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Home My WebLink AboutApplication & Supporting DocsMITCHELL BIERMAN, P.A. NINA L. BONISKE, P.A. MITCHELL J. BURNSTEIN, P.A. JAMEE ALAN COLE, P.A. STEPHEN J. HELFMAN, P.A. GILBERTO PASTORIZA, P.A. MICHAEL S. POPOK, P.A. JOSEPH H. SEROTA, P.A. SUSAN L. TREVARTHEN, P.A. RICHARD JAY WEISS, P.A. DAVID M. WOLPIN, P.A. DANIEL L. ABBOTT AARON BEHAR GARY L. BROWN IGNACIO G. DEL VALLE ALAN L. GABRIEL DOUGLAS R. GONZALES FDWARD G. GUEDES MATTHEW H. MANDEL ALEXANDER L. PALENZUELA-MAURI SCOTT A. ROBIN BRETT J. SCHNEIDER LORI ADELSON* LILLIAN M. ARANGO• CARLA M. BARROW WEISS SEROTA HELFMAN PASTORIZA COLE & BONISKE, P.L. ATTORNEYS AT LAW A PROFESSIONAL LIMITED LIABILITY COMPANY INCLUDING PROFESSIONAL ASSOCIATIONS MIAMI-DADE OFFICE 2525 PONCE DE LEON BOULEVARD SUITE 700 CORAL GABLES, FLORIDA 33134 TELEPHONE 305-854-0800 FACSIMILE 305-854-2323 WWW.WSH-LAW.00M BROWARD OFFICE 200 EAST BROWARD BOULEVARD • SUITE 1900 FORT LAUDERDALE, FLORIDA 33301 TELEPHONE 954-763-4242 • FACSIMILE 954-764-7770 Mr. Anel Rodriguez Department of Hearing Boards City of Miami 444 SW 211' Avenue Miami, FL 33130 *OF COUNSEL January 8, 2010 Re: Escrow of Funds for Code Enforcement Lien Mitigation CE09015403 and CE09015411. Dear Mr. Rodriguez: BROOKE P. DOLARA RAQUEL ELEJABARRIETA CHAD S. FRIEDMAN MACADAM J. GLINN R. BRIAN JOHNSON JOHN J. KENDRICK III HARLENE SILVERN KENNEDY KAREN LIEBERMAN• JOHANNA M. LUNDGREN KATHRYN M. MEHAFFEY MATTHEW PEARL JOHN J. OUICK ANTHONY L. RECIO AMY J. SANTIAGO DANIEL A. SEIGEL GAIL D. SEROTA* JONATHAN C. SHAMRES ESTRELLITA S. SIBILA ANTHONY C. SOROKA EDUARDO M. SOTO JOANNA G. THOMSON MICHELLE D. VOS LAURA K. WENDELL` JAMES E. WHITE DEREK R. YOUNG Our firm represents Westbri Development Group, LLC who is the owner of the properties located at 1741-1751 SW 2 Avenue (the "Property"). As of the date of this letter the Property does not have any open code enforcement violations. However, there are two pending liens, both in the amount of $16,750, for which we are seeking mitigation from the Code Enforcement Board. This letter shall serve as confirmation that the owner has deposited $33,500 in our firm's escrow account for the payment of such liens. Once the liens are mitigated, the escrow funds will be used to pay off the mitigated lien amount. Should you have any questions or require additional information, please contact me at your earliest convenience. uly!yours, lita Sibila�� ESS/ms HEARING BOARDS 444 SW 2nd Avenue, 7th Floor • Miami, Florida 33130 Telephone 305-416-2030 • Fax 305-416-2035 www.miamigov.com/hearing boards SPECIAL EXCEPTION 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 (81/2 x11 ") or other materials submitted during this process will be kept as part of the record. An additional fee to record Zoning Board resolutions will be charged, and it is determined contingent upon fees charged at the time of recordation by the Miami -Dade County Recorder's Office at 22 NW First Street, First Floor. Upon arrival, ask for a certified copy of the Zoning Board resolution. They will keep the original, but please have them mail it to us at the address above, and bring the certified copy to our office. Copies of City Commission resolutions/ordinances can be obtained at our website through the "Legislative Hub", or for certified copies, please contact the Office of the City Clerk at 305-250-5360 or at 3500 Pan American Drive. 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. Applications given to customers do not constitute action from the City of Miami without plans review and written comments from the Office of Zoning. Rev. 12-16-08 Please refer to Article 16 of the Miami Zoning Ordinance for Special Exception information. 1. Applicant name(s): Gilberto Pastoriza and Estrella Sibila on behalf of Barim at Brickell, LLC (owner), Westbri Group, LLC (owner), Ignacio and Lourdes Zulueta (owner), and AV Development Group, LLC (contract purchaser) 2. Subject property address(es) and folio number(s): 1744 SW 2 Avenue (01-4138-104-0020); 1742 SW 2 Avenue (01-4138-104-0010); unassigned address (01-4139-008-0070); unassigned address (01-4139-008-0060); 1745 SW 2 Court (01-4138-001-3900); 1737 SW 2 Court (01- 4138-001-3890); unassigned address (01-4139-008-0080); unassigned address (01-4138-001- 5550) 3. One (1) original survey dated within six (6) months from the date of application prepared by a State of Florida registered land surveyor. 4. One (1) original 24x36" plan, signed and sealed by a State of Florida registered architect or engineer showing property boundaries and proposed structure(s), parking, landscaping, etc.; building elevations and dimensions and computations of lot area and building spacing. 5. Bring the original 24x36" plan to Hearing Boards to be stamped, dated and initialed by a designee and then by the following departments before the application is filed: a) Department of Public Works on the 8th Floor; b) Office of Zoning on the 4th Floor; c) Planning Department on the 3rd Floor. Note: If comments are generated by any of the above, you must return to the architect or engineer to have those comments incorporated into the plans, and you must begin #5 again. Plans are to be submitted to Zoning for first time review starting from the 8th through the 20th of each month. Zoning will not be accepting first-time review plans after the 20th day of the month. 6. After obtaining signatures from the above departments, two (2) 11x17" and one (1) 8'/2x11" copies of the original plan, in addition to the survey. 7. Original and current Zoning Referral and Zoning Write -Up signed by Office of Zoning designee. 8. The subject property(ies) cannot have any open code enforcement/lien violations, unless the request, if granted, would remedy the violation. 9. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable. 10. At least two photographs showing the entire property showing land and improvements. 11. 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. 12. 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. 13. Affidavit of Authority to Act and the Disclosure of Ownership of all owners and contract purchasers, if applicable, of the subject property (see pages 4 and 5). 14. Original Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit. 2 Rev.04-21-09 15. Certified list of owners of real estate within 500 feet of the subject property (see pages 6 and 7). 16. 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. 17. What is the acreage of the project/property site? 1.20 acres 18. What is the purpose of this application/nature of proposed use? Special Exception as per Section 401 to allow a charter school 19. 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 20. Is the property within the boundaries of an Environmental Preservation District? Please contact the Planning Department on the 3rd Floor for information. NO 21. Cost of processing according to Section 62-156 of the Miami City Code*: a. Special Exception requiring automatic City Commission review $ 2,000.00 b. Special Exception $ 800.00 c. Extension of time for Special Exception $ 500.00 d. Nonsubstantial modification $ 400.00 Public hearing and public meeting mail notice fees, including cost of handling and mailing per notice $ 3.50 Surcharge equal to applicable fee from item above, not to exceed eight hundred dollars ($800.00) except from agencies of the city; such surcharge to be refunded to the applicant if there is no appeal from the applicant or a property owner within five hundred (500) feet of the subject property. *Pursuant to Ordinance 12719, all planning and zoning fees in excess of $25, 000.00, shall be paid in theform of a certified-eck, cashier's check, or money order. Signature Name Gilberto Pastoriza, Esq. Telephone (305) 854-0800 Address 2525 Ponce de Leon Blvd, #700 Miami, Florida, 33134 E-mail GPastorizaAwsh-law.com STATE OF FLORIDA -- COUNTY OF MIAMI-DADE t c) The foregoing was acknowledged before me this day of c et , Q09,-by Gilberto Pastoriza who is a(n) agent of Barim at Brickell, LLC, Westbri Group, LLC, Ignacio and Lourdes Zulueta, and AV Development Group, LLC. He/She is personally known to me or who has produced as identification and who did (•,,'d not) tak ath. re (Stamp) Signature, 3 MY COMMISSION # DD 70498E EXPIRES: Septem r�13, 2011 1-09 Bonded Thru Budget N eArC1 CERTIFIED COMPANY RESOLUTION The undersigned hereby certifies that he is the 1-Act-IP-, 4 F�. L'�:1+�`G�".,) of BARIM AT BRICKELL, LLC, a Florida limited liability company (the "Company"), that the following is a true and correct copy of the resolutions adopted by the its members at a meeting held on , at the offices of the Company . RESOLVED by the members of this Company that the Company consents to and joins in the filing with the City of Miami of a Special Exception application for the properties located at 1744 SW 2 Avenue and 1742 SW 2 Avenue (the "Application"); and be it FURTHER RESOLVED that Gilberto Pastoriza, Esq., Estrellita Sibila, Esq. and Tony Recio, Esq. of the law firm of Weiss Serota Helfman Pastoriza et al, are authorized, directed and empowered to execute any and all applications, affidavits, disclosures of interest, petitions, and other documents pertaining to the Application. The adoption of said resolution was in all aspects legal; and that said resolutions are in full force and effect and have not been modified or rescinded. Dated this r°) 5 day of l'SN, as State of Florida County of Miami -Dade 20`; BARIM AT BRICKELL, LLC, a Florida limited liability company} By: LU( Its: [-Qv_ I HEREBY CERTIFY THAT on this day, before me, an officer duly qualified to take acknowledgments, personally appeared LC.,+N, ( \c-At- t CIAINCt, t_� , the 4�-C$ \J,S-x.,N,f,)C i- " of BARIM AT BRICKELL, LLC, a Florida limited liability company, to me personally known [ 1 or produced identification in the form of ,r�., y);i, �.y,; , and who executed the foregoing resolution and acknowledged before me that he executed the same for the purposes herein expressed. WITN SS my hand and seal in the county and state last aforesaid, this day of , 2013 . C 2v 6 6 l2i; (12Of1 ComrHssicl 77, Signature of Notary Public CERTIFIED COMPANY RESOLUTION The undersigned hereby certifies that he is the I�( �(4 i2 I� LSD of WESTBRI GROUP, LLC, a Florida limited liability company (the "Company), that the following is a true and correct cnpy of the resolutions adopted by the its members at a meeting held on 1 0 fo , at the offices of the Company . RESOLVED by the members of this Company that the Company consents to and joins in the filing with the City of Miami of a Special Exception application for the properties having folio numbers 01- 4139-008-0070; 01-4139-008-0060 (the "Application"); and be it FURTHER RESOLVED that Gilberto Pastoriza, Esq., Estrellita Sibila, Esq. and Tony Recio, Esq. of the law firm of Weiss Serota Helfman Pastoriza et al, are authorized, directed and empowered to execute any and all applications, affidavits, disclosures of interest, petitions, and other documents pertaining to the Application. The adoption of said resolution was in all aspects legal; and that said resolutions are in full force and effect and have not been modified or rescinded, Dated this V day of J�ill1).41 , 201 c): WESTBRI GROUP, LC, a Florida limited liability company By: 46 # Gc2 It» 1 State of Florida County of Miami -Dade I HEREBY CERTIFY THAT on this day, before ► e, an officer � u)y qualified to take gasfg0 ai% , the of WESTBRI GROUP, LLC, a Florida limited liability company, to me 1� rknow or produced identification in the form of , and who exe oregoing resolution and acknowledged before me that he executed the same for the purposes herein expressed. acknowledgments, personally appeared V\ITNESS my hand and seal in )l�t«sa� , 20t0. ESTREWTA SIBILA MY COMMISSION 8 DD 879319 EXPIRES: April 9, 2013 Bonded Thru Budget Notary Services the county and state lr aforesaid, this Signatuof Notary Public day of CERTIFIED COMPANY RESOLUTION The undersigned hereby certifies that he is the MAN 46.kk, tiii41Gtit of AV DEVELOPMENT GROUP, LLC, a Florida limited liability company (the "Company"), that the following is aI tru� and correct copy of the resolutions adopted by the its members at a meeting held on 12 31 69 , at the offices of the Company . RESOLVED by the members of this Company that the Company consents to and joins in the filing with the City of Miami of a Special Exception application for the properties described in the attached Exhibit "A" (the "Application"); and be it FURTHER RESOLVED that Gilberto Pastoriza, Esq., Estrellita Sibila, Esq. and Tony Recio, Esq. of the law firm of Weiss Serota Helfman Pastoriza et al, are authorized, directed and empowered to execute any and all applications, affidavits, disclosures of interest, petitions, and other documents pertaining to the Application. The adoption of said resolution was in all aspects legal; and that said resolutions arc in full force and effect and have not been modified or rescinded. J Dated this day of , 20A c? AV DEVELOPM T GROJJP, LLC, a Florida limited liability c pare B v: State of Florida County of Miami -Dade 9 I HEREBY CERTIFY THAT on this day, before rtAe, an officer duly qualified to take acknowledgments, personally appeared , r AS) -I In )Jm iit , the of AV DEVELOPMENT GROUP, LLC, a Florida limited liability company, tocv me personally-knn [ ] or produced identification in the form of aird who executed the foregoing resolution and acknowledged before me that he executed the same for the purposes herein expressed. W3NESS my hand and seal in the county a state ast aforesaid, this 46 day of 6-'T410.a-\j , 20W. ESTRELLITA SIBILA MY COMMISSION a DD 879319 EXPIRES: April9, 2013 Bonded Thru Budget Notary Services Sign ot: ry Public AFFIDAVIT OF AUTHORITY TO ACT Before me this day, the undersigned personally appeared Gilberto Pastoriza, Esq., 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, X 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. Gilberto Pastoriza Applicant(s) Name Applicant(s) Signature (_... STATE OF FLORIDA -- COUNTY OF MIAMI-DADE vjhe foregoing was acknowledged before me this ) day of 3 Cc,v, 20p, by Gilberto Pastoriza who is a(n) agent of Barim at Brickell, LLC, Westbri Group, LLC, Ignacio and Lourdes Zulueta, and AV Development Group, LLC. He/She is personally known to me or who has produced as identification and who did (did not) take an —oath. - (Stamp) C.A/ Signature MARILYN SOMODEVILLA MY COMMISSION # DD 7049& sql �e EXPIRES: September 13, 2011 F0 Banded Thru Budget Notary Services 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 applicable. Owner's Name(es) Barim at Brickell, LLC Percentage of Ownership \me 'e)ckdolt- Subject Property Address(es) 1744 SW 2 Avenue and 1742 SW 2 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. 1 iStreet Address(es): I t+° ( Owner(s) Name STATE OF FLORIDA COUNTY OF MIAMI-DADE kiI CIA. Legal Description(s): Owner(s Signature The foregoing was acknowledged before me this 200, by vc; G,.. C'c 0-6.0 . day of J°-„' who is a(n) individual/partner/agent/corporation of ( -ilkf-1 Pey-QQV tv,, U( la(n) individual/partnership/corporation. He/She is personally known to me or who has produced ()ccb, as identification and who did (did not) take an oath. Fo L C 0ZJV-5-23— C(,-� /- v (Stamp) Rev. 12-16-08 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 applicable. Owner's Name(es) Westbri Group, LLC Percentage of Ownership Subject Property Address(es) two properties having folio numbers: 01-4139-008- 0070; 01-4139-008-0060 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 Aidress(es): PJ Owner(s) Name STATE OF FLORIDA COUNTY OF MIAMI-DADE Legal The foregoing was acknowledged before me this day of Jail) 20\ 0, by 144AS I-, 1(211,20Ge who is a(n) individuaripartne Arr. 4w, orporation of \A-)eHari 6 v-6 i LA , L a(n) individual/partnership/corporation. He/She.:ij5ers. me or who has produced as identification and who did ( t) take an oath. (Stamp) ESTRELLA-A SIBILA • • .,, MY COMMISSION # DU 819319 E X PTIrmiEBS: Aprmilot9vi, 2013 swces :ture Rev. 12-16-08 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 applicable. Owner's Name(es) AV Development Group, LLC Percentage of Ownership 5" Y / Subject Property Address(es) contract purchaser 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): 1/4 Owner(s) Name Legal Description(s):L: VO 0 rier(s Iture STATE OF FLORIDA COUNTY OF MIAMI-DADE The foreg ing was acknoAledged before me this G o day 20i by i 1rYTh /-)L0 a(n) individual/ tner/agent/corporation of Ly ),z,,j)9-y,,a . vt , U. a(n) individual/partnership/corporation. He/She is personaJy knOwn to me or who has produced as identification and who did (did ) take n oath. (Stamp) Signat ESTRELLITA SIBILA MY COMMISSION /I DD 879319 'Au " EXPIRES: April 9, 2013 Bonded Thru Budget Notary Services Rev. 12-16-08 who is 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 applicable. Owner's Name(es) Ignacio and Lourdes Zulueta Percentage of Ownership 100 .1 Subject Property Address(es) 1745 SW 2 Court; 1737 SW 2 Court; two properties having folio numbers: 01-4138-001-3900; 01-4138-001-3890; 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): Legal Description(s): 1734 SW 2 Avenue 01-4138-001-5550 1765 SW 2 Avenue 01-4139-008-0080 Ignacio and Lourdes Zulueta Owner(s) Name STATE OF FLORIDA COUNTY OF MIAMI-DADE The fore oing was acknow edge�`d before me this 5k� day of 01,114. 20 I0 , by it (� Gt O . %I t VPi wh is a(n) individu /partner&genticorporat n of a(n) individual/partnership/corporation. H /She is personally known to me or who has produced h as identification and who di• .didnot ake an oat (Stamp) y Public Slate of Florida Annett[t, M Isola My Commission DD648700 Expires 03/08/2011 ignature Rev. 12-16-08 Legal Description Lots 1 and 2, Block 1, CATHERINE'S PLACE, according to the Plat thereof, as recorded in Plat Book 162, Page 92, of the Public Records of Miami -Dade County, Florida. AND Lot 16 of Block 33 as shown on an unrecorded Plat in the possession of MARY BRICKELL entitled "Plat of a part of the City of Miami" known as the second amended Plat of South Miami by FREDERICK and BROWN civil engineers dated March AD 1911, being a part of the Polly Lewis Donation in Section 39, Township 54 South, Range 41 East; the same being more particularly described as follows to wit: Begin at the Southeasterly corner of Lot 5, Block 28, HOLLEMAN PARK as recorded in Plat Book 8, Page 23, of the Public Records of Dade County, Florida; thence run Southeasterly 150 feet along the southeasterly extension of the northeasterly line of said Lot 5 to the northwesterly line of S.W. 2" Avenue; thence run southwesterly 50 feet along the northwesterly line of S.W. 2"`' Avenue, the same being parallel with the northwesterly line of said Lot 5; thence run northwesterly 150 feet along the southwesterly extension of the southwesterly line of said Lot 5; thence run northwesterly 50 feet along the southwesterly line of said Lot 5 to the point of beginning. AND Lots 5 and 6, Block 28, HOLLEMAN PARK, Plat Book 8, Page 23 less that part of Lot 6 described as follows: Begin at the intersection of the line dividing Lots 6 and 7 of said Block 28, with the right of way line of Southwest 2"d Court, thence southeasterly 150 feet along said line dividing Lots 6 and 7, thence North 1°37'30" East 79.09 feet to the line dividing Lots 6 and 5 of said Block 28, thence northwesterly 88.54 feet along said line dividing Lots 6 and 5 to Southwest 2"d Court, thence 52°23'14" west 50 feet along Southwest 2" Court to the point of beginning. AND Lot 8, Block 42, SOUTH MIAMI, according to the Plat thereof, as recorded in Plat Book 1, at Page 87, of the Public Records of Dade County, Florida. AND Lots 6 and 7, Block 42, SOUTH MIAMI SUBDIVISION, according to the Plat thereof, as recorded in Plat Book 1. at Page 87, of the Public Records of Miami -Dade County, Horida. Disclosure of Interest Barim at Brickell, LLC Barim at Brickell, LLC CORBAN AND ASSOCIATES, LLC, 33.33% Lucia Cristina Chacon 100% BRICKELL 2010, LLC, 33.33% Orlando Padron 100% 71-ICAM INVESTMENTS I, INC. 33.33% 1 Henry Contreras 100°A Disclosure nfInterest Alejandro Remps& Maria Ganja'RivenaSO% AVDevelopment Group, LL[ ' Teocloro ' Agustin Aba|o 32.3% 'oauCadnoRcdcro 3.1% Disclosure nfInterest AV Development Group, LLC AVDevelopment Group, LLC` Tomas Velasco 323% 32. Agustin Abalo 3Z'3% ]uaoCarlosRedeno 3.1 � [ " ^ ' r State of Florida Department of State I certify from the records of this office that BARIM AT BRICKELL, LLC is a limited liability company organized under the laws of the State of Florida, filed on March 30, 2005. The document number of this limited liability company is L05000031291. I further certify that said limited liability company has paid all fees due this office through December 31, 2009, that its most recent annual report was filed on March 19, 2009, 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 Sixth day of January, 2010 Secretary of State Authentication ID: 900164781009-010610-L05000031291 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 WESTBRI GROUP, LLC is a limited liability company organized under the laws of the State of Florida, filed on September 10, 2009, effective September 10, 2009. The document number of this limited liability company is L09000087676. I further certify that said limited liability company has paid all fees due this office through December 31, 2009, 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 Sixth day of January, 2010 Secretary of State Authentication ID: 300164781973-010610-L09000087676 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 AV DEVELOPMENT GROUP, LLC. is a limited liability company organized under the laws of the State of Florida, filed on June 21, 2006. The document number of this limited liability company is L06000063052. I further certify that said limited liability company has paid all fees due this office through December 31, 2009, that its most recent annual report was filed on April 30, 2009, and its status is active. i further certify that said limited liability company has not filed Articles of Dissolution. Given under nzy hand and the Great Seal of Florida, at Tallahassee, the Capital, this the Sixth day of January, 2010 Secretary of State Authentication ID: 600164782776-010610-L06000063052 To authenticate this certifieatc,visit the following site, enter this ID, and then follow the instructions displayed. https://efile.sunbiz.org/certauthver.html 111111111111111111111111111111111111111111111 218698.0011 THIS INSTRUMENT PREPARED BY AND WHEN RECORDED RETURN TO: MERCEDES M. SELLEK, ESQ. ADORNO & YOSS LLP 2525 PONCE DE LEON BOULEVARD, SUITE 400 CORAL GABLES, FLORIDA 33134 PARCEL. NUMBERS: 01-4139-008-0060/0070 CFN 2OO9R:O9O186. 8 OR Ek 27123 P95 0298 - 301; (4ass) RECORDED 12/21/2009 15:15:10 DEED DOC TAX 10,836.00 SURTAX 81127.00 HARVEY RUVIN? CLERK. OF COURT MIAMI-DADE COUNTY? FLORIDA This space for Clerk's Use for Recording WARRANTY DEED IN LIEU OF FORECLOSURE THIS WA ANTY EED IN LIEU OF FORECLOSURE (this "Deed") is made this day of // , 2009, by BRICKELL COVE, L.L.C., a dissolved Florida limited liability company whose post office address is 999 Ponce De Leon Blvd., Suite 720, Coral Gables, Florida 33134 ("Grantor"), in favor of WESTBRI GROUP, LLC, a Florida limited liability company, whose mailing address is 7301 S.W. 57th Court, Suite 440, Miami, Florida 33143 ("Grantee"). WITNESSETH: That Grantor, for and in consideration of the sum of Ten and No/100 ($10.00) Dollars and other valuable consideration, in hand paid by Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to Grantee, its successors and assigns, that certain lot, piece or parcel of land, situate, lying and being in Miami -Dade County, Florida and more fully described on Exhibit "A" attached hereto (the "Property"). TO HAVE AND TO HOLD the same in fee simple, together with, all and singular, the appurtenances there unto belonging or appertaining, together with all improvements and fixtures situated thereon, and all estate, right, title, interest, lien, equity and claim, whatsoever of Grantor, either in law or in equity only, to the use, and benefit of the said Grantee forever. The purpose of this conveyance is to: a) wind up the affairs of the Grantor; and b) is intended to be an absolute conveyance of the Property to Grantee, and it is not intended as a mortgage, trust conveyance, or security for any debt of any kind and is given free of any equity of redemption by the Grantor. Grantor has sold and conveyed the Property to Grantee for a fair and adequate consideration, being a discharge from personal liability for the obligations of Grantor of that certain Mortgage and Security Agreement dated as of September 20, 2007, filed September 21, 2007 in Official Records Book 25942 at Page 4505 of the Public Records of Miami -Dade County, Florida (as amended, the "Mortgage"), as such Mortgage has been assigned to Grantee pursuant to that certain Assignment of Mortgage and Other Loan Documents given to Grantee by BBU Bank, a State chartered bank, dated September 15, 2009, filed for record October 22 , 2009, under Clerk's File Number Z 2 7 g 07b 7 2c c ' , of the Public Records of Miami -Dade County, Florida (the "Mortgage Assignment"); the promissory note of even date therewith, secured thereby (the "Note"); that certain UCC-1 Financing {218689.0011/M1851013_1} Book27123/Page298 CFN#20090908638 Page 1 of 4 This space for Clerk's Use for Recording Statement, filed September 21, 2007 in Official Records Book 25942 at Page 4501 of the Public Records of Miami -Dade County Florida (the "UCC"); and that certain Final Judgment of Foreclosure and For Damages and An Award of Attorneys' Fees and Costs dated June 17, 2009, recorded June 19, 2009 in Official Records Book 26909, Page 515 of the Public Records of Miami -Dade County, Florida under Case Number 09-23023-CA-08 (the "Judgment") assigned to Grantee pursuant to Assignment of Judgment dated September 15, 2009 filed for record October 72 , 2009 under Clerk's File Number 2t297P D 7 7 X '7 , of the Public Records of Miami -Dade County, Florida (the "Judgment Assigment"). Grantor declares that this conveyance is freely and fairly made and that there are no agreements, oral or written, other than this Deed between Grantor and Grantee with respect to the Property, and that the value of the Property does not exceed the amount of the consideration for this Deed. Grantor hereby fully warrants that the title to the Property is free and clear of all liens and encumbrances created by Grantor except for taxes for the year 2008 and subsequent years, and the terms and conditions of the Plat of South Miami Subdivision, Plat Book 1, Page 87, of the Public Records of Miami -Dade County, Florida; and this reference thereto shall not serve to reimpose same, and Grantor will defend same against the lawful claims of all persons claiming by, through or under Grantor. Grantee further acknowledges and accepts this conveyance in full satisfaction and release of the Mortgage and the Judgment set forth above. IN WITNESS WHEREOF, Grantor has caused these presents to be executed in its name by its proper officer thereunto duly authorized, the day and year first above written. BRICKELL COVE, L.L.C., a Florida limited liability company By: Print Name:/49,-, i'b fe- - {218689.00I1/M1851013_1} RAMIREZ, Manager Book27123/Page299 CFN#20090908638 Page 2 of 4 This space for Clerk's Use for Recording STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me this day of 4'4�� 2009, by RAFAEL (RALPH) RAMIREZ, as Manager of BRICKELL COVE, L.L.C., a dissolved Florida limited liability company, on behalf of the Company, who is personally known to me or who has produced a driver's license as identification. Print or tamp Name: L(Eaz �,t( 457-LO* Notary ublic, State of Flo Ida at Large Com ssion No.: b) 879258 My Commission Expires: n�r�� M. slaw( EXPIRES: s: r EXXPIRES: May 30, 2013 4/P n.:.< Bolded Nab* Nobly Santo an (218689.001I/M1851013_1} Book27123/Page300 CFN#20090908638 Page 3 of 4 OR PA< 27123 PG 0301 LAST PAGE This space for Clcik's Us c for Recording EXHIBIT "A" LEGAL DESCRIPTION OF THE PROPERTY Lots 6 and 7, Block 42, SOUTH MIAMI SUBDIVISION, according to the Plat thereof, as recorded in Plat Book 1, at Page 87, of the Public Records of Miami -Dade County, Florida. (218689.0011M185M13_1) Book27123/Page301 CFN#20090908638 Page 4 of 4 7 This instrument prepared by FLORIDA TITLE & ESCROW COMPANY Manuel M. Arvesu, Esq. 201 Alhambra Circle, Suite 502 Coral Gables, Florida 33134 Warranty Deed (Statutory Form - FS 689.02) 111111111111111111111111111111111111111111111 C: rr 116' P.t: Pss 2549 - 25130i (.1.1n951 RECORDED 09:12/2005 1:2:2 :3,i DEEO DOC IAX, titrt;tui,in_i SURTAX 13,100,00 HARVEY RUVIIL CLERK 0E COURT 0IAMI--O0DE COUNTY, FLORIDA This Indenture, made this ijU day of March, 2005, between C & V LLC., a Florida limited liability company, party of the first part and whose post office address is 3000 Coral Way, Suite CU7, Miami, Florida 33145, to Barim at Brickell LLC., a Florida limited liability company, party of the second Part and whose post office address is: 201 Alhambra Circle. Suite 502, Coral Gables, Florida 33134 (Whenever used herein, the terms "First Part" and "Second Part" shall include singular and plural, heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, wherever the context so admits or requires.) Witnesseth: That said Party of the first part, for and in consideration of the sum of $10.00 and other good valuable considerations receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the Party of the second Part, all that certain land situated in MIAMI-DADE County, Florida, to wit: See Exhibit "A" attached hereto and incorporated herein by reference. (For Information Only: Property Appraiser's Parcel Identification Number is 01-4138- 0015560 and 0141380015580) Subject to: Conditions, restrictions, limitations and easements of records, if any, applicable zoning regulations and taxes for the year 2005 and subsequent years. Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To have and to hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2004. In Witness Avhereof, the said grantor has signed and sealed these presents the day and year first above wren. Signed, sealed in the pre Witness: Print Witness Name Witness: 7-exiii 4 L de. Pe) A /lo Print Witness Name STATE OF FLORIDA ) SS COUNTY OF MIAMI-DADE hereby certify, The foregoing instrument was ackno day of March, 2005, by Carlos 1. Bandres , Managing Member liability company, who istare personally known to me and/or p as identification and who did/did not take an oath. C&Vkle:,aFloridalimif - ility Company Carlos 1. Bandres -_ Managing Member S ged before' his zSY C & V L a. a 'lorida limited duced NOTARY PUBLIC `\ssvvs"uel hA!q"'Ps�/��% • p , 4070.157594,4,00 i 9` ,cti Book23364/Page2549 CFN#20050484320 Page 1 of 2 OR BK 2: .364 PG 1.._AST PAGE EXHIBIT "A" Lots 1 and 2, Block 1, CATIIERINE'S PLACE, according to the Plat thereof, as recorded in Plat Book 162 at Page 92 of the Public Records of Miami - Dade County, Florida. Book23364/Page2550 CFN#20050484320 Page 2 of 2 OCT t4. PM 3105 . 83R.289959 This instrument was prepared by: RLh. I I JJ PGLLJI J MAN-YEE WONG, his, wifeA rlr AA/� Address ,_.176_5_.s._l�._-2- Axen e a�il linty, J cett (STATUTORY FORM -SECTION 689.02 f.S.) Jiiargi, EL 33129 ZEfie Mode this l lth r day of October FRANK WONG and TERESA MAN-YEE WONG,,his wife or the C$upry oof f ' , ADE ''FLORIDA Stoiegrantor..graar', and ' IGNACIO ZULUETA, a single man, and LOURDES ZULUETA, a married 1 woman whose Post office address iA 1765 S.W. 2nd Avenue, Miami, Florida 33129 of the County of DADE . State of FLORIDA , grantee', igitnrfd9Ptlj, That said grantor, for and in consideration of the sum of TEN AND NO/100 ($10.00) 1983 iFtwrrq Dollars, and other good and valuable considerations to said grantor in hood poid by said grontne, the receipt whereof is hereby acknowledged. hos granted. borgaincd and sold to the said grantee, and grantee's heirs and assigns forever, the following described fond, situate, lying and being in DADE County, Florida, to•wit: Lot A, Block 42, SOUTH MIAMI, according to the Plat thereof, as recorded in Plat Book 1, at Page 87, of the Public Records of Dade County, Florida. SUBJECT TO: 1. Taxes for the year 1983 and all subsequent years. 2. Ordinances, restrictions, and covenants, of record, if any. and said grantor does hereby fully warrant the title to said loud, and will defend the some ogoinst the lawful claims of all persons whomsoever. • "Grantor" and "grantee" ore used for singular or plural, as context requires. ,fin ThitnPae Diijrrenf, Grantor hos hereunto set grantor's hand and tool they and first above Signed, a eeland delivered in our presence: FRANK WONG /IV' TERESA MAN—YEE WONG ,Ife,O(D Ix omens MOO. a= Of OADt olur!tr, tl00M. ,ttu,n vt Alntr RICHARD P. BRINK$* STATE OF g'I,DR'I'DA ,� CLERK CIRCUIT COURL COUNTY OF DADE I HEREBY CERTIFY that on this day hef,Prbe itn officer duly qualified to lake acknowledgments, personally FRANK WONG and/MAN-YEE, his wife to me known to be the person 8 described in and who executed the foregoing instrument and acknowledged before me that t hey executed the some. WITNESS my hood and official seof in the County and State lost aforesaid this llth day of October 1983. ._ . written. (Seol) eel( (Seal( (Seal) My commission expires: IpTARY PUBLIC STATE OF f'EORIIX M L'ARCE MY COMMISSION EXPIRES AUG 5 1984 IlliONDEDiTIERU GENERAL llvy u+UERWRI IERS appeared �^ Notary Public s_ 1r .— ----t(}J�' -1' —eoxx tory sumps Gamosw W . county D1rn,re P. *,t mire ct,HL circuit • coot C , sr vrr. 1 ESZT`18E3 THIS INSTRUMENT PREPARED BY AND RETURN TO: IGNACIO G. ZULUL IA IGNACIO G. ZULUETA, P.A. 6255 BIRD ROAD MIAMI, FLORIDA 33155 99R278133 1999 r1;,Y 23 05:35 Dn:STFTEE 2“1.00 SJRTX C.00 HARVEY FLVi , (LEF: i'ADE ,GJ TY, FL WARRANTY DEED THIS WARRANTY DEED made the a-- day of May. 1999 by Ignacio G. Zulueta, a married man and Fernando J. Zulueta, a married man. whose address is 6255 Bird Road. Miami, FL 33155, hereinafter called the Grantor. to Ignacio G. Zulueta. a married rnan. . whose - post office address is 15353 SW 68th Avenue, Miami, FL 33156. and Lourdes Zulueta. a married woman, whose post office address is 212 SW 20th Road. Miami, Florida, 33129, hereinafter and collectively (i.e. Lourdes and Ignacio) called the Grantee: WITNESSETH, That the Grantor, for and in consideration of the sum of S10.00 and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants. bargains, sells, aliens. remises, releases, conveys and confirms unto the Grantee, all that certain real property situate in Dade County. Florida, is: See Exhibit "A" SUBJECT TO: I . Taxes for the year 1999 and subsequent years. not yet due and payable. 2. Any and all easements, restrictions, reservations, limitations and conditions of record, if any, [the foregoing shall not operate to reimpose same.] 3. Restrictions contained in unrecorded Plat in the possession of Mary Brickcll entitled "Plat of a Part of the City of Miami" known as the Seconded Amended Plat of South Miami , by Frederick and Brown, Civil Engineers, dated March A.D. 1911. being a part of the Polly Lewis donation, Section 39, Township 54 South, Range 41 East, of the Public Records of Dade County, Florida [the foregoing shall not operate to reimpose same]. 4. Zoning regulations and ordinances. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said real property in fee simple; that the Grantor has good right and lawful authority to sell and convey said real property; that the Grantor hereby fully warrants the title to said real property and will defend the same against the lawful claims of all persons whomsoever; and that said real property is free of all encumbrances, except taxes accruing subsequent to December 31, 1998. 6 - 62."(fel 8E4 FURTHER, Grantor hereby covenants that it does not reside on the subject property or any property contiguous thereto and that no member of Grantor's family, including spouse. resides on the subject property or any property contiguous thereto. IN WITNESS WHEREOF, the said Grantor has signed and scaled these presents the day and year first above written. Si ed scaled an. +e v¢red r .'resenee: / l amc: mh acnef mho. 2nd W i less Nami r � 1 'it / . r t 'E'S .44.41iLe Is itn .p e: t * ��[ �� tree . 2ndd Witpess Name: Ail II % - / 1'7WV. STATE OF FLORIDA SS: COUNTY OF DADE gnx acio G uluera Addresy 6,).„''S t3tY<< Z•A� Fernando J A.. ss: N A+.-L. F(.33is-5 I HEREBY CERTIFY that on this day before me, an officer duly authorized in the state aforesaid and in the county aforesaid to take acknowledgments, personally appeared Ignacio G. Zulueta, a married man and Fernando J. Zulueta, a married man, who is personally known to me and who are described in and who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes and uses therein expressed. They did not take an oath. t WITNESS my hand and official seal in t county and state Ia.- aforesaid, this ).1 day of May, 1999. My Co 2)4 Notary Publi Name: "h7J ' L/ Al. 1 f %i(r1f sr er. I e62Trt I B55 EXHIBIT "A" PARCEL 1: Lot 16 of Block 33 as shown, on an unrecorded Plat in the possession of MARY BRICKELL entitled " Plat of a part of the City of Miami " known as the second ammended Plat of South Miami by FREDERICK and BROWN civil engineers dated March AD 1911, being a part of the Polly Lewis Donation in Section 39, Township 54 South. Range 41 East; the same being more particularly described as follows to wit: Begin at the Southeasterly corner of Lot 5, Block 28, HOLLEMAN PARK as recorded in Plat Book 8, Page 23, of the Public Records of Dade County. Florida: thence run Southeasterly 150 feet along the southeasterly extension of the northeasterly line of said Lot 5 to the northwesterly line of S.W. 2nd Avenue; thence run southwesterly 50 feet along the northwesterly line of S.W. 2nd Avenue, the same being parallel with the northwesterly line of said Lot 5: thence run northwesterly 150 feet along the southwesterly extension of the southwesterly line of said Lot 5; thence run northwesterly 50 feet along the southwesterly line of said Lot 5 to the point of beginning. PARCEL 2: Lots 5 and 6, Block 28 HOLLEMAN PARK, Plat Book 8, Page 23 less that pan of Lot 6 described as follows: Begin at the intersection of the line dividing Lots 6 and 7 of said Block 28, with the right of way line of Southwest 2nd Court, thence southeasterly 150 feet along said line dividing Lots 6 and 7, thence North 1 ° 37' 30" East 79.09 feet to the line dividing Lots 6 and 5 of said Block 28, thence northwesterly 88.54 feet along said line dividing Lots 6 and 5 to Southwest 2nd Court, thence 52' 23' 14" west 50 feet along Southwest 2nd Court to the point of beginning. w O`er`^` uta�s oco, 01)41x.K;. «one RECPRD veRf f- 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: (IYJe h (First Name) (Middle) (Last Name) HOME ADDRESS: Vo\s)-4-) 2Q. Weiss Serota Helfman Pastoriza Cole & Boniske, P.L. (Address Line 1) 2525 Ponce de Leon Blvd., Suite 700 CITY: Coral Gables (Address Line 2) STATE: HOME PHONE: (3 0 5) 8 5 4- 0 3 0 0 CELL PHONE: EMAIL: 16USSINESS or APPLICANT or ENTITY NAME \CjY)L-'4psi LL e Florida BUSINESS ADDRESS: c / 0 Ca:1) Iasi z�, sre see (Address Line 1) ZIP: 331 34 FAX: ( 305)854-2323 LL C mco-PanckLl,u (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. Lizqw -fr s7.L,z0 o1. 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. 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 e,tpiration of a period -of one "Ye' r after the nullification of the application or ord PERSON SUBMITTING DISCLOSURE: Signe Co' 07ea-ix) '`/ac at A Sworn to and subscribed before me this Print Name , 20i 6 O . The foregoing instrument was aclnzorvledged before me by , who has produced as identification and/or is personally known to me and who did/did not take an oath. STATE OF FLORIDA CITY OF MIAMI MY COMMISSION• EXPIRES: Enclosurc(s) c"yPto"?giy MARILYN SOMODEVILLA * MY COMMISSION # DD 704986 EXPIRES: September 13, 2011 Fe o r�Wed Thru Budget Notary Services Pa