HomeMy WebLinkAboutapplication-3CITY OF MIAMI APPLICATION
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CITY Oi I .,;., :!, FL
FOR PLANNING ADVISORY BOARD and/or ZONING BOARD
NAME:
RESIDENCE ADDRESS: E 'J 2-
HOME PHONE: 5 �✓CO °full BUSINESS PHONE: -2-)D cj 7 Z 5?iZ2
City Code Sec. 2-884 states: "No employee of Miami -Dade
municipality therein other than City of Miami employees, shall
to any Board of the City of Miami."
PRINCIPAL BUSINESS/EMPLOYER:
(Company Name]
BUSINESS ADDRESS: DO IA, \j l P 2 TF 1.4 1 kM l
Are you an employee of Miami -Dade County or any municipality therein other than the
City of Miami? gn
Would you like to serve on the Planning Advisory Board? e-S
County, Florida, or any
serve on or be appointed
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Would you like to serve on the Zoning Board?
NO
Please state if you have a preference for either board: P+
tsci
Members shall either be permanent residents of the City, own real property in the City, or
work or maintain a business in the City. Please fill in attached Residency Compliance
form.
Owners of property in the City of Miami, please answer the following question: Is all the
property you own in the City of Miami in conformance with City Ordinances? YE''
If "no," please give details below:
<forms>pz application
3/19/2001
Will you be able to faithfully attend meetings of the board as required by Section 62-126
of the Miami City Code? \t/E
Will you be able to attend Planning and Zoning seminars as required by Section 62-124
of the Miami City Code? 1�
Do you foresee any conflicts of interest as defined in Miami City Code Article V,
Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.1? 1.10
Are you prepared to file a list of real estate interests owned, either personally or
corporately within the City of Miami (see attached forms) with the City Clerk, pursuant to
Section 2-615 of the City of Miami Code?
Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec.
112-3145 and/or Miami -Dade County Ordinance No. 77-13?
List your experience relating to the fields of planning and zoning:
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�V 1A I INC ,
Are you a United States citizen? -1/V7
Are you presently indebted to the City of Miami for any real or personal property tax,
license fee, or property lien? 1.10 If "yes," give details:
Signature:
Date:
�,a 20\ 2on5
<forms>pz application
3 / 19/2001
CITY OF MIAMI, FLORIDA
RESIDENCY COMPLIANCE FORM
(IN CONFORMANCE WITH SECTION 2-884 OF THE CITY CODE)
Please submit your completed form to:
City of Miami
Office of the City Clerk
3500 Pan American Drive
Miami, Florida 33133
Date: Aim
Nor pvvo'oc
(name of board)
, a member of
VZ% comply with the residency requirement under Code Section 2-884, namely:
do not)
"(a) All members of City boards shall either be permanent residents of the
City, own real property in the City, or work or maintain a business in the
City..."
(Note: If you do comply_ with the residency requirement (Code Sec. 2-884), please
provide us with the following information.)
A. I presently reside in the City of Miami at the following address:
'1 ocifvo FL
B. I own a business and/or real property within the City of Miami limits at the
following address: (Note: Kindly specify if it is a business or a property)
'ill Aiw, F - 712c1
C. I work within City of Miami limits. My business address is:
l OD L-\t t7 2l+tf\
YUt P\ANA \
Signature
SIGNATURE:
State of Florida On this the %4 day of 1—kk IJU r Y , 20 el, before me,
the undersigned Notary Public of the State of Florida, the foregoing instrument
County of kkan fr-DAde wass acknowledged by
NOTARY PUBLIC T�ftCK'( 1 SL oLL)
SEAL OF OFFICE: (Name of person signing and his/her title (public officer, trustee or personal representative)
WITNESS my hand and official seal.
NOTARY PU LIC, STATE OF FLORIDA
Sit � -vt-c
(Name of Notary Public: Print, Stamp, or Type as Commissioned)
tW Personally known to me, or
0 Produced identification:
CITY OF MIAMI, FLORIDA
STATEMENT OF REAL PROPERTY OWNED
(IN CONFORMANCE WITH SEC. 2-615 OF THE CITY CODE)
Legal Description
SAMPLE ENTRY:
Common Address
437 Northeast 54th Street
Title
L=Legal
E=Equitable
L
Owned
W=Wholly
P=ln Part
W
Zoning Class
R-I
Present Use
Home
Lot 7, Primrose Section 4, PB 52
LOT i PAZ04, 5.1 I4 -
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L—
\xi
OrOM,
knnvM Lit1tTi,)pl35�
OATH
1, Tl 5t4DVJ , do solemnly swear that the above is a true and accurate statement of my interests in real property
located within corporate limits of the CITY OF MIAMI or 500 feet beyond the corporate limits of the CITY OF MIAMI.
NAME: (Please Print)
IGIZ��1r G✓1,3,1D\A-1
TITLE/POSITION WITH CITY OF MIAMI f ►Y`i.N06
NAME OF BOARD/COMMITTEE (If Applicable) 1' 11/4.11M( AVVY"/012:-1 1*o
DATE: JpcLI, - 2 0 ) ZOOS
lE DID take an oath, or
0 DID NOT take an oath
(Type of Identification Produced)
SANDRA G. FRANCO
Notary Public - Stele of FIodde
• My Comm. Expires Feb 8, 2008
Commission $ DD288185
4 Bonded By National Notary Assn.
Sharc/Forms
Document Name: Sessionl
PNLE ARPS PROPERTY SYSTEM PROPERTY NAME / LEGAL INQUIRY (32)
DATE: 01/24/2005 09:37:41
FOLIO NO: 01-4139-005-0100 LEGAL ADDR: 35 SW 24 RD
CRP FOLIO: PROP ADDR: 35 SW 24 RD
CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 01
OWNER NAME AND ADDRESS VALUE HISTORY
TRENTON C BAUGHN & KRICKET SNOW YEAR: 2003 2004
LAND: 98,755 171,450
35 SW 24 RD BLDG: 78,332 80,420
MLA.MI FL TOTAL: 177,087 251,870
ZIP: 331291509 HEX: 25,000 25,000
WVDS: 0 0
LEGAL DESCRIPTION TOTEX: 25,000 25,000
BRICKELL HAMMOCK UNIT NO 1 NONEX: 152,087 226,870
PB 5-113 GRSS TX: 2,684 2,684
LOT 15 BLK 5 CNTY TX:
LOT SIZE 54.000 X 127 CITY TX: 846 846
OR 18251-1180 0898 1 SALE AMT: 147,500 115,000 97,549
SALE DATE: 08/1998 10/1993 02/1989
SALE TYPE: 1/I 1/I 1/I
NEXT FOLIO KEY: NEXT ADDRESS KEY:
ACTION: 1-CONTINUE
ACTION: 01
XMIT:
)ate: 1/24/2005 Time: 9:39:00 AM