James Zeigler 2021DocuSign Envelope ID: 3430D3BF-8785-4B0B-AB 94-F 660C47BDF3 7
MIAMI
EMT
OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
Full-time County (including Public Health Trust) and municipal employees engaging in outside employment must file an annual disclosure report
by July 1st of each year, in accordance with Section 2-11.1(K)(2) of the Miami-Dade County Code.
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
2021 Zeigler James Patrick
Mailing Address - Street Number, Street Name, or P.O. Box
13920 Cypress Court
City, State, Zip
Miami Lakes Fl. 33014
If your home address is exempt from public records pursuant to Florida Statutes §119.07, please see note on the following page and check here. D
Filing as an Em ployee (check one)
[] county â–¡Public Health Trust E] Municipal City of Miami Beach, FL.
(Municipality)
Departm ent Division
Building Department Plumbing
Position or Title Employee ID Numb er Work telephone
Chief Plumbing Inspector 15485 (305) 673-7610
Please list the sources of outside em ploym ent (including self-em ploym ent), the nature of the work, and the total am ounts of money or other
com pensation you received for each source of outside employment. If no income or compensation was received from a particular outside
employment, enter zero (O) for that organization in the section below. If continued on a separate sheet, check here. O
Name and Address Nature of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received
City of Miami Beach 1700 Convention Chieff Plumbing lnspector,Plumbing $108,000.00
Center Drive Plans Reviewer and Inspector
AB&K Plumbing 13427 SW 284th St Licensed Qualifier/Consultant $14,400.00
Town of Bay Harbor Islands, FL. 9665 Plumbing Plans Reviewer and $1440.00
Bay Harbor Terrace Inspector
Bal Harbour Village 655 96th St. Plumbing Plans Reviewer and $1680.00
Inspector
I hereby sw ear (or affi rm ) that the inform ation above is a true and correct statem ent.
Signature of Person Di sclosin g
6/30/2022 I 5:38 PM EDT
Date signed
RE CE IV ED BY ELECTIO NS DE PARTM ENT:
O Hardcopy
n##EveD
JUL 01 2022
OIT OF MIAMI BEA CH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficien cy: Processed Date/Initials: Scann ed Date/initials:
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