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Melvin Brazer application resume and photo CiTY Gf� MIAMI -REACH i V � I A i�\ \ I BEA- F"11 I ' 't1 V ND C0iV* ii,v...:°,._F AtPPLli;Al IONI FORM Last Name Zc 2 First Name Mel-vorN Middle Initial Home Adc¢ess SL A n� p 4V if (-P T !�o G City r n yh t Mc ri state h rL• Zip 33 /3 C Home Telephone Work Telephone Cellular Telephone Email address 3,0-s- s3 9: -r-'s 7 1 Occupation: 7 F-6- -3 5 S- SC�js iy c L as,tff R cR G m A' Business Name c S-4 t>1` C o ill S T R k c Z-I o�1 Business Address City State Zip Code Professional License(describe) Expires: Attach a copy of currently-effective 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 for a minimum of six months. F�zz11'' • Resident of Miami Beach for a minimum of six (6) months: YesA_=?1 or No • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six months: Yes to or No •Are you a registered voter in Miami Beach: Yes 91 or N • I am now a resident of: North Beach F-3 South Beach Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: 7 tti/as [�r�s�u�� r � � t7•s Ln oa..».� �-�rt -t-�-�r� (=r,�c cnrS • Are you presently a registered lobbyist with fhe City of Miami Beach? Yes or N Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that oniv three 3 choices will be observed by the City Clerk's Office. ❑Affordable Housing Advisory Committee ❑Fine Arts Board ❑ Normandy Shores Local Government Neighborhood Improvement ❑Art in Public Places Committee ❑ Disability Access Committee ❑Parks and Recreation Facilities Board ❑Beautification Committee ❑Gay, Lesbian, Bisexual and Transgender ❑ Personnel Board Enhancement Committee GLB ❑Bicycle-Pedestrian Advisory Committee ❑Golf Advisory Committee ❑ Planning Board ❑Board of Adjustment* ❑Health Advisory Committee ❑Police Citizens Relations Committee ❑Budget Advisory Committee ❑Health Facilities Authority Board ❑Production Industry Council ❑Capital Improvements Projects ❑Hispanic Affairs Committee ❑Safety Committee Oversight Committee ❑Committee on the Homeless ❑Historic Preservation Board 1 ❑Single Family Residential Review Panel ❑Committee for Quality Education in MB ❑Housing Authority ❑Sustainability Committee ❑Community Development Advisory ❑Loan Review Committee ❑Tennis Advisory Committee ❑Community Relations Board ❑Marine Authority ❑Transportation and Parking Committee ❑Convention Center Advisory Board ❑Miami Beach Commission for Women ❑Visitor and Convention Authority ❑ Debarment Committee ❑Miami Beach Cultural Arts Council ❑Youth Center Advisory Board °O ❑Design Review Board* ❑Miami Beach Human Rights Committee ❑Waterfront Protection Committee D Miami Beach Sister Cities Program * Board Required to File State Disclosure Form If you seek appointment to a professional seat(e.g., lawyer,architect)on the Board of Adjustment, Design Review Board, Historic Preservation Board,or Planning Board,attach a copy of your currently-effectively license,and furnish the following information: Type of Professional License License Number License Issuance Date and License Expiration.Date F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application.doc J °O Note: If applying for Youth Center Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: Yes No 0 Dates of Service: 2. Present participation in Youth Center activities by your children: Yes Q No Q If yes, please list below the names of your children,their ages and the programs in which they participate: Child's name: Age: Program: Child's name: Age: Program: • Have you ever been convicted of a felony: Yes 0 or No If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach codes:Yes�_=3 or No . If yes, please explain in detail: I--h • Do you currently owe the City of Miami Beach any money:Yes ID or No of If yes, explain in detail •Are you currently serving on any City Boards or Committees:Yes!=a or Noo. If yes;which board? •What orga izations in the City of Miami Beach do you currently hold nEmber ip' ? n ,, Name Position Name Position • Lj* t all„prQpert i s�owwnned o in which you have an interest within the City of Miami Beach: • I am now employed by the City of Miami Beach: Yes ID or No Which department and title? • Pursuant to City Code Section 2-25 (b): Do you have a parent ID, spouse child 1 brother or sister who is employed by the City of Miami Beach? n( v Check all that apply. Identify person and 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 W Female Race/Ethnic Categories What is your race?Mark one or more races to indicate what you consider yourself to be. f�American Indian or Alaskan Native: Print name of enrolled or principal tribe Asian African-American/Black Hawaiian or Pacific Islander I�h White 4_!1 Other—Print Race: F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Application.doc Race/Ethnic Categories: Continued Are you Spanish/Hispanic/Latino? Mark the "No"box if not Spanish/Hispanic/Latino. No Yes Are you Physically Challenged? No C1 Yes 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: o Prohibition from directly or indirectly lobbying City personnel(Miami Beach City Code section 2-459). o Prohibition from contracting with the City(Miami-Dade County Code section 2-11.1). o 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). o Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1). o 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). o Sunshine law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities. o Voting conflict—Form 8B is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council,commission, authority, or committee. It applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. 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 RECEIVED,-READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY." 3_ t v-- P? a Applic Signature Date Name of Applicant(PLEASE PRINT) Received in the City Clerk's Office by : -z-72-7 1 Name of beputy Clerk Control No. Date PLEASE REMEMBER TO ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. F:\CLEM$ALL\aFORMS\BOARD AND COMMITTEES\BC Application.doc BC(3 I T?-W M- R Tr M= G R 0 V P Mel Brazer has lived on Miami Beach for 23 years. He is a graduate of the Leadership Academy and serves on its board. He is also very active in the Miami Beach Chamber of Commerce. He is a graduate of Rutgers University where he played varsity basketball. Mr Brazer owned Displayarama for 35 years. The company outfitted, built and designed retail stores. He now serves as president of Brazer Construction Group. The company specializes in Condominium Interior renovations and home renovations. Please visit the website to see more about the company: www.brazerconstruction roup.com Brazer Construction Group 9 Island Avenue Suite 1606 Miami Beach, Florida 33139 Cell: 786-355-5695 NA I A,11,A 1 B EAV,_]`m City®f(Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK'S OFFICE CityClerk @miamibeachfl.gov Telephone: 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's Name: M� 4-2-- p, 1 understand that no later 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 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 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. /�- Zor3 Sign atu Date n o qTl N F:\CLERULWFORMS\BOARD AND COMMITTEES\BC Application.doc ...;; - ��,� i�� � � � �e:� .� �..:,. �`° �. .,.... :.n � ,_M� ..ate« -" _�. � 1 r _. «_ sm �� _ ._ ,�. � .�,„,«. �, .. �,; �•.