HomeMy WebLinkAboutTab F - Disclosure of OwnershipF. DISCLOSURE OF OWNERSHIP
1. Legal description and street address of subject real property:
5220 Biscayne Boulevard and 5200 Biscayne Boulevard, Miami, Florida, 33137.
See Exhibit "A".
2. Owner(s) of subject real property and percentage of ownership. Note: Section
2-618 of the Code by the City of Miami 9419 requires disclosure of all parties having an
financial interest, either direct or indirect, in the subject matter of a presentation, request
or petition to the City Commission. Accordingly, question #2 requires disclosure of
shareholders of corporations, beneficiaries of trusts, and/or any other interested parties,
together with their addresses and proportionate interest.
Owner
5220 Associates, LLC
Henry Pino 55%
John Fullerton 22.5%
Lizet Fullerton 22.5%
Applicant/Contract Purchaser
5220 Biscayne Boulevard, LLC
Victor Uzan 50%
Michel Rosenberg 25%
Fatos Rosenberg 25%
3. Legal description and street address of any real property (a) owned by any party
listed in answer to question #2 and (b) located within the 500 feet of the subject property.
N/A
Att rney for Applicant
Maria A. Gralia
STATE OF FLORIDA
COUNTY OF MIAMI-DADE )
Maria A. Gralia, being duly sworn, deposes and says that she is the (Attorney for Applicant) of
the real property described in answer to question #1, above that she has read the foregoing answers and
that the same are true and complete; and (if acting as attorney, for own that she has authority to
executed the Disclosure of Ownership form on behalf of the Applict
SWORN TO AND SUBSCRIBED
Before me this In day of BC}-0$Ef--,
, 2005
(SEAL)
Notary Public, State of Florida at Large
�}Y Pitt Ana C EscribanaCnu
4 My Commission DD224631
„01 Expires September 14,2007
MIADOCS 838506 1
EXHIBIT "A"
Legal Description
Legal Description:
Tracts 5, 6, 7, 8, 29, 30, 31 and 32 of a subdivision of portions of Governmental Lots 2 and 3, of
Fractional Section 19, Township 53 South, Range 42 East, Miami -Dade County, Florida; lying
between the Federal Highway and Biscayne Boulevard and south of Northeast 54th Street,
Miami, Miami -Dade County, Florida, according to sketch prepared by M.B. Garris, Civil and
Consulting Engineer, under date of June 1946, which sketch appears of record among the Public
Records of Miami -Dade County, Florida, in Mortgage Book 1827, Page 299 and Deed Book
3137, Page 341; also known as Bis Fed Subdivision, according to the Plat thereof recorded in
Plat Book 59, Page 56, of the Public Records of Miami -Dade County, Florida.
Parcel 2: Tracts 9, 10, 27 and 28 of a subdivision of portions of Governmental Lots 2 & 3 of
Fractional Section 19, Township 53 South, Range 42 East, Miami -Dade County, Florida, lying
between the Federal Highway and Biscayne Boulevard, south of Northeast 54t Street, Miami,
Miami -Dade County, Florida, according to sketch recorded in Mortgage Book 1827, Page 299,
of the Public Records of Miami -Dade County, Florida.
MIADOCS 838506 1