ISLAM, Mohammed

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MIAMI BEACH CITY COMMISSION GROUP IV rt^RMGrAPPLICATION

prn lI44 n^- fThis application form is required as part of the City Commission Group IV2 lc9fr Qpthi atl& V ubmittal.The completed application MUST accompany your letter of interest, current resume„ phxtggraph,: and City ofMiami Beach oath. You may attach additional sheets, if necessary, to provide the required information. Seethe Notice of Commission Vacancy for additional information.

Is1-.n4-1 Mo14,q-r-IHf-17 RAFl© 1—

Last Name First Name Middle Initial

1004- 1 r ARRIT2 Dt21vE # 3 MI/ r( 4I 13goctt St.eP4tw5314 IHome Address City State Zip Code

tt- 30"3 - 340} molcww,rme4.

161.owr, lei([ cD .cww-tam) .l •

Cellular Telephone Email Address 1

t124,---esSlASLR.+Y ( El II)Business Name

12

Occupakon

Sal{ R 2,60 e

Business ddress City State Zip Code

Have you been a resident of Miami Beach for aa, minimum of one year? I1d” Yes No

Are you a registered voter in Miami Beach? L7 Yes No

Florida Voter Registration Number( located on your voter information card): I O, 1 12 4A 1tLt

Are you presently a registered lobbyist with the City of Miami Beac ? Yes L1YNo

Have you ever been convicted of a felony? Yes

Have you been is ed a violation( s) of the City of Miami Beach Code that remains open or pending?

Yes No

If yes, please explain in detail: N1• A- •

Do you currently owe the City of Miami Beach any money? Yes L7 No

If yes, please explain in detail: f, 1 • A

Page 1 of 3

In what organization( s) in Miami Beach do you currently hold membership?

DewAecyeA)C- 15C- 671to cll b - Neu': ; '-Organization Name Position

e'n10EC 20 PM 1: 06Organization Name Position

List all properties owned or in which you have an ownership interest in Miami Beach:

10o41 f1/21`aYn}3 .Drive / µ aw ., i'-, tact. ft_ -7, 3141 -

4) £siMItcc..c,k. fL-3314j

How long have you lived in Miami Beach? 21 2 5

Have you served on any City of Miami Beach Board( s) or Committee( s)?

1L`(1 Yeess _] No

1If yes, which Board( s) or Committee(s)? S( ii$' n LtdlTt- y,L 1La-Srf- C6•+ f4

f VV

What were your contributions to the Board( s) or' Committee( s)?_' AS be-t n tot t.n/ thl

W S c-tty i W 1 4,sta OtM LAA-;-i rte,

coo1

Why are you interested in serving on the City Commission? 1A MA_

5, 1-raid e. A-c- 1: 2- n"-k aDA Wall , AyA.LILLAA4-

n6/ otrs 9-ti. aj >` 9 i x t cox c

How does your education and/or experience complement the powers and duties of the CityCommission?

trd CIVI

S VJhr. l trW Q CcL( 4 - •

4 t&

Page 2 of 3

Will you run for a City Commission seat in 2019? Lf Yes No Undecided

I HEREBY ATT THE ACCURACY AND TRUTHFULNESS O' fl-R rA GLIP{'A1iIGi

11 i f o I_Applicant' s Signature Date

NOTE:

The completed application MUST accompany your letter of interest, current resume, photograph, andCity of Miami Beach oath. You may attach additional sheets to provide the required information.

The completed application along with all accompanying materials may be submitted via:

Email to RafaelGranadomiamibeachfl. qov

Hand delivery to the Office of the City Clerk, 1700 Convention Center Drive, First Floor

Postal mail to City of Miami Beach, Office of the City Clerk, Attention: Rafael E. Granado, 1700Convention Center Drive, Miami Beach, FL 33139

PUBLIC RECORD:

Pursuant to Chapter 119, Florida Statutes, this application and everything attached to it is a publicrecord. The materials you provide will be posted on the Office of the City Clerk's Election webpage andwill be available for inspection. If you are an individual listed in Section 119.071, F. S., whose home

address is exempt from disclosure, the City Clerk will maintain that confidentiality if you submit a writtenrequest.

F:\ CLER\$ALL\REG\ ELECTION FORMS\ VACANCY APPLICATION REG FINAL DRAFT. rO

Page 3 of 3

CITY OF MIAMI BEACH dkri-

n- r20 pm 1: 05STATE OF FLORIDA

COUNTY OF MIAMI- DADE

Before me, an officer authorized to administer oaths, personally appeared

4kCAM". to me well known who, being sworn, says that he/ she is seekin111559

appointment to the Office of City Commissioner ( Group No. IV) for the City of Miami Beach,

Florida; that he/ she is a qualified elector of said City residing within the City at least one year

before applying for this office; that his/ her legal residence is:

1004 Yh? grnl4j y,r;ve -4;h_3 WAAL oai4 P1 - 31, 141 .Miami Beach, Miami- Dade County, Florida; that he/ she is qualified under the ordinances

including Miami Beach City Code Chapter 38 governing " Elections") and Charter of said City to

hold such office.

1 t c-----------Signature of Candidate

Sworn to (or affirmed and subscribed before me this 2.a f day of 1%)e.C.c Ant '. , 2018,

by f of+ lt4Med1/ AF-if-Jut. 'rstI\M .

NOTARY SEAL) 0-+y-/-' v

Signature f Notary lic- State of Florida

i. MYCOMM1951QY* GC 051808 S. Orti G ll ,tri11,EXPIRES: Ag113, 2021

OF sanded n,,,Warr Pubk036• 14, Name of Notary yped, Printed, or Stamped

Personally Known OR

Produced Identification

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RESUME

Mohammed Rafiqui Islam

1004 Biarritz Drive APT #3 — owner of the property

Miami Beach, FL— 33141

Phone 786-303- 3407; Emil:

Objective: To obtain a challenging and rewarding position inwhich my skills and experience can be utilized to contribute tothe goals of an organization which offers growth and

advancement opportunities.

Education: B:S, in civil engineering (Bangladesh) passing year

1985.

Professional experience: I worked as professional engineer and

built a lot of buildings, roads, bridges, and culvert back home inBangladesh. I was involved in a big project (Dam construction)

and it was under Saudi Ministry of water and irrigation and got

a good reputation and certificate. I was site engineer indifferent site, such as cofferdam slurry wall, pouring, concrete,

rock excavation, consolidation grouting. Overall every site gainhuge knowledge with practical experience it was a very big

Mik

project 200 twenty

ninev6e.R. project the consultant company

was AL-Faisol and Auxon international [ American consulting

firm]. Duration of this project from 1987 to 1992.

Then I was back to my home country start working with theconsultant company (Pmax consultant). As an engineer I wasinvolve in a rural infrastructure epically 360' long bridge fundedby the U. S. Aid, laica and other foreign company. Also involvewith a lot of small bridge culvert and road construction. Mostproject basically for flood protection to save the coastal areafrom the flood. So, I gain a lot of experience about floodprotection.

Business experience: Started a grocery store business in 1997at 71St, Street Miami Beach area, then the second businessopened in 2001 at 71St, Street Miami Beach area. The thirdbusiness opened in 2003, named " STOP N SAVE" located at1245- 71St, street Miami Beach FL 33141. Used to be 711, closedthat business in 2010. Opened farm store in Hialeah until 2012.Finally, I opened a gas station in Key Marathon FL.Languages skill: English, Bangla, Spanish, Arabic, Hindu, andUrdu.

Notary Public : Since 1999 working as notary public andnotarized lot of documents such as immigration document,personal papers. Sometimes I worked as a U. S. notary public tohelp the mobile embassy of Bangladesh. Since 2001 in MiamiDADE county FL.

Home Owner: Own some rental property maintain the propertyin a nice manner.

VMarital status: Married.

Children one daughter and two sons

Reference

MR. Bruce Schinberg (Attorney at law)

Address: 800 West Avenue Suite C- 1 Miami Beach, Florida33139

Contact number: 305- 538- 7575

Admilson Peterson ex-employee since 1997-2010

Contact number: 786-769- 9345

Kamrul Hassan Khan: Business owner

Contact number: 786- 380- 7817

At present board member City of Miami Beach sustainabilityand resiliency committee.

Article: Miami Beach is a city located in MIAMI- DADE CountyFlorida. One of the largest populations in the County 87, 779.Miami Beach has been home to several residents from variousnationalities genders social and economics classes withhundreds and thousands of visitors from around the worldtravelling every year to tour the famous city. City of MiamiBeach has been a community to many of the US. Everyone herehas good relations with their neighbors and become friends.We can help to keep our community safe and clean place.

How I can improve the city

In the rainy season residents of Miami Beach facing big problemwith the drainage system due to flooding which is major issue.As a professional, I can say that I will propose a plan to addressthe issue and will ensure that this plan is executed. I will do mybest to ensure that our needs are met.

r

The following is the authorised English translation of the original certificate and is validonly with the original Bangla iertIcate.

MONOGRAM

Bangladesh University of Engineering & Technology,Dhaka

CERT! FLCAF1.

in accordance with the statutes of the University

flohammeb Rattqu13igtam

having satisfactorily fulfilled all the academic requirements andhaving received the approval of the Syndicate is hereby awarded,with all the rights and privileges pertaining thereto, the degree ofRACFHF.LOR OF SCIENCE IN CIVIL ENGINEERING

nal academic sessionDate of passing,

1953- 54 flardj 1955

He is placed in the

APeconb etasSIGNATURES

SEAL OF THEVice- Chancellor

UNIVERSiT"

Registrar

Date 296 jfebntarp 19SSController of Examinations

Compared and Verified

cv

CONCORD ENGINEERS 8 CONSTRUCTION CCONCORD!

ENGINEERS a BUILD

Date : 10- 08- 86

TO WHOM IT MAY CONCERN

This is to certify that Engineer Md. Rafiqul Islam, 8/ 0 Mr. Abdulaamio Sheiyen of 27/ 2 Kabi Jashimuddin Road , Kamalapur , Dhaka,Served in this company for about two years since 1985 asEngineer . During this period he supervised the hi h-nvr .: , n, a Junior

Buildingthan twenty storied) at Motijheel , JnanatagBank sHead uOfficeworks,

with entire responsibility and gathered thearacti„ a1 experience of modern building constructsHe was found dependable on technology,

kindin estimating the Civil works of differenter' droved to be sincere hard working intel7r on C,trustworthy.

g active and

wish film every success in home and abroad.rTh

Mit Sawkat Hossaindirector (Engg . )Dhaka.

AL-QAt( HEE4 CORP. & CO. en.000.07

t}rtiot11814* DAM PROJECT

J./4' A:,, 4*—

HEAD OFFICE— MADINAH AL.6n:NACARAH t.{ JR - 4}—yrP.OSOX 331— CABLE: AGDA EE. tA5 .:.. frJ i'+ Y••, e

TELEX SWI: AL-DASHEEF. S. 3.— CAL OMA 011I.

J—,,LAIr •.

TEL. 6349 —FAX- £1261:6Z5

DATE _ li._June 1989

SERVICE CERTIFICATE

TO WHOM IT MAY CONCERN :

This is to certify that MOHO RAFIQOL ISLAM s/ o Abdul Hamid 8huiyaNationality Bangladeshi by birth , has been serving in this company si2. 11. 87 as a Site Engineer at the BISHA DAM PROJECT.

During this period he successfully supervised the completion of tslurry cut- off to the cofferdam , ( done by sub- contractor ) , & the cc

crete work involved-, done by our own labour. He was also working in Cing and blasting for rock excavation.

During this period he has proved to be sincere , active & hard wol

as well as trustworthy_

He is still working with the company on this project.

I wish him every success in the future.

Engr. Malek Ghazal

7, 1

Executive Pro). Eng

A. OMANMONo] RiA

ROADNO. 4s. MANA.

NOLApE

880 an ett OHnKA

Project Management And TELSX •PHONE

Consultancy Services Ltd 550405208527

TO WHOM IT MAY CONCERN

Thus is to certify' that Mr . Md . Rafiqul Islam, 6/ 0 Mr. Abdul HamidBhuiyan of 27/ 2 , r.abi Jashimuddin road, Kamlapur, Dhaka, has beenserving as site engineer ( civil ) in this company since December- 90.During this period as site engineer he used to supervise theconstruction of rural roads, bridges , culverts , buildings etc. at

differents sites or locations.

At present he is supervising a 36Dft. Long R. C. C. Balanced

Cantilever bridge on bored piles at Demra under Narayangonjdistrict. It is a special Project in Local Government Engineeringoepartment ( LOCO) .

He is active, sincere, deligent and amiable in nature. He isobedient and trustworthy .

I wish him every success in life.

4 , •6. 9, •Engr. Md . Golam Mostafa

Team Leader

PMAC£ Ltd.

FRP/ LGED, Dhaka.

LAW OFFICES

KROOP & SCHEINBERC, P.A.SOWN BAY CLUB. sum C- 1

800 WEST AVENUE

NIANLI beacu, FLORIDA 33139RICHARD I.KROOP

AREALSO ADMITTED IN COLORADO

53

BRUCE 3. SCNEINBERO

MIMED FAMILY MEDIATORif

COUNTY CIVIL COURT MEDIATORAREA

March 28, 2012s

Personnel Department

Powerlink Settlement Services, LP

345 Rouser Road — Building 5Coraopolis, PA 15108

Re: Mohammed Rafiqul Islam

Position Sought: Notary / Closing Agent

Dear Sir or Madam:

I recently had the opportunity to work over a considerable period of time with membersof your company in a rather complex matter which after much effort on everyone' s partresulted in a successful closing.

You provided the services of a traveling notary public who came to my office tocomplete the transaction. That prompted me to write this letter.

I have been an attorney in South Florida for over 40 years whose practice has anemphasis on both commercial and residential real estate matters. My office is locatedon that part of Miami Beach, known as South Beach which is unique in many waysespecially in the area of real estate because it attracts a large number of foreigninvestors who for many of them English is not their primary language.

In my opinion, through past experiencethere are times when although someone at aclosing who is obviously from another country, may speak and apparently understandEnglish there can he a question of whether that person understands the nuisances of thelanguage needed to fully understand the text contained in certain closing documents.

I have for many years known Mr. Mohammed RaiPquf Isiant who advises that for aconsiderable period of time has acted as a notary and closing supervisory agent in theSouth Florida area.

His ability to speak English, Spanish, Bangla, Arabic, Hindi and Urdu languages takentogether with his willingness to travel throughout Florida tvould be a significant assetto assist your company in closing transactions in general and specifically when theability to converse in these languages would make the closing process moreunderstandable for the parties involved.

2

y}

r

P

With Mr. Islam' s language skills, I believe that situations wherein non primary Englishspeaking parties might later claim that they did not understand what they were signingat a closing could be significantly minimized ifnot eliminated.

Also Mr. Islam' s language skills would be beneficial in creating a comfortable andmore confident atmosphere for the persons attending a closing who might feel that theyare at a disadvantage when all the documents are in English and that is not theirprimary language.

I therefore would ask that you consider using Mr. Mohammed Rafiqul Islam to act as anotary I closing agent in transactions throughout the State of Florida.

Any arrangements you wish to make should be made directly with Mr. Islam.

Sincerely,

KROOP& INBE

jr%nxp emberg%

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