m aszss CONC. LOT 9 CERTIFIED TO: - 5 s a m e l- : P o�'�I"'e's "'°"
I ?' a sus o BLocK I City of Miami, Florida m = m pL
Z i .. I -, O O — O _ - 'mc `$n €' P.O.6. Poii.l of
�, Lor I o T 10 m o Douglas Gardens Holding Corp., Inc. co"I'
i to W me wEST o' Bilzin Sumberg Baena Price & Axelrod c _ P.O.C: Point If Commencement
aJ. N 4.50' BLOCK I E 1° P.RlA: Penne._, Reference
Monument
ORIGINAL _
LOT LINE I -L P.RG- Po nt of Reverse
\I m 5265 North Miami Avenue, Miami, FL 33127 _ = r= C° "rs
PT = Poi df Tangency
I 40.30' E a R = Idl
fg
MR - Railroad
E PSM - pmt dutlonal Sun eyv
Mapper
COFLN.IC.PP...' oE ma
tc
mm
ma W=Rgro
W
ay
`B--ZE SWK Sdwlk3'CBS I Se. Sairon
(TYP) "TYPIreI
€$m�E'o
�•.II . P_O it cE `m Lo aT .=Tagent
P.P. oo(.1P. I/2'0 E Ea
m
ent+ I a WE Wood Fence
J89S8E EeuE W M. Water MeterO -THIS SURVEY DECLARATION IS MADE ON THE FIELD 2
WN. = Waedrvalve
LOT 12 DATE INDICATED, TO THE OWNERS) LISTED. IT IS NOTv E = $ E m m c "if=. Dan. -spot
LOT I LE55 BLOCK I TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR s m m a 9 'g _ m 3 eevauore Taken
way
THE WF5T10 SUBSEQUENT OWNERS:' o� J
BLOCK I
Bearing, if any, shown based on Assumed Meridian (reference) NORTH R N89°57'58 -W
FLOOD ZONE
COMM. No.
PANEL No.
SUFFIX:
NOT
ELEVATION E: (IF APPLICABLE)
I
minimum technical standards as set forth by the
Surveyors, Mappers and Land Planners
LF_EIev= N/A (lowest habitable floor elevation).
I
X
120650
0161
J
Elevation shown hereon refer to N.G.V. D. 1929.
Lowest atljacent grade elevation= N/A
F.I.R.M.DATE
F.I.RMANDD(
BASE ELEV.
L.B. No. 6867 / E-mail: aaasurvey@aol.com
and the—i
BM. Ci[y of Miami . Be— 11.872
03 /02/94
07117/95
+ Wq N.G.V.D.
Garage Elev = N/A . Erp = N/g
BOUNDARY SURVEY.
Alvarez, Aiguesvives and Associates, Inc.
I HEREBY CERTIFY: that this survey meets the
minimum technical standards as set forth by the
Surveyors, Mappers and Land Planners
FLORIDA BO
S.W. 107th Avenue X206, Miami, FL 33173
YrSS.I.SURVEYORS5701
AND MAPPERS inC da Administrative
Code, pursuan o serida statutes.
Phone 305-220.2424 Fax 305.552.8181
of valid unless
bears thegnature
L.B. No. 6867 / E-mail: aaasurvey@aol.com
and the—i
fgirlal raised seal
'
- IVES 01120!09
Field Date
Scale:
Drawn by.
Drwg. No.
Florida licensed
P OFESS ON SURVEYOR AND
`
urveyor and
apper.
MAPPER No. 4327- State of Florida.
01/16/09
1"=20'
D:G.
047898 (L-10)