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HomeMy WebLinkAboutApplication & Supporting DocumentsMGreen bergTraurig Mr. Anel Rodriguez City of Miami Hearing Boards Department 444 S.W. 2nd Avenue, 3rd Floor Miami Riverside Center Miami, FL 33130 PUTIVV D, PI ANJO THFM r January 21, 2014 Revised April 14, 2014 15 AM 8: S Iris V. Escarra Tel (305) 579-0737 Fax (305) 961-5737 escarrai@gtlaw.com RE: 1.4 Plaza Corp./ 1415, 1421, 142.5, 1433 and 1445 NE Miami Court, and, 47 NE 14 Street, and 55 and 65 NE 14 Street, and, 1410, 1420, 142.4, and 1432 NE Miami Place, Miami, Florida / Letter of Intent and Application for Rezoning Dear Mr. Rodriguez, On behalf of 14 Plaza Corp., (the "Applicant"), we respectfully submit the enclosed Application for Rezoning of the properties located at 1421, 1425, 1433 and 1445 NE Miami Court and, 47 NE 14 Street and, 55 and 65 NE 14 Street, and, 1410, 1420, 1424, and 1432 NE Miami Place, Miami, Florida, (collectively, the "Property"). Please consider this correspondence as the Applicant's Letter of Intent and analysis pursuant to Article 7.1.2.8(c)(2)(g) of Miami 21. The Property is approximately 53,931 square feet or 1.23 acres in area currently consists of mostly vacant and unimproved lots. The Property also abuts a 10 -foot alleyway as provided in Plat Book A, Page 49, of the Public Records of Miami -Dade County, Florida. The Applicant seeks to develop the Property as a mixed use development with multi -family residential use, ground floor retail and requisite parking. As per Miami 21, the current zoning for the Property is T6-24-0. The Applicant now proposes and hereby submits the enclosed application for approval of a zoning change for the Property from T6-24-0 to T6 -36A-0 pursuant to the successional zoning requirements of Article 7.1.2.8. of Miami 21, however without waiving any rights to the most appropriate designation of the site being T6 ­36B. The City's Future Land Use Map of the City's Comprehensive Neighborhood Plan designates the Property as General Commercial ("GC"). Under the City's Comprehensive Plan, the Property's GC designation permits residential uses to a maximum density equivalent to High Density Multifamily Residential (i.e., 150 residential dwelling units per acre), however, the Property is located within the Omni Residential Density Increase Area which is GREENBERG TRAURIG, P.A. ■ ATTORNEYS AT LAW o WWW.GTLAW.COM 333 S.E. 2nd Avenue ■ Suite 4400 • Miami, FL 33131-3238 ■ Tel 305.579.0500 ■ Fax 305.579.0717 eligible for 500 residential units per acre. The GC designation also permits hotel, office, retail., restaurants, and "general entertainment facility" uses. Accordingly, the Applicant's proposed general commercial and multi -family residential uses for the Property are permitted under the GC designation of the City's Comprehensive Neighborhood Plan. The Property is located in the center of the Omni Community Redevelopment Area, as well as the Performing Arts Center District and the Urban Central Business District. The properties located immediately to the east of the Property up until Biscayne Bay are zoned T6 -36B-0. The Property does not adjoin or abut any single-family residential neighborhoods. The properties located immediately to the south of the Property are zoned T6-80-0 and T6 - 60A -O. The City's Comprehensive Neighborhood Plan defines the Urban Central Business District as containing high intensity, high density multi -use development to include: retail, entertainment facilities and high density residential uses. Accordingly, the Applicant's proposed rezoning to T6 -36A-0 for development of a multi -use residential and commercial structure at the Property is appropriate due to Property's proximate location to Downtown Miami and location within the boundaries of the City's Urban Central Business District. As previously, mentioned the Urban Central Business District contemplates and encourages the development of high-intensity and high density residential and commercial development such as that proposed by the Applicant. Furthermore, the development of the Performing Arts Center has made the Omni area a hub of culture, dining, shopping and entertainment. Future developments for the area including the Omni Media Towers and hotel developments proposed for the Omni area have also led to an increased demand in multi -family residential housing, hotel use, and commercial space, including retail use, in the area. High density and high intensity residential towers dominate the skyline along Biscayne Boulevard across the City's newly established Museum Park. The existing and proposed multi -family residential uses continue along Biscayne Boulevard into the Omni and Edgewater areas. The Omni area has long been seen as the point of connection between Downtown Miami and the areas of Design District, Midtown and Wynwood creating an ideal location for both residents and visitors to live, work and play. The proposed ground floor retail on the Property will create active pedestrian areas by providing connectivity with the surrounding commercial spaces and create a gathering place for both visitors and residents of the Omni. The Applicant's proposed rezoning from T6-24-0 to T6 -36A-0 is consistent with the City's vision and plans for the Omni area, as well as the underlying General Commercial designation. Accordingly, the commercial and residential uses proposed by the Applicant for the Property are compatible with the City's efforts to expand the uses in the area to attract both visitors and residents to Omni. Please note that the Applicant is not seeking any modification to the comprehensive plan. Please note that pursuant to Article 7.1.2.8(c)(2)(g) of Miami 21, the proposed Rezoning of the Property is in conformance with the Comprehensive Plan, the established land use pattern for the adjacent properties and the immediate area, and in scale with the needs of the neighborhood. Specifically, the Applicant's proposed is consistent with Miami 21's intent and the zoning and comprehensive plan designations for the adjoining properties and neighborhood of expanding mixed uses and urban development to the Omni area. GREENBERG TRAURIG, P.A. ■ ATTORNEYS AT LAW ■ WWW.GTLAW.COM Enclosed please find the Rezoning Application, a check payable to the City for the associated filing fees for the applications, and a survey of the Property. If you require any additional information or would like to discuss further this request, please contact me at 305- 579-0737. Thank you for your attention to and favorable consideration of this matter. A a Enclosures MIA 1836734720 GREENBERG TRAURIG, P.A. ■ ATTORNEYS AT LAW ■ WWW.GTLAW.COM ALTERNATE REZONINGAPPLICATION pf RV -a r ttdpo 'T 4V! lr Please refer to Article 7.1.2.8 of the Miami 21 Code for Rezoning inform 4 tAPR � Aly 9: 3�ion. �I 1. Applicant(s): Iris Escarra, Esquire on behalf of 14th Plaza Corp 2. Subject property address(es) and folio number(s): 1410, 1420, 1424 and 1432 NE Miami Place'- 1415 1421 1425 1433 1445 NE Miami Court 47 55 and 67 NE 14 Street Folio Nos. 01-3136-005-1310, 01-3136-005-1300, 01-3136-005-1260, 01-3136-005-1250, 01-3136- 005-1240, 01-3136-005-1210, 01-3136-005-1320, 01-3136-005-1330, 01-3136-005-1290, 01-3136- 005-1280, 01-3136-005-1270 and 01-3136-005-1230 3. Present zoning designation(s): T6-24 4. Proposed zoning designation(s): T6 -36A O 5. Per Miami 21, Article 7.1.2.8, c.2 (g), an analysis of the properties within a one-half mile radius of the subject property, including aerial photo of the site as to why the present zoning designation is inappropriate and proposed zoning designation is appropriate. 6. One (1) original, two (2) 11x17" copies and one (1) 8'/2x11 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. 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 to match the legal description on the survey. 8. 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. 9. At least two photographs showing the entire property showing land and improvements. 10. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable. 11. Affidavit of Authority to Act and the Disclosure of Ownership of all owner—and contract purchasers, if applicable—of the subject property. 12. 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. 13. Certified list of owners of real estate within 500 feet of the subject property. 14. Original Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit. 15. Original Public School Concurrency Management System Entered Requirements form. 16. The subject property(ies) cannot have any open code enforcement/lien violations. Rev. 07-2013 MIA 1836613080 MGreen bergTrau rig January 21, 2014 Mr. Anel Rodriguez City of Miami Hearing Boards Department 444 S.W. 2nd Avenue, 3rd Floor Miami Riverside Center Miami, FL 33130 Iris V. Escarra Tel (305) 579-0737 Fax (305) 961-5737 escarrai@gtiaw.com RE: 14 Plaza Corp. / 1415, 1421, 1425, 1433 and 1445 NE Miami Court, and, 47 NE 14 Street, and 55 and 65 NE 14 Street, and, 1410, 1420, 1424, and 1432 NE Miami Place, Miami, Florida / Letter of Intent and Application for Rezoning Dear Mr. Rodriguez, On behalf of 14 Plaza Corp., (the "Applicant"), we respectfully submit the enclosed Application for Rezoning of the properties located at 1421, 1425, 1433 and 1445 NE Miami Court and, 47 NE 14 Street and, 55 and 65 NE 14 Street, and, 1410, 1420, 1424, and 1432 NE Miami Place, Miami, Florida, (collectively, the "Property"). Please consider this correspondence as the Applicant's Letter of Intent and analysis pursuant to Article 7.1.2.8(c)(2)(g) of Miami 21. The Property is approximately 53,931 square feet or 1.23 acres in -ea�i gtly consists ef mostly vacant and unimproved lots. The Propertyalso ab +� 10 -foot alleyway as provided in Plat Book A, Page 49, of the Public Records of Miami -Dade County, Florida. The Applicant seeks to develop the Property as a mixed use development with multi -family residential use, ground floor retail and requisite parking. As per Miami 21, the current zoning for the Property is T6-24-0. The Applicant now proposes and hereby submits the enclosed application for approval of a zoning change for the Property from T6-24-0 to T6 -36B-0 pursuant to the successional zoning requirements of Article 7.1.2.8 of Miami 21. The City's Future Land Use Map of the City's Comprehensive Neighborhood Plan designates the Property as General Commercial ("GC"). Under the City's Comprehensive Plan, the Property's GC designation permits residential uses to a maximum density equivalent to High Density Multifamily Residential (i.e., 150 residential dwelling units per acre), however, the Property is located within the Omni Residential Density Increase Area which is eligible for 500 residential units per acre. The GC designation also permits hotel, office, retail, GREENBERG TRAURIG, P.A. ■ ATTORNEYS AT LAW ■ WWW.GTLAW.COM 333 S.E. 2nd Avenue ■ Suite 4400 ■ Miami, FL 33131-3238 ■ Tel 305.579.0500 ■ Fax 305.579.0717 restaurants, and "general entertainment facility" uses. Accordingly, the Applicant's proposed general commercial and multi -family residential uses for the Property are permitted under the GC designation of the City's Comprehensive Neighborhood Plan. The Property is located in the center of the Omni Community Redevelopment Area, as well as the Performing Arts Center District and the Urban Central Business District. The properties located immediately to the east of the Property up until Biscayne Bay are zoned T6 -36B-0. The Property does not adjoin or abut any single-family residential neighborhoods. The properties located immediately to the south of the Property are zoned T6-80-0 and T6 - 60A -O. The City's Comprehensive Neighborhood Plan defines the Urban Central Business District as containing high intensity, high density multi -use development to include: retail, entertainment facilities and high density residential uses. Accordingly, the Applicant's proposed rezoning to T6 -36B-0 for development of a multi -use residential and commercial structure at the Property is appropriate due to Property's proximate location to Downtown Miami and location within the boundaries of the City's Urban Central Business District. As previously, mentioned the Urban Central Business District contemplates and encourages the development of high-intensity and high density residential and commercial development such as that proposed by the Applicant. Furthermore, the development of the Performing Arts Center has made the Omni area a hub of culture, dining, shopping and entertainment. Future developments for the area including the Omni Media Towers and hotel developments proposed for the Omni area have also led to an increased demand in multi -family residential housing, hotel use, and commercial space, including retail use, in the area. High density and high intensity residential towers dominate the skyline along Biscayne Boulevard across the City's newly established Museum Park. The existing and proposed multi -family residential uses continue along Biscayne Boulevard into the Omni and Edgewater areas. The Omni area has long been seen as the point of connection between Downtown Miami and the areas of Design District, Midtown and Wynwood creating an ideal location for both residents and visitors to live, work and play. The proposed ground floor retail on the Property will create active pedestrian areas by providing connectivity with the surrounding commercial spaces and create a gathering place for both visitors and residents of the Omni. The Applicant's proposed rezoning from T6-24-0 to T6 -36B-0 is consistent with the City's vision and plans for the Omni area, as well as the underlying General Commercial designation. Accordingly, the commercial and residential uses proposed by the Applicant for the Property are compatible with the City's efforts to expand the uses in the area to attract both visitors and residents to Omni. Please note that the Applicant is not seeking any modification to the comprehensive plan. Please note that pursuant to Article 7.1.2.8(c)(2)(g) of Miami 21, the proposed Rezoning of the Property is in conformance with the Comprehensive Plan, the established land use pattern for the adjacent properties and the immediate area, and in scale with the needs of the neighborhood. Specifically, the Applicant's proposed is consistent with Miami 21's intent and the zoning and comprehensive plan designations for the adjoining properties and neighborhood of expanding mixed uses and urban development to the Omni area. Greenberg Traurig, P.A. I Attorneys at Law 1333 Avenue of the Americas I Suite 4400 1 Miami, FL 33131-3238 1 Tel 305.579.0500 1 Fax 305.579.0717 1 www.gtiaw.com Enclosed please find the Rezoning Application, a check payable to the City for the associated filing fees for the applications, and a survey of the Property. If you require any additional information or would like to discuss further this request, please contact me at 305- 579-0737. Thank you for your attention to and favorable consideration of this matter. Si c rely, Iris Escarra Enclosures MIA 1836734720 Greenberg Traurig, P.A. I Attorneys at Law 1333 Avenue of the Americas I Suite 4400 1 Miami, FL 33131-3238 1 Tel 305.579.0500 1 Fax 305.579.0717 1 www.gt[aw.com REZONINGAPPLICATION PLANNCNGCDEPED TMEN 1 PLANNING AND ZONING DEPARTMENT, HEARING B90� ECTION It 444 SW 2Id Avenue, 3rd Floor • Miami, Florida 33130 • Telephone d-4f#2Z-B W www.miamigov.com/hearing boards lb ly'DOOSVz c Welcome to the City of Miami! This application is intended to serve as a guide in assisting you with our public hearing process. Please feel free to contact us, should you have any questions. There is no deadline to submit this application as it is presented semi-annually to the Planning, Zoning and Appeals Board and the City Commission. 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. 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 prior to submittal 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'/2x11") or other materials submitted during this process will be kept as part of the record. Any documents offered to the Planning, Zoning and Appeals Board and the City Commission, which have not been provided fifteen (15) days before the meeting as part of the agenda materials will be entered into the record at the discretion of the aforementioned Board and Commission. 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. Rev, 07-2013 MIA 1836613080 REZONINGAPPLICATION Please refer to Article 7.1.2.8 of the Miami 21 Code for Rezoning information. 1. Applicant(s): Iris Escarra, Esquire on behalf of 14th Plaza Corp 2. Subject property address(es) and folio number(s): 1410, 1420, 1424 and 1432 NE Miami Place 1415 1421 1425 1433 1445 NE Miami Court 47 55 and 67 NE 14 Street Folio Nos. 01-3136-005-1310 01-3136-005-1300 01-3136-005-1260 01-3136-005-1250 01-3136- 005-1240, 01-3136-005-1210 01-3136-005-1320, 01-3136-005-1330, 01-3136-005-1290, 01-3136- 005-1280, 01-3136-005-1270 and 01-3136-005-1230 3. Present zoning designation(s): T6-24 O 4. Proposed zoning designation(s) T6 -36B O 5. Per Miami 21, Article 7.1.2.8, c.2 (g), an analysis of the properties within a one-half mile radius of the subject property, including aerial photo of the site as to why the present zoning designation is inappropriate and proposed zoning designation is appropriate. 6. One (1) original, two (2) 11x17" copies and one (1) 8'/x11 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. 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 to match the legal description on the survey. 8. 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. 9. At least two photographs showing the entire property showing land and improvements. 10. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable. 11. Affidavit of Authority to Act and the Disclosure of Ownership of all owner—and contract purchasers, if applicable—of the subject property. 12. 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. 13. Certified list of owners of real estate within 500 feet of the subject property. 14. Original Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit. 15. Original Public School Concurrency Management System Entered Requirements form. 16. The subject property(ies) cannot have any open code enforcement/lien violations. Ruv. 07-2013 MIA 1836613080 REZONINGAPPLICATION 17. What is the acreage of the project/property site? Approx. 1.23 acres 18. What is the purpose of this application/nature of proposed use? Rezoning of properties 19. Is the property within the boundaries of a historic site, historic district or archeological zone? Please contact the Planning and Zoning Department on the 3rd Floor for information. no 20. Is the property within the boundaries of an Environmental Preservation District? Please contact the Planning and Zoning Department on the 3rd Floor for information. no 21. What would be the anticipated duration of the presentation in front of the: X Planning, Zoning and Appeals Board 15 mins and/or X City Commission 15 mins 22. Cost of processing according to Section 62-22 of the Miami City Code*: Change of zoning classification to: a. CS, T3 -R, T3 -L, T3-0, T4 -R, T4 -L, T4-0, T5 -R, T5 -L, T5-0, T6 -R, T6 -L, Cl: Per square foot of net lot area $ .50 Minimum (Assumes a 5,000 square -foot lot) $ 2,500.00 b. T6-8 O, T6-12 O, T6-24 O, D1, D2, D3, T6-36 O, T6-48 O, T6-60 O, T6-80, CI -HD: Per square foot of net lot area $ .70 Minimum $ 5,000.00 c. Advertising $ 1,500.00 d. School Concurrency Processing (if applicable) $ 150.00 e. Mail notice fee per notice $ 4.50 f. Meeting p age m ling fee per package $ 6.00 *Fees over $2 , 0 .00, 1 be i the foy�n of a certified check, cashier's check, or money order. Signature Address 333 Avenue of the Amercias Name Iris Escarra Miami, Florida 33131 Telephone 305-579-0737 E-mail escarrai(_gtlaw.com STATE OF Florida—COUNTY of Miami -Dade The foregoing was acknowledged before me this �� day of JQnwaq 20 14 , by Iris Escarra Esquire _ 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. JXA 0 (Stamp) Sig ur _ MARISOL RODRIGUEZ r* :� Notary Public • State of Florida v • �Q My Comm. Expires Sep 27, 2014 yF Commission #r EE 30092 Rcv.07-2013 MIA 1836613080 REZONINGAPPLICATION AFFIDAVIT OF AUTHORITY TO ACT Before me this day, the undersigned personally appeared Iris Escarra, Esquire , 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 ❑ 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. Iris Escarra Esquire Applicant(s) Name Qpl_ica�nt(s) Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this day of 20 14 , by Iris Escarra, Esquire V whdJ is a(nJ individual/partner/agent/corporation of a(n) individual/partnership/corporation. She is personally known to me or who has produced as identification and who did (did not) take an oath. (Stamp) Signature '`'01, PUh 11 MARISOL RODRIGUEZ Notary Public - State of Florida My Comm. Expires Sep 27, 2014 Commission # EE 30092 Rcv. 07-2013 MIA 1836613080 REZONINGAPPLICATION DISCLOSURE OF OWNERSHIP As Developer List the owner(s) of the subject property and percentage of ownership. Note: requires disclosure of all parties having a financial interest, either direct or indi presentation, request or petition. Accordingly, disclosure of sharehold beneficiaries of trusts, and/or any other interested parties, together with t proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) 14 Plaz The Miami City Code rect, with respect to a ers of corporations, heir address(es) and Percentage of Ownership Martin Ferreira de Melo 33.3%, Jose L. Ferreira de Melo 33.3% and Carlos Ferreira de Melo 33.3% Subject Property Address(es) 1421 1425 1433 and 1445 NE Miami Court and 55 and 65 NE 14 Street 1410 1420 1424 and 1432 NE Miami Place 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 Iris Escarra, Esquire Owner(s) or Attorney Name STATE OF FLORIDA -- COUNTY OF MIAMI-DADE Legal Description(s): Owner(s) or At n Signature The foregoing was acknowledged before me this day of 20 14 by Iris Escarra Esquire 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 wh� (did not) take an oat. (Stamp) Rev. 07-2013 MIA 1836613080 MARISOL RODRIGUEZ 2 T Notary Public - State of Florida My Comm. Expires Sep 27, 2014 4 Commission # EE 30092 Rev. 07-2013 MIA 1836613080 Exhibit "A" LEGAL DESCRIPTION: THE LAND DESCRIBED HEREON IS PS PER THE TITLE COMMIT HENT PREPARED BY FIRST AIIERICAN TITLE INSURANCE COMPANY, FILE NUMBER: 17568-0283: LOT 3, IN BLOCK 17, OF ROE 6INS-GRAH+NL AND CHILIIHGSWORTH ADDITION TO THE CITY OF MIAMI, ACCORDING TO THE PLAT THEREOF, AS RECMDED IN PLAT BOOK -A-, AT PAGE 49 '/z OFF THE PUBLIC RETARDS OF NQAMI-DADE COUNTY, FLARID/l LATS 5, 6, AND NORTH Yz OF LAT 7 AND ALL OF LOT 8 IN BLACK 17 OF ROBBINS-GRAITAM AND CHILIINGSWORTH ADDITION, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK "A', PAGE 49 Yz OF THE PUBLIC RECORDS OF MLAMI RADE COUNTY, FLORIDA. LOTS 9 AND 12 LESS THE NORTH 1 LOOT OF LAT 9, BLOCX 17, OF NORTH MIAMI, MORE CO?,WfONLY KNO%VIJ AS R083INSIG RAHM7 AND CHILLINGSWORTH ADDITION, ACCORDING TO THE PLAN THEREOF RECORDED IN PLAT BOOK A, PAGE 49 Yz, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. SOUTH HALF OF LOT 7, IN BLOCK 17 OF NORM r�Wll, ACCORDING TO TYE PLAT THEREOF RECORDED IN PLAT BOOK "A' AT PAGE 49 Yz, OF THE PUBISC RECORDS OF MIAMI -RADE COUNTY, FLORIDA THE LAND DESCRIBED HEREON IS AS PER THE TITLE COL4IMTFMENT PREPARED BY FIRST AMERICAN TITLE INSLRRAHCE COMPANY, FRE NUMBER: 17568-0288 LAT 10, IN BLOCK 17, OF ROBBINS, GRAHAM AND CHI LUiGSWORTH SUBDIVISION, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PIAT BOOK "A', AT PAGE 49 Yz OF THE PUWC RECORDS OF ML4IQ-DADE COMITY, FLORIDA. THE LWO DSCRWED HaZCONt IS AS PER THE TITLE COMMITMENT PREPARED BY FIRST AMERICAN TITLE INSURANCE COMPANY, FILE NLN B5L' UNLVERSAL E MPSRLSES, INC. LOT 11, BLOCK 17, Of RO�LAM AND CHILLINGSHORTH, AOCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK "A', PAGE(S) 49 Yz OF THE PUBLIC RECORDS OF ML4141-DA DE COU'7LY, FLORIDA. 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TR me NDM IER N.AAu REPARE.De F ITARERIUNTREW611MNCECOWVANr.MiE.NW ER<.III.ANDTREr1RE caewTM� ma ffAsi FlEE rvuuDE reoIIP R[PARSD DVFluiAWSRIUNirtE[INswwnvcE coumAxv. vREPAREo nFlRsrAMEMUN_EwwIITT =Ecmw=Axr. DATEDxwExnREvz ., mIkERA .— TMAsrvRENUMBER-R Tea4 rt 1. xD. sTANMRDTNLEE-EPfIDNs N/A SNRT—AsDDTR.1NATTER. 2ie� sTArvwRDTmEExcEvnoxs wA sN/o�r NAsRDIRv�EvwTreR. LEGA D SCRIPTION: E -CE -1— N/A �xm/w'suRVEr w,rrea LB I.... LAND DEVELOPMENT CONSULTANTS SURVEYORS -PLANNERS CONSTRUCTION LAYOUT LEGEND /A EVIATIONS/SYMBOLS: as. - eiocx cawER em - eACN nox PREvu+r ' - .D.x. - Ft PDuxD xns Arvo Disc P, - p�ErER� wxxmcA/N+.NaW./ py. ..... ... wa rzn xuvE CERTIFIED TO: ces emxeRETE.swex,snem C.l - NCE PVRu PwxD PERMwENr RErERE.N E—UMENT P.e. PurawN ....... srmYuwwr¢wxnnE PG -vwE o.. m. ........ WREPu, eoArreeweamr r �.Pw.. me. v rRnwmirwrn,el»9wKE mawr _ ma, IR'xc W cALcx= c eArex ass —A DwA fioww PovERANDU-T cWDEwIREYAxexmR IR _ REcoRD ... .... s+wraxrstwERnaawmE R sn wDx ® esEemr.En wxxxr mg�,Y, nR c�AR v L'. M.D.c.R EIDxrPaR MMwaADE muxn PwE sR.sD. - SETNARANDDIsc cwrnErPrmaRPDAEVPaE ♦. ... ... .. w"�x.o_rex FLOOD INFORMATION vD RECDR05 b. sEe. _ ••.. .... x oIPSD mmrs vmxuvwrva ,D - MI>.1 - ...... —am—. ....... aomuvuwcemrE ' 11 EIECiRIC2 - Yc P.I.P. Q. IRDN PVE �DJDI I"cms Pvf. - NDRIDEMIFlG1rIDNE DFFSEPwD wxIE PA=.T RD Yaax WM _ WATER METER}}f.. PDLE Inml RE—NDER IF LOT ONE— ...... xwvpmxaRaccissuxE uw Ntvrsm.ie��ary BOUNDARY SURVEY uuu �W) SURVEYOR'S NOTES / REPORT NJL f4� Nl�Lt! LOCATION P AP -1 -IIF— 11+T n,EiDRwE •' E.. U� Ta. Zx 11EmDDMPEET—DE DMCYNAE HEED wRYEr m/EsuRveN DATEnwAs ram-m,R ,.. TR me NDM IER N.AAu REPARE.De F ITARERIUNTREW611MNCECOWVANr.MiE.NW ER<.III.ANDTREr1RE caewTM� ma ffAsi FlEE rvuuDE reoIIP R[PARSD DVFluiAWSRIUNirtE[INswwnvcE coumAxv. vREPAREo nFlRsrAMEMUN_EwwIITT =Ecmw=Axr. DATEDxwExnREvz ., mIkERA .— TMAsrvRENUMBER-R Tea4 rt 1. xD. sTANMRDTNLEE-EPfIDNs N/A SNRT—AsDDTR.1NATTER. 2ie� sTArvwRDTmEExcEvnoxs wA sN/o�r NAsRDIRv�EvwTreR. LEGA D SCRIPTION: E -CE -1— N/A �xm/w'suRVEr w,rrea LB I.... LAND DEVELOPMENT CONSULTANTS SURVEYORS -PLANNERS CONSTRUCTION LAYOUT City of Miami Public School Concurrenc ;!)1 Concurrency Management System Entered Requirements Applicant Fields Information Application Type Public Hearing Application Sub -Type Land Use Application Name * 14 Plaza Corp. Application Phone * 305-438-1290 Application Email * martinfinelo@hotmail.com Application Address * 1410 NE Miami Place Contact Fields Information Contact Name * Iris Escarra, Esq. Contact Phone * 305-579-0737 Contact Email * escarrai@gtlaw.com Local Govt. Name City of Miami Local Govt. Phone 305-416-1400 Local Govt. Email ggay@miami oe v.com Local Govt. App. Number (OFFICIAL USE ONLY) Property Fields Information Master Folio Number * 01-3136-005-1310, 1300,1260, 1240 Additional Folio Number 1210,1320,1330,1290,1280,1270 and 01-3136-006-1230 Total Acreage * 1.23 Proposed Land Use/Zoning * T6 -36B O Single -Family Detached Units * 0 Single -Family Attached Units (Duplex) * 0 Multi -Family Units * 615 Total # of Units 1615 Redevelopment Information (MUSPs) - Re -development applications are for those vacant sites for which a local government has provided vested rights; or for an already improved property which does not have to be re -platted as -deemed-by-thelocaFgovemmentThe-number of -units to-be-inpuNntoAhe-EM64s the-neHiifferenee-between-the-ex+sNn vested number of units and the newly proposed number of units. Example: an existing 20 -unit structure will be tom down for redevelopment. The newly proposed development calls for 40 total units. Local government shall input 20 units in the CMS (net difference between the 20 units vested less the newly proposed 4 units). Required Fields for Application Iris Escarra, Esquire Owner(s)/Attorney/Applicant Name wner(s)/Attorney/Applicant Signature STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this 04-/ day of January 2014by Iris Escarra 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) "' 4turC mnnwv� ,....... �L/ r r; Notary Public . State of Florida • , My Comm. Expires Sep 27, 2014 ° Commission #r EE 30092 THIS INSTRUMENT PREPARED BY: Mark I. Aronson, Esq. Holland & Knight LLP Suite 3300 701 Brickeli Avenue Miami, Florida 33131 AND AFTER RECORDING RETURN TO: Florentino L. Gonzalez, Esq. Shutts & Bowen LLP 1500 Miami Center 201 S, Biscayne Boulevard Miami, Florida 33131 Folio Numbers: 01-3136-005-1210 01-3136-005-1250 01-3136-005-1280 O1-3136-005-1330 Space Above This Line For Recording 01-3136-005-1230 01-3136-005-1260 01-3136-005-1290 01-3136-005-1240 01-3136-005-1270 01-3136-005-1320 SPECIAL WARRANTY DEED OR Bk 28978 P' 5S 4-4.17 _.. t,.1.19� *, (3P91f1) f?I;t"01tI:lV) 01/07/21.'j].4 10,34-1.6 }.)LID 1AK: TAX "US.,'[AX :M,„150.,x;10 I�dP�RV}:::'t RllVlld} CLA: RK f1f' t::r,U,.iR} }'1TANI d:)AN. C:i:1l.N'•1'i";'', I"'I,,,0P.T.D6 This Special Warranty Deed, is made the k day of January, 2014, by MECCA II, LLC, a Florida limited liability company whose address is c/o Holland & Knight LLP, 701 Brickell Avenue, Suite 3000, Miami, Florida 33131 Attention: Jorge L. Hernandez Torano, EsI ("Grantor"), in favor of 14 Plaza Corp., a Florida Corporation, whose address is 250 N.E. 25 Street, Suite 201, Miami, Florida 33137 ("Grantee"). GRANTOR, for and in consideration of the sum of Ten and No/ 100 Dollars ($10.00) and other valuable consideration, receipt of which is hereby acknowledged, has granted, bargained and sold to Grantee, and Grantee's successors and assigns forever, the land located in Miami - Dade County, Florida, as more particularly described in Exhibit "A" attached hereto and made a part hereof (the "Property"). TO HAVE AND TO. HOLD, the same together with all and singular tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity, and claim whatsoever of the Grantor, either in law or in equity, to the use, benefit and behalf of the Grantee forever. #2411449321 \� p PaQ coiy,\ �J ctFR` , U IN Gpp \ WE 1pU9T C This conveyance is made subject to the following: 1. Taxes and assessments for the year 2014 and subsequent years. 2. Zoning and other governmental regulations. 3. Conditions, restrictions, limitations and easements appearing in the Public Records of Miami -Dade. County, Florida, if any, none of which are intended to be reimposed by this conveyance. TO HAVE AND TO HOLD, the same in fee simple forever. Together with all tenements, hereditaments and appurtenances belonging or in any way appertaining to the Property. AND Grantor hereby specially warrants the title to the Property and will defend the same against the lawful claims of all persons claiming by, through and under Grantor, but none others. IN WITNESS WHEREOF, the Grantor has caused this Special Warranty Deed to be executed the day and year first.above written. Signed, sealed and delivered in the presence of: ST—ATE-OF) ) SS COUNTY OF MIAMI-DADE ) MECCA II, LLC, a Florida limited liability cc The foregoing instrument was acknowledged before me this, day of January, 2014, by Jorge Hernandez-Torano, as Authorized Signatory of MECCA II, LLC, a Florida limited liability company, on behalf of the company. He is personally known. to me,�@r w hared -d .._.,_.._._..._.... m._....,...__.,._,,,..:............._......::.a:,_,_....._..as-identi�•cati�. Printed Name: Notary Public �%© cou'v My Commission Expires: � CLERK u MY OCIM 1E 8Ey 6955 EXPIRES: May 18, 2016 IN coo WE MW 2 Pt„ BMW Thru try Publlo unden,iters #24114493 vl q�6cou ' EXHIBIT "A" LEGAL DESCRIPTION Lot 3, in Block 17, of ROBBINS-GRAHAM AND CHILLINGSWORTH ADDITION TO THE CITY OF MIAMI, according to the Plat thereof, as recorded in Plat Book "A", at Page 49 1/2 of the Public Records of Miami -Dade County, Florida. Lots 5, 6, and North '/2 of Lot 7 and all of Lot 8 in Block 17 of ROBBINS-GRAHAM AND CHILLINGSWORTH ADDITION, according to the Plat thereof, as recorded in Plat Book "A", Page 49 1/2 of the Public Records of Miami -Dade County, Florida, Lots 9 and 12 less the North 1 foot of Lot 9, Block 17, of North Miami, more commonly known as ROBBINS-GRAHAM AND CHILLINGSWORTH ADDITION, according to the Plat thereof recorded in Plat Book A, Page 491/2, of the Public Records of Miami -Dade County, Florida. South half of Lot 7, in Block 17 of NORTH MIAMI, according to the Plat thereof recorded in Plat Book "A" at Page 49''/2, of the Public Records of Miami -Dade County, Florida. HAVE OF FLONIUA, COUNTY OF GAGE REBY CERTIFY that this is a trot Pia GOUNf / PYolthe \ti�1 c�For To, al fled m this office on dayI �4 AD 20 r ` c, y han and 01 ial Seal. LERK 1 it uu and co Courts i IN GOO "* "" r' D.C. �q�t rnurttl: #24114493_vl Return to: Shutts & Bowen LLP 1500 Miami Center 201 South Biscayne Blvd. Miami, FL 33131 Prepared by: Larry A. Rothenberg, Esq. 815 Coral Ridge Drive Coral Springs, FL 33071 II Pt .k 289i5 Rs i 1'.W7 Rr:cOIA)EI) C)I:..ti::l) INK: TAX. 210.+ 0J." o ;31•IRTA X 6p0T• i„IIIl i•itaf"�.l+EY Ftt.il+J6P C1..F.Ftlt OF z;r1U10 P1 71"I C-I:)i1[71� t f:1LN�l'I Y r 1= L.(7P'i:a:l:i(1 Parcel Identification No. 01-3136-005-1300 Above This Line For Recording Warranty Deed (STATUTORY FORM - SECTION 689.02, F.S.) This Indenture made this day of January, 2014 between P. L. A., LLC, a Florida limited liability company whose post office address is 2000 N.W. 150 Avenue, Suite 2106, Pembroke Pines, FL 33025 of the County of Broward, State of Florida, grantor*, and 14 Plaza Corp., a Florida corporation whose post office address is 250 N.E. 25 Street, Suite 201, Miami, FL 33137 of the County of Miami -Dade, State of Florida, grantee*, Witnesseth that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida, to -wit: Lot 10, in Block 17, of ROBBINS, GRAHAM AND CIHLLINGSWORTH SUBIDIVISION, according to the Plat thereof as recorded in Plat Book A, Page 49 1/2, of the Public Records of Miami -Dade County, Florida. SUBJECT TO: Covenants, restrictions, public utility easements of record, existing zoning and governmental regulations, and real estate taxes for the year 2014 and subsequent years. and said grantor does hereby fully warrant the title to said land, and will defend the same against layfu�;1' f�,�tBO claims of all persons whomsoever. -5. P pa g * "Grantor" and "Grantee" are used for singular or plural, as context requires. ,t 3, 41,:�,.�.��21rJ r0U liC tiJu ,r . DoubleTimee In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, sealed and delivered in our presence: ame: Name: ERICA BURNHAM P. L. A., LLC, a Florida 1 Amy-) liability company, State of Florida County of a4CL 1 The foregoing instrument was acknowledged before me this day of January, 2014 by Janet Amy Wollowick, Manager of P. L. A., LLC, a Florida limited liability company, known to me to be the person described in and who executed the foregoing instrument on behalf of said Iiiited liability company. She �] is personally known to me or ] hasfo) uced a driver's li nse as ification. [Notary Seal] LORRAINE FALCONE JONES k= Commission # FF 034479 Expires August 23, 2017 Bondod Thru Troy Falnlncww"800-M70fo Name: My Commission Expires: XeRAIIvE FA CONE JONES s iArE OF FG.ORIDA, COUNTY OF DADE 1 HEREBY CERTIFY that this Is a true copy of the r`1 F ;`? C aU�V� '``� ojA�ginfilro hyhr Ur� on---.—.-- day of .ALU__. WTIVESS , ,y hand rc Official Scal. HARV I ERK,ofCircuit andCountyCourts Warranty Deed (Statutory Form) - Page 2 DoubleTime(&) Return to: Shutts & Bowen LLP 1500 Miami Center 201 South Biscayne Blvd. Miami, FL 33131. Prepared by: Larry A. Rothenberg, Esq. 815 Coral Ridge Drive Coral Springs, FL 33071 f ffff fff Ifff ft ffff lffff flf fff f�f l; =qu:. q N . tp.. li ^A p g J !I • [- • : u,., n µ p }I{ C�k ,''ki •9F1 c; I?r1 ca 0Ci 4, t. r�. j4 ('6':1 •,':i } I)A1D 00C TAX 2VQG00 il.}i�lfjX 1 e:;lulo I HARVEY hl!VIHN r:[..fi:E;i. 1:}F CC)>_ IZ !11All:I: I?fll}L`.: Cl1UH Y Parcel Identification No. 01-3136-005-1310 [Space Above This Line For Recording Data Warranty Deed (STATUTORY FORM - SECTION 689.02, F.S.) This Indenture made this _g _ A day of January, 2014 between Universal Enterprises, Inc., a Florida corporation whose post office address is 2000 N.W. 150 Avenue, Suite 2106, Pembroke Pines, FL 33028 of the County of Broward, State of Florida, grantor*, and 14 Plaza Corp., a Florida corporation whose post office address is 250 N.E. 25 Street, Suite 201, Miami, FL 33137 of the County of Miami -Dade, State of Florida, grantee*, Witnesseth that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida, to -wit: Lot 11, Block 17, of ROBBINS-GRAHAM & CIIILLINGSWORTH, according to the Plat thereof as recorded in Plat Book A, Page(s) 49 1/2, of the Public Records of Miami -Dade County, Florida. SUBJECT TO: Covenants, restrictions, public utility easements of record, existing zoning and governmental regulations, and real estate taxes for the year 2014 and subsequent years. and said grantor does hereby fully warrant the title to said land, and will defend the same against claims of all persons whomsoever.�`vsc��s3K` s� * "Grantor" and "Grantee" are used for singular or plural, as context requires.<::,:__`: •' DoubleTime- CT II''i. IC"^ Ii''k .,a. N:LP jP p`�'�...n P�.::II D...fi.•...n In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, sealed and delivered in our presence; ES Universal Enterprises, Inc., a Florida corporation By: J, et Amy olio ck, fiesident State of Florida,— lorida. �, County of BT02, ,l The foregoing instrument was acknowledged before me this day of January, 2014 by Janet Amy Wollowick, President of Universal Enterprises, Inc., a Flori a corporation, on behalf of the co oration. She [_] is personally known to me or has produced a drfts license as il,enf"ifica�'on. n 1 / [Notary Seal] N tl Public LORRAIN F ICON 0' Printed Name: tiY:'ey,LORRAINE FALCONE JONES hr N Commission # FF 034479 My Commission r 'a Expires August 23, 2097 son* ThMTroy Fain ln&wmw866M5.7018 Expires: S VATF: OF FLORIDA, COUNTY OF DADE 1 H RE BY CF_•td77FY that this is a true ropy ofthe t;riginaljEfiled f17 Hyth13t7q day of Wt7-iVC-SS , y hand and Cfficlai Seat. , r-Iar:V-I�11 IN,CI,C[RfZ,ofCli-cuitandCountyCourts Warranty Deed (Statutory Form) - Page 2 DoubleTinleo c�t tmoi` 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: Carlos - Ferreira de Melo (First Name) (Middle) (Last Name) HOME ADDRESS: 615 N.E. 22 Street Apt#101 CITY: Miami STATE: Florida ZIP: 33137 HOME PHONE: (305) 438-1291 CELLPHONE: (305) 305-9008 FAX: (305) 438-1292 EMAIL: martinfmelo@hotmail.com BUSSINESS or APPLICANT or ENTITY NAME 14 Plaza Corp. BUSINESS ADDRESS: 250 NE 25 Street, Suite 201 (Address Line 1) Miami., Fl 33137 (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 rezoning for property located at approximately 1410 NE Miami Place. 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 ❑X 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. n/a b. C. * Additional names can be placed on a separate page attached to this form. 4. Please describe the nature of the consideration. n/a 5. Describe what is being requested in exchange for the consideration. n/a 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: Signature Print Name Sworn to and subscribed before me this �"� day, of Y1 LX 244 . The foregoing instrument was acknowledged before me by C.l I (03U r— e'co , who has produced "CW Y1- as identification and/or is personally known to me and who did/did not take an oath. STATE OF FLORIDA •;:p�p�B% SARA OOUEN00 CITY OF MIAM[ =: "i NotaryPublic . State of Florida MY COMMISSIO •�_ ic 22.2 017 Notary 393 EXPIRES:(.)-( # FF 57 -::!SU ra Print Name Enclosure(s) Doc. No.:86543 Page 2