HomeMy WebLinkAboutPZAB Application & Supporting DocsHEARING BOARDS
444 SW 2nd Avenue, 7t" Floor • Miami, Florida 33130
Telephone 305-416-2030 • Fax 305-416-2035
www.miamigov.com/hearing boards
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Planning Designee Initial & Date
0-e /L
Jo -oDbK-e-c.,
AMENDMENT TO THE ZONING ATLAS AND/OR OVERLAY DISTRICT
Welcome to Hearing Boards! This application is intended to serve as a guide in assisting you with our public
hearing process. Please feel free to contact us at the number above, should you have any questions.
The deadline to file the complete application with supporting documents is the first five working days of
each month from 8:00 am until 3:00 pm, except on the fifth day, at 12:00 pm. The application
submittal date is the date stamped by Hearing Boards' staff on this page. The responses to this
application must be typed and signed in black ink. Please note that pursuant to Section 1304.2.2 of the
Miami Zoning Ordinance, no application shall be deemed to have been filed unless and until the application
shall have been completed. All pertinent and accurate information/documentation; i.e., the plans, reports,
exhibits, shall be presented at the time of filing, in addition to the paid receipt. The applicant is responsible
for the accuracy of the information contained in the application and all supporting materials. Should you
wish, you could bring the materials to our office for review before the deadline to ensure completeness.
You will be responsible, if needed, to bring an interpreter for the English language to any presentation before
city boards, committees and the city commission. A valid power of attorney will be required if neither
applicant or legal counsel representing the applicant execute the application or desire to make a
presentation before city boards, committees and the city commission. All documents, reports, studies,
exhibits (8'/2 x11") or other materials submitted during this process will be kept as part of the record.
ORDINANCE NO. 11469, CODIFIED IN CHAPTER 2, ARTICLE VI OF THE CITY CODE STATES THAT
ANY PERSON WHO RECEIVES COMPENSATION, REMUNERATION OR EXPENSES FOR
CONDUCTING LOBBYING ACTIVITIES TO REGISTER AS A LOBBYIST WITH THE CITY CLERK, PRIOR
TO ENGAGING IN LOBBYING ACTIVITIES BEFORE CITY STAFF, BOARDS, COMMITTEES AND THE
CITY COMMISSION. A COPY OF SAID ORDINANCE IS AVAILABLE IN THE OFFICE OF THE CITY
CLERK (MIAMI CITY HALL), LOCATED AT 3500 PAN AMERICAN DRIVE, MIAMI, FLORIDA, 33133.
Ordinance No, 12918 states that each person or entity requesting approval, relief or other action from the
City Commission or any of its boards, authorities, agencies, councils or committees regarding any issue,
shall disclose at. the commencement (or continuance) of the public hearing(s) on the issue, any
consideration provided or committed, directly or on its behalf, for an agreement to support or withhold
objection to the requested approval, relief or action. The Disclosure of Consideration Provided or
Committed for Agreement to Support or Withhold Objection Affidavit included in this package must be
submitted with the application. The applicant must, at the commencement of any public hearing on the
issue, if there is any disclosure to report, read the disclosure into the record. Also, the applicant must
supplement the affidavit if there is any new information or additional information to disclose.
Copies of City Commission resolutions and ordinances can be obtained at our website through the "Legislative
Hub", or for certified copies, contact the City Clerk's Office at 305-250-5360.
Applications for Zoning Change (Amendment to Zoning Atlas and/or Overlay District) and Land Use Change
(Amend the Comprehensive Neighborhood Plan) will not be accepted unless it is signed or initialed and dated by
the Planning Department designee.
MIA 181,225,980v1 5-17-10Rev. 12-16-08
MIA 181,225,980v1 5-17-10
Please refer to Article 22 of the Miami Zoning Ordinance for Amendment information.
1. Applicant name(s): Javier F. Avino on behalf of Transcon Land Development, LLC, contract
purchaser and Neighborhood Lending Partners, Inc.
2. Subject property address(es) and folio number(s): 3372 NW 17 Avenue
01-3127-103-0020
3. Present zoning designation(s): G/I
Statement as to why the present zoning designation is inappropriate:
Property has not been used for Government Institutional use and is not compatible with surrounding
area
4. Future zoning designation(s): C-1
Statement as to why the proposed zoning designation is appropriate:
The entire corridor on NW 17 Avenue is already C-1, this will keep the corridor consistent
5. Obtain signature or initial and date by the Planning Department designee prior to submittal.
6. Two (2) 11x17" original and one (1) 8 1/2 x 11 copy of the survey of the property prepared by a State of
Florida registered land surveyor within six (6) months from the date of the application.
7. The subject property(ies) cannot have any open code enforcement/lien violations.
8. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable.
9. At least two photographs showing the entire property showing land and improvements.
10. A clear and legible copy of the recorded warranty deed and tax forms of the most current year showing
the present owner(s) and legal description of the property.
11. A clear and legible copy of the subject property address(es) and legal description(s) on a separate
sheet, labeled as "Exhibit A", to match with the current survey's legal description.
12. Original Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold
Objection Affidavit.
13. Original Public School Concurrency Management System Entered Requirements form (page 4 of the
attached packet).
14. Certified list of owners of real estate within 500 feet of the subject property (see pages 7 and 8).
15. For all corporations and partnerships indicated:
a) Articles of Incorporation;
b) Certificate from Tallahassee showing good standing, less than one (1) year old;
c) Corporate Resolution or a Power of Attorney signed by the secretary of the Corporation authorizing
the person who signed the application to do so;
d) Non-profit organizations: A list of Board of Directors less than one (1) year old.
2 Rev. 12-16-08
MIA 181,225,980v1 5-17-10
16. What is the acreage of the project/property site? .849 acres
17. What is the purpose of this application/nature of proposed use? Affordable Housing
Development
18. Is the property within the boundaries of a historic site, historic district or archeological zone?
Please contact the Planning Department on the 3rd Floor for information. No
19. Is the property within the boundaries of an Environmental Preservation District? Please contact
the Planning Department on the 3rd Floor for information. No
20. Cost of processing according to Section 62-156 of the Miami City Code*:
Change of zoning classification to:
a. CS, PR, R-1, R-2, per square foot of net lot area $ .15
Minimum $ 635.00
b. R-3, R-4, 0, G/I, HP per square foot of net lot area
Minimum
$ .20
$ 750.00
c. C-1, C-2, I, per square foot of net lot area $ .25
$ 900.00
Minimum
d. CBD and all SD's, per square foot of net lot area $ .30
$ 1,000.00
Minimum
Public hearing and public meeting mail notice fees,
including cost of handling and mailing per notice $ 3.50
*Pursuant to Ordinance 12719, all planning and zoning fees in excess of $25, 000.00, shall be
paid in the form of a certified check, cashier's check, or money order.
Signature Address 1221 Brickell Avenue
Name Javier F. Avino, Esq. Miami, FL 33131
Telephone 305-579-0703 E-mail avinoiqtlaw.com
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this 1. day of ))2ay--
20 1 C7 , by
who is a(n) individual/partner/agent/corporation of a(n)
individual/partnership/corporation. He/She is personally known to__me or who has produced
as identification and who did (did not) fake an oath.
(Stamp)
MIA 181,225,980v1 5-17-10
MARISOL R. Zhijniakire
Notary Public - State of Florida
• iMy Com ission Expires Sep 17,2010
Commission # DO 553129
Bonded By National Notary Assn.
7
Rev. 12-16-08
AFFIDAVIT OF AUTHORITY TO ACT
Before me this day, the undersigned personally appeared Javier F. Avino
, who being by me first deposes and says:
1. That he/she is the owner or the legal representative of the owner, submitting the public
hearing application as required by the Code of the City of Miami, Florida, affecting the
real property located in the City of Miami, as listed on the foregoing pages.
2. That all owners who he/she represents, if any, have given his/her full and complete
permission for him/her to act in his/her behalf for the change or modification of a
classification or regulation of zoning as set out in the foregoing petition, 0 including or
0 not including responses to day to day staff inquires.
3. That the foregoing and following pages are part of this affidavit and contain the current
names, mailing addresses, telephone numbers and legal descriptions of the real
property of which he/she is the owner or legal representative.
4. That the facts, as represented in the application and documents submitted in
conjunction with this affidavit, are true and correct.
Further Affiant sayeth not.
Applicant(s) Name
nt(s) Signature
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this \ day of
20 to , by
who is a(n) individual/partner/agent/corporation of
a(n) individual/partnership/corporation. He/She is personally known to me or who
has produced as identification and who did (did not) take an oath.
(Stamp)
5
MIA 181,225,980v1 5-17-10
•`, NNotary Public - S : of :rlda
My Commission Expires Sep�17, 2010 Commission
on # DD 553129
Bonded By National 1
DISCLOSURE OF OWNERSHIP
1. List the owner(s) of the subject property and percentage of ownership. Note: The
Miami City Code requires disclosure of all parties having a financial interest, either
direct or indirect, with respect to a presentation, request or petition. Accordingly,
disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other
interested parties, together with their address(es) and proportionate interest are
required. Please supply additional lists, if necessary.
Owner's Name(es) NLP Plaza La Isabela, LLC
Percentage of Ownership 100 % owned by Neighborhood Lending Partners of
South Florida, Inc., a Florida not -for -profit corporation
s&a c d 't l)
Subject Property Address(es) 3372 NW 17 Avenue
2. List all street address(es) and legal description(s) of any property located within 500 feet
of the subject property owned by any and all parties listed in question #1 above. Please
supply additional lists, if necessary.
Street Address(es):
1733 NW 33 Street
Legal Description(s):
ALLAPATTAH BAPTIST PROPERTY
PB 134-68 TR A
/77/7
Owner(s) or Attorney' Name owner( nor Fl1161-6e -8 gnature
vCr
STATE OF FLORIDA -- COUNTY OF MtA-M-I=DADE—
lc},� SVAmDe
The foregoing was acknowledged before me this / J dayof hi
201�.� ,by (/('/Crtc>tt �/4/66/v/ 4 .r 0 = c y%_ 0 (
who is a(n) individual/partner/agenticorporation of Al L ? /'L /) 2- q / : /�Jf I cC,9l L IC
a(n) individual/partnership/corporation. He/She is p rere so` Wady known to me or who
has produced as identification and who did (did not`take ar o-th.
(Stamp)
Notary Public State of Florida
� Cinzia V Keever
My Commission DD703847
o014- Expires 09/01/2011
71, --
Signature
Rev. 12-16-08
MIA 181,225,980v1 5-17-10
DISCLOSURE OF OWNERSHIP
3. List the owner(s) of the subject property and percentage of ownership. Note: The
Miami City Code requires disclosure of all parties having a financial interest, either
direct or indirect, with respect to a presentation, request or petition. Accordingly,
disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other
interested parties, together with their address(es) and proportionate interest are
required. Please supply additional lists, if necessary.
Owner's Name(es) Transcon Land Development, LLC
Percentage of Ownership Marc Plonskier (50%) and David Canepari (50%)
Subject Property Address(es) 3372 NW 17 Avenue
4. List all street address(es) and legal description(s) of any property located within 500 feet
of the subject property owned by any and all parties listed in question #1 above. Please
supply additional lists, if necessary.
Street Address(es): Legal Description(s):
. ; A4 1 tom- f Nb f C
Owner(s) or Attorney Name
6or Attorney Signature
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this day of ll�
20 1,0 , by
who is a(n) individual/partner/agent/corporation of
a(n) individual/partnership/corporation. He/She is personally known to me or who
has produced as identification and who did (did not) take an oath.
(Stamp)
7
MIA 181,225,980v1 5-17-10
el
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Sig�
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" • EMy Commission Exp -s SA 7 201
Commission • reD 553129
Bonded By Nationa6RIAitaiHA-t{?:`:
EXHIBIT "A"
LEGAL DESCR/P770N:
Tracts "B , "ALLAPA TTAH BAPTIST PROPERTY, " according to the Plat thereof, as recorded
in Plat Book 134, Page 68, of the Public Records of Miami, —Dade County, Florida.
Miami —Dade County Tax Folio No.'s 01-3127-103— 0020
This survey is true and correct to the best of my knowledge and belief as recently survey
and direction. This survey complies with the Minimum Technical Standards adopted by the
Surveyors and Mappers contained in Chapter 51-17, Florida Administrative Code, pursuant
Schwebke—Shiskirr and Associates, Inc.
Mark Steven Johnson Secy—Treas.
PrnfP.s.sinnnl l rind .Siirvvvnr 4775
Exhibit "B"
NEIGHBORHOOD LENDING PARTNERS of SOUTH FLORIDA, INC.
Board of Directors of Neighborhood Lending Partners of South Florida, Inc. for the calendar year April 1, 2010,
through March 31, 2011
Name
Debra S. Reyes
Cecilia La Villa-Travieso
Chairman:
James Angleton
Vice -Chairman
Ralph Gilbert
Secretary/Treasurer:
Erbi Blanco -True
At Large Directors:
Gregory M. Santin
Sonia Olarte
Rick Kuci
Donald B. Putnam
Carl Jenkins
Theresa Bello
Suzayn Shearin-Yap
Title
Chief Executive Officer
Market President
President
Vice -Chair
Senior Vice President
Executive Vice President
Senior Vice President
Executive Vice President
Senior Vice President
Vice President/Director
Senior Vice President
Vice President
Page 1
Institution
Neighborhood Lending
Partners, Inc.
Neighborhood Lending
Partners of South Florida
AEGIS Financial Services.
City National Bank
Great Florida Bank
Bank of New York Mellon
Banco Popular of North America
Coconut Grove Bank
First Southern Bank
Harris Bank
Mercantil Cornmercebank
Ocean Bank
Remaining
Term Length
2 years
2 years
2 years
2 years
2 years
2 years
2 years
2 years
2 years
2 years
2 years
2 years
Robert J. Sucher
Executive Vice President Sabadell United Bank 2 years
Non -Industry Directors- Housing, Community Representatives and Nonprofit Organizations
David N. Eckardt Senior Relationship Federal Home Loan Bank
Manager of Atlanta 2 years
Karl Nelson President/CEO KPN Consultants 2 years
Andrea Baker Executive Coordinator South Florida Coalition of CDCs 2 years
Other Non -Industry Directors — Elected/Appointed and other Government Officials
Ralph Stone
Ann R Kashmer
Director Broward County Housing 2 years
Agency
NSP Project Manager City of Miami 2 years
Community & Economic Dev.
Page 2
EXHIBIT "C"
Supporting Land Use Policies for Property located at
3372 NW 17th Avenue, Miami, Florida
The rezoning and comprehensive plan amendments are consistent with the following:
Goal LU-1: Maintain a land use pattern that (1) protects and enhances the quality of life in the
City's neighborhoods; (2) fosters redevelopment and revitalization of blighted or declining areas;
(3) promotes and facilitates economic development and the growth of job opportunities in the
city; (4) fosters the growth and development of downtown as a regional center of domestic and
international commerce, culture and entertainment; (5) promotes the efficient use of land and
minimizes land use conflicts while protecting and preserving residential sections within
neighborhoods; (6) protects and conserves the city's significant natural and coastal resources; and
(7) protects the integrity and quality of the City's existing neighborhoods by insuring public
notice, input and appellant rights regarding changes in existing zoning and land use regulations.
Objective LU-1,2: Promote, facilitate, and catalyze the redevelopment and revitalization of
blighted, declining or threatened residential, commercial and industrial areas through a variety of
public, private, and public -private redevelopment initiatives and revitalization programs
including, where appropriate, historic designations.
Policy LU-1.2.2: The City's land development policies will be consistent with affordable housing
objectives and policies adopted in the Housing Element of the MCNP.
Policy LU-1.3.15: The City will continue to encourage a development pattern that enhances
existing neighborhoods by developing a balanced mix of uses including areas for employment,
shopping, housing, and recreation in close proximity to each other.
Objective LU-3-1: Promptly review and act on petitions for land use plan amendments and
rezoning of property in Urban Infill Areas or Urban Redevelopment Areas to facilitate
redevelopment.
Goal HO-1: Increase the supply of safe, affordable and sanitary housing for extremely low, very
low-, low and moderate -income households (in accordance with the current standards and
regulations of HUD and the State of Florida) and the elderly by alleviating shortages of
extremely low, verylow-, low- and moderate -income housing, rehabilitating older homes,
maintaining, and revitalizing residential neighborhoods in order to meet the needs of all income
groups.
Objective HO-1,1: Provide and/or encourage a local regulatory, investment, and neighborhood
environment that will assist the private sector in increasing the stock of affordable housing for all
income levels, including extremely low, very low-, low -and moderate- —income (in accordance
with the current standards and regulations of HUD and the State of Florida), within the City by at
least 10 percent by 2010.
MIA 181,227,246. 999901.603331
1
Policy HO-1.1.1: The City defines affordable (moderate -income) housing in accordance with the
current standards and regulations of the United States Department of Housing and Urban
Development (HUD). The City continues to promote equal access to housing opportunities. The
City, with other governmental agencies and non-profit organizations, will educate appropriate
parties regarding fair housing and refer fair housing concerns to the appropriate enforcement
agency.
Policy HO-1.1.2: Continue and expand the City's current affordable housing programs and
continue its participation in federal housing programs and the County Documentary Stamp
Surtax Program.
Policy HO-1.1.3: The City will continue to develop comprehensive neighborhood redevelopment
plans and programs that encourage private developers to build new, or rehabilitate old,
residential structures and ensure that public investments are coordinated with private sector
developments to increase the overall attractiveness of redeveloping neighborhoods.
Policy HO-1.1.8: Through the land development regulations, the City will protect existing viable
neighborhoods in those areas suitable for housing and, where appropriate, enhance them in a
manner compatible with their existing character.
Policy HO-1.2.3: The City's housing programs will provide for a diverse range of housing types
in all areas of the City, including housing that is affordable to extremly low, very low-, low- and
moderate -income households (in accordance with the current standards and regulations of HUD
and the State of Florida) as an alternative to the geographic concentration of low-income
housing.
Policy HO-1.2.4: The City will continue to assist non-profit, community -based organizations in
the development and provision of extremly low, very low-, low-, and moderate -income housing
(in accordance with the current standards and regulations of HUD and the State of Florida)
projects to augment the public sector provision of extremly low, very low-, low-, and moderate -
income housing. This assistance will include, but not be limited to, technical assistance,
marketing and financial planning assistance, and the provision of public improvements, such as
street improvements, curbing, landscaping and public open spaces, proper drainage and street
lighting.
MIA 180, 675,843. 999901.603331
2
State of Florida
Department of State
I certify from the records of this office that NLP PLAZA LA ISABELA,
LLC is a limited liability company organized under the laws of the State
of Florida, filed on January 25, 2008.
The document number of this limited liability company is
L08000009311.
I further certify that said limited liability company has paid all fees due
this office through December 31, 2010, that its most recent annual report
was filed on April 27, 2010, and its status is active.
I further certify that said limited liability company has not filed Articles
of Dissolution.
Given under my hand and the Great Seal of
Florida, at Tallahassee, the Capital, this the
Eighteenth day of May, 2010
Secretary of stare
Authentication ID: 500181048805-051810-L08000009311
To authenticate this certificate,visit the following site, enter this
ID, and then follow the instructions displayed.
https://efile.sunbiz.org/certauthver.html
State of Florida
Department of State
I certify from the records of this office that TRANSCON LAND
DEVELOPMENT LLC is a limited liability company organized under
the laws of the State of Florida, filed on March 10, 2010.
The document number of this limited liability company is
L10000027243.
I further certify that said limited liability company has paid all fees due
this office through December 31, 2010, and its status is active.
I further certify that said limited liability company has not filed Articles
of Dissolution.
Given under my hand and the Great Seal of
Florida, at Tallahassee, the Capital, this the
Eighteenth day of May, 2010
A.( aokt.,q-s
Secr etwty of State
Authentication ID: 400181048654-051810-L10000027243
To authenticate this certificate,visit the following site, enter this
ID, and then follow the instructions displayed.
https://efile.sunbiz.orgkertauthver.html
11111111111111111111111111111111111111111111
IN THE CIRCUIT COURT OF THE JUDICIAL
CIRCUIT IN AND FOR DADE COUNTY, FLORIDA
GENERAL JURISTICTION DIVISION
CIVIL ACTION NO. 07-13180 SEC. 08
C:F= N 20i r8Ri �I_I28iJ Er i
OR Bit 26154 Fe 4173i (log)
RECORDED 01/10/2008 16:29:58
DEED DOC TAX 46500.00
HARV'EY RUUINr. CLERY. OF COURT
MIAMI-DADE COUNTYr FLORIDA
LAST PAGE
NEIGHBORHOOD LENDING PARTNERS OF SOUTH FLORIDA, INC. a Florida non -for -profit
Plaintiff (s) / Petitioner (s)
vs,
GMN DEVELOPMENT, L.L.C., a Florida limited liability company, et al.,
Defendant (s) /Respondent (s)
CERTIFICATE OF TITLE
Chapter 45
THE UNDERSIGNED CLERK OF this Court Certifies that a Certificate of Sale was executed
and filed in this action on December 5, 2007, for the property described herein and that objections to the
sale have either not been filed within the time allowed by statutory law or, if filed, have been heard by
the court. The property in Dade County, Florida and described as follows:
Tracts A and B, Allapattah Baptist Property, according to the plat thereof, as recorded in Plat Book 134, at Page 68, of
the Public Records of Miami -Dade County, Florida (the "Mortgaged Property").
was sold to:
NEIGHBORHOOD LENDING PARTNERS OF SOUTH FLORIDA, INC. a Florida non -for -profit corporation,
3615'West Spruce Street, Tampa, Florida 33607
WITNESS my hand and sea] of this Court on December 18, 2007
By:
Book26154/Page4173 CFN#20080028080 Page 1 of 1
This instrument prepared under the
supervision of and return to:
David L. Lapides, Esquire
Squire, Sanders & Dempsey, L.L.P.
201 N. Franklin Street, Suite 2100
Tampa, FL 33602
813.202.1300
Parcel Identification No. 01-3127-103-0010 and 01-3127-103-0020
QUIT CLAIM DEED
1111111111111111111111III11111111111111111111
CFh1 2008R0199211
OR Bk 2625? Pss 2672 - 2673i (lass)
RECORDED 03/11/2008 12:4-2:06
DEED DOC TAX 0.60
SURTAX 0.45
HARVEY RUVItlr CLERK OF COURT
tiIAMI-DADE COUklTYr FLORIDA
QUIT CLAIM DEED made as of this �
THISday of March, 2008, by NEIGHBORHOOD
LENDING PARTNERS OF SOUTH FLORIDA, INC., a Florida not -for -profit corporation,
whose address is 3615 W. Spruce Street, Tampa, FL 33607 (hereinafter "Grantor"), and NLP
PLAZA LA ISABELA, LLC, a Florida limited liability company, whose address is 3615 W.
Spruce Street, Tampa, Florida 33607(hereinafter "Grantee").
WITNESSETH that said Grantor, for and in consideration of the sum of Ten Dollars ($10.00)
and other valuable consideration, receipt whereof is hereby acknowledged, hereby remises, releases
and quitclaims unto Grantee all of the estate, right, title, lien, equity, interest, claim and demand
which Grantor may have in and to that certain land situate in Miami -Dade County, Florida, more
particularly described as follows:
Tracts A and B, Allapattah Baptist Property, according to the Plat thereof, as recorded in Plat
Book 134 at Page 68, of the Public Records of Miami -Dade County, Florida.
DISCLAIMER: NO TITLE INSURANCE IS BEING PROVIDED IN CONNECTION WITH
THIS TRANSACTION AND THEREFORE THE PREPAER OF THIS DEED HAS MADE
NO SEARCH OF THE PUBLIC RECORDS AND MAKES NO WARRANTY AS TO THE
STATE OF TITLE REGARDING THE PROPERTY.
THIS DEED IS NOT A CONVEYANCE OF ALL OR SUBSTANTIALLY ALL OF THE
ASSETS OF THE GRANTOR.
NOTE TO RECORDER: THIS DEED IS MADE AND GIVEN FOR NO
CONSIDERATION BY THE GRANTOR TO THE GRANTEE. THE PROPERTY IS
NOT ENCUMBERED AND THE GRANTOR IS THE OWNER AND SOLE MEMBER
OF THE GRANTEE, PURSUANT TO CRESCENT MIAMI CENTER, LLC V. FLORIDA
Tampa IF80223-v I
053404.00005
1
Book26259/Page2672 CFN#20080199211 Page 1 of 2
OR L' K 26259 PG 2673
LAST PAGE
DEPARTMENT OF REVENUE, 903 SO.2D 913 (FLA. 2005), THE MINIMUM FLORIDA
DOCUMENTARY STAMP TAX OF $0.60 AND THE MINIMUM MIAMI-DADE
COUNTY SURTAX OF $0.45 FOR A TOTAL OF $1.05 IS BEING PAID UPON THE
RECORDING OF THIS DEED.
IN WITNESS WHEREOF, Grantor has executed these presents the day and year first above
written.
WITNESSES:
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
NEIGHBORHOOD LENDING
PARTNERS OF SOUTH FLORIDA, INC.,
a Florida not -for -profit corporation
(L_
By:
Name:
orporate Seal]
alter . Stamper
as its Senior Vice President
The foregoing instrument was acknowledged before me this \ o day of March, 2008, by
Walter D. Stamper, the Senior Vice President of Neighborhood Lending Partners of South Florida,
Inc., a Florida not -for -profit corporation on behalf of the corporation. He Eris personally known to
me or 0 has produced as identification.
JANET LOUISE JONES
Comm# DOOS3S441
Expires 2/312011
Florida NV:..iyAssn., VC
Tampa-#80223-v I
053404.00005
•I,JIJ....... WN W
2
94ti �1D t\cJ -
Notar}'ublic
Print Name: 0.hif Lo o, S,e n vs
Serial No.
My Commission Expires:
Book26259/Page2673 CFN#20080199211 Page 2 of 2
CITY OFMIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
SUPPORT OR WITHHOLD OBJECTION
The City of Miami requires any person or entity requesting approval relief or other action from the City Commission or any of its
boards, authorities, agencies, councils or committees, to disclose at the commencement (or continuance) of the hearing(s) on the
issue, any consideration provided or committed, directly or on its behalf, to any entity or person for an agreement to support or
withhold objection to the requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation, fee,
commission, promise or grant of any money, property, service, credit or financial assistance of any kind or value, whether direct or
implied, or any promise or agreement to provide any of the foregoing in the future.
Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2-653, and appearing before the City Commission or
any of its boards, authorities, agencies, councils or committees solely in the capacity of a lobbyist and not as the applicant, or owners'
legal representative are not required to fill out this form.
NAME:
HOME ADDRESS:
CITY:
(First Name)
(Middle) (Last Name)
(Address Line 1)
(Address Line 2)
STATE: Florida ZIP:
HOME PHONE: CELL PHONE: FAX:
EMAIL:
BUSSINESS or APPLICANT or ENTITY NAME
Transcon Land Development, LLC
BUSINESS ADDRESS: 120 Forbes Blvd., Suite 180
(Address Line 1)
Mansfield, MA 02048
(Address Line 2)
1. Please describe the issue for which you are seeking approval, relief or other action from the City Commission, board,
authority, agency, council, or committee.
Rezoning and Land Use change for Property located at 3372 NW 17 Avenue
2. Has any consideration been provided or committed, directly or on your behalf, to any entity or person for an agreement to
support or withhold objection to the requested approval, relief or action?
YES IXI NO
If your answer to Question 2 is No, do not answer questions 3, 4 & 5 proceed to read and execute the Acknowledgment. If
your answer to Question 2 is Ves, please answer questions 3, 4 & 5 and read and execute the Acknowledgement.
Doc. No.:86543
3. Please provide the name, address and phone number of the person(s) or entities to whom consideration has been provided
or committed.
Name Address Phone#
a.
b.
c.
* Additional names can be placed on a separate page attached to this form.
4. Please describe the nature of the consideration.
5. Describe what is being requested in exchange for the consideration.
ACKNOWLEDGEMENT OF COMPLIANCE
I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent the disclosure requirements of
Ordinance 12918 and such circumvention shall be deemed a violation of' the Ordinance; and that in addition to the criminal
or civil penalties that may be imposed under the City Code, upon determination by the City Commission that the foregoing
disclosure requirement was not fully and timely satisfied the following may occur:
1. the application or order, as applicable, shall be deemed void without further force or
effect; and
2. no application from any person or entity for the same issue shall be reviewed or
considered by the applicable board(s) until expiration of a period of one year after the
nullification of the application or order.
Transcon Land Development, LLC
PERSON SUBMITTING .DISCLOSU.RE:
�slgnatur //
Print Name
By: Brian McMillin, Its Manager
Sworn to and .subscribed before me this �� day of en d/ , 20(0 . The foregoing
instrument was acknowledged before me by Bil be, ill €1t4®/ja. , who has produced
as identification and/or is pegs i known to me.and who did/did not take an oath.
//r77
MY COM.M.I.SSION Notary
EXPIRES: i"/ioJi0 /
/"�/
/`iinlePe ki �*/� ef- Rohn")
Enclosure(s)Print Name KIMBERL.EY BAKER 120� 11
NOtary l libll�
Doc. No.:86543 age 2
L.
onwe aitu Oi IQrdSSd
CITY OFMIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
SUPPORT OR WITHHOLD OBJECTION
The City of Miami requires any person or entity requesting approval relief or other action from the City Commission or any of its
boards, authorities, agencies, councils or committees, to disclose at the commencement (or continuance) of the hearing(s) on the
issue, any consideration provided or committed, directly or on its behalf, to any entity or person for an agreement to support or
withhold objection to the requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation, fee,
commission, promise or grant of any money, property, service, credit or financial assistance of any kind or value, whether direct or
implied, or any promise or agreement to provide any of the foregoing in the future.
Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2-653, and appearing before the City Commission or
any of its boards, authorities, agencies, councils or committees solely in the capacity of a lobbyist and not as the applicant, or owners'
legal representative are not required to fill out this form.
NAME:
HOME ADDRESS:
CITY:
(First Name)
(Middle) (Last Name)
(Address Line 1)
(Address Line 2)
STATE: Florida ZIP:
HOME PHONE: CELL PHONE: FAX:
EMAIL:
BUSSINESS or APPLICANT or ENTITY NAME
NLP Plaza La Isabela, LLC
BUSINESS ADDRESS: 3615 W. Spruce Street, Tampa, Florida 33607
(Address Line 1)
(Address Line 2)
1. Please describe the issue for which you are seeking approval, relief or other action from the City Commission, board,
authority, agency, council, or committee.
Rezoning and Land Use change for Property located at 3372 NW 17 Avenue
2. Has any consideration been provided or committed, directly or on your behalf, to any entity or person for an agreement to
support or withhold objection to the requested approval, relief or action?
YES ® NO
If your answer to Question 2 is No, do not answer questions 3, 4 & 5 proceed to read and execute the Acknowledgment. If
your answer to Question 2 is Yes, please answer questions 3, 4 & 5 and read and execute the Acknowledgement.
Doc. No.:86543
3. Please provide the name, address and phone number of the person(s) or entities to whom consideration has been provided
or committed.
Name Address Phone#
a.
b.
c.
* Additional names can be placed on a separate page attached to this form.
4. Please describe the nature of the consideration.
5. Describe what is being requested in exchange for the consideration.
ACKNOWLEDGEMENT OF COMPLIANCE
I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent the disclosure requirements of
Ordinance 12918 and such circumvention shall be deemed a violation of the Ordinance; and that in addition to the criminal
or civil penalties that may be imposed under the City Code, upon determination by the City Commission that the foregoing
disclosure requirement was not fully and timely satisfied the following may occur:
1. the application or order, as applicable, shall be deeme'id without further force or
effect; and
2. no application from any p9lo or nti, t e s me issue shall be reviewed or
considered by the applicable/bparduntil fati66n of a period of one year after the
nullification of the applic do or der
PERSON SUBMITTING .DISCLOSURE:
v r igna ure
(011-(4-1-34., L1L
Print Name
Shorn to and subscribed before me this ! e 'n day of 4% 0fl" ` , �T foregoing
�
instrument was acknowledged before me by U/4 G %_c- k, , • �/i f c- who has produced
as identification and}or i-p sonally""known tv me a`n who dicbdid not take an oath.
STATE OF FLORIDA
t 1T (aF :1 4
_ AZ---!
MY COMMISSION / %` Notary
EXPIRES:
L
C� t �� it < (5- C U 63 lj/
PLe4Notary Public State of Florida Print Name
Enclosure(s) ^
s. Cinzia V Keever
Doc. No.:86543 o� My Commission DD703847 Page 2