Janet Silverman 12.31.24 MIAMI kL
•
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Janet Silverman DATE OF APPOINTMENT: 2/1/24
BOARD/COMMITTEE: Board of Adjustment Appointed by: City Commission
FOR SCANNER FOR CLERK STAFF 2/1/24 12/31/25
Scan o o Letter of Appointment TERM END: TERM LIMIT:
Scan o o Letter of Reappointment
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on 211 I
Scan o o Board and Committee Application (Completed on _)
Scan o a Resume/Curriculum Vitae
o Diversity Statistics Reporting (Completed on 7/ L(j )
Scan o o Oath
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)
RECEIVED v Amendments to the Code of Einics Ordinance (September 2009 through July 2012)
✓ Highlights of the Miami-Dade County Ethics Code
FEB 09 2024 ✓ Sunshine Law and Public Records— Frequently Asked Questions
✓ Memorandum - Solicitation by City Board and Committee Members
OF MIA MI BEACH
CITY CITY -(1FCITY CLERK 0 Citywide Permit Application (Parking Department Form)
OFFIC
o Booklet—Guide to Sunshine Amendment& Code of Ethics for Public Officers and Employees
Scan 0 0 Source of Income Statement
Scan 0 0 Acknowledgment Statement
O Board and Committees Liaison Responsibilities
o Diversity Statistics Repoling
✓� I acknowledge that pursuant to Sec. 2-22(9) of the Miami Beach Code of Ordinances, I will be removed
from my board/committee upon failure to attend 33%of the regularly scheduled meetings.
Sec. 2-22(9) If any member of an agency, bcard or committee fails to attend 33 percent of the regularly scheduled
meetings per calendar year, such member shall be automatically removed. To calculate the number of absences
under the 33 percent formula, .4 or less rounds down to the next whole number and .5 or more rounds up to the
next whole number.
NOTE: Members of the Land Use Boards will be removed upon failure to attend three of the regularly scheduled
meetings per calendar year; or upon abstaining from voting due to a conflict of interest on four different
applications within a calendar year. A member who is removed shall not be reappointed to membership on the
board for at least one year from the date of removal.
r v
7i f L LI` Signed by A
Received on: 2 /
DateJ r r 4 Board or
Committee Member
Processed on: ` CG ! �`t By Employee:_ 1` /_____ -------
Date City Clerk's Office Staff Initials
We are committed to providing excellent public service and safety to all who live, work,and play in cur vibrant, tropical, historic community.
MIAMI BEACH
City of Miami Beach, 1700Convention Center Drive,Miami Beach, Florida 33139 www.miamibeachfl.gov
OFFICE OF TF E CITY CLERK,Rafael E.Granada,Cily Clerk
Tel:305.673.7411, Fax:305.673.7254
Email:CityCletk@miamibeachfl.gov
February 01, 2024
Ms. Janet Silverman
6899 Collins Ave
miami beach, fl 33141
RE: Board of Adjustment
Dear Ms. Janet Silverman:
Congratulations!You have been appointed by the City Commission to the agency, board or committee
named above for a term ending: 12/31/2025.
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.
Regards,
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Michael Belush, City Liaison
ENCLOSURES:
Oath of Office/Oath of Civility/Acknowledgements
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
City Wide Permit Application - (Parking Department Form)
Booklet-Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
AfttiAtvAil', 1 : . '''''' H
City of Miami Beach, 1700 Cc *lion Center Drive, Mum , Florida 33 139 www.rniarnib :rh#I.g€av
OFFICE:Of T E CITY CLEl2:K Rafael E.Granola,Ciiy Clod
Tel.305.8717411,Fax: 305,673.72 54
Emoi:CiiyClerkOmiornibouchil 9.ov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Janet Silverman
RE: Board of Adjustment
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* requirements 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.
1
i Ms. Janet Silverman
Sworn to and subscribed before me this Z day , 2024
......d.—_____
K a M na Caceres
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.
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC( miamibeachfl.gov
Telephone: 305.673.741 1
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 (I) all that apply):
✓ I am a resident of the City of Miami Beach for six months or longer.
Home Address:6899 collins ave apt 1510 miami beach fl 33141
riI 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:
Business Address:
piI 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.
- --- /I / 7, ---------
Signature Date
Printed Name
AA '
M BF_ P
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.m i c m i beochfl,.gQ_v_
OFFICE OF THE CITY CLERK
Email: BC cmiamibeachfl.gov_
Telephone: 305.673.741 1
DIVERSITY STATISTICS REPORT
Silverman Janet
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:
El Male
Q Female
LI Other
I prefer not to answer.
Race/Ethnic Categories:
What is your race?
El African American/Black
❑; Asian or Pacific Islander
✓ Caucasian/White
Native American/American Indian
0 Other— Print Race:
I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Li Yes
D No
I prefer not to answer.
Do you consider yourself Physically Disabled?
Yes
No
El I prefer not to answer this question.
Page 6 of 6
F:'CLERI$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated:June 2020
i\A A P I t ,
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachflov
OFFICE OF THE CITY CLERK
Email: gC(c7miarnibeachf►.ciao
Telephone: 305.673.7411
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Silverman Janet
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)
I 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
_ /0 1
Signature Date
1 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.
Page 6 cif 6
F:\CLER\$ALL\BOARD AND COMMITTEES DATABASE\Board and Comm tteo Application\BOARD AND COMMITTEE APPLICATION OCT 2023.docx
Updated:January 9,2023
IV\
f4\ ,s� CITYWIDE (CW) BOARD & COMMITTEES p
City of Miami Beach,PARKING DEPARTMENT PARKING APPLICATION i' . • ,
1755 Meridian Avenue,Suite 200/Miami Beach, FL 33139/Ph: (305)673-7505 or (305)673-7000 ext. 6200 PARKING
A citywide (CW) parking permit is honored at metered parking spaces and restricted residential zones
parking spaces. A CW parking permit IS NOT honored in prohibited areas. An Access Card will be
provided to you for City Hall Garage (G7) access.
IMPORTANT NOTE: Your vehicle license plate serves as your "parking permit". In order to avoid
any unnecessary enforcement actions, it is important that our records reflect the most current and
accurate information regarding your vehicle license plate. Inaccurate and/or outdated vehicle
information may lead to the issuance of parking citation(s) and/or the towing of your vehicle.
Please note that this new access card 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 gate opens. You may need
to try the other side of the card. Please ensure you hold the entire surface of the card against the reader
until the gate opens.
ACKNOWLEDGEMENT: I acknowledge that should my access card be lost, stolen or
damage, I will be responsible to pay a $10.00 replacement fee.
Board Member Information _
Date of Application: 2/1/2024
Applicant Name: Janet Silverman
Board/Committee Name: Board of Adjustmnent
Address: 6899 Collins Ave #1510 Miami Beach, FL 33141
E-Mail Address: jsilverman27@msn.com
Work Phone: Home Phone
Cell Phone: 917-767-8508 Preferred Contact Method:
Vehicle Information _
Tag: BY89TR Color: gray
State: florida Year: 2022
Make: range rover Model: evoque
Applicant Signature:
Please provide sign d forrd to The Parking Department located at 1755 Meridian Avenue, 2n'd floor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION — APPLICANT NAME
Parking Department Section
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: ,Es Signature: ,d
Date Issued: , Date Completed:
r.\prng\Tman\mrvorms\cw ooarasiscaasnrrees pare mgrorm.aec farm upaarea v/10/t cr I
miAMI' SOURCE OF INCOME STATEMENT
COUNTY
Section 2-11.1(i)of the County Ethics Code requires that certain employees and public officials file a financial disclosure Statement on a yearly basis by July 1st
of every year.
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
2023 Silverman Janet
Mailing Address—Street Number,Street Name,or P.O.Box
6899 Collins Ave
City,State,Zip
Miami Beach, FL 33141
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)
In County ❑ Public Health Trust 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 jJ 1 unicipal: A"--y>'1 66,,'1
(Municipality)
Board where serving
BOO riA VC" a 0-W/7.14--
Alternate address(if home addresl;is exempt) Work telephone Term 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 anoth r
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
Investment Income 6899 Collins Ave various investments
Miami Beach, FL 33141
Business Incom Salus Capital Investors, LLC real estate lending and
Miami Beach FL 33141 investments
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcon IVED
Electron
pigna re oPersorrD sc osing FEB 02 2024
CITY OF M1IAMl BEACH
Date signed r,cr_,•^r
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138_SP-14 COE 2016