Brett Harris 12/31/2018MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.741 1, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
February 16, 2017
Mr. Brett Harris
805 N. Shore Drive
Miami Beach, FL 33141
SUBJECT: Normandy Shores Local Government Neighborhood Improvement
Dear Mr. Brett Harris:
Congratulations! You have been reappointed by the City Commission to the above referenced board or
committee, for a term ending: 12/31/2018.
If you are unable to accept this appointment or have any questions, please call the Office of the City Clerk
at 305.673.7411.
Please read the enclosed materials carefully. Congratulations and good luck.
Respectful
Rafiael Granado
City Clerk
cc: Saul Frances, Parking Director
Cintya G. Ramos, City Liaison
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 Employees
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 E. Granado, City Clerk
Tel: 305.673.741 1, Fax: 305.673.7254
Email: CiyClerk@miamibeachfl.gov
TO: Mr. Brett Harris
RE: Normandy Shores Local Government Neighborhood Improvement
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 1 have been appointed for a
term ending: 12/31/2018.
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 member 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 1 -. e) on July 1st, following the closing
of the calendar year on which I have served.
. Brett Harris
Sworn to and subscribed before me this Ze"'day of %1v(, 2017
Ramon Quezada
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.
CA_ MIAMIBEACH
NAME: Harris
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Brett A
Last Name
First Name Middle Initial
HOME ADDRESS: 805 N. Shore Drive Miami Beach
PHONE:
FL 33141
Apt No. Home No./Street
City
State Zip Code
bharris200@gmail.com
Home
Work
Business Name: Douglas Elliman Real Estate
Address: 1111 Lincoln Road
Email Address
Position: Realtor
Miami Beach
FL
33139
Street
City
State
Zip Code
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
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes
• Are you a registered voter in Miami Beach: Yes
• (Please circle one): I am now a resident of: North 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? 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 City Clerk's Office. (Regular Boards of City)
Choice 1: Normandy Shores Local Government Neighborhood Improvement
Choice 2: Budget Advisory Committee
Choice 3: Parks and Recreational Facilities Board
• 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
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: No
Years of Service:
2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their
ages, and which programs. List below:
• Have you ever been convicted of a felony: No If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: No If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: No
If yes, please explain in detail:
• Are you currently serving on any City Boards or Committees: No If yes, which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
• I am now employed by the city of Miami Beach: No Which department?
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
Property
805 N. Shore Drive, Miami Beach, FL 33141
Gender: Male
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.
Race/Ethnic Categories
What is your race? Mark one or more races to indicate what you consider yourself to be. White
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No
Physically Challenged: No
NOTE: If appointed, you will be required to follow certain laws which 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 Code section 2-26).
o Requirement to disclose certain financial interests and gifts (Miami -Dade County Code section 2-11.1).
(re: 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 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."
I Brett Harris agreed to the following terms on
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No. Date
MIAMI•DADE
COUNTY
SOURCE OF INCOME STATEMENT
Section 2-11.1(i) of the County Ethics Code requires that certain employees and public officials fife a financial disclosure Statement on a yearly basis by July 1st
of every year.
Disclosure for Tax Year Ending
2016
Last ame
fit rr/S
Firgt Name
Middle Name/Initial
Mailing Address — Street Number Street Name, or P.O. Box
305 N - r, ,, C
City, State, Zip
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 (check one)
Filing as a Board Member (check one)
County
j Municipal: L et -i.1 -t.
(Municipality)
Board where serving
Alternate address (if home address is xempt)
ic,veley) Q_
I—, 9 atit 661)09'0 W)Pit/ ,10Q/4 6r OCtek
Work telephone T m began on/ended 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. Examples of sources of income include: compensation for services, income from business, gains from
property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. 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
County 1111 Public Health Trust a Municipal:
(Municipality)
Department
Position or Title
Employee ID Number
Work address
Work telephone
Employment began on/ended on
Filing as a Board Member (check one)
County
j Municipal: L et -i.1 -t.
(Municipality)
Board where serving
Alternate address (if home address is xempt)
ic,veley) Q_
I—, 9 atit 661)09'0 W)Pit/ ,10Q/4 6r OCtek
Work telephone T m began on/ended 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. Examples of sources of income include: compensation for services, income from business, gains from
property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. 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
AL Es„a.r-.
Cr, -(35 —S
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I hereby sw
r (or affirm) that the inf
Signature of P
n Disclosing
5 /
Date signed
ation above is a true and correct statement.
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency:
138 SP -14 COE 2016
Processed Date/Initials:
Scanned Date/Initials:
iii
Esze-E 11
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachf[.aov
CITY CLERK'S OFFICE CityClerk@miamibeachfl.gov
Telephone: 305.673.741 1 Fax: 305,673.7254
Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami -
Dade County Financial Disclosure Code Provision Code Section 2-11.1(1) (2)
V)ce-1r g Girt(
Board Member's Name:
! 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
Financial 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 they may have been recently appointed.
One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive,
Miami Beach, Florida, no later than 12:00 noon of July 1, of each year.
1. A `Source of Income Statement"
2. A `Statement of Financial interests (Form 1)"
3. A Copy of your latest Federal Income Tax Return
Fa' . e to file one of these forms, pursuant to the Miami -Dade County Code, may subject the person to a fine
r no mor than 5500, 60 days in jail or both.
3��
Signature
Updated: Monday, April 20, 2015
Pace 4 of 4
F:\CLER\SALLA2FORMSOCARD AND COMMI i I EES‘5C APPLIC,A I ION REVISED 060220 4.dccx
Date
i\A I AM 1 BEACH
DIVERSITY STATISTICS REPORTING
Name: Id) re `1+ 4"cle't
Board / Committee: NI 0,(• YrIctriCil Cin.pre__ L,061.4 C,ove cv) vn emi--,
IQ t cak boionooc() T w)provQ0.7e4j- -
Appointment Date: Z/ F /.--)
Pursuant to City of Miami Beach Ordinance 2009-3632, the City is required to annually
prepare and present a report to the City Commission identifying the City's diversity
statistics. This form allows board and committee applicants and members to voluntarily
self -identify their race, ethnicity, disabled status and gender.
Please check the appro Hate box for each category:
Gender: Male
Female LA
Race/Ethnic Categories
What is yo, r race?
Af n-American/Black
aucasianANnite
Asian or Pacific islander
i Native-American/American Indian
Li Other — Print Race:
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not
Spanish, panic, Latino/a.
0
v
—I es
Do you nsider yourself Physically Disabled?
No
Yes
CAUsers\CENTFraN'AppDataiLocat\Mierosoft\Windows\Ternoorary Internet Fites\Content.Outlook\NT-,4J9C.',NX\SC tniricriiy
information form 05-20-13 FINALdoc
Updated: Monday, January 26. 2015