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NAME: Ney Denis
CITY OF MIAMI APPLICATION
for PLANNING ADVISORY BOARD andlor ZONING BOARD'
(First Name)
RESIDENCE• 2759 NW 6 Street
CITV: Miami
HOME PHONE: (305) 649-8965
EMAIL: drdenisrod@yahoo.com
PRINCIPLE BUSINESS/EMPLOYER:
Rod
(Middle) (Last Name)
(Address Linel)
(Address Line 2)
STATE: FL
CELL (305) 244-2708
BUSINESS ADDRESS- 2759 NW 6 Street
(Address LineT)
ZIP: 33125-4325
FAX -
(Address Line 2)
CITY: Miami STATE: FL
BUS. PHONE. EXT
zip: 33125-4325
Would you like to serve on the Planning Advisoy Board? i6, Yes r No
Would you like to serve on the Zoning Board? 14 Yes c No
Please state if you have a preference for either board: Zoning Board
Are you an elector of the City of Miami?
Yes
SHORT STATEMENT OF; QUALIFICATIONS
(If you refire additional space, attach additto�nai pages.)
1. Describe the qualities, experience, expertise and/or abilities that you possess that
would make you an effective board member that will act in the public interest.
Spent from 1978 to 1981 on the board of Project A.I.S.P. (Arts Instructions for Special Population). He served 4
years -on the City of Miami Planning Adri(soiy Board as a mem r; and Co=C�iairper5on. turn 1999 to "2002 he
served in the Code Enforcement Board for the City of Miami:_ Currently, he is a board -member of The Jay Malina
International Trade Consortium, Miami -Dade County, through District 7, Commissioner Carlos Gimenez.
Form 8eamoaA-PABIZB-0701A1
Page 1 of 4
2. Describe your educational background and general knowledge of planning and zoning.;
),
Dr. Rod has his degrees in Education, Clinical Psychology and Cultural Anthropology.
3. Describe any prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementatial.
S.a ,
-74
w
Among his many talents, you can count on him to be an excellent translator from English into Fren h and/or
Spanish and vice -versa. He re7ade history in this cfy by being the first person to ever speak in'Creole as a Code
Enforcement Board" Member and -Cantonese Chinese at a Planning "Advisory Board Meeting.. He'd well known for
his Of of languages Ali of these occasions were televised by the City of Miami and shown on Channel 9 N_
4. Describe any planning or land use or growth management seminars they you have
attended.
During his 4 years in the Planning Board (2002-2006) he went to all workshops and
seminars available. He did the same in his 3 years in which he spends on the Code
Enforcement Board.
Plus, he was not only board member for the Planning Advisory Board, but vice -chair and
co-chairman. Also, He was a board member of project A,I.S.P. (Arts Instruction for
Snerial Pppp1Xinn) from.
5. bescribe any membership in organizatioplfs hariing the primjary aim of the furtherance
of dissemination of knowledge of and support of sound planning and implementation
programs.
Due to his many years of community involvement, Dr. Rod belongs to numerous civic,
private and public organizations dealing with our community.
C.O.P. (Citizen on Patrol) Community meetings every last Thursday of each month and
second Thursdays of November due to Thanksgiving.
6. 15escribe any othree activitir evidencing knowledge and interest in the public purposes
of planning and plan implementation.
A 4r it .... City_Y giving back to the community he loves. He
is a communityachvisf andd hatted affiizen Ar is iidf rriei actrvein aIT'" "`
ear resident theMiami, Dr. Rod has spent his adult lice ry
�y _ _ as _
pests o��his ooisiinui�ity;-primarily City
ofMia/ni, Region 4 and atthe-CountyTeve%•Region % " .._.._-- - _.- -- _
Farm BoonisatA-PAe ae-mo,.o1
Page 2 ef 4
I have read and understand the qualifications for members that are set forth in Sec. 62-124 of the City Code, and hereby certify that:
(1) I do not have any interest in the profits or emoluments of any contract, job, work, or service for the city.
(2) I am in a position to represent the public interest, and do not have any personal or private interests likely to conflict with the
public interest.
(3) I do not hold any elective office in any govemmental authority in the county or the city.
(4) I am not employed in a full-time capacity by any governmental authority in the county or the city_
(5) As a member of the planning advisory board or of the zoning board 1 agree to participate in at least one seminar on planning
or zoning to be held in Florida, and approved by the city, during the course of each calendar year that I remain a member or
alternate member of the planning advisory board or of the zoning board.
(6) I acknowledge that I am subject to removal from the board if I fail to meet this requirement each and every4ear r assLrning
board membership or alternate membership. c'
(7) As a prospective appointee I am subject to a personal appearance before the city commission, to aff&rdttie cit ;bommfsion
an opportunity to ascertain my proficiency in the English language, educational background ancgeneral 'liwledge of
planning and zoning.
(8) I am an elector of the City of Miami.
An "elector of the City of Miami" means a person who:
(1) is a citizen of the United States of America; _ Y
(2) is 18 years of age or older;
(3) has not been adjudicated mentally incapacitated with respect to voting in Florida or any other state;
(4) has not been convicted of a felony in Florida, or any other state, without having had his/her civil rights restored
(5) is a resident of the City of Miami; and
(6) is registered to vote in the City of Miami
I agree to immediately notify the city clerk if I cease to be a resident and/or an elector of the city during the term of my office.
I agree that if I were to become a candidate for elective political office during my term and qualify as a candidate for elective political
office, such qualification shall be deemed a tender of my resignation from the board.
have read, understand and agree to comply with Section 2-611 of the Miami City Code which prohibits me from entering into any con-
tract or transacting any business with the city or any person or agency acting for the city, or from appearing in representation of
any third party before any board, commission or agency of which I am member. I also understand that prohibition upon activity
which is set forth above remains in effect for a period of two years after 1 have left city service.
I have read, understand and agree to comply with Section 2-613 of the Miami City Code which prohibits me from accepting, directly or
indirectly, from any person, company, firm or corporation to which any purchase order or contract is or might be awarded, any
rebate, gift, money or anything of value whatsoever, except where given for the use and benefit of the city.
I have read, understand and agree to comply with Section 2-615 and 2-617 of the Miami City Code which requires that I submit to the
city clerk a complete itemized list of all real property owned by me, whether the title be either legal or equitable, whether owned in
whole or in part, including corporate real property in which I have a controlling interest or I am an officer of such corporation. I
agree to submit to the city clerk said information in the required form verified and under oath within 30 days of my appointment
and I shall include the following information as to each parcel of land:
(1) The legal description and common address;
(2) The municipal or county zoning classification wherein the property is located; and
(3) The manner in which the property is presently being utilized.
I understand that I am required to list only those real properties that are located within the corporate limits of the city or those
properties located 500 feet beyond the corporate limits of the city.
I agree to comply with all financial disclosure requirements of the City, the County and the State including the requirements set forth in
Section 2-11.1 of the Miami -Dade County Code, and Florida Statutes Sec. 112-3145.
I acknowledge that the code of ethics of Miami -Dade County shall apply to me as a member or alternate member of the planning
advisory board or the zoning board and hereby agree to abide by all the provisions thereof.
For additional information on Code citations, please visit the website of the Office of the City Attorney at http://www.miamigov.com/
cityattorney/pages/Index.asp for internet links to citations,
I recognize that membership on the planning advisory board or the zoning board requires my regular attendance and participation at
board meetings. I understand that attendance at board meetings is subject to the following point system:
1. Each member or alternate member of the planning advisory board and the zoning board who arrives after the beginning of the
first agenda item or leaves before the termination of the last agenda item, at a regularly scheduled meeting of the board, shall
receive two points.
2. Any member or altemate member of the planning advisory board or zoning board who accumulates more than 15 points in one
calendar year shall automatically be removed and the position declared vacant.
Additionally, I understand that if I am appointed to the zoning board and I am absent, for whatever reason, from more than five (5)
meetings in one calendar year, I shall be automatically removed from the board; or that if I am appointed to the planning advisory
board and 1 am absent, for whatever reason, from more than six (6) meetings in one calendar year, I shall be automatically
removed from the board
Form Boarda/MA-PAB28-0701.01
Page 3 of 4
*************************************************
I hereby certify that all information in this application is complete, truthful, and accurate to
the best of my knowledge and that I have read and understand the qualifications and
conditions of membership listed in this application.
Print Name Dr. Denis Rod
Signature
Date
Yes
FURTHER INSTRUCTIONS
Please complete this form and submit to:
Office of the City Clerk
ATTN: Assistant City Clerk
3500 Pan American Drive
Miami, FL 33133
Information may be copied and pasted into this form from other computer programs, i.e.
MS Word. Information that is typed directly into the form may be "Saved as Text" and
then opened in other computer programs.
For additional information on the Planning Advisory Board and/or the Zoning Board,
please contact Ms. Teresita Fernandez, Executive Secretary, Hearing Boards, at (305)
416-2038 or email at:
TFernandez@miamigov. com
Form Bo rds/MA-PABRB-0701 01 Page 4 of 4
Denis Rod
A graduate of the University of Miami, Miami, Florida and Patrick Lumumba
Moscow State University, Soviet Union (now Russia), Dr. Rod has his degrees
in Education, Clinical Psychology and Cultural Anthropology.
Although not an attorney, Dr. Rod has successfully helped handled litigation
issues dealing with shareholders, contracts, and real estate disputes. Also, he
has taken up to trial Tort Cases. All of this while working at his uncle's law
firm in Spain.
Dr. Rod spent from 1978 to 1981 on the board of Project A.I.S.P. (Arts
Instructions for Special Population). He served 4 years on the City of Miami
Planning Advisory Board as a member, Vice -Chairperson and Co -Chairperson.
From 1999 to 2002 he served in the Code Enforcement Board for the City of
Miami. Currently, he is a board member of The Jay Malina International
Trade Consortium, Miami -Dade County, through District 7, Commissioner
Carlos Gimenez. Appointed by different administrations, he has served in the
greeting committees for the visits of His Holiness, Pope John Paul II, H.M.
Queen Elizabeth of England, H.M. King Juan Carlos of Spain, N.M. Queen Sofia
of Spain, and H.R.H. El Principe Felipe de Asturias.
Among his many talents, you can count on him to be an excellent translator
from English into French and/or Spanish and vice -versa. He made history in
this city by being the first person to ever speak in Creole as a Code
Enforcement Board Member and Cantonese Chinese at a Planning Advisory
Board Meeting. He's well known for his gift of languages. All of these
occasions were televised by the City of Miami and shown on Channel 9 TV.
CITY OF MIAMI APPLICATION
for PLANNING ADVISORY BOARD andlor ZONING BOARD
NAME• Donna Elizabeth
(First Name) (Midafe)
RESIDENCE: 1080 NE Little River Drive
(Address Lmel )
(Address Line 2)
Milo
A7
(Last Name) P C"7 --�
"— L..
rn
CITY: Miami STATE: FL
HOME PHONE: (305) 757-9646
EMAIL: dmddci( bellsouth.net
CELL (954) 914-2822
7
ZIP: ,33 38
FAX: (305) 866-4ek
PRINCIPLE BUSINESS/EMPLOYER: Urban Development Group,LLc
BUSINESS ADDRESS: 1$01 SW 3rd. Ave.
(Address Line1)
{Address Line 2)
CITY: Miami STATE: FL
BUS. PHONE: (305) 285-9050 EXT 19
Would you like to serve on the Planning Advisoy Board? c Yes c No
Would you like to serve on the Zoning Board? Yes c No
ZIP: 33129
Please state if you have a preference for either board: Planning Advisory Board
Are you an elector of the City of Miami? t: Yes
SHORT STATEMENT OF QUALIFICATIONS
(If you require. additional space, attach additional pages.)
1. Describe the qualities, experience, expertise andlor abilities that you possess that
would make you an effective board member that will act in the public interest.
I have worked in many aspects of the development and construction industry for many years.
Also l have previous experience on the planning advisory board.
Form BoardstMA-PABIZB-0701,01
Page 1 of 4
2. Describe your educational background and general knowledge of planning and zoning.
Graduated High School in 1979 after which, I attended Allstate Construction College and received Certified
Suilding_Contractors License in June 1982. Since then I have completed required continuing education couises
and . _acquired_ 2 _additional Siete_ Qerti_fioatione. __in lie oonstration_ indktry, .
I have been_extensively involved in_tbeonacas,s_otplatting_and_aLlthe_oracessLneedecl to develonproperty. _
3. Describe any prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementation.
I am currently a member of the Shorecrest homgovvners asso. and have attended many meetings sponsored by
the city of Miami for the Miami 21 initiative.
4. Describe any planning or land use or growth management seminars they you have
attended.
5. Describe any membership in organizations having the primary aim of the furtherance
of dissemination of knowledge of and support of sound planning and implementation
programs.
.....6borecregt.HQme Owners Association end The Upper East Side Council on Miami 21
6. Describe any other activity evidencing knowledge and interest in the public purposes
of planning and plan implementation.
Previous actions on the PlanningAdvisoBoard
For Boards/MA-PAB/7_13-0701 01
Page 2 of 4
have read and understand the qualifications for members that are set forth in Sec. 62-124 of the City Code, and hereby certi'y that:
(1) 1 do not have any interest in the profits or emoluments of any contract, job, work, or service for the city.
(2) I am in a position to represent the public interest, and do not have any personal or private interests likely to conflict with the
public interest.
(3) I do not hold any elective office in any governmental authority in the county or the city.
(4) I am not employed in a full-time capacity by any governmental authority in the county or the city.
(5) As a member of the planning advisory board or of the zoning board I agree to participate in at least one seminar or planning
or zoning to be held in Florida, and approved by the city, during the course of each calendar year that I remain a member or
alternate member of the planning advisory board or of the zoning board.
(6) i acknowledge that I am subject to removal from the board if I fail to meet this requirement each and every year after assuming
board membership or alternate membership.
(7) As a prospective appointee I am subject to a personal appearance before the city commission, to afford the city commission
an opportunity to ascertain my proficiency in the English language, educational background and general knowledge of
planning and zoning.
(8) i am an elector of the City of Miami.
An "elector of the City of Miami" means a person who:
(1) is a citizen of the United States of America;
(2) is 18 years of age or older;
(3) has not been adjudicated mentally incapacitated with respect to voting in Florida or any other state;
(4) has not been convicted of a felony in Florida, or any other state, without having had his/her civil rights restored;
(5) is a resident of the City of Miami; and
(6) is registered to vote in the City of Miami
I agree to immediately notify the city clerk if I cease to be a resident and/or an elector of the city during the term of my office.
I agree that if I were to become a candidate for elective political office during my term and qualify as a candidate for elective political
office, such qualification shall be deemed a tender of my resignation from the board.
I have read, understand and agree to comply with Section 2-611 of the Miami City Code which prohibits me from entering into any con-
tract or transacting any business with the city or any person or agency acting for the city, or from appearing in representation of
any third party before any board, commission or agency of which I am member. I also understand that prohibition upon activity
which is set forth above remains in effect for a period of two years after I have left city service.
I have read, understand and agree to comply with Section 2-613 of the Miami City Code which prohibits me from accepting, directly or
indirectly, from any person, company, firm or corporation to which any purchase order or contract is or might be awa-ded, any
rebate, gift, money or anything of value whatsoever, except where given for the use and benefit of the city.
have read, understand and agree to comply with Section 2-615 and 2-617 of the Miami City Code which requires that I submit to the
city clerk a complete itemized list of all real property owned by me, whether the title be either legal or equitable, whether owned in
whole or in part, including corporate real property in which I have a controlling interest or I am an officer of such corp ration.
agree to submit to the city clerk said information in the required form verified and under oath within 30 days of my appointment
and I shall include the following information as to each parcel of land:
(1) The legal description and common address;
(2) The municipal or county zoning classification wherein the property is located; and
(3) The mariner in which the property is presently being utilized.
understand that I am required to list only those real properties that are located within the corporate limits of the city or those
properties located 500 feet beyond the corporate limits of the city.
agree to comply with all financial disclosure requirements of the City, the County and the State including the requirements set forth in
Section 2-11.1 of the Miami -Dade County Code, and Florida Statutes Sec. 112-3145.
I acknowledge that the code of ethics of Miami -Dade County shall apply to me as a member or altemate member of the planning
advisory board or the zoning board and hereby agree to abide by all the provisions thereof.
For additional information on Code citations, please visit the website of the Office of the City Attorney at http://www.miam.gov_com/
cityattomey/pages/index.asp for intemet links to citations.
recognize that membership on the planning advisory board or the zoning board requires my regular attendance and participation at
board meetings. I understand that attendance at board meetings is subject to the following point system:
1. Each member or alternate member of the planning advisory board and the zoning board who arrives after the beginning of the
first agenda item or leaves before the termination of the last agenda item, at a regularly scheduled meeting of the board, shall
receive two points.
2. Any member or alternate member of the planning advisory board or zoning board who accumulates more than 15 poin s in one
calendar year shall automatically be removed and the position declared vacant.
Additionally, I understand that if I am appointed to the zoning board and I am absent, for whatever reason, from rnore the n five (5)
meetings in one calendar year, I shall be automatically removed from the board; or that if I am appointed to the planning advisory
board and I am absent, for whatever reason, from more than six (6) meetings in one calendar year, I shaii be automatically
removed from the board.
Forth 9oaMs1MA-PAB/29-0701.01
Page 3 of 4
*************************************************
I hereby certify that all information in this application is complete, truthful, and accurate to
the best of my knowledge and that ! have read and understand the qualifications and
conditions of membership listed in this application.
Yes
Print Name Donna Elizabeth Milo
Signature
Date
Thursday, January 4, 2007
FURTHER INSTRUCTIONS
'Please complete this form and submit to:
Office of the City Clerk
ATTN: :Assistant City Clerk
3500 Pan American Drive
Miami, FL 33133
l information may be copied and pasted .into this form from other computer programs, f.e.
MSWord Information that Is typed directly into the form may be "Saved as Text" and
then opened in other computer programs.
For additional information on the Planning Advisory, Board and/or the Zoning Board,
please contact Ms. Teresita Fernandez, Executive Secretary, Hearing Boards, at (305)
1,116-2038 or email at;
TFernandeze niamigov.com
Form BoardaIMA-PAB2B-0701 01
Page 4 of 4
Forrn Boards/MA
"'� j CITY OF MIAMI APPLICATION
{�
m for PCA I[�! lG ACIV1§ 1RY BOARD and/or ZONING BOARD
: f Sc;!
CIE 7'
NAME• Maria Beatriz Gutierrez
(First Name) (Middle) (Last Name)
RESIDENCE: 2121 N. Bayshore Dr. Unit #1002
(Address Line1)
(Address Line 2)
CITY: Miami STATE: FL Zip: 33137
HOME PHONE- J305) 576- to 1 CELL (786) 493- % ,
- FAX
EMAIL: betty iutz@hotmail_com
PRINCIPLE BUSINESS/EMPLOYER- Miami -Dade County Commissioner Bruno Barreiro
BUSINESS ADDRESS- 1454 S.W. 1st Street, Suite 130
(Address Lme1}
(Address Line 2)
CITY: Miami STATE: FL ZIP. 33135
BUS. PHONE. (305) 643-8525 EXT
1: Yes ( No
Would you like to serve on the Planning Advisoy Board?
Would you like to serve on the Zoning Board?
Please state if you have a preference for either board: Planning
c Yes c No
Advisory Board
Are you an elector of the City of Miami?
i Yes
SHORT STATEMENT OF QUALIFICATIONS
(If you require additional'space, attach additional`pages)
1. Describe the qualities, experience, expertise and/or abilities that you possess that
would make you an effective board member that will act in the public interest.
-As-a past -Ghairpel-sonof- the-Miemi-Design•-Preservation-League t-h-ave-fleait-with-Planning-issues-from_a._...._......._...._._
community wide perspective with a concentration on historic preservation.
.................................
........................ .
.................._ __. _... .
-PA3fZB-0701.01 Page 1 of 4
2. Describe your educational background and general knowledge of planning and zoning.
I have a degree in Public -Administration -which --concentrated on some planning concepts. i have dealt with
'planning -and -zoning -issues -from -am econortc developmentperspectivewithMain-Street-concepts..I have served
on the board of the Miami geacil Community Development Corporation and the Miami Design Preservation
League where planning and zoning issues were addressed.
3. Describe any prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementation.
The community involvement- I mentioned above.
4. Describe any planning or land use or growth management seminars thay you have
attended.
have attended sessions dealing with planning, land use, and growth management at the National Trust for
Historic Preservation and National Association of Housing and Redevelopment -Official's Conferences.
5. Describe any membership in organizations having the primary aim of the furtherance
of dissemination of knowledge of and support of sound planning and implementation
programs.
None at this time.
6. Describe any other activity evidencing knowledge and interest in the public purposes
of planning and plan implementation.
Answered in prior questions.
Form Boards/MA-PABIZB-0701 01
Page 2 of 4
An "elector of the City of Miami" means a person who:
I have read and understand the qualifications for members that are set forth in Sec. 62-124 of the City Code, and hereby certify that:
(1) I do not have any interest in the profits or emoluments of any contract, job, work, or service for the city,
(2) I am in a position to represent the public interest, and do not have any personal or private interests likely to conflict with the
public interest.
(3) I do not hold any elective office in any governmental authority in the county or the city.
(5) As a member of the planning advisory board or of the zoning board I agree to participate in at leas i one seminar on planning
or zoning to be held in Florida, and approved by the city, during the course of each calendar year that I remain a member or
alternate member of the planning advisory board or of the zoning board.
(6) I acknowledge that I am subject to removal from the board if I fail to meet this requirement each and every year after assuming
board membership or alternate membership.
(7) As a prospective appointee I am subject to a personal appearance before the city commission, to afford the city commission
an opportunity to ascertain my proficiency in the English language, educational background and general knowledge of
planning and zoning. a ��
(8) I am an elector of the City of Miami. « ce Lee
cr
(1) is a citizen of the United States of America;
(2) is 18 years of age or older; rea
(3) has not been adjudicated mentally incapacitated with respect to voting in Florida or any other state; t=%'
(4) has not been convicted of a felony in Florida, or any other state, without having had his/her civil rights retjred;
(5) is a resident of the City of Miami; and
(6) is registered to vote in the City of Miami r�-
I agree to immediately notify the city clerk if I cease to be a resident and/or an elector of the city during the term amy ,pfficie,o
I agree that if I were to become a candidate for elective political office during my term and qualify as a candidate fdPelecliDe political
office, such qualification shall be deemed a tender of my resignation from the board.
I have read, understand and agree to comply with Section 2-611 of the Miami City Code which prohibits me from entering into any con-
tract or transacting any business with the city or any person or agency acting for the city, or from appearing in representation of
any third party before any board, commission or agency of which I am member. I also understand that prohibition upon activity
which is set forth above remains in effect for a period of two years after I have left city service.
I have read, understand and agree to comply with Section 2-613 of the Miami City Code which prohibits me from accepting, directly or
indirectly, from any person, company, firm or corporation to which any purchase order or contract is or might be awarded, any
rebate, gift, money or anything of value whatsoever, except where given for the use and benefit of the city.
I have read, understand and agree to comply with Section 2-615 and 2-617 of the Miami City Code which requires that I submit to the
city clerk a complete itemized list of all real property owned by me, whether the title be either legal or equitable, whether owned in
whole or in part, including corporate real property in which I have a controlling interest or I am an officer of such corporation. I
agree to submit to the city clerk said information in the required form verified and under oath within 30 days of my appointment
and I shall include the following information as to each parcel of land:
(1) The legal description and common address;
(2) The municipal or county zoning classification wherein the property is located; and
(3) The manner in which the property is presently being utilized.
understand that I am required to list only those real properties that are located within the corporate limits of the city or those
properties located 500 feet beyond the corporate limits of the city.
1 agree to comply with all financial disclosure requirements of the City, the County and the State including the requirements set forth in
Section 2-11.1 of the Miami -Dade County Code, and Florida Statutes Sec. 112-3145.
I acknowledge that the code of ethics of Miami -Dade County shall apply to me as a member or alternate member of the planning
advisory board or the zoning board and hereby agree to abide by all the provisions thereof,
For additional information on Code citations, please visit the website of the Office of the City Attorney at http://www.miamigov.com/
cityattorney/pages/Index.asp for internet links to citations.
I recognize that membership on the planning advisory board or the zoning board requires my regular attendance and participation at
board meetings. I understand that attendance at board meetings is subject to the following point system'
1. Each member or alternate member of the planning advisory board and the zoning board who arrives after the beginning of the
first agenda item or leaves before the termination of the last agenda item, at a regularly scheduled meeting of the board, shall
receive two points.
2. Any member or alternate member of the planning advisory board or zoning board who accumulates more than 15 points in one
calendar year shall automatically be removed and the position declared vacant.
Additionally, I understand that if I am appointed to the zoning board and I am absent, for whatever reason, from more than five (5)
meetings in one calendar year, I shall be automatically removed from the board; or that if I am appointed to the planning advisory
board and I am absent, for whatever reason, from more than six (6) meetings in one calendar year, I shall be automatically
removed from the board.
Farm 0 ards/MA-PABIZB-0701 01
Page 3 of 4
hereby certify that all information in this application is complete, truthful, and accurate to
the best of my knowledge and that I have read and understand the qualifications and
conditions of membership listed in this application.
Yes r;,3k c,,\\M 0\ V\v)\\Ail l
Co -:a Q-kin Ok\c2.9—
Print Name Maria Beatriz Gutierrez
Signature
Date January 26, 2007
FURTHER INSTRUCTIONS
Please complete this form and submit to:
Office of the City Clerk
ATTN: Assistant City Clerk
3500 Pan American Drive
Miami, FL 33133
,information may be copied and pasted into this form from other computer programs, i.e.,
MS Word. information that is typed directly Into the form may be "Saved as Text" and'
then opened in other computer programs.
For additional information on the Planning Advisory Board and/or the Zoning Board,
please contact Ms. Teresita Fernandez, Executive Secretary, Hearing Boards, at (300
416-2038 or email at:
TFernandez@miamigov.com
Form Boords/MA-PABIZH-0701.01 Page 4 of 4
Form Boords/MA-PAB2B-0701.01
CITY OF MIAMI APPLICATION
for PLANNING ADVISORY BOARD and/or ZONIN
.RiaCILL_ .i-''SO
'.
NAME• Bret Jason Berlin CITY ,:.'F I.— - I FL
(First Name) (Middle) (Last Name)
RESIDENCE: 3829 Stewart Avenue
(Address Linel)
(Address Line 2)
CITY: Coconut Grove STATE: FL ZiP• 33133
HOME PHONE: (305) 666-3662 CELL (305) 586-3660 FAX
EMAIL: Bret@jellydoughnut.com
PRINCIPLE BUSINESS/EMPLOYER: Hospitality / Grand Partners, Inc.
BUSINESS ADDRESS: 6900 SR 84
(Address Unel)
(Address Line 2)
CITY: DaV1e STATE: FL ZIP- 33317
BUS. PHONE:(305) 586-3660 EXT
Would you like to serve on the Planning Advisoy Board? c Yes (: No
Would you like to serve on the Zoning Board? Yes c No
Please state if you have a preference for either board: No Preference
Are you an elector of the City of Miami? r: Yes
SHORT STATEMENT OF QUALIFICATIONS
(If you require additional space, attach additional pages.)
1. Describe the qualities, experience, expertise and/or abilities that you possess that
would make you an effective board member that will act in the public interest.
My background and strong sense of civic duty would make me an effective board member who will act in the
public interest. I am a committed citizen of the City of Miami, with proven leadership qualities, strong
communication skills, extensive management experience, and a history of community involvement. I have a
strong civic interest, general knowledge of the community, independent judgment, and availability to prepare for
and attend meetings.
Page 1 of 4
2. Describe your educational background and general knowledge of planning and zoning.
I hold a degree in chemical engineering from the University of Florida and worked in the environmental
engineering industry. I also hold an M.B.A. from Columbia University. I possess general knowledge of planning
and zoning, knowledge of the Miami community, and an interest therein.
3. Describe any prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementation.
I have attended meetings concerning planning issues in Miami, including those affecting the community of
Coconut Grove. Having grown up in Miami, I am also deeply concerned that the city develops in a manner that
protects our communities.
4. Describe any planning or land use or growth management seminars thay you have
attended.
None. I understand the requirement of Board members to attend seminars on planning or zoning, and I would
comply with this requirement.
5. Describe any membership in organizations having the primary aim of the furtherance
of dissemination of knowledge of and support of sound planning and implementation
programs.
None.
6. Describe any other activity evidencing knowledge and interest in the public purposes
of planning and plan implementation.
I was involved in the Hold The Line campaign to protect the Urban Development Boundary for Miami -Dade
County. Advised County staff on the history and concerns of the Marjorie Stoneman Douglas Home.
Form BoardsfMA-PAB/Z6-0701. 01
Page 2 of 4
I have read and understand the qualifications for members that are set forth in Sec. 62-124 of the City Code, and hereby certify that:
(1) I do not have any interest in the profits or emoluments of any contract, job, work, or service for the city.
(2) I am in a position to represent the public interest, and do not have any personal or private interests likely to conflict with the
public interest.
(3) I do not hold any elective office in any governmental authority in the county or the city.
(4) I am not employed in a full-time capacity by any governmental authority in the county or the city.
(5) As a member of the planning advisory board or of the zoning board I agree to participate in at least one seminar on planning
or zoning to be held in Florida, and approved by the city, during the course of each calendar year that I remain a member or
alternate member of the planning advisory board or of the zoning board.
(6) I acknowledge that I am subject to removal from the board if I fail to meet this requirement each and every year after assuming
board membership or alternate membership.
(7) As a prospective appointee 1 am subject to a personal appearance before the city commission, to afford the city commission
an opportunity to ascertain my proficiency in the English language, educational background and general knowledge of
planning and zoning.
(8) I am an elector of the City of Miami.
An "elector of the City of Miami" means a person who:
(1) is a citizen of the United States of America;
(2) is 18 years of age or older;
(3) has not been adjudicated mentally incapacitated with respect to voting in Florida or any other state;
(4) has not been convicted of a felony in Florida, or any other state, without having had his/her civil rights restored;
(5) is a resident of the City of Miami; and
(6) is registered to vote in the City of Miami
I agree to immediately notify the city clerk if I cease to be a resident and/or an elector of the city during the term of my office.
I agree that if I were to become a candidate for elective political office during my term and qualify as a candidate for elective political
office, such qualification shall be deemed a tender of my resignation from the board.
I have read, understand and agree to comply with Section 2-611 of the Miami City Code which prohibits me from entering into any con-
tract or transacting any business with the city or any person or agency acting for the city, or from appearing in representation of
any third party before any board, commission or agency of which I am member. 1 also understand that prohibition upon activity
which is set forth above remains in effect for a period of two years after I have left city service.
I have read, understand and agree to comply with Section 2-613 of the Miami City Code which prohibits me from accepting, directly or
indirectly, from any person, company, firm or corporation to which any purchase order or contract is or might be awarded, any
rebate, gift, money or anything of value whatsoever, except where given for the use and benefit of the city.
I have read, understand and agree to comply with Section 2-615 and 2-617 of the Miami City Code which requires that I submit to the
city clerk a complete itemized list of all real property owned by me, whether the title be either legal or equitable, whether owned in
whole or in part, including corporate real property in which I have a controlling interest or I am an officer of such corporation. I
agree to submit to the city clerk said information in the required form verified and under oath within 30 days of my appointment
and 1 shall include the fallowing information as to each parcel of land:
(1) The legal description and common address;
(2) The municipal or county zoning classification wherein the property is located; and
(3) The manner in which the property is presently being utilized.
I understand that I am required to list only those real properties that are located within the corporate limits of the city or those
properties located 500 feet beyond the corporate limits of the city.
I agree to comply with all financial disclosure requirements of the City, the County and the State including the requirements set forth in
Section 2-11.1 of the Miami -Dade County Code, and Florida Statutes Sec. 112-3145.
I acknowledge that the code of ethics of Miami -Dade County shall apply to me as a member or alternate member of the planning
advisory board or the zoning board and hereby agree to abide by all the provisions thereof.
For additional information on Code citations, please visit the website of the Office of the City Attorney at http://www.miamigov.corn/
cityattomey/pages/Index.asp for Internet links to citations.
I recognize that membership on the planning advisory board or the zoning board requires my regular attendance and participation at
board meetings. 1 understand that attendance at board meetings is subject to the following point system:
1. Each member or alternate member of the planning advisory board and the zoning board who arrives after the beginning of the
first agenda item or leaves before the termination of the last agenda item, at a regularly scheduled meeting of the board, shall
receive two points.
2. Any member or altemate member of the planning advisory board or zoning board who accumulates more than 15 points in one
calendar year shall automatically be removed and the position declared vacant.
Additionally, I understand that if I am appointed to the zoning board and I am absent, for whatever reason, from more than five (5)
meetings in one calendar year, I shall be automatically removed from the board; or that if I am appointed to the planning advisory
board and I am absent, for whatever reason, from more than six (6) meetings in one calendar year, 1 shall be automatically
removed from the board.
Form Boards/MA•PAB/ZB-0701 01 Page 3 of 4
I hereby certify that all information in this application is complete, truthful, and accurate to
the best of my knowledge and that I have read and understand the qualifications and
conditions of membership listed in this application.
Print Name Bret Berlin
Signature
Date
C: Yes
Thursday, January 4, 2007
FURTHER INSTRUCTIONS
Please complete this form and submit to:
Office of the City Clerk
ATTN: Assistant City Clerk
3500 Pan American Drive
Miami, FL 33133
Information may be copied and pasted into this form from other computer programs, i.e.
MS Word. Information that is typed directly into the form may be "Saved as Text" and
then opened In other computer programs.
For additional information on the Planning Advisory Board and/or the Zoning Board,
please contact Ms. Teresita Fernandez, Executive Secretary, Hearing Boards, at (305)
416-2038 or email at:
Fortn BOardarMA-PABIZB-0701.01
T Fernancezemia rniga v.. c om
Page 4of4
`.'! ry' CITY OF MIAMI APPLICATION ' Y ° , ,. ,
for PLANNING ADVISORY BOARD and/or ZONING ii,, ,.
NAME: Regina aka Nina West ct r r F
(Putt mate) (Mottle/ (t azt Nand r L
RESIDENCE: 3690 Avocado Av
(mimrss unei)
(AdGPets um& 4)
CITY: Coconut Grove STATE. FI zip: 33133
HOME PHONE: 3064432007 CELL 7862463614 FAX: 3054432007
EMAIL: ninawest1000(12wahoo.corn
PRINCIPLE BUSINESSIEMPLOYER: Retired
BUSINESS ADDRESS:
Imams mei,
A
11�jj Lft* Lt
CITY: STATE: ZIP:
BUS. PHONE: EXT.
Would you like to serve an the Planning Advisoy Board? a Yes c No
Would you like to serve on the Zoning Board? ci Yes r No
Please state if you have a preference for either board: Planning Advisory Board
Are you an elector of the City of Miami? a Yes
SHORT STATEMENT OF QUALIFICATIONS
(if you require ecidtionai spaces attach moral pages.)
'I. Describe the qualities, experience, expertise andlor abilities that you possess that
would make you an effective board member that will act in the public interest.
—An -c nderst i
1nvestment-�*mnunftymeic on tr wvner.
2, Describe your educational background and general knowledge of planning and zoning.
-zoning -
-Ed or
enera ow ge ga n m years w expe nc a eve Amen a n ng commun es:
Biftman Building Corp, New York, N.Y.
Engle Homes, Boca Raton, Florida
AmOstan_DI ersMed Ca flan I Corporation, Costa M a, Ca
is other smaller entities
_Marti
3. Describe any prior community or personal involvement that you have had that
demonstrates interest In and concern for planning and planning implementation.
=tip,
�Nelghbo�U
0 �
Buena VfsWhast Historic Neighborhood Assn. - Development Committee --`
tl
Cocoanut Grove Village Council - Planning and Zoning Committee
Coconut Grove Civic Club
4. Describe any planning or land use or growth management seminars they you, aver
attended. �r
EUzabe#h PtaterZybek th
-Most-recently-a-seminar-conducted-by a# he-Parka-Summit-of
-MiemhDade County.
Prior numerous seminars in New York and Florida
5. Describe any membership in organizations having the primary aim of the furtherance
of dissemination of knowledge of and support of sound planning and implementation
programs.
-Mismi--Naighborh
Cocoanut Grove Village Council -past Council person --
6. Describe any other activity evidencing knowledge and interest in the public purposes
of planning and plan implementation.
tryst -a ,
-Meetings-for-PZ-Items-forthe�t-four-yeers.
Attertded-atl fi!l , ,
Clancy Parks Meetings
a a pa pan : ea a
Buena Vista East
I have read and understand the qualifications for members that are set forth in Sea. 62-124 of the City Code, end hereby artily that
(1) I do not have any Interest in the profits or emoluments of any contract, job, work, or service for the city.
(2) I am in a position to represent the public Interest, and do not have any personal or private interests likely to conflict with the
public interest.
(3) 1 do not hold any elective office In any governmental authority in the county or the city.
(4) 1 am not employed In a full-time capacity by any governmental authority in the county or the city.
(5) As a member of the planning advisory board or of the zoning board I agree to participate in at least one seminar on planning
or zoning to be held In Florida, and approved by the city, during the course of each calendar year that I remain a member or
alternate member of the planning advisory board or of the zoning board.
(6) I acknowledge that 1 am subject to removal from the board if I fail to meet this requirement each and every year after assuming
board membership or alternate membership,
(7) As a prospective appointee I am subject to a personal appearance before the olty commission, to afford the city commission
an opportunity to ascertain my proficiency In the English language, educational background and general knowledge of
planning and zoning. 7.)
(8) I am an elector of the City of Miami. n
An "elector of the City of Miami" means a person who: 77,1 , `; 3
c
(5) Is a resident of the City of Miami; and
(6) Is registered to vote in the City of Miami
I agree to immediately notify the city clerk If 1 cease to be a resident and/or en elector of the city during the term of my'grit:m..i
I agree that If I were to become a candidate for elective political office during my term and qualify as a candidate for elective political
office, such qualification shall be deemed a tender of my resignation from the board.
i have read, understand and agree to comply with Section 2-811 of the Miami City Code which prohibits me from entering into any con-
tract or transacting any business with the city or any person or agency acting for the city, or from appearing In representation of
any third party before any board, commission or agency of which 1 am member, I also understand that prohibition upon activity
which is set forth above remains in effect for a period of two yews after I have left city service.
I have read, understand and agree to comply with Section 2413 ofthe Miami City Code which prohibits me from ecceptlng, directly or
indirectly, from any person, company, firm or corporation to which any purchase order or oontnaot Is or might be awarded, any
rebate, gift, money or anything of value whatsoever, except where'given for the use and benefit of the city.
I have read, understand and agree to comply with Section 2415 and 2-617 of the Miami City Code which requires that I submit to the
city clerk a complete itemized list of all real property owned by me, whether the title be either legal or equitable, whether owned in
whole or In part, Including corporate real property In which I have a controlling interest or I am an officer of such corporation. I
agree to submit to the city clerk said information In the required form verified and under oath within 30 days of my appointment
and I shall include the following Information as to each parcel of land:
(1) The legal description and common address;
(2) The municipal or county zoning classification wherein the property is located; and
(3) The manner in which the property is presently being utilized.
I understand that I am required to list only those real properties that are located within the corporate limits of the city or those
properties located 500 feet beyond the corporate limits of the city.
I agree to comply with ail financial disclosure requirements of the City, the County and the State including the requirements set forth in
Section 2-11.1 of the Miami -Dade County Code, and Florida Statutes Sec. 112-3145.
I acknowledge that the code of ethics of Miami -Dade County shall apply to me as a member or alternate member of the planning
advisory board or the zoning board and hereby agree to abide by all the provisions thereof,
For additional information on Code citations, please visit the webslte of the Office of the City Attorney at httpJlwww.mlemigov.com/
cityettomey/pages/index.asp for Internet links to citations.
i recognize that membership on the planning advisory board or the zoning board requires my regular attendance end participation et
board meetings. 1 understand that attendance at board meetings Is subject to the following point system:
1. Each member or alternate member of the planning advisory board and the zoning board who arrives after the beginning of the
first agenda item or leaves before the termination of the last agenda item, at a regulerty scheduled meeting of the board, shall
receive two points.
2. My member or alternate member ofthe planning advisory board or zoning board who accumulates more then 15 points in one
calendar year shall automatically be removed and the position declared vacant.
Additionally, I understand that if I em appointed to the zoning board end i em absent, for whatever reason, from more than five (5)
meetings in one calendar year, I shall be automatically removed from the board; or that if I am appointed to the planning advisory
board and I am absent, for whatever reason, from more than six (8) meetings In one calendar year, 1 shall be autorratiasity
removed from the board.
(1) le a citizen of the United States of America;
(2) is 18 years of age or older, 1 x
(3) has not been adjudicated mentally incapacitated with respect to voting In Florida or any other state; F
(4) has not been convicted of a felony in Florida, or any other state, without having had his/her civil rights restored; �T'
I hereby certify that all information in this application is complete, truthful, and accurate to
the best of my knowledge and that I have read and understand the qualifications and
conditions of membership listed in this application.
Print Name
Signature
Date
G Yes
(4-/r;"4'
• 4
FURTHER INSTRUCTIONS
Please complete this form and submit to:
Office of the City Clerk
ATTN: Assistant City Clerk
3800 Pan American Drive
Miami, FL 33133
information may be copied and pasted into this form from other computer programs, i.e.
MS Word. Information that Is typed directly into the form may be "Saved as Text" and
then opened in other computer programs.
For additional information on the Planning Advisory Board and/or the Zoning Board,
please contact Ms. Teresita Fernandez, Executive Secretary, Hearing Boards, at (306)
410-2038 or email at:
TFernandez@miamigov.com
JCAbd1 _c s�i
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