Alfredo J. Gonzalez/Diversified Construction & Restoration1-Pk~srii Be~itt
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City of Miami Beach OfFce of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the
City Manager or any city board or committee; or any action, decision or recommendation of any city personnel during the time
period of the entire decision-making process on such action, decision or recommendation that foreseeably will be heard or reviewed
by the city commission, or a city board or committee. The term specifically includes the principal as well as any employee engaged
in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Gonzalez Alfredo J
NAME OF LOBBYIST: (Last) (First) (M.I)
Greenberg Traurig 1221 Brickell Avenue, Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0588 305-961-5588 gonzalezaj@gtlaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Diversified Construction & Restoration
NAME OF PRINCIPAL/CLIENT:
Diversified Construction & Restoration 12555 SW 130 St. Miami, Florida 33186
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zp Code)
305-246-4306 305-246-4328
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Jerry Guarch
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Jerry Guarch
II. SPECIFIC LOBBY ISSUE:
HPB Hearing on property located at 4747 Collins Avenue
Issue to be lobbied (Describe in detail):
III. CIfY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
Board of Adjustment /Historic Preservation Board
Building Department
B) Any Financial, Familial or Professional Relationship
Planning Department
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLATRATEOR O77lERf
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A) LOBBYIST DISCLOSURE: (Required) $355.00 Hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $355 00 Hourly
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
^ Yes ~ No Are you lobbving on a prp~nt or Dendina bid for goods eauiument or services, or on a
present or pending a~~ard for goods eauiument or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
^Yes ~ No Are you lobbvina on a p nding application for a Development Agreement with the City or
-ppii 'ion for chance of zoning map designation or chance to the C~t~'~ Future Land Use
Mao?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Section 2-481 above) who only appears as a representative of snot-for-profit
corporation or entity without special compensation or reimbursement for the appearance, whether direct, or
indirect, to express support of or opposition to any item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
^ Yes ,C~No Are you representin- a nit-for=profit corporation or entity without special compensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE P CEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPE ITU S OR COMPENSATION DURING THE
REPORTING PERIOD.
x.
ure of Lobb
I do solemnly swear that al of the foregoing facts are tru d correct and that I have read or am
familiar with the provisions `ontained in Section 2-482 f Miami Beach City Code and all reporting
requirements.
Signature of Lob ' t
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Signature of Principal/Client:' '' r T -,~~_ ~'° yqy ~ ~ ~yq i
VI. LOBBYIST IDENTIFICATION: P~ RIN~AL IDENTIFICATION:
Produced ID ['Produced ID
Form of Identification Fo~dentification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This '~ 20 08
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ignatur o i otary -State of Florida
Notarize ion Lo byist's signature
FOR CLE 'SRI Uv,SE ONLY ~~~
Annual Registration fee ]Yes [ ] No Amo aid ~~ R # ~?9~ ~ Date Paid
lobbyist Registration Form received and verified by:~'
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05. Revised 12/08/04
rsonally known (Principal)
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State of Florida, County ~ IO:FIRYHERNANDQ
Sworn a ~ subscrib d f ~~ ~ 's
~' ~Y COMMISSION # DD 626373
This ~~)ry 9f # ~ EXPIRES: May 3,2011
' ;tti~ Bonded Thru Notary Public UnderxrtNera
Signature'of Public`N -
Notarization of rincipal's signature
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vnvw.miamibeachfl.gov
CITY CLERK Office
Tel: 305.673.741 1 ,Fax: 305.673.7254
LOBBYIST NAME:
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CityClerk@miamibeachH.gov
I understand that no later than October 1st of each year, I must file the following
forms, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's
Office for all active lobbying issues.
1 j Lobbyist Expenditure Form
2~ Disclosure Form
Failure to file these forms on a timely basis will result in my name being transmitted to the
Miami-Dade County Commission on Ethics and for code violation evaluation.
In addition, on an issue I have registered to lobby on has been resolved, I am required
to immediat~:~~otify the City Clerk's Office of lobbyist withdrawal in writing.
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nature Date:
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