HomeMy WebLinkAboutApplications 7-9-09r11 r
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;75,
CITY OF MIAMI APPLICATION 2009 JUN I I PM
for PLANNING ADVISORY BOARD and/or ZONING BOARD
CITY ':LEPX
CITY OF MI ,1`11, FL
NAME: Arturo (First Name) A (MiddFeT_ Rojas (Last Name)
RESIDENCE: 3124 Paola Dr. (Address Linel)
(Address Line 2)
CITY: Coconut Grove STATE:' Florida ZIP: 33133
HOME PHONE: (305) 446-0999 CELL (305) 926-9094FAX: (31 443 16 -4459
EMAIL: Armailbag@aol.com
PRINCIPLE BUSINESS/EMPLOYER: Tecnoravia International Corporation—'
BUSINESS ADDRESS: 848 Brickell Ave. Suite 950
tAddresS Line i
(Address Line
CITY: Miami. STATE
BUS. PHONE:(305) 579-0258 EXT. Dir.
FL
Would you like to serve on the Planning Advisory Board? _Yes
Would you like to serve on the Zoning Board?
Please state if you have a preference for either board: No Preference
Are you an elector of the City of Miami?
ZIP: 33133
1. Describe the qualities, experience, expertise and/or abilities that you possess that
would make you an effective board member that will act in the public interest.
I am a multi -cultural Engineer, ex -banker, ex -financial consultant with an impeccable record . Five years ago, I
founding . ............Consulting R*rrn and now dedicate myself professionally managing financial and nonfinancial assets **o*f
some of_myclients, _a—swell as some real estate inS�o-u—thF-lo—riBa�.—C�n—my7personal side, since 0_41 have been a
volunteer, participant, coach, and fund-raising mentor for the Leukemia and Lymphoma Society (South Florida
Chapter), a non-profit organization dedicated to research and saving lives of people afflicted with the various forms
of Blood cancers. I now wish to commence some type of public service and feel that this is a great opportunity
.......... I .............. ..................... ............................ .................................................................................. I .................. . ...................................................................... ......................... ......... ... .... .. ................................................................. ....................................... ......... I .......................... ..................... I . .............
BoardstMA-PABIZ B-070 1.01
Page 1 of 4
2. Describe your educational background and general knowledge of planning and zoning
I am an Engineer with extensive banking and Investment experience. During my 20 year tenure as banker, I was
involved in the financing of several projects overseas and in Miami. I was a member of the board of a multinational
Financial institution and attended theboard meetings of a local anIs
Bking ntitution, highly involved in community
3. Describe any prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementation.
As a runner, bicycle enthusiast, and long time resident of Coconut Grove, I have a great love for our city and much
................_.................. ..............._.___..................._........................................................................._.........._._..__........--.....____.._................_............................:..........._.............._............._......................__...................._....._...................................._._....;..........__......................
concern for the future of our parks, bike paths and greenery, as well as the general safety of our pedestrians. At
the same time, as a businessman, I understand the demands of development and capitalism. I feel that I can
_provide a great dose of experience, common sense and community understanding to any of these boards.
N
4. Describe any planning or land use or growth management seminars thay you. have
attended.
N/A
5. Describe any membership in organizations having the primary aim of the furtherance
of dissemination of knowledge of and support of sound planning and implementation
programs.
N/A.
0
6. Describe any other activity evidencing -knowledge and interest in the publio.0 oSft
'771
of planning and plan implementation. cc:rr
NIA
..... _.... _._........... ........... ._..._-.... ....... ...................._..._........._....__ ..........:
—�_!
B o a rd s/M A-PAB/ZB-0701.01
204
I have read and understand the qualifications for members that are set forth in Sec. 62-124 of the City Code, and hereby certify that:
(1) 1 do not have any interest in the profits or emoluments of any contract, job, work, or service for the city.
(2) 1 am in a position to represent the public interest, and 'do not have any personal or private interests likely to conflict with the
public interest.
(3) 1 do not hold any elective office in any governmental authority in the county or the city.
(4) 1 am not employed in a full-time capacity by any governmental authority in the county or the city.
(5) As a member of the planning advisory board or of the zoning board I agree to participate in at least one seminar on planning
or zoning to be held in Florida, and approved by the city, during the course of each calendar year that I remain a member or
alternate member of the planning advisory board or of the zoning board.
(6) 1 acknowledge that I am subject to removal from the board if I fail to meet this requirement each and every year after assuming
board membership or alternate membership.
(7) As a prospective appointee I am subject to a personal appearance before the city commission, to afford the city commission
an opportunity to ascertain my proficiency in the English language, educational background and general knowledge of
planning and zoning.
(8) 1 am an elector of the City of Miami.
An "elector of the City of Miami" means a person who:
(1) is a citizen of the United States of America;
(2) is 18 years of age or older;
(3) has not been adjudicated mentally incapacitated with respect to voting in Florida or any other state;
(4) has not been convicted of a felony in Florida, or any other state, without having had his/her civil rights restored;
(5) is a resident of the City of Miami; and
(6) is registered to vote in the City of Miami
I agree to immediately notify the city clerk if I cease to be a resident and/or an elector of the city during the term of my office.
I agree that if I were to become a candidate for elective political office during my term and qualify as a candidate for elective political
office, such qualification shall be deemed a tender of my resignation from the board.
l have read; understand and agree to comply with Section 2-611 of the Miami City Code which prohibits me from entering into any con-
tract or transacting any business with the city or any person or agency acting for the city, or from appearing in representation of
any third party before any board, commission or agency of which I am member. I also understand that prohibition upon activity
which is set forth above remains in effect for a period of two years after I have left city service. `
I have read, understand and agree to comply with Section 2-6,13 of the Miami City Code which prohibits me from accepting, directly or
indirectly, from any person, company, firm or corporation to which any purchase order or contract is or might be awarded, any
rebate, gift, money or anything of value whatsoever, except where given for the use and benefit of the city.
I have read, understand and agree to comply with Section 2-615 and 2-617 of the Miami City Code which requires that I submit to the
city clerk a complete itemized list of all real property owned by me, whether the title be either legal or equitable, whether owned in
whole or in part, including corporate real property in which I have a controlling interest or I am an officer of such corporation. I
agree to submit to the city clerk said information in the required form verified and under oath within 30 days of my appointment
and I shall include the following information as to each parcel of land:
(1) The legal description and common address,
(2) The municipal or county zoning classification wherein the property is located; and
(3) The manner in which the property is presently being utilized.
I understand that I am required to list only those real properties that are located within the corporate limits of the city or those
properties located 500 feet beyond the corporate limits of the city.
I agree to comply with all financial disclosure requirements of the City, the County and the State including the requirements set forth in
Section 2-11.1 of the Miami -Dade County Code, and Florida Statutes Sec. 112-3145.
I acknowledge that the code of ethics of Miami -Dade County shall apply to me as a member or alternate member of the planning
advisory board or the zoning board and hereby agree to abide by all the provisions thereof.
For additional information on Code citations, please visit the website of the Office of the City. Attorney at http://www.miamigov.com/
cityattorney/pages/Index. asp for internet links to citations.
I recognize that membership on the planning advisory board or the zoning board requires my regular attendance and participation at
board meetings. I understand that attendance at board meetings is subject to the following point system:
1. Each member or alternate member. of the planning advisory board and the zoning board who arrives after the beginning of the
first agenda item or leaves before the termination of the last agenda item, at a regularly scheduled meeting of the board, shall
receive two points.
2. Any member or alternate member of the planning advisory board or zoning board who accumulates more than 15 points in one
calendar year shall automatically be removed and the position declared vacant.
Additionally, I understand that if I am appointed to the zoning board and I am absent, for whatever reason, from more than five (5)
meetings in one calendar year, I shall be automatically removed from the board; or that if I am appointed to the planning advisory
board and I am absent, for whatever reason, from more than six (6).meetings in one calendar year, I shall be automatically
removed from the board.
Form Boards/MA-PAB/ZB-0701.01 Page 3 of 4
'., CITY OF MIAMI APPLICATION
i'4 for PLANNING ADVISORY BOARD and/or ZONING BOARD;-`
NAME: Patrick John Goggins_
—Me)
(FirstName) 70(LastName) 7"
T T:
RESIDENCE: 1765 Micanopy Avenue 4n—
(Address ine
(Address Line
CITY: Miami STATE: FL ZIP: 33133
HOME PHONE: (305) 856-8825 CELL (305) 607-7888 FAX: (305) 530-8557
EMAIL: pgoggins@projectlaw.com
PRINCIPLE BUSINESS/EMPLOYER: Patrick J. Goggins, P.A.
BUSINESS ADDRESS: 777 Brickell Avenue, Suite 850
(Address ine
(Address Line
CITY: Miami STATE: FL ZIP: 33131
BUS: PHONE:(305) 530-8500 EXT.
Would you like to serve on the Planning Advisory Board? 'q-; Yes No-'
Would you like to serve on the Zoning Board? C Yes ,C'� Nod;
Please state if you have a preference for either board: Planning Advisory Board
Are you an elector of the City of Miami? (., Yes .r
SHORT,STATEMENT _OF QUALIFICATIONS; ,
t,
=: : (If you require additional space, attach additional ,pages.)
1. Describe the qualities, experience, expertise and/or abilities that you possess that
would make you an effective board member that will act in the public interest.
I am a lawyer, my practice is construction and development related. I am also a 15 year resident of the City of
-Miami, andover that time, have seen the City grow, sometimes in ways I think improve the City as a place to live
and to do business, sometimes not. After my experience representing several neighbors in the Mercy Hospital
Related Group condominium project, I have learned much about the land use process in the City of Miami. It
works, but it also can be improved. I believe I would be an effective board member, as I believe in the collegial
natures of these boards, and have thoughts on how to improve the process. I will act in'the public interest, by
basing decisions on the MNCP and the FLUM, and the zoning code. These documents make up the road map
that the public has chosen, and should only be deviated from in exceptional cases.
Forth Boards1MA-PAB213-0701.01 Page 1 of 4
2. Describe your educational background and general knowledge of planning and zoning.
University of Maryland, BA (1984), Marquette University, JD (1993). My first experience with planning and zoning
came as the construction manager and governmental liaison of a cable television company in suburban Maryland.
After obtaining my JD, my practice tangentially involved the City of Miami MNCP and zoning code, and with the
Mercy Project, that involvement became in-depth. In addition, I have a personal interest in land use and planning_
issues, having read up on the subject over the course of many years.
3. Describe any prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementation.
When the Grove Council endorsed the Mercy Project, I got involved in the opposition. I attended the PAB and
zoning board hearings as a citizen, and at the same time, organized community opposition, reaching out to Grove
-Isle an who eventually took the lead in the opposition to the project. I continued on, representing
several neighbors in the court cases that followed the commission hearings, on a pro bono basis. The court cases
resulted in a reversal of the commission's approval of the project.
4. Describe any planning or land use or growth management seminars thay you have
attended.
None.
5. Describe any membership in organizations having the primary aim of the furtherance
of dissemination of knowledge of and support of sound planning and implementation
programs.
None.
6. Describe any other activity evidencing knowledge and interest in the public purposes
of planning and plan implementation.
Following the progress of important planning and land use issues in the City of Miami, and attending public
meetings on occasion.
Forth Boards/MA-PABIZM701.01 Page 2 of 4
I have read and understand the qualifications for members that are set forth in Sec. 62-124 of the City Code, and hereby certify that:
(1) 1 do not have any interest in the profits or emoluments of any contract, job, work, or service for the city.
(2) 1 am in a position to represent the public interest, and do not have any personal or private interests likely to conflict with the
public interest.
(3) 1 do not hold any elective office in any govemmental authority in the county or the city.
(4) 1 am not employed in a full-time capacity by any governmental authority in the county or the city.
(5) As a member of the planning advisory board or of the zoning board I agree to participate in at least one seminar on planning
or zoning to be held in Florida, and approved by the city, during the course of each calendar year that I remain a member or
alternate member of the planning advisory board or of the zoning board.
(6) 1 acknowledge that I am subject to removal from the board if I fail to meet this requirement each and every year after assuming
board membership or alternate membership.
(7) As a prospective appointee I am subject to a personal appearance before the city commission, to afford the city commission
an opportunity to ascertain my proficiency in the English language, educational background and general knowledge of
planning and zoning.
(8) 1 am an elector of the City of Miami.
An "elector of the City of Miami" means a person who:
(1) is a citizen of the United States of America;
(2) is 18 years of age or older;
(3) has not been adjudicated mentally incapacitated with respect to voting in Florida or any other state;
(4) has not been convicted of a felony in Florida, or any other state, without having had his/her civil rights restored;
(5) is a resident of the City of Miami; and
(6) is registered to vote in the City of Miami
agree to immediately notify the city clerk if I cease to be a resident and/or an elector of the city during the term of my office.
agree that if I were to become a candidate for elective political office during my term and qualify as a candidate for elective political
office, such qualification shall be deemed a tender of my resignation from the board.
I have read, understand and agree to comply with Section 2-611 of the Miami City Code which prohibits me from entering into any con-
tract or transacting any business with the city or any person or agency acting for the city, or from appearing in representation of
any third party before any board, commission or agency of which I am member. I also understand that prohibition upon activity
which is set forth above remains in effect for a period of two years after I have left city service.
I have read, understand and agree to comply with Section 2-613 of the Miami City Code which prohibits me from accepting, directly or
indirectly, from any person, company, firm or corporation to which any purchase order or contract is or might be awarded, any
rebate, gift, money or anything of value whatsoever, except where given for the use and benefit of the city.
I have read, understand and agree to comply with Section 2-615 and 2-617 of the Miami City Code which requires that I submit to the
city clerk a complete itemized list of all real property owned by me, whether the title be either legal or equitable, whether owned in
whole or in part, including corporate real property in which I have a controlling interest or I am an officer of such corporation.
agree to submit to the city clerk said information in the required form verified and under oath within 30 days of my appointment
and I shall include the following information as to each parcel of land:
(1) The legal description and common address;
(2) The municipal or county zoning classification wherein the property is located; and
(3) The manner in which the property is presently being utilized.
I understand that I am required to list only those real properties that are located within the corporate limits of the city or those
properties located 500 feet beyond the corporate limits of the city.
I agree to comply with all financial disclosure requirements of the City, the County and the State including the requirements set forth in
Section 2-11.1 of the Miami-Dade County Code, and Florida Statutes Sec. 112-3145.
1 acknowledge that the code of ethics of Miami-Dade County shall apply to me as a member or alternate member of the planning
advisory board or the zoning board and hereby agree to abide by all the provisions thereof.
For additional information on Code citations, please visit the website of the Office of the City Attorney at http://www.miamigov.com/
cityattorney/pages/Index.asp for internet links to citations.
I recognize that membership on the planning advisory board or the zoning board requires my regular attendance and participation at
board meetings. I understand that attendance at board meetings is subject to the following point system:
1. Each member or alternate member of the planning advisory board and the zoning board who arrives after the beginning of the
first agenda item or leaves before the termination of the last agenda item, at a regularly scheduled meeting of the board, shall
receive two points.
2. Any member or alternate member of the planning advisory board or zoning board who accumulates more than 15 points in one
calendar year shall automatically be removed and the position declared vacant.
Additionally, I understand that if I am appointed to the zoning board and I am absent, for whatever reason, from more than five (5)
meetings in one calendar year, I shall be automatically removed from the board; or that if I am appointed to the planning advisory
board and I am absent, for whatever reason, from more than six (6) meetings in one calendar year, I shall be automatically
removed from the board.
Form Boards/MA-PAB/ZB-0701.01 Page 3 of 4
I hereby certify that all information in this application is complete, truthful, and accurate to
the best of my knowledge and that I have read and understand the qualifications and
conditions of membership listed in this application.
Print Name
Signature
Yes
Date Wednesday, June 24, 2009
Forth Boards/MA-PAB2B-0701.01
4 of 4
``�' CITY OF MIAMI APPLICATION r`E V
for PLANNING ADVISORY BOARD and/or ZONIN
ti 3:59
'2ISCILLA, A. f'aiOM?SQid
NAME: Constance Gilbert c1 r Y C t e" x
irstName)i e t m
RESIDENCE: 3348 William Avenue
(Address ine
(Address Line
CITY. Miami STATE: Florida: Z1p:33133
HOME PHONE: (305) 442-045.7 CELL(305) 299-8139 FAX: (3Q5)442-0457
EMAIL: gneil@bellsouth.net
PRINCIPLE BUSINESS/EMPLOYER: Miami Dade County Public Schools
BUSINESS ADDRESS: 1500 Biscayne. Boulevard Attention: Personnel
(Address Line
ress Line
CITY: Miami STATE:.. Florida zip: 33132
BUS. PHONE:(305) 995-7008 EXT.
Would you like to serve on the Planning Advisory Board? �C:- Yes $"r'NoM
Would you like to serve .on the Zoning Board? C� Yes r No
Please state if you have a preference for either board: Planning Advisory Board
Are .yo_u an elector of the City of, Miami?
9� r SHCIRTSTATEIIAENT OF QUA :IFlCATIOMS FiR , , xi�
s attach a'e�s��}*�
i� tf; ou re u►ra addnal ace adds on I
rb..4^..Y..L�i�eb..�:M .. �..�4�T`-_
1. Describe the qualities, experience, expertise and/or abilities that youpossess that
would make you an effective board member that will act in the.public interest.
I am a lifetime Miami resident, property owner and community activist. I offer administrative, as well as practical
,skills.to the,Planqing Advisory Board. Additionally, my protessional achievements as well as my educational
"liackgr"" ouncT,wou I d bene i t th e P Fa —nn visory oar -re it re —from--- oda Power & Light Company. I am
currently "employed with Miami "Dade County Public Schools. My community involvement include Coconut Grove
Homeowners anclTenants Association, Coconut Grove Local Development Corporation and numerous volunteer
efforts,uriderline my love for this city.
Farm BOardsrMA-PAB/Z"701.01 Page 1 of 4
2. Describe your educational background and general knowledge of planning and.zoning.,
I was educated in Miami Dade County Public schools. i attended St. Thomas. University. I hold degrees in
.-Business , Administration
—ministrat—ion and aI Masters alsoseved as secretary on the Coconut
Homeowners and Tenants-Association
and, l was involved with many zoning issues.
3. Describe any, prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementation.
Coconut Grove Tutorial Program; Coconut Grove Local Development Corporation, Coconut Grove Homeowners
-an--d Tenants AssocFa-ti—on a-n-a-Alp�aKd-pp—a-Albha--S-o—r6-(it-y-,-Inc—.
4. Describe any planning or land use or growth management'seminars thay you have
attended.
I have attended.charrettes for Coconut Grove, Grand Avenue, and Coconut Grove Playhouse regarding land use. I
-hav-efftfe-n-did —many C7iiy—ofMia—rFi-Co-mmis—sionPTan—niFg-a—ndZ-oniiig--Feeting—s--
... . ... ....
6.-Des'c"Ibe-ainy membership in organizations having the primary aim of the,furth6rance
of knowledge,of and support of sound planning and I m pie mishtatio"'n
programs.
o
Please see response #,3
n,
C3,
6.:Desce,lbe any other activity evidencing knowledge and Interest In the public O&poses
of planning .and plan Implementation.
I
was. ,onthe , committee that planned and implemented a charrette addressing the black community of Coconut
-Grove: -Flii-d-,re—spp-ii-s'iFiriii-es in --preparing,. program materia ls.fort he Master Plan.
Form 6oards1MA-PA8/ZM701.01 Page 2 of.4
I have read and understand-the qualifications for members that'are set forth in Sec. 62-124 ofthe -City Code,. and hereby certify that:
(1) 1 do not have any interest in the profits or emoluments of any contract, job, work, or service for the city.
(2) 1 am in a position to represent the public interest, and do not have any personal or private interests likely to conflict with the
public interest.
(3) 1 do not hold any elective office in any governmental authority in the county or the city.
(4) 1 am not employed in a full-time capacity byany governmental authority in the county or the city..
(5) As a member of the planning advisory board or of the.zoning board I agree to participate in at least one seminar on planning
or zoning to be held in Florida, and approved by the city, during the.course of each calendar year that I remain a member or
alternate member of the planning advisory board or of the zoning board.
(6) 1 acknowledge that I am subject to.removal'from the board if I fail to meet this requirement each and every year after assuming
board membership or alternate membership. � , ,
(7) As a prospective appointee I am subject to a personal appearance before .the city commission, to affF�d tt,�,,;citj�orri ion
an opportunity to ascertain my proficiency in the English language, educational background anter al taiuwl of
planning and zoning. cs r—
(8) 1 am an elector of the City of Miami.
An "elector of the City of Miami" means a persomwho: n,
(1) is a citizen of the United States of America;
(2) is 18 years of age or older;
(3) has not been adjudicated mentally incapacitated with respect to voting in Florida or any.other state;
(4) has not been convicted of a felony in Florida, or any other state, without having had his/her civil rights restor
(5) is a resident of the City of Miami; and, o
(6) is registered to vote in the City of Miami
I agree to immediately notify the city clerk if I cease to be a resident and/or an elector of the city during the term of, myoffce.,
I agree that if I were to become a candidate for elective political office during'myterm and qualify as a-candidate for elect:110 oiitical
office, such qualification shall be deemed a tender of my resignation from the board.
I have: read understand and agree to, comply with Section 2-611 of the Miami City Code which prohibits me from enterin'g,into:any con-
tract ortransacting any business with the, city or." any person or agency acting for'the city, offrom appearing, in re-preseiitatlon of
any third party before any board, commission or agency of which I am member. I also,understand that prohibition upon activity
which is set forth above. remains in effect'for:a period oftwo.years after I have left. city service.
I have read `understand and agree to comply with Section 2-613 of the Miami City Code which prohibits me from accepting; directly or
indirectly, '`from any person, company, firm or corporation to which' any purchase order or contract is or might be awarded, any
rebate, gift, money or anything of value whatsoever, except where given for the use and benefit of the city.
I have read, understand and agree to comply with Section 2-615 and 2-617 of the. Miami City Code which requires that I submit to the
city clerk a,complete itemized list of all real property owned by me, whether the title be either legal or.equitable, whether owned in
whole or in°part, Including corporate real property in which I have a controlling interest or I am an officer of such. corporation: I
agree to submit to the city clerk said information in the, required form verified and under oath within 30 days''of. my appolntment
and I shall include the following information as to each parcel of land:
(1) The legal description and common address;
(2) The municipal or county zoning classification wherein the property is located; and
(3) :The [nannerin,which the property is presently being utilized.
I understand that I am required to list only those real properties that.are located within the corporate limits of the.ciiy-or'those
properties located,500 feet beyond the corporate limits of the city.
I agree to comply with alC'financial disclosure requirements of the City, the County and the State including the requirements- set forth in
Sk, ion,2=1'1:1 of tfie'Miami-Dade,County Code, and Florida Statutes Sec. 112-31'45.
I acknowledge that the�cod.e_of ethics of Miami-Dade County shall apply to me as a member or alternate member`of the planning
advisory boardlorthe zoning board and hereby agree to abide by all the provisions thereof.
For additional information on Code citations, please visit the website of the Office of the City Attorney at http://www.miamigov.com/
cityattomey/pages/Index.asp for internet links to citations.
I recognize that membership on the planning advisory board or the zoning board requires my regular attendance and participation at
board meetings. I understand that attendance at board meetings is subject to the following point system:
1. Each:metIiber or.alternate member of the planning advisory board and the zoning board who arrives after the beginning of the
first agenda;item or leaves before the termination of the last agenda item, at a regularly scheduled meeting of the board, shall
receive two points.
Z. Any,member or alternate member of: the planning advisory board or zoning board who:accumulates more than 15 points in one
calendar yearshall automatically be. removed and the position declared vacant.
Additionally I understand that if I am appointed; to the zoning board and I am absent, for. whatever reason, from more than five (5)
meetings i'n one;:calendaryear; I shall be,automatically removed from°the board; or thatif'I am appointed to the planning advisory
board and I 'am' absent; for whatever reason, from more than six. (6) meetings in one .calendar year, I shall be automatically
remov- Vrom the board.
Form Boards/MA-PABrZB-0701.01 Page 3 of 4
I hereby certify that all Information in this application is complete, truthful, and accurate to
the best of my knowledge and that I have read and understand the qualifications and
conditions of membership listed in. this application.
C: Yes
.99
C,;= CD 4rj
Print Name Constance Gilbert
5
Signature
"`r 2
Date October 27, 2008
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Please Complet@ thlS fCrR1 andSubmit t0 'g,g�` '�k
tom-; "att�'AC.1
Oi ce ofahe,Cr.Y Clerk � ,N, � � � ' ��
res a,`a,i r�a�+` a ''a.� +t '' �(-kh
f n ATTN Assistant CltyfClerk"� �AW
�` � � �� r 35� PaitgAmerican Orive � �,�'"�` ���' -,: •,
s yPMlaml; FLS 33133
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Form BoardsiMA-PABIM-0701.01 Page 4 of 4
�t CITY OF MIAMI APPLICATION
for PLANNING ADVISORY BOARD and/or ZONING BOARD
NAME:_ DEAN BUTLER LEWIS, AIA, ULI
rst ame a sr arae
RESIDENCE: 5910 N. BAYSHORE DRIVE
ress Line
(Address Line
CITY: MIAMI STATE: FL, Z1p:33137
HOME PHONE: (305) 962-3850 CELL FAX:: (305)572-9161
EMAIL: dl6wis@dbial.us
PRINCIPLE BU5INESS'/EMPLOYER: DB. LEW]S Architecture+Design
BUSINESS ADDRESS: 120 NE27 ST. Bay 500
tpiddrm Line
(Address Line o
V7. p
CITY: MIAMI STATE: FL.ZIP:
—.
.r
BUS.-PHONE:(305) 572-1220 EXT. -M ro.
'Would you like to serve "on the Planning Advisory Board? ro Yes r No �C:V:z
7DS �
Would you` like to.serve on'�the.Zoning,,Board? ra Yes No N w
4D cn
Please°state If you have a preference for elther-board- Planning Advisory Board a
Are youAan elector of`thb City of Miami? r Yes
SHORT STATEMENT OF QUALIFICATIONS
(If you require. additional space, attach additional pages.)
1. Describe the.quallti ,s, experience, expertise and/or abilities that you possess that,
would make'you-an effective board member that will act in the public interest6
am a aciive.Architect-brban st practicing here in Miami since 2001 with my firm DB LEWIS.Architectuie+Design:
F'rro�uto`fou�cn ing my �irmrba in Miami7i-co fours an managq. quwtw nEg Pans -France office' f6 six
.years.from 1994 to X000 During fhrsstime"1 Was -
9 local Architect of Record in France4and maiptained`principai`
relations" wdh`alh European clients and n desi dive
g iopment and construction administration" "of •alh Eum"pean
projects nanaged;through our Paris ;Office.:All these<projects,where urban'mixed-use and;civ►c developments built
directly into the urban fabric of European Cities such as Pans and Dgon France: 1 also practice _'m Washrngton0
idedl ast
DC and was employed with CHK,Ai+ htteets & Planners as aDesign-Architect wFiere i worked on man Enter-urban,
Y
downtown'DC projects; renovations and multi -family housing projects. -_ _
Form aoardWMA•PAW"701.01 Page 1 of 4
_•
2. Descrlbe.your educational Dackgroun i.and-general novrledge of planning and.zoning.
Harvard"16w School; 20074 EzecutivwSeminar .:. USGBC' Merntier.`(Unite'd';States Green Building,Council)
since ' 2006:. LEED Seminars: UE_ es Des Beaux- Arts-Paris, France, 1999: Advanced Drawing.
Registered Architect,in-Pa s, France-1 a France 1995. Registered Architect it MarX,and (Was�i DC,residT
since 1989 Registered Architect, member 4ofAthe.AmericanJnstitute of Architects and NCARB s6ce.1995:
Masters of Architecture.Thesis: Water and Greco-Roman Urbanism 12.Cities: University „of Texas at:Arlftton;
iraveting fel vvship, Rome Italy 1985. Bachelor of Science of Architecture Ohio State Universi 1983: with City,
and Regional Planning.
3: Describe any prior°community,& personal Involvement that'you have,had,that
demonstrates interest In and concern forplanning,'and planning fmpleinentation.
For
servicer r °mLoan Committee;y-u.
honwhich:fwas onored wrf—aisfinguisieservice ;awar
Mayor Diaz °tfiis. September:
havel een,a-rhembero thesM an*C a ter,of the Americannstdute �Itects;since 2000 and lam curren v
Board Direct6r;(elect)4or:2009. Furtherrnore,.as a member of the Urban` Land_Institutesihde 2002, I parUcioWin
numerous Planning and Urban Design •relat con - rences research -and our firm'spractice focuses on Urban
mixed.use design development projects for Miaami (Please refer to our website..www.dbla2:us and..the my
attached firm---brocFiure.
4. Describe any planning or land use or growth management'seminars.thay you'ha"ve
attended.
Harvard Law School, 2007-8 Executive; Seminars. ULI-Urban Land Use Institute, member since 2002:
numerous seminars•onplanning and zoning:"'—American Instifuteof�Crchitecfs contiriued ed`ucaUon teaming
seminars annually since 200u.
vingthe prlmary`alm of the=furtherance
f sound planning and implementation
ce 2002; Board Director-'elect for:2000. L'Ordre .
n Land Institute, member since`2002'. The�USGBC
dge and interest in the. public;purparms
181AMI 21 Zoning Code,.(one ;of five firms' invited. to
>ny and zoningNfeasibi(ily` studies fo`r our lixat and ,
sk C7,67 to`sfudy and'evaluafe MIAMI 21 tfie:City'S'
nTan7rCommercial.t:oei Committee in`the Chaf f-
ment-the-C ity's-initiative- to`-improve`ttre'-quality-oh
My practice-has °included"Special- Ama`zohing=and`
-Permitsand•numeroas"Class-ll Permits.----'----
I have read and understand the qua I ificatiorls'for, members
ih - at are set forth in'Sec. 62-124 of the City Code, and hereby certi4y,that.
(1) Ido not have any interest in the profits oremoluments fi moluments of any contract job, work, or:servjce fcc the city,
(2) 1 am , in, a position to represent the .,pyibiiclhtemt, and do not have any persoin'61cr private interests likely, to conflict'with the
public interest.
(3",I danoVhold any a ective office in any ,,joV4mmenta[ authority in'the county, or the city.
d" - 'flilil'-�66cao'�-6�-",6�'any:§overnmental'auihp6,i��t�e�courityor'theci
(4) lamnot,emp19yai,;!n city.
be 1, J ihe, pi �v6r�;66�rd e,_(tha. 1 Ward I
As,a,mem vbf. punning ap zon ng .agree to participate in
�at leastone*teminaron planning
.
y 6 e; , 6acaliindlaryear.thaffremain �a member o_ r
! zonind1ofbe held. inflorida., Ohd4pproved,by city; during course t 6,�ioii�64 ril
visory 0 rid board,
acknowled66"that I am subject, to rbm6v'aI,' JM`board If I fail to mee0hisirequirement each,land.eypry V.ear-aft6i assuming
membership .''I"'. hi 11 T
board�members ipoi-diternatemernbership.
'6�;p6ctl appointee I am.sui 6cfio a personal appearance before the;city commission, to afford the city'commiss[Gn
(7) ,Asa prospective ve I bj , , i background
1- "b" 4;lknowledge f
an, opportunity to ascertain my proficiericy in the English language, educational background An genera o
planning and zoning.
(8) 1 am an elector of the City of Miami.
An 'elector of the City of Miami' means a person Who:
(1) is a, citizen of the United States of America
is 18 years of age or, older;
(3) ihas.nofbeen adjudicated mentally Incapd6itated,with respect,tovoting,19 Florida or any otherstate;
(1) has riot been convicted o(d felony in Florida,. or any otherstate, , without having had his/her civil rights restored;
(5) is; `a rdsidento,ft,City'd Miami; and
(6), is *isteiradto.,vote in.ft city of Miami
I agree to-im-rha ,Eiadiately 66tif th city clerk if I cease to beresident and/or.an,eledtor of the city'during the term of my office..
I agree that -if . I were to 156dome a canclidate'for elective political office during mylerm-and qualify as a candidate for elective political
such ualffi.6a_tior,shafliba'dia- ad"a't
Ode* of my resignation from thelboard,
I have read, understand and agree to complyWittf Section 2-611 ot the Miami, City Code Which prohibitspe from entering into,any con-
tract any busineiss,with the dty� r any person or agency acting for'the,city o f,
tract or r from appearing in'representation o
any third part r6h(t
,y before any board, oDmmission,or agency of which I am member. I also understand that p lbition upon activity
which,is set forth 'above remains in effedfor 6 perio6of two years after I have left city service.
I have re ad, un der I s . tand and agree,to•oomply wi , th�Se6tt6n 2-613 of the Miami City Code which' prohibits rnie frorvacc6pting, ;directfy or
inairaciiy,. from any person, company, firm'.or corpOratl0fl to which any purchase order or contract iiormight, ba',q4varded,'_qhy
rebate, gift, -money or anything of value whatsbeNiiir,,except where given for the use and benefit of the city,
I have read, understand and a'-ree;to comply ich' requires that 1, submift6the
g y withS"on 2-615 and 2-617 of the, Miami'City Code WNI
city clerk
complete itemized I list of all real,p`eoperty; owned by me,'whether" the.6fle, be either legal - 6re whether owned quit6blo; whe er,own Jn
t 0 .... ..... .. ', I
whole,or in part;
corporate real property in which I'hav6 a contholling interes or, am an corporation .1
cl said I' Inrequired; lbirm v&4,6d and antler oath Within days �oflmy',,,appqin men
.,agree. to, submit tQA",dtY, A nfoimatlon,ln� .
and -1 si6ll,in&ludb'tk,f6il'oWing-,informaUonAs.to each parcel of lan&
The legal description and commo n4ddress;
(2) The'municiltia,orcounty -zoning -classi idation whereln',th0i property is located; and:
f
a" n4r:IK'Which the p
Them n property is bdinoviilized.
i unclersiancl that ,l 4am required ,to, list only, thode.-r6aroroperties that are located; Within the corporate limits of the city, or i-ose,
pro'pkles' 106ited, 60,0 " fee
"t-t3byondthe'oDrpoTte.limits,o the city.
I-ageee to comply with all fihancia.l.discloiure'rdqu�irarTi6hts ofthe City, the County -and the State including the requirements,sefforthJ6-
Section 2-11.1 of the Miami -Dade County Code. and Florida Statutes See. 112-3145,
I acknowledge. I that the code of at I hics of Miami- , Dade County shall apply to meas a member or.altemate member of the I planning
a6%,hsory,board or the zoning board and hereby agree g r6a to abide by all, the provisions thereof.
For.addifiori . aloinldim6bbn bn'Code citations ,,please visit the website of the Office of the City Attorney at http:/Avww, I miamigov'c.onV
cityattomeylpagesllndex.aspforintemet links.to',citations.
I recognize thatmembership on the planning 66igory board orthe zoning'board requires my regular attendance,and participation at
b6drd,,64'etin'gs., I understand.that attendance . at board.meetings is.subipct: to the following point system:_
1Each•, 1-h,"r;oi,siterriate-,'member of 'the planning a'dviso'ry1b6erd arid, 'a zoning 'board who �arnvesafter _thebaginningof:the,
-1, f ination oftha.lagt rid' lgrfys�hii 6d oard,shall
i6tag6 a3tem,or eaves be ore4he.tbim age _a,item,�at,a u du I I of I thi�b
race! o points.
2, Any membq or. alternate member of the 0LanninTa I Sly I is or.y.board or zonin ! ' fn
g r&Who accumutatesorethan 15 points in one
`calendaryear shall auiorri,61icaybe; 6v6d and the position daclar6d.�ac
afit
more than�
Additionally,,)r. reasbn;*brn; five (5),
understand that if 14m appointed to',,,the;zofiIrvg-,board-,and I am.a
bsent for Whateve
meetings in one I cal I enclar . �year,,l shall I be auiomaticiily,nimoveid,frorn the board, or that if I am I appoinl4d`io"the"plan , nin , g advisory
I
b6a4 and I arril absent, for'Whatever reason, from more than six (6) meetings In one calendar' yiai, k'l =shall' be:eutomatically
removed froni-the board.
For, BoaNsIMAL-PABIZ"701.01 Page 3 of 4
I hereby certify that all Information in this application is complete, truthful, and accurate to
the best of my knowledge and that I have read and understand the qualifications and
conditions of membership listed 'in this application.
C: Yes
Print -Mame DEAN B. LEWIS, AIA, ULI
Signature
Date Thursday, October 9, 2008
FURTHER INSTRUCTIONS
ise complete.this form snd submit to:.
OtRce of the City clerk
ATTN. Assistant City Clerk
3560 Pan American Drive
Miami, FL 33133
tnformation may be copied and pasted &0 this form from other computer programs, (e.
MS Word.. Information that is :typed directly into the form may be "Saved as Text" and
then opened in other computer programs.
For additional information on the Planning Advisory Board and%r the Zoning Board,
please contact Ms. Teresiia. Fernandez, Executive Secretary,; Hearing `Boards,' at (30 15)
41&2038 or-ernaifat-
iFgrr►�ndei�a ,mlam�o v. .coria
F!!e►ff/IKfIt1Y►R/MMY1vkMVYN'f4fYl►f►H'kM'►il/MM4
4 o! 4
DB LEWIS Architecture+Design
,E]
Dean B. LEWIS, AIA Principal
Education
• 2007 Harvard Law School, executive seminars, Cambridge, MA.
• 1993 Ecole Nationale Supdrieure des Beaux Arts, Paris, France
• 1985 Master of Architecture, University of Texas/ UTA
Rome, Italy - UTA Academy of Architecture -fellowship grant, GTA
Master Thesis: 'Water and:Greco-Roman Urbanism' -12 Cities
• 1983 Bachelor of Science of Architecture, Ohio State University
School of Architecture, City and Regional Planning
• 1982 Catholic University of America,. Wash. DC -graduate studio fellowship
• 1979 Revere High School Richfield, Ohio- varsity letters in soccer and golf
• 1978 Akron University Art School, Akron, Ohio - advanced drawing
Professional Affiliations
• US Green Building Council, 2006
• Business Networking International, 2005
• City of Miami Beach Chamber of Commerce, 2005
• Franco -American Chamber of Commerce, 2003
• ULI, Urban Land Institute, 2002
• Ordre des Architectes en France, 1995
AIA, American Institute of Architects, 1995
• Societe Francaise des Architectes, 1991
* NCARB, Registered Architect in the states of Maryland, and Florida
• American Society of Architectural Perspectivists, 1987
A01oint,Professor, GTA
2007 Miami, Florida - Skipping. Stones School, Architecture class
• 1989=9i; Fontainebleau, France - Ecole Americaine d Art et Architecture
International senior design studio, and jurist
• 1984-85Vhiversi1y of Texas at Arlington, School of Architecture
Taught 3'd year conceptual drawing studios, GTA site planning, and jurist
Rome, Italy -UTA Academy of Architecture - GTA fellowship
City Committees, Awards, Competitions
• 2007 City of Miami, Consulting Architects Committee for new Zoning Code:Miami 21
• 2006 Cityof Miami, Commercial Loan and Affordable Housing Committee
• 2005'Cityof Miami Special Committee for Rezoning the Upper East Side
• 2004 Certificate of Appreciation -Art Cho, Non -Violence Project, Miami Florida
• 2003-107 AIA Miami Awards Exhibitions, Publications
• 1994. Intemadohai, Design Competition for the Scottish Architecture and Design Center
4-1994 lnterhatfonal Design Competition for the reconstruction of the Souks of Beirut, Lebanon
• 1993, International Design Competition for the Choragic Monument:to Architecture
�a 1992AMencan Wood Council'Design Competition - single-family residences - Colorado
• 1987 CHKArchiiects and Planners Office Headquarters Competition, Silver Spring MD.
• 1988 Hugh Ferris Memorial National Drawing Competition
• 1984 AIA / Ken Roberts National Drawing Competition
120 NE 27 STREET SAY 500 / MIAMI, FL 33137 / T 305.572.1220 www.dbial.us
Architecture Interiors Planning AA0003652 AR0017357 ID0004536 Cwwnitted to Excellence
DB LEWIS Arch itecture+Design
Professional Experience
Since 2002 Founded DB LEWIS Architecture+Desi n Miami Florida USA - France
(See Firm; Portfolio, Projects In Progress)
1994-2001 AR UITECTONICA International USA Euro
Paris; France Office Director,, Architect of Record
• 1994-2000 Bourgogne Centre des.Arts et Complexe Urbain a Dijoni France
Role: Project Manager and.loca/Architect in charge throughoutdesign'and construction of.
• The Dijon Opera and Concert Auditorium of 15,000m2.1600 seats - status: built
• Le Palais des Congres - Convention Center of 600 seats - status: built
• La Cit6 des Affaires - Office Paris and Hotel - 50,000m2 - status: Schematic Design
+ 1996-98 Paris, La Defense - International Design Competition for the Gambetta Office Tower
35,000m2office with urban plaza and stepping atriums - status: 151 laureate
• 1994 New York International Design Competition for the Redevelopment of Times Square; NY
- mixed-use hotel tower complex of 800 suites - status: -151 laureate - construction phase 1
Role: co -Project Manager during the competition.phase
• 1994 Miami Performing Arts:Center International Competition —status: 20 place
• 2000 Houston Hotel and Convention Center—status: Design Development
• 2000 Volos, Greece - Resort Village and Convention Center - status: Concept Planning
• Beirut, Lebanon - Aladdin Condominium and Hotel Complex- status: contract pdg
• Marsa Alam, Egypt - Red Sea Coast Resort Development - status: contract pdg
• 1997 Strasbourg Conservatory of Music Competition status: 3'd place
• 1996 Amsterdam Harbor Cultural Center Competition status: 2"d place
1992-94 Cabinet Adrlen Fainsllber Architecte — Urbaniste Paris. France
Project Manager in 'charge of design and constriction documents :
• Strasbourg Museum of Modem Art with structural glass Galleria - 15,000m2 -status.. built
• La Fleche City Hall Office and Plaza extensions upon the Loir River - 4700m2 - status: ,-built
• Toulouse-Purpan:Children's,Hospital with vaulted atrium hall - 21,000m2- status: ,built
1989-91 Auence d Architecture A.E. Bechu Paris: France
Project Designer and Perspectivist :
• Paris Urban Renewal Projects including residential, Office, and Retail uses
• Paris Edouard VII Center - 48, 600m2 of Office, Retail, and Auditorium - status: built
• VAR Lou Rocas Resort Village - 61,000m2 with Golf Clubhouse and Hotel, - status: built
• Paris Suresnes Urban Development Competition
120 NE?7 STREET BAY 500 / MiAhv.: FL 33137 / T 305.572.1220 www.db10.us
Architecture Interiors Planning AA0003652 AR0017357 ID0004536 Committed to Excellence
DB LEWIS Architecture+Design
1985-89 CHK Architects and Planners Washington D.C.
Project Designer.
• CHK Office Headquarters Competition - 100, 000ffz - 1" place laureate status: built
• Adas Israel.Synagogue Renovations - 37,000It2 complex structural extensions - status: built
• The Stanley Halle Residence upon the Severin River - 10,500ft2 with pool,docks - status: built
• The Laurence Silverman Residence in Wash.DC - 9, 8002 with pool and tennis - status: built
• The Martin Poretsky Residence in the hilltop woods of Maryland 10,500ft2 status:.built
• Multi -Family Garden Apartments, in Montgomery and Anne Arundel co., MD- status: built
• Chesapeake Harbor Town home on the bay near Annapolis - 4,000ft2- status: built
1987-2000 independent Work (prior to founding Practice in 2002) USA - France
• Kaplan Business School Testing Center - Paris, France — status, built
• M.A. Bender Rowhouse Office Suites Washington DC status: built
• Morton Bender Residence Renovations — Washinton DC - status: built
• Columbia Center Cafe and Bookstore — Columbia,Maryland - status: built
• L. Solomon Residence Addition - Virginia. - status: built
• D. Jauregui Residence, Ainhoa; France - status: built
• P. Della -Vecchia Residence, Saint Maxime, France - status: built
• Design Competitions, Research, and Furniture Design
Conferences, Panels/Expositions
• City of;Miami, Luxembourg, Paris, Dijon, Strasbourg and Montpellier, :Berlin (For ARO)
+ Washington D.C., Dallas; New York, AIA Awards Exhibits
Professional. Publications
Home Miami, Home.Fort Lauderdale; InsideOut, Miami Herald, Miami .Today News,
• Architectural Record (051'99), Forme&et Structures (128/'99), Archinews (01/99);
• ArchiCree (285/99), Techniques Batiment (197), Bourgogne (11-12/98),
• Texas Architect (111'85)
Languages /Computer Literacy
• English (maternal), French- fluent, Spanish- notions
AutoCAD, 3DMax, .Photoshop, Pagemaker, MS Office, Learning BIM-Revit
Professional Travel
• North and'South America, Central Europe, Scandinavia, Northern Africa and the Near East
Activities / Personal
Born Akron Ohio - August 1.7,1961, Married in Paris, France 2000, 2.children
Travel Sketching, Furniture Design, Watercolor Drawing and Photography
• Swimming, Tae Kwon Do, Scuba diving, Golf, Cycling, Kayaking
120 NE 27 STREET BAY 500 / MIAMI, FL 33137 / T 305.572.1220 www.dbla1.us
DB LEWIS Architecture+Design
ILI
12ONE27STREET SAY 500,/, MIAMI, FL 33137' / T 305,572:4220 wwwdbla7.us
Architecture Interiors Planning AA0003652 AR0017357 A70004536 Cw Wtted tb Excellence
CITY OF MIAMI APPLICATION
r for PLANNING ADVISORY -BOARD and/or ZONING BOARD
Z N
�o
(7 rJi C �.
NAME: Lewis James Beilmari III
Fi
r st Name) c7re) — asr ame
RESIDENCE: 2110 SW 3rd Ave Apt 213
–(Address me =n- i
(Address me -- -tyom�.
CITY: Miami STATE: FL - ZIP: 3 �,
o Q'
HOME PHONE: (786) 493-6297 CELL_ 786 493-6297 FAX:30( 5).377-7274
EMAIL: Lib373@yahoo.com _
PRINCIPLE BUSINESS/EMPLOYER: South Florida Water Management District
BUSINESS ADDRESS: 2121 SW 3rd Ave 6th Floor _
– ress Line
(Address Une
CITY: Miami
BUS. PHONE:(305)3377-7274 EXT. 7249
STATE: FL
Would you like to serve on the Planning Advisory Board?
ZIP: 33129
Yes No
Would you like to serve on the Zoning Board? G Yes No
Please state if you have a preference for either board: No Preference
Are you an elector. of the City of Miami?
(9- Yes
SHORT STATEMENT OF QUALIFICATIONS
if you require additlanal space, attach additional pages.)
1. Describe the qualities, experience, expertise and/or abilities that you possess that
would make you an effective board member that will act in the public interest'.
I recently moved to Miami and have a history of public service that would make me an. effective board member. My
"bKkgroiund includeesservice on -ttie fou h.._ lam anning "136-53a6eoffh i-Miamii--CFa-rfer�oara-l-'consirder:
voluritee�ing in {he-coriiriiunity in wfilcFi f Gve ari impoi#an civic"responsibility. ''In addition A understand; how
government functions, having worked In government for several years (Please see my attached resume or
additional information on my work and volunteer history.)
1of4
2. Describe your educational background and general knowledge of planning and zoning.
As I stated above, I haveservedon the South Miami Planning Board, so I have knowledge of how planning and
zoning decisions are made. I also currently work for the South Florida Water Management District, which is a state
agency with water -use planning functions In addition 1 have a law degree and a. bachelor's degree in political
science, boih-of which help me .understand howplanning and --zoning boards function -as adv{so.ry, ,and quasi-
judicial boards in the local government framework (Please see my attached resume for additional information.) ---
..
3. Describe any prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementation.
I served on the South Miami Planning Board from October 2005 to November 2006. (Please see my attached
resume:)''06"dng that time.- _was arriembe of'the American Planning Association and subsc"rbed-fo the Journalof
the American Planning.Assoclatior:mtaiso read `up on plann(Ing history In my firee time. "
4. Describe any planning or land use or growth management seminars thay you have
attended.
I Over the past two years, I have attended the Florida League of Cities conferences in August. These conferences
include workshops on planrnng;_Mand use` and growth management issues. f also have attended workshops on
these issues -organised by the"Miami Dade "County League -of Cities and`tlie"Greater Miami'`Chamber of
Commerce These workshops, have focused on transportation urban development and housing issues among
other things. In addition, as an employee of the South FloridaWaterManagement District, I have attended
numerous water use planning, workshops.
5, Describe any membership in organizations having the primary aim of the furtherance
of dissemination of knowledge of and support of sound planning and implementation
programs.
I was a member .of, the American Plannincq Association during the time I served on the South Miami Planning
_ .._.._ •_._.__. _ - .
.........
_,.-. .... .... ... _ _ ...,_,.. _., .. ._ ....__.. _..
6. Describe any other activity evidencing knowledge and interest in the public purposes
of planning and plan implementation.
As a senior Intergovernmental representative for the South Florida Water Management District, I help coordinate
water use planning activities with iocal`govemment agencies. `This includes assi5tiny with -the monitoring of the
j -'development' anis "implerrtienfation of focal "'waf`er=ii'se ""pegnits; alfefriative -water'" "supply "projects, -`"and - water-
testFictioils;'amdng
other things-. ...__.
__.. __...,,_.,._....----._._._......_....._._.___._._.................--- -.-.
._.-- -- -_ _ __... .._....
L N
.�Z;;
.......... .
an
-
Form ft.,rd.RAMP�IZ8-0701-01 Page 2 of 4 a x3 -
rill rij
I' N W V
O Ol
2
I have read and understand the qualifications for members that are.set forth in Sec. 62-124 of the City Code, and hereby certify that:
(1) 1 do not have any Interest in the profits or emoluments of any contract, job, work, or service for the city.
(2) 1 am in a position to represent the public interest, and do not have any personal or private interests likely to conflict with the
public interest.
(3) 1 do not hold any elective office in any governmental authority In the county or the city.
(4) 1 am not employed in a full-time capacity by any governmental authority in the, county or the city.
(5) Asa member of the planning advisory board or of'the zoning board I agree to participate in at least one seminar on planning
or zoning to be held in Florida, and approved by the city, during the course of each calendar year that I remain a member or
alternate member of the planning advisory board or of the zoning board.
(6) 1 acknowledge that I am subject to removal from the board if I fail to meet this requirement each and.every year after assuming
board membership or alternate membership.
(7) As a prospective appointee I am subject to a personal appearance before the city commission, to afford the city commission
an opportunity to ascertain my proficiency in the English language, educational background and general knowledge of
planning and zoning.
(8) 1 am an elector of the City of Miami.
An "elector of the City of Miami" means a person who:
(1) Is a citizen of the United States of America;
(2) is 18 years of age or older;
(3) has not been adjudicated mentally incapacitated with respect to voting in.Florida or any other state;
(4) has not been convicted of a felony in Florida; or any other state, without having had his/her civil rights restored;
(5) is a resident of the City of Miami; and
(6) is registered to -vote in the City of Miami
I agree to immediately notify the city clerk if I cease to be a resident and/or an elector of the city during the term of my office.
I agree that if Lwere to become a candidate for elective political office during my term and qualify as a candidate for elective political
office, such qualification shall be deemed a tender of my resignation from the board.
I have read, understand and agree to comply with Section 2-611 of the Miami City Code which prohibits me from entering into any con-
tract or transacting any business with the city or any person or agency acting for the city, or from appearing in representation of
any third party before any board, commission or agency of which I am member. I also understand that prohibition upon activity
which is set forth above remains in effect for a period of two years after I have left city service.
I have read, understand and agree to comply with Section 2-613 of the Miami City Code which prohibits me from accepting, directly or
indirectly, from any person, company, firm or corporation to which any purchase order or contract is or mightbe awarded, any
rebate, gift, money or anything of value whatsoever, except where given for the use and benefit of the city.
I have read, understand and agree to comply with Section 2-615 and 2-617 of the Miami City Code which requires that I submit to the
city clerk a complete itemized list of all real property owned by me, whether the title be, either legal or equitable, whether owned in
whole or In part, Including corporate real property in which I have a controlling interest or I am an officer of such corporation. I
agree to submit to the city clerk said information in the required form verified and under oath within 30 days of my appointment
and I shall include the following information as to each parcel of land:
(1) The legal description and.common address;
(2) The municipal or county zoning classification wherein the property is located; and
(3) The manner in which the property is presently being utilized.
I understand that I am required to list only those real properties that are located within the corporate limits of the city or those
properties located 500 feet beyond the corporate limits of the city.
I agree to comply with all financial disclosure requirements of the City, the County and the State including the requirements set forth in
Section 2-11.1 of the Miami -Dade County Code, and Florida Statutes Sec. 112-3145.
I acknowledge that the code of ethics of Miami -Dade County shall apply to me as a member or alternate member of the planning
advisory board or the zoning board and hereby agree to abide by all the provisions thereof.
For additional Information on Code citations, please visit the website of the Office of the City Attorney at http://www.miamigov.com/
cityattorney/pages/Index.asp for internet links to citations.
I recognize that membership on the planning advisory board or the zoning board requires my regular attendance and participation at
board meetings. I understand That attendance at board meetings is subject to the following point system:
1. Each member or alternate member of the planning advisory board and the zoning board who arrives after the beginning of the
first agenda item or leaves before the termination of the last agenda item, at a regularly scheduled meeting of the board, shall
receive two points.
2. Any member or alternate member of the planning advisory board or zoning board who accumulates more than 15 points in one
calendar year shall automatically be removed and the position declared vacant.
Additionally, I understand that if '1 am appointed to the zoning board and I am absent, for whatever reason, from more than five (5)
meetings in one calendar year, I shall be automatically removed from the board; or that if I am appointed to the planning advisory
board and I am absent, for whatever reason, from more than six (6) meetings in one calendar year, I shall be automatically
removed from the board.
Foim Boar0&W-PngtZ"701.01
3of4
I hereby certify that all information in this application is complete, truthful, and accurate to
the best of my knowledge and that I have read and understand the qualifications and
conditions of membership listed in this application.
r. YPc
RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR '
FURTHER INSTRUCTIONS
Please complete this form and submit to:
Office of the City Clerk
ATTN: Assistant City Clerk
3500 Pan American Drive
' Miami, FL 33133
'Information may be copied and pasted into, this form from other computer programs, i.e.{
MS Word. Information that' is typed directly into the form may be "Saved as Text" and;
then opened in other computer programs.
4
For additional Information on the Planning Advisory Board and/or the Zoning Board,'
'please contact Ms. Teresita Fernandez, Executive Secretary, Nearing Boards,, at (305)'
.416-2038 or email at:
TFernandez@miamiSLov.com
Rt RRRRRRRRRRRRRi RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR
Foran 0o ,ds/MA-PAWZB-0701.01 Page 4 of 4
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Print Name
Lewis J. Beilman III
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Signature
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Date
August 4, 2008
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RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR '
FURTHER INSTRUCTIONS
Please complete this form and submit to:
Office of the City Clerk
ATTN: Assistant City Clerk
3500 Pan American Drive
' Miami, FL 33133
'Information may be copied and pasted into, this form from other computer programs, i.e.{
MS Word. Information that' is typed directly into the form may be "Saved as Text" and;
then opened in other computer programs.
4
For additional Information on the Planning Advisory Board and/or the Zoning Board,'
'please contact Ms. Teresita Fernandez, Executive Secretary, Nearing Boards,, at (305)'
.416-2038 or email at:
TFernandez@miamiSLov.com
Rt RRRRRRRRRRRRRi RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR
Foran 0o ,ds/MA-PAWZB-0701.01 Page 4 of 4
Resume
Lewis J. Beilman III
Lewis.l. Beilmon.11l
211.0 SW 3I'd Ave Apt 213.
Miami, FL 33129
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(786) 493-6297 or 1jb373C�yahoo.com.
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EDUCATION
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University of Maine Law School Portland, Mainei�?�
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Juris Doctorate, May 2000
J. D. cum laude. Rank: 18/83. G.P.A.: 3.10.
Senior Editor, Ocean and Coastal Law Journal. -Treasurer, Environmental Law Society.
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Sacred Heart University Fairfield; Connecticut
Bachelor of Arts in Political Science, May 1995.
B.A. magna czars laude. G.P.A.: 3.69.
Graduated in the top 6 percent of my class. Received the 1995 Medal of Excellence for having the highest
G.P.A. among Political Science graduates.
WORK EXPERIENCE
South Florida Water Management District Miami, Florida
April 2006 to Present.
Senior Intergovernmental Representative. Act as liaison with state, county, and municipal agencies. Make
presentations to government agencies and community organizations. Work with local governments on
water -shortage enforcement issues. Write press releases and O'p-Ed pieces. Support planning and
implementation efforts on grant projects. Assist with resolution of right of way disputes. Assist with
planning and act as agency representative at outreach events. Write weekly intra -agency progress reports.
Support development of outreach budget. Provide emergency management support. during hurricanes,
Attend meetings of community and business groups,
Miami Dade College Miami, Florida
November 2004 to March 2006.
Grant Writer. Wrote grant proposals to federal, state, and private funding sources. Prepared program
budgets. Researched funding opportunities. Submitted grant applications electronically or by paper.
Prepared items for board review. Served on job -screening committees. Researched OMB Circulars and
grant -related legislation. Assisted with the college's Submission of more than $50,0.00,000 in.grants, of
which more than $30;000;000 was funded. Specialized in workforce development grants.
Com,nunity Renewal Team, Inc. Hartford, Connecticut
November 2002 to November 2004.
Planning Analyst. Researched and. wrote approximately 40 new grant applications and renewal
applications for a $50 million Community Action Agency. Applications resulted in over $4,000,000
dollars of new funding for the organization. Coordinated the filing of grant reports with state agency.
Wrote feasibility report on Adult Daycare Center. Organized meetings with funders, community
members, and government officials to ensure that the needs of' Hartford's low-income community were
met. Facilitated Urban -Suburban Dialogues on.drug problems in Hartford.
Mainely Newspapers Biddeford, Maine
.14ugust 2001 to August 2002.
Resume
Lewis J. Beihnan 111
Editor, Biddeford -Saco -00B Courier. Each week wrote four to five articles; an editorial column, police
notes, and an interview for weekly community paper. Wrote editorial columns that took positions on
single -payer healthcare, recycling, and animal rights, among other things. Acted as community liaison for
paper. Supervised staff writers and coordinated contributing writers. Took photographs to accompany
articles. Assisted with coordinating the publication of the paper.
Legal Aid of Dade County Miami, Florida
May 2000 to August 2001
Program Manager, Self Help Program. Supervised day-to-day operations of the largest family -law pro se
assistance program in the country. Instructed staff paralegals on the appropriate procedural information to
provide to pro se litigants. Wrote instructional materials for filing procedures. Oversaw the sale of legal
forms and made deposits of the money obtained from those sales. Coordinated with judges, the Clerk of
Courts, and other Miami -Dade County employees to improve the efficiency and effectiveness of the Self
Help Program.
Global Access Corporation Stamford, Connecticut
February 1996 to June 1997.
Deputy Director, ABLE Program. Wrote three business research reports that were published and used by
international clients. Aided in the management of research reports Written by consultants. Supervised
interns and administrative staff of international market -feasibility research organization. Handled a
variety of administrative tasks.
VOLUNTEER EXPERIENCE
Humane Society of Greater Miami North Miami Beach, Florida
August 2007 to Present.
Volunteer. Volunteer at Adopt -a -Pet outreach events. Staff and assist with set-up of large scale
outreach events.
North Miami Charter Board
February 2007 to July 2008.
Board Member. Attended meetings as needed
chasteramendinents.to City Council,
North Miami, Florida
Studied city charter. Made recommendations on
South Miami Planning Board South Miami, Florida
October 2005 to Noveinber 2006.
Board Member. Attended meetings twice a month. Reviewed applications for variances and made
recommendations to City Council. Advised City Council on changes to the Land Development Code and
Comprehensive Development Plan,
Human Services Coalition Miami, Florida
January 2006 io April 2006
Volunteer Income Tax Assistance Volunteer. Received training on income tax preparation.
Assisted low-income individuals with filing their federal and state tax returns. Promoted the
Earned Income Tax Credit (FITC.) within the community.
Democracy for Greater Hartford Hartford, Connecticut
September 2003 to 1Vovember 2004.
District Coordinator. Developed strategics for outreach. Coordinated voter registration drives. Organized
meetings. Conducted phone -banking drives. Presented repohts at statewide meetings.
Resume
Lewis .1. Beilman 11'
Community Renewal Team, 111c, Hartford, Connecticut
Janrarl- 2003 to April 2004.
Volunteer Income Tar Assistance Supervisor. Received three-day training on income tax preparation.
Supervised volunteers assisting low-income individuals with filing their federal and state tax returns.
Promoted the Earned income Tax Credit (FITC) within the community. Assisted low-income individuals
with filing their state and federal income tax statements.
Volunteer Lawyers Proiect Portland, Maine
January 1998 to December1999 and August 2001 to August 2002.
Volunteer. Answered phone calls regarding family law issues from low-income individuals. Provided
legal information to callers that laid out various courses of action. Discussed with volunteer supervisors
about best course of action and relayed that information to callers.
TRAININGS AND INTERNSHIPS
Leadership Miami Miami, Florida
November 2006 to May 2007
Participant. Worked with group to develop first in Miami -Dade County Hurricane Preparedness Dog Fair
project. Wrote and disseminated project press releases. Coordinated project development meetings with
government and nonprofit sponsors. Participated in fund-raising activities.
Pine Tree Legal Assistance Portland, Maine
June 1999 to August 1999
Intern. Worked under the supervision of two family law attorneys. Assisted in writing a trial brief, a client
memo, several motions, a divorce judgment order, and several client letters. Attended hearings,
mediations, and case management conferences.
State Representative Andrew Norton Hartford, Connecticut
January 1995 io April 1995.
Intern. Worked under the supervision of Rep. Norton. Wrote constituent correspondence. Attended
legislative hearings and committee meetings. Answered constituent phone calls. Wrote paper on state
budgetary process.
U.S. Representative Christopher Shays Bridgeport, Connecticut
September 1994 to December 199.1.
Intern. Worked under the supervision of Rep. Shays' staff'. Wrote constituent correspondence. Clipped
local newspaper articles about Rep. Shays and faxed them to his Washington, D.C. office. Answered
constituent phone calls, Kept weekly journal of experience as intern.
3
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CITY OF MIAMI APPLICATION
for PLANNING ADVISORY BOARD and/or ZONING BOARD
NAME: Frank Kemp Rollason
J�Irst ame--`�fJf3dleJ ast Name) -
RESIDENCE: 686 NE 74th Street _
(Addiess me-1j-
�� n
(AddTess Line
CITY: Miami STATE: FL Zip: 33138
HOME PHONE: 758-6144 CELL 299-7300 FAX: 758-6143
EMAIL: fol I ason(cDcomcast. net
PRINCIPLE BUSINESSlEMPLOYER: Rodriquez and Quiroga Architects Chartered
BUSINESS ADDRESS: 2100 Ponce de Leon Boulevard
(AciclreSS fine
CITY: Coral Gables STATE: FI Zip: 33134
BUS. PHONE:--_. EXT.
Would you like to serve on the Planning Advisory Board? C: Yes r No
Would you like to serve on the Zoning Board? C: Yes r, No
Please state 1f you have a preference for either board: No Preference
Are you an elector of the City of Miami? t: Yes
SHORT STATEMENT OF QUALIFICATIONS
(If you require additional space, attach additional pages.)
1. Describe the qualities, experience, expertise and/or abilities that you possess that
would make you an effective board member that will act In the public interest.
-4 l}years-ex perienee- vitt-the-C-i"-mti tiple-edrninistrative-positions-inciuding-Fire-Marshal-and-Directorof----
Building Department as -well as -Director for all three of the City's-CRAs. Active with'8"elte Meade Home Owners
Association and the:MiMo Biscayne Association.
10i Page 1 o14
2. Describe your educational background and general knowledge mfplanning and zoning,
/ possess oa5inFire Science and Safety from the College of Engineering auF|��Myprevious positions with the
City required me1o'have-monrthan-Va�x
man�onow/pugpofmeva�ouocodes impa�mgn|anp|ng`and
zoning:
_---_---- _ '---_-._.--- ' . -
' -
3.Describe any prior community m, personalinvm|*enmmm4that you have had that
demonstrates interest inand concern for planning and planning implementation.
-
Answered under Number 1. above.-
`
-
` .
cz
4.Describe any planning mrland use mrgrowth management seminars thmy ymup:'hanm
attended. '-
/ attended multiple related seminars while employed by the City oyMiami and the CRA.
. ---- - ----.-- ----`----- -.--.—''---------'- -
6.Describe any membership inorganizations having the primary aim mYthe furtherance
of dissemination of hnmxv|edgm of andmuppmrt of mound planning and implementation
programs.
Belle Meade Humef)wnem-pm»un,oionanu1wiMo8innayne*xxodaUon.' -- '
6.Demcribeanymtheroctk/|tyeVidenc|ng knomlmdoeand interest inthe public purposes
of planning and plan implementation..
-
-
Page 2 of 4.
I have read and understand the qualifications for members that are set forth in Sec. 62-124 of the City Code. and herebycertify that:
(1) 1 do not have any interest'in the profits or emoluments of any contract, job, work, or service for the City.
(2) 1 am in a position to represent the public interest, and do not have any personal or private interests likely to conflict with the
public interest.
(3) 1 do not hold any elective office in any governmental authority in the county or the "City.
(4) 1 am not employed in a full-time capacity by any governmental authority in the county or the City.
(5) As a member of the planning advisory board or of the zoning board I agree to participate in at least one seminar on planning
or zoning to be held in Florida, and approved by the city, during the course of each calendar year that I remain a member or
alternate member of the planning advisory board or of the zoning board.
(6) 1 acknowledge that I am subject to removal from the board if I fail to meet this requirement each and every year after assuming
board membership or alternate membership.
(7) As a prospective appointee I am subject to a personal appearance before the city commission, to afford the city commission
an opportunity to ascertain my proficiency in the English language, educational background and general knowledge of
planning and zoning.
(8) 1 am an elector of the City of Miami.
An 'elector of the City of Miami' means a person who:
(1) is a citizen of the United States of America; ;
(2) is 18 years of age or older; - -
(3) has not been adjudicated mentally incapacitated with respect to voting in Florida or any other state,
(4) has not been,convicted of a felony in Florida, or any other state; without having had his/her civil rights* restored; '
(5) is a resident of the City of Miami; and
(6) is registered to vote in the City of Miami -
I agree to immediately notify the city clerk if I cease to be a resident and/or an elector of the city during the terrj�of my office.
I agree that if I were to become a candidate for elective political office during my term and qualify as a can0ate for ecalive political
office, such qualification shall be deemed a tender of my resignation from the board. P —
I have read, understand and agree to comply with Section 2-611 of the Miami City Code which prohibits me from entering into any con-
tract or transacting any business with the city or any person or agency acting for the city, or from appearing in representation of
any third party before any board, commission or agency of which I am member. I also understand that prohibition upon activity
which is set forth above remains in effect for a period of two years after I have left city service.
I have read, understand and agree to Comply with Section 2-613 of the Miami City Code which prohibits me from accepting, directly or
indirectly, from any person, company, firm or corporation to which any purchase order or contract is or might be awarded, any
rebate, gift, money or anything of value whatsoever, except where given for the use and benefit of the City.
I have read, understand and agree to comply with Section 2.615 and 2-617 of the Mlarni City Code which requires that I submit to the
city clerk a complete itemized list of all real property owned by me, whether the title be either legal or equitable, whether owned in
wholeor.in part, including corporate real property in which I have a controlling interest or I am an officer of such corporation I
agree. to, submit to the city clerk, said information in. the required form verified and under oath within 30 days of my appointment
and -I shall include the following information as to each parcel of land:
(1) The legal description and common address;
(2) The,municipal or.county zoning classification wherein the property is located; and
(3) The manner in which the property is presently being utilized.
I understand that I am: required to list only those real properties that are located within the corporate limits of the city or those .
properties'located 500 feet beyond the corporate limits of the city.
I agree to comply with all financial disclosure requirements of the City, the County and the State including the requirements set forth in
Section 2-11.1 of the Miami -Dade County Code, and Florida Statutes Sec. 112-3145.
1 acknowledge that the code of ethics of Miami -Dade County shall apply to me as a member or alternate member of the planning
advisory board or the zoning board and hereby agree to abide by all the provisions thereof.
For additional information on Code citations, please visit the website of the Office of the City Attorney at httpJ/www.miamigov.com/
cityattorney/pages/Index asp for intemet links to citations.
I recognize that membership on the planning advisory.board or the zoning board requires my regular attendance and participation at
board meetings. I understand that attendance at board meetings is subject to the following point system:
1, Each member or alternate member of the planning advisory board and the zoning.board who arrives after the beginning of the
first agenda item or leaves before the termination of the last agenda item, at a regularly scheduled meeting of the board, shall
receive two points.
2. Any member or alternate member of the planning advisory board or:zoning board who accumulates more than 15 points in one
calendar year shall automatically be removed and the position declared vacant.
Additionally, I understand that if I am appointed to the zoning board and I am absent, for whatever_ reason, from more than five (5)
meetings in one calendar year, I shall be automatically removed from the board; or that if I am appointed to the planning advisory
board and I am absent, for whatever reason, from more than six (6) meetings in one calendar year, I shall be automatically
removed from the board.
8U8 rpflM A -P ABIZB-0701 01
Y w.
I hereby certify that all information in this application is complete, truthful, and accurate to
the best of my knowledge and that I have read and understand the qualifications and
conditions of membership listed in this application.
( Yes
Print Name. Frank K. Rollason
__. -
�'
Date May 23, 2008
FURTHER INSTRUCTIONS
'Please complete this form and submit to:
Office of the City Clerk
ATTN: Assistant City Clerk
3300 Pan American Drive
Miami, FL 33133 i
;Information may be copied and pasted b= .this form from other computer programs, i.e.'
;MS Word. Information that Is typed directly Into the form may be "Saved as Text" and
:then opened in other computer programs.
lFor additional information on the Planning Advisory Board and/or the Zoning Board, -
'please contact Ms. Teresita Fernandez, Executive Secretary, Hearing Boards, at (305)!
410-2038 or email at:
TFernandez@mlamlgov. com
Form 8p3rO$JMA-PAWZ8 0701 01
404
PECF-1V ED
CITY OF MIAMI APPLICATI043 FEB 29 PH 3: 54
for PLANNING ADVISORY BOARD and/or ZQNING_BOARD+:,; ;pSON
CITY QI :`,I :" I. FL
NAME: Hazem Monem
1ss Name)Te s me
RESIDENCE: 1103 SW 21st Street _
--------(Address ?---......
CITY: Miami STATE: Florida ZIP: 33145
HOME PHONE:30� 5) 858-4551 CELL (305) 431-1710 FAX: X305) 858-4883
EMAIL hazem.monem_@kraft.com
PRINCIPLE BUSINESS/EMPLOYER: Edible Arrangements
BUSINESS ADDRESS: 150 SE 2nd Ave Suite 1-G
es
s ne
CITY: Miami
STATE: Florida ZIP: 33145
BUS. PHONED 5) 577-6101 EXT.
Would you like to serve on the Planning Advisory Board? (. Yes r No
Would you like to serve on the Zoning Board? Co- Yes r No
Please state if you have preference for either board: No Preference
Are you an elector of the City of Miami? r Yes
----------
SHORT STATEMENT OF QUALIFICATIONS
(it you require additional space, attach additional pages..)
1. Describe the qualities, experience,, expertise and/or abilities that you possess that
would make you an effective board member that will act in the public Interest.
I have lived all my life within the city of Miami limits and have witnessed several LIVE meeting and also watched
i &e iarEirif w broadcasts-iii6arig on—FUBEICTewv—w onwarrs tiewre�iey ctia�ge�r to iheTiigFe`r"cliannefs: l"Piave
�_ _
aiway; had a passion fo learn about'the 9ovemins riles for building within the city of Miami. In additlon tieing one
-- _.
who has had several experiences with the buildinq_departmenI. as a business owner and a home_ owner.is what
has drawn me dorser to volunteer my time to my city for whom which I care for.
Fp War*VMA PA9R90101.01 Page 1 of 4
2. Describe your educational background and general knowledge of planning and zoning.
I am graduate of Florida Intemational University, with a major In business. My knowledge of planning and zoning
stems ftom what I have read and researched in aiilcles ana books regarding setbacks, height limil, variances, etc.
3. Describe any prior community or personal involvement that you have had that
demonstrates Interest.in and concern for planning and planning implementatioilii;.G
r 'c,
none .... _.. -�„�
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4. Describe any planning or land use or growth management seminars thay you hive
attended.
no seminars attended
5. Describe any membership in organizations having the primary aim of the furtherance
of dissemination of knowledge of and support of sound planning and implementation
programs.
Porte
6. Describe. any other activity evidencing knowledge and interest in the public purposes
of planning and pian implementation.
As a business owner In DOWNTOWN Miami, I was very much involved with the DOWNTOWN DEVELOPMENT
ALITRORITY7.1 woiked itA them very dosely.l saw the work that v+as being pui txoiih beFnd the scenes`prio'r to
ItWrsuriM Mi3Mi 21:VPretry-mt7ch thin -K e'ciry is heafiedTn the �ght direction into creating a 241oui'downlown.
My business -contacts atVve-DDA-are "Oevon-Barbour,and Leo Zat>ensky--I have always tottl the DDA If there Is a
project and'you need merchants -lo -be Involved=count mein.
.01 PNP_ off
I have read and understand the qualifications for members that are set forth in Sec. 62-124 of the City Code, and hereby certify that:
(1) 1 do not have any interest in the profits or emolurments of any contract, job, work, or service for the city.
(2) 1 am in a position to represent the public interest and do not have any personal or private interests likely to conflict with the
public interest.
(3) 1 do not hold any elective office In any governmental authority in the county or the city.
(4) 1 am not employed in a futl-tstie capacity by any govemmental authority In the county or the city.
(5) As a member or the planning advisory (ward or of the zoning board I agree to participate in at least one seminar on planning
or zoning to be held in Florida, and approved by the city, during the course of each calendar year that I remain a member or
ahemate member of the planning advisory board or of the zoning board.
(6) 1 acknowledge that I am subject to removal from the board if I fail to meet this requirement each and every year after assuming
board membership or allsmale membership.
(7) As a prospective,appolhWe I am subject to a personal appearance before the city commission, to afford the sty W, mission
an opportunity to ascertain my proficiency in the English language, educational background and general3mo-rvd a of
planning and zoning. = _m
(8) 1 am an elector of the' City of Miami.rn
1 �'
An 'elector of the City of Miami means a person who:
fTT
(1) is a citizen of the United Stales of America; T 1
fV
(2) is 18 years of age or ober;
(3) has not been adjudicated mentally incapacitated with respect to voting in Florida or any other state; =` -13
(4) has not been convicted of a felony in Florida, or any other state, without having had his/her civil rights rete"! - ' ' 1
(5) Is a resident of the City of Miami; and .h W
(6) is registered to vole in the City of Miami til
I agree to immediately notify the city clerk if I cease to be a resident and/or an elector of the city during the term of my 0@08. -C,
I agree that If I were to become a candidate for elective political office during my term and quality as a candidate for elective political
office, such qualification shag be deemed a tender of my resignation from the board.
I have read; understand and agree to comply with Section 2.611 of the Miami City Code which prohibits me from entering into any con-
tract o'transading any business with the city or any person or agency acting for the city, or from appearing In representation of
any third party before any board, commission or agency of which I am member. I also understand that prohibition upon activity
which Is set forth above remains in effect for a period of two years after I have left city service:
I have read, understand and agree to comply with Section 2-613 of the Miami City Code which prohibits me from accepting, directly or
indirectly; from any person, company, firm or corporation to which any purchase order or. contract is or might be awarded, any
rebate', gift, money or anything of value whatsoever, except where given for the use and benefitof Ura city.
I have read, understand and agree.to comply with Section 24515 and 2.617 of the hliaml City Code wtrieh requires Ihat 1 submit to the
sty clerk a complete itemized list of all real property owned by me, whether the title be either legal or equitable, whether owned in
whole or In part, including corporate real property in which I have a controlling interest or 1 am an otfieer of such corporation. I
agree to submit to the city clerk said information in the required form verified and under oath within 30 days of my appointrment
and I shall Include the following Information as to each parcel of land:
(1) The legal description and common address;
(2) The municipal or county zoning classification wherein the property is located: and
(3) The manner in which the property is presently being utilized.
I understand that I am required to list only those real properties that are located within the corporate limits of the city or those
properties located 500 feet beyond the corporate limits of the city.
I agree to comply with all financial disclosure requirements of the City, the County and the State including the requirements set forth in
Section 2-11.1 of the Miami -Dade County Code, and Florida Statutes Sec, 112-3145.
1 acknowledge that the code of ethics of Miami -Dade County shall appy to me as a member or alternate member of the planning
advisory board or Uie zoning board and hereby agree to abide by all the provisions thereof.
For additional information on. Code citations, please visit the website of the Of m of the City Attorney at http:Uwww.mlamlgov.com/
cityeKoney/pagesllndex.asp for Internet Ilnks.to citations.
I recognize that membership on the planning advisory board or the zoning board requires -my regular attendance and participation at
board meetings. I understand that attendance at board meetings is subject to the following point system:
1. Each member or alternate member of the planning advisory board and the zoning board who arrives after the beginning of the
first agenda item or leaves before the termination of the last agenda Item, at a regularly scheduled meeting of the board, shall
receive two points.
2. Any member or altemate member of the planning advisory board or zoning board who accumulates more than 15 points in one
calendar year shall automatically be removed and the position declared vacant.
Additionally, I understand that it I am appointed to the zoning board and 1 am absent, for whatever reason, from more than five (5)
meetings in one calendar year. I shall be automatically removed from the board: or that it I am appointed to the planning advisory
board and 1 am absent, for whatever reason; from more than six (6) meetings In one calendar year, I shall be automatically
removed from the board.
......... .MiN...1...... N.N.... ...........
I hereby certify that all Information In this application Is complete, truthful, and accurate to
the best of my knowledge and that I have read and understand the qualifications and
conditions of membership listed In this application.
a Yes
Print Name HAZEM MONEM
Information may be copied and pasted (tate this form from other computer programs, i.e.
'MS Word. Information that Is typed directly into the form may be 'Saved as Text' and
then opened In other computer programs.
For additional ir*rmadon on the Planning Advisory Board and/or the Zoning Board,
(please contact Ma. Teresita Fernandez, Executhee Secretary, Hearing Boards, at (305)
1419-2038 or email at:
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Form
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Signature
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Date Monday, February 25, 2008
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FURTHER INSTRUCTIONS
(Please complete this form and submit to:
Qmce of the City C/erk
ATTN; Assistant City Clerk.
3500 Pan American Drive
Miami, FL 33133
Information may be copied and pasted (tate this form from other computer programs, i.e.
'MS Word. Information that Is typed directly into the form may be 'Saved as Text' and
then opened In other computer programs.
For additional ir*rmadon on the Planning Advisory Board and/or the Zoning Board,
(please contact Ma. Teresita Fernandez, Executhee Secretary, Hearing Boards, at (305)
1419-2038 or email at:
7F�r artdeztaDmlamiaov�orrt
i
Form
4 Ot 4