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HomeMy WebLinkAboutSupporting Documentation - NEW(Stamp) MIA 181,129,250v1 3-22-10 AFFIDAVIT OF AUTHORITY TO ACT Before me this day, the undersigned personally appeared Iris Escarrra who being by me first deposes and says: 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_ 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 E not including responses to day to day staff inquires. 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. Iris Escarra, Esq. Applicant(s) Name fit, `'A. li nt sSignature pp Ca � } STATE OF FLORIDA — COUNTY OF MIAMI-DADE r The foregoing was acknowledged before me this `� day of _, 20 /[7 , by Iris Escarra, Esq, 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 di (did not) take a &2,7,,ea„,//(2„, M4F- t � �R 5a�r� re L./ tt Nolarf F .blic - State el rlonda - _My Cantina. don Expires Sep 17. 2010 Comm 5sicn # DD 553129 °,;; B • t•ralionai Notary Assn. 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 necessary. Owner's Name(es) Brickell Flatiron, LLC Percentage of Ownership 100% See attached Exhibit "B' Subject Property Address(es) apprnx. 1001 S. Miami Avenue, 1015 S. Miami Avenue, 1023 S. Miami Avenue, 1101 S. Miami Avenue, 1121 S. Miami Avenue and 20 SE 10 Street See attached Exhibit "A" 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): none Owner(s) or Attorney Name Legal Description(s):: Owner- Attorney Signature STATE OF FLORIDA — COUNTY OF MIAMI-DADE .c/ The foregoing was acknowledged before me this ;7 �� day of ( 20 l0 by PVt71-L.LtV 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 whg did (did not) take an oath. (Stamp) _ Signatureaitary Pubic tale o orida R Davis My Commission 00586727 ?o�r-'61. ExpiresO8f20/201p MIA 7131,129,250v7 3-22-10 Rev. 12-16-08 G Ownership Structure Brickell Flat Iron LLC Brickell Flat Iron, LLC Brickell Investment Corp. 90% CVS Investments Limited 100% Carlo Salvi 100% Regents Park Equity LLC 10% 1llallory Kauderer 100% „Hy, IMILIXA • 1111111111111111111111111111111111111111111111 Prepared by: Alfred I. Hopkins, Esq. Portnoy, Soioweky & Aileen. P.A. 150 W. F1agier Street, Suite 2000 Miami, Florida 33130 Tax Folio Nos.: 01-0207-030-1020, 01-0207-030-1030, 01-0208-070-1010, 01-0208-070-1020 Record and Return To• Chava E. Genet, Esq- Sieams Weaver Mi ier, eial 150 West Flagier Street, Suite 2200 Miami. Florida 33130 WARRANTY DEED CFI-4 2OO5R'J223s'9 OR 8k 23143 P95 2108 - 2/09r (2pss'r RECORDED 03/07/2005 16:00=54 DEED DDC TAX E4000.0 SURTAX 63,000.00 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA THIS WARRANTY DEED made this - r day of March, 2005, between MIAMI FLATIRON PARTNERS, LLC, a Florida limited liability company ("Grantor"), the post office address of which is 1000 Brickell Ave., #710, Miami, Florida 33131 and BRICKELL FLATIRON LLC, a Delaware limited liability company ("Grantee"), the post office address of which is 5700 Collins Avenue, Suite 16M, Miami Beach, Florida 33140: WITNESSETH: That Grantor, for and in consideration of the sum of Ten Dollars ($10.00) and other good and valuable considerations paid by Grantee, receipt whereof is hereby acknowledged, has granted, bargained and sold to Grantee, his successors and assigns forever, those certain parcels of real property situate in Miami -Dade County, Florida and described as follows: Lots 3, 4, 5 and 6, in Block 73, SOUTH, MAP OF MIAMI, according to the plat thereof recorded in Plat Book B at Page 41 of the Public Records of Miami -Dade County, Florida; and All of Block 87, SOUTH, LESS the West Five Feet thereof, MAP OF MIAMI, according to the Plat thereof, as recorded in Plat Book B, Page 41, Public Records of Miami -Dade County, Florida. Also described as: All of Block 87, less the West Five Feet thereof, of SOUTH CITY OF MIAMI, according to the Plat thereof recorded in Plat Book "B", at Page 41, of the Public Records of Miami -Dade County, Florida; together with all of the tenements, hereditaments and appurtenances thereunto belonging or in anywise appertaining, to have and to hold the same in fee simple forever. Grantor hereby represents unto Grantee that Grantor is lawfully seized of said land in fee simple, and that Grantor has good right and lawful authority to sell and convey said land; and Grantor hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever, subject, however, to the following: Book23143/Page2108 CFN#20050223859 Page 1 of 2 OR BP', 23143 PG 2109 • LAST PAGE Real property taxes for the year 2005 and subsequent years; and Restrictions, dedications and easements as shown on the Plat of Map of Miami, recorded in Rat Book B at Page 41 of the Public Records of Miami -Dade County, Florida. IN WITNESS WHEREOF, this Warranty Deed has been executed the day and year first above written. Signed, sealed and delivered in the presence of: Florida limited liability company By: (Printed name of wltnes (Printad name of wild ss) STATE OF FLORIDA COUNTY OF MIAMI-DADE MIAMI FLATIRON PARTNERS, LLC, a JA'r`Sf LOWSKY, Manager ACKNOWLEDGMENT The foregoing Warranty Deed was acknowledged before me this .3 day of March, 2005, by Jay Solowsky, as Manager of MIAMI FLATIRON PARTNERS, LLC, above, on behalf of the limited liability company, who : is personally known to me; or produced for identifirfabon Florida Driver's License No. Commission expires: M:IMMrIVIall+prilaeatl -p,wpd NOTY PUBLIC, State of Florida Print Name: } PATTi A L WORE WNW NV Way thabic war -wiry f�: Irlr MA sION f DO376512 EXPIRES: Lkont 2, 2006 1 Book23143JPage2109 CFN#20050223859 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 Idnd 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: DOME ADDRESS' CITY: (First Name) (NIddle) (Last Name) (Address Line 1) (Address line 2) STATE_ Florida zp, HOME PHONE: CELL PHONE' FAX. EMAIL: BUSSINESS or APPLICANT or ENTITY NAME Bricked Flatiron LLC BUSINESS ADDRESS: 300 NE 71 st Street (Address tine 1) Miami, Florida 33138 (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. Approval of a substantial amendment to the previously approved Brickell Flatiron MUSP, 2. Etas 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 {1 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. Roc Nv.:86543 gna ere / ct' Print Name Sworn to and subscribed before me this :c9-day of la 200 The foregoing instrument was acknowledged before me by MAI-00)R LJ GtD /Z E , 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: [� / R . ') y/1 S �-- Notary 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 Pi�oueel a n/a b. c. w Additional names can be placed on a separate page attached to this form 4. Please describe the nature of the consideration. Na S. 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. PERSON SUBMITTING DISCLOSURE: Prnnt Name c.a.,r�ata,yPtlic c"tato of'Flortda EnclQsur<[s} ` V R Davis aec. 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