Brigitte Andrade Sep 2022Email: BC@miamibeachfl.gov
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2 -22 (4),
as (check (✓) all that apply):
x I am a resident of the City of Miami Beach for six months or longer.
Home Address: 7133 Bay Drive 706, Miami Beach, FL 33141
x I have an ownership interest (for a minimum of six months) in a business established in the
City of Miami Beach (for a minimum of six months).
Name of Business: Bib Art Media Inc.
Business Address: 7133 Bay Drive 706, Miami Beach, FL 33141
□I am a full-time employee of a business (for a minimum of six months) and I am based in an
office or other location of the business that is physically located in Miami Beach (for a
minimum of six months).
Name of Business:_________________________________________________________
Business Address:_________________________________________________________
“Ownership Interest” means the ownership of ten percent (10%) or more (including the
ownership of 10% or more of the outstanding capital stock) in a business.
“Business” means any sole proprietorship, sponsorship, corporation, limited liability company,
or other entity or business association.
Under penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
Signature Date July 20th, 2022
Brigitte Andrade
Printed Name
Received July 20, 2022
Office of the City Clerk