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HomeMy WebLinkAboutapplicationsCITY OF MIAMI APPLICATION �n s • '7 c'o C O .n fir: 7. trl C Krt‘ � ' :.s FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: .J RESIDENCE ADDRESS: 2 � 1 I .1 L-1 2 3 'e HOME PHONE: 3 ° s 8 - BUSINESS PHONE: Jc 778 City Code Sec. 2-884 states: "No employee of Miami -Dade County, municipality therein other than City of Miami employees, shall serve on to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: BUSINESS ADDRESS: 79 y>//. Florida, or any or be appointed r C tip./ Z/ r- -' (e.c c 1-411 fe- FJ (Company Name) �z ► Qom, c e..e4 Aa e J 12 a V‘ 7313/ Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? r' Would you like to serve on the Planning Advisory Board? 4' Would you like to serve on the Zoning Board? Please state if you have a preference for either board: Zr'Z. Members shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the Ciry. 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? t If "no," please give details below: <forms>pz application B..l9.2001 Will you be able to faithfully attend meetings of the board as required by Section: 62-126 of the Miami City Code? i. Will you be able to attend Planning and Zoning seminars as required by Sectioi 2'4 of the Miami City Code? u' - c' c:, ^ c .-• c;1 � . Do you foresee any conflicts of interest as defined in Miami City Code Ar�nl& V, Q Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.1? r.^.1• �s rs per. , Are you prepared to file a list of real estate interests owned, either personailf pr corporately within the City of Miami (see attached forms) with the City Clerk, pursuantio Section 2-615 of the City of Miami Code? '14 Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 312-3145 and/or Miami -Dade County Ordinance No. 77-13? i42, List your experience relating to the fields of planning and zoning: c e.r -... , P.e / LJ� g,-1 4 14— /1 7¢e:.y rr. / r.,.i.i.. r,- --/- 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? ✓' If "yes," give details: Signature: Date: £/ - c h <forms>p2 application :.'19/2001 Date: 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 1, ,S.e Q l-, 4- - • o err cn o� .> C r' .Z� -^ -v ,amember tit s (name of board) (do/do not) 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: y`1 1.5 AiaZ B. 1 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) 1'— <k .3)/) C. 1 work within City of Miami limits. My business address is: fir. .y (._✓:ai !� CITY or MIAMI, FLORIDA STATEMENT OF REAL PROPERTY OWNED (IN CONFORMANCE WITI I SFC. 2-615 OF THE CITY CODE) I.ceal I)escriplinn SAMPLE ENTRY: ,_I.of 7, Primrose Seclrnn 4, PR 52 Common Address 437 Northeast 54" Street Title 1..=Legal E=Egnitahlc L Owned W=Wholly P=In Part W Zoning Class R-I Present Use Home Pl\ l) r f..Ce i. , i ?.,) o Go, In 7 y/, ,,,. 2) Af-e- L- p g - t ti•~� ,. OATH f c, • '•A , do solemnly swear that the ahnve is a tole and accurate statement of my inlcrests in real property •JRcaled within corporate limits of the CITY Or MIAMI or 500 feel beyond the corporate limits of the CITY OF MIAMI. Shoe of Florida r'mmly of 11h. O 1 AT (-Q NOTARY ri lni .ic SEAT. OF OFFICE.: NAME.: (Please Print) T r` C' C) TITI.FJPOSITION WrTII CITY OF MIAMI NAME; OF 10ARDNCOMMITTEE (Ir Applicable) SIGNATURE: fln Ibis the day nr C% 1 ` ino_4' before me. the rmdersigned Notary Public of Ibe Slate of Fhwirkt, Ike Foregoing imtrument was acknnwIerlged by =3c03(0) (111ci I (Name of person signing And blslher lick (public nIIicc,, trust WITNFCS my hagd and nlmicial seal. NOtARY Pit 11K.. STATE FLORIDA DATE: (Name eyf Nnhry Public: Print. Stamp, or Type is Commissioned) to Personally known In me, or 0 Produced iden1111calinn: hID Ike an nath, nr 0 nit) NOT lake an nMh (Type of Identification Pmdtteed) Shore/Forms STIN ARPS PROPERTY SYSTEM - STREET INQUIRY (13) STREET ID: 054501 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: SD2 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 AP.EA: • 00 NAME: --SIDE-- 1 ODD EMPOWERMENT ZONE: N LATIN QUATERS: N VOTING DISTRICT: 04 TYPE: ACTION: 01 XMIT: Date: _2/3C/2004 Tire: PM PNLE ARPS PROPERTY FOLIO NO:. 01-4115-007-0880 GRP FOLIO: CANCELED: NO ORIGIN: DC OWNER NAME AND ADDRESS CSEPH CORRAL I_VIr D CORRAL ii SW 23 AVE iIAMI FL SYSTEM - PROPERTY NAME / LEGAL INQUIRY (32) DATE: 01/04/2005 16:28:35 AVE AV LEGAL ADDR: PROP ADDR: EL PRESENT: YEAR: LAND: ELDG: TOTAL: 2411 2411 YES ZIP: _31453605 HEX: WNW,: : LEGAL DESCRIPTION TOTEX: :ILVER BLUFF EST SEC E PE 10-6E NONEX: SEFT OF LOTS 29 & 30 ELK 20 GRSS TX: )R 16754-246 0495 4 CNTY TX: MC 21764-1457 09 2002 4 CITY TX: SALE AMT: SALE DATE: SALE TYPE: NEXT FOLIO KEY: NEXT ADDRESS KEY: ACTION: 1-CONTINUE SW 23 SW 23 ST EX: 00 VALUE 2002 61,536 30,3E2 211,91E 25,000 0 25,000 166,916 2,362 i,056 05/2003 4/I 00 CLUC: 01 HISTORY 2004 126,522 13- 445• 251,767 25,000 0 25,000 226,76/ 362 1,096 04/1995 4/ 152,000 07/1993 1/I ACTION: 01 XMIT: :&:e: -C,= __re. ?:?i, 5 CE a F` 01 CITY OF MIAMI APPLICATfiN FL L i V FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: k VIA^1 Cr r5 f c) RESIDENCE ADDRESS: Z (Cl IAA^` V m i / C 3 313 C' HOME PHONE: VC 143 5-SO7 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: Vl r eh-4 4-41 C • tt I (Company Name) l ` BUSINESS ADDRESS: 0 O `% 4-2j t er € �Y� I y� r Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? IV0 Would you like to serve on the Planning Advisory Board? Would you like to serve on the Zoning Board? V Please state if you have a preference for either board: 2 0 VI 1 N b oA r c` 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? If "no," please give details below: <forms>pz application 9/12/2005 Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? Nk C5 Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? -k 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? Al 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? 'kt5 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? \.( e5 List your experience relating to the fields of planningand zoning: , 'Far Lertovilocr `Z. o a nci e ar Are you a United States citizen? Are you presently indebted to the City Qf Miami for any real or personal property tax, license fee, or property lien? () If "yes," give details: Signature: Date: q (2— '5 <forms>pz application 9/9/2005 Document Name: Sessionl PNLE ARPS PROPERTY SYSTEM - PROPERTY NAME / LEGAL INQUIRY (32) DATE: 09/15/2005 08:45:40 FOLIO NO: 01-3136-021-0820 LEGAL ADDR: 219 NW 14 TERR GRP FOLIO: PROP ADDR: 219 NW 14 TER CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 02 OWNER NAME AND ADDRESS VALUE HISTORY SILO CRESPO & HENRY CRESPO SR YEAR: 2003 2004 2005 LAND: 14,128 31,347 73,289 219 NW 14 TERR BLDG: 57,943 49,643 58,249 MIAMI FL TOTAL: 72,071 80,990 131,538 ZIP: 331361817 HEX: 25,000 25,000 25,000 WVDS: 0 0 LEGAL DESCRIPTION TOTEX: 25,000 25,000 25,000 ERICKSONS SUB PB B-88 NONEX: 47,071 55,990 106,538 LOT 12 BLK 6 GRSS TX: 1,742 1,742 LOT SIZE 50.000 X 105 CNTY TX: OR 21060-4696 02 2003 4 CITY TX: 357 357 SALE AMT: 1 SALE DATE: 02/2003 11/1977 SALE TYPE: 4/ 4/I / NEXT FOLIO KEY: NEXT ADDRESS KEY: ACTION: 1-CONTINUE ACTION: 01 XMIT: Date: 9/15/2005 Time: 8:45:56 AM CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: R Otto F O l Li & d1 RESIDENCE ADDRESS: z 5 t oa. Picot HOME PHONE: SO5 IYy - 33q a- 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." r ^ 1 PRINCIPAL BUSINESS/EMPLOYER: C,ocoeu�- yT rpm /C#o(&L Va� l6S (der ► a IOC • (Company Name) BUSINESS ADDRESS: Qo s • 14 3 ► 3 3 G beta G•ab [LS) FL • • Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? tN b Would you like to serve on the Planning Advisory Board? Would you like to serve on the Zoning Board? off o 4 a ( Los Please state if you have a preference for either board: F tics T14nn: ng 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? 4 z 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? tit S Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? 4P4 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 p 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? 114 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? y,.,: List your a perience relating to the fields of planning and zoning: cot, t Gales Usk: c, 4,004 s - afss .4- sccui t./ 4 ?tell c1t4' k Coconv� Grad` t1:11a c. wcs� c.:vt� twos, ` . ?o. 11 uotuMejw J with ir►r5 Gw.+u,.w�t}y G4iti•Oe and Are you a United States citizen? tit S c o." 1.+ t)i . • k O G a`. J iB ld '�'ew41�,u ws' y Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? 14 G If "yes," give details: <forms>pz application 3/19/2001 CITY OF MIAMI APPLICATION FOR PLANNLNG ADVISORY BOARD and/or ZONING BOARD NAME: k'CJ'� 4 e ( C, 6\roniora. RESIDENCE ADDRESS: 600 NG /fa Z l`�%G � f'L 33/37. HOME PHONE&I S-76- /46' BUSINESS PHONEl34--) r.3/- 4147 9 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." Q� A PRINCIPAL BUSINESS/EMPLOYER: MI `�� C • ��''� f4e (Company Name) �,/ BUSINESS ADDRESS: -7 i7 �t1ive &G1- +�. /"> >Gyf'�r' &4, -ft 33/`fo Are you an employee o ',Miami -Dade County or any municipality therein other than the City of Miami? O Would you like to serve on the Planning Advisory Board? t� Would you like to serve on the Zoning Board? eS Please state if you have a preference for either board: &/fir p, . 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? if "no." please give details below: <forms>pi application 19.2001 Will you be able to faithfully attend meetings of the board as required by Section 62- ] 26 of the Miami City Code? Will you be able to attend Planning and Zoning seminars as required by Section 62- ] 24 of the Miami City Code? qip„c Do you foresee any conflicts of interest as defined in Miami City Code Article V, Sections 2-6 ] ] - 619 and Miami -Dade County Code Section 2-1 1 . ] ? A% p Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attacl?ed forms) with the City Clerk, pursuant to Section 2.6] 5 of the City of Miami Code? Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3 ] 45 and/or Miami -Dade County Ordinance No. 77-13? L'ec List your experience relating to the fields of planning and zoning: fGnwt 4h 4tfror w/ L, CJoLtJ Ad8e$f kn.a•n a# Zrtr► . .. �nn e 0rre,,r0-1 VICc - l/r in < r oLt- ery hrr,,, o.,t rr4 Gu.�G ► vim( oN 7..s>e'!ts Mara G, j o-r Are you a United States citizen? 1 eS 116 . Are you presently indebted to the CityAy ,,of Miami for any real or personal property tax, /v. license fee, or properly lien? If "yes," give details: Signature: Date: 3/ q/ac- w -, L/r v <form>pz application 3:19.2001 w ` 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: 3/ 6/0 — I, /I; c1il `►i / C- Gov l , a mtmber of (name of board) 06° (do/do not) 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. ) presently reside in the City of Miami at the following address: boo N- 36 St t /fU_ 1�1 mf 33/3'7- B. I own a business and/or real property within the City of Miami limits at the following address: (?tote: Kindly specify if it is a business or a property) C. I work within City of Miami limits. My business address is: CITY OF MIAMI. FLORIDA STATEMENT OF REAL PROPERTY OWNED ON CONFORMANCF. WITH SEC. 2-615 OF THE CITY CODE) I.egal Deccriptinn SAMPLE ENTRY: Common Address 437 Northeast 54"' Street Title L=Legal E:=Equilable L Owned W=Wholly P=In Part Zoning Class R-I Present Use Home Lot 7, Primrose Section 4, PI3 52 lu 400 a 3fo `11t ti'p2,. rr ..W11 W • 6`", /VC A'S.' I ` ,7404f Atof- In — OATH I, t CL L G • * Al". , do solemnly swear that the above is a tnie and accurate statement of my interests in real property located within corporate limits f{flhe CITY OF MIAMI or 500 feel beyond the corporate limits of the CITY OF MIAMI. NAME: (Please taint) 1 _ `I • (J oid C Slott of Ilnridn rmmsy nr _- - NOTARY PI IRI,IC SI;AI.OI OI FICF: SIONATI On Ibis the _ day of 20 , before me, the undersigned Notary Public of the Stale of Finrida, the foregoing instrument was acknowledged by TITLE/POSITION writ CITY OF MIAMI NAMF OF HOARQ/COMMITTGE (It Applicable) TE: 3/193 (Name of persnn signing and his/ha Title (public nfTica. Trustee nr personal representative) WITNESS my hand and official sea) NOTARY Pumas, STATE. OF FLORIDA (Name of Notary Puhlie: Prins, Stamp, or Type as Cnmmlglerled) O Personally known In me, or O Prrkhnced Mef 4ItlGlkr►: O nin take an oath. o► O ntn NOT lake an nalh (Type of klenllliealkrt Produced) Share/Forms PNLE ARPS PROPERTY FOLIO NO: 01-3230-046-0001 3RP FOLIO: 3230046001G CANCELED: NO ORIGIN: DC OWNER NAME AND ADDRESS HA.RTER CLUE CONDO EDO NE 36 ST IAMI FL ZIP: 33137 LEGAL DESCRIPTION 'r.:-.+TER CLUB CONDO E ST' BAYFRONT SUB PE 102-75 R A NEXT FOLIO KEY: NEXT ACTION: 1-CONTINUE SYSTEM - PROPERTY NAME / LEGAL INQUIRY (32) DATE: 04/05/2005 00:53:55 LEGAL ADDR: 3301 NE 36 ST PROP ADDR: 600 NE 36 ST EL PRESENT: YES ST EX: 63 00 CLUC: 00 ADDRESS YEAR: LAND: BLDG: TOTAL: HEX: WVDS: TOTER: NONE?: GRSS TX: CNTY TX: CITY TX: SALE AMT: SALE DATE: SALE TYPE: KEY: VALUE HISTORY 2003 2004 0 0 0 0 0 0 0 0 0 0 0 0 0 D ACTION: 01 XMIT: _E:E. : `,ACC= -.TLE: BUSINESS ADDRESS: fr S • CITY OF MIAMI APPLICATION i ANe soti FOR PLANNING ADVISORY BOARD and/or ZONING BOARD RESIDENCE ADDRESS: / /0 Ale �P ,4 HOME PHONE: cyo S g/- g /f� �I ' / BUSINESS PHONE: n ,J - `,Z -,C 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: -L)OA J (, r/ C0 (Company Name) 33,5' w I 5-7", Arifip: J:5-423 Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? f /C7 Would you like to serve on the Planning Advisory Board? Would you like to serve on the Zoning Board? Please state if you have a preference for either board: 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? If "no," please give details below: <forms>pz application 2/23/2006 Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? ye' S Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? -Z..,5 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? /Vo 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? 2/45 List your experience relating to the fields of planning //Li' 2..et4,3 /� y` Pam`" /s yams' A •ni'/u-e,4 . Are you a United States citizen? AI 1 % ec d zoning: IS Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? /V0 If "yes," give details: Signature: Date: - J "- <forms>pz application 2/23/2006 City of Miami - Address Verfication Page 1 of 1 City Address Verification home 1 city directory city officials 1 To determine if an address is registered in the City of Miami, enter the required address elements and then click on the Submit button » Click here to learn how to use this page « Required fields are denoted in bold case Street 710 Number Quadrant NE Street 29 Name Street STREET Type Submit Reset (e.g. 7 not 7th, 33 not 33rd, etc) This is a valid City of Miami property, 16 units units were located » Click here for interpretation of the results « » Click here if you have a question about this address « Rows 9-16 Row Unit Customer Folio 1 356327 32300490001 2 1A 356328 32300490010 3 1D 356329 32300490020 4 2A 356330 32300490030 5 2B 356331 32300490040 6 2C 356332 32300490050 7 2D 356333 32300490060 8 3A 356334 32300490070 commission agendas err http://egov.ci.miami.fl.us/addresscheck/default.aspx 2/27/2006 ' -.. T --- CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: // /We RESIDENCE ADDRESS: (OO / /UL d t' HOME PHONE:3Q — 2 7-4932D 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: iLTI tie de BUSINESS ADDRESS: (Company Name) Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? h 0 Would you like to serve on the Planning Advisory Board? if CAS Would you like to serve on the Zoning Board? •coct4-tte Pleas tf ou have aeren pm for either bo___� M.a� 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, g.S if "no," please give details below: dorms>pz application 319'200 ] 41k L 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:pS-' 1. /�c7 , a member of (name of board) comply with the residency requirement under Code Section 2-884. namely: (do/do not) "(a) All members of Cite 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. 1 presently reside in the Cite of Miami at the following address: B. 1 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. 1 work'1ythin City of Miami limits. My business address is: Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? yew Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? L GS 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, 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 Ciry of Miami Code? 9 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? 4t� List your experience relating to the fields of planting and zoning: 2.--c a ee`';? (11414 Lou a re- (ram cl- L. (hem /k : o d zo w' �r- vrl inn a Coa r ti t.l;/t 4 (-col r c11o., 0P !ter 6 ��A�.iif�e�P • 1 �ICfJ' ,0 .Su peel ` � pie/ Coa Esc de G /9 9a - y000 . —/4/5o. - m `the. /' 4 -' r-�t�t)o n 4 a.- r42 4 hoe a • ��s. f/,$-fori.G zgy)- Are you a United States citizen? vai-os Q oraC" ' Atfa"..' ' e-- i� 2coo3-2.00'. Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? h a if "yes." give details: Signature: Date: .� /c. <forrns>p2 application 3 /) 9)2001 CITY OF MIAMI. FLORIDA STATEMENT OF REAL PROPERTY OWNED (IN CONFORMANCE WITII SI?C. 2-615 OF TIME CITY CODE) I.rgaI I)escr;VI ion SAMPLE ENTRY: 1.ot 7, Primrose Section 4, PB 52 Common Address 437 Northeast 54* Street Title I; Legal F-Equitable L Owned W-Wholly P=In Part W Zoning Class R-1 Present Use Home f 1, ( e (7.C.,�1� (if 'f 00i 4/E . 7'� - 2- f � -� rllr Z /"f 1-1X OATH t, 3 n //y 1k e g j L ,� S do solemnly swear that the above is a tole and accurate statement of my interests in real property locgtcd with�in corporate limits of -the CITY OF MIAMI or 500 feet beyond the corporate limits of the CITY OF MIAMI. Stale nr Florida Cmmly nr4 .4'. NOTARY PIMIK. SEAL OF nrrlr t y; - -. • • :{ NAMIi: (Please Print) 1TTI.F.IPOSITM)N WITH CITY OF MIAMI NAME O s AP i On this the ' ' - day nr 1/I4_4+ . 20115. hernre me. the imdersigned Notary Puhlic or the Mille nr I.1rwld,. the rewegning Inslnaneni was ncknnwledged by CJ/1 < signing "4e % Eh S. of r I h ID/COMMITTIr,(IrAppllcahle)� rr� 6.00�%%/i 14"71. ^- 44k OA— ,lijt--"L' DATE: 71 J o (Name (N pe .nn and his/he dl a (pu 11 c nfltcer. Intake nr personal rep►esenlalive) WITNC5S my Nan anti I seal. NOTARY PI mix ATAIT. Or FLORIDA T7lLti. 6. 0 (Name nr Mabry Publie; Print, ,:lamp, or Type as Cnmmiasirmed) 0 snnally known in me. n► PrridoctA iAen11t1uMfnn: (Type nr Menli/iealinn O }ND lake an oath, nr DID NOT take an Bath Share/Forma MORNINGSIDE HISTORIC EDUCATION SOC1ED April 30, 2005 Ms. Priscilla A. Thompson City Clerk City of Miami 3500 Pan American Drive Miami, FL 33133 Dear Ms. Thompson: ;:7 C 0 Z s 17: MIAMI, FLORIDA 33137 TEL:i3051 632-6060 momingsidehometour@direcway.com Lin ••C w 1 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 result of her having her home on the Morningside 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- Seesionl PNLE ARPS PROPERTY SYSTEM PROPERTY NAME / LEGAL INQUIRY (32) DATE: 05/03/2005 09:11:18 FOLIO NO: 01-3218-036-0570 LEGAL ADDR: 601 NE 57 ST GRF FOLIO: PROP ADDR: 601 NE 57 ST CANCELED: NO ORIGIN: DC BL PRESENT: YES ST EX: 00 00 CLUC: 01 OWNER NAME AND ADDRESS VALUE HISTORY AMUEL J YARGER &W SALLY M YEAR: 2003 2004 LAND: 110,838 166,495 CI NE 5i ST BLDG: 199,908 203,610 IAMI FL TOTAL: b10,74b :5 0,105 ZIP: 331372319 HEX: 0 25,000 WVDS: 0 0 LEGAL DESCRIPTION TOTEX: 0 25,000 AYSHORE UNIT NO 2 PF 9-9E NONEX: 310,146 345,105 OT 3 BLK 1E GRSS TX: 10,083 10,083 OT SIZE IRREGULAR CNTY TX: R 21245-1143 05/2003 1 CITY TX: 3,335 3,335 SALE AMT: 395,000 160,000 112,000 SALE DATE: 05/2003 03/2003 01/1987 SALE TYPE: 1/I 6/I 1/I NEXT FOLIO KEY: NEXT ADDRESS KEY: ACTION: 1-CONTINUE St€: 5/3/2005 Time: 9:12:25 AN ACTION: 01 XMIT: CITY OF MIAMI APPLICATION • FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: C` L)/u iti Zj¢f3 7) ( 4 4 l L D RESIDENCE ADDRESS: i'e9 $0 PC Z irl"G ,fii•/�. fr2 Sc�yTCrc c /7�7is/r, , Ft. 3,17Y c, -�-n• . ow/ 7 HOME PHONE: 9s Q! y 2rz. BUSINESS PHONE: 3 5- ZPS- 5"5 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: OD C7 L C. L C'vRippaix veCvop' i 60-s"fi,5 (Company Name) BUSINESS ADDRESS: /Y'/ St.) 3"'13,4 /& 5 c A//r�//, ,C� ,33/Z 5 Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? /V U Would you like to serve on the Planning Advisory Board? Would you like to serve on the Zoning Board? yes Please state if you have a preference for either board: 1t4NN I I ZDN`/J 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? )[c) If "no," please give details below: <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: ///D/060 �L.f-irep n.3 Adv. (name of board) o not) , 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: 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: Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? Ve > Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? ye, 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? f Vb 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? y e 5 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? ref List your experience relating to the fields of planning and zoning: 073 yrs .ba-tle Lri.v3 f� C*IV ci 'ocT/Nj AQsi Q tdQ fi Ca -sot 4 /'Qe a 1. E o- r- r _hA-. e 1.6edri.11.ev GaC . n rTr ,,.c I141ar44i (! sra-y drs. Bu'Ca 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? /Vv If "yes," give details: Signature: Date: !//0 6 <forms>pz application 3/1 9/200 1 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 i3ro5/v5 Sufi.. 1 D8'd NGLii!i, iv fir. L 1 .' w R" 1 Hall ox+ParCAvsT _G�7`"� OATH I,l �0 , do solemnly swear that the above is a true and accurate statement of my interests in real property Ioca ed within corporate limits of the CITY OF MIAMI or 500 feet beyo/ndd the corporate limits of the CITY OF MIAMI. NAME: (Please Print) W 0")N tAr C • %�/,(i TITLE/POSITION WITH CITY OF MIAMI N4 NAME OF BO: ' • OMMI E (If Applicable) NA - 4-111 - State of Florida On this the r day ofj , 014, before me, the undersigned Notary Public of the Stat of Florida, the foregoing instrument County of 4:44111004t was acknowledged by NOTARY PUBLIC SEAL OF OFFICE: (Name of person signing and his/her title (public officer, trustee or personal representative) S my hand ial seal. SIGNATU 1enha E GzabeEh 1-ti 1p DATE: 1/3/C9f, LIC, ' i FLORIDA .Cerro o gor Julia Del Carmen Cetrato yMy Commission DD261385 re if Expires October 26. 2007 (Name of Notary Public: Print, Stamp, or Type as Commissioned) ❑ Personally known to me, or Produced identification: FLbriv&Y&S NOD - i -bI -121- b (Type of Identification Produced) ❑ DID take an oath, or NC DID NOT take an oath Share/Forms City of Miami - Address Verfication Page 1 of 1 City Address Verification home I city directory I city officials I commission agendas err To determine if an address is registered in the City of Miami, enter the required address elements and then click on the Submit button » Click here to learn how to use this page « Required fields are denoted in bold case Street 1080 Number Quadrant NE Street Little River Name Street DRIVE Type (e.g. 7 not 7th, 33 not 33rd, etc) Submit Reset This is a valid City of Miami property, 1 unit was located » Click here for interpretation of the results « » Click here if you have a question about this address « Row Unit Customer Folio 1 433448 32080220050 http://egov.ci.miami.fl.us/addresscheck/default.aspx 2/27/2006 CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: -----41-124/1-4 _I RESIDENCE ADDRES ��S k 60,-/t---- 9 co) ( 4( ry1 '3► Zr 5 HOME PH BUSINE S P ONE: OC City Cod Sec. 2-884 states: o employee of Mi i-Dade County, Florid , 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: r� (Comp A BUSINESS ADDRESS: ' ( ')'� !� Are you an employee of IYiiarpi-Dade County or any municipality therein other than the City of Miami? Would you like to serve on the Planning Advisory Board?.- /44,/?-to-- Would you like to serve on the Zoning Board? e Please state if you have a preference for either boarr: 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? If "no," please give details below: r Q-LVv‘ <forms>pz application 1/19/2006 Will you be able to faithfully tt d meetings of the board as required by Section 62-126 of the Miami City Code? E'1 Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attaced forms) with the City Clerk, pursuant to Section 2-615 of the City of Miami Code? Are you prepared to file a statement of financ al interests pursuant to 1pi�ia_,Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? `lam l List your experience relating to the fields of planning and zoning: PL kr Are you a United States citizen? - Cs Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? r If give details: C2ZAr Signature: Date: <forms>pz application 1/19/2006 !f/yl0(o