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HomeMy WebLinkAboutApplication & Supporting DocsU r� S ��'IYCO'hY OiAiFY�� HEARING BOARDS 444 SW 2nd Avenue, 7`" 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 prn, except on the fifth day, at 12:00 prn. 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 Y2 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. Applications given to customers do not constitute action from the City of Miami without plans review and written comments from the Office of Zoning. Rev. 04-21-09 Please refer to Article 16 of the Miami Zoning Ordinance for Special Exception information. David E. Sacks, Esq. on behalf of Ken Hill Investment 1. Applicant name(s): Group, Inc. 2. Subject property address(es) and folio number(s): 921 N Venetian way, Miami, FL 33139; Folio No. 01-3231-026-0100 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 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. 5. Bring the original 2436" 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 8" Floor; b) Office of Zoning on the 0 Floor; c) Planning De artment on the 3d 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'/2x11" 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. 15. Certified list of owners of real estate within 500 feet of the subject property (see pages 6 and 7). 2 Rev. 04-21-08 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 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? 16,000 Square Feet Corporation 18. What is the purpose of this application/nature of proposed use? Special Exception for construction of a single family docking facility 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 d. Nonsubstantial modification Public hearing and public meeting mail notice fees, $ 500.00 $ 400.00 including cost of handling and mailing per notice 5n (x 2- zoning,, City Commission) 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 92 19, all planning and zoning fees in excess of $25,000.00, sh a /I be A,'Zlherf a certified check, cashier's check, or money order. Signature Mailing Address 2 S. Biscayne Blvd., Suite 2400 Name David E.'Sacks, Esq. Miami, Florida 33131 Telephone 305-379-2425 E-mail dsacks@pathmanlewis.com STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing wa acknowledged before me this 20 10 , by _ _ ��� A . o c' who is a(n) individuali,-R-- r7agenfi/corporation of individual/partnership/corporation..She,,s per' - - - -°as�lidetifiea#ian and who did (did r (Stamp) 3 J day of /1112pel-I a(n) orally known to -m or-who-hes-pry®d CANDIDA CONDE MY COMMISSION N DD 922838 Rev. 04-21.09 EXPIRES: November 25,2013 Bonded Thru Notary Public Underwriters THIS INSTRUMENT PREPARED BY, QAVID E. SACKS, ESQUIRE PATHMAN LEWIS, LLP Suite 2400, One Biscayne Tower 2 South Biscayne Boulevard Miami, Florida 33131 RESOLUTION OF KEN HILL INVESTMENT GROUP, LLC 1, Michael Ingram, as Secretary of KEN HILL INVESTMENT GROUP, INC a Texas domestic for-profit corporation (the "Company") hereby certify that the following Resolution has been duly adopted by all Managers and Members of the Company on this 4th of March, 2010, the Resolution Is in conformity with the Company's Articles of Organization and Operating Agreement, which are In full force and effect on the date hereof, and have not been modified or rescinded: BE IT RESOLVED, the Company has made, constituted and appointed, and by these presents does make, constitute and appoints DAVID E, SACKS, individually, as Its Authorized Representative for the Company and in its stead to execute any and all documents in connection with the Special Exception Hearing Application to the City of Miami. The Company hereby gives and grants unto DAVID E. SACKS, ESQ., full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the promises as fully to all intents and purposes, as it might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that this said attorney or his substitute shall lawfully do or cause to be done by virtue hereof. IN WITNESS WHEREOF, I have hereunto set my hand and seal as the Managing Member of the Company this 4th , of March, 2010, ;57 4 KEN HILL INVESTMENT GROUP, INC., a Texas domestic for-profit corporation BY: — 91-0el I W, as Secretary STATE OF FLORIDA ) ) SS COUNTY OF MIAMI-DADE ) The foregoing instrument was acknowledged before me this 4thday of March, 2010, by Michael Ingram, as Secretary of KEN HILL INVESTMENT GROUP, INC., a Texas domestic for-profit corporation. He is personally known to me or has produced a drivers license as identifica ' nand did t p k a oath. 1K. KAISER G My COMMISSION EXPIRES Print Name: 1�,a►13 Notary Public a u Ia ` Commission Expires: rAhill kenlhill ken - dock matlersWocMeorporate resoludon.doc e .r AFFIDAVIT OF AUTHORITY TO ACT Before me this day, the undersigned personally appeared David E. sacks , 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, ❑ 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. David E. Sacks, Esq. Applicant(s) Name STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowled ed before me this S-1 day of / )WJ 20 by who Is a(n) individual/pert , /agent/corporation of ' a(n) individua[/partnership/corporation.el IShe i personally known to e- 6T"% has produced as identification and who-.; id-(didrro'- =te-an-eater (Stamp) g4nature 4?? % CANDIDA CCND' =�: ,,. E ,� Rev. 04-21-09 MY COMMISSION N pD g2P8a6 is "?�, oQ� EXPIRES: November 25 20 � Rf �fh'e•` bonded Thru Notary Publ(c Undenvrifar;; I'•, 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) Ken Hill Investment Group, Inc. Percentage of Ownership 100 Subject PropertyAddress(es) 921 N. Venetian Wa Miami, FL 33139 *SEE ATTACHED EXHIBIT "1" FOR INFORMATION ON OWNERSHIP OF KEN HILL INVESTMENT GROUP* 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): Not Applicable David David E. Sacks, Esq. Owner(s) or Attorney Name E Owner(s) or Attorney Signature STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing was acl 20 ffl , by —&V P who is a(n) individuaVpo a(n) individual/partners has produced (Stamp) E1 before me this �,: _ day of rage nticorporation of- /V.<C-L1!1E - ' )rporation. he is p-n-%Cia --m�own tom or who as identification and who i.d-~; 'cid dt) take" doh Sig afure r CANDIDACONDE - MY COMMISSION # DD 922636 EXPIRES, November 25, 2013 Rev. 04-21-09 bonded Thru NotaryPubllc Undenvritersn`-r EXHIBIT "A" Property Address 921 N VENETIAN WAY, MIAMI, FLORIDA 33139 Legal Description Lot 13, Block 1, of RESUBDIVISION OF PORTION OF BISCAYNE ISLAND, according to the Plat thereof, as recorded in Plat Book 40, at Page 34, of the Public Records of Miami -Dade County, Florida. rAhill ken\hill ken - dock matters\docs\exhibit a to special exception hearing application.doc EXHIBIT "1" TO DISCLOSURE OF OWNERSHIP NATIONAL HEALTH SYSTEMS, INC. (100% OWNER OF KEN HILL INVESTMENT GROUP, INC.) • Ken Hill Investment Group, Inc. is 100% owned by National Health Systems, Inc. • Address is: National Health Systems, Inc. 101 Jim Wright Freeway South Suite 200 Fort Worth, Texas 76108 • National Health Systems, Inc.'s Shareholder Names, Percentages of Ownership, and Addresses are attached hereto. rAhill ken\hill ken - dock matte rs\docs\exh i bit 1 -disclosure of ownership.doc SHAREHOLDERS OF NATIONAL HEALTH SYSTEMS, INC. Current Percentage Remaining Shareholder Name Shares Ownership Options Ken Hill, Sr. 52,480 58.761% The Scamper Hill Trust 12,900 14.444% Kenny Hill 12,900 14.444% David Hill - 0.000% Beverely Hill 892 0.999% Mack Ed Swindle 860 0.963% Dan Addison - 0.000% Bennie Hill 892 0.999% Mark A. Stalzer 430 0.481% Benjamin E. Loy 287 0.321% Jeff Farris 227 0.254% Rex W. Stamerjohn 134 0.150% Rusty Dunnahoo 107 0.120% Ronald D. Morehead 107 0.120% Craig A. Nelson - 0.000% Bea Allen 107 0.120% James D. Cummins 107 0.120% Bob Beckley - 0.000% Kyle English 54 0.060% Betty J. McCray 54 0.060% Jim Pace 54 0.060% Mark McCray 45 0.050% Dewitt McClaran 43 0.048% Kristina Dale 33 0.037% Al Esparza 27 0.030% Heath Garcia 27 0.030% J. T. McCray 27 0.030% Jo Ann Tarpley 27 0.030% Todd Whitley 5 0.006% Charles F. Best 27 0.030% Dave Reeder 27 0.030% Todd Crosslin 22 0.025% Cindy Feneley - 0.000% Amy Woods 19 0.021% Jasmina C. St.Louis 27 0.030% Bill Brownson 16 0.018% Jason Adama 13 0.015% Cary Deaver 13 0.015% Charles Muncy 13 0.015% Julie Seaman 13 0.015% Richelle Aldrich - 0.000% Cheryl A. Burgess 13 0.015% Emily C. Stanton 13 0.015% Robin Reese 13 0.015% Bobby Davis - 0.000% Kathleen A. Johnson 11 0.012% Tammy Connelly 11 0.012% Merrie Stewart - 0.000% Julie Goodson 5 0.006% Marlisa Johnson 3 0.003% Rhonda Hill 892 0.999% David Hill 2006 Trust 4,474 5.009% David Hill Irrevocable Trust 860 0.963% 89,311 100.000% ADDRESSES OF SHAREHOLDERS OF NATIONAL HEALTH SYSTEMS, INC. co M (fl co � 0000 mww mom r-- mom MN 0(' wo r-MIhOf-r­NN � NM mmmNw0000MN mmN r NOIhMM U (- r -O �t N -OO 't d d OO r LO tOOdtoN�000 M 't F- 4 h d' M d' if "t N M ooc q- - 0 Nr-MIto 0 0 (0 0 O -ONO d' d' d' 0 OOO-000rO�O M It - 00 '�t 'q N C O d• 00 It 0d -0 M "Oo 't q N�titi 0M(0o(O titi Woo �tititi 0000o titititir•titititititititir`0titir`titititititi�r•r`tititititir`tititir•ti D000000(00o-MLO M(00000000omo LO 0(0(00❑ 00M N W X X X X X 1- X I- X I- X I- X I- X F- X !- X H X H X I- X H X I - X I - X F- X F- X F- X I- X I- X I- Q U X I- X I-- X I- X I- X h- X I - X I- X h- X F- X F- X h X h X I- X I- X I•- X 1- X I- X h X I- X I- X h X I- X F- V) V) c N -o cu 0 'Y c 0 C c L L p L -0 p L N •Ic!� L L O 7 p p L 7 7 7 •C O c O d O 7 L O > 7 7 O a 7 O N O > O (0 W "O O 7 L 7 n O +-� O) O O 0 7 7 O 0 "O O 7 O 7 O 7 7 .{r L c N -Q c c (0 c (� c f0 3 - •D O _ .LZ c (0 L p - c (6 N - > .�...r L c (� L .fl c N C O = '� c (O C (6 - > C U = c O c L6 5 -0 c LO a) - c N O -O ,C L _O c RS .}.+ L .�-, N p c (6 -fl c. 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O = a U N 0 0 �UON O�U� Mu..�� p �smt-3:6r, E2�w M X' 0=U(q ._ Q o� 0 X 0W (0 N 0 (0 U_W 7 a)' — � M�0U�0 a) E E L �000O�--r-OLON-OM d' O r m M co 0 U r I t O fn W LOOO� 0 N ti d' OM1t M N J LO OMNd LO 00❑ m r N O O� (0 •-ON �- z m M M r d r -OM(0�- O fn U M y-.� W O C0 LO (0 i Q O M ti N O r d M CO N r- d ti d N r LO ti N ti O M O M 0 M C0 LO 00 It � d O r N �- LO 0 �- M 0 ti LO S` r O 0 N r LI) M (0 N 0 0 LO t .- N O a -Mr O M N (0 O d' d (0 0 M N 'd O d' �- � o 't 0 M O M M - ti (0 c) S` S` M LI) 0 I "O c () W O Y � ro U C O U 0 7 L + F- �— E •t3 o� Q E o-� a) Inww•(g I—Q C In OZQ•E aXi c= a) o c (O() m u— a) m p t E (0 O E c> _(U) J a) O .f N IO a) 3 ry LL Q � Q .c L •L (0 c Eco 'Y U = c L Y L co 0 N ll a) L "O c a) E U) Q L. c Q (D N _c O O N L a) c Orn_ U I0 c.cn +_: oU c0 0 pY > Q N= a) c'c o E o a� c a� c c Y �m-�� o p �U E❑�0. �-'� (6 M c p > -� ESQ== V (V N W Ucoov�E`(�o�cnN�.16(na�a�coa�a�c0�a�acocLacocLac>�a�a�c�a�w���In=2 O c c m L L -) O c>> c c O c c.@M c a) i >, > a) i N L E (6 a� E N p �c p E > N C �Qi i o m m❑YY�� c C)0UU °� ami � JN =� a� O i 7 (0 N a) 7 c In (0 LO O----- U U U U O 7 N N L a) L O-- ZQQmmc000U❑❑❑❑ W W u.U' (�222222��Jc)22222�a ��cn()()(�u-F-1—��❑❑ _ BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Page 1 of 1 UCC I BusinessOrganizations I Trademarks I Notary I Account I Help/Fees Briefcase Logout BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Filing Number: 79317200 Entity Type: Domestic For -Profit Corporation Original Date of Filing: April 14, 1986 Entity Status: In existence Formation Date: N/A Tax ID: 17521274971 FEIN: Duration: Perpetual Name: Ken Hill Investment Group, Incorporated Address: 101 JIM WRIGHT FWY S STE 200 FORT WORTH, TX 761082202 USA _REGISTERED FILING ASSUMEDASSOCIATE_D__ AGENT HISTORY NAMES MANAGEMENT NAMES ENTITIES Name Address Inactive Date Jeff Farris 101 Jim Wright Freeway South, Suite 200 Fort Worth, TX 76108 USA Order Return to Search Instructions: To place an order for additional information about a filing press the 'Order' button. https:Hdirect.sos.state.tx.us/corp inquiry/corp_inquiry-entity. asp?: Sfiling_number=7931720... 3/4/2010 BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Page 1 of 1 UCC I Business Organizations Trademarks Notary Account Help/Fees Briefcase Logout BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Filing Number: 79317200 Entity Type: Domestic For -Profit Corporation Original Date of Filing: April 14, 1986 Entity Status: In existence Formation Date: N/A Tax ID: 17521274971 FEIN: Duration: Perpetual Name: Ken Hill Investment Group, Incorporated Address: 101 JIM WRIGHT FWY S STE 200 FORT WORTH, TX 761082202 USA REGISTERED FILING ASSUMED_ ASSOCIATED 11 AGENT HISTORY NAMES MANAGEMENT NAMES ENTITIES 11 Name ADX, INC. Ken Hill Investment Group, Incorporated Order Return to Search Name Status Name Type Prior Legal In use Legal Name Inactive Consent Date Filing # July 8, 2008 Instructions: To place an order for additional information about a filing press the 'Order' button. https:Hdirect. sos.state.tx.us/corp_inquiry/corp_inquiry-entity. asp?spage=names&: Spagefro... 3/4/2010 BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Page 1 of 1 UCC I Business.._ Organizations Trademarks I Notary I Accou L � Help/Fees I Briefcase � Logout BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Filing Number: 64410600 Entity Type: Domestic For -Profit Corporation Original Date of Filing: February 22, 1983 Entity Status: In existence Formation Date: N/A Tax ID: 17518693951 FEIN: Duration: Perpetual Name: NATIONAL HEALTH SYSTEMS, INC. Address: 101 JIM WRIGHT FREEWAY SUITE 200 FORT WORTH, TX 76108-2253 USA REGISTERED FILING ASSUMED ASSOCIATED AGENT _ HISTORY NAMES MANAGEMENT NAMES ENTITIES _ Name Address Inactive Date Jeff Farris 101 Jim, Wright Fwy. South, Ste. 200 Fort Worth, TX 76108 USA Order Return to Search Instructions: 0, To place an order for additional information about a filing press the 'Order' button. https:Hdirect. sos. state.tx.us/corp inquiry/corp inquiry -entity. asp?: Sfiling_number=644106... 3/30/2010 BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Page 1 of 2 UCC I Business.._Organzations I Trademarks I Notary I Account Help Fee ( Briefcase Logout BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Filing Number: 64410600 Entity Type: Domestic For -Profit Corporation Original Date of Filing: February 22, 1983 Entity Status: In existence Formation Date: N/A Tax ID: 17518693951 FEIN: Duration: Perpetual Name: NATIONAL HEALTH SYSTEMS, INC. Address: 101 JIM WRIGHT FREEWAY SUITE 200 FORT WORTH, TX 76108-2253 USA REGISTERED FILING ASSUMED ASSOCIATED AGENT HISTORY NAMES MANAGEMENT NAMES ENTITIES View Document Image Number Q 4901543 1983 4901544 4901545 July 13, 1983 4901546 November 13, 4901536 No 4901537 1984 4901538 Q 4901539 No 4901540 1989 4901541 July 19, 1993 4901542 No 7459202 25732480001 Filing Type Articles of Incorporation Articles of Amendment Articles of Amendment Articles of Amendment Articles Of Amendment Articles Of Amendment Articles Of Amendment Articles Of Amendment Articles Of Amendment Articles Of Amendment Articles Of Amendment Public Information Report (PIR) Public Information Report Effective Eff. Page Filing Date Date Cond Count February 22, February 22, No 3 1983 1983 February 28, February 28, No 1983 1983 April 25, April 25, No 1983 1983 July 13, 1983 July 13, 1983 No November 13, November 13, No 1984 1984 January 26, January 26, No 1989 1989 July 19, 1993 July 19, 1993 No October 31, October 31, No 1996 1996 August 21, August 21, No 1997 1997 March 17, March 17, No 1998 1998 March 8, March 8, No 1999 1999 December 31, December 31, No 2001 2001 December 31, February 3, No 2 3 2 2 5 3 4 2 2 2 1 1 https:Hdirect. sos. state.tx.uslcorp_inquiryleorp_inquiry-entity. asp?spage=docs&: Spagefrom... 3/30/2010 BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Order Return to Search 2002 2003 Page 2 of 2 December 31, October 2, (PIR) Q 43390780001 Public Information Report November 18, November 18, (PIR) Q 75247250002 Restated Articles of December 31, October 26, Incorporation 2004 73286740001 Public Information Report December 31, January 30, (PIR) 2005 115910080001 Public Information Report December 31, August 30, (PIR) 2006 142416750001 Public Information Report December 31, October 30, (PIR) 2007 191272250001 Public Information Report February 5, February 5, (PIR) 2010 293798000002 Change of Registered Agent/Office Order Return to Search 2002 2003 Page 2 of 2 December 31, October 2, No 1 2003 2003 November 18, November 18, No 6 2004 2004 December 31, October 26, No 1 2004 2004 December 31, January 30, No 2 2005 2006 December 31, August 30, No 1 2006 2006 December 31, October 30, No 2 2007 2007 February 5, February 5, No 1 2010 2010 Instructions: 0 To place an order for additional information about a filing press the 'Order' button. https:Hdirect. sos.state.tx.us/corp_inquiry/corp inquiry -entity. asp?spage=docs&: Spagefrom... 3/30/2010 BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Page 1 of 1 UCC 1 Busin.ess.._Organzations Trademarks Notary Account Help Fees Briefcase Logout BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Filing Number: 79317200 Entity Type: Domestic For -Profit Corporation Original Date of Filing: April 14, 1986 Entity Status: In existence Formation Date: N/A Tax ID: 17521274971 FEIN: Duration: Perpetual Name: Ken Hill Investment Group, Incorporated Address: 101 JIM WRIGHT FWY S STE 200 FORT WORTH, TX 761082202 USA REGISTERED FILING ASSUMED ASSOCIATED AGENT HISTORY NAMES MANAGEMENT NAMES ENTITIES Last Update Name Title May 7, 2009 MICHAEL INGRAM DIRECTOR May 7, 2009 MICHAEL INGRAM VICE PRESIDENT May 7, 2009 MICHAEL INGRAM SECRETARY May 7, 2009 MICHAEL INGRAM TREASURER May 7, 2009 May 7, 2009 May 7, 2009 KEN HILL KEN HILL JEFF FARRIS Order Return to Search DIRECTOR CEO PRESIDENT Address 101 JIM WRIGHT FWY STE 200 FORT WORTH, TX 76108 USA 101 JIM WRIGHT FWY STE 200 FORT WORTH, TX 76108 USA 101 JIM WRIGHT FWY STE 200 FORT WORTH, TX 76108 USA 101 JIM WRIGHT FWY STE 200 FORT WORTH, TX 76108 USA 101 JIM WRIGHT FWY STE 200 FORT WORTH, TX 76108 USA 10 1 JIM WRIGHT FWY STE 200 FORT WORTH, TX 76108 USA 101 JIM WRIGHT FWY STE 200 FORT WORTH, TX 76108 USA Instructions: To place an order for additional information about a filing press the 'Order' button. https://direct.sos.state.tx.usleorp_inquiryleorp_inquiry-entity. asp?spage=mgmt&: Spagefrom... 3/4/2010 This document was prepared by: Robert L. Kline, Esq. KLINE, MOORE & KLEIN, P.A. 2600 Douglas Road Suite 902 Coral Gables, Florida 33134 Phone: (305) 441-0006 CFH 200?RO849036 OR PN 27095 Fss 4252 - 4254; (3vss) RECORDED 11/25/2009 12:22:21 DEED DOC TAX 22000.00 HARVEY RUVINY CLERK OF fD1JRT MIAMI-DADE COUNTYi FLORIDA (The above space is reserved for recording informa0on) WARRANTY DEED (STATUTORY FORM -SECTION 689.02 F.S.) THIS INDENTURE, made this U day of November, 2009, by and between ALAN SCOTT DANSICY, a single man, whose post office address is 6431 Pine Tree Drive Circle, Miami Beach, FL 33141 ("Grantor") and KEN HILL INVESTMENT GROUP, INC., a Texas corporation, whose post office address is 101 Jim Wright Freeway South, Suite 200, Fort Worth, TX 76108 ("Grantee"). WITNESSETH, that said Grantor, for and in consideration of the sum of Ten ($10.00) Dollars, 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 successors and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida, to -wit: Lot 13, Block 1, of RESUBDIVISON OF PORTION OF BISCAYNE ISLAND, according to the Plat thereof, as recorded in Plat Book 40, at Page 34, of the Public Records of Miami -Dade County, Florida. SUBJECT TO: 1. Taxes forthe year 2010 and subsequentyears (Folio No.: 01-3232-0260100); 2. Easements, conditions, limitations, restrictions and reservations of record, if any, without any intent to reimpose the same; and 3. Zoning and municipal ordinances; The benefits and obligations hereunder sball inure to and be binding upon the successors and assigns of the Grantee and the Grantor hereby covenants with said Grantee thatthe Grantor is lawfully seized of said land in fee simple, that the Grantorhas good right and lawful authority to sell and convey said land and said Grantor does hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever, Book27095/Page4252 CFN#20090849036 Page 1 of 3 IN WITNESS WHEREOF, Grantor has hereunto set her hand and seal the day and year first above written. i ed, sealed d delivered n• 1 p se e f• Printed/typed nam of witness MccR�c� rnati � Printed/typed name of witness STATE OF FLORIDA ) )ss. COUNTY OF MIAMI-DADE ) -" � tJ✓ LS ALAN SCOTT DANSKY The foregoing instrument was acknowledged before me this / rZ day of November, 2009 by ALAN SCOTT DANSKY, a single man, who is personally known to me orw has produced FlcL 0 v+ v e rs (.l c,ONS F- as identification and who did ( ) did not ( ) take an oat i. C q1_1 � NOTARY PUBLIC, State of Florid r" MWAC WWM Print Name: M4 (Lto— e • MyC0MMI8SI0NIfgD786120 My Commission Expires: q(PIRES, Mey 6, 20% Book27095/Page4253 CFN#20090849036 Page 2 of 3 0 CITY OFMIAMI p ,„,11 11,,, } 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: -David E . Sacks irs ame (Middle) (Last Name HOME ADDRESS: 90 Alton Road, Apt. 811 (Address Line ) (Address Line 2) CITY: Miami Beach STATE: Florida ZIP: 33139 HOMEPHONE: 305-673-1047 CELLPHONE: 305-968-7907 FAX: EMAIL: dsacksCpathmanlewis.com BUSSINESS or APPLICANT or ENTITY NAME Pathman Lewis, LLP BUSINESS ADDRESS: One Biscayne Tower, Suite 2400, 2 S. Biscayne Boulevard (Address Line 1) Miami, Florida 33131 (Address Line 2) 1. Please describe the issue for which you are seeking approval, relief or other action from the City Commission, board, authority, agency, council, or committee. Special Exception Permit for Construction of a Single Family Docking Facility 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? d 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 Acluiowledgement, 3. Please provide the name, address and phone number of the person(s) or entities to whom consideration has been provided or committed. µ 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--exchauge for the consideration. ar ACKNOWLEDGEMENT OF COMPLIANCE I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent the disclosure requirements of Ordinance 1.2918 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 xpiration of a period of one year after the nullification of the application or order. PERSON SUBMIT'T'ING DISCLOSURE: M gnature S "� Pr nt Name /?/W21�f 2 The foregoing nvorn to and subscribed before me this day of Q61 instrument was acknowledged before me by ,7)/) E,__ lvho has produced as identification andlol is_ersonally kn tvn-t nae ark tivho did/did not take an oath, �+ `IE F X777) STAlL OF �LOlV1�A s' CITY OF MIAMI 2 MY COIvMSSION 00 f , EXPIRES:11 3 Pd t ame Enclosures) gtia�Y CANDIDA'CON E A. MY COMMISSION # dp 9,228,;? Doc, No.:86543 EXPIRES, November 25, 20 ;:; Page z FFifa� nonaeu .` ;racaea,