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HomeMy WebLinkAboutApplication & Supporting DocumentsHEARING BOARDS 444 SW 2 I Avenue, 7`" Floor • Miami, Florida 33130 Telephone 305-416-2030 Fax 305-416-2035 www.miamigov.com/hearing boards Planning Designee Initial & Date � ID AMENDMENT TO THE ZONING ATLAS AND/OR OVERLAY DISTRICT W 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 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. 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. Copies of City Commission resolutions and ordinances can be obtained at our website through the "Legislative Hub", or for certified copies, contact the City Clerk's Office at 305-250-5360. Applications for Zoning Change (Amendment to Zoning Atlas and/or Overlay District) and Land Use Change (Amend the Comprehensive Neighborhood Plan) will not be accepted unless it is signed or initialed and dated by the Planning Department designee. Rev. 12-16-08 Please refer to Article 22 of the Miami Zoning Ordinance for Amendment information. 1. Applicant name(s): Carlas A Mi gnya , City Manager, City of Miami 2. Subject property address(es) and folio number(s): 1814 Brickell Avenue (01-413-092-0030) Lot 3 Block 1 IERI SUBDIVISION (164-26) 3. Present zoning designation(s): R-3 Statement as to why the present zoning designation is inappropriate: The property is actually owned by the City of Miami and will be used as a park 4. Future zoning designation(s): pR Statement as to why the proposed zoning designation is appropriate: The property will be used as a irk 5. Obtain signature or initial and date by the Planning Department designee prior to submittal. 6. Two (2) 11x17" original and one (1) 8'/2 x 11 copy of the survey of the property prepared by a State of Florida registered land surveyor within six (6) months from the date of the application. 7. The subject property(ies) cannot have any open code enforcement/lien violations. 8. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable. 9. At least two photographs showing the entire property showing land and improvements. 10. 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. 11. 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. 12. Original Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit. 13. Original Public School Concurrency Management System Entered Requirements form (page 4 of the attached packet). 14. Certified list of owners of real estate within 500 feet of the subject property (see pages 7 and 8). 15. 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. 2 Rev. 12-16-08 16. What is the acreage of the project/property site? 0.84 acre 36,611.44 sq ft 17. What is the purpose of this application/nature of proposed use? The property will be used as a park 18. 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. Y e s 19. Is the property within the boundaries of an Environmental Preservation District? Please contact the Planning Department on the 3rd Floor for information. Yes 20. Cost of processing according to Section 62-156 of the Miami City Code*: Change of zoning classification to: a. CS, PR, R-1, R-2, per square foot of net lot area $ .15 Minimum $ 635.00 b. R-3, R-4, O, G/I, HP per square foot of net lot area $ .20 Minimum $ 750.00 c. C-1, C-2, I, per square foot of net lot area $ .25 Minimum $ 900.00 d. CBD and all SD's, per square foot of net lot area $ .30 Minimum $ 1,000.00 Public hearing and public meeting mail notice fees, including cost of handling and mailing per notice $ 3.50 *Pursuant todinance 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. Signat Address 444 SW 2nd Avenue Name Carlos A. Migoya C t'T-A 1l1ANL,C Telephone 305.416-1025 E-mail STATE OF FLORIDA -- COUNTY OF MIAMI-DADE Miami, FL 33130 cmigoya@miami.gov.com The foregoing was acknowledged before me this Ic- day of 20 /o , by d4a2L 0!5. f} • M/C-D l/"9 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. ELENA M. GONZALEZ *; *. MY COMMISSION # DD 6(31017 a111p)EXPIRES:July 21 2011Signature 9" bonded 7hru Notary Public Underwriters 3 Rev. 12-16-08 AFFIDAVIT OF AUTHORITY TO ACT Before me this day, the undersigned personally appeared Carlos A. Migoya , 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. Carlos A. Migoya Applicant(s) Name 0XV-J,, mAWA6 Applicant(s) Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this /c- day of /y y 20_/, by (?,,,+ � l, v s -lq , N/Gry M who is a(n) individual/partnerlagent/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. gS�✓.2�3.�.s•^.m�5s'� F&u.45cY6eiit�_-•__, s+-6RR / ELENA M G014ZALEZ t NAY C0NIMISSION B DD 681017 Signature nature ( R= g •. zyr� EXPIRES: July 21 2011 Bonded Thru Notary Public Underwriters 4 Rev. 12-16-08 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 necessary. Owner's Name(es) City of Miami Percentage of Ownership 100% Subject Property Address(es) 1814 Brickell Avenue 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): N /A Carlos A. Migoya Owner(s) or Attorney Name (1-v_1 M X PA &EJZ- Legal Description(s): Owner(s) o ttorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this ��- day of 20 10 , by M7 -LL o S P • M / (o y,7 who is a(n) individual/partner/agent/corporation of a(n) individual/partnership/corporation. He/She is personal) known to me or who has produced as identification and who did (did not) take an oath. '811a �-z Signature N1Y CONiMISSION N DD 681017 EXPIRES: July 21 2011 Bonded Thru Notary Public Underwriters o -+ter amass==em:w, a�a 5 Rev. 12-16-08 ..=ora anu reLu►i► to: Kerry E. Rosenthal, Esq./Emh T. Rosenthal Rosenthal Rasco Kaplan, LLC ... 20900 N.E. 300i Avenue, Suite 600 ® kventura, FL 33180 This Instrument Prepared by: Steven 14. Naturman , P.A. 9130 South Dadeland Boulevard Suite 1509 Miami, Florida 33156 WARRANT' DEED This indenture, made this 15" day of January, 2010 between CFN 201OR003631.1 OR 8k 27183 Pss 3633 - 3649; (17pos) RECORDED 01/20/2010 10-22!41 DEED DOG TAX 16x128.00 SURTAX 12tOT3.75 HARVEY RUVINr CLERK OF COURT MIAMI-DADE COUNTY. FLORIDA IERI BRICKELL, LLC, Florida limited liability company, whose address is 4836 S.W. 74th Court, Miami, FL 33155. of the County of Miami -Dade, State of Florida, grantor, and CITY OF MIAMI, municipal corporation of the State of Florida, whose address is 3500 Pan American Drive, Miami, FL 33133, of the County of MIAMI-DADE in the State of FLORIDA, grantee. Witnesseth: That the said grantor, for and in consideration of the sum of Ten And XX/00 (10.00) Dollars and other good and valuable consideration to said grantor in hand paid by the said grantees, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the said grantees, her/their heirs and assigns forever, the following described land, to wit: Lot 3, Block 1, IERI SUBDIVISION, according to the Plat thereof, as recorded in Plat Book 164, Page 26, of the Public Records of Miami -Dade County, Florida. Subject to restrictions, reservations, easements and limitations of record, if any, provided that this shall not serve to reimpose same, zoning ordinances, and taxes for the current year and subsequent years. And the said grantor does hereby fully warrant the title to said land and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF the grantor has signed and sealed these presents the day and year first above written. Signed and sealed in our presence: GRANTOR- I---- I.,, - J IERI BWKELI✓ ttC_ . BY.a'�_ T PAGE Manager v-1 Book27153/Page3633 CFN#20100036311 Page 1 of 17 STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknow Brickell, LLC, by and througits.Manager, Z` who has produced L„_. TjOTARX PaI.IC-STATL OF FLORIDA " Steven H. Naturman Commission #DD876616 . p ; JUNE 01, 2013 Bu: .` =U (a7,ANTIC BONDING CO., VC. before me this 15th of January, 2010 by Ieri 'Selfra ' ; w is personally known to me or idnti cai nand who did take an oath. The foregoing conveyance was approved pursuant to Resolution No. R-10-0004 of the City Commission of the City of Miami, a municipal corporation of the State of Florida, passed and adopted on January 14, 2010. A copy of Resolution No. R-10-0004 is attached hereto as Exhibit 1. Book27153/Page3634 CFN#20100036311 Page 2 of 17 t ap, _N, City of Miami Certified Copy File Number: 10-00034 City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com Enactment Number: R-10-0004 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), RELATING TO THE PROPERTY LOCATED AT 1814 BRICKELL AVENUE, MIAMI, FLORIDA (THE "BRICKELL PROPERTY"), AUTHORIZING THE CITY MANAGER TO PURCHASE THE BRICKELL PROPERTY BY ASSUMING THE BUYER'S RIGHTS UNDER THE COMMERCIAL CONTRACT ATTACHED AS EXHIBIT "1", THEREBY SUBSTITUTING THE ATTACHED EXHIBIT "1" FOR THE COMMERCIAL CONTRACT THE CITY MANAGER WAS AUTHORIZED TO ASSUME BY RESOLUTION NO. 09-0504, ADOPTED OCTOBER 22,2009; AUTHORIZING THE CITY MANAGER TO EXECUTE ALL AGREEMENTS RELATING THERETO, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY; FURTHER AUTHORIZING THE PAYMENT OF ALL FUNDS NECESSARY TO CONSUMMATE THE PURCHASE, INCLUDING, BUT NOT LIMITED TO, THE PURCHASE PRICE, CLOSING COSTS, COSTS RELATING TO THE IMPLEMENTATION OF A COVENANT WITH THE FLORIDA DEPARTMENT OF STATE RELATIVE TO THE PRESERVATION OF UNMARKED HUMAN REMAINS ON THE BRICKELL PROPERTY, AND COSTS INCURRED AND TO BE INCURRED FOR PROFESSIONAL ARCHEOLOGICAL SERVICES PERFORMED AND TO BE PERFORMED ON THE PROPERTY, FROM NON -GENERAL FUNDS; FINDING AND DETERMINING THAT ONE OF THE CITYWIDE PARKING PROJECTS ON THE ORIGINAL PROJECT LISTS FOR THE CITY'S SUNSHINE STATE LOAN POOL FINANCINGS DOES NOT REQUIRE THOSE LOAN FUNDS DUE TO NEGOTIATIONS WHICH HAVE RESULTED IN THE LESSEE FINANCING THE BUILDING OF THAT PARKING FACILITY; FINDING AND DETERMINING THAT THE PROJECT LISTS FOR THE CITY'S SUNSHINE STATE LOAN POOL FINANCINGS FOR PARKS AND RECREATION PROJECTS SHALL BE AMENDED TO ADD A NEW CITY PARK TO BE LOCATED AT THE BRICKELL PROPERTY; AUTHORIZING AND DIRECTING THE CITY MANAGER TO EXECUTE, WITH APPROVAL OF THE CITY ATTORNEY, ALL NECESSARY DOCUMENTS IN ORDER TO AMEND THE PROJECT LISTS FOR THE CITY'S SUNSHINE STATE LOAN POOL LOAN AGREEMENTS. WHEREAS, it is in the best interest of the City of Miami ("City") to establish a public park to meet the existing needs for parks, open space and conservation in the Brickell area; and WHEREAS, the property located at 1814 Brickell Avenue, Miami, Florida (the 'Brickell Property"), is vacant and available, and is suitable for the purposes of establishing a park in the Brickell area; and City of Munni Page ! of 4 R-10-0004 ""I 01-A.- Book271531Page3635 CFN#20100036311 Page 3 of 17 File Number: 10-00034 Enactment Number: R-10-0004 WHEREAS, the owner of the Brickell Property entered into a contract to sell the property to Sami Kalimi ("Kalimi Contract") and/or assigns; and WHEREAS, by Resolution No. 09-0504, adopted October 22, 2009, the City Manager was authorized to acquire the Brickell Property by assuming the rights of Sami Kalimi under the Kalimi Contract; and WHEREAS, the Kalimi Contract has expired; and WHEREAS, subsequently the owner of the Brickell Property entered into a Commercial Contract to sell the property to Raquel Wells ("Buyer") and/or assigns ("Commercial Contract"); and WHEREAS, the Buyer is willing to assign her rights under the Commercial Contract to the City; and WHEREAS, the average of two recent appraisals procured by the City is $2,437,500; and WHEREAS, the City's acceptance and assumption of an assignment of the Commercial Contract will be subject to the City's receipt of satisfactory survey, title, and property condition, including environmental condition and zoning; and WHEREAS, time is of the essence in the acquisition of the Brickell Property and the City Commission wishes to authorize the Manager to purchase the Brickell Property by accepting an assignment of the Commercial Contract; and WHEREAS, the City desires to fund a portion of the costs of purchasing the Brickell Property using funds from two loans totaling $49,100,000 (collectively, the "Sunshine State Loan Pool Financings") from the Sunshine State Governmental Financing Commission to the City under the Loan Agreements, dated October 3, 2007 and August 14, 2006 (collectively, the "Sunshine State Loan Pool Loan Agreements"); and WHEREAS, it is necessary under the Sunshine State Loan Pool Loan Agreements for the City Commission (a) to make certain findings and determinations relating to the availability of funding under the Sunshine State Loan Pool Financings to fund a portion of the costs of purchasing the Brickell Property and to amend the original project lists to include the new park at the Brickell Property, and (b) to authorize the City Manager to execute, with the approval of the City Attorney, all necessary documents in order to amend the eligible project lists authorized under the Sunshine State Loan Pool Loan Agreements to include the new park at the Brickell Property; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1.The recitals and findings contained in the preamble to this Resolution are City of Miami Page 2 of 4 R-10-0004 Book27153/Page3636 CFN#20100036311 Page 4 of 17 11 File Number: 10-00034 Enactment Number; R-10-0004 adopted by reference and .incorporated as if fully set forth in this Section. Section 2.AII prior approvals and requirements of Resolution No. 09-0504, adopted October 22, 2009, are confirmed and shall continue in effect, except that the Commercial Contract attached as Exhibit "1" hereto is substituted for the Kalimi Contract the City Manager was thereby authorized to assume. Section 3.The City's acceptance and assumption of an assignment of the Commercial Contract shall be subject to the City's receipt of satisfactory survey, title, and property condition, including environmental condition and zoning. Section 4.The City Manager is further authorized{1} to consummate the transaction and execute all documents relating thereto. Section 5.The payment of all funds necessary to consummate the purchase of the Brickell Property by acceptance and assumption of an assignment of the Commercial Contract, including the purchase price, closing costs, costs relating to the implementation of a Covenant with the Florida Department of State relative to the preservation of Unmarked Human Remains, and costs incurred and to be incurred for professional archeological services performed and to be performed on the property, from non -general funds, is authorized. Section 6.The City Commission finds and determines that one of the citywide parking projects on the original project lists for the City's Sunshine State Loan Pool Financings does not require those loan funds due to negotiations which have resulted in the lessee financing the building of that parking facility. Section 7.The City Commission finds and determines that the project lists for the City's Sunshine State Loan Pool Financings for parks and recreation projects shall be amended to add a new City park to be located at the Brickell Property. Section 8.The City Manager is authorized and directed to execute, with the approval of the City Attorney, all necessary documents in order to amend the project lists for the City's Sunshine State Loan Pool Loan Agreements. Section 9.This Resolution shall become effective immediately upon its adoption and signature of the Mayor. {2} Date: JANUARY 14, 2010 Mover: CHAIR SARNOFF Seconder: COMMISSIONER SUAREZ Vote: AYES: 3 - COMMISSIONER CAROLLO, SARNOFF AND SUAREZ Action: ADOPTED WITH MODIFICATIONS City of Miami Page 3 oJ'4 . R-10-0004 Book27153/Page3637 CFN#20100036311 Page 5 of 17 File Number; 10-00034 Date: JANUARY 15, 2010 Action: SIGNED BY THE MAYOR Enactment Number: R-10-0004 I, Priscilla A. Thompson, City Clerk of the City of Miami, Florida, and keeper of the records thereof, do hereby certify that this constitutes a true and correct copy of Resolution No. R-10-0004, with attachments, passed by the City Commission on 1/14/2010. January 15, 2010 City Clerk, Deputy Clerk (for P. A. T o son, Date Certified City Clerk) {1) The herein authorization is further subject to compliance with all requirements that may be imposed by the City Attorney, including but not limited to those prescribed by applicable City Charter and Code provisions. {2) If the Mayor does not sign this Resolution, it shall become effective at the end of ten calendar days from the date it was passed and adopted. If the Mayor vetoes this Resolution. City of Miami Page 4 of 4 R-10-0004 Book27153/Page3638 CFN#20100036311 Page 6 of 17 ASSIGNMENT AND ASSUMPTION OF CONTRACT &SSimn—nt, EA164. I KNOW ALL .MEN BY THESE PRESENTS, that RAQUEL WE.US, (hereinafter "Assignor") of N iami-Dade County, Staate of Florida, party of the first part, in consideration of the suns of Tc -n Dollars ($10.00) and other valuable considerations to her in hand paid by the CITY OIC' MIAMI, a Florida Municipal Corporation, of the County of Miami -Dade, State of Florida (hereinafter "Assignee"), party of the second part, at or before the ensealing and delivery of these presents, the receipt whereof is hereby acknowledged, has granted, bargained, sold, assigned, transferred and set over, and by these presents does grant, bargain, sell, assign, transfer and set over unto the Assignee, its successors anti/or assigns, forever, that certain Commercial Contract dated December 1, 2009, as amended by Addendum µ., to Conarnercial Contractdated December 31, 2009, Second Addendum to Commercial Contract, dated ' ;j January 8, 2010 and Third Addendum to Commercial Contract, (hereinafter "Contract"), made by RAQUEL WELLS AND/OR ASSIGNS, as Buyer, and .IER1 BRICiCELL, LLC, as Seller, for the, purchase and sale of the Commercial Property located at 1814 Brickell Avenue, Miami, Florida, situated in Miami -Dade County, State of'Florida (hereinafter "Property") whose legal description is as follows: w . Lot 3, Block- 1, IERI SUBDIVISION, according to the flat thereof, as r recorded in the Plat Book 164, Page 26, of the Public Records of Miami- Dade County, Florida. 6s, Lin�n The: undersigned Assignee, hereby agrees to assume all rights and obligations of Assignor as set forth in that certain Commercial Contract dated December 1, 2009, as amended by Addendum to Commercial Contract dated December 31, 2009, Second Addendum to Commercial Contract, dated January 8, 2010 and Third Addendum to Commercial Contract, by and between Assignor and Seller referred to herein above, EXCEPT for the following;: (1) The Assignee's purchase price under said Contract shall be Two Million Four Hundred Thirty -Seven 'Thousand hive Hundred Dollars -and no/cents ($2,437,500.00), (2) The Assignee shall contribute an aunount not to exceed dight Thousand Five Hundred Dollars and no/IMI cents ($8,500.00) towards the Assignorls attorney's fees. TO 11AVE AND TO HOLD the same unto the said party of the second part, its successors and/or assigns forever, IN WITNESS WiIEREOF, signed under seal this _ _ _ day ofJanuary, 2010. RAQUEL WEI.1,S tC.ITY OF MIAMI Buyer/Assignor Assignee Bv: Printed Name: Title: Book27153/Page3639 CFN#20100036311 Page 7 of 17 TT11RD ADDENDUM TO COMMERCIAL CONTRACT This THIRD ADDENDUM TO COMMERCIAL CONTRACT shall amend and modify that certain Commercial Contract Iast dated December 1, 2009, as amended by Addendum to Commercial Contract dated December 31, 2009 and Second Addendum to Commercial Contract dated January 8, 2010, (collectively, the "Contract") by and betw6en IERI BRICKELL, LLC, ("Seller"), and RAQUEL WELLS AND/OR .ASSIGNS, ("Buyer"), in connection with the purchase and sale of that certain property located at 1814 Brickell Avenue, Miami, Florida, in Miami -Dade County (hereinafter "Property„). In the event of a conflict between the terms of the Contract, as amended, and the terms of this Third Addendwn, the terms of this Third Addendum.shall prevail. ,y M (l) Paragraph Two (2) under the Addendum to Commercial Contract dated December 31, 2009 shall be deleted in its entirety. z.(2) Buyer agrees to contribute an amount to exceed $ towards the q satisfaction of that certain Claim of Lien in favor of Archaeological and Historical A Conservancy, Inc, (hereinafter "AHCI"), in the amount of $81,400.00, as recorded in the 7 x Official Records Book 27014, Page 2920, of the Public Records of Miami -Dade County, Florida. (3) Paragraph Two (2) under the ''8dtohd Addendum to Commercial Contract dated Z w: ., January 8, 2010 shall be deleted iii its entirety. (4) Buyer agrees to contribute an amount not to exceed Twenty -Eight Thousand Four Hundred Dollars and no/100 cents (S28,400.00) towards the documentary stamps on the deed and surtax. (4) All of the teims and conditions of the Contract, as amended, not inconsistent herewith shall remain in full force and effect 4nd the parties hereby ratify the same, .AGREED AND ACCEPTED: SELLER.: BUYER: /ERI BRIC.KEI. L, LLC RAQUEL WILLS AND/OR ASSIGNS Printed Name: _ —_-! a Raquel Wells Title: -- --- Dated: Dated; Book27153/Page3640 CFN#20100036311 Page 8 of 17 Jan 0810 03:55p Zuonih* 8alfrenin. R5. (305) 669.1073 p,1 Date: Jamary tl 4171470.1 SdC�_ Raquel W to Date: )muauy J 2010 Book271531Page3641 CFN##20100036311 Page 9 of 17 t '1`Iroan AD13MM M TO COMMERCIAL COMRACT aball amand And n" modify ttatafta 21 Conh�at teat dated Docetmbea 1, 2009, as by Addcxtdtmotrrayar W Cot&W stated Deo=bcr 31.2009 (collectively, the " Gantrac el made by m4 ban 7t3EtI R1G'KELL, LLC, ("8ettae" }, and RAQL�iI. WELLS ANWOR ASSIGNS (" Buyas" )comims n with the purcbase and sale of that pertain propmy lwatcd at 1814 _ FW Brickoll Ae, Mi , FL (the:'?1upaly") y In event a c+ooatlkA betvmm the U=5 of the contract seal ft tuns of this uw; Addmdumte= f ibh Addendum dealt lrrevail, (1) pard aFes that iha Purchase Puce is hereby r�ahmd to Two b0iou Six dred Eighty Seven Thousand Five ftmdrod andd no.'100 (32,697,500,00) ars.(2) ar ogre to }say the da mentarydatups on flee deed and surtax at clo ng, (3) f the and couditiom of tics Contract amt ireoonsustant herewith sWI remtem ll fo and •effect and 4►e parties bachy rati N ft sone. Date: Jamary tl 4171470.1 SdC�_ Raquel W to Date: )muauy J 2010 Book271531Page3641 CFN##20100036311 Page 9 of 17 I ION •i'tt #I. �"l� T 4'. Q:#?iC;t •tt, t .1 UE Al `tH 1."1) 1'hm ADDIM UM TO COMA3MCTAL CONTRACT syall aumd and that =Lam Comex "aW Codrid last dated Deoen bw 1, 2409 (tire "Coattact"") made Try anal WW= MJ I3RICKEU, UC, ('SSU= j, dvd WLTE . WM ,9 .ANOIOR ASSIGM Ckuyee), in mwmtim with the pracUw and sale of tact cmrttrin p Iomfed at 1914 Bri0mil Avenue, Man* FL (t%S <Tropc2ly 1. Iu We ev=A of a omfliat hotw= tae trims of tha Contract end the kms of alis AddwduzI the tz= of oris Add ue= shall pm,,31 (1). The parties drat. the Vmuhaw flier; is haft tedaced to Tvno bMott Scum. I imdrod and rwmty Fivo Thow=d ($2,725,00(00) Dopers. (2) Buy.q UrIrm to Amept titic at cdps4 Rib] M to 04 rettd -u Claim of Ue n in flow of A=hato,losical and Mot4timl t±`omss rmay, Inc. MCr), is the VMOCot of SM,400,t]t1, towMed. in Of5cidl Rzwrtfs go* 27014, page 2M, of Elle public itoomde of Mi umi-Dada County, Flacido, The Buyer agmw to W=uuify, de md, and boll hsttuicss Seller w•itit regard to said Crzrm ofLIM as Well as a cataract claiM from Ma wbict re#ates to such Mint of Uest, including oosts and stsomr ys.' fees. (3) The Real li.7LW, Braes o=wis✓ioa (ta bs paid to Fcxt is Thte natiocal Beaky) is to be Tedtmd to $60.OW.00 or an stnnotmt higher, if agreeable to Seller, (4) Aii of the firs stl rias of ttts Gautzactt»t inert hcrewitb siatsl[ trsmain m fall force and vff=t marl to patios bzr4y rarity rix saute. ACAMM TO AND ACC:I;P:t'ts . SW.L V. A -- — Rngac ell, Doe: I]r�aTub��1 , 20(19 Daty DcCs Book27153/Page3642 CFN#20100036311 Page 10 of 17 SOUSTa'a'UTIOv TO ORIGINAL BACKUP. t1FtIGINAL. ("AN RE: SUN Grrmambd Cdnktmd Ft a' • f*. t:Nty t.i["[`ms DOCUMENT, FLcnmAaq=&noN bF fiEAIT r i. PAt7i't1=S Alit? PaOPORTY: aaemel fa?9 A,u+Jor ainadv ctuya "} * apruas to h,y and Is xx c� a �r e�raas � �!t the pmporqdtr � Street Addn�: 7.8��,_•,�riakei�rmzua w Doso*A= Xot 3 Sloak x, X= 9uw=s= M i&# ) '$S viasxi.-DMS co=tyl FL 6" r acW tt� tam €'srerxtaa PrvRatt�: r e (eA � t=a�rtad to ss �'1'�P'a nn the terrRs and ootxAttorrs sei inxt€t '� t �7Sx t14�D ym 2.' PURCHASE Piers 4 ti• {p} Aapo�i.tt�clincowbY at�sest�l k+sae�t2u� xeNco._..�� S bA•R08.o0 is t'+'A�t�'i(d�s w�as�#zi+.i ban0a�amQ€rial a rasoa � Botts Jtoaao H«teu ra• Ea?mr�srtu7arrCxnd+Yr�t�.�o, n3�.•axa � Sasso Pbarser rsttsta�zMaa ne 14, (b) AddaC a€depa toE=e+meato + min dfi ata S bit,tld4.rxQ. sppiratfarc� DOW= Period d (c) Add�mW deynsftio W nwdb � ir6avnil�stts in �- -- — at Mfa4 O DOW se (fl AA dsom't rrAt be avftd b the purge MW at dotba• t dbsn, AkWLi ur to su*uetrmft end prom, t9 ba pdd whb be* • do wn cera or ofiwlni 2D )txtratroc>siet: #cat4r 3`� zt • 3, TPAE FOR At=e Warg EFF"i�TM VATS Ct7�'UTA U*m t u > d br gaiter' and thim ar aasd � s>�tted orgy do�tat3ci � � p�@cs'an of 6�ane . xGp 9_ _-- * � td�"+�€ ba wttatdraun and n 4tryWs depoA Y any, wS ba reWnwd, Tate fine•ior aDuoozi cl any rxxubr Ow wA+ be 3 dap gam tars' doe the tatter x is ftte "ism ii,�a° of dt is reef is ttsm data oa 3Si4ai the tss! bier Stdter rt»d has stgneA zs or 490aW wtd dWwod tttGr offer or t€ o finm aounW aft. car 119 W twW ttdmt roup' tktto Pada. zr Um POWs of 5 drips or ate. Me pa kxb of,$ toys of lays tem be coavAd Wttttnat Atm SASOY, , ar OGWIW 27 IOWAM Arty One pedzd tmdit p oo s 'MAWW, , at r,WCusaii•tepst Mgdq urs vAEvd IM 5:04 pxrs Of the next - bwrwxc dw,11mae Is of rata "OODOo 1n airs Comb=L 22 4t CLDMGPA7R AMD LOCAMONt ftWratlon of-Tue D ligerme: PEriod. sr 0) Cfosmg D.rde: Tads tan"Ormn wr he dmw an is da s[ :* --. -_- po" VOK mom si OWAW by oberptovts€ons or 8sbs• CwhscL Us Cbstrp Lope va mmd Dura ell Ww isms WIDds f< n+ M td aid w to, FbwiaV vtd Due Gt€4ens w parbft fn am Oved kwmm ur d an CbsW Dak and Rpu w it unaWo 43 to obtain pray kwxwm. DuAr may papme. 01b� up to allays dw ttte bwxm-" undervrrtttng suspwam Is IIA4 (b) t.nsat3m: Cbtiv wo tak, in •� wtft tabs p{sce f<x tiw couatty vd» the P�apesly In ici.) Cto�ry rttay be carsducdad by enaf ar. c=ntc mom. V Burt IG6(—).ends s ai�.a a tedgawoali�toaot�yyoEt c+v l9FapetGE7P �. GCA RK low 92m tXttS%LTt i AdFtIO&Raaarwd , R 131A�al4uTRtsrc R 9�Ltn xu�nLmty O"AVW^pL331w. ftai t'Z3U3937030G trAv Pmiv�6d.AA •aaiAtrf im "*AN tAsndI%ssGllbd�ea[ 6 Book27153/Page3643 CFN##20100036311 Wo'&td18JKI Page 11 of 17 % }L! I / 3i li TF R11 PARTY FB AtdCING: m, l3UYzRRw t7BU(3AnOm i RWp e,X d3A (, days VM Wad) rafiar ajad n date, ORya r Wl applyfi r Urd fie y fimanr.La9 In an so, emmat not to a ad --„._,._,,,, % of the Oxame prise or S , Wth a ttrmd Intareet rub riot b s=md — % 0- ri9]`yaW or With an jTl%W Yafiab]0 ki w zg r My natio m=W .r_,.,. %, wM polaba nroD intbna" IX Imn b09 riot to Uza& i 41• rtitfr8 prbul. pal ommn , inr u Parr7i of .ry........,. yam,, and BirM Ud ow jtws, wM 9drtWtBl 6rffw as 1500Y T- to ftM will U* MAds dry and all am a ®rrtofoymant �I errd arrear Jn mmtfon rrmsmasbly regairad by any Iender. sayer aa^ vdR uta t3od WhzWjuimbla eibow to M ob aln tt t fob rnral t�lirin _ _ dajw i45 r�5 If heft blank) frm I3ffla' r Date �5 (i w Ap;wwW 09161 Qf), ,s&4farms WA cxxid3if4rw 01 tttse torr APlauvrtii, and flpl ciuse to loan 9uyo'x Will keep Bafl®r and as l et tlf W=rwd dtx>sit brmt appircatbrt sWx and wrfile>&w av mrWo bmk4r &M Wdv ID dlsv*sa ON suab htsxm &- 47 - to €erbr tdnd i?ktllsnr. tTtrydr nGtl(j Sm$IePrtrixnsdf✓ rtapart obta3rdl fklrax Sl rrr fJ rejcx�d tTa!a iaexia: as hiCc' ATIMI: If l3 yixh afar using owd fraMi mrd ruawuslaka dfd arok k& Io ataiafn LOM Apprv.sai by Loan ApPMWW Data, $ r Rgsr may + dgya (S Buys If {aft t le M dAw wnn edam fps saw dano BW cOw valves No tirrwrww to oonfEr mr-1 or -mob ft corbwt If MW 00ea bihor, tfson SeRor ►trey =10W this Cwtrad by dowartnp wdttara aadue at 0 st"T at arty am ftseimitaG tk*nre t1b *.Anting o erx.'y Im bam mjvim" floc What rrunon etre fd the s a Ma*m, hY Gtr, of tfrase OmMore of Low Aptxcwal Mkdod b rte t:Traparfy. 66 DEPOI)M a) (f r purposds of IPasr twwh 5 on4t. if Bmyw Im umd Usual lelih and ms=" &Qbut does tart obtntn I= u4 AppmW by L mn AWMI mia and %m>aew easter pzariy aieoEe to =Dal srls C:a hvU as wt W Wxrvat or -#)a WxW tabs or 65 TOJM b 0:)w On Of tails tft9 Ouft Data uMW tdcaW Sqds pwt, Bre OKS) $hall bo ruined b Suyw. whavuPm as bm perces tail be mWamW tam an hurter a%mUn under Oft [gawk rt OVt f0f obkg� Vattei k6 OM W- stn wV t v m Uminallm of that; C;mk6t If ns!t4cr party uWts to Wm* abi Otis. Oonwd as so Wh aborts or Bvyw WR Co use good WM or SB rsgaso"WO dpiartae as set forth ubo o. Selfer wig Iia earC W to mtem Ow 0%)Aks) if the'hw a M do" rat case, W R. TTn-F- War kw tf� a IW rapadly to and Lura es mW mwk*b6 tree is ITO E'tnporfy i71 0 UMMY warrarily: 0 Cj other . frac of tarts, mmm to and wwsr6mrsow ofmtKW or kn m b5dev. al W� m pmpertyt for ihs }war Df 41osiruj; his, raWaba mid publte uft crW$ of recart 0adstkv xon�v w and goverrurxaniuf Tupntaquau and (W mW odkw nmstn to w; tilt eta wm be mbjea) es pwvmd dtora WdSW at cf UV no VMMiOA Of it* fra WOing MA oft prcxvicerts i3tryaYs lntarvied uee a(the Flm*y er (a) Evldestoa *f Tlta> the patrtywho pwA the prarrfhrid tars tits hstrrarx poltcjf wlii salat the clashrC man .mrsi puy for es' tm ti6a sasvoh irrrd d!�sirhrr send.^c�s. SeClersti4r, � {t#�or� arw) � 5opefs ©8uyct's axlxe ar�i k�[hIn 6 d�j+c �j alias OWM ode( tar least teas fTsratnp Date ekec IO f3uyax (daesck ane) rc fs) sGta�t t3i�n�nibyallotidaka-"d He b mwa duponSayerwooOnpttvdood.anoumWspo" rf In ft amountufttr> par fltr price for fid a mgo tiffo a aniY to n pWIIS stated atra'ae. )t EILW i$ pWtg lar rz amema of ilia ind Setter tms Qat pr's poo sellar vAl deRvar a oap{to BuW within i5 dare fir• Efrsottve Cita. 7a` 91 44) rat obuirIkofftwame4oaptut itctarerdbt°etit pSabstasretflrhtctrr�rtkrectagtmractb5ant tStitrtt 7; locum er, if wohan ohshrroi is rsot>atsaakable t4 fiejlei, firstrt a pfabt awne r, Hite t Wa ttt tft� propasex! ttts> vor ss ars a lease for reossatksr= a MOMOO maybeand, lira acid star update 70 auw or "i's c�sfrgy ag�it tDgetdter wJJts yr mpLts of air rorvmatsfs rndfsfl to the pdor poaxy emd In the rusts, li auch an sib or pr%r pofkoy Isnot savaMe In °m: Sutter than (L) d1ove wMI be the md&rroa of isle. 7v (b) 'hath EmmirmH L suyar vai, wm4n T& dAY4 fmm wwpt 9f" vmms trf lu da$vaz vAtfen WAICs Io sww ref %e w defer, 7ffla A be gamed ecrptablo fo Buyer if (t) i3apr tsars to ddh sat' ptoiW noflce of Meda or (* guyar dwvws Mpar' ar 1,5flays tmm rbc BEpttrt fi t8 rro9ne (CxN&tAu Parttsci'} K itie crsa aro S2 eared wfth i Ow (�areBve Period, Gloft VAI ocr.€u voWItj 100 ay% km, Mulpt by l3rryar Df uouts of Rjvh cudng, Serle MY 6 bled east to =0 d4id& a 5aitar rascorsabty Wwra esay dated ownhot be ctss'ed wMiln bo PSAWO Parlad. If Sas debAs aw ea not natal uriM the Cameave Period, Sayer vAl haus 10 d%m from motpi. a( nofl:�o of Baffau'S IrOIA y to we ft derma 0 a;+ blad 1h11wwri* tumilriate this Contra+ or accw a lls sWjectto eAufzsg dAch and clam ilea ti'ans.'a ort wfttt t rod:"on In as pvmum price. ar (e) Bur+teya (c3taak �pplCoabfe pmvfslrs>ta bakrvr) t ` i Setter vAU, wft, 5 days f'mm EffaaM Dato, dOwe to Swpr e�*ss of prb surveys, pis,•ss, ¢psraticAona, and tl> rtrsp r,�arastfs, >#�rry, st taaaq:rvg damnents rals<<aAb this Err wac"aon 1�j' , ptepsr�i forSettor or fn6Rlfar'�s G1+ 8trr ) {}>krrd8stftar ) (_.� }¢*xviedlaeraaelptof®co,rriff�tafatev«ttkl+#Cr"aao€Trp+. ccs Rev. im tm= Ei0j* RMTORU AA rdghta f om*d ria u ey o�x r�ror ,amsa ss r nrsx ,nut< � wepspn ftl Book27153/Page3644 CFN#20100036311 Page 12 of 17 ` ,.e Y,� i'. 'a.s iiod.'•,.a r �r"K t.ti � . : 82 PWA"ion, I ich ohc�w FD MX1La * Wdft ChIctim In ttt9 W ani D* b'sMAci M does W moi, 81 cbma Mb PVAW 03 W Soliar vii be r aturaW 05eliarwWn 14 says fiwt+ td d2W #4 (agog I$ termktab8, *** Due Di 1 i gene Period 4' im Buff will, at D ft poem W BSly" Lxtlssand W�w,,o�n,,rt�heq ' 8S tstatafn 8 MMWt O900d K" Of be Prngoriy �t 9 tete'" ""'^' ISWVVY17f. V 1t* SUNW tYi MIS 01Xt0aCtKtiWtS On die W RWWI' or that Lhe hn;xovwaw& aver srh on eta tarda Pf WiQ00`, [3 Buyer wtf w=O the PNq4q With tl t t>g 97" aitu wJi mertixt mich u trwrtfs *W rorigW a fitig dd'od to be cured wt6M fig Gid PWW, as {d} ktt o and lEgra". SaD"rrretWW'&A t4 IM t'roLwiY PMG* t" hvm tt Mid optvrsk a' 7. i'fitCtnrt3'l" CONt?tit W &toner A darnel° the PoPaV0 Buyer atto tirYw agreed In Ns pment pati fe ow4floi, txr'dnaty uo wear end #fret W=Ptrrd, and ra inatrW Via Wdwalft 8-4 MW* in a sxnp ma* txarKhtintt. Saner mate no whrrarAW got 01W thele M ttkstbucy Dt Gtfs. W asxopting the Propxv `M W Boor W Net all dakn✓! pgaf t sobvT kv arty defer In the IM tom!• (T,tep (a) ar (0)) i6 ( (a) As Is. Su M has Umpoded amt RopM*or ta+etsss any mitt b: ingza ani � fhZ� #' ft las W sozxitiit tt, IN,(b) qav Dit$ganco Parton°. r t . at t�ttpex � &A AWA -- d 1lfrata 09t3a&s ('Ow C Sgt 1M patbn t38wmjn0.%j*ffw ttaa t'se sesiy to Iatkkdbt9, in Brat wie wd absow d§xzafion, kap Bsayses hwad uss wd IM ttevmby amt of the Pss pxV 04 r sciW in graph & DMV flirt Me DvWW Ptrfiod, lir MW W ndurk aryl tads, far ttnatyr , mowya and kmufigaikYne (°tri Ot1S) uA� 9W do= nes x 7 to de#utrdne to Buys S Sa#afadlon thO toa PmpwVk aVkmft, erdshmkwA eri*mMwjtef prttranrtiea; z mdtU zW zat* j re bsu ; Saod zmw da*rs Wn and Tea raahiddawl stolon Matte ow corm Wado; WA2"dY Of =x nt to pttbtte mads, W9t". ami Girth 9la ausr ivly Iib WM i0CA ob ie end r &va get n' attivaiviaelt MW MTPWnW40 Wrid UW plots; of pwnlyxf +jirUMM-ttOo "ttt i4p'wals slid O4 =s,, wnvLv" With 6hjwricad vM Mabifa3 Aiabswwcj gambr, #a vid Cmnd wafer' liz 0antsmVia0om and tawr tre� that Buyer dtasars appiopAule to dow1rw Sha Wtabay d the PtL*pMW f0f SUM,* t rs Hl an6u d tiy@' xW daysioMtert awpr ww da*er WaMn W to Saflor peon to #Ie typiraft of the Dtm D15gev" Padod I I4 d &g- a datatmtnatk ca of W tt'rfrr or ro ttte t'FoWjy is Xaspt . BOM% faatite to CW!' VAlb rift nOtIM MWAr DOnt IIs tool etArtaAift axoMance of the Putp" liffm prowt w W =Mm smear Wwb to wryer. #s = tracfim and lie asidwo, rite oatA Ll enter Atte propariy at MW aft on Utta PBrind hlr the ptxptrse of Midtr:111tp lnopsetio= 117 prowttbd, WMD?', beef Sayar. ft hits, conlivot is and aniga eaW MD ROpady and OM9dticf kMPOOMM Si ttiah' ow;i Ila alk. Saw A tttd@m}n,.,t, „y ,a,,nti funm ft84ar hwnl m latme, dim, com, Cid= wd t3� of tit i ktmt1, ung 110 � Was at d kyeb. 07d rtom gay tO "pareorl, a kDV tits txtodisct of s a w4pamom or any tea MMWnd t f $uyr. : Buyer tuff rant su j Qa hi any ' fit! Y ttA iss mgr satdc'a 7 +tt bAvfwd t 6 Property 12t W$10A Sows pour MiMn fid. In W qvwt fhb h'arltaan does rpt nbw, nj Buyer Witl rapair BE tian*DU fe the Iza Pit>p�ty ressla�p fersrt � mirt�rs and rafttfn ttta ptapm'ty b � can,ilHsut h � rn pi4ortn c of ifts lnspac�ons, aal:l ' � C� Bt+Yai''�Y et Bur`s exfwttsttr, rete to � ttna othervxatk t� as a reauil of tl19 �- Sttoub tza BvNcr delivertrianly na8ce ttrs ptupatiy is not i > Stat ggtm filet Buyet"s tgrnstt vhf bs h ur10 taisty m tned 1.28 to Buyoar and Mo Carat t frariu'Mfttsd. . us (r) tat+ofk itlmaoh Insp"f}m, Buyer may, tm ft day pricy A� dosing or any outer time awbatly AgMat.+Ea I+ Lha PADS. 127 c[Mdtut a °� c thmt7Qh" kmpacft of ft Pt*iq to dMara no Wt11}hbrwa Whit ihis pmmph ani) to O*W'O fftr7t all ts; PIOPO4 it on tha prearnism • aze 8. QF'i~R, TION OF PROPERTY UUR[Nq CON' VACCr PVA: Sager wV =Oxw tb ttpo'ais IhD P140 9nd reify tatashtsss W wed sur ft qty ki ills Moffla• oparetad prior W (Wbad and WC taw no 8t>itoti the vtolM advarsaly ImW"d the tae PrOFKVL tatla iW huxlem or busitiom, h any. My chary wsuch as waft vacwrt , that mvftR1*9 HibeLtia t>ttr*V or !2s' flityw*i; kilando tugs of ttlo Prnp&rVwttl be pmnaw a] aalyu* 0"f`s can" wt'itn6q 8uyar"acansent. W $• CtA62Afi3FiltlGi~I3UItly I" (aif Patsoasimi and 00cwpuW. Saber vdg de rvoi%mion and oxupsmy+ok Nw Prapady to Ruyor at closing, &attar Iwlll 1M. ptoM WA remota cttnircia, and any =m^#eooeu wdqz maty b opamte elf bcks, tnaftxea, and 04=AY syaiem& W (b) Gas&i Buyor wM pay bt;Vr;, kw", is", Wras a'ld toxtdhtg f"s an nous, trtottgages W,4 financing stafameIts OW tar teenrdlng f— for to rued. Setter twill pay wheat's altornRW foes, teas on the' doed and rewrdhv feel; for dotz wants n"ded t so to mm title 00(e, -U, If Gettar Is obH9aiad to tthOarge any eixurnb:anc3e at or prior la dogleg and faits la do eo, Buyer may use taw ,Purd=o praw&ft to wdfsfy itis enaum4atxvts, W (o) Dow maotw Sailor YAR provfdo thea dmd; IAJ of UW, Modianes jbn tag9B 4 originals of Blase al*45 a WCO and VI mabWanca wntracts utatvW be assumed troy Bayer attar ii'ts G`bft Data aW hlfttlts b each SW*6 =troche from 9e114'r 1.cz` Buyer R4b (—)MMl�ltei'4G4 ixltY. tOitt3 & Fbdds ALT© Al Rphts Rwermd ParWt'eix 7: mAtY'�Pt +cib[G6FYmu,l�►18 '�sa,l�aNw�n I Adje,..,= Wnilxpf'iHRi Book27153/Page3645 CFN##20100036311 Page 13 of 17 to advielm aech of tbara of the Bala of ihs prop dy and, roppaw , the traveler of Iia oontrock and WW aaastumm .fie *=And" ar 144 QS.tAta*40" w-tived or bvAd by SWJ" lim any mamma-;hAw, pJn tier, a4iowlVa w. rX rrusio W stgrEfL* lit WriMt7 w Wlh lar ev prow, nurmt oopfae of dxa condmwtam Cb=OnK'd app"* mljn Arita abm; , todalad tit rot dart said 14D l ckir eatW btleW WOMrtla of pourtns and Ilcamt , Coned" kst111:1er91: and faflote raWytag it imis Of the dv"O 147 fr1 ovrntuls 4AWAei Bhatti., if rsny "rrf mhra ss to mowtsi an esksppel le8m., 8811" VA CarOf dray# 1*rn1 n re am tt ft xs teams Base Eq (*nba it S;mffsr b a oor{rotanok $Ongr 1491 dedwar a rersptasrrrt of its Bard of Diose ant9'to ting ft W46 VA and *4my of ft ljwd mW cea%cam by the 00r� Secretary cmnft tEta rrsatctt m and seasfna forth U05 ret ONft Oho fro ultra ct+afor.ng b the ttxle6jmteatt3 of LM 3AAer to Vansfwpo-M depmft to Ouytr, Buyar vrlit provt;kt (ho W, doft sigtsmatrt. rraurtp ias acrd ttoEas, swirW ourmilaAls, and k=ku statruWAO. rs2 (d) Tu" wW ps'oraEffuYsc; Real mUtes toM !Wiemer props y tames on env Iulatde pats W proXrty, tw id paymots W assttnrstt by 5W. krfcrost, re4tls, 4LW, teWWx;e }rrenfutnst to Wy°n . and oPotralktq %piss WIN to im G f fivotigh ft day before cl qkV. ff go sttaarnt of Wm for the ra n,* rarer cannot bis rid, rates fortie P'"m U15 Year VAN be. usbd vft dLe m1m >r m bft aniv ftr kr9wwraft and sant! , wr/ to prcxadbrt b> A*l ort an wAmllb . tea v4 sit ms0quvat of etthar paTtK be nevjk-� upoa ra+wV of w tcntgcu's to tM ft provW= wN UrOm daatrrg. tdt {ey 9paolat �sserstttAut t.1sa►s; t,ed, oosrfttrnlgd, arxz r�ied sper,�1 assassinent � srs of em. [9F�7 �efe wif E» pxtd • tM b9 Sa11ar, tf 8 Cetttbr , mr>;`roMeil, taiitieat his payableto �ta�rttc'rus. tao!Uur1�! t1aY et tr�nta due 1m and payat:ila on or bare +f'A (Uft Emla, vO"IrvatWamtfx Ary period wfay*O baynnd Sts CWV Soba pit ShK to W f3w" *v asstarw 411 wwrnwits tw tforrte we aid papalsle ai r gv MAV Dam. 1a ht► MWAm bde £or of 141 s_tf GMsrds tat Ag kindWWN beware duo attd owing slier' GcsFrtft t5M, unless an krrptvwmW9W 8'Jh9mWy uott *sbOdas W of CkS1j,g Date. ifran W provament Is mbsl� rxnlrptetsd as of tris Cladrig Det but IW pat mSUW ki a tam bans Ox if t, lea 8411ar WW pay the fntwoei of thr, Ltd ranlaw or the assesmmit. lei 0 Farsatgn w(mmt to taaf pmtlariy TM M (FUWCA)t It $vIlar is a *ko*n Pitt" as defined by h RPTA, Saar and los Buy w aWwe to -tqu y WM 640on 1445 of the iroAlvi P&jernla Cade. Setter and 13ayer MU crtnl WO, exo:aAa, aid daw IN ea dla'eofed any InuUvrrrrvrd, Vit, or iia Mold TOMM* A96' %&7 to ooillph mt6 the, Fn2FTA f9tvino geft k%b tq for do#M of thea' mspactive "jw U4NOW ldendfi rs rxmtL*m or Socsal hklrttbm ha the daft gent If Sw of los dotes not pay ==dent cash u1(fDsdrq to meet ft wMitoldkig Mukemerit Seflar vA (f tVW b 134rrr art cbli l its& amvmw im -Sh noe a eryto 80*t * Ott im 10. ESCROW AGENT., Sour and Buyer wiftaike 5=wAgwk (Agmr to rco", dopoA encs Wit fards and DOW Prapaaty in in o=m atx4 ram !o a*otiop, &Am aloin in aaagrdMm With fhqamm of Orta' QmfrrA Ttso pwU sgrao drat As*,d in WV not be lPabb tai gap pa= for n*Aav ry of erivr;d gaw to ,bettor or fir, unlus ifltr misdefty Is due tat Arent Wr d rra 1 astir of Oita C cuctr tcx or grcxis mmll yesxaa- If Agonl hm dWtltss to A.genCs dafas or rr*StltW WXW ittle Cot'tEnA MOM rtiay, 174 mt A9WS, opttan, (a) hold nts aWowed ultra wiGl the parties 1lkrkrtafq vWqo b ft dbbM v or WA s OWit rd Onpa mit M )uris*tbn or wtWawr daterrrrhrrss ttre zt m of ttm petits or (b) dtzposu ttre oquvmd items voi itis clerk of tto oatef having Ira 1Lvb d ADn OW tbm MOX end ft m action ki kil&pbadar, upon tWAtptng the paru" of such 1n, -40s9)t 14 bo WORW4 from!' vT all mblity "apt ick' OW defy io arORtlnt for Item mvb&wy 6*9red ow of esaaow, If dant is a 11mrivid real 00b•txdbw. tra AM* vOt cow4*j MM Giaaglsrr 471r Florida ;3tatahm, In any eutt at wit h Agsni Ird4u1>lssds Ore• aecrovvej qg=Qr Is made a party ren bW.2 tuv of Rdnng as ,agent h%wxular, Agent vdf re om rtassaeabla aaxft ys ku WW 006b (rtcr.ured, rvM tt ve� * rr W* to bo lair w1d trwn and out of ft ss Cmd tisim W chargr.d mid ashvdutl tis o en co sio k1 favor of Ere pry Baty. IM 11. CURE KOJO) Prior to tiny dr7W tr WWA hots made, a pwV wet have wt OWOAUhW,to MV SW 01184ed default It 182 a pity W13 to mi" WIM any ptxyvlakut of !Itis 'fho UBrei party Wq d" Wttlicnl room to G•ui ti0i}iaam4tm party 1M'epasafptngQW. rm-=V Y Rnon- avY4PWiY*8bave _ dw (ed tfiAbhati:)Offmtdallva'!cirwctta060to 1e4 QUM the tM-CoMplian-M. 1t4 12. PMURN OF MOW: ).!aloes ofhan*4 apaajs f in the Cotdract, h1 itu aWnt arT C7ndoon of ittifi Ck7n$a0t is no( met, tss end buyer has tknaly-alvoa my required rwogea reganfing the r�aadHxsn haulm t no been ntet. Sayaelr tleposft wt be Mursed In W aowrdatxas with volkamp hilyrirla Ishii and mumom ied 13. bW-AI.IE.T.. les (a) In tho event the sale Is net nosed due to mV deiadt or Wire m the pari of Seiler ether ftn fanure to m" ft Otto, Ix markatWo3 sfter dD> wA afkA Sugar rmy err (1) rm&e a refund of Buyaeo dopowli(e) or (2) oaek ter.; prvfrxrmnca. if 101 ''SUPT' 1al.-is a dep*4 mfvnd, SotlnrvAO be bble tc broker for t1v full amount of the brokornp foe, 192 (b) IP the $vent the sate Is nat*sed duckfa"dafk4tor "maQrl tha W of [luytar Sonar may ander ('P) tarsal eR mos its) isz paid or sgre:ac3 to be pail by Suer a9 agreed upon 9qudalod darnallas, coneldwaPaiton fir Uvexacu8an of this Cam and 11W DwrqW—) (—) end a ., .,_) L--) aftoymd40 rtoslpt of a �Y or tits paev, w(% b � 4 of, po-gt . CC,3 RAV 'iQJM QZDW Fi7ridsRss� of*,AQORW At td A%*NW ? bYAA.* 16 19Puartriaawdk5aac.6lkNgyad6¢ltl jwA4Wxb;m WtIis FrEs$.i Book27153/Page3646 CFN#20100036311 Page 14 of 17 •. � n:'• .< f't.l,>c„ ;,,; a pit.,, l< f( to to U wwwriLor any r<tabu, ttlxxt whim Orris wjq fora vie or (2) sak spar a pe,"W `arm dt :aGa` rdeirta to tea dapaA taa'itly will pq the Hraktrs rtsrrrod In pumorq* 2p ditty purotrrat of sK fodettad dapwb taWbW by 5sllw (to be e7M +ar e4° am�q irsa tArairhrs} up � fhs iuU artxrttnt of itw � ias. ' 1N 14, ATTORNErS FM AM Cty;it'3; Pn any daf•{rr or =*orM aristtr& out of or rowfYyry b th(fl Contact, tlas pvvw#r4g p V, tR9 'wWch kx p rrpows of fiyts pmhbri v9 induct@ Buyer, soWr tmd Burka, Wa be wi&dsd ransruwW A tarmtV IM$, , and 200 expaasm ml 15, NOT1GEw'; All notdcos tai be in twft "naay be dekvrtred by mA psrscanai dsUtfoay, or atestro* md= Faatfas egroe 10 "2 nand rdd WA= to addnwm sps4gad on ttaa a 0winre Mo(s}, Any notloe,dwvrnwt, or ffam aim by or daGvwad to an vl)My roa or real she ir.�rt (�9 � le�t� brzakst'} rrataresair�rfg a party w1P b8 as eiffrcfdvet ar; is guars hYar detMerad b.dtst ps#y. '04 16. 015GLOSiJ , xs (a) CattutasrcW' Riat 4WO SWOS 010=14'4fen ltsn Act: Ttae FI; & CAr MMM Real lwSWO Saha ODME9sM f.tan Aaf zv puvkw Smt whrN'r a bNksr 40 %aced 0 oomniss by pod"nrrnit k""d smkw utwer a hrokarwge t "Amt vft You. =r fire bmkw may dakp a ken ogeinst yzusr rpt sales pmataa& fcc to bmkors =vn6si= Tlao WoWa Gen V* Dndar Sae act am =MM be %WvQd woad file rxZVTkls-*tt k earaaecL av (b) Sga?tdat Aast- a>enE Uaoa fsnpomed Ly Nbbc Body- 'iiata 2 ropes y nw ba w4sui to urpsid *"dW aasaswWd flc rkw 210 bpoesd by a pb67 boo (A pubic body`' dt>virades a t:.phamu* Dw;elepmartt DEst 1rL) axb pan! , tf Euv, shad be paid as act Zit fW92 riRZ-. raP29.(4 zta (c) Woo Gas; l�edonis �nakfrally�cutrfYagrs��+�t��ffiFat wirerrRh��cumu�lfriai>�Sdk�ilne<rCticfcntrits�rRriEes, 213 nw prirsmd h%ofth risks to pet nz wo #M mtposw to S war Erns. Lams of radon acct wtead faderat and slab gvir 4w* Z14 ram bow band M i>aflidlrW In 1='Iodda. Addtonw ktror'rmut * mwft iacbn turd ria *.-Ikig may be owakied fmm your It's ww-atypubkhaaEtlrcorp. ase (d) awy-U'itoirzncy Karina lafwmvvam Buyer a&wMadaw r mV of lira hai+ mibn txochum rra7retre4 by Sed - 217 W3.9K Fbicia mtatates. eta 17 MK OFJZ9., ere YL) if, Wl er 9v Mdvp Da{a ttnd b5loto doft, lite F+nstr" is du e* by ire or o2w awAm ty, t3sller +xis bei flea aE of M toss and suyerr UMY rxtrcat w wnt trawtat Dwr[t[tyy clad IN be reiretM In Buwr, 03rtaauys6', Btslrar veld 22) ba- fire rypra n of pore zr)g fire pwpa ty at tfle Qraed trpnra p� pd.-& aA atter will fransfer b Buyer at ri i" eay x lnstrMM P*c6edr% or 500fies aft to any krsurdnoa pmc4ads peyabioU he damage. Bauer w1l mopmle vkkr Orad asst zas auyvr In collet anysxxh pra 4eds, �d (bi tf, �iaat 8m Ed)'r�ihrra l�da and befaa�a rfc�ing, rayy port of rho f'roprjrly 15 tOkarl In cxrrdetYu>ailC>tt er under � tigit4 � arrtlnent 225 dofsaaht, or proc 6lga for 31xh ta%kv Will be PMjraa-or ftswan4DWW ttMY M)w U* LatlttrlGt WNVW now and Ms zea dePslt(a) wki be te{x+med to Suwr, Aitarxra>tvedy, SuYsr wm haavo the opat of pruchasdre:7 what is loft of ft prweW at dw m' agrSed ufor fatuvtaaa s price and setter bulli tr> mkt b Uw Batysr at d oft fire fiweads of+anr awed, arr'Oodea dairn b any M award payable for t a Wng. Seeder war cragxrafa udtlr and asst Boyar In cobeaddng any aatrch uwwd. z�.1 & AB.4fQIdAt3tU3i°; RI�tSQtf.s BCtUt�f: i7a� t�aatb2r;t traay ba asd � a t+f.enQty, and odhraravlsa i.� � nut 9arsrarsebtas xxr r� Is na�a,'1'irie l "8eayer." ":3arter^ Orad •Btrak.�' mrty � eingra}at rxplt�f. This +:arrtract ta-taiprdkrg upsrn Suyaor $+aUrrr 2st and ttretr bWra, persona: mpe-senigav" suc txaamsL rrd assl4ans (S ssaignmantls parrsrNded}. w 19. R+114 E LAAiWUS: The trims of fhls Ccanfract ol-aftftthe oraNte agmemataf bstwom Rqw and Sonar. h Paas df M this DOWact W9 not be bf[arihig uryesm In wrtiittg, elgivd andr Anted by the psrly to be hound. SignWurse, IrXLA, d-narMts to re need to thfa Gamma cow anti W UM nw;iffa *Uons toms urr aatec6rouffON or on paper ww. be was - *WS M far 91; PurPosft, Irsdtft delywy, and dl be bh*i;, t3wdvarif en or fypavtftl terms kn3atad fa or akw-h ti b fids Rmtract M pm"a twat d%rapAnw tarmv. If any pmwon of this c.mEracd is or bocoararaa kww or trrtst tmoabte, rail mmtatning pmv>sbm vaR rrr aar&We, to be iutiy' ulke&t e. Trick GatatractvrGl be aanstrtsd under Fkufde iaxx end W roof be m wrtded In any p! -Wo records. atirm%dga wWda rmpy of page, whkh is Pao 6a`7 Paves. Gc-3 RM low 02M l; ow' d 'RMT011 to AQRpfat$mad 77pt a b br+f u 99018 fmai l�rta�ad 4�s w �xYa7� IVetk grx Book27153/Page3647 CFN#20100036311 Page 15 of 17 .,'...I Ti A - t f X987 .71y, 13ROKER.S; Nalffvr Sober r[Or UU). tM Usrid 1113 =11.110 Of. W tk STly Off✓ M aWn OWW C*MP(X=t'rA to, V I1i;Or r*01 lid --Wi 3 Btmupr othra" 11m: mi, W SOWS stokor., _ �l0brelLm =tram > 4a�an tiarsk$�I�p� _ , 242 pmrp6pv Nan*) (1-bCftiLOO� W ZW who Vla ttsfrr)Soat7uai�j fsafxtrtstalkxtbrokar� ratxnobc t1Jwn��ta� , vri�vecanpens tx� WIT — Ll Buyer 0 bots to t" pursuant So 0 e cs tp eumammd 0 t7uw k>e alM 4�_- HIM Ade" (b)$upespMkpr...,„,tP+;TUNiw 0N7'Y:FtV,erdf9dtirir ,t LIS u e t4roapmrtp tom) Q ice gaoi Z�'' 1yh0 � ka>ta�ettf[� tsatran�cffcxttxa#or'�j fiASl{-it}4t'it�G4ft5f1f�AJY(jlddigUte�f?CiD�tit�li6�Y� 6...P SCSkf{t " Stakor [] Sallvr ® Buwr El b* paries pi ward. o Dan ,S ' Plt rr D oftw(spodffl 4bC' ary fwt rwt elf teas, zw kdmddlbm, rxuAaift&rrAs, sm! a toblIa s iBwAr i in tits irA a.am S. -W mW 90yar Dow to hdmtn* vAd fsaid 1*01ar m, PtamikaIts from aW avaM &sesss, dw uV*% vo%4 ami's"os s di *W Wnd. k4u4V mawodA* etkrmaYV f -s at 81 wv'Ns, rm ood frcan rteW* m atry aaraart, aliuhv tart (1) o mpa m dnfaad wr Ch Is BA:oftMW wub IhD WmftWlbn Ih tlds 2w t ph. M G*ri}@q' wkg arm fir Wiled 8 jyok Sp IN p puma to Fritagmph 14 (a) OM duty gtcx�W by &*- at tlz - mquost of S Rur or Uuyar, w hWh lu boymW fv soups trt VMJXa ttKtWW by Cfwt*rM, FkxW fes, go smatdK or (4) est reocrfiimidasyerm of m umvvw Wwkfad brut uVerts" k m -A by my $thd party whmi Sraaw teftrs, Ma+MrwJ$, orr t&A �2 for a• ort i>nitaiS cd Selfor or L•Wyrr'. ' 3 2't, L%'f'TTi2PdAL CLAUSE3� it;fapr3c ifnnyaf its fa%ovArtg uses arA ap;.iicahfei syn aEEf e4 ert adCiratcklris �'italfattlrac: 264' i At&vcxt wvo,- s Propwtynssiv t{Dv* iiwA+�mmzr zonenfroi� [] vW xCt Sdw ftisp vumatt lr , Ll ask" Flrs vt*tq oft 2m 2;t. AI7CitT ORALTt RFis. IW zee'...m..-.-.-P...--...........a.,,,....,. �........_.._.._...-.-- - xrr' - - 271; TFNS IS �O� TO 66 A LF-GALt.Y MWWG COWRAr, IF NOT FULLY IJNs3k:.i?;IT'Ut3M SEEK TIi6 ADVICE 2W OF M ATTORM MOM TO SMW(k PROKER AMM SUYFR AND SEf.2.•ER TO VERIFY AL1. PACt3 AND xnt FMPRRBi: aA'1TUPI5 TiAY ARE IM PORTerW Tq TRW AND -to ;KMSULT AN APPROPMAT8 PRtlF'i =NAL. m FM LWAL ADvIM (Mm P3G4A.1PLp, tN4'k7RpptTSTMf3 CONIRA075, DrM=N= TNM RFFMT OF' LAN's dW las ME PROPE,fiiY .APIs TIi/+NSAC110% STATUS OF 71114 PORMGN INMTOR REPORTING REiN7tFdEllft wst nab EM), AID FOR TAG PRDPgRTY CONDSTTCIN, EIIV RONONTAL• AND OTI.M ADVICE BUYER AGaiC%IOW EOGEV m TH T SROMR DOES NOT OCCUPY TtM PROPERTY AND 714AT ALL 1? FE NIAMONS (DKAI„ tVMMN OH bas OTHERMSE) IsY BROM ARM BASED) ON SELLER. Ri;•PMf.PdTATtOKSr OR PtiHL.IC RPMR118 UNLESS 9ROItESL 2V 3NDICAT`3 Aln SDNAL VERMCATION OF THE REPRESF.NiJLnOC L FVM ASS TO RMY SOLMY ON Shits=ft, 2&t PROFS OVAL.INSPU;GT RD AM GOVERNMENTAL AiiENMS FOR VMFICATION OF WE PRO:'UM CON'} MN, ass SQUAs5 FOOTAMAND PACT$ THAT MA717MLLY AFFEGT PROPERTY VAU - xao' Ruyar ( ( ) () attd vblW acim r t oft. eqy aidts Ste, wfttus W SOV 6 7 Pages 01-1 Ray.im 0 2 Fk-wu 4 F�LrfCFt5� AhTf, ResaVrxl *kxndYA7+ A'l a3fl.gtk Iwo t9rym WCH" 01W,094m4m ZmAtnNom wchvrlHi.I Book27153/Page3648 CFN#20100036311 Page 16 of 17 QR BK. 27153 PG 3649 L -AST PAGE Cl.W.&%IT, 3AFtd£';1?V,' L CAN ar.sY,e,• ti taa Each persnn 412ditp Ihts weati av Wl" of a parbr W 4 a bt sa wiry regia and warrants b fie other tally tud m aoh sWnakuy hu M poW old mAho* b erner br$ct and pWjxm #6 CY.r*aat in a c mdarvib V& ft 6am1e and aw h 2n. wmatift Us Cbl amf.t+gw dpumataa.ori behalf of such parity tm bemy dilly asstwttzed b da els. 2W�.tr-..���,� W �l ft=!p �or �m �igum T& M,,, arF'tfad Na€ WNUt zap tee: _ T'oiopfrma aa€ nates �►ir�� `..a...�_._�.. tom. Wt' Mz c i Pr�nl�sd sil Buyer) Tax W Na -- - MW Tim Tetaphcxie . xw Buyoes Address for pmpom of rtetlo�° 4% eta (typed ar g - sm9 DAB: — air r-aodmne° _ teak 11 Yze Todotiu» _ atw owe Sae' Tlflb'� , TB19�€110tYr� gra• tt19 ata. WZxaOfM;r'� &W Tax ID W- 4% eta (typed ar g - sm9 $ie• Sot W$ A°d*m4s for prirppse of m9w; air r-aodmne° _ �maq• `_. no AmmWou d I`m j0m* m ao tvnm rcft AN to %W no %W* q' ub d'ay P **-Ma 0 ft bm h Svy pia 6 L. Tkh Lwxlmraw fFm show To Iw Low ha -w1h MW or Bis km rs r a tr ma by Ax -" "N 04610hft4 MW 14Y1onii€ 2* sw a A7t tom. Ti8aL1`Onk a ata iaefibm tli amt wft mw bE MW 0*bYmd a ftxcaeor WA aaeawtboadtae9iA'rSOrt»LAS�C�tY•ri1t0�fY'flF�a<itlWb6 bIKC4'Joar&$taa 7h*-W,gW18-4(N0vw: »flru yrye,a��aa�oawb7.oseumia€hY=9e�ewmP aAattr�vit►ac iniad Sia• Bnper. tar t _ _ , JknoNp rarsip ois easy of thfa { vd€tah is Pnga r ot7 Psges OW F ce& CGfLS@t An FOMO Fteamted km vie-%pfim 1 RECORDERS NOTE The legibility of writing, typing or pftnttng unselidWory In this document when tooeivod Book27153/Page3649 CFN#20100036311 Page 17 of 17 I Op CITY OFMIAMI 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 Itcaring(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: Carlos A. Migoya (FirstName) ( ld a) (Last Name HOME ADDRESS: (Address Line ) (Address Line 2 CITY: STATE: Florida ZIP: HOME PHONE: CELL PHONE: FAX: EMAIL: BOSSINESS or APPLICANT or ENTITY NAME City of Miami BUSINESS ADDRESS: 3500 Pan American Drive (Address Line ) Miami, FL 33133 (Address Line 2) 1. Please describe the issue for which you are seeking approval, relief or other action froin the City Commission, board, authority, agency, council, or committee. 1814 Brickell Avenue 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? n YES 0 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. No.:86543 3. Please provide the name, address and phone number of the person(s) or entities to whom consideration has been provided or committed. NameN/A 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. N/A S. Describe what is being requested in exchange for the consideration. N/A ACKNOWLEDGEMENT OF COMPLIANCE 1 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 ti for the same issue shall be reviewed or considered by the applicable board(-, in ti expiration of a period of one year after the nullification of the application or or r. PERSON suBmiT TNG DISCLOSURE: Signature r nt Name Sworn to and subscribed before me this _I '� da ofJie�1 _, 201.0_ _. The foregoing instrant:ent was acicnoivledged before me by - � � _1gj0* who has produced G�ntal i "� as identifivat' n and/or is personally knownj6 me and tvhv did/did not take an oath, STATE or l��r'�'iZ rsq pig V. , CITY 01, MlAtf lr `rr MYCOMMI MY COMMI SIGN E>tl'Ipl~S' Notary J +ic9edthmEXPI RE S: Print Name Enclosure(s) Doc. No.:86543 Page 2 �°s•RCOI � J �� i 9<jc\\ nf. � •C� J �." . �.g n4 1-1 rao'ii�r5�," 14.', nsr S dQ xJ J fill x a still' 2S f BOUNDARY SURVEY�IA DeIta Surveyors." IJ053 SIV 133rd coup AIIAA: II• it s nano 6 1-1 ��" _ON syr _ NP NP arc `_coo'>F� -- �' "f- =o� UR _ cm c�c _ o _ - Mash = �°' - z'��_ _mn omo-mac - _ MA wild _ =pile E __ _ -` _ 11 Ell AW AW Ivan 7� 01 5 RE m� 5o�° e^T _ MAIN! u _ _o<T _ N om is y -1 WHO _og�9 _ �m Cn - -_- ro\�n� rim SRIo _Ag -- - DOSE r c� _ o, plc, ��-- P jilt BOUNDARY SURVEY�IA DeIta Surveyors." IJ053 SIV 133rd coup AIIAA: II• it s