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Delvin Fruit 12/31/2009~/j [yy y{~ {p~p.~~ City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamilbeachfl.gov City Clerk's Clffice Telephone: 305.673.7411 FAX: 305.673.7254 CityClerk@m iam ibeachfl.gov February 14, 2008 Delvin Fruit 4590 N. Jefferson Ave. Miami Beach, Fla. 33140 SUBJECT: Transportation and Parking Committee Congratulations! You have been appointed by virtue of your being a representative for Mid- Beach Community Association to the agency, board or committee named above for a term 12/31 /2009. Pursuant to Ordinance No. 2208-3543, commencing with terms beginning on or after January fgt. 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, ~~ ~ d Robert Parcher City Clerk cc City Liaison Attachments: Letter of appointment Oath City Code Ordinance section, applicable to agency, board or committee City Code Section 2-22, 2-23, 2-24, 2025, 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. F: \CLER\$ALl WWR1A-M\8 & C\Representative appointment letterrdelvin fruit.doc We ore committed to providing excellent public service and safety to all who live, work, and play in our vibront, Tropical, historic community. j ff i fi Y ~. ._, / C ~. P i E y4 tt 3 ~.e x C City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.oov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 TO Delvin Fruit RE: Transportation and Parking 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: 12/31/2009. 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 theF/orida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Pub/ic ~cers 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 1st, following the closing of the calendar year on which I have served. ~ , tZ. 1 Delvin Fruit ~~~ ~~ ~,, ~~ `~ Sworn to and subscribed before me this 3 ~~ day of ~G'`~" ~ , 200 ~f .f%~ --~- Silvia Prieto 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 are committed to providing excellent public service and safety fo all who live, work and play in our vibrant, tropical, historic community. Ga/ NAME: HOME ADDRESS: IR. v Last Name y S ~t 0 No. PHONE: 3 pS~ ~ y Z " ~ ~ fo3 Home Work Business Name: Address: No. Professional License (describe) Fax Y1~1. ~,~, City Middle Initial State 3 ~ ~o~ U Email address City State _ Expires: Code 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 'nimum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six (6) mont ~ Yes or No • Demonstrate an ownership/interest in a sines in Miami Beach for a minimum of six (6) months: Yes r No • Are you a registered voter in Miami Beac : Ye or No • (Please check one): I am now a resident of: North Beach South Bear_h lur~l.~lo Ro~nh • I am applying for an appointment because 1 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 f3) choices will be observed by the Citv Clerk's Office (Regular Boards of City) Art in Public Places Committee Beach Preservation Board ~ Housing Authority* Beautification Committee ~~ Loan Review Committee* Board of Adjustment* ~ Marine Authority* Budget Advisory Committee ~ Miami Beach Cultural Arts Council Committee on Homeless =: Miami Beach Commission for Women Committee for Quality Education in MB =Miami Beach Florida Sister Cities Community Development Advisory" Community Relations Board ~ Normandy Shores Local Gov't Neigh. Improvement Convention Center Advisory Board `Oversight Committee for General Obligation Bond P Debarment Committee , arks and Recreation Facilities Board Design Review Board* _ Personnel Board* -Planning Board* Disability Access Committee .Police Citizens Relations Committee Fine Arts Board Golf Advisor Committee y ~ Production Industry Council -----------~--- Health Advisory Committee --,_ .Public Safety_Qdaistsry Committee . S Health Facilities Authority Board -ebmmittee - ransportation and Parking Committee Hispanic Affairs Committee - Historic Preservation Board* ~ outh Center Advisory Board "Board Required to File State Disclosure form 1 _~ ~ L First Name ~e Street Street Position: Note: tf 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 No Years of Service: 2. Present participation in Youth Center activities by your children Yes No . If yes, please list the names of your children, their ages, and which programs. List below: Child's name: Age: Program: Child's name: .Have you ever been convicted of a felony: Yes Age: Program: please explain in detail: . Do you currently have a violation(s) of City of Miami Beach codes: Yes No f yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes r No yes, explain in detail • Are you currently serving on any City Boards or Committe s: Ye or No If yes; which board? • What organizations in the City of Miami Beach do you currently hold membership in? Name: - - ` ~ Title: //. Name: Title: . List all properties owned or have an interest in, which located within the City of Miami Beach: • I am now employed by the City of Miami Beach: Yes Which department? • Pursuant to City Code Section 2-25 (b): Do you have a parent ,spouse ,child ,brother , or sister who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): ~/ ~ This section is "not required" but desired: Age: years old Gender: Male ~"~ Female Ethnic Origin (Check one) White ~ African-American/Black ~ Hispanic: ~" Asian or Pacific Islander =~ American Indian or Alaskan Native Employment Status: Employed -Retired ~= Home-maker ~ Other "I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." J Applicant's Signature ate Name of Applicant (PLEASE PRINT) Please attach a copy of your resume to this application NOTE: Applications will remain on file for a period of one (1) calendar year. Received in City Clerk's Office by ate ~ Name of Deputy ClerJk ~ ~ ~/ Document Control Number (Assigned by the City Clerk's Office) _~/~~~ Entered By Date [ !.~ 7 Revis d 10129/ 07 L. Halfie~d