Joseph David Hagen 12/31/09
City of AAiomi Hoch, 1700 Convention Cantor Drive, Miami Beach, Fbrido 33139, v+ww.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
TEI: (305) 673-7411, fAX: (305) 673-7254
02-28-2008
Joseph Hagen
7326 Collins Ave. #202
Miami Beach, Florida 33141
SUBJECT; Debarment Committee
Congratulations! You have been appointed by Commissioner Jonah M. Wolfson
to the agency, board or committee named above for a term ending: 12/31/2009.
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,
a ~ /_
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Gus Lopez
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 commit-ed ro providing exceNent public service and safey to oll who live, work, and pkry in our vibrant, tropicol, historic community.
m
Ci1~r of Miami Mach, 1700 Convention Center Drive, Miami Beach, Fbrida 33139, www.miamibeachR.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
TEI: (305) 673-7411, FAX: (305) 673-7254
TO Joseph Hagen
RE: Debarment 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 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 1st, following the closing of the cale-nd-ar year on which I have served.
/ / cC~~ J(~seph`Fiag~n
Sworn to and subscribed before me this~`~ ~~/day of ~~~ , 200
'Zs~- G~f:~E
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 ro providing excellent public service and safety to all who live, work, and play in our vibrant, tropical, historic community.
I
NAME: ~ ~ ~ ~
Last Name
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First Name Middle Initial
HOME ADDRESS: ~ 3x10 C-o (1 i ISS Y`IV 4._ '~-Zbx ~(/,~ANI. fJQac~ t L 3 3 [~-{
No. Street p City State Zips Code
PHONE: ~ ~~~~z8 (a " X454 3 arh,` C~~b~ t 9~ - a~'yS .sa In AgE~ ~.1~~ ra ~l ~- r~ bb. ,J~,~
Home Work Fax Email address
Business Name: V~ ~~ k Lti ~ a ~ h Cq ~ h C._ Position: ~ o A ~ ~ ~ ~~~ 4.
Address: _(0300 `-(q J~~EET. ~ • C(>r.w~c~,.tA}~,f r/C. .3~~ 42--
No. Street City State Zip Code
Professional License (describe) ~~t~~ i q aQ >E c~t`eke~f'i ~~.a..ntfe.. Expires: ~3 .200 ,;j
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,~or No ^
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes ^ or No ^
• Are you a registered voter in Miami Beach: Yes ~or No ^
• (Please check one): I am now a resident of: North Beach South Beach ^ Middle Beach ^
• 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 (31
choices will be observed by the City Clerk's Office. (Regular Boards of City)
^ Art in Public Places Committee
^ Beach Preservation Board
^ Beautification Committee
^ Board of Adjustment*
^ Budget Advisory Committee
^ Committee on Homeless
^ Committee for Quality Education in MB
^ Community Development Advisory"
2 .Community Relations Board
^ Convention Center Advisory Board
i ~Q,Debarment Committee -
^ Design Review Board*
^ Disability Access Committee
^ Fine Arts Board
^ Golf Advisory Committee
^ Health Advisory Committee
^ Health Facilities Authority Board
^ Hispanic Affairs Committee
^ Historic Preservation Board"
* Board Required to File State Disclosure form
^ Housing Authority"
^ Loan Review Committee*
^ Marine Authority"
^ Miami Beach Cultural Arts Council
^ Miami Beach Commission for Women
^ Miami Beach Florida Sister Cities
^ Normandy Shores Local Gov't Neigh. Improvement
^ Oversight Committee for General Obligation Bond
^ Parks and Recreation Facilities Board
^ Personnel Board"
^ Planning Board"
^ Police Citizens Relations Committee
^ Production Industry Council
^ Public Safety Advisory Committee
^ Safety Committee
,g Transportation and Parking Committee
^ Visitor and Convention Authority'`
^ Youth Center Advisory Board
r-:`~CLER.SAi...l..l.~~&C ~-~~~~~(i~ ~tietil3u% A~~iic<~tior~ ~Zevi;;~d 1~}"9Q7.dr~c
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 ^ 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: Age: Program:
.Have you ever been convicted of a felony: Yes ^ or Nod If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No ~. If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or No J$'. If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes ^ or No ~. If yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: ~Q~uJe!'~ l.:e.~1~e ASSo~~~.-~~o~ Title: 1 «ASur~~ ,
Name:
Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
~ 3 Z (, C o ~ t ; ,r\1s AJ ~.._ '`~ ~Dx ~/Yl; Agri. i3~a~ ~L 3 3141
. I am now employed by the City of Miami Beach: Yes ^ or Nq~ 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: '`t~~ 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."
Applic nt's Signature Date 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 f Date Z
Name of Deputy Clerk
Document Control Number (Assigned by the City Clerk's Office) Z r Entered By Date ` Z
Re ed 10!29 007 L. Hatfield
i=:iCt..ER;~`>~!_i_`,~~ €'3;~~iic~ticn~~3~C ~~~aicati~n t2evisccf 1t~2;?~7.c4~e
Individual Information ~"
Individual Information
Notice: The licensee identified below is authorized to
conduct business as indicated by the license type. To
determine the exact dates of active licensure be sure to
review the "effective date" and the "expiration date". You
may print this screen as evidence of licensure.
Individual Name: HAGEN JOSEPH DAVID
License Type: MB
.Status: Active
Audit: MB 0856074
Reg. License ID: LI00000413651
Initial Effective Date: March 5, 2003
Expiration Date: August 31, 2009
Disciplinary Action Indicator: None
Location: MIAMI BEACH , FL
HELP
Page 1 of 1
https://cf.fldfs.com/pubingry/pub 1 /IndividualActionPage2.cfm?KEY=LI00000413651 2/22/2008
P.O.Box 522977
Miami, Florida
33152-2977
SS# 526-27-4173
U.S. Citizen
(786) 286-6959
jdhagen(a~atlanticbb.net
Objective: To contribute my skills, experience, education, and commitment
to achieve the goals and objectives of the corporation in manner that
exemplifies professionalism and a high standard of ethical conduct.
Experience
Loan Officer
2003 -Present
Apex Lending Inc.
7326 Collins Avenue #202
Miami Beach, FI 33141
^ Originate Loans
^ Train and Supervise Jr. Loan Officers
Renters Paradise -11/2007 to Present 6778 Collins Ave. Miami Beach, FL 33141
Real Estate Sales Associate MLS Realty
2006 -October 2007
MLS Realty
1192 E. Newport Center Drive STE 201
Deerfield Beach, FL 33442
^ List Properties, Sell Properties, Perform Orientations
Temtory Sales Manager
1995 - 2000
Shaw Industries
616 E. Walnut Avenue
Dalton, GA 30722
Supervisor: Steven Youngerman
1 (800) 424-7429 Ext. 5161
^ Increased sales from $1 million to $1.2 million in a declining market abundant in
substitute products
^ Managed 70 Dealer and Distributor Accounts in Miami-Dade and Monroe
Counties\
^ Implemented Sales Strategies and Instructed on Product Knowledge
Private Investigation
1998 - 2004
RS INVESTIGATION & PROTECTION BUREAU, INC.
8306 MILLS DRIVE #267
MIAMI, FL 33183
Combat Engineer
1989 - 1995
U.S. Army Reserves
2800 Admiral Baker Road San Diego, CA 92120
Supervisor: Christopher Heiser (619) 748-7650
^ Paratrooper
^ Primary Leadership Development Course -Commandants Medal
^ Special Forces Assessment and Selection Course
^ One weekend per month plus two weeks per year
^ Rate of Pay equal to Rank of E-4
Education
Embry Riddle Aeronautical University
4800 NW 36t" Street Room 308 Miami, Florida 33122
Center Director: Leo Haigley (305) 871-3855
^ Master of Aeronautical Science (Thesis in Progress)
^ Aviation/Aerospace Safety Systems
^ 4.0 Grade Point Average
San Diego State University
September 1991 -May 1994.
5500 Campanile Drive San Diego, CA 92182
Campus operator: (619) 594-5200
^ Bachelor of Arts (B.A.) in International Business -May 1994
^ Emphasis in Int'I Business, Spanish, and Latin American Studies
^ Grade Point Average 3.4
Grossmont College
January 1989 -May 1994
8800 Grossmont College Dr. EI Cajon, CA 92020
Campus operator: (619) 593-3127
^ Associate of Arts (A.A.) in Spanish (May 1994)
^ Associate of Arts (A.A.) in General Education (December 1991)
^ Vice-President -Student Government Association
^ Dean's List - During a 19 Credit Hour Semester
Licenses
^ Private Investigator "C" License -Florida (Current)
^ Statewide Firearm "G" License -Florida (Current)
^ Concealed Weapon "W" License -Florida (Current)
^ Statewide Security "D" License -Florida (Current)
^ Certified Signing Agent Notary Public -Florida (Current)
^ Mortgage Brokers License -Florida (Current)
^ Real Estate Sales Associate License -Florida (Current)
Skills
^ Linguistic Fluency in Spanish & Greek (Moderate)
^ Computer Competency in Web Browsers, M.S. Word, Excel, Outlook Express, etc.
^ Scuba Diving (NAUI & Nitrox Certified)
^ Golf (Handicap 8)
Professional and Civic Associations.
• Member of The Greater Miami Aviation Association (Former)
^ The Beacon Council -Aviation/Aerospace Task Force (Former)
^ Board Member of The Harbour Hill Club Association & President of the Welworth Association
^ Graduate of the City of Miami Beach Citizen's Police Academy -November 2007
^ Graduate of the City of Miami Beach Leadership Academy -January 2008
Interests
^ Golf, Computers, Scuba Diving, and International Travel and Culture
References
^ Provided upon request