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Robert Wolfarth 12/31/2013 ® MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 03-22-2012 Robert Wolfarth 11605 Bay Road, #401 Miami Beach, Florida 33139 S.U,BJECT_ '§ Planning Board Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a term ending: 12/31/2013. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1 st, 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, M �v Robert Parcher - City Clerk cc: Saul Frances, Parking Director Katia Hirsh 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. ® MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 TO Robert Wolfarth RE: Planning Board 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: 12/31/2013. 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 theFlorida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public Ofcers and Employees,an tand that as a member of a City of Miami Beach Board and/or Committee, I must comply wi h the fi cial disclosure"require- ments of Miami-Dade County or the State of Florida (depen g on t e bo r committee on which I serve)on July 1 st,following the closing of the calendar year o I ha rved. ert W Ifarth Sworn to and subscribed before me this day of ' 2012. Silvia Prieto 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. M I AM I B EAC H CI [EACH BOARD AND COMMITTEE APPLICATION FORM NAME: li Last Name J v First Name iidddle Initial HOME ADDRESS:�00I /C'DD�j �f� 7 ZAb /WiAM1 &6e Y:l '331 Apt No. House No./Street City /ante Zip Code PHONE:��^ c� -1 SOD CtZT DEC=j% j Cw NDTt"R11- •Cyl.( Home -� Fax mail address Business Name: d /�II�12 II�TTL.E �J_T Position: 23,02 I ?A?E4 106,n T_ Q Address: a0, �y Z)O qb -# yg 4b of�7/ L�E�ff F1 �/03 7 No. Street City State Zip Code Professional License(describe) �14L€`✓'7$Te5 2/ZoK1-EP_ Expires: Attach a copy of the 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(6)months:Yes✓or No ❑ / • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months: Yes J or No ❑ •Are you a registered voter in Miami Beach: Yes I(or No ❑ • (Please circle one): I am now a resident of: North Beach South Bea Middle Beach o I am a lying for an appoin ent b cause have special abilities, now edge an xperience. Please list below: •Are you presently a registered lobbyis'fwith the City of Miami Beach?Yes❑or No Please list your preferences in order of ranking [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 Housing Advisory Committee ❑Historic Preservation Board ❑Art in Public Places Committee ❑Housing Authority ❑ Beautification Committee ❑ Loan Review Committee ❑ Board of Adjustment* ❑Marine Authority ❑ Budget Advisory Committee ❑Miami Beach Commission for Women ❑Capital Improvements Projects Oversight Committee ❑Miami Beach Cultural Arts Council ❑Committee on the Homeless ❑Miami Beach Human Rights Committee ❑Committee for Quality Education in MB ❑Miami Beach Sister Cities Program ❑Community Development Advisory ❑Normandy Shores Local Government Neigh. Improvement ❑Community Relations Board ❑Parks and Recreation Facilities Board ❑Convention Center Advisory Board ❑Personnel Board ❑Debarment Committee WrPlanning Board* ❑ Design Review Board* ❑ Police Citizens Relations Committee ❑ Disability Access Committee ❑ Production Industry Council ❑ Fine Arts Board ❑Safety Committee ❑Gay, Lesbian, Bisexual and Trans ender GLBT ❑Single Family Residential Review Panel ❑Golf Advisory Committee ❑Sustainability Committee ❑ Health Advisory Committee ❑Transportation and Parking Committee ❑ Health Facilities Authority Board ❑Visitor and Convention Authority ❑Hispanic Affairs Committee ❑Waterfront Protection Committee <. ' ❑Youth Center Advisory Board r T31 ` *Board Required to File State Disclosure _orrn " 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: -n tv 2. Present participation in Youth Center activities by your children Yes❑ No ❑. If yes, please list the names of your c'�Iren, their ages, and which programs. List below: Child's name: Age: Program: Child's name: Age: Program: FACLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application.doc scanntd '. i *Have you ever been convicted of a felony: Yes❑or NoK 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 Z.�pe-cu 41 4/ki ?i 67R-TiOn 7`6E. •Are you currently serving on any City Boards or Committees: Yes❑or No}_`If yes; which board? •What organizations in the City of Miami Beach do you currently hold membership in? Name: Title: Name: Title: • List all properties owned or have an interest in, which are located within the City of Miami Beach: 103(o I-eoek 4v-,e . 3a00 611 &e. /b o6- zo/O !9�-C•0 aaw b?• 9931 • I am now employed by the City of Miami Beach: Yes ❑or N�"hich 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): The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is being asked to comply with federal equal opportunity reporting requirements. Gender: Male ❑ Female Ethnic Origin: Check one only(1) ')W Ihite (Not of Hispanic Origin):All persons having origins in any of the original peoples of Europe,North Africa or the Middle East. ❑ African-American/Black (Not of Hispanic Origin):All persons having origins in any of the Black racial groups of Africa. ❑Hispanic: All persons of Mexican,Puerto Rican,Cuban,Central or South American,or other Spanish culture or origin,regardless of race. ❑Asian or Pacific Islander:All persons having origins in any of the original peoples of the Far East,Southeast Asia,the Indian Subcontinent,on the Pacific Islands. This area includes,for example,China,India,Japan,Korea,the Philippine Islands and Somoa. ❑American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America,and who maintain Cultural identification through tribal affiliation or community recognition. Physically Challenged: Yes❑or No❑. Employment Status: Employed Retired❑ Homemaker❑ Other❑ NOTE: If appointed,you will be required to follow certain laws which apply to city board/committee members. These laws include, but are not limited to,the following: • Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459). • Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1). • Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach City Code section 2-26). • Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties(CFR 570.611). Upon request,copies of these laws may be obtained from the City Clerk. "I Kmby a est a ccuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article f ode"Standards of Conduct for City Officers,Employees and Agency Members." 3 15�-Rb ,0 L3Ef2'r J � 00i-"FAV-TFt- Applican' ature Date Name of Applicant(PLEASE PRINT) Received in the City Clerk's Office by: II 941/fky Date:S 201 Control No. .. Date:_/_/2010 Nam of Deputy Clerk `Related License Information Page 1 of 1 Licensee WOLFARTH, ROBERT 3AMES Name: II License Number: 3191432 Rank: Real Estate Broker License Expiration 09/30/2013 Date: Primary Status: Current Original License Date: 02/07/2007 Secondary Active Status: Related License Information License 'Relationship Relation Expiration Number Status Related Party Type Effective Rank Date Date 1028123 Current, FISHER TUTTLE REALTY INC Qualifying 11/20/2006 Real Estate 03/31/2012 Active Broker Corporation https://www.myfloridalicense.com/relationList.asp?record_cnt=1&LicId=3517099&Lname... 3/6/2012 Robert Wolfarth 1605 Bay Road, #401 Miami Beach, FL 33139 Miami Beach Resident&Developer, 1988—Present Partner in family business of purchasing apartment buildings, rehabilitating them, and converting to condominium. Identify potential of buildings through their architectural and historic significance to Miami Beach, restore its design integrity, and utilize as selling point. When rehabilitating, careful attention is given to preserving the original design of the property as envisioned by the architect, as per available City records. Through the conversion process, affordable housing opportunities have been provided to low income residents of Miami Beach and throughout South Florida. Apartment Buildings Managed, Rehabbed, and Converted: PROJECT NAME: ADDRESS: Bayview Condominiums 8630&8620 Byron Avenue Bayview II 8600 Byron Avenue Bayview III 8550 &8540 Byron Avenue Espanola Way Villas 717 Espanola Way Mansfield Park 1925 Washington Avenue Washington Park 1751 & 1755 Washington Avenue Eight Palms 635 8th Street Bay Point East 1605 Bay Road Lincoln Road Villas South 1610, 1612& 1616 Michigan Avenue Amsterdam Palace 813 Euclid Avenue Lincoln Road Villas East 1611 West Avenue Flamingo Bay IV 1580 Bay Road Lincoln Place Residences 1610 Lenox Avenue Sheridan South 4215 Sheridan Avenue Bougainvilla South 619 Euclid Avenue Hibiscus South 753 Michigan Avenue Helene Marie 1050, 1052, 1054 & 1056 Jefferson Avenue Everglades East 53614th Street Everglades South 1337 Euclid Avenue Lincoln Place 1551 Michigan Avenue Dakota Park South 1040, 1044& 1046 Lenox Avenue Sherita ' 1840 James Avenue Pinetree Gardens 2880 Pinetree Drive Pinetree Gardens (2) 2931 Sheridan Avenue Dakota Park South II 1038, 1036 & 1034 Lenox Avenue North Bay Villas 1801 S.Treasure Dr., North Bay Village Village At Dadeland 7320—7520 SW 82nd Street, Miami Dadeland Capri 7477-7487 SW 82nd Street, Miami Club Caribe 5600 NW 61St Street, Coconut Creek South Bay Plantation 1901 Rookery Bay Drive, Naples Miami Beach Residences: 2992 Alton Road 2218 Alton Road 6235 Alton Road 1440 North View Dr. 2491 Meridian Ave 4501 Royal Palm 4485 Post Ave 4581 Adams Ave 3542 Flamingo Dr. 3538 Flamingo Dr. 2956 Flamingo Dr. 1024 47th Court 4441 Alton Road 4261 Alton Road 5460 Pinetree Dr. 5261 North Bay Rd 6437 North Bay Rd 4300 Michigan Ave 115 Venetian Way 9520 Broadview Dr. iD M I A/W BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk @miarnibeochfl.gov Tel: 305.673.741 1 , Fax: 305.673.7254 Acknowledgement of fines/suspension for Board Members for failure to comply with Miami-Dade County Financial Disclosure Code Provision Code Section 2-11 .1(i) (2) Board Member name:VoI e I Wotzeip- +V) I understand that no later than .July L of each year all members of.Boards and Committees of the City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Disclosure Requirements. This means that the members of City Advisory Boards, whose sole or primary responsibility is to recommend legislation or give advice to the City Commission, must file,even though you may have been recently appointed. You must file one of the following with the City Clerk of Miami Beach, 17DO Convention Center Drive, Miami Beach, Florida, by July 1 each year. 1. A"Source of income Statement' (attached) or 2. A "Financial Statement' (attached( or] 3. A Copy of the person's current Federal Income Tax Return Failure to file, according to the Miami-Dade.County Code Chapter 1, General Provision, Section 1-5 may subject the person or firm to a fine not to exceed $500.00 or by imprisonment in the county.jail for a period not to exceed sixty days, or both. Signat ate: h M® :SOLURCE OF INCOME STATEMENT Piease.Print.orType First Flame Middle Name Initial Last Name DiaClQSUre \ ,I ForTax Year W� Ending; Name: Mailing Address; V , r City/state/.Zip: ,�zrF.S y 'Filing as a: ® County Employee: ® Municipal Employee of: position held or sought: 7 � Kc( Board where serving: U `� Term or Emgaloyment 1 'Began.on: Dapartment-where employed: Work Address: If-your home address is exempt from puhlie records pursuant to �J� _ - 00 'Wock7ele shone: /V Florida statutes§ 118.07 pisase check here(read-instructions); ® �Q P Home address: �� d 5tre�atress; City Ste Zip Code please list below in descending .order with the largest source first,-ti-se name, address and principal business activity of every source of y our income inciudin5l public salary you received or any.person received for your benefit.or use during the disclosure period. The income of your.spouse or any,business partner need not.be Aisciose:d. If continued on a separate sheet,.check here: Description-of'the'Principal Name of Source of Income Addre Basin 9!;Activ' 1 harHby:svv a (:or ►r )that the aforesaid information is.-e true•and morrect statement, 1 15 7012 signature of pa scig 'ng Dat si ned