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Daniel Veitia Application Package /\AIA/V\I BEACH CITY OF MIAMI BEACH BOARDS AND COMMITTEE APPLICATION.FORM NAME: Veitia Daniel I f1� -i' i I, P I: q q Last Name First Name - Middle Initial HOME ADDRESS: 1525 Normandy Drive, Miami Beach, FL 33141 No. Street City State Zip Code PHONE: 305-219-3408 305-403-0657 305-403-2425 daniel @urbanresource.com Home Work Fax Email address Business Name: Urban Resource Position: Owner Address: 1193 71st Street,Miami Beach, FL 33141 No. Street City State Zip Code Professional License(describe) Real Estate Broker and Property Manager Expires: 09/30/2018 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 Xor No ❑ • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6) months: Yes Xor No ❑ •Are you a registered voter in Miami Beach: Yes X or No ❑ • (Please check one): I am now a resident of: North Beach XSouth Beach ❑ Middle Beach ❑ • I am applying for an appointment because I have special abilities, knowledge, experience. Please list below: 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) ❑Art in Public Places Committee ❑Housing Authority* ❑Beach Preservation Board ❑Loan Review Committee* ❑Beautification Committee ❑Mayor's Green Ad-Hoc Committee ❑Board of Adjustment* ❑Marine Authority* ❑Budget Advisory Committee ❑Miami Beach Cultural Arts Council ❑Committee on Homeless ❑Miami Beach Commission on Status of Women ❑Committee for Quality Education in MB ❑Miami Beach Florida Sister Cities ❑Community Development Advisory* ❑Normandy Shores Local Gov't Neigh. Improvement ❑Community Relations Board ❑Oversight Committee for General Obligation Bond ❑Convention Center Advisory Board ❑ Parks and Recreation Facilities Board ❑Debarment Committee ❑Personnel Board* IXDesign Review Board* ❑Planning Board* ❑Disability Access Committee ❑Police Citizens Relations Committee ❑Fine Arts Board ❑Production Industry Council ❑Golf Advisory Committee ❑Public Safety Advisory Committee ❑Health Advisory Committee ❑Safety Committee ❑Health Facilities Authority Board ❑Transportation and Parking Committee ❑Hispanic Affairs Committee ❑Visitor and Convention Authority* ❑Historic Preservation Board* ❑Youth Center Advisory Board *Board Required to File State Disclosure form 1 C:\Documents and Settings\compurbm\Local Settings\Temporary Internet Files\OLK1C5\BC Application Revised July 18 2007.doc 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: 2. Present participation in Youth Center activities by your children Yes❑ No D. If yes, please list the names of your children, their ages, and which programs. List below: Child's name: Age: Program: Child's name: Age: Program: 'Have you ever been convicted of a felony: Yes❑or No IX If yes, please explain in detail: • Do you currently have a violation(s)of City of Miami Beach codes: Yes ❑or No X. If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes❑or No X If yes, explain in detail •Are you currently serving on any City Boards or Committees: Yes[Xor No D. If yes; which board? North Beach Master Plan Committee • What organizations in the City of Miami Beach do you currently hold membership in? Name: Rhythm Foundation Title: Board Member Name: Title: • List all properties owned or have an interest in, which are located within the City of Miami Beach: 1525 Normandy Drive, 117 S Shore Drive, 1191-1203 71st Street • I am now employed by the City of Miami Beach: Yes❑or NoX Which department? • Pursuant to City Code Section 2-25(b): Do you have a parent❑, spouse L, child❑, brother❑, or sister❑who is employed by the Citti of Miami Beach?Check all that apply. Identify the department(s): No This section is "not required"but desired: Age: 44 years old Gender: Male X Female❑ Ethnic Origin (Check one) White❑African-American/Black N Hispanic: ❑Asian or Pacific Islander❑American Indian or Alaskan Native❑ Employment Status: Employed Retired❑ Home-maker❑Other❑ "I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article VII—of the City Code"Standards of Conduct for City Officers,Employees and Agency Members." 10/14/16 Daniel Veitia Applicant' e Date Name of Applicant (PLEASE PRINT) Please attach a copy of your resume to this application NOTE:Applications will remain on file for a period of one(1)calendar year. Received in City Clerk's Office by �"'�� U-Q77,o� Date /' `YJ` Name of Deputy Clerk / Document Control Number(Assigned by the City Clerk's Office) / !�l Y Entered By 44) Date /OJ/�//�41 evised 125/07 Jo 2 C:\Documents and Settings\compurbm\Local Settings\Temporary Internet Files\OLK1C51BC Application Revised July 18 2007.doc 1525 Normandy Drive,Miami Beach,FL 33141 305.219.3408 daniel@northbeachnews.com Daniel Veitia Professional Urban Resource,Owner/President,2003-Present Highlights • Real Estate Brokerage Firm • Property Management Firm • Project/Construction Management Services • Licensed Real Estate Broker and CAM International logistics,1990—2002 • FS Trucking,Vice President • Maersk-Sealand,North American Operations Manager • Pronto Cargo,Operations Manager/Owner Community Steering Committee for North Beach Master Plan Involvement Blue Ribbon Panel for North Beach CMB Planning Board Member Founding Member, Fairway Park Neighborhood Association Past President, Normandy Isle North Neighborhood Association Past President, North Beach Development Corp. Past President, North Beach Bandshell Park Trust Past President Current Member,Rhythm Foundation Past Board Member,Miami Beach Community Dev Corp. Founding Member,North Shore Neighborhood Association Committee Member,Hurricane Task Force(C.M.B) Leadership Miami Graduate(2005,Miami) Leadership Academy Graduate(2006,C.M.B) Citizens Police Academy Graduate(2006,C.M.B.) C.E.R.T.Graduate Education Business Administration, BBA University of Miami 1997 Business Administration,AA Tallahassee Community College 1994 „,cr tr8_41,4, RICK SCOTT,GOVERNOR , KEN LAWSON,SECRETARY • . 11„s_,-.-,..., 0 11 , 44:7-4Z.44” cobt.B. , STATE OF FLORIDA • DEPARTMENT OF BUSINESSAND,PROFESSIONAL REGULATION S1:4-‘4; DIVISIONFO041 "EALISTATE THE/BROItER-HrREINNIS-LlettilSEID UNDE:Ri1H E Q ita9k----,=, _ .:-.1. -_-_-, ...... PROVISIONS OFtC-HAPTER 4757-FLORIDA•STATUTES : - •...--.4 . - ----.:-.. z.-_. *,';;-• l''''' VEITIA*. DANIIEL ., , W; . 11,93=74STL4STREET----- -----I / *44 i t VAN'MIAMTi'BE:AGH%-: ,•FL 33141.-= I :: I" •%-- 1.,-,-1- - -- f-' —i ,e ifirk •i 4 r it' •; 0 4,0 .. y. -1,4- ',A -*A,. • l• * 1. 4* *..,_ e.,,-;.,4,,-;. 4; ." AS*/ 'a * ''''. - 741110iiiii4-, .0,4, ,.,, , ' ---- " tit . 1 4, *,.. ,,..• ' -411-0...-0.0A. .1* LICENSE NUMBER:13K3079893 I I EXPIRATIONFDATE SEPTEMBER 30,2018 :,...T.......::,-- Always verify licenses online at MyFloridaLicense.com 1 P• .-9' .. H. Do not alter this document in any form. ' ie 4.4e"PrA ' •r A.,..°1-1fili: This is your license. It is unlawful for anyone other than the licensee to use this document. 0 Cr-'." STATE OF FLORIDA ' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i' : - COMMUNITY ASSOCIATION MANAGERS (850) 487-1395 C ';: 2601 BLAIR STONE ROAD ''... pD w TALLAHASSEE FL 32399-0783 VEITIA, DANIEL PO BOX 415700 MIAMI BEACH FL 33141 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range / LL`'`,1 STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque OF BUSINESS AND restaurants,and they keep Florida's economy strong. F, PROFESSIONAL REGULATION Every day we work to improve the way we do business in order CAM33730 ISSUED: 09/18/2016 to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more COMMUNITY ASSOCIATION MANAGER information about our divisions and the regulations that impact VEITIA, DANIEL you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS LICENSED under the provisions of Ch.468 FS. Expiration date: SEP 30,2018 L1609180003037 and congratulations on your new license! DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION T COMMUNITY ASSOCIATION MANAGERS °4 ': LICENSE NUMBER � *., •rf CAM33730 WA - The COMMUNITY ASSOCIATION MANAGER Named below IS LICENSED .9_ D K� Under the provisions of Chapter 468 FS. • Expiration date: SEP 30, 2018 �I� VEITIA, DANIEL , .1+ 11i1.11 1193 71ST STREET liA4. MIAMI BEACH FL 33141 er -rt..1 E Doti. • !cc!ipn" noiigidniR fICIDI AV ■C RFf1I11RM-) RV I MA/ SFr)* 11fng1Rnnn3n37 1 �'1�►rir�n IVER LICENS '-- *3► V300-160-72-264-0 w " , DANIEL d / isa 4�Nonwwor DRIVE MIAMI EACH,rL 334414701 n 1 SEX. if 1 .