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DEPARTMENT OF HEARING BOARDS 444 SW 2nd Avenue, 7th Floor • Miami, Florida 33130 Telephone 305-416-2030 • Fax 305-416-2035 PUBLIC HEARING APPLICATION FOR A SPECIAL EXCEPTION Welcome to Hearing Boards! This application process is for your reference and review. It is intended to serve as a guide in acquainting you with our public hearing process. Following are a series of concerns/requirements for you take into account. By any means, please feel free to contact the department, should you have any questions. CITY OF MIAMI 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. The responses to the attached application must be typed and the complete application must be signed in black ink. It will be accepted, along with pertinent documents, only the first seven days (1-7) of the month from 8:00 am until 5:00 pm. Please note that the cashier located on the 4th floor will close at 4:00 pm; therefore, the complete application, reviewed plans and a paid receipt must be submitted. 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. 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. An additional recordation cost for the resolution is $6,00 for the first page and $4.50 for additional pages. All fees are subject to change. Also, for City Commission resolutions, please 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 has a signature from the Planning and Zoning Department designee. Applications given to customers do not constitute action from the City of Miami without plans review and written comments from the Zoning Division of the Planning and Zoning Department. Rev. 09/29/03 Within the City generally, or within certain zoning districts, certain structures, uses, and/or occupancies specified in this ordinance are of a nature requiring special and intensive review to determine whether or not they should be permitted in specific locations, and if so, the special limitations, conditions, and safeguards which should be applied as reasonably necessary to promote the general purposes of this Zoning Ordinance and, in particular, to protect adjoining properties and the neighborhood from avoidable potentially adverse effects. It is further intended that the expertise and judgment of the Zoning Board be exercised in making such determinations, in accordance with the rules, considerations and limitations relating to Special Exceptions (see Article 16 of the Zoning Ordinance). Formal public notice and hearing is mandatory for Special Exceptions. The Zoning Board shall be solely responsible for determinations on applications for Special Exceptions except when otherwise provided for in the City Code. All applications shall be referred to the Director of the Planning and Zoning Department for his/her recommendations and the Director shall make any further referrals required by these regulations. l Peter Previti, on behalf of Dumes, Inc. (Contract Purchaser) and Central Residential, Inc. (Owner) hereby apply to the City of Miami Zoning Board for approval of a special exception for the property located at 4491 SW 8 Street, Miami, Florida 33134 folio number 01-4105--047-0430 1. Three (3) original surveys of the property prepared by a State of Florida registered land surveyor within six (6) months from the date of the application. 2. Two (2) 11x17" original plans and one (1) 24x36" original plan, signed and sealed by a State of Florida registered architect or engineer showing property boundaries, existing (if any) and proposed structure(s), parking, landscaping, building elevations and dimensions and computations of lot area and building spacing, etc. 3. Plans need to be stamped by Hearing Boards first and then signed by Public Works on the 8th Floor, Zoning on the 4th Floor and Planning on the 3rd Floor, prior to submittal of application. 4. An 8 1/2 x 11" copy of the plans after signature from the above departments. 5. Affidavit and disclosure of ownership of subject property and disclosure of interest (pages 4 and 5). 6. Certified list of owners of real estate within a 500-foot radius of the outside boundary of property covered by the application (pages 6 and 7). 7. At least two photographs that show the entire property (land and improvements). 8. A clear and legible copy of the recorded warranty deed and tax forms of the most current year that shows the present owner(s) and legal description of the property. 9. A clear and legible copy of the subject property's legal description on a separate sheet of paper. Rev. 09/29/03 2 10. Is the property within the boundaries of a historic site, historic district or archeological zone designated pursuant to Chapter 23 of the Miami City Code? (Contact the Preservation Officer at the Planning and Zoning Department at 305-416-1400 for information.) 11. Is the property within the boundaries of an Environmental Preservation District designated pursuant to Chapter 17 of the Miami City Code? (Contact the Preservation Officer at the Planning and Zoning Department at 305-416-1400 for information.) Gross Lot Area=24,249 sf or 0.56 Acre 12. What is the acreage of the project/property site? Net Lot Area=15,410 sf or 0.35 Acre 13. What is the purpose of this application/nature of proposed use? Assisted Living Facility 14. All documents, reports, studies, exhibits (8 %/% x11") or other written or graphic materials to be submitted at the hearing shall be submitted with this application. 15. Other (specify and attach documents explaining why any information you are attaching is pertinent to this application). 16. Cost of processing according to the City Code: Special exception $ 800.00 Special exception requiring automatic city commission review $ 2,000.00 Extension of time for special exception $ 500.00 Public hearing and public meeting mail notice fees, including cost of handling and mailing per notice $ 3.50 Surcharge equal to applicable fee from item above, not to exceed eight hundred dollars ($800.00) except from agencies of the city; such surcharge to be refunded to the applicant if there is no appeal from the applicant or a property owner within five hundred (500) feet of the subject property. Signature Address 5825 Sunset Drive, Suite 210 Name Peter Previti South Miami, Florida 33143 Telephone (305) 662-9504 Date 5/10/04 STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me this 10 day of May who is a(n) reviti 2W4 by Pe individual/partner -gen corpo f Dumes. Inc_ (Federirn T3atrrten-igo) a(n) individual/pa ship/ orporatio He/She is personal] known to me or who has produced N/A as identification and MY COMMISSION # DD 264951 :o= EXPIRES: November4 2007 Bonded Thru Notary Publao t<hdetwdters (Stamp) Signature Rev. 09/29/03 3 06l08/2004 1@;45 3056626967 PETER PREVITI ��,v� & Ut 'as�+r as62rtutt{il;U UPALNIGO MD PETER PREVITI 05/25/n04 12:24 3056626967 PETER PREVIT1 PAGE 02 N a . 715 5 PIP, 2 02 PAGE 05 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, That FEDERICO DUMENIGO, has made, constituted and appointed, arid by these presents does make, constitute and appoint PETER PREVITI true and lawful attorney for himself and in his name, place and stead, giving and granting unto PETER PREVITI, said attorney, full power and authority to execute and file the Application for approval for the transfer of the present-ssisted living facility (ALF) at 4491 SW 8 Street, tvliami, Florida, as required by The City of The above authority shall commence for the year 2004, and shall terminate upon obtaining ail the required approvals, allowing the transfer of the ALF and the special use associated therewith, and the ultimate sale of the proporty and businms. IN WITNESS WHEREOF, I have hereunto set my hand and seal this c,�, `' day of lc( 2.td Print Puma ar 1+Jiiness , 2004. Prin( Name d` witheda STATE OF FLORIDA COUNTY OF MIAMI-DADE Federico Dumenlgo Addrtss: The foregoing instrument was ackn. =, r ore me this`-tr day of EFRAIN A, RENDON, who Is yersonally known • me or who has produced a9 ■- ort. MY Cvnmi55 Ctn expires: 62ai ii.477-6-c Pri (Serlel number, 2004, by c .•C1etiTM` ` S ty� ;'R11 11is" • (1616812064 10:45 305i;1225967 PE R PREVITI �ui 0. tUu �3sSl�Md6bb."F[ijt 9!/25/20e4 I2;24 3056626967 PETER PPEVITI PAGE 03 `) 7 155 FP , 3 In PAGE q6 SPECIAL POWER OF ATTORNEY DIJMES, INC, A Florida corporation, with its principal place of business in Miami -Dade County, Florida, does hereby appoint PETER PREVITI as its attorney in fact for the limited purposes of executing and filing the Application for Special Exception for the transfer of the present assisted living facility (ALF) at4497 SW 8 Street, Miami, Florida, including but not limited to matters pertaining to the application for special exception and all other documentation associated therewith require by Mimi -Cade County, Florida, or any ether municipality. The above authority shall commence for the: +ear 2004; and shall terminate upon obtaining 411 the required approvals, allowing the trOtafer of the ALF and the special use associated therewith, and the ultimate sale of the property and lousiness. The within power of attorney was granted pursuant to resolution by the Board of Directors of the above named corporation and said power is hereby ratified and confirmed granting unto PEER PREYWTI a1t power necessary to complete the purposes and intentions referred to hereinabove. Dated this �0•2,5 day of Print Name of witriCls STATI" or FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowis FEDERICO DUMENIGO, who I rsonally known as aon. My commission expires; 0,7 f/ ¢trial ny e•erico Dumenigv, Presi•ent/Secretary Address: me this ,, day of , 2004, by me or who has produced rI�,a,,: VL. _Vtiiu. Iv• 06/08/2004 10.45 3056626967 PETER PREVITI r.€j' rxtv_1! PAGE 04 PAGE 0$ g�c3 POWER OF ATrrNEY KNOW ALL MEN BY THESE PRESENTS, That EFRAIN A. RFNDON, has made, constituted and appointed, and by these pr3esents does make, constitute and appoint PETER PREVITI true and lawful attorney for himself and in his name, place and stead, giving and granting unto PETER PR VUH, seid etttlrney, full power and authority to execute and file the Application for approval for the transfer of the present assisted living facility (ALF) at 4491 SW 8 Street, Miami, Florida, as required by The City of Miami. The above authority shall commence for the year 2004, and shall terminate upon obtaining all the required approvals, allowing the transfer of the ALF and the special use associated therewith, and the ultimate sale of the property and business. IN WITNESS WHEREOF, 1 have hereunto set my hand and seal this ,24,0 day of Efrrai i A. Rendon Adress: „rietJ L� STATE OF FLORIDA COUNTY OF MIAMI.DADE The foregoing instrument was acknowledged before me this _, ay of , 2004, by EFRAIN A. RENDON, who is personally known to me or who produced�� �j�: /.a1 as identification. My commission expires: emAlYwPieuo•i4;-kEE4 expires 4°14 ° 7HkU Nor r Notary Fub Plinked, typed . r gtamped name' Eia€ n+irnote. anyJ 06/08/2064 10:45 3056626967 PETER PREVITI PETER PREVITI PAGE 05 PACE 05 SPECIAL POWER OF ATTORNEY CENTRAL PALACE RESIDENTIAL, INC. A Florida corporation, with its principal place of business In Mart-n .Dade County, Florida, does hereby appoint PETER PREVITI as its attorney in fact for the limited purposes of executing and filing the Application for Special Exception for the transfer of the present assisted living facility (ALF) at 4491 SW 8 Street, Miami, Florida, as required by the City of Miami. The above authority shall commence for the year 2004, and shall terminate upon obtaining all the required approvals, allowing the transfer of the ALF and the special use associated therewith, and the ultimate sale of the property and business. The within power of attorney was granted pursuant to resolution by the Board of Directors of the above named corporation and Said power is hereby ratified and confirmed granting unto PETER PREVITI all power necessary to complete the purposes and intentions referred o hereinabove. ated this day of Q y' / 2004. Print hire / Prinz Nerve a Wttriess STATE ©F FLORIDA COUNTY OF MAW-DADE ,Y.exe:9 / A. Rendon, Pres€dent/Secr tart ess: tl. " ,ate ` l The foregoing instrument was acknowledged before me this _ EFRAIN A. RENDON, who is personally known to me or who h a5 idtntification. My commission expires: NESTOR ALVREz COMMISSION #D029 028 eEXPIRES Of f/2O08 Notary Public Printed, typed or anted name: (Serial number, if any) AFFIDAVIT Before me, the undersigned authority, this day personally appeared .F.PAIN A. PENIION, President Central Palace Residential ,The wino being by me first deposes and says: 1. That he/she is the owner, or the legal representative of the owner, submitting the accompanying application fora public hearing as requited by the Code of the City of Miarni, Florida, affecting the real property located in the City of Miami, as described and listed on the foregoing pages of this affidavit and made a part thereof. 2. That all owners which he/she represents, if any, have given their full and compete to act in his/her behalf for the change or modification of a permission for him/her classification or regulation of zoning as set out in the accompanying petition,including responding to day to day staff incluiies; CI not including responding to day to day staff inquiries in which case he/she should be contacted at ...___ 3. That the foregoing pages are made a ball of this affidavit contain the current names, !nailing addresses, telephone numbers and legal descriptions for the real property of which he/she is the owner or legal representative. 4. The facts as represented in the application and documents submitted in conjunction with this affidavit are true and correct. Further Affiant sayeth not. CENTRAL PALACE RESIDENTIAL INC, By: EFRAIN A. RENDON, President Applicant Nance Applig nt Signature STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me this ? 1 _ day of whoreis (n) 2004 by _�E __:RENI)D president ._ ---- _who hoC individual/partner/accent/corporation of N PAI A.CEDEN.TA _►�-= . a(n) in€fivi€ uatfpartnershiplcorporation. Ile/She is pers rally known to me or who has produced FLORIDA'DRIVERS LICENSE as identification mid who did (did not) take an oath. er N Nestor mane si sty coma, comeso Exores WY 21,2004 (Stamp) Signa-1 Jre DISCLOSURE OF OWNERSHIP 1. Street address and legal description of subject property: Lots 10511 and 12,Block 3, TATTIAAlI PAPK, according to the Plat thereof, as -recorded in Plat Book 16, nage 51, Public Records of made County, Plorida. 2. Owner(s) of subject properly and percentage of ownership. Note: The Mianii City Code requires disclosure of all parties having a financial interest, either direct or indirect, in the subject matter of a presentation, request or petition to the City Commission. Accrdingly, disclosure of shareholders of cc.irporatiorril, beneficiaries of trusts, 2ndror any other interested pasties, tr>gether with their a(Idmsses and proportionate interest are required. (Please supply additional lists, as ;Iripli(;able.) Owner's Name.__. 7 LT, et/ 277.1i f 6-�7- Zip Code g/►'"; C4 6d Mailing Address Telephone Number � 6S, n h (lender t 00c7,0 3, Street address and legal description of any properly (a) owned by any party listed in answer to question #2 and (b) located within 500 feet of the subject property. (12jease supply additional lists, as applicable ) Street Address O er or Attorney for Owner Name F RAIN A. RENDON, President CENTRAL PALACE RESIDENTIAL INC. a Florida CoL noration STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me this 11 day of T'carch. 20041by EFRAIN A, RENDON __22r_e dent_- — —r _who is a(n) individualipartneriagenticorporaticm of _ca�L"'"_ s .r atH„s. ' ' ,—i _.-- a(n) individuallpartnershii icorporation. lie/She is personalty r1 dowel not) n to e oreantoathhas produced FLORID R�€"t=N`�Ii._ as identification ami . *my Cof,i-mion ocoaano xGirsa May 21, 2004 Legal Description 0Wrier or Attorney for Owner Signature (Stamn1 Signature 1:111: 14 LVV`i ilil) UV• }CJ riF LI.Lt1L t'HA NU, J 44bikfti P, U 1 Riga 4' tallow i.I- seine PM'Si forOWI 4 ltr., Mw' Tia wivswt! hprad 17, tduardo Arango, 40,114 1313 ronoe de Leon Blvd. ST'.ci to 301 Coral. Cables, t'L 33234 ,iekto Mwa'w3 tete iseisfkasas 1ratDi liwrtx(s1, 01-4105-Q47-o410 iMtt !KW ln,T rlk FM Milt/A.1a pt}t > 1 rrrnaxx etn ueatt,rytt f t Mew tRwrep rawa, 33 94R53034345. 1,94 NdtI 14 13 $2 1 iv a srr at49ll.t3rj s rx 3rr6r.5r3 s12A �T t xtitt a R c01111 fL i'Atl attltt tri 'kW IP ABM lati -..,r �. n..... �r. �r a f ,�a.R • „i .err•Rw a ,i '�r•:,r• .- . �... < tr Vrlrw•.ri Ni,1+WWII Wwa' ...bar .Nwaf. �F•n. 7.st fl `. +...i,r -1=..i• ,. _P#.•f' r.r=[Ir•r..4..0.1•.' Oft rN.u41 This 1Itldrithurt, 1:r day at 13!1w1tr,3 CF,::' TSND CAI/CIA and cARK:N J• tGARCIA, hie wife Address: 3545 .S.'vt'. 132 Avere4a, hurl,, FL 13175 November , .3. 1), 19 34 rr iC, n) tii4 brill Pori, on C NTRAt. PLACE tt1r5IDENTIA.L, INC„ a Florida eerporttiOnt t C!,:.t, , Dade rn =1+r $lot. of Florida a•hait '1 l.' - c' r � Isar office Cddrra! 1i Ji (` fY » i••." ('j 1'S ZIP"ter. J• itl itn1:SStth, 771,.1 1,r, t<).4 pose ies a1 tiro j,eat parr, for writ art rontidt,ttltan o/ 1411 rum of Ten and na/104, (110,00}----.__ 0,1 thci !r: i„n.,;i ,rrg.__..'•.._t3ett Dalian', Non( Ire 01, ic,ct Fran a life srrpr Y t d pal, th►trnrpt wlaeol it herrit3r rri;.tv+rt- /nrtf. IEnyn >te-lnr,•d_ bnr.}at,1 d. 0,111 ar,t,! (p;J1r lard parlr' t rh *roam,„ it r.,.1!rux l:nr,•i•: r 1`r,• 1„!: ne'11ii, tii•arrti,oti jx11I ,itr ,nt j PVf. DadeDb �[rir. .`iutr ni Florida r. rswd bntnp inJk. C•w1,61Y ot* ff,•Mf� Lot 10, 11 and 12, Block 3, 7Ai.u. M1 7ARK, acsordirig :o the Flat th�renz, as re:;orded in plat Book 16, 51, Public Records of. Dada County, Florida, 5ti;ux•Cr 1'p: Co:,ditions, restrictions, eatrernents arnd limitations of te.tord, it any, and taxes for the year 1994 and subsequent years. An,i 7l„• ,1c1 i f,•.rr if ir? 1f n f oar ;rnri rig 1„•rr? bony u.arrprtt rho 1r11 10 aard tarts, and twat dr(rnt, tilt rare ry rrryejr nazi rinC Inf•�rr`l,,(ri,f,rgi `' did fir/}r, t!r kdiurnavvWr. 1ft ffiitltrSS 17j1. rtD{, .1.trn mwi 7<nit i CS o= f�[n Jirrr ptit"f 114 VC itrlrurNv i0! Chest 1.-cur4; q,,,( n=rti n113•0 u.rttrrrl, 1.1P;�tj �rpir r! ,,,,,trd i ..",h,' ,Ple`lent, of ) . cF. GARCI A r .. .;i.. t r...�:``fjj, ti , .• '� ( ' -.', p•.;t • �_, y;� —r � ;",-N • ` CAAIiEH .1;r GA1LC111 t ',/ X ....,,.,r„r—.......I f t .,..,...... . I i'I,•' DAD 1 tiL' ms% CZRItn . Om an 1hM sat, Waft x.r, to •a l,r, E.h +.V3,•1::r.• ,r. Ihr S,•.r- ♦rr11,701,. a•sJ r::;r {.,unto afrrrwld -- tal'• a.S _Jaxrrxr� 1 rFrd H P ;ELES INO CARCIaand CAMP; GARCIA wiget r1s produced r drivers 7icenass 14entificationAad Who took an oath, r r ❑• n ,. a< nsn.r rirktr:rnkil 1n ra4 ..nr. ru>wfld arts i iNt it •-n ,,, ;., rt,i; t}:h .t.,'e:•! S:r ,.•rr ern • r lLd theyta'inwLdpq 1'41 `'1 5 1n, `Ant r•.•! n.`i:: ,:: ...• re. 1!.• C<u1, i, seal Slat '"Aa1t2r.d 1/14 ovr fr �c.r 1 11 44 j�/ f 1' f �.r•'. a7 tF t+c y > ul;lxar 'S e c1"1 Yorid''i