HomeMy WebLinkAboutSupporting DocumentationAFFIDAVIT OF AUTHORITY TO ACT
Before me this day, the undersigned personally appeared Ryan D. Bailine, Esq.,
Attorney for Applicant, who being by me first deposes and says:
1. That he/she is the owner, or the legal representative of the developer, 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 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, 0 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 owner or 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.
Carlisle Group I Development LLC
Applicant(s) Name
MIADOCS 3967240 1
Applidanf(s) Signature
RyanJD. Bail ine\, Q for ey for Applicant
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this /7 day of December, 2009, by
Ryan D. Bailine who is the legal representative of Carlisle Group I Development, LLC. He is
personally known to me or who has produced as identification and who did
(did not) take an oath.
(Stamp)
NOTARY PUBLIC - STATE OF FLORIDA
Linda Christian
t CorX1Ti lmfon #DD651416
MAR, 23, 201'.
B NDHD_wP.0 ATLA G FJONDMO 0O,, INC,
MIADOCS 3967240 1
(S
Si ature '_"� L-4_' -
DISCLOSURE OF OWNERSHIP
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: Carlisle Group I Development, LLC, a Florida limited liability company
Subject Property Address(es): 1000 NW 1St Ave., 1012 NW 1St Ave; & 1022 NW 1St Ave.
Telephone Number
305-347-7354
E-mail Address RBailine(ab_shutts.com
Carlisle Group I Development, LLC, a Florida limited liability company
■ Member CDG, LLC, a Florida limited liability company
Member: Matthew S. Greer, Manager
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
Ryan D. Bailing, Attorney
Owner(s) or Attorney Name
MIADOCS 3967256 1
Legal Description
Owney(s) or Attorney Signature
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this l -7 day of December 2009, by
Ryan D. Bailing, Attorney for Applicant. He is personally known to me or who has
produced as identification and who did (did not) take an oath.
NOTARY PUBLIC • STATE OF FLORIDA
(Stamp) tAnda Christian
Commission #DD651416
MAR.23,2011
DONDED TH$ti ATI,ANI'iC BONDING 09., INC
MIADOCS 3967256 1
Id�
Sign tur
CITY OF MIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
SUPPORT OR WITHHOLD OBJECTION
The City of Miami requires any person or entity requesting approval relief or other action from the City
Commission or any of its boards, authorities, agencies, councils or committees, to disclose at the
commencement (or continuance) of the hearing(s) on the issue, any consideration provided or committed,
directly or on its behalf, to any entity or person for an agreement to support or withhold objection to the
requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation,
fee, commission, promise or grant of any money, property, service, credit or financial assistance of any
kind or value, whether direct or implied, or any promise or agreement to provide any of the foregoing in
the future.
Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2-653, and appearing
before the City Commission or any of its boards, authorities, agencies, councils or committees solely in
the capacity of a lobbyist and not as the applicant, or owners' legal representative are not required to till
out this form.
NAME: Matthew S. Greer
(First Name) (Middle) (Last Name)
HOME ADDRESS:
CITY:
(Address Line 1)
(Address Line 2)
STATE: ZIP:
HOME PHONE: CELL PHONE: FAX:
EMAIL: m rg eer@carlisledevelopment roup.com
BUSINESS or APPLICANT or ENTITY NAME
Carlisle Group I Development, LLC
BUSINESS ADDRESS: c/o Carlisle Development Group 2950 SW 27°i Avenue, Suite 200
(Address Line 1)
Miami, FL 33133
(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.
Special Appearance Application before the Citv Commission to obtain a partial release of an
existinp- Declaration of Restrictive Covenants recorded in ORB 25502. Pas. 1811-1821
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 ® 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.
MIADOCS 3963921 1
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
* Additional names can be placed on a separate page attached to this form,
4. Please describe the nature of the consideration.
5. Describe what is being requested in exchange for the consideration.
ACKNOWLEDGEMENT OF COMPLIANCE
Phone#
I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent the
disclosure requirements of Ordinance 12918 and such circumvention shall be deemed a violation of
the Ordinance; and that in addition to the criminal or civil penalties that may be imposed under the
City Code, upon determination by the City Commission that the foregoing disclosure requirement
was not fully and timely satisfied the following may occur:
1. the application or order, as applicable, shall be deemed void
without further force or effect; and
2. no application from any person or entity for the same issue shall
be reviewed or considered by the applicable board(s) until
expiration of a period of one year ..ft the nullification of the
application or order.
PERSON SUBMITTING DISCLOSURE:
,�ig�atura
Matthew S. Greer, Managing Member 4Carlisle Group I Development, LLC
Print Name Sworn to and subscribed before me this f% day of10'� , 2009
The foregoing instrument was acknowledged before me by Matthew S. Greer, as Managing Member of
Carlisle Group I Development, LLC 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 COMMK�120,\�
ON
EXPIRES:
Enciosure(s)
MIADOCS 3963921 1
j,..... �.4..C,t,v2�
Ct. (/) V), ��`f;", I 1 t<
P.rir�ovaine a
F
SUSANNE WILLIS
Notary Public - State of FloridaMy Commission Expires Aug 13,2011Commission #t DD 704405 Bonded Through National Notary Assn.6c,nma,.,P„emaou•.,�,rn�+t'.m.,.,,ev,,,.. .sr+es.r�es, .
Page 2
AFFIDAVIT OF AUTHORITY TO ACT
Before me this day, the undersigned personally appeared Ryan D. Bailine, Esq.,
Attorney for Applicant, who being by me first deposes and says:
1. That he/she is the owner, or 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 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, 0 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 owner or 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.
Royal Palm Miami Downtown, LLC
Applicant(s) Name
MIADOCS 3947143 1
:ant(s) Signature
D. Bailine, Attorney for Applicant
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this -1 day of December 2009, by
Ryan D. Bailine, who is the legal representative of Royal Palm Miami Downtown, LLC. He is
_personally known to me or who has produced as identification and who did
^(did not) take an oath.
(Stamp)
MIADOCS 3947143 1
a
ts
gnature
NOTARY PUBLIC - STATE OF FLORIDA
.'.. Ianda Christian
Commission #DD651416
Expires: MA
R. 23, 2011
gONDED'CHRIJ kTLANTIC g(,,,,INQ Co., INC,
DISCLOSURE OF OWNERSHIP
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: Royal Palm Miami Downtown, LLC, a Florida limited liability company
Subject Property Address(es): 1000 NW 1St Ave., 1012 NW 1St Ave; & 1022 NW 1St Ave.
Telephone Number 305-347-7354
E-mail Address RBailine(@_shutts.com
Royal Palm Miami Downtown, LLC, a Florida limited liability company
Owner 100% - Isaac Kodsi
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
Legal Description
Ryan D. Bailing, Attorney V _ v D
Owner(s) or Attorney Name Own r(s) or Aftbrae
MIADOCS 3947248 1
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this I day of December 2009, by
Ryan D. Bailing, Attorney for Applicant. He is personally known to me or who has
produced as identification and who did (did not) take an oath.
(Stamp)
MIADOCS 3947248 1
Siada
NOTARY PUBLIC • STATE OF FLORIDA
Linda Christian
Commission #DD651416
Expires: MAR. 23, 2011
BONDBD TSN ATI;ANTIG BONDING GO., INC.
CITY OF MIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
SUPPORT OR WITHHOLD OBJECTION
The City of Miami requires any person or entity requesting approval relief or other action from the City
Commission or any of its boards, authorities, agencies, councils or committees, to disclose at the
commencement (or continuance) of the hearing(s) on the issue, any consideration provided or committed,
directly or on its behalf, to any entity or person for an agreement to support or withhold objection to the
requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation,
fee, commission, promise or grant of any money, property, service, credit or financial assistance of any
kind or value, whether direct or implied, or any promise or agreement to provide any of the foregoing in
the future.
Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2-653, and appearing
before the City Commission or any of its boards, authorities, agencies, councils or committees solely in
the capacity of a lobbyist and not as the applicant, or owners' legal representative are not required to fill
out this form.
NAME: Issac
(First Name)
HOME ADDRESS: 3487 Chase Avenue
(Middle)
(Address Line 1)
(Address Line 2)
CITY: Miami Beach STATE: FL
ZIP: 33140
HOME PHONE: 305-534-8802 CELL PHONE: 954-328-8078
FAX: 954-771-6888
EMAIL: ikodsi(@,,ark-financial.com
BUSINESS or APPLICANT or ENTITY NAME
Royal Palm Miami Downtown, LLC
Kodsi
(Last Name)
BUSINESS ADDRESS: c/o Ark Financial Group, 701 West Cypress Creels Road, Suite 301
(Address Line 1)
Fort Lauderdale, FL 33309
(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.
Sbecial Abnearance Annlication before the Citv Commission to obtain a partial release of an
existina Declaration of Restrictive Covenants recorded in ORB 25501 Pas. 1811-1821
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?
01 •
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.
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 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: r
Isaac Kodsi Managing Member of Royal Palm Miami Downtown, LLC
Print Name
Sworn to and subscribed before me this day of c 2009
The foregoing instrument was acknowledged before me by _Isaac Kodsi, as Managing Member o Royal
Palm Miami Downtown, LLC, who has produced as identification
and/or is personally lznown to me and who didldid not take an oath.
STATE OF FLORIDA �* r i'
CITY OF M --*ILII `'
MY COMMISSION �i"r No"tart'
EXPIRES: 0n r CcG, Za 0
Prlr
Enclosure(s) Ry p� Page 2
MIADOCS 3917826 1 e°""'•°�% MONICA GARZON
** MY COMMISSION # DD 651189
EXPIRES; March 15, 2011
-r4"., Feld Bonded Thru Budget Notary Services
AFFIDAVIT OF AUTHORITY TO ACT
Before me this day, the undersigned personally appeared Ryan D. Bailing, Esq.,
Attorney for Applicant, who being by me first deposes and says:
1. That he/she is the owner, or the _legal representative of the developer, 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 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, 121 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 owner or 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.
ARK Development/Overtown I, LLC
Applicant(s) Name
MIADOCS 3947169 1
Ap licant(s)�'SiTnature
Ry' n D. Bailine, Attorney for Applicant
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this
Ryan D. Bailine who is the legal representative of ARK
personally known to me or who has produced
day of December, 2009, by
Development/Overtown I, LLC. He is
as identification and who did
(did not) take an oath. `
(Stamp)
MIADOCS 3947169 1
NOTARY PUBLIC - STATE OF FLORIDA
Linda Christian
Cotnnussion #F�DD6S1416
%,,.�° Expires; MAR. 23, 2011
BONDED THRU ATLANTIC BONDING CO., INC.
DISCLOSURE OF OWNERSHIP
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: ARK Development/Overtown I, LLC, a Florida limited liability company
Subject Property Address(es): 1000 NW 1St Ave., 1012 NW 1St Ave: & 1022 NW 1St Ave.
Telephone Number 305-347-7354
E-mail Address RBailineCcDshutts.com
ARK_ Development/Overtown, LLC, a Florida limited liability company
■ Member (.01 % owner):
Member:
■ Investor Member (99.99% owner):
MM Arlo Development/Overtown I, LLC
A Florida Limited Liability Company
Issac Kodsi (100% owner)
Isaac Kodsi &/or assigns
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
Ryan D. Bailing, Attorney
Owner(s) or Attorney Name
MIADOCS 3947327 1
Legal Description
n
b �p
wrt r(s) or Ahorney Signature
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this `1 day of December 2009, by
Ryan D. Bailing, Attorney for Applicant. He is personally known to me or who has
produced as identification and who did (did not) take an oath.
(Stamp)
MIADOCS 3947327 1
ign t6 r6
NOTARY PUBLIC - STATE OF FLORIDA
4"'M""
Linda Christian
' Commission #FDD651416
",..,,,..,,,�` Expires; MAR. 23, 2011
BOWED '1` 14>d NhW"U AONDING 60,, INC,
CITY OF MIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
SUPPORT OR WITHHOLD OBJECTION
The City of Miami requires any person or entity requesting approval relief or other action from the City
Commission or any of its boards, authorities, agencies, councils or committees, to disclose at the
commencement (or continuance) of the hearing(s) on the issue, any consideration provided or committed,
directly or on its behalf, to any entity or person for an agreement to support or withhold objection to the
requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation,
fee, commission, promise or grant of any money, property, service, credit or financial assistance of any
kind or value, whether direct or implied, or any promise or agreement to provide any of the foregoing in
the future.
Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2-653, and appearing
before the City Commission or any of its boards, authorities, agencies, councils or committees solely in
the capacity of a lobbyist and not as the applicant, or owners' legal representative are not required to fill
out this form.
NAME: Matthew S. Greer
(First Name) (Middle) (Last Name)
HOME ADDRESS:
(Address Line 1)
(Address Line 2)
CITY: STATE: ZIP:
HOME PHONE: CELL PHONE: FA3
EMAIL: mgreergearlisledevelopmentgroup.com
BUSINESS or APPLICANT or ENTITY NAME
ARK DEVELOPMENT/OVERTOWN I, LLC
BUSINESS ADDRESS: c/o Carlisle Development Group 2950 SW 27`" Avenue Suite 200
(Address Line 1)
Miami, FL 33133
(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.
Special Appearance Application before the City Commission to obtain a partial release of an
existing Declaration of Restrictive Covenants recorded in ORB 25502 Pgs 1811-1821
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 ® 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.
MIADOCS 3917887 1
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#
R1
T 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 yea • f r the nullification of the
application or order.
PERSON SUBMITTING DISCLOSURE:
Matthew S. Greer, Managing Member of ARK DEVELOPMENT/OVERTOWN I LLC
Print Name
Sworn to and subscribed before me this day of , 2009
The foregoing instrument was acknowledged before me by Matthew S Greer, as Managing Member of
ARK DEVELOPMENT/OVERTOWN 1, LLC 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
EXPIRES: 13/ 201
sony�
Enclosure(s)>�eddm Page 2
,tti avauA '•, SUSANNE WILLIS
.
o: Notary Public - State of Florida
My Commisslon Expires Aug 13, 2011
Commisslon # DD 704405
Bonded Through National Notary Assn.
MIADOCS 3917887 1
`i
AFFIDAVIT OF AUTHORITY TO ACT
Before me this day, the undersigned personally appeared Ryan D. Bailine, Esg1
Attorney for Applicant, who being by me first deposes and says:
1. That he/she is the owner, or the legal representative of the developer, 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 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, 0 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 owner or 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.
CDG, LLC
Applicant(s) Name
MIADOCS 3967238 1
Appl�ca`nt(s)%ignature
Ry D. BailLAttorney for Applicant
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this 17 day of December, 2009, by
Ryan D. Bailine who is the legal representative of CDG, LLC. He is personally known to me or
who has produced as identification and who did (did not) take ann o-50.`
is
(Stamp) ture
NOTAk1Y`PUl3 !.-ada chri tiara t,
I'M" -
Ce s6joa #DD65141d
'11 t, Xpirr�It. 23,211 1
''• ;
t�kAi+F1 '10 BONDING x Q INC.
B9N�Ei� Ttittll
MIADOCS 3967238 1
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: CDG, LLC, a Florida limited liability company
Subject Property Address(es): 1000 NW 1St Ave., 1012 NW 1St Ave; & 1022 NW 1St Ave.
Telephone Number
305-347-7354
E-mail Address RBailine(cD.shutts.com
■ Member
CDG, LLC, a Florida limited liability company
Matthew S. Greer, Manager
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
Ryan D. Bailing, Attorney
Owner(s) or Attorney Name
MIADOCS 3947327 1
Legal Description
Ownor(slor Attorney Signature
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this / 1 day of December 2009, by
Ryan D. Bailing, Attorney for Applicant. He is personally known to me or who has
produced as identification and who did (did not) take an oath.
(Stamp) NOTARY pUBI''ICpp-SS�Tt!��ATE OFai FLORIDA
f kVlCoj;��Jsgjon#0651416
BOP BP Tl,,Rlj ATLANTl6 ONDINQ 00, INC-
MIADOCS 3947327 1
4Sigtu
CITY OF MIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
SUPPORT OR WITHHOLD OBJECTION
The City of Miami requires any person or entity requesting approval relief or other action from the City
Commission or any of its boards, authorities, agencies, councils or committees, to disclose at the
commencement (or continuance) of the hearing(s) on the issue, any consideration provided or committed,
directly or on its behalf, to any entity or person for an agreement to support or withhold objection to the
requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation,
fee, commission, promise or grant of any money, property, service, credit or financial assistance of any
land 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: Matthew S. Greer
(First Name) (Middle) (Last Name)
HOME ADDRESS:
(Address Line 1)
(Address Line 2)
CITY: STATE: ZIP:
HOME PHONE: CELL PHONE: FAX:
EMAIL: mgreer@carlisledevelopinentgroup.com
BUSINESS or APPLICANT or ENTITY NAME
BUSINESS ADDRESS: c/o Carlisle Development Group 2950 SW 27"' Avenue Suite 200
(Address Line 1)
Miami, FL 33133
(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.
Special Appearance Application before the City Commission to obtain a partial release of an
existing Declaration of Restrictive Covenants recorded in ORB 25502 Pgs 1811-1821
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 ® 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.
MIADOCS 3917887 1
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#
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 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 on fter the nullification of the
application or order.
PERSON SUBMITTING DISCLOSURE: �—
��grahire
Matthew S. Greer, Managing Member of CDG, LLC
Print Name
Sworn to and subscribed before me this i v1`i�t day of .0 e- rYAV9CC 2009
The foregoing instrument was acknowledged before me by Matthew S. Greer, as Managing Member of
CDG, LLC, who has produced PCV5,ts AO (�\l b/1 iYWV) as identification and/or is personally
known to me and who did/did not take an oath.
STATE OF FLORIDA j
CITY OF MIAMI-C�-LLUL��
MY COMMISSION --- ' NIt4 t �'
EXPIRES:I�,12011
pJ'7711 rVanie
,ucei'dn,.vtif•,:-,n'isse siRa�vt3.,Q
Enclosures) Page 2
SUSANNE WIL
?�° Notary Publio - State
• * w • My Commission Expires
m
Commission # DD
Bonded Through National,,]
MIADOCS 3917887 1
EXHIBIT 9
Metro Apartments
Applicant Entity:
■ Member (.O1% owner):
Member:
Officers/Directors/Shareholders :
■ Investor Member (99.99% owner):
Developer Entity:
• Member:
Member:
Ark Development/Overtown I, LLC.
A Florida Limited Liability Company
MM Ark Development/Overtown I, LLC
A Florida Limited Liability Company
Issac Kodsi (100% owner)
N/A
Isaac Kodsi &/or assigns
Carlisle Group I Development, LLC
A Florida Limited Liability Company
CDG, LLC
A Florida Limited Liability Company
Matthew Greer, Manager
Officers/Directors/Shareholders: N/A
EXHIBIT "A'
LEGAL DESCRIPTION
LOTS 24, 25, 32, 33, 40, 41 AND 48, OF BLOCK 16, "P.W. WHITE SUBDIVISION OF
BLOCKS NO. 16, 26 AND 36 NORTH, CITY OF MIAMI," ACCORDING TO THE
PLAT THEREOF, AS RECORDED IN PLAT BOOK B, PAGE 34, OF THE PUBLIC
RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
MIADOCS 3949993 1
After recording, return to:
Kodsi Law Firm, P.A.
1 Cypress Place, Ste 303
701 West Cypress Creek Rd
Ft. Lauderdale, FL 33309
Prepared by:
Joseph L. Schneider, Esquire
1720 Harrison Street, Suite 1820
Hollywood, Florida 33020
THIS SPACE RESERVED FOR PROCESSING DATA
111111111111111111111111111111111111111111111
OR 8k 23006 N5 0254 -- 2."F (2p9s)
RECORDED 01/18/2005 1017:Q
DEED DOC: TAX. 3r51_I0.1710
SURTAX 2l925.00
HARVEY RUVINf CLERK OF COURT
MIAMI—DADE COUNTYP FLORIDA
THIS SPACE RESERVED FOR PROCESSING DATA
PROPERTY APPRAISER'S PARCEL I.D.
(FOLIO) NUMBER: 01-0101-060-1150 and 01-0101-060-1190
WARRANTY DEED
THIS WARRANTY DEED made the c T day of January, 2005, by 1000 FIRST
AVENUE ASSOCIATES INCORPORATED, a Florida Corporation, 1801 Polk Street, #630,
Hollywood, Florida 33022, hereinafter called the grantor, to ROYAL PALM MIAMI
DOWNTOWN, LLC, a Florida Limited Liability Company, whose address is 1499 West Palmetto
Park Road, Suite 200, Boca Raton, Florida 33486, hereinafter called the grantee:
(Wherever used herein the terms "grantor" and "grantees" include all the parties to this instrument and
the heirs, legal representatives and assigns of individuals, and the successors and assigns of
corporations.)
WITNESSETH: That the grantor, for and in consideration of the sum of $10.00 and other
valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells,
aliens, remises, releases, conveys and confirms unto the grantee, all that certain land situate in
Miami -Dade County, Florida, viz:
Lots 32, 33, 40, 41, and 48, Block 16, of F.W. WHITE'S RESUBDIVISION of
Blocks 16, 26 and 36, of NORTH OF THE CITY OF MIAMI, according to the
Plat thereof, as recorded in Plat Book "B", Page 34, of the Public Records of
Miami -Dade County, Florida.
SUBJECT TO easements, restrictions, and limitations of record, if any, but this reference
shall not operate to revive or reimpose any of them, and taxes for the year 2005 and subsequent
years.
SUBJECT TO zoning and/or restrictions and prohibitions imposed by governmental
authority; restrictions, and other matters appearing on the plat and/or common to the subdivision and
Page 1 of 2
`V
Book23006/Page254 CFN#20050054276 Page 1 of 2
0R V K ?31-7117 6 PG CI2555
LAST PAGE
utility easements of record, if any, however, this referenced shall not operate to revive or reimpose
them.
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 frilly 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, 2004.
IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day and
year first above written.
WITNESSES: 1000 FIMT AVENU ' ASSOCIATES
INCO a Florida Corporation
Witness No.: I By: A L ZBbK
Jw / �' n As: Pr ident
Printed Name of Witness No.: I
Witness No.: 2
�AJ�b (rvzc7
Printed Name of Witness No.: 2
STATE OF FLORIDA )
) SS:
COUNTY OF $.e-MA12-0 )
The foregoing instrument was acknowledged before me this tu�day of January, 2005, by
DARREL ZBAR, as President of 1000 FIRST AVENUE ASSOCIATES INCORPORATED, a
Florida Corporation, who is personally known to me, or who has produced
identification.
Y'v - D R oTTo – NUTARY PUBLIC—STATE OF FLORIDA
DAVIMY COMMISSION N DD 272387
EXPIRES: April 4.2008
�� of'1�t Ba✓J�'J TMu NoteY PtbAC llode(M111Bu
Page 2 of 2
Book23006/Page255 CFN#20050054276 Page 2 of 2
Folio No. 0101010601120
This instruinent was prepared by,
and, after recording, please return to:
Kurt A. Raulin, Esq.
Royal Palm Communities
1499 West Palmetto Park Road, Suite 200
Boca Raton, FL. 33486-3321
(561) 347-6844,
OR bk 22923 F'ss 2 291 - 224'4; (4P,ts)
RECORDED 12/20/20134 15:49;22
DEED DDC TAX 1►127.40
SURTAX 845.22
HARVEY RUVRI? CLERK OF COURT
MIAMI -DARE COUHTYr FLORIDA
CORPORATE WARRANTY DEED
(Made and delivered pursuant to Section 689.02, FLA, STAT (2004).)
THIS CORPORATE WARRANTY DEED (this "Deed"), dated this Fifteenth day of December,
2004, is made and delivered by OVERTOWN INVESTMENT CORP., As TRUSTEE, a dissolved
Florida corporation whose address is Post Office Box 6055, Surfside, Florida 33154-6055
("Grantor"), to ROYAL PALM MIAMI DOWNTOWN, LLC, a Florida limited liability company
whose address is 1499 West Palmetto Park Road, Suite 200, Boca Raton, Florida 33486-3321
("Grantee"),
WITNESSETH;
That Grantor, for and in consideration of the sum of One Hundred U.S. Dollars ($100.00)
and other good and valuable consideration, to Grantor in hand paid by Grantee, the receipt and
sufficiency of which are hereby acknowledged, has granted, bargained and sold to Grantee', and
Grantee's successors and assigns forever, the land described in Exhibit A attached to this Deed
and incorporated herein by this reference (the "Property").
And Grantor does hereby fully warrant the title to the Property, and will defend the same
against the lawful claims of all persons whomsoever, except those claims arising from the title
exceptions described in E, A bit B attached to this Deed and incorporated herein by this
reference (the "Permitted Exceptions").
This Conveyance is appropriate to wind up Grantor's business and affairs and liquidate
Grantor's assets pursuant to Sections 607.1405(1)(b) and 607.1421(3), FLA, STAT. (2004).
Corporate Warranty Deed
[Signatures begin on the following page of this Deed.]
Page 1
Book22923/Page2291 CFN#26641137689 Page 1 of 4
a
[Signatures begin on this page of this Deed.]
IN WITNESS WIMREOF, Grantor has caused its duly authorized President to execute and
deliver this Deed on the date written above.
WITNESSES: GRANTOR:
Signed, sealed & delivered Qin'esence of OVERTOWN INVESTMENT CORP., As
TRUSTEE, a dissolved Florida corporation
Signature:
Printed name: gy: X4Z
Stephen esonson,
Signature: President
Printed name:
[CORPORATE SEAL]
STATE OF TEXAS
COUNTY OF c'
The.foregoing Deed was acknowledged before me this eday of December, 2004, by
Stephen R. Sonson, acting as the last President and the sole Director and the sole Shareholder of
Overtown Investment Corp,, a dissolved Florida business corporation, on behalf of the
c0 oratio . This individual _ is personally Known to me or ____ presented a
`elf driver's license as identification.
[NOTARIAL A )
WENDY DAY
E O F bliC
STATTE 4f 7FxAS
" }AyComm.ExP03•25-2005
Corporate Warranty Deed
Printed
Commission
Wage 2
Book22923/Page2292 CFN#20041137689 Page 2 of 4
Exhibit A
LEGAL DESCRIPTION OF PROPERTY
ALL OF THOSE TRACTS OR PARCELS OF LAND located in the City of Miami, Miami -Dads
County, Florida, more particularly described as follows:
Lot 24 and Lot 25, Block 16, P. W. WHITE'S RESUBDIVISION OF BLOCKS NO. 16,
26 AND 36 NORTH, according to the Plat thereof, as recorded in Plat Book B, Page 34, of the
Public Records of Miami -Dade County, Florida.
Corporate Warranty Deed
Page 3
Book22923/Page2293 CFN#20041137689 Page 3 of 4
1[3p, BK 2292Z3 PG 2294
LAST PAGE
Exhibit B
PERMITTII1 EXCEPTION'S To TITLE
I. Ad valorem real property taxes and assessments against the Property for the year
2005 and all subsequent years.
2. Those matters shown on that certain map or plat of P. W. WHITE'S
RESUBDIVISION OF BLOCKS NO. 16,'26 AND 36 NORTH, according to the Plat thereof, as
recorded in Plat Book B, Page 34, of the Public Records of Miami -Dade County, Florida.
3. Comprehensive land use plans, zoning, restrictions, prohibitions and other
requirements imposed by governmental authority.
4. Outstanding oil, gas and mineral rights of record without right of entry.
Corporate Warranty Deed
Page 4
Book22923/Page2294 CFN#20041137689 Page 4 of 4