Carol Housen 12/31/2014 I% A Y I BEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.midmibeachfl.g_ov
OFFICE OF THE CITY CLERK, Rafael Granado,City Clerk
Tel: (305) 673-741 1,Fax: (305)673-7254
Email CityClerk @miamibeach.gov
2/11/2013
Carol Housen
7330 Ocean Ter#2001
Miami Beach, Florida 33141
SUBJECT. Design Review Board
Congratulations! You have been reappointed by the City Commission to the above
referenced agency, board or committee for a term ending: 12/31/2014.
If you are unable to accept this appointment, please notify the City Clerk's Office at
(305) 673-7411.
Please read the enclosed material carefully. Again, congratulations and good luck.
Sincerely,
R fael E. Granado
City Clerk
cc: Saul Frances, Parking Director
Thomas Mooney
ATTACHMENTS:
i
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, 2-2458, 2-459
Ordinance 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
Employees
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
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NOTE: IF APPOINTED,YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT 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).
• 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 HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION, AND I HAVE , READ AND
WILL ABIDE BY CHAPTER 2, ARTICLE VII — OF THE CITY CODE "STANDARDS OF CONDUCT FOR RECEIVED
OFFICERS,
EMPLOYEES AND AGENCY MEMBERS."
L_kL�9_�Applicant's SignatureDate
. Name of Applicant(PLEASE PRINT)
Received in the City Clerk's Office by
Name of Deputy Clerk Control No. D to
F:ICLERI$ALL1aFORMSIBOARD AND COMMITTEESOC Application NEWLY REVISED NEW LANGLIAGE.doc
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Knowledge, Experience, Service and Integrity
Profiles of Success and Education and Affiliations since 1993
• Member of Master brokers Forum (A distinguished network of realtor professionals
recognized as leaders in the industry
• G.R.I. (Graduate Realtor Institute)
• C.R.S. (Certified Residential Specialist-est.4% Nationally)
• C.I.P.S. (Certified International Property Specialist-specific education to work with
foreign nationals)
• Former Chair of Grievance with the Realtor association Miami RE
• Present member on Arbitration with Realtor association Miami RE
• Present mediation trained for Realtors 2012-
• Served on Board of Directors of Realtor Association of Miami and the Beaches
(Miami RE)from 1999 until 2008 (local)
• Present serving as governor for 2012 Miami Association of Realtors
• Present serve as Director with Florida Association of Realtors( FAR)(State)
• Present-2012 serve as president on two Condominium Boards in Miami Beach
• Present-President of North Beach Development Corporation (non for profit)
• Former Chair of the Fine Arts Board for City of Miami
Beach 20P and 2010
• Present serving on Miami Beach Design Review Board 2012
• Active with RPAC
www.carolhousen.com
3059928163
carolhousen@)gmail.com
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4
MIAMI BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami.Beach,Florida 33-139,
www.miami6eochfl.yov
CITY CLERK Office CityClerkCmiamibeachfl.gov
Tel: 305.673.741 1 , Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Mern hers for.failure
to comply with Miami-Dade County.Financial .Disclosure Code Provision
Code Section 2-11.1(i) ".(2)
Board Member name:
I understand that no ater-than July 1, 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 withthe City Cleric of Miami Beach, 17.00 Convention
-Center.Drive, Miami:Beach, Florida,.by.July Leach.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 NliaM'i-Dade :County Code Chapter 1, General
Provision, Section 1 Z may subject the.person or firm to a f ne not,to exceed
$500:00 or by imprisonment"in the county jail for period not to exceed sixty
clays, or.both:
0111.
-Signature: .Dote,:
M I A M I•DADE
® SOURCE OF INCOME STATEMENT
Please Print or Type First Name Middle Name/Initial Last Name
Disclosure
For Tax Year
Name: �� ' l G� Ending:
Mailing Address: t�
City/State/Zip:
Social Security Number:
Filing as a: ® County Employee:
® Municipal Employee of:
LAJ
_ o
Position held or sought:
Board where serving: Term or Employment
Began on:
Department where employed: ='?"
Work Address:
w
If your home address is exempt from public records pursuant to
Florida Statutes§119.07 please check here(read instructions): ® Work Telephone:
Home Address: S C-"D
Street Address
City State Zip Code
Please list below in descending order with the largest source first, the name, address 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 disclosure period. The
income of your spouse or any business partner need not be disclosed. If continued on a
separate sheet, check here:
Description'of the Principal
Name of.Source of Income - Address Business Activi
Oa q
I hereb wear (or affirm) t t the aforesaid information is a true and correct statement.
Signature of person disclosing Date signed