Eugenio Cabreja Application Package1, s,
MIAM/BEACH OARD AND COMMITTEE APPLICATION FORM
Middle Initial
3$)
City
$) 04?? 3$)715-o 2 e.vre,[uoe)eéu l.ow
'orne T,ilephone • Work Telephone Cellular Telephone ~ E " · ·
nle. (er1ired/
Busie¿eÑame «
Zip Code
Occupation
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 JG,No [ .
• Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: Yes Q No O
• Are you a registered voter in Miami each: Yes DGr No [À
• lam now a resident of. North Beach [south Beach .BGui ddle Beach []
e lam_applying for an appointment because I have special abilities,knowledge and experience. Please list below:
a»Y La 4)pcjé
• Are you presently a registered lobbyist with the City of Miami Beach? Yes LÀorNeDj
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 Office of the City Clerk.
Affordable Housing Advisory Committee Health Advisory Committee Parks and Recreation Facilities Board o
G.O. Bond Oversight Committee Mayor's 41 Street Committee Mayor's Blue Ribbon Panel on Ocean Drive
Art in Public Places Committee Health Facilities Authority Board Personnel Board ;
Audit Committee E Hispanic Affairs Committee ; Planning Board
Board of Adjustment* Historic Preservation Board Police Citizens Relations Committee
Budget Advisory Committee Housing Authority rI Production Industry Council
Committee on the Homeless Human Rights Committed Senior Affairs Committee
Committee for Quality Education in MB LGBTQ Advisory Committee Sustainability Committee
Cohvention Center Advisory Board Mari ne & Waterfront Protection Authority Transportation, Parking, & Bicycle-Pedestrian
Facilities Committee
Cultural Arts Council 2- Miami Beach Commission for Women Visitor and Convention Authority
Design Review Board Normandy Shores Local Government Youth Commission
Neighborhood Improvement
Disability Access Committee Ad Hoc Anti-Bullying Task Force
Next Gen Council Animal Welfare 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 Numb e r
License Issuance Date License Expiration Date
Page 1 of 4
F:\CLER\$ALL\BOARD AND COMMITTIES
DATABASE\useful stuff
,1,
oo Note: If applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with
the Scott Rakow Youth Center and/or the North Shore Parks Youth Center.
• Please describe your past service with the City's Youth Centers (include dates of service): _
• Present participation in Youth Center activities by your children: Yes O No O
If yes, please list below the names of your children, their ages and the programs in which they participate:
Child's name: Age: P rogram: _
Child's name: Age: P rogram:
• Have you ever been convicted of a felony? Yes O or N If yes, please explain in detail:
• Do you currently have a violation(s) of Cy of Miami each code? Yes [lo,„Xi e, please explain in detail:
• Do you currently owe the cIy of Miami Beach any money? Yes [MN?l es, explain in detail:
• In what organization(
ol4 Nanie Position
Name Position
• List all properties owned or in which you have an interest within the City of Miami Beach: nn @.
• Are you now employed by the city of Miami Beach? Yes [lo,DZ
\yhih7 (}Dar[mnon7{ an} [[['t
• Pursuant to City Code Section 2-25 (b): Do you 2@!@ a parent
employed by the City of Miami Beach? Yes Lor No±
[f "Ygg." identify De[Son(s) and department(s)
O, spouse O, child O brother O or sister O who is
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 City diversity reporting requirements.
Gender: Male Female
Race/Ethnic Categories
What is your race?
O African-American/Black
ß@ caucasiawnte
D Asian or Pacific Islander
LI Native-American/Am erican Indian
Page 2 of 4
F:\CLER\$ALL\BOARD AND COMMITTIES
DATABASE\useful stuff
·°,
O Other- Print Race:---------------------------------
Do you consider yourself to be Spanish, Hispanic or Latino/a ? Mark the "N o" box if not Spanish, Hispanic, Latino/a.
2» Yes
Do you co nsider yourself P hysically Disabled?
5so
O Yes
NO TE: IF A PPO INTED, Y O U W IL L BE REQ UIR E D TO FO L LO W CERTAIN LAW S THA T APPLY TO CITY BO A RD/CO M M ITT E E
M EM BE RS . THE S E LA W S INC LUDE, BUT AR E NO T LI M IT ED 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 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 HER EBY A TT E ST TO THE A CC URA CY AND TRUTH FUL NE SS O F THE APPLICATION; AND I HAVE RECEIVED, READ AND
W ILL ABIDE BY CHA PT ER 2, ARTI CL E V II, O F THE M IA M I BE A CH CITY CO DE, ENT IT LED "S TANDARDS OF CONDUCT FOR
CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LA WS AND
STATUTES ACCORDINGLY "
E ZRee 7
F'ecejyed in the Off¡g of the jty [erk by.
Name of Deputy Clerk Control No. Date
ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY
APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED
INFORMATION.
Page 3 of4
F:\CLERISALL\BOARD AND COMMITTIES
DA TABASE\useful stuff
·t%.
MIA IBEA
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www .miamibeachfl,aov
OFFICE OF THE CITY CLERK
CityClerk@miamibeachfl.gov
Telephone: 305.673.7411 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(i) (2)
' .
Board Member's Name: r yet]t "AAA
understand that no later than uu''ft'i f mmbers of Boards and Com mittees 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
Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
of no more than $500, 60 days in jail or both.
s é 12/3]
Date
Updated: Thursday, December 22, 2016
Page 4 of 4
F:\CLER\$ALL\BOARD AND COMMITTIES
DATABASEiuseful stuff
EUGENIO CABREJA
150 Alton Road, Unit 8161 Miami Beach, FL 331391 (305) 915-6062 I e.viejuco@gmail.com
Experience
April 2011 - present
Tenant Commissioner I Housing Authority of the City of Miami Beach I Miami Beach, Florida
January 2016 -- December 2016
Chairperson I Housing Authority of the City of Miami Beach I Miami Beach, Florida
February 2002 - present
Resident I Rebecca Towers South I Miami Beach, Florida
November 2000 - present
Retired I Miami Beach, Florida
July 1989 - November 2000
Supervisor I Michigan Drill Corporation I Miami, Florida
April 1979 - July 1989
Plant Manager I Metaldon CXA I Santo Domingo, Dominican Republic
August 1971- April 1979
Supervisor I Falcombridge Dominicana CXA I Bonac, Dominican Republic
August 1968 - August 1971
Industrial Technician I Cemex Industrial CXA I Santo Domingo, Dominican Republic
November 1960 - August 1968
Industrial Technician I GT Tools Company I Long Island, New York
July 1955 -- November 1960
Industrial Technician I Fabricas De Armas I San Cristobal, Dominican Republic
Education
1965I International School of New York I New York, New York
1963 I Delehanty Institute I Long Island, New York
1955 I Salesian Technical Institute I Santo Domingo, Dominican Republic
+
Eugenio Cabreja, Tenant Commissioner
Housing Authority of the City of Miami Beach
MIAM/BEACH
O FFIC E O F TH E C ITY C LERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www._migmibeacht]_gov
Telephon e: 305.673-7411
December 2, 2019
Eugenio Cabreja
150 Alton Road # 816-S
Miami Beach, Florida 33139
Dear Mr. Cabreja,
Your term on the Housing Authority concludes on December 31, 2019; however you are eligible
for reappointment. If you are interested in being reappointed, we ask that you submit a new
application packet, including an updated application, current resume, and photograph to the Office
of the City Clerk.
You may submit an updated application packet electronically, by visiting
https://secure.miamibeachfl.gov/BcApp/Account/Login or you may complete and return the
enclosed application. An answer must be given for every item on the application; "None" or "Not
Applicable" is an- acceptable answer to an application question only if accurate.
If you are interested in seeking a new appointment on one of the Land Use Boards (Board of
Adjustment, Design Review Board, Historic Preservation Board or Planning Board) you will require
additional documentation as some of the seats require certain professional qualifications (e.g.,
lawyer, architect, etc.). If your seat of interest requires such professional qualifications, please
provide a copy of your current effective license(s) along with your completed application packet to
the Office of the City Clerk by Decemb e r 23, 2019.
For your convenience, we have also enclosed detailed instructions that you may find useful in the
completion of your new application.
If you have any questions or if in need of additional assistance, please contact the Office of the
City Clerk at 305.673.7411. RefrÎ ,
Rafael Granado
City Clerk
Enclosure