Joyce Garret 12/31/2014 MIAMIBEACH'
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael Granado,City Clerk
Tel:(305)673-7411, Fax:(305)673-7254
03-20-2014
Joyce Garret
300 South Pointe Dr. #803
Miami Beach, Florida 33139
... .. ....................................
SUBJECT: Miami Beach Sister Cities Program
Congratulations! You have been appointed by Mayor Philip Levine
to the agency, board or committee named above for a term ending: 12/31/2014.
Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after
January 1, 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,
/ L___
Rafael E. Granado
City Clerk
cc: Saul Frances, Parking Director
Desiree Kane
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,Rafael Granado,City Clerk
Tel:(305)673-7411,Fax:(305)673-7254
TO: Joyce Garret
RE: Miami Beach Sister Cities Program
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: 12/31/2014.
1 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 Florida Commission on Ethics Guide to the
Sunshine Amendment and Code of Ethics for Public Officers and understand that as a mem ber of
a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure*
requirements of Miami-Dade County or the State of Florida (depending on the board or
committee on which I serve) on July 1 st, following the closing of the calendar year on which I
have served.
yc Garret
Sworn to and subscribed before me this./ / day of "� / , 2014
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 Ito+Prgv�d ng j c�ellent��ub U ervice and afar to a'j wpo,jive`w7rk aqd Play in�our�v�bran�t�a�iFal,�historicr community.to a
•
IA M I B A BOARD A14D CUMMITTEE l.PPLICATIOiN FOR10
GRP, 11 1 G�
Last Name f=irst ame Middle Initial
ono �5'c�u` o r� . � 803 H, FJ . 4101 35)39
Home Address City State Zip Code
&5 0077 3t)5-586 --7675^ Ro 0� 5e o`lton)
me Tefepho Work Telep ne Cellular T hone Email
Business Name Occu tion
,5t)o �So,-(� H � B �5 15 '7
Business Address City State Zip Code
Professional License(describe): Expires:
Please attach a copy of currently effective professional license.
Pursuant to City Code section 2-22(4)a & 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.
• Resident of Miami Beach for a minimum of six(6) months:Yes u Or No
• Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months:Yes[�_I,or No
,�
•Are you a registered voter in Miami Beach: Yes ar No
• I am now a resident of: North Beach M. South Beach M Middle Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
•Are you presently a registered lobbyist with 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 Cily Clerk's Office.
D Ad Hoc Charter Review and Revision Board ❑Debarment Committee D Miami Beach Human Rights Committe
D Ad Hoc Committee Centennial Celebration D Design Review Board` D Nliaml Beach Sister Cities Pro ram
D Ad Hoc Committee Flooding Task Force Q Disability Access Committee ❑Normandy Shores Local Govemmen
Neighborhood Improvement
01 Affordable Housing Advisory Committee C Fine Arts Board ❑Parks and Recreation Facilities Board
D Art in Public Places Committee D Gay,Lesbian,Bisexual and Transgender D Personnel Board
Enhancement Committee GLBT
❑Beautification Committee D Golf Advisory Committee D Planning Board
D Bicycle-Pedestrian Advisory Committee <m Health Advisory Committee 0 Police Citizens Relations Committee
E,Board orArrusiment 1 G Health Facilities Authority Board 1 ❑Production Industry Council
❑Bud et Advisory Committee ❑His anic Affairs Committee n Safetv Committee
D Capital Improvements Projects Oversight 0 Historic Preservation Board Q Single Family Residential Review Panel
Committee
❑Committee on the Homeless 0 Housing ALJIhority E Sustainability Committee
❑Committee for Quality Education in MB ❑Loan Review Committee f7 Tennis Advisoy Committee
❑Community Development Advisory Committee ❑Marine Authority E Transportation and Parking Committee
D Community Relations Board D Miami Beach Commission for Womenif G Visitor and Convention Authority
D Convention Center Advisory Board ❑Miami Beach Cultural Arts Council D Youth Center Advisory Board
❑Waterfront Protection Committee
* Board members are required to file Form 1 —"Statement of Financial Interest"with the State.
If you seek appointment to a professional seat (e.g., lawyer, architect, etc.) 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 License Expiration Date
Page 1 of 4
F:ICLERULLNaFORMSIBOARD AND COMMITTEESIBC APPLICATION 46 BOARDS 12-16.2013.doc
scan
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°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 1,tl Dates of Service:
2.Present participation in Youth Center activities by your children:Yes El No
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 U.or No If yes,please explain in detail:
•Do you currently have a violation(s)of City of Miami Beach Code?Yes 0 or N ^ If yes,please explain in detail:
•Do you currently owe the City of Miami Beach any money?Yes[-:-I,or No -2 If yes,explain in detail:
•Are you currently serving on any City Board or Committee?Yes 0'or No Uff yes,which board/committee?
•In what organization(s)in the City of Miami Beach do you currently hold membership?
Name Position
Name Position
• ist al pr erties o rn cLor in which you have an interest within the City of Miami Beach:
•Are you now employed by the City of Miami Beach?Yes U,or No
Which department and title?
• Pursuant to City Code Section 2-25 (b): Do you have a parent 0, spouse 0, child E-1 brother IZI or sister ZI who is
employed by the City of Miami Beach?Check all that apply. � 0
1
If"Yes,"identify persons)and department(s): ��1 V
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 co ply with City diversity reporting requirements.
Gender: Male LJ Female LIT
Race/Ethnic Categories
What is your race?
�0 A-frican-American/Black
U�Caucasian/White
ID Asian or Pacific Islander
IJ Native-Amedcan/American Indian
Other-Print Race:
Page 2 of 4
F:ICLER%$ALL1aFORMSXBOARDAND COMM ITTEESIBC APPLICATION 46 BOARDS 12-16-2013.doc
Do you consider yourself to be Spanish,Hispanic or Latinola?Mark the"No"box if not Spanish,Hispanic,Latinola.
2
Yes
Do�you�consider yourself Physically Disabled?
No,
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:
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 the boardlcommittee 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 Vll, 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 ACCORI NGLY."
Jou
A 'f"'ant's.Sign r bate Na a of Applicant PLEASE PRINT)
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No. ate
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.
Page 3 of d
F:ICLERI$ALL%aFORMS\SOARD AND COh4MITrEESIBC APPLICATION 46 BOARDS 12-16-2013.doc
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... :.v..__..__.................
""®°�'DE SOURCE OF INCOME STATEMENT
Disclosure for Tax Year Ending Last Name First N me Middle NameAnitial
c�
Mailing Address—Street Number,Street Name,or P.O.Box
City,State,Zip ID Number
If your home address is your mailing address,and your home address is exempt from public records pursuant to Fla.Stat.§119.07,read
instructions on the following page and check here.❑
Filing as an Employee
❑County Employee ❑Municipal Employee,Name of Municipality:
Position held or sought
Department where employed
Work address Work telephone Term began on
Filing as a Board Member
❑ County Board Member Municipal Board Member, Name of Municipality:
Board where serving >
Work address Work telephone Term began on
List below every source of income you received,along with the address and the principal activity of each source.Include your public salary.Place
the sources of income in descending order,with the largest source first.Also, include any source of income received by another person for your
benefit.However,the income of your spouse or any business partner need not be disclosed. If continued on a separate sheet,check here.❑
Name of Source of Income Address Description of the Principal Business Activity
'e
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑Hardcopy
❑Electronic Copy
",n re Yperso Esc sing
Print name Date signed
OFFICE USE ONLY Accepted: Y / N ]eficienry: °rocessed Date.'lnitia!s: Scanned Cate/lnitials:
138 SP-1" 2/13