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HomeMy WebLinkAboutI.B. Major Use Special Permit Application & Special Exception ApplicationsHEARING BOARDS 444 SW 2"d Avenue, 7`" Floor • Miami, Florida 33130 Telephone 305-416-2030 • Fax 305-416-2035 www.miamigov.com/hearing boards MAJOR USE SPECIAL PERMIT Welcome to Hearing Boards! This application is intended to serve as a guide in assisting you with our public hearing process. Please feel free to contact us at the number above, should you have any questions. Before submitting this application for Major Use Special Permit (MUSP), you shall confer with the zoning administrator and the director of the Planning Department or their designee to obtain information and guidance before initiating the process. The deadline to file the complete application with supporting documents is the first five working days of each month from 8:00 am until 3:00 pm, except on the fifth day, at 12:00 pm. The application submittal date is the date stamped by Hearing Boards' staff on this page. The responses to this application must be typed and signed in black ink. Please note that pursuant to Section 1304.2.2 of the Miami Zoning Ordinance, no application shall be deemed to have been filed unless and until the application shall have been completed. All pertinent and accurate information/documentation; i.e., the plans, reports, exhibits, shall be presented at the time of filing, in addition to the paid receipt. The applicant is responsible for the accuracy of the information contained in the application and all supporting materials. Should you wish, you could bring the materials to our office for review before the deadline to ensure completeness. You will be responsible, if needed, to bring an interpreter for the English language to any presentation before city boards, committees and the city commission. A valid power of attorney will be required if neither applicant or legal counsel representing the applicant execute the application or desire to make a presentation before city boards, committees and the city commission. All documents, reports, studies, exhibits (8 1/2 x11") or other materials submitted during this process will be kept as part of the record. Final approval of this MUSP application shall consist of an executed resolution by the Miami City Commission and a development order, which specifies the conditions under which this MUSP application is approved. Copies of City Commission resolutions can be obtained at our website through the "Legislative Hub", or for certified copies, please contact the Office of the City Clerk at 305-250-5360 or at 3500 Pan American Drive. ORDINANCE NO. 11469, CODIFIED IN CHAPTER 2, ARTICLE VI OF THE CITY CODE STATES THAT ANY PERSON WHO RECEIVES COMPENSATION, REMUNERATION OR EXPENSES FOR CONDUCTING LOBBYING ACTIVITIES TO REGISTER AS A LOBBYIST WITH THE CITY CLERK, PRIOR TO ENGAGING IN LOBBYING ACTIVITIES BEFORE CITY STAFF, BOARDS, COMMITTEES AND THE CITY COMMISSION. A COPY OF SAID ORDINANCE IS AVAILABLE IN THE OFFICE OF THE CITY CLERK (MIAMI CITY HALL), LOCATED AT 3500 PAN AMERICAN DRIVE, MIAMI, FLORIDA, 33133. Ordinance No. 12918 states that each person or entity requesting approval, relief.or other action from the City Commission or any of its boards, authorities, agencies, councils or committees regarding any issue, shall disclose at the commencement (or continuance) of the public hearing(s) on the issue, any consideration provided or committed, directly or on its behalf, for an agreement to support or withhold objection to the requested approval, relief or action. The Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit included in this package must be submitted with the application. The applicant must, at the commencement of any public hearing on the issue, if there is any disclosure to report, read the disclosure into the record. Also, the applicant must supplement the affidavit if there is any new information or additional information to disclose. Rev. 12-16-08 MIA 180,782,2130 8-27-09 Applications given to customers do not constitute action from the City of Miami without plans review and written comments from the Office of Zoning. Please refer to Articles 5, 9, 13 and 17 of the Miami Zoning Ordinance for Major Use Special Permit information. 1. Applicant name(s): Lucia A. Dougherty, Esq., on behalf of 401 NW LLC, Villaqe Carver Phase I, LLC, Village Carver Phase II, LLC and Village Carver Phase III, LLC as applicant/developer and YMCA of Greater Miami, Inc., as owner 2. Subject property address(es) and folio number(s): approx. 401 NW 71 Street a/ka 485 NW 71 Street Folio No. 01-3112-112-0010 3. Project name: Village Carver 4. One (1) original survey dated within six (6) months from the date of application prepared by a State of Florida registered land surveyor. 5. One (1) original 24x36" plan, signed and sealed by a State of Florida registered architect or engineer showing property boundaries and proposed structure(s), parking, landscaping, etc.; building elevations and dimensions and computations of lot area and building spacing. 6. Bring the original 24x36" plan to Hearing Boards to be stamped, dated and initialed by a designee and then by the following departments before the application is filed: a) Department of Public Works on the 8th Floor; b) Office of Zoning on the 4th Floor; c) Planning Department on the 3`d Floor. Note: If comments are generated by any of the above, you must return to the architect or engineer to have those comments incorporated into the plans, and you must begin #5 again. Plans are to be submitted to Zoning for first time review starting from the 8th through the 20th of each month. Zoning will not be accepting first-time review plans after the 20th day of the month. 7. After obtaining signatures from the above departments, two (2) 11x17" and one (1) 8'/x11" copies of the original plan, in addition to the survey. 8. Original and current Zoning Referral and Zoning Write -Up signed by Office of Zoning designee. 9. The subject property(ies) cannot have any open code enforcement/lien violations, unless the request, if granted, would remedy the violation. 10. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable. 11. At least two photographs showing the entire property showing land and improvements. 12. A clear and legible copy of the recorded warranty deed and tax forms of the most current year showing the present owner(s) and legal description of the property. 13. A clear and legible copy of the subject property address(es) and legal description(s) on a separate sheet, labeled as "Exhibit A", to match with the current survey's legal description. Rev. 12-16-08 MIA 180,782,213v1 8-27-09 14. Affidavit of Authority to Act and the Disclosure of Ownership of all owners and contract purchasers, if applicable, of the subject property (see pages 5 and 6). 15. Original Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit. 16. Original Public School Concurrency Management System Entered Requirements form (page 4 of the attached packet). 17. Certified list of owners of real estate within 500 feet of the subject property (see pages 6 and 7). 18. For all corporations and partnerships indicated: a) Articles of Incorporation; b) Certificate from Tallahassee showing good standing, less than one (1) year old; c) Corporate Resolution or a Power of Attorney signed by the secretary of the Corporation authorizing the person who signed the application to do so; d) Non-profit organizations: A list of Board of Directors less than one (1) year old. 19. What is the acreage of the project/property site? approx. 6.6564 acres 20. What is the purpose of this application/nature of proposed use? Approval of Substantial Amendment to previously approved Maior Use Special Permit pursuant to Resolution No. 08- 0458 to consist of approximately 310 units and 443 parking spaces pursuant to Articles 5 and 17 of Zoning Ordinance 11000 21. 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 22. Is the property within the boundaries of an Environmental Preservation District? Please contact the Planning Department on the 3rd Floor for information. No 23. An executed Traffic Sufficiency Letter from the City of Miami's traffic consultant. 24. Maps showing the existing zoning designation and the adopted comprehensive plan designation for areas on and around the property. 25. General location map showing relation to the site or activity to major streets, schools, existing utilities, shopping areas, important physical features in and adjoining the project. 26. Concept Plan: a) Site plan and relevant information per Section 1304.2.1d -h in Zoning Ordinance 11000, as amended. b) Relationships to surrounding existing and proposed uses and activities, systems and facilities, per Section 1702.2.2a in Zoning Ordinance 11000, as amended. c) How concept affects existing zoning and adopted comprehensive plan principles and designations; tabulation of any required variances, special permits, changes of zoning or exemptions, per Section 1702.2.2b in Zoning Ordinance 11000, as amended. 27. Developmental Impact Study (an application for development approval for a Development of Regional Impact may substitute). 28. Twenty (20) "MUSP" books—including an original—containing 8 '/2 x 11" copies of the above information, including this application and any other public hearing applications. If the project requires a Variance or Special Exception request, thirty (30) books are required. Rev. 12-16-08 MIA 180,782,2130 8-27-09 29. One (1) electronic copy of every document included in the MUSP book, individually scanned in ".pdf' form. For example: 1) Outside Cover, 2) Inside Cover, 3) Table of Contents, 4) Application and Supporting Documentation, 5) Aerial Photos, 6) Survey, 7) Plans, etc. 30. Cost of processing according to Section 62-156 of the Miami City Code*: a) Major Use Special Permit $ 12,977.95 (259,559 s.f. x 0.05) b) Additional fee for any required special permits; such as, Comprehensive Plan, Zoning Atlas, Special Exception(s) and/or Variance(s) $ -0- c) Public hearing and public meeting mail notice fee $ 1,386 (132 labels x $10.50) MUSP Surcharge $1,1150 d) Total: $ 15,513.95 *Pursuant to Ordinance 12719, all planning and zoning fees in excess of $25,000.00, shall be paid in the f m of a certified check, cashier's check, or money order. Signature Mailing Address 1221 Brickell Avenue Name Lucia A. Dougherty Miami, Florida 33131 Telephone 305-579-0603 E-mail doughert Ila—gtlaw.com STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this cx_ day of 20 09, by Lucia A. Dougherty, Esquire who is a(n) individual/partner/agent/corporation of a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. (Stamp) Signature MARISOL R. GONZALEZ „ Notary Public - State of Florida My Commission Expires Sep 17, 2010 Commission 11 DD 553129 Bonded Sy National Notary Assn. Rev. 12-16-08 MIA 180,782,213v1 8-27-09 HEARING BOARDS 444 SW 2nd Avenue, 7t" Floor • Miami, Florida 33130 Telephone 305-416-2030 • Fax 305-416-2035 www.miamigov.com/hearing boards SPECIAL EXCEPTION rc',d¢ "f Welcome to Hearing Boards! This application is 'intended to serve as a guide in assisting you with our public hearing process. Please feel free to contact us at the number above, should you have any questions. The deadline to file the complete application with supporting documents is the first five working days of each month from 8:00 am until 3:00 gm, except on the fifth day, at 12:00 pm. The application submittal date is the date stamped by Hearing Boards' staff on this page. The responses to this application must be typed and signed in black ink. Please note that pursuant to Section 1304.2.2 of the Miami Zoning Ordinance, no application shall be deemed to have been filed unless and until the application shall have been completed. All pertinent and accurate information/documentation; i.e., the plans, reports, exhibits, shall be presented at the time of filing, in addition to the paid receipt. The applicant is responsible for the accuracy of the information contained in the application and all supporting materials. Should you wish, you could bring the materials to our office for review before the deadline to ensure completeness. You will be responsible, if needed, to bring an interpreter for the English language to any presentation before city )oards, committees and the city commission. A valid power of attorney will be required if neither applicant or legal counsel representing the applicant execute the application or desire to make a presentation before city boards, committees and the city commission. All documents, reports, studies, exhibits (8 1/2 x11") or other materials submitted during this process will be kept as part of the record. An additional fee to record Zoning Board resolutions will be charged, and it is determined contingent upon fees charged at the time of recordation by the Miami -Dade County Recorder's Office at. 22 NW First Street, First Floor. Upon arrival, ask for a certified copy of the Zoning Board resolution. They will keep the original, but please have them mail it to us at the address above, and bring the certified copy to our office. Copies of City Commission resolutions/ordinances can be obtained at our website through the "Legislative Hub", or for certified copies, please contact the Office of the City Clerk at 305-250-5360 or at 3500 Pan American Drive. ORDINANCE NO. 11469, CODIFIED IN CHAPTER 2, ARTICLE VI OF THE CITY CODE STATES THAT ANY PERSON WHO RECEIVES COMPENSATION, REMUNERATION OR EXPENSES FOR CONDUCTING LOBBYING ACTIVITIES TO REGISTER AS A LOBBYIST WITH THE CITY CLERK, PRIOR TO ENGAGING IN LOBBYING ACTIVITIES BEFORE CITY STAFF, BOARDS, COMMITTEES AND. THE CITY COMMISSION. A COPY OF SAID ORDINANCE IS AVAILABLE IN THE OFFICE OF THE CITY CLERK (MIAMI CITY HALL), LOCATED AT 3500 PAN AMERICAN DRIVE, MIAMI, FLORIDA, 33133. Ordinance No. 12918 states that each person or entity requesting approval, relief or other action from the City Commission or any of its boards, authorities, agencies, councils or committees regarding any issue, shall disclose at the commencement (or continuance) of the public hearing(s) on the issue, any consideration provided or committed, directly or on its behalf, for an agreement to support or withhold objection to the requested approval, relief or action. The Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit included in this package must be submitted with the application. The applicant must, at the commencement of any public hearing on the issue, if there is any disclosure to report, read the disclosure into the record. Also, the applicant must supplement the affidavit if there is any new information or additional information to disclose. Rev. 12-16-08 MIA 180,791,825v2 9-15-09 Applications given to customers do not constitute action from the City of Miami without plans review and written comments from the Office of Zoning. Please refer to Article 19 of the Miami Zoning Ordinance for Special Exception information. 1. Applicant name(s): Lucia A. Dougherty, Esq., on behalf of 401 NW LLC, Village Carver Phase I, LLC Village Carver Phase II, LLC and Village Carver Phase III, LLC as applicant/developer and YMCA of Greater Miami, Inc., owner 2. Subject property address(es) and folio number(s): Approx. 401 NW 71 Street a/k/a 485 NW 71 Street Folio No. 01-3112-112-0010 3. One (1) original survey dated within six (6) months from the date of application prepared by a State of Florida registered land surveyor. 4. One (1) original 2436" plan, signed and sealed by a State of Florida registered architect or engineer showing property boundaries and proposed structure(s), parking, landscaping, etc.; building elevations and dimensions and computations of lot area and building spacing. 5. Bring the original 24x36" plan to Hearing Boards to be stamped, dated and initialed by a designee and then by the following departments before the application is filed: a) Department of Public Works on the 8th Floor; b) Office of Zoning on the 4th Floor; c) Planning Department on the 3rd Floor. Note: If comments are generated by any of the above, you must return to the architect or engineer to have those comments incorporated into the plans, and you must begin #5 again. Plans are to be submitted to Zoning for first time review starting from the 8th through the 20th of each month. Zoning will not be accepting first-time review plans after the 20th day of the month. 6. After obtaining signatures from the above departments, two (2) 11x17" and one (1) 81/x11" copies of the original plan, in addition to the survey. 7. Original and current Zoning Referral and Zoning Write -Up signed by Office of Zoning designee. 8. The subject property(ies) cannot have any open code enforcement/lien violations, unless the request, if granted, would remedy the violation. 9. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable. 10. At least two photographs showing the entire property showing land and improvements. 11. A clear and legible copy of the recorded warranty deed and tax forms of the most current year showing the present owner(s) and legal description of the property. 12. A clear and legible copy of the subject property address(es) and legal description(s) on a separate sheet, labeled as "Exhibit A", to match with the current survey's legal description. 13. Affidavit of Authority to Act and the Disclosure of Ownership of all owners and contract purchasers, if applicable, of the subject property (see pages 4 and 5). 14. Original Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit. Rev. 12-16-08 MIA 180,791,8250 9-2-09 15. Certified list of owners of real estate within 500 feet of the subject property (see pages 6 and 7). 16. For all corporations and partnerships indicated: a) Articles of Incorporation; b) Certificate from Tallahassee showing good standing, less than one (1) year old; c) Corporate Resolution or a Power of Attorney signed by the secretary of the Corporation authorizing the person who signed the application to do so; d) Non-profit organizations: A list of Board of Directors less than one (1) year old. 17. What is the acreage of the project/property site? approx. 6.6564 acres 18. What is the purpose of this application/nature of proposed use? Approval to allow residential buildings in the C-2 district. 19. 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 20. Is the property within the boundaries of an Environmental Preservation District? Please contact the Planning Department on the 3rd Floor for information. no 21. Cost of processing according to Section 62-156 of the Miami City Code*: a. Special Exception requiring automatic City Commission review $ 2,000.00 b. Special Exception $ 800.00 c. Extension of time for Special Exception $ 500.00 d. Nonsubstantial modification $ 400.00 Public hearing and public meeting mail notice fees, including cost of handling and mailing per notice $ 3.50 Surcharge equal to applicable fee from item above, not to exceed eight hundred dollars ($800.00) except from agencies of the city; such surcharge to be refunded to the applicant if there is no appeal from the applicant or a property owner within five hundred (500) feet of the subject property. *Pursuant to Ordinance 12719, all planning and zoning fees in excess of $25,000.00, shall be paid in the form of a certified check, cashier's check, or money order. r� Signature Name Lucia A. Dougherty Telephone 305-579-0603 Mailing Address 1221 Brickell Avenue Miami, Florida 33131 E-mail doughertyla-gtlaw.com STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this day of 20 09 , by Lucia A. Dougherty, Esguire who is a(n) individual/partner/agent/corporation of _ Rev. 12-16-08 MIA 180, 791, 825v1 9-2-09 20 09 , by Lucia A. Dougherty. Esquire who is a(n) individual/partner/agent/corporation of a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. (Stamp) MIA 180,791,8250 9-2-09 —,^ V• ,-MARl`SOL R. GONZALEZ ----- Notary Public • State of Florida oP;My Commission Expires Sep 17, 2010 FP ,. Commis slon # DD 553129 o'�m Bonded 9y National Notary Assn. Rev. 12-16-08 HEARING BOARDS 444 SW 2"d Avenue, 7th Floor • Miami, Florida 33130 Telephone 305-416-2030 • Fax 305-416-2035 www.miamigov.com/hearing boards SPECIAL EXCEPTION Welcome to Hearing Boards! This application is intended to serve as a guide in assisting you with our public hearing process. Please feel free to contact us at the number above, should you have any questions. The deadline to file the complete application with supporting documents is the first five working days of each month from 8:00 am until 3:00 pm, except on the fifth day, at 12:00 pm. The application submittal date is the date stamped by Hearing Boards' staff on this page. The responses to this application must be typed and signed in black ink. Please note that pursuant to Section 1304.2.2 of the Miami Zoning Ordinance, no application shall be deemed to have been filed unless and until the application shall have been completed. All pertinent and accurate information/documentation; i.e., the plans, reports, exhibits, shall be presented at the time of filing, in addition to the paid receipt. The applicant is responsible for the accuracy of the information contained in the application and all supporting materials. Should you wish, you could bring the materials to our office for review before the deadline to ensure completeness. You will be responsible, if needed, to bring an interpreter for the English language to any presentation before city )oards, committees and the city commission. A valid power of attorney will be required if neither applicant or legal counsel representing the applicant execute the application or desire to make a presentation before city boards, committees and the city commission. All documents, reports, studies, exhibits (8 % x11") or other materials submitted during this process will be kept as part of the record. An additional fee to record Zoning Board resolutions will be charged, and it is determined contingent upon fees charged at the time of recordation by the Miami -Dade County Recorder's Office at 22 NW First Street, First Floor. Upon arrival, ask for a certified copy of the Zoning Board resolution. They will keep the original, but please have them mail it to us at the address above, and bring the certified copy to our office. Copies of City Commission resolutions/ordinances can be obtained at our website through the "Legislative Hub", or for certified copies, please contact the Office of the City Clerk at 305-250-5360 or at 3500 Pan American Drive. ORDINANCE NO. 11469, CODIFIED IN CHAPTER 2, ARTICLE VI OF THE CITY CODE STATES THAT ANY PERSON WHO RECEIVES COMPENSATION, REMUNERATION OR EXPENSES FOR CONDUCTING LOBBYING ACTIVITIES TO REGISTER AS A LOBBYIST WITH THE CITY CLERK, PRIOR TO ENGAGING IN LOBBYING ACTIVITIES BEFORE CITY STAFF, BOARDS, COMMITTEES AND THE CITY COMMISSION. A COPY OF SAID ORDINANCE IS AVAILABLE IN THE OFFICE OF THE CITY CLERK (MIAMI CITY HALL), LOCATED AT 3500 PAN AMERICAN DRIVE, MIAMI, FLORIDA, 33133. Ordinance No. 12918 states that each person or entity requesting approval, relief or other action from the City Commission or any of its boards, authorities, agencies, councils or committees regarding any issue, shall disclose at the commencement (or continuance) of the public hearing(s) on the issue, any consideration provided or committed, directly or on its behalf, for an agreement to support or withhold objection to the requested approval, relief or action. The Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit included in this package must be submitted with the application. The applicant must, at the commencement of any ,iublic 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. Rev. 12-16-08 MIA 180,791,8250 9-2-09 Applications given to customers do not constitute action from the City of Miami without plans review and written comments from the Office of Zoning. N Please refer to Article 19 of the Miami Zoning Ordinance for Special Exception information. 1. Applicant name(s): Lucia A. Dougherty, Esq., on behalf of 401 NW LLC, Village Carver Phase I, LLC, Village Carver Phase II, LLC and Village Carver Phase III, LLC as applicant/developer and YMCA of Greater Miami, Inc., owner 2. Subject property address(es) and folio number(s): Approx. 401 NW 71 Street a/k/a 485 NW 71 Street Folio No. 01-3112-112-0010 3. One (1) original survey dated within six (6) months from the date of application prepared by a State of Florida registered land surveyor. 4. One (1) original 2436" plan, signed and sealed by a State of Florida registered architect or engineer showing property boundaries and proposed structure(s), parking, landscaping, etc.; building elevations and dimensions and computations of lot area and building spacing. 5. Bring the original 24x36" plan to Hearing Boards to be stamped, dated and initialed by a designee and then by the following departments before the application is filed: a) Department of Public Works on the 8th Floor; b) Office of Zoning on the 4th Floor; c) Planning Department on the 3`d Floor. Note: If comments are generated by any of the above, you must return to the architect or engineer to have those comments incorporated into the plans, and you must begin #5 again. Plans are to be submitted to Zoning for first time review starting from the 8th through the 20th of each month. Zoning will not be accepting first-time review plans after the 20th day of the month. 6. After obtaining signatures from the above departments, two (2) 11x17" and one (1) 8/x11" copies of the original plan, in addition to the survey. 7. Original and current Zoning Referral and Zoning Write -Up signed by Office of Zoning designee. 8. The subject property(ies) cannot have any open code enforcement/lien violations, unless the request, if granted, would remedy the violation. 9. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable. 10. At least two photographs showing the entire property showing land and improvements. 11. A clear and legible copy of the recorded warranty deed and tax forms of the.most current year showing the present owner(s) and legal description of the property. 12. A clear and legible copy of the subject property address(es) and legal description(s) on a separate sheet, labeled as "Exhibit A", to match with the current survey's legal description. 13. Affidavit of Authority to Act and the Disclosure of Ownership of all owners and contract purchasers, if applicable, of the subject property (see pages 4 and 5). 14. Original Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit. Rev. 12-16-08 MIA 180, 791, 825v2 9-15-09 15. Certified list of owners of real estate within 500 feet of the subject property (see pages 6 and 7). x,16. For all corporations and partnerships indicated: a) Articles of Incorporation; b) Certificate from Tallahassee showing good standing, less than one (1) year old; c) Corporate Resolution or a Power of Attorney signed by the secretary of the Corporation authorizing the person who signed the application to do so; d) Non-profit organizations: A list of Board of Directors less than one (1) year old. 17. What is the acreage of the project/property site? approx. 6.6564 acres 18. What is the purpose of this application/nature of proposed use? Approval of special exception for interim parking. 19. 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 20. Is the property within the boundaries of an Environmental Preservation District? Please contact the Planning Department on the 3rd Floor for information. no 21. Cost of processing according to Section 62-156 of the Miami City Code*: a. Special Exception requiring automatic City Commission review $ 2,000.00 b. Special Exception $ 800.00 c. Extension of time for Special Exception $ 500.00 d. Nonsubstantial modification $ 400.00 Public hearing and public meeting mail notice fees, including cost of handling and mailing per notice $ 3.50 Surcharge equal to applicable fee from item above, not to exceed eight hundred dollars ($800.00) except from agencies of the city; such surcharge to be refunded to the applicant if there is no appeal from the applicant or a property owner within five hundred (500) feet of the subject property. *Pursuant to Ordinance 12719, all planning and zoning fees in excess of $25,000.00, shall be paid in the form of a certified check, cashier's check, or money order. �4Signature _ Mailing Address 1221 Brickell Avenue Name Lucia A. Dougherty Miami, Florida 33131 Telephone 305-579-0603 E-mail doughertyl(a-),gtlaw.com STATE OF FLORIDA -- COUNTY OF MIAMI-DADE �/ The foregoing was acknowledged before me this �day of 20 09 , by Lucia A. Dougherty, Esquire who is a(n) individual/partner/agent/corporation of Rev. 12-16-08 MIA 180,791,825v2 9-15-09 a(n) individual/partnership/corporation. He/She as identification and who did (did (Stamp) MIA 180,791,825x2 9-15-09 is personally known to me or who has produced not) take an oath. Signature MARISOL R. GONZALEZ =,' a Notary Public - State of Florida • My Commission Expires Sep 17, 2010 Commission # DD 553129 Bonded By National Notary Assn, Rev. 12-16-08 AFFIDAVIT OF AUTHORITY TO ACT Before me this day, the undersigned personally appeared Lucia A. Dougherty, Esquire , who being by me first deposes and says: 1. That he/she is the owner or the legal representative of the owner, submitting the public hearing application as required by the Code of the City of Miami, Florida, affecting the real property located in the City of Miami, as listed on the foregoing pages. 2. That all owners who he/she represents, if any, have given his/her full and complete permission for him/her to act in his/her behalf for the change or modification of a classification or regulation of zoning as set out in the foregoing petition, X including or ❑ not including responses to day to day staff inquires. 3. That the foregoing and following pages are part of this affidavit and contain the current names, mailing addresses, telephone numbers and legal descriptions of the real property of which he/she is the owner or legal representative. 4. That the facts, as represented in the application and documents submitted in conjunction with this affidavit, are true and correct. Further Affiant sayeth not. Lucia A. Dougherty, Esquire Applicant(s) Name Applicant(s) Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE �✓' The foregoing was acknowledged before me this ,J day of 20 09 , by Lucia A. Dougherty, Esq. who is a(n) individual/partner/agent/corporation of a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. , (Stamp) Notary Public -State of Tggn ure V' • -My Commission Expires Sep 7, 10 Commission # DD 553129 Rev. 12-1 MIA 180,782,213x1 8-27-09 •4�°� ��' Bonded By National Notary Assn. (Applicant/Developer) DISCLOSURE OF OWNERSHIP 3. List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) Village Carver Phase L, LLC Percentage of Ownership See attached Exhibit "B" Subject Property Address(es) Approx. 401 NW 71 Street a/k/a 485 NW 71 Street See attached Exhibit "A" 4. List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): None Legal Description(s): Lucia A. Dougherty, Esquire Owner(s) or Attorney Name Owner(s) or Attorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this day oft 20 09 , by Lucia A. Dougherty, Esq. who is a(n) individual/partner/agent/corporation of a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. /. „ „ MARI ♦ sr (Stamp) �HfiVPUb., Notary Florida �.M ry �3gn4l�p „ y Cornmissio Expires o 17, 2010 Commission 0 DD 553129 Rev. 12-16-08 MIA 180,782,2130 8-27-09 %�,4;; °���� Bonded By National Notary Assn. (Applicant/Developer) DISCLOSURE OF OWNERSHIP 5. List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) Village Carver Phase II, LLC Percentage of Ownership See attached Exhibit "B" Subject Property Address(es) Approx. 401 NW 71 Street a/k/a 485 NW 71 Street See attached Exhibit "A" 6. List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): None Lucia A. Dougherty, Esquire Owner(s) or Attorney Name Legal Description(s): Owner( or Attorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this day of , 20 09 , by Lucia A. Dougherty, Esq. who is a(n) individual/partner/agenVcorporation of a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. / _ � 0 (Stamp) MIA 180,782,213v1 8-27-09 ' rra'u 41 ® , otary Pu is - State o or U ly Commission Expires Sep 17. 010 commission # DD 553129 Bonded By National Notary Assn. Rev. 12-16-08 (Applicant/Developer) DISCLOSURE OF OWNERSHIP 7. List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) Village Carver Phase III, LLC Percentage of Ownership See attached Exhibit "B" Subject Property Address(es) Approx. 401 NW 71 Street a/k/a 485 NW 71 Street See attached Exhibit "A" 8. List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): None Lucia A. Dougherty, Esquire Owner(s) or Attorney Name Legal Description(s): �_�4 Owner(s) Attorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this S day of . 20 09 , by Lucia A. Dougherty, Esq. who is a(n) individual/partner/agent/corporation of a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. / A 1 ,4 (Stamp) Notary Public- SAL IgflaiWr EMy Commission Expires Sep 17, 2010 Commission # DD 553129 Rev. 12-1 MIA 180,782,2130 8-27-09 �'��F�;,;;°� Bonded By National Notary Assn. (Applicant/Developer) DISCLOSURE OF OWNERSHIP 1. List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) 401 NW LLC Percentage of Ownership See attached Exhibit "B" Subject Property Address(es) Approx. 401 NW 71 Street a/k/a 485 NW 71 Street See attached Exhibit "A" 2. List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): Legal Description(s): None Lucia A. Dougherty, Esquire Owner(s) or Attorney Name Owner(s) or Attorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this ! day of 20 09 , by Lucia A. Dougherty, Esq. who is a(n) individual/partner/agent/corporation of a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. ,n N41MAR S (Stamp) '.`;* *` "__ Notary pUbhccl 1R G- ' A, -MY Comm ,,issiomExpires gg of �I°rids P 17, 2010 Rev. 12-16-08 MIA 180,782,213v1 8-27-09 ,FOpp O �Commission # DD 553129 eondod """"' y y National Notary Assn, DISCLOSURE OF OWNERSHIP 9. List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) YMCA of Greater Miami, Inc. a not-for-profit organization Percentage of Ownership See attached Exhibit "C" Board Members Subject Property Address(es) Approx. 401 NW 71 Street a/k/a 485 NW 71 Street See attached Exhibit "A" 10. List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): None Lucia A. Dougherty, Esquire Owner(s) or Attorney Name Legal Description(s): Owner(s) or Attorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this 6 � 20 09 , by Lucia A. Dougherty, Esq. day of who is a(n) individual/partner/agent/corporation of a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. , , A _ (Stamp)` 't5 M9110'0. Nza�I Notary Public •State of Florida =My Commission Expires Sep 17, 2010 Commission # DD 5531?.9 Rev. 12-16-08 MIA 180,782,213v1 8-27-09 ''';;';,; ° Monded if3y National Notary Ass, Exhibit "A" TRACT A, YMCA CARVER, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 167, PAGE 47, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. Exhibit "B" VILLAGE CARVER Applicant Entity: Village Carver Phase I, LLC Member (ownership .01%): MM Village Carver Phase I, LLC Member (ownership .0050%): Biscayne Housing Group, LLC Members: Gonzalo DeRamon, Manager — ownership 50% Michael C. Cox — ownership 50% Directors/Shareholders: NA Member (ownership .0050%): TCG Carver I, LLC Members: Officers: Directors/Shareholders: Investor Member (ownership 99.99%): Developer Entity: Member (50% ownership): Members: Officers: Directors & Shareholders: Member (50% ownership): Lloyd Boggio, Manager — ownership 80% The Sagra, LLC — ownership 20% Lloyd J. Boggio, President/ Secretary Bruce Greer, VP/ Treasurer NA Lloyd J. Boggio &/or assigns Village Carver Development, LLC Carlisle Development Group, LLC Lloyd J. Boggio, Manager Bruce Greer Lloyd J. Boggio, President Bruce Greer, Vice President Matthew Greer, Vice President Mitchell Rosenstein, Treasurer Elizabeth Wong, Secretary N/A Biscayne Housing Group, LLC Members: Gonzalo DeRamon, Manager — Ownership 50% Michael C. Cox — Ownership 50% Directors/Shareholders: N/A VILLAGE CARVER II Applicant Entity: Managing Member (ownership .01 %): ■ Member (ownership .0050%): Members: Officers/Directors/Shareholders: ■ Member (ownership .0050%): Members: Officers/Directors/Shareholders: Limited Partner (ownership 99.99%): Developer Entity: ■ Member: Members: Officers/Directors/Shareholders: ■ Member: Members: Officers/Directors/Shareholders: Village Carver Phase II, LLC A Florida Limited Liability Company MM Village Carver Phase II, LLC A Florida Limited Liability Company Biscayne Housing Group, LLC (For-profit) A Florida Limited Liability Company Gonzalo DeRamon, Manager (50% owner) Michael C. Cox (50% owner) NA TCG Carver II, LLC (For-profit) A Florida Limited Liability Company Matthew Greer, Manager (60% owner) Lloyd J. Boggio (32% owner) The Sagra, LLC (8% owner) N/A Lloyd J. Boggio &/or assigns Village Carver II Development, LLC A Florida Limited Liability Company CDG, LLC (For-profit) A Florida Limited Liability Company Matthew Greer, Manager Lloyd J. Boggio N/A Biscayne Housing Group, LLC (For-profit) A Florida Limited Liability Company Gonzalo DeRamon, Manager Michael C. Cox N/A VILLAGE CARVER III Applicant Entity: Managing Member (ownership .01%): - Member (ownership .0050%): Members: Officers/Directors/Shareholders: - Member (ownership .0050%): Village Carver Phase III, LLC A Florida Limited Liability Company MM Village Carver Phase III, LLC A Florida Limited Liability Company Biscayne Housing Group, LLC, its Manager A Florida Limited Liability Company Principal: Gonzalo DeRamon, Manager (50% owner) Principal: Michael C. Cox, Member (50% owner) N/A TCG Carver III, LLC A Florida Limited Liability Company Matthew Greer, Manager Co -Member: 1754 LLC (99% owner) A Florida Limited Liability Company Principal: Matthew Greer, Manager (100% owner) Co -Member: 1754 MM Inc. (1% owner) A Florida Corporation Principal: Matthew Greer, President (100% owner) Investor Member (ownership 99.99%): Michael Cox &/or assigns Page 1 of 2 VILLAGE CARVER III -DEVELOPER Developer: Village Carver III Development, LLC A Florida Limited Liability Company Co -Member: 1754 Development, LLC A Florida Limited Liability Company Principal: Matthew Greer, Manager Member: 1754 LLC A Florida Limited Liability Company Principal: Matthew Greer, Manager Co -Member: Biscayne Housing Group, LLC A Florida Limited Liability Company Members: Principal: Gonzalo DeRamon, Manager Principal: Michael C. Cox, Member Officers/Directors/Shareholders: N/A Page 2 of 2 401 NW LLC is owned by: Biscayne Housing Group, LLC 50% Members: Gonzalo DeRamon, Manager Michael C. Cox Carlisle Development Group, LLC 50% Members: Lloyd J. Boggio, Manager Bruce Greer Officers: Lloyd J. Boggio, President Bruce Greer, Vice President Matthew Greer, Vice President Mitchell Rosenstein, Treasurer Elizabeth Wong, Secretary About Us I YMCA of Greater Miami News & Events Pagel of 3 `1. Nowl I En.:E Employm Introduction Mission Movement Volunteer Membership Financial Assistance Press Room Our Contributors Our Leadership Find A Program By Branch j= By Activity �� Our Leadership The YMCA of Greater Miami's all -volunteer Board of Directors represents a cross-section of our community and sets the strategic direction of the organization. Our all -volunteer Board of Trustees is made up of additional community leaders who provide their time and expertise to the leadership of the YMCA. BOARD OF DIRECTORS Chairman Gilberto Neves Odebrecht Construction, Inc. Chair -Elect Brian P. Mormile U>S. Trust Secretary Andrew Stearns Stearns Weaver Miller Weissler Treasurer Lisa D. Napier Deloitte & Touche LLP Caridad C. Errazquin Banking Executive Tomas P. Erban Retired Business Executive http://www.ymeamiami.org/YMCA.aspx?pageID=OurLeaders 9/4/2009 About Us I YMCA of Greater Miami Antje M. Gilbson Royal Caribbean Cruises Ltd. Frank Jantzen III AvMed Health Plans Julie Goldman Falls Shopping Center Natacha Munilla Thunder Electrical Contractors, Inc. Harold Edward Patricoff Shutts & Bowen LLP David H. Promoff Retired Banking Executive M. J. (Manny) Rodriguez Florida Power & Light Company Carlos M. Trueba Rodriquez, Trueba & Co., PA BOARD OF TRUSTEES Frederick Jackson Jr. BeecherJackson Hello Castroneves Castroneves Racing Arthur H. Hertz Wometco Enterprises, Inc. Joseph T. Natoli University of Miami Jean D. Shehan Philanthropist Willard Shepard NBC 6 Rosa Sugranes Iberia Tiles Corp G. Ed Williamson II Williamson Cadillac Joe Zubizerreta Zubi Advertising 0 2009 YMCA of Greater Miami. All rights reserved. http://www.ymcamiami.org/YMCA.aspx?pagelD=OurLeaders Page 2 of 3 9/4/2009 CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO SUPPORT O T R 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: I C 1+ 4, t L. C. . C 0)c (FirstName) (Middle)(Last Name) HOME ADDRESS: Z ,� /(/ W 47 *h q VE (Address Line —' (Address Line ) CITY: NI 1 A 1 STATE: Florida ZIP: 1031 3 b HOME PHONE: 3 O 5 „ -i z y„ 7S 3 2 CELL PHONE: 7 ,?6 31 S S 7 g J • FAX: ;605 " 3 72-574" EMAIL: mGD)C' no 515CAY1VE.H0«,11t.uC,, Gow1 BUSSINESS or APPLICANT or ENTITY NAME 401 NW LLC BUSINESS ADDRESS: 2950 S.W. 27TH AVENUE, SUITE 200 MIAMI FL 33133 (Address Line 4 (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. Approval of substantial amendment to a previously.approved Major Use Special Permit by Resolution No. 08-0458 for the Village Carver project located at 401 NW 71 Street. 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 KNO 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. PIease 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. 1 b.1 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 is unlawful to employ any device, scheme or artifice to circumvent the disclosure requirements of Ordinance 12918 and such circumvention shall be deemed a violation of the Ordinance; and that in addition to the criminal or civil penalties that may be imposed under the City Code, upon determination by the City Commission that the foregoing disclosure requirement was not fully and timely satisfied the following may occur: 1. the application or order, as applicable, shall be deemed void without further force or effect; and 2. no application from any person or entity for the same issue shall be reviewed or considered by the applicable board(s) until expiration of a period of one year after the nullification of the application or order. PERSON SUBMITTING DISCLOSURE:�— Signature LM a o 4 ,t c. e- Print ame b`tNOrn to and subscribed before me this day o I1.�Q,1�� _ , 200 . The foregoing instrument was acknowledged before me by Ylc ( vho—has—produced id entifrcation-andor(spersonally known tome and who did/ id not take an oath. STATE OF FLORIDA 1 CITY OF MIAMI MX COM ISS a EUGENIA SANDE Notary J EXPIRES: ' , =*; *c MY COMMISSION# DD705830 Enclosure(s) EXPIRES August 16, 2011 Print Name °��", ,,, Fiorldallota gervlce.com (A0T)38s•0163 Doc. No,:86543 Page 2