Peter Chevalier 10/11/2015 /\AIAMIBEACH
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
03-13-2012
Peter Chevalier
SUBJCT' Housing Authority
Congratulations! You have been appointed by Mayor Matti Herrera Sower
to the agency, board or committee named above for a term ending: 10/11/2015.
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,
�G
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Anna Parekh
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 commu
MIAMI BEACH.
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 Peter A. Chevalier
RE: Housing Authority
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: 10/11/2015.
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 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 calendar y ich I have serve ,� P
Peter A. Chevalier
Sworn to and subscribed before me this Gdayof 94AW It2012.
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.
r
/\AIAMIBEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfi.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.7411 , 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 n®rne:
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, 1700 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 fife, 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 couni it for a period not to exceed sixty
days, or both.
�3 / *
Signature: Date:
MIAMI,
� -SOU CE OF INCOME STATEMENT'
Pi ease.Print.or7ype First blame Middle Name Initial Last Name Disclosure.
(� For•Tax Year
Marne: l c� �— C. ��-- Ending: /
Mailing Address:
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City[state[zip: s1M
S
Filing as a: ® County Employee:
® Municipal Employee of:
Position held or sought:
Board where serving:
T_arrn,or:Empio�rment
� �� v
Began.otc: Z 7�
Department where employed:
Work Address:
,if--your home address is exempt from public records pursuant tD 3 .Woric Taiephone:
Fkoride Statutes-111-9.07 pisase check here(read instructions):
Horne Address:
Street Address
City .State. Zip Code
Please List below in descending.order with the'largest source first,-the name, addre9�and
principal business activity of every source of your income including public salary you
received or any person received for your.benefit.or use during the d"e�ci If continued r �.on income of your.spouse or-any business partner need not.be.disclose
separate sheet, check here:
'Description.of the'Princ'ipal
Name-of Source of Income Address Business Ack'ty G
'1 t x-11"
� I
7 hereby swear r�ffire�) a h ores in
is:>a true an>d ®rrect Statement,
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�I t3
.Signature of person.disckQ g Date gn e