Terri Echarte 12.31.25MI AMIBEACH
B O A R D A N D C O M M IT T E E C H EC K LIST
APPOINTEE: _LYE!A o-A
soARrcoMMrrree. bod'q Ahr DATE OF APPOINTMENT: @[t9[23
Appointed by:(pm\t$tr [«cpl2
FOR SCANNER
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FOR CLERK STAFF
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o Letter of Appointment
o Letter of Reappointment
o Cop of Letter of Appointment/Reappointment
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o Board and ommittee Application (Completed on _
o R~sum~/Curriculum Vitae ,] f
o Diversity Statistics Reporting (Completed on lb//@3__
o Oath
TERM END: (l31hf reRM Lu Mr r. _[3/23
e-mailed to Committee Liaison on -
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
✓City Code Ordinance Section applicable to the agency, board or committee
✓City Code Sections 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459
✓County Code Section 2-11.1 -- Conflict of Interest and Code of Ethics Ordinance (as
amended through December 2010)
✓Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
✓Highlights of the Miami-Dade County Ethics Code
✓Sunshine Law and Public Records -- Frequently Asked Questions
✓Memorandum - Solicitation by City Board and Committee Members
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o Citywide Permit Application (Parking Department Form)
o Booklet -- Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
o Source of Income Statement
o Acknowledgment of Financial Disclosure Requirement
o Board and Committees Liaison Responsibilities
Received on:
Scanned on:
o DIVERSITY STATISTICS REPORTI 0
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Date
Processed on: __ l_,_/_l_i _J _i-J By Employee: -----~Kfi"l-~------------
Date City Clerk's Office Staff Initials
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Date City Clerk's Office Staff Initials
CONCLUDED & RESIGNATION LETTERS
Term Expired Letter Date Processed Initials Scan o
Resignation Letter Date Processed Initials Scan o
Removal Letter due to absences Date processed Initials Scan o
F:ICLER\BO ARD AN D CO M M ITT IES DATABASE\CHECKLI ST MASTERIB&C Checklist 2015 MASTER.docx
We are committed to oroviding excellent pubic service and safety to all who live, work, and play in our vibrant, tropical, historic community
MI A MI BE A CH
City of Miami Beach, 1/OO Convention Conler Drive, Miami Boach , Florida 33 139 yyw _miaIibea chf]go
OFFICE OF THE CITY CIERK, Rafool E. Granado, Ciy Clerk
Tel: 305.673.7411, Fax€ 305.673.7254
Email: Cit Clerk@miamibeachfl.gov
November 15, 2023
Ms. Terri Echarte
3000 Royal Palm Ave
Miami Beach, FL 33140
RE: Budget Advisory Committee
Dear Ms. Terri Echarte:
Congratulations! You have been appointed by Commissioner Alex Fernandez to the above-referenced
Board or Committee, for a term ending: 12/31/2025.
Pursuant to City of Miami Beach Code Section 2-22 (5)a:
Notwithstanding any other provision of the City Code or of any Resolution, commencing with
terms beginning on or after January 1, 2007, the term of every board member who is directly
appointed by a member of the City Commission shall automatically expire upon the latter of:
December 31 of the year the appointing City Commissioner leaves office or upon the
appointment/election of the successor City Commission member.
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 as they concern your duties, responsibilities, and
requirements as a board or committee member.
Congratulations again and good luck.
"s
RafJanado
City Clerk
cc: Monica Beltran, Parking Director
Tameka Otto Stewart, City Liaison
ENCLOSURES:
Oath of Office/Oath of Civility/Acknowledgements
City Code/Ordinance section applicable to agency, board or committee
City Code Sections 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
City Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
MIAMI BEACH
City of Miami Beach, 1ZOO Convention Con tor Drive, Miami Boach, Florida 33 139 yyww_miamnibcachllgo
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7411, Fax 305.673.7254
Email: CiNyClerk@miamibeochfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Terri Echarte
RE: Budget Advisory Committee
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 I have been appointed for a
term ending: 12/31/2025.
To my colleagues and to all of those I represent and serve, I pledge fairness, integrity and civility, in all
actions taken and all communications made by me as a public servant.
I 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 requiremen ts of Miami-Dade County or the
State of Florida (depending on the board or committee on which I serve) on July 1st, following the closing
of the calendar year on which I have served.
Ms. Terri Echarte
swom to and subscribe d before me this tt@_ day or_[/ U_, 2023 !LL~
Keila Mena Caceres
Deputy Clerk
*Please visit the City of Miami Beach website at ww w.miamibeachfl.gov under City Clerk/Board and
Committees for additional information regarding the Financial Disclosure Requirements.
M IA M I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florido 33139
OFFICE OF THE CITY CLERK
Emal BC@mniambeachfl _goy
Telephone 305 673 7411
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 (heck (/) all that apply)
~ I am a resident of the City of Miami Beach for six months or longer.
d Home Address: .~O O 6 i'~..-i,.,,tJ/. P ~ <elk ., I j;/L,n,'-4 f;t td\ 3 3 / 'fo
() '
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).
or- ssuns le,, K €cl-te(Consul-, LC'
Business Address._ _St7l as_/u_lye $$
D 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: _
Hy,1me, ]]re,S,,
"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
s~n 1t are true I j
j Lu ? sGree , } 4 ii,K- .f Date
Printed Name
M IA M I BEACH
City of Miami Beach
I700 Convention Center Drive
Miami Beach, Florida 33139
www.mi amib eachl l gov
OFFICE OF THE CITY CLERK
Email. BC@miamibeachfl qov
Telephone: 305 673.7411
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS Eidt, f@
Last Name First Name Middle Initial
Acknowledgment 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)
l 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.
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," or
2. A"Statement of Financial Interests (Form 1)'," or
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.
Acknowledgment to Comply with Miami Beach Code of Ordinances Division 1 Sec. 2-22 (23)
I understand that commencing with terms beginning on or after January 1, 2024, and as a condition of applying
for appointment to a City agency, board, or committee, I voluntarily agree that in the event I file with the City
Clerk a Statement of Candidate formally announcing candidacy for City elective office, such filing with the City
Clerk shall be deemed a tender of resignation from the City agency, board, or committee .e ±,a• Date
' Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. §112.3145(1 )(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County
Supervisor of Elections by 12.00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure
requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
MIAM I BEACH
City of Miami Beach
1700 Conv ention Center Drive
Miami Beach, Florida 33139
www.miamibea chfl.gov
OFFICE OF THE CITY CLERK
Email. BC@mamibeachf] gov
Telephone: 305.673.741 l
DIVERSITY STATI STICS REPORT
1Ge f
Last Name First Name Middle Initial
The following information is voluntary and has no bearing on your consideration for appointment. It is being
asked to comply with City diversity reporting requirements.
Gender:
J u e n ee
0 Other
D I prefer not to answer.
Race/Ethnic Categories:
What is your race?
D African American/Black [] As~an or Pacific Islander
Dk Caucasian/white
N ave American/American Indian
[[Other - Print Race.
0 I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Des
Luk~vo
0 I prefer not to answer.
Do you consider yourself Physically Disabled? • 0aiG
□I prefer not to answer this question.
Pace 6 of 6
MIAMI BEACH CIw DE (Cw oA & coM r s g-g
or row -+. rawnvo otoo«wo PARKING APPLICATION l.S
1755 Mear don Avenue. Sui te 200/Mamnu Beach, FL 33139/Ph (305) 6737505 (305) 673-7000 en 6200 PARKING
A citywide (CW ) parking permit is honored at metered parking spa ces and restricted residential zon es
parking spa ces. A CW parking permit IS NOT honor ed in prohibited areas. An Acc ess Card will be
provided to you tor City Hall Garage (G7) access.
IMPO RTANT NOTE: Your vehicle license plate serves as your "par king perm it". In order to avoid
any unnecessary enforcement actions, it is important that our rec ords rellec t the most current and
accura te information regarding your vehicle license plate. Inaccura te and/or outdated vehicle
information may lead lo the issuance of parking citation(s) and/or the lowing of your vehicle.
Please note that this new access cord CANNOT be hole-punched or perforated in any manner. To use
the new card please hold the card at close proximity to the reader until the gale opens. You may need
to try the other side of the cord. Please ensure you hold the entire surface of the cord against the reader
until the gate opens.
ACKNOW LEDGEM ENT: I acknowledge that should my access card be lost, stolen or
damage, I will be respo nsible to pay a $10.00 replacem ent fee.
Board Member lnformati n
Date of Application: G 2
Applicant Name:· -
Y
Boord/Committee Name:
33/4
E-Mail Address:
Work Phone: Home Phone h, _
cell Phone 305- to Preferred Contact Method: z+.( h pg_
Vehicle Information
Tog: EV 6o Color: :k
State: PL Year: 2017
Make: Hondo Model: 22V
Applicant Sianature: e
Please provide signed form to the Parking Department locoted at 1755 Meridian Avenue, 2° floor. Working
hours ore 8:30 to 5.00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
p rkii Del Se a na partment cion
PERMIT SYSTEM GARAGE ACCESS
Expiration Date. ID Card Serial #:
Issued By Print Name. Print Name·
Signature. Signature. e
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