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Mango's David Wallack 06/25/02 .. " .. RECEIVED CITY CLERK'S DEPT. ;yU~ ~02_ T~ - t ----J lD ~ City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Emall: dtyderk@d.miaml-beach.f1.us LOBBYIST REGISTRATlON FORM i I I \ \ \ j ;,_.~_..- (aty of Mia~ch, City Code Chapter 2, Division 3, Section 2-481) k"Check Box .f an Amendment DOUGHERTY LUCIA NAME OF LOBBYIST: (Last) (First) 1221 Brickell Avenue Miami BUSINESS ADDRESS: (Number and Street) (City) 305-579-0500 305-579-0717 TELEPHONE NUMBER: FAX NUMBER: A. (M.!) DATE QUAUFIED AS LOBBYIST FL (State) 33131 (Zip Code) doughertyl@gtlaw.com EMAIL: I. LOBBYIST RETAINED BY: Mango's / David Wallach NAME OF PRINCIPAl./CUENT: 900 BUSINESS ADDRESS: Ocean Drive (Number and Street) Miami Beach FL (City) (State) (Zip Code) 305-673-4422 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) FIll out this sed:lon If prtndpalln CorporatIon, ...rtne......lp or Trust [SectIon 2-482 (c)) ? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: ? UST ALL PERSONS HOLDING, DIRECfLY OR INDIRECfLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Development Permits & Extensions of Time Issue to be lobbied (Describe in detail): m. CITY AGENClES/lNDMDUAlS 10 BE LOBBIED: A) Full Name of Indlvldual/11tle B) Relatlolllhlp IV. DISCLOSURE OF 1BMS AND AMOUN1S OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISClOSURE: B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $4-25.00 per hour V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR. EACH LOBBYISI' SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, USTING LOBBYING EXPENDDVRES IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: Signature of Prindpal/Client: . ~.) ~ DAVID WALLAC VI. Principal Identification: ~ -<5 Produced ID Fe ~L WL\'2.0 - \\5- 4?J - 'ILl' oJD Form of Identification -<5 Personally Known as to principal. VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Swam to and subscribed before me This ;3.Q-\l...dayof:::r U(l'e-, . 2002. KATHLEEN M. BEDNAREK NOTARY PUBLIC. STATE OF FLORIDA COMMISSION # DD024363 MY COMMISSION EXPIRES MJ(i 9. 2006 gnature of Public Notary - State of Florida Print, stamp or type name of Notary Public MCR# Registration: [~CEPTED FOR a.ERK"S USE ONLY [ ] REJECTED DATA ENTRY DATE: 1 2002 ENTERED BY: I First Revision - 05/17/02 . . IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHEnlER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: $425.00 per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): Jf~61O'D ~L ~ ~-'--r- V. SlGNAlURE UNDER 0A1ll: ON OCTOBER 1ST OF EACH YEAR,. EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED srATEMENT UNDER OATH, usnNG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Se' 2-482 of the Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: ESQ. Signature of Principal/Client: DAVID WALLACH VI. LOBBYIST IDENTIFICAtION: x -<5 Produced ID Form of Identification )4 Personally Known YD. SlGNAlURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade sworn:t..afilttlsubscri~e This ''ll' day of U . 2002. Sign re of Pu ic Notary - State of Florida J.,5"1I-14 M S~LlPS Print, stamp or type name of Notary Public LEYLAMSALAS NOTARY PUBLIC srATE OF FLORIDA COMMISSION NO. DD060084 MY COMMISSION EXP. SEPJ' 24.2005 MCR# XL- Registration: ~~. FOR a.ERK'S USE ONLY [ ] REJECTED DATE: DATA ENTRY DATE: 1 ENTERED BY: 1 Arst Revision - 05/17/02 :a,: , Mayor David Dermer Commissioner Matti Herrera Bower Commissioner Simon Cruz Commissioner Luis R. Garcia, Jr. Commissioner Saul Gross Commissioner Jose Smith Commissioner Richard Steinberg Jorge M. Gonzalez, City Manager Murray Dubbin, City Attorney Donald Papy, Chief Deputy City Attorney Code Compliance Division Al Childress, Division Director Eric Wardle, Jr., Assistant Division Director 305-673-7000 ext. 6787 Kristal Caron, Office Manger Fire Department Floyd Jordan, Fire Chief Planning and Zoning Department Jorge Gomez, Director William H. Cary, Director Design, Preservation and Neighborhood Planning Division Armando Valdes, Planning and Zoning Manager Thomas R. Mooney, AICP, Design and Preservation Manager Steven Green, Office Manager Chuck Taft, Boards Administrator April Hirsch, Secretary to the Board of Adjustment Juan Diaz, Planning Technician Antonieta Stohl, Receptionist Permit Review Process Ricardo Guzman, Planner, Planning & Zoning Kevin Perkins, Planner, Planning & Zoning Marija Surev, Planner, Planning & Zoning Christopher Dunn, Planner, Planning & Zoning Mark Sean Finnen, Planner, Planning & Zoning Planning Board Mercy Lamazares, Sr. Planner Stephen Foren, Sr. Planner, Planning & Zoning Board of Adjustment Armando Valdes, Planning and Zoning Manager April Hirsch, Secretary to the Board of Adjustment . . .. Historic Preservation Thomas R. Mooney, AICP, Design and Preservation Manager Shannon Anderton, Sr. Planner, Design & Preservation Design Review Board Thomas R. Mooney, AICP, Design and Preservation Manager Laura Quenelle, Sr. Planner, Design & Preservation Neighborhood Planning Joyce Meyers, North Beach Planning Coordinator Reuben Caldwell, Planner, Design & Preservation Charles Buckles, Sr. Plans Designer Katia Hirsh, Planner Public Works Fred Beckmann, Director Michael Alvarez, Assistant Director Engineering and Construction Division Environmental Resource Division Bruce Henderson, Environmental Specialist Streets and Streetlights Division Transportation and Concurrency Management Joseph Johnson, Director Amelia Johnson, Transportation Coordinator Henry Johnson, Senior Planner, Debra Hart, Office Associate Water and Sewer Division Nathan Pope, Water and Sewer Utilities Superintendent John Kranick, Streets, Streetlighting and Stormwater Superintendnet A.D.A. Compliance Heidi Johnson-Wright, ADA Coordinator Building Department Phil Azan, Building Director Hamid Dolikhani, Assistant Director Richard McConachie, Chief Building Inspector Jeri Dee Goodkin, Senior Building Inspector Permit Counter Evelyn H. Sanchez, Office Associate IV J. . '. Electrical Gary Ortega, Chief Electrical Inspector Plumbing Paul Elledge, Chief Plumbing Inspector Structural Mohammed Partovi, Chief Structural Plans Processor Mechanical Paul Raymond, Chief Mechanical Inspector Microfilm/Storage Omar Castellanos, Building Records Manager Elevators John Antona, Chief Elevator Inspector Accessibility Gladys Salas, Chief Accessibility Inspector