Joshua BlaizeMIAMI BEACH
RECEIVED
JUN 6 2024
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
CITY OF MIAMI BEACH
OFFICE OF THE CllY CLERK
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305 .673 .7 411
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):
D I am a resident of the City of Miami Beach for six months or longer.
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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 months).
[[are (f Hy[fess,
[[Jg[feSS [(]]reSS,
EE1am a full-time employee of a business (for a minimum of six months) and l 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: Operations and Production Specialists
Business Address:1900 Purdy Ave #715- Miami Beach FL 33139
"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 l have road tho foregoing document and that the facts Z%. 5/31/2024
Date
Joshua Blaize
Printed Name