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Home My WebLink AboutCC Application & Supporting DocsOctober 7, 2008 VIA HAND DELIVERY Ms. Teresita Fernandez City of Miami 444 S.W. 2°d Avenue, 7`' Floor Miami, Florida 33130-1910 Re: Public Hearing Applications Dear Ms. Fernandez: Our firm represents Niclas and Lisanne Pierre and Napoleon Real Estate Croup, LLC who are the owners (the "Owners") of the properties located on NE 2nd Avenue between NE 70 and 71 Streets (the "Property") which is the subject of the Lisanne Subdivision plat (the "Plat"). In conjunction to the Plat, the Owners are proposing and land use and zoning change for certain lots and the closure of the alley running parallel to NE 2nd Avenue. The land use, zoning change and closure of the alley will allow for a unified development site for a proposed commercial project with ground floor retail uses, The Owners are proposing a change to the Miami Comprehensive Neighborhood Plan from Duplex and Medium Density Residential to Restricted Commercial and a zoning change from R-2 and R-3 to C-1 Restricted Commercial with SD -29 Historic Lemon City/Little Haiti Village Special Overlay District for certain lots as further described in the enclosed documents. The land use and zoning changes are logical extensions of the abutting district boundary lines and will provide a commercial opportunity at a major commercial intersection in the Little Haiti section of the City of Miami. These changes will provide the necessary land use and zoning designations for the commercial development, �'�e t b WEISS SEI -OTA HEI,FMAN PASTOA.IZA COLE & BONISKE, P.L. 'CD� �ao1�G C)-7 cTC- ~�' ` ATTORNEYS AT LAW MITCHELL BIERMAN, P.A, CHAD S. FRIEDMAN NINA L. SONISKE, P.A. A PROFESSIONAL LIMITED LIABILITY COMPANY MACADAM J. GLINN MITCHELL J, BURNSTEIN, P.A. INCLUDING PROFESSIONAL ASSOCIATIONS R. BRIAN JOHNSON JAMIE ALAN COLE, P.A. JOHN J. KENDRICK III STEPHEN J. HELFMAN, P.A. MIAMI-DADE OFFICE HARLENE SILVERN KENNEDY GILBERTO PASTORIZA, P.A. KAREN LIEBERMAN* MICHAEL S. POPOK, P.A. 2525 PONCE DE LEON BOULEVARD JOHANNA M. LUNDGREN JOSEPH. H. SEROTA, P.A. - SUITE 700 KATHRYN M. MEHAFFEY SUSAN L. TREVARTHEN, P.A. HARRIS S. NIZEL RICHARD JAY WEISS, P.A. CORAL GABLES, FLORIDA 33134 ALEXANDER L. PALE NZUELA-MAORI' DAVID M. WOLPIN, P.A. _ _ MATTHEW PEARL DIANE P. PEREZ DANIEL L. ABBOTT TELEPHONE 305-854-0800 JOHN J. QUICK GARY L. BROWN FACSIMILE 306.8134-2323 ANTHONY L. RECIO LYNN D. WWW.WSH-LAW.COM SCOTT A. ROBIN DEL V LER I DEL VgLLE DANIEL A. SEIGEL ALAN L. OABRIEL LANIGNAL. A BROWARD OFFICE GAIL D. SEROTA* JONATHAN C. SHAMRES DOUGLAS R. GONZALES MATTHEW H. MANDEL 200 EAST BROWARD BOULEVARD • SUITE 1900 ESTRELLITA S, SIBILA BRETT J. SCHNEIDER FORT LAUDERDALE, FLORIDA 33301 ANTHONY C. SOROKA �_... TELEPHONE 954.763-4242 • FACSIMILE 954-764-7770 EDUARDO M, SOTO MICHAEL L. STINES LORIADELSON* NANCY STUPARICH* LILLIAN M. ARANGO' *OF COUNSEL BLANCA M. VALLE SHAWNTOYIA N. BERNARD GLORIA M. VELAZQUEZ-MEITIN JEFF P.H. CAZEAU CHRISTOPHER J. VOLK ARYE P. CORBETT LAURA K. WENDELL* RAQUEL ELKJASARRIETA JAMES E. WHITE October 7, 2008 VIA HAND DELIVERY Ms. Teresita Fernandez City of Miami 444 S.W. 2°d Avenue, 7`' Floor Miami, Florida 33130-1910 Re: Public Hearing Applications Dear Ms. Fernandez: Our firm represents Niclas and Lisanne Pierre and Napoleon Real Estate Croup, LLC who are the owners (the "Owners") of the properties located on NE 2nd Avenue between NE 70 and 71 Streets (the "Property") which is the subject of the Lisanne Subdivision plat (the "Plat"). In conjunction to the Plat, the Owners are proposing and land use and zoning change for certain lots and the closure of the alley running parallel to NE 2nd Avenue. The land use, zoning change and closure of the alley will allow for a unified development site for a proposed commercial project with ground floor retail uses, The Owners are proposing a change to the Miami Comprehensive Neighborhood Plan from Duplex and Medium Density Residential to Restricted Commercial and a zoning change from R-2 and R-3 to C-1 Restricted Commercial with SD -29 Historic Lemon City/Little Haiti Village Special Overlay District for certain lots as further described in the enclosed documents. The land use and zoning changes are logical extensions of the abutting district boundary lines and will provide a commercial opportunity at a major commercial intersection in the Little Haiti section of the City of Miami. These changes will provide the necessary land use and zoning designations for the commercial development, Ms. Teresita Fernandez October 7, 2008 Page 2 The Property is located within a census tract qualified under the New Markets Tax Credit Program as a "distressed" qualified census tract due to the poor economic conditions of the area. The New Market Tax Credit program was developed by the US Congress in 2000 in order to encourage investment in low-income and distressed communities and promote economic improvements. This "distressed" qualification is reserved for only the most economically challenged areas of the nation. This .particular census tract is economically depressed having a poverty rate of 49.3%, a median family income ratio of 36.6%0 of the national average, and an unemployment rate of 23.1% where the national average is 5.8% o. In addition to being recognized nationally as an area of critical concern, the City of Miami has also identified the Property as being located within a Neighborhood Development Zone, within the boundaries of an Enterprise Zone and within the FEC Corridor Initiatives Area. The identifying characteristics of this area make this an ideal location for a commercial project that will create economic development opportunities, new jobs, an increased tax base, and a catalyst for future development in a currently depressed area. The general public no longer uses the alley, including public service vehicles such as trash and garbage trucks, police, fire and other emergency vehicle. The alley is not improved or paved. The Owners own both sides of the alley, and accordingly, there are no other users. The proposed Plat provides ample access to the proposed development for fire, police, emergency vehicles, and trash collection which will occur internally. The Property is bordered on three sides by public rights of way: NE 71 Street to the north, NE 2"d Avenue to the east and NE 70 Street to the south. The vacation and closure of the alley will have a favorable effect on pedestrian and vehicular circulation in that the proposed development is pedestrian oriented and will provide ground level retail opportunities along the NE 2" d Avenue corridor. Additionally, eliminating the alley will decrease the likelihood of illegal trash dumping and crime in the alley and its vicinity while facilitating replacing the alley with a development that can make a positive contribution to the area and its residents. In order to maintain an on going commitment to the socio-economic development of the area and meet the needs of the area residents, the Owner is working closely with Ms. Lisa Mazique and Mr. Marcus James of the Department of Economic Development, The Owner is proposing a state of the art community room that will be available for meetings of community, civic and non-profit organizations. This community room will also be used to provide community services on an as -needed basis such as credit counseling, tax preparation and job skills training by such organizations and interested parties. The Plat and Street Committee has reviewed the tentative Plat and has determined that all technical requirements contained in the Miami City Code Subdivision Regulation have been met and has approved the tentative plat. The members of the Plat and Street Committee have further considered the request for vacation and closure of the alley with respect to Miami City Code requirements and have voted unanimously in favor of the proposed vacation and closure request. WIEISS SEROTA HELFMAN' PASTORIZA COLE & BoNisKR, P.L. Ms. Teresita Fernandez October 7, 2008 Page 3 For the reasons stated herein, we believe that the land use, zoning change and alley closure are justified and provides a public and socio-economic benefit to the surrounding community. Thank you for your consideration of this matter. Please call me if you have any questions or require additional information. I yours, ibila ESS/ms 1518001 cc: Mr. Niclas Pierre WE ISS SEROTA HELFMAN' PASTORIZA GOI.E & BoNISKE, P.L. A70- A Yq lIIMCUtg gRATEu *� HEARING BOARDS 444 SW 2nd Avenue, 7th Floor + Miami, Florida 33130 Telephone 305-416-2030 • Fax 305-416-2035 www.miamigov.com/hearing boards PUBLIC HEARING APPLICATION FOR AN OFFICIAL VACATION AND CLOSURE OF A PUBLIC RIGHT-OF-WAY Welcome to Hearing Boards! This application is intended to serve as a guide in acquainting you with our public hearing process. By any means, please feel free to contact us at the number above, should you have any questions. 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. Copies of lobbyist documentation with proof of payment must be submitted with the complete application. 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. The deadline to file the complete application with supporting documents is the first five working days (1-5) of each month from 8:00 am until 3:00 pm, and on the fifth day, at 12:00 pm. 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 applications 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. If you like, you could bring the materials to our office for staff review before the deadline to ensure the application is complete. 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. Copies of City Commission resolutions 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. 09-20-06 I, Estrellita Sibila on behalf of Niclas and Lisanne Pierre and Napoleon Real Estate Group, LLC, hereby apply to the Miami City Commission for approval in accordance with Chapter 55 of the Miami City Code, and in support of that request, furnish the following: 1. The property/location listed does not have any open code enforcement/lien violations. 2. Two (2) copies of the Tentative Plat: One (1) 24 x 36" and one (1) 8 1/ x 11" prepared by a State of Florida registered land surveyor. 3. Two (2) 11x17" original surveys of the property prepared by a State of Florida registered land surveyor within six (6) months from the date of the application. 4. Two (2) original sketch of surveys: One (1) 24 x 36" and one (1) 8'/ x 11", prepared by a State of Florida Registered Land Surveyor showing only the area to be vacated or closed and the pertinent legal description of the area, within one year from the date of application. 5. At least two photographs that show the entire property (land and improvements). 6. A clear and legible copy of the recorded warranty deed and tax forms of the most current year that shows the present owner(s) and legal description of the property. 7. A clear and legible copy of the subject property address and legal description on a separate sheet of paper, labeled as "Exhibit A" to coincide with the current survey's legal description. 8. Affidavit and disclosure of ownership of all owners and contract purchasers of the subject property (see pages 4 and 5). 9. Certified list of owners of real estate within 500 feet of the subject property (see pages 6 and 7). 10. Attach an Opinion of Title addressing the reversionary rights, if any. Note: An update is required if more than three (3) months elapse before Zoning Board or City Commission approval. 11. What is the acreage of the project/property site? ±0.77 acres 12. What is the purpose of this application/nature of proposed use? Creation of unified development site for commercial property 13. 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 14. Is the property within the boundaries of an Environmental Preservation District? Please contact the Planning Department on the 3rd Floor for information. NO 15. For corporations and partnerships indicated, the following documents are to be submitted: a) Articles of Incorporation; b) Certificate from Tallahassee less than one (1) year old showing good standing; 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. All documents, reports, studies, exhibits (8 1/ x11 ") or other materials to be submitted at the hearing shall be submitted with this application and will be kept as part of the record. Rev. 09-04-07 2 17. Cost of processing according to Section 62-156 of the Miami City Code*: Vacation of public right-of-way: a. Original submittal: 1. Per square foot of right-of-way 2. Minimum b. Re -submittals: 1. Per square foot of right-of-way 2. Minimum 3. Maximum $ .90 $1,200.00 $ .90 $1,200.00 $1,700.00 Public hearing and public meeting mail notice fees, including cost of handling and mailing per notice $ --------- *Pursuant VOOnce 12719, all planning and zoning fees in excess of $25, 000.00, shall be paid in themcertified check, cashier's check, or money order. Signature Address 2525 Ponce de Leon Blvd, #700 Name Estrellita Sibila, Esq. Miami, Florida, 33134 Telephone (305) 854-0800 E-mail ESibila(o)-wsh-law.com The application submittal date is the date stamped by Hearing Boards' staff on the front p qe• STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this day of October 2008, by Estrellita Sibila, Esq. who is a(n) agent of Niclas and Lisanne Pierre and Napoleon Real Estate Group, LLC. She is erg y_saawn�. +mor who has produced as identification and who did did not) take an oath. (Stamp) Signature �OSRYPu°% MARI(.YNSOMODEVILLA ** MY COMMISSION # DD 704986 EXPIRES: September 13,2011 141", 0"'11Bonded Thru Budget Notary Services Rev. 09-04-07 3 POWER OF ATTORNEY I, Niclas Pierre & Lisanne Pierre, do by these presents hereby make, constitute and appoint ESTRELLITA SIBILA, 'PONY RECIO and GILBERTO PASTORIZA of the law firm of Weiss, Serota, Helfman, Pastoriza, Cole & Boniske, PL. of the County of Miami -Dade and the State of Florida true and lawful Attorney -in -Fact for me and in my name, place, stead, to sign on my behalf, and do all acts necessary, including speak at a public hearing, in :furtherance of the applications for public hearing before the Zoning Board, Planning Advisory Board and/or Miami City Cormnission for the comprehensive plan amendment, zoning change and alley closure applications affecting the properties located at 7012 NE 2 Avenue, 7020 NE 2 Avenue, 185 NE 71 Street, and 190 NE 71 Street, City of Miami, Florida. Granting and giving unto said. Attorney -in -Fact, full authority and power to do and perform any and all acts necessary or incident to the performance and execution of the powers herein above expressly granted, with power to do and perform all acts authorized hereby, as fully to all intents and purposes as the grantors night or could do if personally present, with full power of substitution. / Signed, witnessed, executed and aclaiowledged on this S ay of o 0460 , 2008. WITNESSES: �'Sigv1 tune ��o rig �Ahl S -e NICLAS PIE Niclas Pi rre Address: l � fJ/' a ',P�,e 3 '0 z "-Z- Signature Vne r e Y^ Print Name LISANNE PIERRE Lisanne Pierre [notary acknowledgement on next page] STATE OF Oey O( COUNTY OF1aAK / s A"4!>," The foregoing instrument was acknowledged before me by Niclas Pierre, who is,, dpe o—,-TmEown to me or has produced as identification. Witness my signature and official seal this day of r✓ , 2008, in the County and State aforesaid. 1 FI Notary`rublic State of 4�b 4-c 66( - Print Name: Commission No.: NO �•••��0 ERNAND MONPREMIER Commission MY COMMISSION 9 DD 496863 Commission Expires: EXPIRES: February 10, 2010 f9tFf1FF6pP\O¢^ Bonded ThruBudgelNotary Services STATE OF 111te!) W9 COUNTY OF &1/'°-� G The foregoing instrument was acknowledged before me by Lisanne Pierre, who is �rsona ly known to me or has produced as R identification. Witness my signature and official County and State aforesaid. al his day of -'2t' , 2008, in the qpK PZB otary ublic State of °.••••a`�� ERNANDMONPREMIER Print Name: COMMISSION 6 DD 496863 *0"', ,*'(PIRES: February 10, 2010 Commission No.: ",8ondadThruBudgetNotaryServices Commission Expires: CERTIFIED COMPANY RESOLUTION The undersigned hereby certifies that he is the managing member of NAPOLEON REAL ESTATE GROUP, LLC (the "Company"), a limited liability company existing under the laws of the State of Florida, that the fol lowi is a true and correct copy of the resolutions adopted by the its members at a meeting held on at the offices of the Company. RESOLVED by the members of this Company that the Company consents to and joins in the filing with the City of Miami an application for plat approval of the LISANNE SUBDIVISION and Public Hearing Application for an Official Vacation and Closure of a Public Right -of -Way, zoning and comprehensive plan amendment applications related to the properties legally described as Lots 1 through 8 in Block 1, and Lots 1 and 44, Block 2, of DUPONT ADDITION, according to the Plat thereof as recorded in Plat Boole 13, Page 56 of the Public Records of Miami -Dade County, Florida (the "Applications"); and be it FURTHER RESOLVED that Gilberto Pastoriza, Esq., Estrellita Sibila, Esq, and Tony Recio, Esq. of the law firm of Weiss Serota Hellman Pastoriza et al, are authorized, directed and empowered to execute any and all applications, petitions, and other documents pertaining to the Applications and to act on behalf of the company at all associated meetings and public hearings related to the Applications, The adoption of said resolution was in all aspects legal; and that said resolutions are in full force and effect and have not been modified or rescinded. Dated this�� day of , 2008. NAPOLEON REAL ESTATE GROUP, LLC By; Its: State of Florida County of 4-0(-K I IIEREBY CERTIFY THAT on this day, before me, an officer duly qualified to take acknowledgments, personally appearecV,#_ to-� iVA�%e o the managing manager of NAPOLEON REAI/ESTATE GROUP, LLC, a Florida limited liability company, to me personally known n or produced identification in the form of , and who executed the foregoing resolution and acknowledged before me that she executed the same for the purposes herein expressed, WITNESS my hand and se -4 l e county and state last aforesaid, this o' day of , 2008 NICLAS PIERRE MY COMMISSION # DD792604 EXPIRES June 18, 2012 AFFIDAVIT OF AUTHORITY TO ACT Before me, the undersigned, this day personally appeared Estrellita Sibila, who being by me first deposes and says: 1. That she is the legal representative of the owner, submitting the accompanying application for a public hearing as required by the Code of the City of Miami, Florida, affecting the real property located in the City of Miami, as described and listed on the foregoing pages of this affidavit and made a part thereof. 2. That all owners who 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, X including or ❑ not including responses to day to day staff inquires, 3. That the foregoing pages are made a part of this affidavit contain the current names, mailing addresses, telephone numbers and legal descriptions for the real property of which he/she is the legal representative. 4. The facts as represented in the application and documents submitted in conjunction with this affidavit are true and correct. Further Affiant sayeth not. Estrellita Sibila �-� Legal Representative Name LqaAR4jes6ntative Signature STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this rY ^ day of October 2008, Estrellita Sibila, Esq. who is a n agent of Niclas and Lisanne Pierre and Napoleon R Estate Group, LLC, he is personally known to me who has produced identification and who did kald no taKearFonat susM a, ry W `767411M(Stamp) YCOMMISSODDm ignature EXPIRES: iul1 g TWUNO" aa Rev, 09-20-06 by as DISCLOSURE OF OWNERSHIP List the owner(s) of the subject property and percentage Miami City Code requires disclosure of all parties having direct or indirect, with respect to a presentation, request disclosure of shareholders of corporations, beneficiaries interested parties, together with their address(es) and required. Please supply additional lists, if applicable. Owner's Name(es) Niclas and Lisanne Pierre - 100% y5i r4d of ownership. Note: The a financial interest, either or petition. Accordingly, =u of trusts, and/or any other proportionate interest are Subject Property Address(es) 7012 NE 2 Avenue; 7010 NE 2 Avenue; 7020 NE 2 Avenue; 185 NE 70 Street; and 190 NE 71 Street Telephone Number (305) 854-0800 E-mail Address c/o Estrellita Sibila ESibilaC&-wsh-law.com 2. Street address and legal description of any property owned by any and all parties listed in answer to question #1 located within 500 feet of the subject property. Please supply additional lists, if applicable. Street Address n/a Estrellita Sibila Owner(s) or Attorney Name STATE OF FLORIDA COUNTY OF MIAMI-DADE Legal Description The foregoing was acknowledged before me this k day of 7w -`-Q- 201, by Estrellita Sibila, Esq. who is a(n) agent of Niclas and Lisanne Pierre. She is per onally known to me or who has produced as identification and who did (did not) take an oath. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. (Stamp) Signature MARILYN SOMODEVILLA MY COMMISSION 9 DD 704986 u PIRFS; September 13, 2011 Nf�TFOF FL°�\�Q Wed Thru Budget Notary SerAm 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 applicable. Owner's Name(es) Napoleon Real Estate Group, LLC, a Florida limited liability company MONSON NAPOLEON %dU % Subject Property Address(es) 7050 NE 2 Avenue Telephone Number (305) 854-0800 E-mail Address c/o Estrellita Sibila ESibila(a_wsh-law.com 2. Street address and legal description of any property owned by any and all parties listed in answer to question #1 located within 500 feet of the subject property. Please supply additional lists, if applicable. Street Address n/a Owner(s) Name STATE OF FLORIDA COUNTY OF MIAMI-DADE Legal Description (j� � � Owner(s) Signatur The for Ing was ackno ledged before me this �" day of �Q__ h 01y o �o ho is a n of Napoleon Real 2008, by � /vim (�P � () p tate Group, LLC. /He is persgrral y known to m - or who hasp duced 2�J h crwnoas identification and who did (did not) take an oft -lam le/She is p rsonally known to me or who has produced as identification and who did (did not) take an oath. (Stamp) NICLAS PIERRE Signature =tr'e' MY COMMISSION # DD792504 +%d;P� EXPIRES June 18, 2012 (407) 398.0153 FloridallotarySerwce.com OPINION OF TITLE TO: CITY OF MIAMI, a municipal corporation With the understanding that this Opinion of Title is furnished to CITY OF MIAMI, FLORIDA in compliance with Section 55-8 of the Miami City Code and as an inducement for acceptance of a proposed final subdivision plat covering the real property hereinafter described. It is hereby certified that we have examined Old Republic National Title Insurance Company Owner's Policy No. SDC 537498, covering a period from the beginning through October 18, 2004 (as to Parcel A); Attorneys' Title Insurance Fund, Inc., Owner's Policy No. OPM-2990953, covering a period from the beginning through December 31, 2007 (As to Parcel B); Attorneys' Insurance Fund, Inc. Owner's Policy No. OPM-7221588, covering the period from the beginning to April 7, 2006 (as to Parcel C) and certified computer printouts covering the period from October 18, 2004 through September 23, 2008 at 11:00 P.M., inclusive, of the following described real property: SEE EXHIBIT "A" Basing our opinion on said complete abstract covering said period we are of the opinion that on the last mentioned date the fee simple title to the above described property was vested in: Lisanne Pierre and Niclas Pierre, her husband, as to Parcel A Lisanne Pierre, a married woman, as to Parcel B Napoleon Real Estate Group, LLC, a Florida limited liability companyl, as to Parcel C Subject to the following encumbrances, liens, and other exceptions: GENERAL EXCEPTIONS: All taxes for the year in which this opinion is rendered and subsequent years. 2. Rights of parties in possession other than the above owner. Facts that would be disclosed by an accurate survey. 4. Any unrecorded labor, mechanics or materialmen's liens. 5. Zoning and other restrictions imposed by governmental authority. 1 That Jhonson Napoleon, as Manager Member of Napoleon Real Estate Group, LLC, a Florida limited liability company, has full power and authority to execute any and all documents on behalf of the Company. SPECIAL EXCEPTIONS: 1. Plat of Dupont Addition, as recorded in Plat Book 13, Page 56, of the Public Records of Miami -Dade County, Florida (As to Parcels A, B and C). 2. Reservations held by Miami Water Company by virtue of a Deed recorded January 26, 1928, in Deed Book 1172, Page 421, of the Public Records of Miami - Dade County, Florida; Reservations as to all pipelines, pipes, Vs, 1's connections, cut-offs, and other equipment used in connection with the water supply system in the subdivision known as Dupont Addition.. (As to Parcels B and Q. 3. Interim Agreement for use of Right of Way recorded July 22, 1987, in Official Records Book 13353, Page 1760, of the Public Records of Miami -Dade County, Florida. (As to Parcels B and Q. 4. Mortgage executed by Lisanne Pierre, a married woman, joined by her spouse, Niclas Pierre, to City First Mortgage Corp, dated September 15, 2004, recorded October 18, 2004, in Official Records Book 22738, Page 1070, as assigned to Penny Grunspan Trustee of the Penny Grunspan Revocable Trust, ISAOA, ATIMA (32.2580%), Debbie Gaffin, ISAOA, ATIMA (32.2580%) and Martin Kansol, ISAOA, ATIMA (35.4840%) by that certain Assignment of Mortgage dated September 28, 2004, recorded November 29, 2004, in Official Records Boole 22855, Page 4090, as specific interest was further assigned by Penny Grunspan Trustee of the Penny Grunspan Revocable Trust, ISAOA, ATIMA, to Alan Grunspan Trustee of the Aron Grunspan Revocable Trust, ISAOA, ATIMA, by that certain Assignment of Mortgage and Promissory Note dated February 16, 2005, recorded February 25, 2005, in Official Records Boole 23114, Page 51, all of the Public Records of Miami -Dade County, Florida. (As to Parcel A) 5. Lien Sale Certificate No. 2000 01000415, by and between the City of Miami and AFRC Realty Corp., dated May 28, 2004, recorded January 21, 2005, in Official Records Book 23015, Page 4674, of the Public Records of Miami -Dade County, Florida (As to Parcel A). 6. Mortgage between Anminc Corporation, as borrower, in favor GreenPoint Mortgage Funding, Inc., North Fork Bank, as Mortgagee, in the principal sum of $286,500.00, dated August 21, 2006 and recorded September 12, 2006, in Official Records Book 24868, Page 540, of the Public records of Miami -Dade County, Florida. This Mortgage was further assigned thru Consent and Assumption Agreement, dated November 12, 2007 between Lisanne Pierre, in favor of North Fork Bank, successor by merger to GreenPoint Funding, Inc., recorded December 31, 2007, in Official Records Boole 26136, Page 1906, of the Public records Book of Miami -Dade County, Florida. (As to Parcel B). 7. Grant of Easement recorded May 4, 1971, in Cleric's File Number 71R-082661, of the Public Records of Miami -Dade County, Florida. (As to Parcel C) 8. Warranty Deed in favor of the City of Miami recorded in Official Records Book 13728, Page 3046, of the Public Records of Miami -Dade County, Florida. (As to Parcel Q. 9. Mortgage by and between Happy Home Lending Corporation and Napoleon Real Estate Group, LLC, a Florida limited liability company, dated January 27, 2006, recorded April 7, 2006, in Official Records Book 24404, Page 3363, of the Public Records of Miami -Dade County, Florida. (As to Parcel C). 10. Mortgage executed by Jhonson Napoleon in favor of Jacobson Auction Co., Inc., dated January 27, 2006, recorded May 14, 2007, in Official Records Book 25616, Page 2910, of the Public Records of Miami -Dade County, Florida. (As to Parcel C). 11. Lis Pendens recorded May 17, 2007, in Official Records Book 25627, Page 1024, of the Public Records of Miami -Dade County, Florida. (As to Parcel Q. 12. Final Judgment of Mortgage Foreclosure and Re -Establishing Lost Instrument dated August 28, 2007, recorded September 6, 2007, in Official Records Book 25906, Page 3145, as amended by that certain Amended Final Judgment of Foreclosure, dated August 30, 2007, recorded September 6, 2007, in Official Records Book 25906, Page 3156, of the Public Records of Miami -Dade County, Florida. (As to Parcel Q. 13. Mortgage executed by Napoleon Real Estate Group, LLC., in favor of Am Retail Source, LLC, dated October 31, 2007, recorded November 15, 2007, in Official Records Book 26049, Page 3693, of the Public Records of Miami -Dade County, Florida. (As to Parcel Q. 14. Assignment of Leases and Rents executed by Napoleon Real Estate Group, LLC, in favor of Am Retail Source, LLC, dated October 30, 2007, recorded November 15, 2007, in Official Records Book 26049, Page 3700, of the Public Records of Miami -Dade County, Florida. (As to Parcel Q. 15. UCC in favor of AM Retail Source, LLC, recorded November 15, 2007, in Official Records Book 26049, Page 3702, of the Public Records of Miami -Dade County, Florida. (As to Parcel Q. 16. Notice of Commencement recorded December 13, 2007, in Official Records Book 26106, Page 2742, of the Public Records of Miami -Dade County, Florida. (As to Parcel Q. Therefore, it is our opinion that the following parties must join in the platting of the above described real property: Name Lisanne Pierre and Niclas Pierre (As to Parcel A) Lisanne Pierre (As to Parcel B) Napoleon Real Estate Group, LLC, a Florida limited liability company (As to Parcel C) Alan Grunspan Trustee of the Aron Gruspan Revocable Trust, Debbie Gaffin and Martin Kansol (As to Parcel A) AFRC Realty Corp. (As to Parcel A) North Fork Bank (As to Parcel B) Happy Home Lending Corporation (As to Parcel C) Interest Owner Owner Owner Mortgagee Lienor Mortgagee Special Exception Number 4 5 6 Mortgagee/Judgment Holder 9 Jacobson Auction Co. Mortgagee 10, 11, 12 (As to Parcel C) Am Retail Source, LLC (As to Parcel C) Mortgagee 13, 14, 15 I, the undersigned, further certify that I am an Attorney at Law duly admitted to practice in the State of Florida, and am a member in good standing of the Florida Bar. Respectfully submitted this day of October, 2008. WEISS SEROTA HELFMAN PASTORIZA COLE & BONISIE-4,L. Gilberto Pastoriza, Esq. 2525 Ponce de Leon Blvd. Suite 700 Coral Gables, FL 33134 EXHIBIT "A" LEGAL DESCRIPTION Parcel A: Lots 1 thru 4, inclusive, in Block 1, Lot 1 less the North 10' feet, in Block 2, and Lot 44, Block 2, of DUPONT ADDITION, according to the Plat thereof, as recorded in Plat Boole 13, at Page 56, of the Public Records of Miami -Dade County, Florida. Parcel B: Lot 5, of Block 1, of DUPONT ADDITION, according to the Plat thereof, as recorded in Plat Boole 13, Page 56, of the Public Records of Miami -Dade County, Florida; together with the South 6.40 feet of the East 42.91 feet of Lot 6, of said Block 1, and the South 10.05 feet of the West 57.09 feet of Lot 6, of said Block 1. Parcel C: Lot 6, less the South 6.40 feet of the East 42.91 feet and less the South 10.05 feet of the West 57.09 feet thereof and Lots 7 and 8, less the North 10 feet of Lot 8 for right-of-way, Block 1, DUPONT ADDITION, according to the Plat thereof, as recorded in Plat Boole 13, Page 56, of the Public Records of Miami -Dade County, Florida. NE 71ST STREET — — ---------- ----- Hr------reL—� m --- ASPHN.TF PAVEMEXr 7a z ------ i -- If�.MT40.WAYLINE wO. � ASaNALT D � __- __----- I SSSvCIICALLJEvJ 1=20' I 7 LIL As muT 1 W-- �ofi'----- u vc E Qs = I XI d „ 1 °^ L m—'-------- g < g v As.tMLr i .aj°e 5 � I Z $ N I � 1 Z $ - FWNe WPNNL r- 0 z 44 $ 4 Y W g ! N W ------- 0 v a �y F 3 p i o a ED O o z j --------------- S F z m J ; 2 o N x I 1 O narxer°wv,< m � BMSmeEWN% EOaEOP YEMENr NE 70TH STREET— PLAN OF CLOSURE SURVEY SCALE 1"=20' LEGAL DESCRIPTION: TIwTCERTNXMCMHSeerNNlEYA99HOAH C\HrYE MTOF WPtwTAedrtONAS RECQTDEe IH MTBeq(t]AT PAGE]B OFTHEPY811CXECOf✓b90FNWaLAOE CWX,Y. FLOWeA hHC BEXO WPE PMnW WSY pESCNJBEp Aq FOLLRA9: NIEYBWXpEe6vr1�WF3rLtNOUN MCIf1.9aerOEDMW EA9TIINEOF NE713 3nN . CcrHEHONr„WaXT <Y WAY rR c CFM1£ree191PFET,AIm 9WXeEDeYiHE50efH PIeXTOFWAY eXE OFHEr19T91REtT.A000P➢INe T°TNE �M4t1 OFA9 REC°XpEe 1NPIAT 90aN1J, AT PAGE990FTHEPtAiLIC PFLOPa9<Y NTA �N)E�ftpU�I LY Ve IN iNECrtY 0.0NIG Alm CONfNXR1a2NlN�F�Oilo.49NFEe.Ne�IXtIF59. CGuN7{� CeNgcate: 1 rn"b mNryumaw� ae.:..s..+T.�a.w.weP.os.awHm.a,m,.a l.p...+omo.>m.we°®•...rm.l�mr "n /y1a:•oln.,e,naclwweto,raPAweor,:.ol.r.nonnn.msmm.. JmeEnm PaA s.uXo. J009 m..Mw�:taza-or noM.� �1ar5er SURVEYOR'S NOTES: a) There are no visibleutilities Within this alley, except those shown. b) This Closure Survey is not valid Withcutthe original signature and the original surveyorsembossed seal. c) Unless indicated to the contrary, the measured distances hown as s are the same as the recorded plat distances d) There may be additional information that is not shown on this survey that may be found in the Public Records of this Ccunty. e) Data sources: Recorded plat and City municipal atlas (13D) LOCATION SKETCH AvomaltoF XEvaoF 9ECneN 1J.loVMJXIPS]9CUfN, WWGE 01 EA9T SfNE1••tar JOSE E. FUXA, PSM 7555 SW 30TH STREET, MIAMI, FL 33155 OFF. 305-261-7240 FAX 305.261-2841 email jefuxe®aol.mm _� -----------------------------9UR ------------------- _---- pIYj .,0 N T •( 3,5) -ra... I Isll I A:00 fTZO (1316) 6 'I ID Ili I SURVEYOR'S NOTES: a) There are no visibleutilities Within this alley, except those shown. b) This Closure Survey is not valid Withcutthe original signature and the original surveyorsembossed seal. c) Unless indicated to the contrary, the measured distances hown as s are the same as the recorded plat distances d) There may be additional information that is not shown on this survey that may be found in the Public Records of this Ccunty. e) Data sources: Recorded plat and City municipal atlas (13D) LOCATION SKETCH AvomaltoF XEvaoF 9ECneN 1J.loVMJXIPS]9CUfN, WWGE 01 EA9T SfNE1••tar JOSE E. FUXA, PSM 7555 SW 30TH STREET, MIAMI, FL 33155 OFF. 305-261-7240 FAX 305.261-2841 email jefuxe®aol.mm State of Department of State I certify from the records of this office that NAPOLEON REAL ESTATE GROUP, LLC is a limited liability company organized under the laws of the State of Florida, filed on December 13, 2004, effective December 13, 2004. The document number of this limited liability company is L04000089562. I further certify that said limited liability company has paid all fees due this office through December 31, 2008, that its most recent annual report was filed on May 4, 2008, and its status is active. I further certify that said limited liability company has not filed Articles of Dissolution. Given under my hand and the Great Seal of Florida, at Tallahassee, the Capital, this the Tenth day of September, 2008 = - _ _= _ - �► Secretary of State * * Authentication ID: 900135647539-091008-L04000089562 GpD R T4" To authenticate this certificate,visit the following site, enter this ID, and then follow the instructions displayed. https:Heflle.sunbiz.org/certauthver.html Pmpargd_b_y and return to: Nelda Augustin Executor Cherasard & Associates, P.A. 1868 N. University Dr. Suite 201 Fort Lauderdale, FL 33322 954.915-86.10 File Number; 05101907NR Will Call No.: 9558691 CF N 2006RO3744 63 OR 8k 24404 P9s 3361 - 3362► (2p9s) RECORDED 04/07/2006 11:16:51 DEED DOC TAX 2r100.00 SURTAX 1P575.00 HARVEY RUVIN, CLERK OF COURT MANN-DADE COUNTYr FLORIDA Parcel Identification No. 01-3113-057-0040 Above This Line For Recording Warranty Deed (STATUTORY FORM - SECTIONF 689.02, F.S.) This Indenture made this 27th day of January, 2006 between SECOND AVENUE CORPORATION whose post office address is 3030 Rosewood Ct., Davie, FL 33328 of the County of Broward, State of Florida, grantor*, and Napoleon Real Estate Group, LLC, a Florida corporation whose post office address is 5401 NE 2nd Avenue, Suite B, Miami, FL :33137 of the County of Miami -Dade, State of Florida, grantee*, Witnesseth that said grantor, for and in consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying; and being in Miami -Dade County, Florida, to -wit: LOTS 6, 7, 8 OF BLOCK 1 "DUPONT 'ADDITION" according to the Plat thereof recorded in Plat Book 13, of Page 56 of the Public Records of Miami -Dade County, Florida LESS AND EXCEPT THEREFROM THE FOLLOWING: THE SOUTH 6.40 E42.91 LT 6 SAID BLK 1 & S10.05 W57.09 LT 6 SAID BLK 1 BEING SITUATED IN CITY MIAMI and said grantor does hereby fully warrant the title to said land, and will defend the same against lawful claims of all persons whomsoever. " "Grantor" and "Grantee" are used for singular or plural, as context requires. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. DoubleTimes Book24404/Page3361 CFN#20060374463 Page 1 of 2 Signed, sealed and delivered in our presence: Witness Name: ,1 u �, tr1 �T► __ Wi ess ame:� State of Florida County of Broward OR BK 24404 PG 3362 L.AS,T PAGE (Corporate Seal) The foregoing instrument was acknowledged before me this 27th day of January, 2006 by JOHNSON NAPOLEON of SECOND AVENUE CORPORATION, on behalf of the corporation. He [ ] is personally known to me or [X] has produced a Florida driver's license as identification. [Notary Seg l] NOTARY'PUBI.IC•STATE OF FLORIDA M'Nelda Augustin 0 CoinMMOR # DD470382 Expires: SEP, 11, 2009 Bonded Thru Atlantic Bonding Co., Inc. Warranty Deet! (Statutory Form) - Page 2 Book24404/Page3362 Notary Public, State of Florida Printed Name: Nelda Augustin My Commission Expires: September 11, 2009 CFN#20060374463 DoubteTlmea Page 2 of 2 i uiiii uui uiu am uiii u�u iun uu uii C:F14 2007R1229428 OR Bk 26136 Ps 1905; Ups) RECORDED 12/31/2007 15:32:31 Prepared by and return to: DEED DOC TAX 2x280.00 SURTAX 1010.00 HARVEY RUVINx CLERK OF COURT HIAHI-DADE COUNTYx FLORIDA Frances Blissett, P.A. LAST PAGE 16211 N.E. 18 Avenue Suite 200 N. Miami Beach, FL 33162 305-947-5777 File Number: L. Pierre Will Call No.: Parcel Identification No. 0131130570030 iSpace Above This Line For Recording Datal Warranty Deed (STATUTORY FORM - SECTION 689.02, F.S.) This Indenture made this 28th day of November, 2007 between Anminc Corp., a Florida corporation whose post office address is 7020 N.E. 2nd Avenue, Miami, FL 33138 of the County of Miami -Dade, State of Florida, grantor*, and Lisanne Pierre, a married woman whose post office address is 2190 N.W. 99 Terrace, Pembroke Pines, FL 33024 of the County of Broward, State of Florida, grantee*, Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida, to -wit: Lot 5, of Block 1, of DUPONT ADDITION, according to the Plat thereof, as recorded in Plat Book 13, at Page 56, of the Public Records of Miami -Dade County, Florida; together with the South 6.40 feet of the East 42.91 feet of Lot 6, of said Block 1, and the South 10.05 feet of the West 57.09 feet of Lot 6, of said Block 1, being situated in the City of Miami. Subject to: 1. Taxes and assessments for the year 2008, and all subsequent years. 2. Applicable zoning ordinances. 3. Conditions, restrictions, reservations, easements and limitations of record, recorded in Plat Book 13, Page 56, of the Public Records of Miami -Dade County, Florida. and said grantor does hereby fully warrant the title to said land, and will defend the same against lawful claims of all persons whomsoever. "Grantor" and "Grantee" are used for singular or plural, as context requires. In Witness Whereof, grantor has hereunto set grantoes hand and seal the day and year fust above written. Signed, sealed and delivered in our presence: ANMINC CORR, a Florida corporation Fp rPwc ry �iLsst (t Mohammed A. Hussain L President State of Florida County of Miami -Dade This instrument was signed thisa$ day of November, 2007, by Mohammed A. Hussain, President of Anminc Corp., a Florida corporation, on behalf of the corporation. He did take anoath and provided F k , &) n o . A-,— , as identification, Notary Pub tc My commission expires: ..;FRANCES BUSSETT CommissW DD 684873 Expires August 16, 2011 ea,ara nrvTxo�rwxwar�aeoo3as�>bc DoubleTimeo Book26136/Page1905 CFN#20071229428 Page 1 of 1 Record and Return to: Title Tech, LLC �0'i " 941 N, 73rd Avenue Hollywood, FL 33024 954-981-6022 41,04-o1-3113-051 -00ao Prepared by and return to; ANA MARIA ANGULO 5975 Sunset Drive Suite 503 South Miami, FL 33143 File Number; S-DUBOIS-PNR Above This Line For Recording Warranty Deed CFhl 2C11:14RO91-D 94.6'9 OR 8k 22738 Ps 1069; Ups) RECORDED 10/18/2004 08:51:13 DEED DDC TAX 1x860.00 SURTAX 1x395.00 HARVEY RUVINr CLERK OF COURT MIAMI-DADE COUNTYr FLORIDA LAST PAGE This Warranty Deed made this 7th day of September, 2004 between RAPHAEL GERARD DUBOIS, an unremarried widower whose post office address is Dubois Shopping Center, Delmas 27-29 Ct., 13, Po Au -Prince, Haiti, W.I., grantor, and"LISANNE1� PIERRE whose post office address }� 1 qn 1 1. IA.). (q - grantee:'t64ldIWOSPQt'R I0, haSb&nd 9m yotL Pirw C , -UZLf (Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County Florida to -wit: Lots 1 thru 4, inclusive, in Block 1, Lot 1 less the North 10', in Block 2, and Lot 44, in Block 2, of DUPONT ADDITION, according to the Plat thereof, as recorded in Plat Book 13, at Page 56, of the Public Records of Miami -Dade County, Florida. a/k/a 7010 NE 2nd Avenue (Folio: 01-3113-057-0020) 7012 NE 2nd Avenue (Folio: 01-3113-057-0010) 190 NE 71st Street (Folio: 01-3113-057-0050) 185 NE 70th Steet (Folio: 01-3113-057-0400) Parcel Identification Number: Sbl2er warrants and represents that he and SOLANGE LACROIX EUBOIS wkre oontinuously married to one another from a time prior to the time in which they took title throu h the date of her death which was on February 9, 1998. to the gubject SUBJECT TO: Taxes for the year 2004 and subsequent years. Conditions, Restrictions, Dedications, Covenants and prop Easements of record, Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever, And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the- same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2003. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, sealed and delivered in our presence: .�r � (Seal) Witness Name: F A G H u HAEL GERARD DUBOIS Witness Name: .N vc Republic of Haiti C City of PQ RT,�1J"�/��NC The foregoing instrument was acknowledged before me this R15— day of September, 2004 by RAPHAEL GERARD DUBOIS, who Lj is personally known or [X] has produced a driver's license as identificah [Notary [N ry Seal ] , Notary'Public {� ?�PrintedNam�:'' _NENE7' 1)irRNARI)__ x r� a r.My!Conunis`C sionExoires; d yE' . •'^'lnrtrsfa»°�N'� DoubleTlmeo Book22738/Page1069 CFN#20040909469 Page 1 of 1 CITY OFMIAMI sj T 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: � ql ��'(,i (First Name) HOME ADDRESS: CITY: a)'Ud �A� `-e.S S (Middle) DA/ (A (Lasa Name) -410 0 STATE: Florida PHONE: 305 $ CJ(1, (3% �O CELL PHONE: EMAIL: GS) �b t LA ' " FAX: ZIP: %3 139 BUSSINESS or APPLICANT or ENTITY NAME N; d as L; s Aj�,o L ViP-Vi^2 i 1V aP�1¢an �Z2�,1 spa e ,�up� LL C BUSINESS ADDRESS: (Address Line 1) (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. 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 j 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. 3. Please provide the name, address and phone number of the person(s) or entities to whom consideration has been provided or committed. Name Address Phone# a. �n b. C. * 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 I hereby acknowledge that it 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 en t for the same issue shall be reviewed or considered by the applicable board(s u 1 expiration of a period of one year after the nullification of the application r o PERSON SUBMITTING DISCLOSURE: Signature t (d, Print Name Sworn to and subscribed before me this da v of200 ! . The foregoing instrument was acknowledged before me by t `� � � � who has produced as identification and/or is personally known to me and who did/did not take an oath. STATE OF FLORIDA CITY OF MIAMI MY COMMISSION YN EXPIRES: SOMOpEVILLA W�*rOSSION0704960 Y0YfflW6)"GMber 13, Enclosure(s) �9TFOF FI11 mx\� Bonded ThN Budget NotarySeru�es Doc. No.:86543 Page 2