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Supporting Documentation - OLD
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_ 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 E 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 0 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 Applicants) Signature bn7 t //of k STATE OF FLORIDA — COUNTY OF IVMIAMI-DADE The foregoing was ackkncwledged before me this day of 20 /0 , 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 ta. h. (Stamp) MIA 181, 129,250v1 3-22-10 IdFf~ a 71_ R. GON Notary P4plic - Stale of Fioritla =My Conunis'ton Expires Sep 11, 2010 Comm swirl # DO 553129 ,, Bond o B • Nalfonal Notary Assn. re Rev 12-16-08 DISCLOSURE OF OWNERSHIP 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, Owners Name(es) Brickell Flatiron., LLC Percentage of Ownership 100% See attached Exhibit "B' Subject Property Address(es) approx. 1001 S. Miami Avenue, 1 015 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 fisted in question #1 above. Please supply additional lists, if necessary_ Street Address(es): Legal Description(s): none Owner(s) or Attorney Narue ilitW(u.Pic 6 cK1 Ownttorney Signature STATE OF FLORIDA — COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this day of a 2 0 l 0 by /'1 j-?-L GI ,r" cg who is a(n) individual/partner/agent/corporation of a(n) individuallpartnershiplcorporation. He/She is personally known to me or who has produced as identification and wh• . id (did not) take an oath. (Stamp) Signatur QtaryPutyic 'laleo arrida V R Davis My Commission 00586727 Expires 08/2OJ2010 MIA 181,129,250v1 3-22-10 Rev. 12-16-08 Exhibit 1"A" LEGAL DESCRIPTION mAcr a BACXELL FLATIRON, AGCfm M7 Tp THE PLAT rrtEREDr. AS RECORDED w RAT BOOK 168. RACE E4, OF 1C REC4t@1s or de uu-aADC COUNTY, FL!}41o4, TOCENER 14UN LOT 1, CLOCX 7J, SOUmI GTY OF letwf, ACCORDING TO Mr PUN rHEIZEOT' RECOROCO ON PLAT BOOK 8" AT PACE 41 cY oc PU©t7C AEGOROS OF DADE COUNTY. FLORIDA- LESS AND El"CEPf1R0 ME-REFROW THE SOTW1 14 FEET ANO THE 1Y✓-r+T 54_14 TM ►HMOr. CONTA1MNG AN.ARCA or Joao SOtMRE £rET. £LYr£ OR f r5s. ALL trinc ANT] 6EBVG w SECTd7N ,7Y, TOwNS?VP 54 SOUiH, iwcr R 1 EAST, an- Q' l 4ul. MMM s-a o COUNTY. 0 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 1 0% Mallory Kauderer 100% �t ,a J q!gx1 1111111 IlIil 11111 hill iilli dill 10111111 ills Prepared by: Alfred I. Hopkins, Esq. Pertnoy, Solowsky & Alien. P.A. 150 W. Flagler Street, Sults 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, E. Stearns Weaver I1.4ilier, etii. 150 West Flagler Street, Suite 2200 Miami. Florida 33130 WARRANTY DEED CFN 2OCJ5RuJ223859 OR ek 23143 P95 2108 - 2105'i (2pss) RECORDED 03/07/2005 16:0054 DEED DDC TAX 8 000.40 SURTAX 63,000.00 HARVEY RUVIN, CLERK, OF COURT MIAMI-DADE COUNTY, FLORIDA THIS WARRANTY DEED made this 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 331140: 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 5, 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 sarne 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/Page21O8 CFN#20050223859 Page I of 2 OR BK 2;3143 PG 2109 LAST PAGE 1. Real property taxes for the year 2005 and subsequent years; and 2. Restrictions, dedications and easements as shown on the Plat of Map of Miami, recorded in Plat 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 ) .74 (Printed name of witrf6ss) STATE OF FLORIDA COUNTY OF MIAMI-DADE JA " fiLOWSKY, Manager ACKNOWLEDGMENT MIAMI FLATIRON PARTNERS, LLC, a fd The foregoing Warranty Deed was acknowledged before me this 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 identifition Florida Driver's License No. NOTY PUBLIC, State of Florida Print Name: Commission expires: PATRICIA L Ii1DOPE MY COMMtSS1ON I DO 378512 EXPIRES: Deo ntor 2. 2i309 ew,a.e nw Way Sao M:1MaInnaiirorrOaed -L,wpd } Book23143/Page2109 CFN#20050223859 Page 2 of 2 CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMUTED 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: I3USSINESS or APPLICANT or ENTITY NAME Brickeil Flatiron LLC BUSINESS ADDRESS: 300 NE 71 st Street (Address Line 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. 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? C YES 1K 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. )3c. 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 Phonefl a. nla b. c. Additional names can be placed on a separate page attached to this form. 4. Please describe the nature of the consideration. nta 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 he 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: Signature Print Name Sworn to and subscribed before me this day of instrument was acknowledged before me by MAC' l,e �'112 who has produced as identification andlor is personally known to me and who did/did not lake an oath. STATE OF FLORIDA CITY OF MI.AMI MY COMMISSION EXPIRES: Er cIe3ude(s) kc. No.:86543 , 2006 . The foregoing Notary R. ,s Print Name Notary Public St tof Florida V R Davis My Commission D0586727 F pkas Q$12Q1ZD14 Pa e 2 1�� - (! 11 E d�li� 34 (8 - 1 1 F -.___ aAT` •., pop/ 1��"C''� f d�.w �_ r. 3.. r L �+rLfs�r` n - a . r eL W es , ,-7 PROPERTY O1 La frda 4.P ar — * **me i. r rel ar ep 4 ".n.w Ls. 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