Dr. Baruch Jacobs, M.D. 12/31/07
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city of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachA.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
TEL: (305) 673-7411, FAX: (3051 673-7254
04-13-2007
Dr. Baruch Jacobs M.D.
3605 Flamingo Dr
Miami Beach, Florida 33140
JSUBJECT:- Public Safety Advisory Committee
Congratulations! You have been appointed by Commissioner Michael Gongora
to the agency, board or committee named above for a term ending: 12/31/2007.
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.
~I~/~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Floyd Jordan
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 commined to providing excellent public service and solety '0 01/ who live, work, and ploy in our vibrant, 'ropical. historic community
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MIAMI BEACH
city of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachA.gov
OFFICE OF THE CITY CLERK, Rabert Parcher, City Clerk
TEL: (305) 673-7411, FAX: (305) 673.7254
TO Dr. Baruch Jacobs
RE: Public Safety 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: 12/31/2007.
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 andlor 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 1st, following the closing of the calendar year 0 which I have served.
Sworn
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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 commined '0 providing excellent public service and solety to aI/ who live, work, and play in our vibrant, 'ropical, historic community
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.i1ttach 2 CODY of aft} Fr'("It'is('
Pursuant to City Code section 2-22(4) a and b: Members of agencies. boards, and committees shall be affiliated with the city; this
requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six
months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city.
. Resident of Miami Beach for a minimum of six (6) months: Yes ~No 0
. Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes~ No 0
. Are you a registered voter in Miami Beach: Yes e-ar No 0
. (Please check one): I am now a resident of: North Beach 0 South Beach D-Nl'fddle Beach 0
. I am applying for an appointment because I have special abilities, knowledge, experience. Please list below:
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
o Beach Preservation Board
o Beautification Committee
o Board of Adjustment*
o Budget Advisory Committee
o Committee on Homeless
o Committee for Quality Education in MB
o Community Development Advisory'"
o Community Relations Board
o Convention Center Advisory Board
o Debarment Committee
o De~n Review Board*
B-fr.Sability Access Committee
o Fine Arts Board
o Golf Advisory Committee
o Health AdvisoryCommittee
o Health Facilities Authority Board
o Hispanic Affairs Committee
o Historic Preservation Board*
* Board Required to File State Disclosure fonn
o Housing Authority*
o Loan Review Committee*
o Marine Authority*
o Miami Beach Cultural Arts Council
o Miami Beach Commission on Status of Women
o Miami Beach Florida Sister Cities
o Normandy Shores Local Gov't Neigh. Improvement
o Oversight Committee for General Obligation Bond
o Parks and Recreation Facilities Board
o Personnel Board*
o Planning Board*
~ce Citizens Relations Committee
o Production Industry Council
9-fi'TIblic Safety Advisory Committee
o Safety Committee
o Transportation and Parking Committee
o Visitor and Convention Authority*
o Youth Center Advisory Board
F:\CLER\SALL\B&C Application\8&C Application Revised 091 iOG jakes.doc