Brian Ehrlich 12/31/2010m MIA,MIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305J 673-741 1, Fax: (3051 673-7254
01-16-2009
Brian Ehrlich
1508 Bay Road #1065
Miami Beach, Florida 33139
SUBJECT ~';` Board of Adjustment
Congratulations! You have been appointed by the City Commission to the agency,
board or committee named above for a term ending: 12/31/2010.
Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after
January 1st, 2007, the term of board members who are directly appointed by a member of
the City Commission shall automatically expire on December 31 of the year the appointing
elected official leaves office.
If you are unable to accept this appointment or have any questions, please call the City
Clerk's Office at 305-673-7411. Please read the enclosed materials carefully.
Congratulations again and good luck.
Sincerely,
~~~~~~
obert Parcher
City Clerk
cc: Saul Frances, Parking Director
Antonieta Stohl
ATTACHMENTS:
Letter of Appointment
Oath
City Code Ordinance section, applicable to agency, board or committee
City Code Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459
Ordinance No. 2006-3543 - Amendment to City Code Section 2-22
Miami-Dade County Code Section 2-11.1 -Conflict of Interest and Code of Ethics Ordinance
City Wide Permit Application - (Parking Department Form)
Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employee
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
-., - ! ' . P ~, F~ m
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, wwrw.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305j 673-7254
TO Brian Ehrlich
RE: Board of Adjustment
I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the
United States, the State of Florida, and the City of Miami Beach, and to perform all the duties of
a member of the above-mentioned board or committee of the City of Miami Beach to which I have
been appointed for a term ending: 12/31/2010.
I have been issued a copy of Section 2-11.1 of the Miami-Dade County Code (Conflict of Interest
and Code of Ethics Ordinance), as well as theF/orida Commission on Ethics Guide to the Sunshine
Amendment and Code of Ethics for Public Officers and Employees, and understand that as a member
of a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure* require-
ments of Miami-Dade County or the State of Florida (depending on the board or committee on which
I serve) on July 1st, following the closing of the cal ar ear on wh' • I have served.
0
/Bria hrlich
Sworn to and subscribed before me his ~(~ day of , 200
Kerry Hernandez
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachFl.gov under City Clerk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
NAME
MIAMIBEACH
CITY OF MIAM! BEACH
1:30ARD pNl3 COMMITTEE APPLiCATiON FORM
HOME ADDRESS
PHONE•
--cast Name ~ ~ ~~ First Name
No. Street
Home Work Fax Email address
~G~~ J~o~uV~ t~C SE .~- L7`B~l~~(M1~Mrn~C~
Qusiness Name: ~ P•siti•n. G• ~ ~ Q~Mf~
Address:
Street City - State Zip Code
Professional License (describe)
r°-------- '--
Expires: Affach a copy of fhe license
Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this
requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six
months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of six (ti) months: Yes~or No ^
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six ((i) months: Yes ^ or N
• Are you a registered voter in Miami Beach: Yes~or No ^
• (Please circle one): I am now a resident of:North Beach South Beach Middle Beach
• I am applying for an appointment bec use I have special ab' ities, know e, experience. Please list below:
/~i(~S,~el S c{P9~''~~ i~ : ~~~~t`C. oo l ~GN ~~~~~ ~Hinq - ~s1~s5~t~~v~~~`~`f
Please list'yo~r pr~fer`erl•'Ceslii 6'rder of rarZlsj~{g [1] first choice [2] second choice, and [3] third choice. Please note that only three (3)
choices will be observed by the City Clerk's Office. (Regular Boards of City)
^ Affordable Housin Adviso Committee ^ Historic Preservation Board"
^ Art in Public Places Committee ^Housin Authori
^ Beach Preservation Board ^ Loan Review Committee"
^ Beautification Committee ^ Marine Authori "
Board of Ad'ustment* ^ Miami Beach Commission for Women
^ ud et Adviso Committee ^ Miami Beach Cultural Arts Council
^ Ca ital Im rovements Pro'ects Oversi ht Committee ^ Miami Beach Sister Cities Pro ram
0 Committee on the Homeless ^ Normand Shores Local Gov't Nei h. Im rovement
0 Committee for Quali Education in MB ^ Parks and Recreation Facilities Board
^ Communi Develo ment Adviso ^ Personnel Board*
^Communi Relations Board ^ Plannin Board
^ Convention Center Adviso Board ^ Police Citizens Relations Committee
^ Cultural Arts Nei hborhood District Overla CANDO ^ Production Indust Council
^ Debarment Committee ^ Public Safe Adviso Committee
^ Desi n Review Board* ^ Safe Committee
^ Disabili Access Committee ^ Sin le Famil Residential Review Panel
^ Fine Arts Board ^ Sustainabili Committee
^ Ga Business Develo ment Ad Hoc ^ Trans arenc Reliabili & Accountabili Committee "TRAC"
^ Golf Adviso Committee ^ Trans ortation and Parkin Committee
^ Health Adviso Committee ^ Visitor and Convention Authorit
^ Health Facilities Authorit Board ^ Youth Center Adviso Board
^ His anic Affairs Committee
'' Board Required to File State Disclosure form
Middle Initial
a City ~~ t C~~~ Zip
F:\CLERISALL1Board & CommitteeslB&C ApplicationlB&C Application Revisk;d 11134ti ?_.doc
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: Yes ^ No ^ Years of Service:
2. Present participation in Youth Center activities by your children Yes^ No ^. If yes, please list the names of your children, their
ages, and which programs. List below:
Child's name: Age: Program:
Child's name: Age: Program:
.Have you ever been convicted of a felony: Yes ^ or No~ If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No~lf yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or No~. If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes or No ^. If yes; which board?
~vc1 o- \ St
• What organizations in the City of Miami Beach do you currently hold member3'tti{i in? a ,.
Name: {:"t I~l~ I ~'G~CL~ l®~MH~I,V'(~ ~ ~~2.41i~1 a P ~~-n~-_ ~ ~ ~ V
~--
Name:
Title:
• List all properties owned or have an interest in, which _ar(e located within the City of Miami Beach:
(~ I
• I am now employed by the City of Miami Beach: Yes ^ or Nc~Which department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent ^, spouse ^, child ^, brother ^, or sister ^ who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s): p ~ 1~
This section is "not re wired" but desired: A e: ears old Gender: Male Female ^
Race: White D African-American/Black ^ White/Hispanic: ^ Asian or Pacific Islande ^ American Indian or
Alaskan Native ^ Haitian: ^ Origin Ethnic: Hispanic: Yes or No
"I he a attest to the
Article II - of the City
ulness of the application and have received, read and will abide by Chapter 2,
Conduct for City Officers, Employees and Agency Members."
f~
PR
S
D
Please attach a copy of your resume to his application
NOTE: Applications will remain on file for a period of one {1) calendar year.
~l
Name of Applicant (PL
Employment Status: Employed`~(Retired ~ Home-maker ^ Other ^ , ___
Received in City Clerk's Office by
Name of Deputy
Document Control Number (Assigned by the City Clerk's Office) Entered By
Date
Revised 09/02ro8 LH
F:ICLER;jALLlBoard & ~ommitteeslBc~C Applicationll3&C Application Revi~d i 1130II 2.doc