Jordan Ronson 02.28.25MIAMI BEACH
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BOARD AND COMMITTEE CHECKLIST
APPonvre. "Ordan Ronson DATE OF APPoTMeNr,/]3/¥
sororcowrreEe. Pl lee_ eo»llo-4 Pox{0ea y. (Al, om rttt@)
ro scone -ER}?n, Adv 4 Ceo,p)-<g • )
scan o o Letter of Appointment TERNE~vD:10[ TERM LIMIT: 2 LS
scan o o Letter of Reappointment s)Uh/
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on, 3_ I[]
o Board and Committee Application (Completed on )
o Resume/curriculum Vitae ),ll}
o Diversity Statistics Reporting (Completed on 2][-Al )
o Oath Scan o
RECEIVED
MAR 19 2024
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
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IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
t City Code Ordinance Section applicable to the agency, board or committee
City Code Sections 2-21, 2-22, 2-23, 2-24, 2-25, 2-20, 2-458 and 2-459
t County Code Section 2-11.1 -- Conflict of Interest and Code of Ethics Ordinance (as
amended through December 2010)
t 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
t Memorandum - Solicitation by City Board and Committee Members
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 Statement
o Board and Committees Liaison Responsibilities
O Diversity Statistics Reporting
0 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) lf any member of an agency, board 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.
March 17, 2024 ,X 9,, -.
Received on:Signed by • 1_-
Date Board or Committee Member
er»»so2lh4 rew» }
Date City Clerk's Office Staff Initials
M IA M I BEACH
City of Miami Beach, 1/O0 C onv ention Conlor Drive, Miami Boa ch, Florid a 33 139 yyyw_miamibea ch[]_gov
OF FIC E OF THE CITY CL ER K , Rafool E. Gr an ado, City Clerk
Tl : 305.673.7411, Fox: 305.6 73.7254
Email: CilyClerk@miamiboachfl.gov
M a rch 13 , 2024
M r. Jo rda n R onson
84 0 M ichiga n A venue, A pt 4
M iam i Be ach, Fl orida 3313 9
RE: Ad Hoc Perm ittin g Proce ss Im pro vem ent Ad visor y Committee
D ea r M r. Jorda n R onson:
C o ng ratulatio ns! Y ou have been appointed by the City Commission to the agency, board or com m ittee
na m ed above fo r a term ending: 02/28/2025.
If yo u are un ab le to accept this appointm ent, or have any questions, please call the O ffi ce of the City
C le rk at 30 5.6 7 3.7 411.
P le a se re ad th e enclo sed m ateria ls carefully as they co ncern your duties, responsibilities, and
require m e nts as a board or com m itt ee m em ber.
C o ngratulations again and good luck. R~jd
Rafa/Granado
C ity C le rk
cc: M o nica Be ltran , Parking Di rector
Eric C a rpe nte r, C ity Li aison
ENCLOSURES:
O ath of O ffi ce/O a th of C ivility/A cknow ledgem ents
C ity C o de /O rdinance section applicable to agency, board or com m ittee
C ity C ode S e ction 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 an d 2-459
O rdina nce N o. 2006-3543 - Am endm en t to C ity C ode Section 2-22
M ia m i-D a de C o u nty C ode Section 2-11.1 - C onflict of Interest and C ode of Ethics
C ity W id e Pe rm it Ap p lic ation - (Pa rkin g D epartm ent Form )
Book l et - G uid e to the Sunshine A m endm ent and C ode of Ethics fo r P ublic Offi cers and Em ployees
MIAMI BEACH
City of Miaml Beach, 1/OO Convonton Contor D Nv o, Mam l Poach, Honda 33 139 www.mplamibeacblL.aay
OFFICE OF THE CITY CIERK, Roll E. Granado, Cy Clerk
Tl: 305.673.74l1, Fax€ 305.673 .72 54
Ema l: CI»yClod @ml am tbochll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
T O: Mr. Jordan Ron son
R E : Ad H o c P erm itti ng Process Im provem ent A dv isory C om m ittee
I do solem nly sw e a r or affi rm to bear true faith, loyalty and allegiance to the Govern m ent of the U nited
S tates, the St ate of Flo rida, and the C ity of M iam i Beach, and to perform all the duties of a m em ber of the
ab ove -m e ntio n e d boa rd or com m itt ee of the C ity of M iam i Beach to w hich I have been appointed for a
term en ding: 02/28/2025.
T o m y colle ag ue s and to all of those I represent and serv e, I pledge fairn ess, integrity and civility , in all
actions taken and all com m unicatio ns m ade by m e as a public servant.
I ha ve bee n issue d a copy of section 2-11.1 of the M iam i-D ade County Code (C onfli ct of interest and
C o d e of Ethics O rdin ance), as w ell as Florida C om m ission on Ethics G ulde to the Sunshine Am endm ent
an d C o de of E thics fo r Public O ffi cers and understand that as a m em ber of a C ity of M iam i Beach Board
and/or C o m m ittee , I m ust com ply w ith the financi al discl osure" requi rem ents of M iam i-D ade County or the
S tate of Flo rid a (d epending on the board or com m ittee on w hich I serve) on July 1st, followi ng the closing
of th e calen dar ye ar on w hich I have serv ed.
Sw orn to and subscribed before m e this /3._ da
Pl e ase visit th e C ity of M ia m i Beach w ebsite at www .m iam ibeachfl.gov under C ity Cl erk/B oard and
C o m m ittees fo r ad ditio nal inform ation regarding the Financial Di sclosure Requirem ents.
M IA M I BEACH
City of Miam i Beach
1700 Convention Center Drive
Miami Beach, Florido 33139
OFFICE OF THE CITY CLERK
Email. BC@miamibeach~l gov
Telephone: 305.673.741l
RECEIVED
MAR 19 2024
CITY OF MIAMI BE:AC +
OFFICE OF THE CITY CLEF
AFFIDAVIT OF AFFILIATION WITH THE CITY OE MIAMI BEACH
I am in compliance with the affiliation requiremen t of Miami Beach City Code Section s 2-22 (4),
as (check (/) all that apply):
] 1am a resident of the City of Miami Beach for six months or lon ger.
840 Michigan Avenue , Apt. 4
[mp mm]f,
D 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 month s).
Name of Business: _
1Sm]Pe ](JfesS,
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).
[yam9 tf 1 ]feSS,»
P[JS/mess d feSS,»
"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
state4 in it are ""%,
/- March 17, 2024
Signature
Jordan Ronson
Date
Printed Name
M IA M I BEA C H
Ci ty of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
wow w.miam ib each fl.go v
O FFIC E O F TH E C ITY C LERK
Email: BC@mia mibeach1\.qoy
Telephone: 305.673.7411
DI VE RSI TY STA TISTICS REPOR T
R o nso n
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
Lio
[l remale
oner
D I prefer not to answer.
Race/Ethnic Categories:
What is your race?
[African Am erican /Black El Asian or Pacific Islander
LI Caucasian/white
D Native American/American Indian
0 Other -- Print Race: ----------- □I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Dye»
Li~No
D I prefer not to answer.
Do you consider yourself Physically Disabled?
&:
D I prefer not to answer this question.
___ _!.a_g_e_~_of6_ .... --·-· .. -. --·-.
M IA M I BEACH
Ci ty ot Mlaml Beach
1700 Convention Center Drive
Mi am i Beach, Florida 33139
ww w.miamib eachf L.go v
OFFICE OF THE CITY CLERK
Email: BC@mniamibeachfl,aoyv
Telephone: 305.673.7411
Ronson
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Jordan
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 Secti on 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.
Qne 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 Copy of your latest Federal Income Tax Return.
Members of the Planning Board and the Board of Adjustment must electronically file a "Statement of Financial
Interests (Form 1)" directly with the Florida Commission on Ethics.
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
March 17, 2024
Signature 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 electronically file a Statement of Financial Interests (Form 1) with the Florida
Commission on Ethics by 12.00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the Florida Commission on Ethics 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.
Page 6 of6
r uret o r rs4rrwvt. ours tr.rs t
Section 2-11.1l) of the County Ethics Code requires that certain employees and publlc offtclal file a financial dlsclosure Statement on a yearly basls by July 1st
of every year.
Disclosure tor Tex Year Endi ng [Last Name
2023 27o oo
Middle Name/inftlel
Malling Address - Street Number, Street Name, or PO, Bax
h t-l/en
lt your home address ls your malling address, and your home address ls exempt from publlc records pursuant to Fla. Stat. $119.07, read
Instructions on tho followin g page and check here.El
[] county I Public Health Trust [ Munlclpat:
(Munl l poli ty)
Dep artm ent
Position or Ttie Employee ID Numb er
Work address [or telenhono Employm ent began o/ended on
DJ county I] Municipal: [{\t o' 13ea.k
(Municipali ty)
Board where serving
Alterate address (it hom e address ls exempt ) [on tole»hon» llenn began on/ended on
LIst below every source ot Income you received, along with the address and the princlpal activity ot each source. Include your public salary. Place the sources of
Income In descending order, with the largest source first. Examples ot sources of lncome Include: compensation for services, Income from business, galns from
property dealings, Interest, rents, dividends, penslons, IRA distributions, and social security payments. Also, Include any source ot Income recelved by another
person tor your benefit. However, the Income of your spouse or any business partner need not be disclosed. It continue d on a separa te sheet, check here.l]
Name ot Source ot income Ad dress Description ot the Principal Business Activity
S )ale Skreet
Nle) k, {\ 1oo4]
Sign ature of
?e Ice -o Iara,l
RECEIVED DY ELECTIONS DEPARTMENT
,w0
MAR 19 2024
N\IA/\/BEACH oAv Co»wtt>
cw soi iwi om ni is@ et. ii i@ w e ~rAiti PARKING APPLICATION
1755 Meridian Avenue, Suite 200 Mamteach.Ft_33139/Ph:_(305) 673-7505 or[305) 673-7000ext._620 MA
As a Board/Committee member you are entitled to a Citywide Parking Permit, which includes City Hall
garage (G7) parking access (Access Card). or a complimentary Citi Bike/Deco Bike Membership, or a
discounted MDC Monthly Transit Pass throughout your term.
Board Member Information
Date of Application:
Applicant Name:
Board/Committee
Address:
E-Mail Address:
Work Phone:
Cell Phone: g1 -5 Preferred Contact Method:
Please Choose One 1
Citywide Parking Permit/G7 Access Card Citi Bike/Deco Bike Membership
Vehicle Inform ation (For CINw ide Parkina Permi t/ Access Card Onlv)
Tag: Color:
State: Year:
Make: Model:
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.
IM PORTANT NOTE: Your vehicle license plate serves as your "parking permit". 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.
ACKNOW LEDGEM ENT: I acknowledge that should my access card be lost, stolen or damage, I wlll be
responsible to pay a $10.00 replacement fee.
Ay licant Signature: as 'fn '29-07 /
Please provide signed form to l Parking Department located at 1755 Meridian Avenue, 2" floor.
Working hours are 8:30 to 5:00 p.m. or email to: ParkingRecept]on@mnlamlbeachfl.gov
e-mail sublect: BOARD & COMMITTEE PARKING APPLICATION -- APPLICANT NAME