Robert Saland 12/31/2008~`~~``~ ~ ~_, ~ ,tip°~, I ~ ~.
City of Miami 8~ach, 1700 Convention Center Drive, Miami Beach, Fbrida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
TEL: (305) 673-7411, FAX: (305) 673-7254
05-28-2008
Robert Saland
1666 Kennedy Causeway
North Bay Village, Florida 33141
SUBJECT: Affordable Housing Advisory Committee
Congratulations! You have been appointed by the City Commission 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,
f ~~~ ~~'
~~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Anna Parekh
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 ore committed to providing excellent public service and safety to all who live, work, and play in our vibront, tropical, historic communiy
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Cihr of fYliami 8raach, 1700 Convention Center Drive, Miami Beach, Fbrida 33139, vrww.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
TEI: (305) 673-7411, FAX: (305) 673-7254
TO Robert Saland
RE: Affordable Housing Advisory 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: 12/31/2008.
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 theF/orida Commission on Ethics Guide to the Sunshine
Amendment and Code of Ethics for Public ~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 ear on which I have served.
n Robert Saland
Sworn to and subscribed before me this '~`~ day of ~ , 200
~~~
Silvia Prieto
Deputy Clerk
*Please visit the City of Miami i3each 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 sofety to all who live, work, and play in our vibrant, tropical, historic community.
I•
NAME:
MIAMI BE,vCH
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
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Last Name First Name ,(~ Middle Initial
HOME ADDRESS: ~3~ '(~, ~~e~ O~~ U~ ~ 0 (~ I~ I ~ l~',(~,M1,~ ~~ 331
~N jo. C'~ ~j,\ ~ StrQe~e(t'~ F (~ - ~C*i~ty j /State Zip Cody
PHONE: ~~ ZJ"lS ~`-~-' ~ c)~"~ v '"lS~~ ~J"~~ -l~x~ ~lnh~. I P 1 ~A~ ~V1I1.~'kr~
Home Work
Business Name: ~~~~ ~~1~1e.~
Address: ~~~ ~IV~Q,C ~~ ~
No. St eet
Professional License (describe)
Fax
Position: ~~ C
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Email
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State Zip Code
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Expires: Attach a copy of the license
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 ownershiplnterest for a minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of six (ti) months: Yes ^ or No 0
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six ((i) months: Yes~or No ^
• Are you a registered voter in Miami Beach: Yes ^ or No ~
• (Please circle 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:
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„ax ~~~~ yew Ni~rerenaes m oraer or ranKmg [1] first choice [2] second choice, and [3] third choice. Please note that only three (31
choices will be observed by the Citv Clerk's Office (Regular Boards of City)
....~
•.~.
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 G 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 No~lf yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No~i. If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or No~! 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: Title:
Name: Title:
. List all properties ow ed or have an interest in, which ar located within the City of Miami Beach:
. I am now employed by the City of Miami Beach: Yes ^ or No^. 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 o
Ethnic Origin (Check one)
White ^Afrlcan-American/Black ^ Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
Artic VI - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members."
~ 2sn~ b~
Applicant's Sig ature 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.
Employment Status: Employed ^ Retired ^ Home-maker ^ Other 0
Received in City Clerk's Office by
Name of Deputy
Document Control Number (Assigned by the City Clerk's Office)
Entered By
Date
Date ~ '~ D~ ,
- iced 04/18!08 LH
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