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HomeMy WebLinkAboutApplication & Supporting DocsZi O} 190001P 8RATE HEARING BOARDS 444 SW 2 d Avenue, 7`" Floor Miami, Florida 33130 Telephone 305-416-2030 • Fax 305-416-2035 www.miamigov.com/hearing boards Planning Designee Initial & Date 109 FED 5 PM 3: 25 A AMENDMENT TO THE ZONING ATLAS AND/OR OVERLAY DISTRICT 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'/2 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. Rev. 12-16-08 MIAMI 17370 01.1 765052 3941 SA 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. 2 Rev. 12-16-08 MIAMI 1737001.1 7650523941 Please refer to Article 22 of the Miami Zoning Ordinance for Amendment 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. Present zoning designation(s): R-2 Statement as to why the present zoning designation is inappropriate: This is the only lot on the block that is zoned residential. The zoning and use of the property is not consistent with the other properties on the block. The owner of the property owns and operates the Miami Jewish Home and Hospital for the Aged; and provides a public service that requires additional parking. 4. Future zoning designation(s): GI Statement as to why the proposed zoning designation is appropriate: The proposed zoning unifies the owner's land in one consistent zoning district, and allows for the use of the subiect property for additional parking to support the Miami Jewish Home and Hospital for the Aged. 5. Obtain signature or initial and date by the Planning Department designee prior to submittal. 6. Two (2) 11x17" 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. 7. The subject property(ies) cannot have any open code enforcement/lien violations. 8. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable. 9. At least two photographs showing the entire property showing land and improvements. 10. 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. 11. 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. 12. Original Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit.. 13. Original Public School Concurrency Management System Entered Requirements form (page 4 of the attached packet). 14. Certified list of owners of real estate within 500 feet of the subject property (see pages 7 and 8). 15. For all corporations and partnerships indicated: a) Articles of Incorporation; b) Certificate from Tallahassee showing good standing, less than one (1) year old; 3 Rev. 12-16-08 MIAMI 1737001.1 7650523941 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. 16. What is the acreage of the project/property site? 5,915 square fleet or 0.136 acres 17. 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. 18. Is the property within the boundaries of a historic site, historic district or archeological zone? Please contact the Planning Department on the 3rd Floor for information. No. 19. Is the property within the boundaries of an Environmental Preservation District? Please contact the Planning Department on the 3rd Floor for information. Yes 20. Cost of processing according to Section 62-156 of the Miami City Code*: Change of zoning classification to: a. CS, PR, R-1, R-2, per square foot of net lot area $ .15 Minimum $ 635.00 b. R-3, R-4, O, G/I, HP per square foot of net lot area $ .20 Minimum $ 750.00 c. C-1, C-2, I, per square foot of net lot area $ .25 Minimum $ 900.00 d. CBD and all SD's, per square foot of net lot area $ .30 Minimum $ 1,000.00 Public hearing and public meeting mail notice fees, including cost of handling and mailing per notice $ 3.50 *Pursuant to Ordinance 12719, all planning and zoning fees in excess of $25,000.00, shall be paid in the for~, entified check, cashier's check, or money order. Signature Address Bilzin Sumberg Baena Price & Axelrod LLP Name A. Vicky Garcia -Toledo 200 S. Biscayne Blvd. Suite 2500 Miami. Florida 33131 Telephone 305-350-2409 Date E-mail Address vgtabilzin.com STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this Vicky Garcia -Toledo, as President of A. Vicky Garcia -Tc is personally known to me and who did not take th CHRISTINE A. BOWER MY COMMISSION # 00 499810 (Stamp)Rbd gEXPI�hnSrlcnabruun8urgnUCe'Agency Ignc MIAMI 1737001.1 7650523941 day of it, , 2009 by A. ledo, P.A., a cor oration. She Rev. 12-16-08 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 1736093.1 7650523941 IN WITNESS WHEREOF, the gndersigno 4ave executed this Written Consent in order to give their consent hereto as of they day of , 2009. WITNESSES: Signature AIC. Print Name r� ti Signat re (f—" I I, U, 6 sz> C; C-0 Print Name uxkq—. 14"u;k Signature ""LL- l of Lc6 Print Name Sijn&t- e 6 R� Print Name MIAMI 1736093.1 7650523 941 DIRECTORS: Harold Beck 04�A' W. 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 7650523941 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, R1 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 ' 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 and who did not take an 09R) ag v c 1k+ ry CHRISTINE A. BOWER JV c : MY COMMISSION # DD 4994 (Stamp) •, EX('IRES;fpbmary20,2010 i nat 80mod Thm P1 rd ins ranab Agency 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(a)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): See Exhibit "B" for Detailed List A. Vicky Garcia -Toledo, PA. A. Vicky Garcia -Toledo, Esq. Owner(s) or Attorney Name Legal Description(s): Owner(s) or attorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this day of JA , 2009 by A. g g 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 anOh'. (Stamp) 0 MIAMI 1737001.1 7650523941 MY COMMISSION ## DD 499810 EXPIRES: February 20, 2010 Widad Thou Plftrd InsUMMO AMOY Rev. 12-16-08 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 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 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 35 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, Pg. 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 Secretary o State Authentication ID; 000142512270-013009-727539 'Cpb To authenticate this certificate,visit the following site, enter this — — ID, and then follow the instructions displayed, https:Hefile.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, 1St 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 01/3012009 MIAMI 1739418.1 7650523941 WOLFF, Jr. Henry ZELCER, Isaac ZEMEL, Herb ZILBER, Linda ZIMMERMAN, Sarah As of 01/30/2009 MIAMI 1739418.1 7650523941 kkt"'.)Public � �,elb '4� CHRISTINE A. ROWER City of Miami School Concurrency a , ConcurrencyMana ement System Entered Requirements Applicant Fields Information Pabruaty 20, ?C (Stamp) 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 docs 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. A. Vicky Garcia -Toledo, Esq. Owner(s)/Attorney/Applicant Name STATE OF FLORIDA Ifff Owners)/Atto e /Applicant Signature COUNTY OF MIAMI-DADE VT e!reoingmo�jledged before me this _5__ day of4(200, by tG G l8- fr�CCsC:e who is a(n) individual/partner/ gent orporation of a(n) individual/partnership/corporation. He/Qg_,�is personally known to me or who has produced as identification and who did (did not) take an oa h. MIAMI 1739663.1 7650523 941 '4� CHRISTINE A. ROWER I[- a , Mw COMMISSION # DD 6EXPIRES; " Pabruaty 20, ?C (Stamp) BoMod nru NOW rwffim Ad MIAMI 1739663.1 7650523 941 a 1111111 llill IIIII IIII! ILII) Ilill ll11111111i11 OR Bk 26644 P9s 3362 - 3363; t2P951 RECORDED 12/22/21,108 15.39.'17 DEED DOC TALC 487.80 HARVEY RUVINP CLERK OF COURT MIAMI-DADE COUt1TYs FLORIDA This instrument prepared by Simn W. Simon. Esq. IWAn Sumhcrg Bucrta Price & Axelrod LLP 200 South Biscayne Boulevard Suite 2500 Miami, Fioridt133131-2336 above Ihls Ime for recorder's use only STATUTORY WARRANTY DEED THIS DEED, made on this /,nth 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 Miami -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 Page 1 of 2 OR BK 26694 rG 3363 LAS"T 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 rice: Print Name: `-?AVL LA,-.--- Print Nal . �M STATE OF FLORIDA ) ) SS: COUNTY OF MIAMI-DADE ) ( h I-( --I- �/, ---I- , Marjoe Port a/k/a Marjoe Wa ngton Porter a/k/a Marjoe Harris The foregoing instrument was acknowledged before me this L clay ofDece ber, 2008, by Marjoe Porter a/k/a Marioe 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 i NOTARY P BLIC, STATE QF FLORIDA Print Name:hC_ ` — r Ocvl V1 NAROYINTEMN MY COMMISSION 4 DD 492128 EXPIRES; November 17, 2009 Bud d TW NDWq p0* Urd0WftM 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 33131-2336 1111111 IH 1111111111 IN1111111 Mil 1111111i C -FN 21-108R I t_1121--1470, OR Bk 26694 Fay 3364 - 3365; (2pes) RECORDED 12/22!2008 15:39:17 DEED DOC TAX 1r462.80 HARVEY RUVINr CLERK OF COURT HIAMI-DARE 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 2nd 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= c.onvey,to 1.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 I 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 1666197.2 7650524324 Book26694/Page3364 CFN#20081020470 Paqe 1 of 2 OR BI's 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: ., 1-7 . Print Name: ,5r�,Wzl STATE OF FLORIDA ) ) SS: COUNTY OF MIAMI-DADE ) Bennie L, Harris a/k/a 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 6e014 � Driver's License as identification and who did n e an oath. 1 NOTARY SEAL/STAMP NO ARY PUBLIC, S E OF FLORIDA MY i D� 4 w, #M4 0i2 Print Name: 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 Garcia -Toledo (First Name) (Middle) (Last Name) HOME ADDRESS: 200 S. Biscayne Blvd. Suite 2500 (Address Line 1) CITY Miami (Address Line 2) STATE: Florida ZIP:33131 HOME PHONE: (305)350-2409 CELL PHONE: FAX: (305) 351-2233 EMAIL: vzAbilzin.com BUSINESS or APPLICANT or ENTITY NAME A. Vicky Garcia -Toledo, attorney for Douglas Gardens Holdinjg 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 0 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 7650523941 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. 5. 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 saiAe issue shall be reviewed or considered by the applicable board(s) until expiratiq d of one year after the nullification of the application or order. 7 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 before me this 5 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. CHRISTINEA. ,R Y a MY COMMISSION n Stam A, ' ' oeeIMS: Pebru grl Wur p) r3 7hru fthsrd Ins Enclosure(s) Y MIAMI 1737373.1 7650523941 Bearing, if any, shown based on Assumed Meridian (reference) NORTH R N89°5T58"W _ -° m m rd. clr rd. w 4000' j N.E. 53rd STREET ' 65.00(Iv) A =Aa ASPH =Asphalt 40.04(( )_0 } O 22' ASPHALT PAVEMfM 1.} BM =Ban- Mark 120650 � � � LF.Elev= N/A (lowest habitable floorelevation). R-- 25.00' A= 16.26' o o N89°57 O 49.82'(M)(P) I swK ENOS /'PARKWAY m ? m .00L D=37'1 C35".-O,� 5'OONO SI�K;� ILL L Chatta: Chattahoochee F.I.R.M.DATE m w Zz q - Center Line ' a no _ c — —1 m` =sem m�?Eae 35.00 SM. City of Miami Elev= 11.8 o'j � ° CJT NAIL e-oamater OH - Dnll Hole + NIA N.G.V.D. o _ _ DME D2inmge & Maintenance 3 - GOND. NR EB. - Elecmc Baxrm - o E EZ."m- o .z. m DRIVE F.H.-Fre Hydrant =_ a E o �'. OCCUPATION O - m e = -O a >° FD - Found E t•5 m m cc _ c E LINE m = _ = M = M red t _1. m z M.F. -Metal Fence M.H. = Manhole @FENCE CONC. BASE ' Monument line TEP5 / /.45' 27 .y« WA Not Applicable � NO Nail 8 Disc This property Ydescribed as: � _ a hers-Notmsaala Lot 10 less the West 10 feet thereof, Block 1, --- - ors -Greet = - Wi: 0.80 t o g a 'n as recorded in Plat Book 9, Page 30, = „ w ° ' III I I k N �:C Pc - Pa nt rn a amre PCG.=Pomrn CamPwM "' 20.1 0' N - E C.... a c . f 6 n PG - Page CERTIFIED TO: € > - P.I. = Point of Imersecuon Properly Line City of Miami, Florida a 4 a PL = Planter Douglas Gardens Holding Corp., Inc. P.O.B. P.irtf Beginning Bilzin Sumberg Baena Price & Axelrod = _ - "-_ P.O.C.= Pp,m of commenaa nenc P.P. Power Pole P.RM.= Permanent Raferencre _ _ ° - Mo m_ io >- z3 N ONE STORY v' PT pontrn Tangency Radus :N o_ o `m _ PIR Railroad PSM Pnoassieral su,d, o Mappo RESIDENCE ow, ad N O N LOT 9 (• C SWK =Sidewalk ` J �• u to o'N #5265 LONG b BLOCK I f c> 2 I.I.E. -Udllty Easement a m w m SLAB � O Z W M. - Walz Meter j... "=�'ooa'-''a n wv watervaNe LOT IOLE55 m E y a m m „ w -Denotes spot TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR 2,B = m m 9 a ° o waa�s� c, 2�o / Eltiore Taken eva SUBSEQUENT OWNERS o m a _t ° - v THE WEST I O' i BLOCK I ORIGINAL LOT LINE - ut � I I ` :0-90' i L.P. 3' CBS n f.I.P. II /2" ALL lTt'P1 NR ,(35-00--j=o `f yo P.Po O — -- 0 589°5755T o ' I LOT 12 LOT I I LE55 BLOCK I THE WE5T IO BLOCK I Bearing, if any, shown based on Assumed Meridian (reference) NORTH R N89°5T58"W REVISIONS: _ -° m m LEGEND PANEL No. _ A =Aa ASPH =Asphalt Not valid unless 't bears the v LL ^ g $ BM =Ban- Mark 120650 a _ $ BRG = Baanng LF.Elev= N/A (lowest habitable floorelevation). c CB = Catch basin CBS = Concrete Block Strucetre I Drawn by: brwg. No. m ? m CH = Chard 1-=20' Elevation shown hereon refer to N.G.V.D. 1929. Chatta: Chattahoochee F.I.R.M.DATE m w Zz q - Center Line ' a no _ c CLF chain Link Fan. m` =sem m�?Eae CL -Clear cont-conarela 'D SM. City of Miami Elev= 11.8 -Delta 03/02/94 e-oamater OH - Dnll Hole + NIA N.G.V.D. o _ _ DME D2inmge & Maintenance - Easeent EB. - Elecmc Baxrm - o E EZ."m- o Enc EncroaCent FF. = Fin�sn Fbor m_ -- F.H.-Fre Hydrant =_ a E o F.I.R. Found Iron Rebar - m e = -O FPL Florida P--Ugla =o FIP FudI—Pipe FD - Found E t•5 m m cc _ c E L.P. = Light ole m = _ = M = M red t _1. m z M.F. -Metal Fence M.H. = Manhole Monument line _ = MON = Monument 27 .y« WA Not Applicable � NO Nail 8 Disc This property Ydescribed as: � _ a hers-Notmsaala Lot 10 less the West 10 feet thereof, Block 1, --- - ors -Greet a _ m ORCHARD VILLA TRACT THIRD SECTION, O.U.L- Overhead unrly ones according to the Plat thereof, t o g a OH Overhang P Plat as recorded in Plat Book 9, Page 30, = „ w ° PB -Plat Book of the Public Records of Miami -Dade County, Florida. ; Pc - Pa nt rn a amre PCG.=Pomrn CamPwM - E C.... c PCP -Perm t Can",Point f 6 n PG - Page CERTIFIED TO: € > - P.I. = Point of Imersecuon Properly Line City of Miami, Florida a 4 a PL = Planter Douglas Gardens Holding Corp., Inc. P.O.B. P.irtf Beginning Bilzin Sumberg Baena Price & Axelrod = _ - "-_ P.O.C.= Pp,m of commenaa nenc P.P. Power Pole P.RM.= Permanent Raferencre _ _ ° - Mo m_ 5265 North Miami Avenue, Miami, FL 33127 >- Pointt otoarse = PT pontrn Tangency Radus o_ o `m _ PIR Railroad PSM Pnoassieral su,d, o Mappo ow, RAN Rghtof-Way EZ E SWK =Sidewalk Sec -seccon =Ta ical T T _ 9 n[ c> 2 I.I.E. -Udllty Easement a m w m W.F. - Wood Fence m _ o `o � a E E m E W M. - Walz Meter 'THIS SURVEY DECLARATION IS MADE ON THE FIELD "=�'ooa'-''a n wv watervaNe DATE INDICATED, TO THE OWNER(S) LISTED. IT IS NOT m E y a m m „ w -Denotes spot TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR 2,B = m m 9 a ° o waa�s� c, 2�o / Eltiore Taken eva SUBSEQUENT OWNERS o m a _t ° - REVISIONS: FLOOD ZONE COMM. No. PANEL No. SUFFIX: ELEVATION NOTE: (IF APPLICABLE) Not valid unless 't bears the 5701 S.W. 107th Avenue #206, Miami, FL 33173 X 120650 0181 J LF.Elev= N/A (lowest habitable floorelevation). signature and the Scale: I Drawn by: brwg. No. P OFESSION SURVEYOR AND MAPPER No. 4327. State of Florida. 01/16/09 I 1-=20' Elevation shown hereon refer to N.G.V.D. 1929. original raised seal F.I.R.M.DATE F.I.R.M.INDEX BASE ELEV. Lowestadjacentgradeelevation= N/A . of Florida licensed SM. City of Miami Elev= 11.8 Surveyor and 03/02/94 07/17195 + NIA N.G.V.D. Garage Elev. N/A . Erp= N/A Mapper. BOUNDARY SURVEY. Alvarez, Aiguesvives and Associates, Inc. 1 HEREBY CERTIFY: that this survey meets the minimum technical standards as set forth by the Surveyors, Mappers and Land Planners FLORIDA BID Essl ALSURVEYORS 5701 S.W. 107th Avenue #206, Miami, FL 33173 AND MAPPERS in c r 61G17 Florida Administrative code, pursuan o section .027 Florida Statutes. Phone 305220.2424 Fax 305.552.8181 w✓ L.B. No. 6"867 / E-mail: aaasurvey@aol.com IVES 01/20/09 Field Date Scale: I Drawn by: brwg. No. P OFESSION SURVEYOR AND MAPPER No. 4327. State of Florida. 01/16/09 I 1-=20' D.G. 04-7898 (L-10)