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HomeMy WebLinkAboutapplicationsOF CITY OF MIAMI APPLICATION -1 -0 o N ...- FOR PLANNING ADVISORY BOARD and/or ZONING BOAR& NAME: , �.t-� e RESIDENCE ADDRESS: 2 `f // J '—" 2 3 A HOME PHONE: 3 0 S 'g 6- BUSINESS PHONE: 70 S 229 Y>�/ City Code Sec. 2-884 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: 1" C'✓ (J' t �'� (C c fe- v, c (Company Name) BUSINESS ADDRESS: ►"2-1 Qr-, c4 ..ei A e . .-fk- IZa I P/N 3313/ Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? id Would you like to serve on the Planning Advisory Board? ` e Would you lake to serve on the Zoning Board? 1143 Please state if you have a preference for either board: L. kJ I PI Members shall either be pennanent 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? Lip, If "no," please give details below: <forms>pz application 3/19/2001 05-oo3aI Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? 96?-+ Will you be able to attend Planning and Zoning seminars as required by Sectioi0 4 '`, T of the Miami City Code? ViS"" trr" .7) Do you foresee any conflicts of interest as defined in Miami City Code Ar,,V, Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.1 ? r•A) y • r=_j. Are you prepared to file a list of real estate interests owned, either personall J, corporately within the City of Miami (see attached forms) with the City Clerk, pursuant to o3. 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? L6g. List your experience relating to the fields of planning and zoning: Cyr . M ��c �. e f /Q e.� / L../ ..& '.ti 4 a., •IC /L yacrr t re / eJ lc r d - /4p fit^ i— 7 -e+arJ- gnat a%Pa-'+, e— .' wt 4S 2,--4• rj r'l<.,I — O 1 r otes..1 Are you a United States citizen? - Are you presently indebted to the City of Miami for any real or personal property tax, • license fee, or property lien? r'"" if `yes," give details: Signature: Date: L/v tL' 2-6-0 1 <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: I L— ?j'!r o'( • a r Cl -rn -v o , a membeer f t (name of board) v comply with the residency requirement under Code Section 2-884, namely: (do/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 comnlh 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: "2-- t s a.l 2 3 tom-,14,...,; f'+ .)/y 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) e s'1C r6Fi 3)1)/ C. I work within City of Miami limits. My business address is: Y2 fie 4 M A 33131 Signature Legal Description SAMPLE ENTRY: Lot 7, Primrose Section 4? PB 52 Pgio rbst L. } 2' HJD ck,20 CITY OF MIAMI, FLORIDA STATEMENT QF REA1{ PROPERTY QWj4gD (IN CONFORMANCE WITH SEC. 2-615 OF TPfE CITY CODE) Common Address Title L=Legal E=Equitable 437 Northeast 546 Street L Owned W=Wholly P-1n Part W Zoning Class R- 1 R-t OATH 4. Oh I f ,' C (v r''•: , do solemnly swear that the above is a true and accurate statement of my interests in ' y� -located within corporate limits of the CITY OF MIAMI or 500 feet beyond the corporate limits of the CITY OF MIAMI. ' ' C� K e •••,'Uj .,4 State of Florida County of " NOTARY PUBLIC SEAL OF OFFICE: NAME: (Please Print) 70 e .O r IMF/POSITION WITH CITY OF MIAMI NAME OF BOARD/COMMTITEE (If Applicable) SIGNATURE: DATE: II- — 30 -- °LI On this the day of , 20 f before me, the undersigned Notary Public of the State of Florida, the Ibregoitn Instrument was acknowledged by b I (Name of pavan signing and hisfrer title (public on'ica, trustee- W1TNE iny and official mai. NOTARY PU LIC, STATE FLORIDA i (Name f Notary Public: Prim Stamp, or Type as Commissioned) IT Pawnally known to me, of O Produced identification:_ DTD take en oath, or O DID NOT take an oath (Type of Identification Produced) Homo MY 00111118SIONICO OM OPIREt Jos *I10CS wino *swim unarms* ,Ln Present Use ffHome real property Document Name: Session2 STIN STREET ID: 054501 ARPS PROPERTY SYSTEM - STREET INQUIRY IN USE: YES --HOUSE RANGE-- QUAD 2401 - 2437 SW 23 FACE: ZIP CODE: CENSUS TRACT: CENSUS BLOCK: FIRE 901 ZONE: FIRE SFBC ZONE: NBHD CODE: SUB NBHD CODE: SOLID WASTE ROUTE: TRASH ROUTE: STREET CLEAN ROUTE: W 331453600 6900 5001 0412 3A 10 03 213 00 000 NEXT STREET: HOUSE NO: QUAD: ACTION: 1-CONTINUE NAME PRIMARY ZONE: SD1 ZONE: SD2 ZONE: DDRI ZONE: SEOPWDRI ZONE: HIST PRESVN DIST: SCENIC CORRIDOR: TYPE AV N N N N PEDESTRIAN PATHWAY: N OMNI TAX DISTRICT: N DDA DISTRICT: N CD TARGET AREA: 00 NAME: --SIDE-- 1 ODD (13) EMPOWERMENT ZONE: N LATIN QUATERS: N VOTING DISTRICT: 04 TYPE: ACTION: 01 XMIT: Date: 12/30/2004 Time: 1:33:12 PM Dcument Name: Sessionl PNLE ARPS PROPERTY FOLIO NO: 01-4115-007-0880 GRP FOLIO: CANCELED: NO OWNER NAME OSEPH CORRAL ILVIA D CORRAL 411 GW 23 AVE IAMI FL ORIGIN: DC AND ADDRESS ZIP: SYSTEM - PROPERTY LEGAL ADDR: PROP ADDR: BL PRESENT: 331453603 LEGAL DESCRIPTION :ILVER BLUFF EST SEC B PB 10-68 :55FT OF LOTS 29 & 30 BLK 20 )R 16794-3246 0495 4 :OC 21784-1457 09 2003 4 NEXT FOLIO KEY: NEXT ADDRESS ACTION: 1-CONTINUE 2411 2411 YES YEAR: LAND: BLDG: TOTAL: HEX: WVDS: TOTEX: NONEX: GRSS TX: CNTY TX: CITY TX: SALE AMT: SALE DATE: SALE TYPE: KEY: NAME / LEGAL INQUIRY (32) DATE: 01/04/2005 16:28:35 SW 23 AVE SW 23 AV ST EX: 00 00 CLUC: 01 VALUE HISTORY 2003 2004 81,536 118,322 130.3R2 133.445 211,918 251,767 25,000 25,000 0 0 25,000 25,000 186,918 226,767 3,362 3,362 1,096 09/2003 4/I 1,096 04/1995 4/ 152,000 07/1993 1/I ACTION: 01 XMIT: Date: 1/4/2005 Time: 4:29:36 PM CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: R OSE F cru1rA•etA A RESIDENCE ADDRESS: ' 5 k r�.1.611tet,n Pkg., HOME PHONE: ins (qq - 339 2. BUSINESS PHONE: City Code Sec. 2-884 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." (� PRINCIPAL BUSINESS/EMPLOYER: GOGOirk rooe I Coral Crai►GS W f haI (Company Name) BUSINESS ADDRESS: co Q . 1 313 3 c_ drat G'4,15 t e.s . FL • Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? N b Would you like to serve on the Planning Advisory Board? Li, S Would you like to serve on the Zoning Board? o F4-: O t 0.1 4" Please state if you have a preference for either board: Tictnnl 44 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? (4s,S 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? 4 t S Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? {! o_S 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 ? K n 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? t.6 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? 4"_ List your a perience relating to the fields of planning and zoning: C; Cora k Giles 'Mk: c, warla s - oss:s1aa4- secia.tfaa 4,41 Dtamil do' k (, : N .rd. * & t1 : A ct pt e,a; R 5 . 42 v i Ccup ALA- Gyoot_ . U;tiaat. WM44- Ctvit Ql.4 *st . 7vs • " uotvM, d v ' i h t j i Gn►�omwt ccetto( 4Adff Are you a United States citizen? Let S CuroKv* G�+ O C. a'�J lB Yewt�lu,tt t' y Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? !.l n If "yes," give details: Signature: Date: ; i J <forms>pz application 3/19/2001 • ,w ISMS 4a . • CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: I"1;CA 4e I C. ` ?iigOY'G_ RESIDENCE ADDRESS:roOo NE _3,4 Sf # f OZ, m►', rL 37- HOME PHONEb0"76- /1O (oq BUSINESS PHONE{3:Sn .S-a/-'# 71 7 City Code Sec. 2-884 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." � PRINCIPAL BUSINESS/EMPLOYER: H"1'" C . G2e150.7r4, ' • - (Cov /mpany Name) BUSINESS ADDRESS:167 / iv2 CS7,d`,6ti , d /"( t.,/g4.4 42:33/`fo 1 Are you an employee of,Miami-Dade County or any municipality therein other than the City of Miami? N.0 Would you like to serve on the Planning Advisory Board? UPS Would you like to serve on the Zoning Board? aeAS Please state if you have a preference for either board: Einlle C no'. 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? UPS If "no," please give details below: <forms>pz application 3/19/2001 Will you be able to faithfully Mend meetings of the board as required by Section 62-126 of the Miami City Code? IA PA Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? _. L%PC 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? A 1 D • Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see atta_clled forms) with the City Clerk, pursuant to Section 2-615 of the City of Miami Code? F Z 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? Llf List our experience relating to the fields of planning and zoning: G owl a vl R-er4orbLem wdln I4 owledr e. at Dkvvrn 01 asset 7_e5»tr►4 . .� G.,., rvrr d.iii Vice- C,(ii41ibn a# -�-t,. _ �. c .c. 1_r-rCki.� f waft .6 .,e1 eyed AA) 7�.L'n c Bear.( 'foe G1u df 01;revi doh. Are you a United States citizen? L/ v' Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? AI 0 If `yes," give details: Signature: Date: <forms>pz application —3119/2OOt _ -- N 0 CPI 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: / 6/0-5— I, .1'.1 C�'ri air r..0.0. U (name of board) . a member of 4,0 comply with the residency requirement under Code Section 2-884, namely: (dord-o 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 comoly 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: (000 Ne 3G St = /Soa . IM/l.. n; 1 33/3'7- 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) C. l work within City of Miami limits. My business address is: (iV44bi q _ `�- Signature V CITY OF MIAMI, FLORIDA STATEMENT OF REAL PROPERTY QWNED (IN CONFORMANCE WITH SEC. 2-615 OF THE CITY CODE) Legal Description Common Address Title L-Legal SAMPLE ENTRY: E-Equitabk Lot 7, Primrose Section 4, PB 52 437 Northeast 546 Street L kez utZ.36St*pm. ea, ,,,fi aWss* C, Owned W-Wholly P-In Part w ICJ Zoning Class Present Use R-1 Home CAMP - 47"u411144401- OATH I, µi G • r , do solemnly swear that the above is a true and accurate statement of my interests in real property located within corporate limits a CITY OF MIAMI or 500 feet beyond the corporate limits of the CITY OF MIAMI. NAME: (Please Print) M. (`'CCL C • Trr.FJPOSMON WITH CM OF MIAMI NAME OF BOAR h • r MfPIEE (If Applicable) SIGMA Sete of Florida County of NOTARY PUBLIC SEAL OF OFFICE: (Name of person signing Ind hisArcr titk (pubik office. trustee or personal representitive) WITNESS my hand and offWal seal. Cronr 3/6101--- On this the day of , 20 _, before the undersigned Notary Publk den State of Florida, the foregoing instrument was acknowledged by NOTARY PUBLIC, STATE OF FLORIDA (Name of Notary Public: Print, Stamp, or Type as Commissioned) O Personally known to me. or O Produced Mentiflation: (Type of Idendflation Produced) O DID take an oath, or O DID NOT take an oath Share/Forms )cument Name: Sessionl ?NLE ARPS PROPERTY FOLIO NO: 01-3230-046-0001 3RP FOLIO: 3230046001G ZANCELED: NO ORIGIN: DC OWNER NAME AND ADDRESS HARTER CLUB CONDO 600 NE 36 ST IAMI FL ZIP: 33137 LEGAL DESCRIPTION HARTER CLUB CONDO 6 ST BAYFRONT SUB PB 102-75 R A SYSTEM - PROPERTY NAME / LEGAL INQUIRY (32) DATE: 04/05/2005 08:53:55 LEGAL ADDR: 3301 NE 36 ST PROP ADDR: 600 NE 36 ST BL PRESENT: YES ST EX: 63 00 CLUC: 00 NEXT FOLIO KEY: NEXT ADDRESS ACTION: 1-CONTINUE Date: 4/5/2005 Time: 8:53:57 AM YEAR: LAND: BLDG: TOTAL: HEX: WVDS: TOTEX: NONEX: GRSS TX: CNTY TX: CITY TX: SALE AMT: SALE DATE: SALE TYPE: KEY: VALUE HISTORY 2003 2004 O 0 O 0 O 0 O 0 O 0 O 0 O 0 / / ACTION: 01 XMIT: 12-29-05 12:21am From-SSD + T-628 P 003 F-154 ti irr . a 'lyres, it • ' ucsir dill l� .',1 ^,ta"_:1"" CITY OF MIAIIZI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: M A'A MDI 11/4\ 11• RESIDENCE ADDRESS: 16105 S4 23 ST., MAAMi , FL 33)')6 HOME PHONE: BUSINESS PHONE: eC67. 577. 2(42$ City Code Sec. 2-884 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami" PRINCIPAL BUSINESS/EMPLOYER: SQUtrZ , Sf IX1 4 k?JP '.J LIP (Company Name) BUSINESS ADDRESS: 200 SDL)Th -$16cAtln5 UIVb • _ SUITE 4)00. 11it'MI , R 3313) Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? J�10 Would you like to serve on the Planning Advisory Board? YES Would you like to serve on the Zoning Board? 'If Please state if you have a preference for either board: -- 7 4-6 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? YF� If 'no," please give details below: cforms>pz application 12/27/2005 12-29-05 12:21pm From-SSO + T-628 P 004 F-154 Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? IFS _ Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? Y1=S 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? N 0 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? YES Are you prepared to file a statement of financial interests pursuant to Florida Starutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? YES L' your experience relating to the fields of planning and zoning: aibl i C 210etkii -Gy/ 1212/14 o?' WhieS1 �d15 L vi.%i . ocf t .4;4 Im ar rn r aii'ek.a /D E79- vn14t,. i2 ,; "17,J0bo .o _Xpule.0: stkaila se- c/tomUAL.ersoau �n�tti �YIdCc;+ ce Sd oeii �°/ � /) Are yUnited States citizen? Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? N 0 If `yes," give details: Signature: )21 a/1.49.. (1.-4)271)411",&A--- . Date: /WzBlos <fotms>pz application 12/27/2005 12-29-05 12:2110m From-SSD + T-628 P 002 F-154 Sardina Mann, Maria B. From: Sardine Mann, Maria B. Sent: Wednesday, December 28, 2005 5:45 PM To: 'Gerks�ci.mtami.fl.us' Cc: 'tr@ct.mtami.fl.us' Subject: Planning Advisory Board Application Attachments: AR-M450 20051228_174840.pdf Dear Ms. Thompson. Attached please for consideration copy of my completed application for the Planning Advisory Board. Thank you in advance for your assistance. Very truly yours, 13cba Sardvia Mann Squire, Sanders & Dempsey L.L.P. 200 South Bincaync Boulevard Miarm. f1onda, 33131 + 1.305.577.2928 Fax: +1.305.577.7001 INISardinaMrum@ssd.com. www.ssd.coin fkcijing BriiiNhert Brussels Budapest C::tt scan Cincinnati Cleveland Cnlumbun Hong Kong Houston Loudon Los Angeles ?kradud Mi:tuu Milau Moscow New York Palo Alto Phoenix Prague Rio de Janeiro San Franctcw S:►ulu Domingo Shanghai '1.dl:thasz-oe 'l:ampti Tokyo Tyyons Corner Warsaw Washington DC West' Palm Beach Annoci.ucd Offices: Bucharest Buenos Aires Dublin Kyty Santiago NC)TICF:: Thia email message and all attachments trans tuned with it are intended solely fog the use of she addressees and may conru1 legally privileged, protected or cozfdenual in Conflation. if you have received this message in error, please notify the sender imrnediarely by email reply and please delete this iner:age Croon your computer and dcitroy any copies. 12/29/2005 Document Name: Sessionl PNLE ARPS PROPERTY SYSTEM - PROPERTY FOLIO NO: 01-4140-006-0310 GRP FOLIO: CANCELED: NO ORIGIN: DC OWNER NAME AND ADDRESS MARIA BELKIS DE CARDENAS 1665 SW 23 ST MIAMI FL LEGAL ADDR: PROP ADDR: BL PRESENT: ZIP: 331453961 LEGAL DESCRIPTION WOODSIDE PB 5-28 LOT 2 BLK 2 LOT SIZE 55.000 X 135 OR 18189-4189 0498 4 NEXT FOLIO KEY: NEXT ADDRESS ACTION: 1-CONTINUE YEAR: LAND: BLDG: TOTAL: HEX: WVDS: TOTEX: NONEX: GRSS TX: CNTY TX: CITY TX: 690 SALE AMT: SALE DATE: 04/1998 SALE TYPE: 4/ KEY: 1665 1665 YES NAME / LEGAL INQUIRY (32) DATE: 12/30/2005 14:18:40 SW 23 ST SW 23 ST ST EX: 00 00 CLUC: 01 VALUE HISTORY 2004 2005 148,500 215,325 80,770 87,836 229,270 303,161 25,000 25,000 0 0 25,000 25,000 204,270 278,161 2,261 2,265 688 133,000 08/1995 1/I / ACTION: 01 XMIT: Date: 12/30/2005 Time: 2:18:24 PM 0 '"• fri -7`y N •� CITY OF MIAMI APPLICATION o Q' FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: c /., (I/fee-17e-h RESIDENCE ADDRESS: &O / /&t 5) 72 , " HOME PHONE:30C— 7S-7- 032O BUSINESS PHONE: City Code Sec. 2-884 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: (' 7%fed (Company Name) BUSINESS ADDRESS: Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? n O Would you like to serve on the Planning Advisory Board? v e.S Would you like to serve on the Zoning Board? ,,ems 1-W `,frLd[i- Please state if you have a pretf t for either bo MtHTa 112�. - 4a[Jsol . 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? L, 4XS r 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? y� Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? c i € 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? ,to 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? ties 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? L4f..< List your experience relating to the fields of planning and zoning: -Z a �`'rhcaL h rur..4_.#2f Lem :If n,..:If ,i f zo kale) ,Ler'vr-h ne Sao grey, r2o.blllr'tie le ** �}b., vOT e''er'o&r i ed,'heg SU pen 144a-' e.e."411v &hc/ Coarse. p /.i a►.-s. /49e-2000 '71 c21C d `M l /rSfort:h6n .r cs. 09Z6 hder, s in 94s. fyr►S/ '--'c mgyr rer Are you a United States citizen? Glats a'z€4', 'te-c%Q.t.' c e-. .h .Ztxa 3 - ZOO f. Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? v e If `yes," give details: Signature: Date: 4,1) A2- <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: lib‘los • I, C.�a//e, (name of board) IAD (do/do not) 91 :ZI Hd Z - AVW 390Z , a member of comply with the residency requirement under Code Section 2-884, namely: "(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: boI A). 6 .7 " .5`: 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) C. I work within City of Miami limits. My business address is: U Signature State of Florida County of4,u,a_d+zeP. NOTARY PUBLIC SEAL OF OFFICE: CITY OF MIAMI, FLORIDA STATEMENT QF REAL PROPERTY QWNFD (IN CONFORMANCE WITH SEC. 2-615 OF THE CITY CODE) Legal Description Common Address . Title Owned Zoning Class L=Legal W=Wholly SAMPLE ENTRY: E=Equitable P=In Part Lot 7, Primrose Section 4, PB 52 437 Northeast 546 Street L W R- I ,f 3, - -eY+14.f 00( 4/6 5�744 Gt.) 2— r No 2 e6 9--1g Present Use Home OATH I, 5 R // K t(4 2 e µ ;s , 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) 4„ eft l / l er -12.47 TI LFJPOSITION viral CITY OF MIAMI v /' ,� /f %� ,� NAME QF onAI D/COMMIREE (If Applieable),f t jO , i qc - C7J/Ii% 4 ,? a- ,7 �`•f' fr��� "�"I k— DATE: 7'j / O.S— On this the day of , 200S bdre ink ' + fff the undersigned Notary Public of the S of Florida, the 1bregohta Weinman was acknowledged by SA !/ ,e h4 r r e)! S, (Name of pants signing and Mew title (public otaoa, tnatcc or patonal repreaanadre) WON h lam: seal. NOTARY PUBLIC,», 'ATE OF FLORIDA nte7e— ' ✓e.=7442- ei2o dame offloeityclotibACCPrInt. Stamp, or Types Commissioned) CIimilto me. or n' di ide dflwsion: JGj4 - 77, -I •'oa -a = (Type of Identification Kodreed) o ,AID laic an maker -DID NOT take in oath Share/Forms MORNINGSIDE HISTORIC EDUCATION SOCIETY April 30, 2005 Ms. Priscilla A. Thompson City Clerk City of Miami 3500 Pan American Drive Miami, FL 33133 Dear Ms. Thompson: 5901 NE 6TH COURT MIAMI, FLORIDA 33137 TEL:1305I 632-6060 momingsidehometour@dlrecway com I am writing on behalf of the Morningside Historic Education Society, Inc. ("MHES"), in order to endorse the nomination of Sally Mertens to the City of Miami's Historic and Environmental Preservation Board. I became acquainted with Sally as a resLlt of her having her home on the Momingside Historic Home Tour (MHES' major annual event). In fact, Sally's home was the 2005 tour's "flagship" house. Sally did not purchase her home in its current state, though. Indeed, Sally's home was quite dilapidated when she purchased it. It was only through her diligent, "hands on" effort that Sally's home was restored to its current splendor. Given Sally's energy, intelligence, education, and pleasant disposition, I cannot imagine a better -suited candidate for the Historic and Environmental Preservation Board. Moreover, having restored a historically -designated home makes Sally all the more qualified. Please feel free to contact me should you require any further information. Sincerely, Bruce B. Baldwin President Morningside Historic Education Society, Inc. ocument Name: Sessionl PNLE ARPS PROPERTY FOLIO NO: 01-3218-036-0570 GRP FOLIO: CANCELED: NO ORIGIN: DC OWNER NAME AND ADDRESS AMUEL J YARGER &W SALLY M .01 NE 57 ST (IAMI FL SYSTEM - PROPERTY NAME / LEGAL INQUIRY (32) DATE: 05/03/2005 09:11:18 LEGAL ADDR: 601 NE 57 ST PROP ADDR: 601 NE 57 ST BL PRESENT: YES ST EX: 00 00 CLUC: 01 ZIP: 331372319 LEGAL DESCRIPTION IAYSHORE UNIT NO 2 PB 9-98 ,OT 3 BLK 18 ,OT SIZE IRREGULAR Al 21245-1143 05/2003 1 NEXT FOLIO KEY: NEXT ADDRESS ACTION: 1-CONTINUE Date: 5/3/2005 Time: 9:12:25 AM YEAR: LAND: BLDG: TOTAL: HEX: WVDS: TOTEX: NONEX: GRSS TX: CNTY TX: CITY TX: SALE AMT: SALE DATE: SALE TYPE: KEY: VALUE HISTORY 2003 2004 110,838 166,495 199,908 203,610 310,74E 370,105 O 25,000 O 0 O 25,000 310,746 345,105 10,083 10,083 3,335 3,335 395,000 160,000 05/2003 03/2003 1/I 6/I 112,000 01/1987 1/I ACTION: 01 XMIT: