Robert Everhard 12/31/08
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city of Miami leach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachR.gov
OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk
TEl: (305) 673-7411, FAX: (305) 673-7254
02-14-2007
Robert Everhard
1281 South Venetian Way
Miami Beach, Florida 33139
st1BUeCT: Marine Authority
Congratulations! You have been appointed by Commissioner Richard L. Steinberg
to the agency, board or committee named above for a term ending: 12/31/2008.
Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after
January 1st, 2007, the term of board members who are directly appointed by a member of
the City Commission shall automatically expire on December 31 of the year the appointing
elected official leaves office.
If you are unable to accept this appointment or have any questions, please call the City
Clerk's Office at 305-673-7411. Please read the enclosed materials carefully.
Congratulations again and good luck.
Sincerely,
~e4 fl--t'f Iv~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Jo~e Alberto
ATTACHMENTS:
Letter of Appointment
Oath
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 Ordinance
City Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employee
We are commiffed to providing excellent public service and safety to all who live, work. and ploy in our vibrant, tropical. historic community
lD
,.,.
city of Miami leach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachR.gov
OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk
TEL: (305) 673-7411, FAX: 13051 673-7254
TO Robert Everhard
RE: Marine Authority
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: 12/31/2008.
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 theFlorida Commission on Ethics Guide to the Sunshine
Amendment and Code of Ethics for Public Officers and Employees, and understand that as a member
of a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure* require-
ments of Miami-Dade County or the State of Florida (depending on the board or committee on which
I serve) on July 1 st, following the closing of the calendar year on . h I have served.
, 200 _~ ":1-
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.
We ore commiffed to providing excellent public service and safety to 01/ who live, work, and ploy in our vibrant, tropical. historic community
e'~.~ efiQ f/a
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MIAMIBEACH
BOARDS AND COMMITTEE APPLlCA liON F0R~t-!'r'
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Pursuant to City Code section 2-22(4) a and b: Members of ogencies, boards, and commiHees sholl be oHilioted wilh the ~Ily; this requlrernenl shal
be fulfilled in the following >NOYS: 0) on individual sholl hove been 0 resident of the city for 0 minimum of six months; or b) on indivIdual shol
demonstrate ownership/interest for 0 minimum of six months in 0 business established In the city.
Resident of Miami Beach for 0 minimum of six (6) months: Yes [ ] or No pa
Demonstrate on ownership/interest in 0 business in Miami Beach for 0 minimum of six (6) months: Yes ~ or No [ I
10m applying for a Board appointment because I have special abilities, knowledge, expe~ience Yes [)cI
My special abilities, knowledge, or experience is: :20 + ye 1M..s / A.I MAltwe I,vJW, f"y C See /t2.-S CN1A.f2.)
Are you a registered voter in Miami B;ach: Yes 0 or No RJ
NAME: ~tI~Art(lf !?obettl M.
Last Name
Home fl8 I
Address: No. Street
.s:, (J t 1-1
First Nome
t/.e.~ +, ti.A.J VJ A\./
City I
.
MI Jtht
Middle Initial
FL JJ/JCL
Zip Code
State
Phone: :ioS - J 7 ~ - 4/:J 0/' tt
Home Work
(! 0;, 6"J 2 ~ 8(()cJ
Fox
IlIJh @ ~t.oJeidA Y,4c.4 r. CeA
Email address
(Please check one): I am now a resident of:
Business Name: r2.0,e/dA 9'ACh r
Address: :5 9 0 A- L (O ;\J /2. p
No. Street
North Beach 0 South Beach 0 Middle Beach 0
Appl;con!', Po';"on 6J~ A,jt2. V. P.
jL(1/}Qf11 tJeAc FL :?JIJC)
City State Zip Code
DOwner .l2rStockholder/Shareholder J2( Corporate Officer 0 Other Explain:
Professional License (describe): ~ch r --I- S" I tJ {]f2..tJ!celL..
Attach a copy of the licen e listed above. U[.'C G IIJO tDN ~J7e/L
1. Have you ever been convicted of 0 felony: Yes 0 or No IS:.If yes, please explain in detail:
Expires: j",fAl / 'I ~ I...O()~
"SAN 7 /' J..oa8
2 Do you currently hove a violatian(s) of City of Miami Beach codes: Yes 0 or No.PI If yes, please explain in detail:
3. Do you currently owe the City of Miami Beach any money: Yes 0 or No ~.
If yes, explain in detail:
4. Are you currently serving on anyqty Boards or Committees: Yes 0 or No J8'-
If yes; which board? . '!o.
What organizations in the City of Miami Beach do you currently hold membership in?
Name:
Title:
Name:
Title:
/. List 011 pro
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tiT
l.f 06 4-(..-n IV k/)
C\DOCUMENTS AND SETTINGS\ClERGIBE\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK 14\BC APPLICATION NOV 20051 DOC
I am now employed by the City of Miami Beach: Yes 0 or No ~_ If yes, which department?
Pursuant to City Code Section 2-25 (b): Do you have a parent OJ, spouse OJ, child OJ, brother OJ, or sister 0] who is
employed by the City of Miami Beach2 Check all that apply Identify the department(s): -46
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only
three (3) choices will be observed by the City Clerk's Office.
Regular Boards of City)
o Art in Public Places Committee OHousin.g Authority
o Barrier Free Environment Committee DLoan Review Committee*
o Beach Preservation Boord u~orine Authority *
o Beoutificotion Committee DMiami Beach Cultural Arts Council
o Board of Adjustment (Flood Managementl * DMiami Beoch Commission on Status of Women
o Budget Advisory Committee DMiami Beach Florida Sister Cities
o Committee on the Homeless DNormandy Shores Local Gov. Neighborhood Improvement
o Committee for Quality of Education in Miami Beach DNorth Beach Youth Center Oversight Committee
o Community Development Advisory Committee* DOversight Committee for General Obligation Bond
o Communi!!, Relations Board DPorks & Recreational Facilities Boord
o Convention Center Advisory Boord o Personnel Boord *
o Debarment Committee o Planning Boord *
o Design Review Board · o Police Citizens Relations Committee
o Fine Arts Boord o Production Industry Council
o Golf Advisory Committee o Public Safety Advisory Committee
o Health Advisory Committee o Sofety Committee
o Health Facilities Authority o TransjJ9rtatian & Porkin~ Committee
OHispanic Affairs Committee o Visitor & Convention Authority *
OHistoric Preservation Board * o Youth Center Advisory Board
*Board Required to File State Disclosure form
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth
Center:
1 - Past service on the Youth Center Advisory Board: Yes 0 No 62l Years of Service 0
2. Present participation in Youth Center activities by your children Yes 0 No D. If yes, please list the names of your children,
their ages, and which programs. List below:
Child's name:
Child's name:
Age: _ Program:
Age: _ Progrcm:
This section is "not required" but desired: Age:EJ ~ I
Ethnic 09gin (Check one)
White Ilf African-American/Block 0 Hispanic: 0
Asian or Pacific Islander 0 American Indian or Alaskan Native 0
Employment Status: Employed IM"'Retired 0 Home-maker 0 Other 0
NI hereby ottest to the occuracy and truthfulness of the application and have received, read and will abide by
Chapter , Article VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency
Me er.N
Gender: @or Female 0
fL / !t/% ~D 6 ~ ;f1. .EVe4rAA. ~
Date Name of Applicant (PLEASE PRINT)
Attachment: Please attach a copy of your resume to your application.
NOTE: Applications will remain on file for a period of one (1) calendar year.
Received in City Clerk's Office 8!:::t- t6(P by '- Deputy Clerk
Document Control Number (Assigned y the City Clerk's Office) , Revised 11/15/05
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