HomeMy WebLinkAboutApplicationsForm BoadslMA-PAB2&0701.01
BEGET'ED
CITY OF MIAMI APPLICATIO 3 FEB 29 PI 3: 54
g for PLANNING ADVISORY BOARD and/or ZONING_BOARI?::.; lPs0ii
<< . ',, 2 I. E R ,t,
CITY OF711".HI.FL
NAME• Hazem Monem
(First Name) (Middle) (Last Name)
RESIDENCE. 1703 SW 21 st Street
(Address-l.1net )
(Address Line 2)
CITY: Miami STATE: Florida zip. 33145
HOME PHONE: (305) 858-4551 CELL(305) 431-1710 FAX- (305) 858-4883
EMAIL• hazem.monem@kraft.com
PRINCIPLE BUSINESS/EMPLOYER. Edible Arrangements
1LG
BUSINESS ADDRESS: 150 SE 2nd Ave, S-
(Addressuite
ine1)
(Address Line 2)
CITY: Miami STATE: Florida Zip.33145
BUS. PHONE•(305) 577-6101 EXT.
Would you like to serve on the Planning Advisory Board? a Yes r No
Would you like to serve on the Zoning Board? C: Yes r 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.
I have lived all my life within the city of Miami limits and have witnessed several LIVE meeting and also watched
several ofth i broad-cast"s meeting on PUBLIC- eTevisionthat is Before they dhangeTto the -higher channels Tavve
always had a passion to Team about the goveming rules for building w tlim the city of Miami. In addition, being one
who has had several experiences with the building department as a business owner and a home owner is what
has drawn me closer to volunteer my time to my city for whom which I care for.
Page 1 of 4
2. Describe your educational background and general knowledge of planning and zoning.
I am graduate of Florida International University, with a major in business. My knowledge of planning and zoning
stems from what I have read and researched in articles and books regarding setbacks, height limit, variances, etc.
3. Describe any prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementation'_
none
4. Describe any planning or land use or growth management seminars thay you helve
attended.
no seminars 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.
none
6. Describe any other activity evidencing knowledge and interest in the public purposes
of planning and plan implementation.
As a business owner in DOWNTOWN Miami, I was very much involved with the DOWNTOWN DEVELOPMENT
AUTHORI Y:I worked th them very closely. I saw the work that was being put -Meth behind the scenes prior to
theTaurtc15 Miam 21. -1 pretty -much think -the -city is headed7n "the right direction into tcreating a 24 dour downtown.
•My business contacts at-theeDDA areDavon Barbour"and Lee Zabensky I have always totd•the DDA if thereisa
project and -you -need merchants -to -be involved -count mein.
Form HoardsIMA-PA828.O701.01 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) 1 am not employed in a full-time capacity by any govemmental 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 altemate 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 generatknoWsdge of
planning and zoning. _ m
(8) I am an elector of the City of Miami. — "r1
�rnrn !1
An "elector of the City of Miami' means a person who: o
T, 1
(1) is a citizen of the United States of America; �o ""i
(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 rest f ;
(5) is a resident of the City of Miami; and
(6) is registered to vote in the City of Miami r— u cn
W
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 c ce.
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 awarded, any
rebate, gift, money or anything of value whatsoever, except where given for the use and benefit of the city.
1 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 appointrnent
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, 1 understand that if I am appointed to the zoning board and 1 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.
Form Boards/MA-PABIZB-0701.01
Page 3 of 4
I hereby certify that ail 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 HAZEM MONEM
Signature
G Yes
Date Monday, February 25, 2008
iN3tiM*M►*k*MktrMiei4►iii►tMi►+M►MM+FRi►ik►bNN►M
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
Form 8oardslMA-Pg825-0701.01
TFernandez[ m_amigQv. cow
Page 4 of 4
cza
-re
rn
C7
Form Boards/MA-PAB/ZB-0701
`'"'�,''�; CITY OF MIAMI APPLICATION
for PLANNING ADVISORY BOARD and/or ZONING BOARD
NAME: Frank Kemp Rollason
(First Name) (Middle) (Last Name) --
RESIDENCE: 686 NE 74th Street =_
(Address Linel)
-'1
(Address Line 2) _ _
CITY: Miami STATE: FL Zip• 33138
HOME PHONE: 758-6144 CELL 299-7300 FAX. 758-6143
EMAIL: follason(c�comcast.net
PRINCIPLE BUSINESS/EMPLOYER. Rodriquez and Quiroga Architects Chartered
BUSINESS ADDRESS. 2100 Ponce de Leon Boulevard
(Address Linel)
(Address Line 2)
CITY: Coral Gables STATE: FI ZIP. 33134
BUS. PHONE: EXT.
Would you like to serve on the Planning Advisory Board? 6 Yes c No
Would you like to serve on the Zoning Board? 6. Yes C No
Please state if you have a preference for either board: No Preference
Are you an elector of the City of Miami? (: 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.
-40 years -experience -with -the Ctty rl-multiple-adrrjinistrative-positions-ineluding-Fire-M-arshal-antf-Director-of
Building Department as well as Director for all three of the City's CRAs. Active with Belle Meade Home Owners
Association and the MiMo Biscayne Association.
01 Page 1 of 4
2. Describe your educational background and general knowledge of planning and zoning.
I possess a BS in Fire Science and Safety from the College of Engineering at FIU. My previous positions with the
City required me to have more than-alayman'sknowledge of the various codes impacting planning and zoning.
3. Describe any prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementation.
Answered under Number 1, above.
4. Describe any planning or land use or growth management seminars thay youhau4e
attended.
I attended multiple related seminars while employed by the City of Miami and the CRA.
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.
BelieMeade Home Owners Association and MiMo-Biscayne Association.
6. Describe any other activity evidencing knowledge and interest in the public purposes
of planning and plan implementation.
Form Boards/MA-PAB/ZB-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 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 terrnof my office.
I agree that if I were to become a candidate for elective political office during my term and qualify as a cancfidatefor eattive 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.
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. Arty 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.
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 Frank K. Rollason
Signature
Yes
Date May 23, 2008
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:
Form Boards/MA-PAB/ZB-0701 01
TFernandez@miamigov.com
Page 4 of 4
NAME:
Q CeivtMun .,
Form Boards/MA-PAB2B-0701.01
CITY OF MIAMI APPLICATIOIW : 3 }','; 30 NI ?: 35
for PLANNING ADVISORY BOARD and/or ZONING BOARD
Y l os >r ��
irs`- t Name) - (Middle)
RESIDENCE: f>26 ( 51'3 if `5 tree r
(Address Linel)
F -�'�:.a a.t F. FL
(Last Name)
(Address Line 2)
CITY: STATE: ram" ZIP: l
HOME PHONE. 366 ' 3 ®. 1{-7 CELL 'S -72cu 62 ii FAX: 3o s 3 9 -7 27° 8
EMAIL: ("441 inn toa0 (• CGr✓►
�J PRINCIPLE BUSINESS/EMPLOYER: C. inanc.11 Can
BUSINESS ADDRESS: 52.' gt v � �" ( I °°
(Address Line
(Address Line 2)
CITY: ram► n-. •STATE: ZIP:
30g77711iq
BUS. PHONE. EXT.
Would you like to serve on the Planning Advisory 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 •?r)h �nq
Are you an elector of the City of Miami?
8' Yes
SHORT STATEMENT OF QUALIFICATIONS
you require additional space, attach additionalpages.
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.
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Page 1 of 4
2. Describe your educationalbackground and general knowledge of planning and zoning.
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3. Describe any prior community or personal involvement that you have had that
demonstrates interest in and concern for planning and planning implementation.
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4. Describe any planning or land use or growth management seminars thay you have
attended.
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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.
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6. Describe any other activity evidencing knowledge and interest in the public purposes
of planning and plan implementation.
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Form Boards/MA-PAB/ZB-0701.01 Pa
e 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 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 c rid general„kflowledge 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 1 cease to be a resident and/or an elector of the city during the term of ffictn
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 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 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 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.
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
Signature
Date
0,ky
O Yes
s _ a fct (P S
0
-
*************************************************
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
-ram
ea
cc'
Information may be copied and pasted into this form from other computer programs, Le.
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@niamigov.com
*************************************************
Form Boards/MA-PAB/ZB-0701.01
Page 4 of 4