4661 Amend FLU 3.35 Acres - 3883 Church StreetOrdinance No. 2022-4661
An Ordinance of the City of Sanford, Florida amending
the City of Sanford Comprehensive Plan, as previously
amended; providing for amendment of the Future Land
Use Map of the Future Land Use Element of the City of
Sanford Comprehensive Plan relative to certain real
property, approximately 3.35 acres in size located at
3883 Church Street within the City Limits (maps relating
to the property are attached) (Tax Parcel Identification
Number 16-19-30-5AC-0000-056A)) said property being
more specifically described in this Ordinance; providing
for legislative findings and intent; providing for
assignment of the land use designation for the property;
providing for the adoption of maps by reference;
providing for severability; providing for ratification of
prior acts of the City; providing for conflicts; providing
for codification and directions to the Code codifier and
providing for the implementation of the statutory
expedited State review process and an effective date.
Whereas, MJ Wellington Associates, LLC of Sanford is the owner of certain
real property which land totals approximately 3.35 acres in size with the managers
being Ume Abeeha Jiwa and Murtaza Jiwa as associated with the entity; and
Whereas the applicant/representative of the property owner is Michael
Harding of M Harding Enterprises, Inc. of 5005 Jennifer Place in Orlando; and
Whereas, the property owner submitted an annexation petition to the City and
Ordinance 4622 was enacted on September 27, 2021 by the City Commission
incorporating the subject property into the City Limits of the City; and
Whereas, Mr. Harding implemented the Citizen Awareness and Participation
Plan (CAPP) process to the satisfaction of the City relative to which the required CAPP
report was submitted to the City although under. the CAPP requirements of the City, a
CAPP meeting was not required to convert the future land use designation assignment
from the County's assignment into the City's Comprehensive Plan; and
........ .. .......... . ..... --.. -- ----- -- .... ....... .... ....... .................. . ... ............ ....... - ... ................ ........ .... ....
11 P a g e
Whereas, Mr, Harding requested that the Future Land Use Map of the Future
Land Use Element of the City of Sanford Comprehensive Plan, as previously amended,
relative to subject property be changed from the assignment of the from HIP -TI, High
Intensity Planned Development Target Industry (Seminole County future land use
designation) to the WIC, Westside Industry and Commerce, future land use designation
under the City's Comprehensive Plan; and
Whereas, the subject property is located at 3883 Church Street and is
assigned Tax Parcel Identification Number 16-19-30-5AC-0000-056A by the Property
Appraiser of Seminole County; and
Whereas, the subject property is located on the south side of Church Street
and west of Headquarter Lane; and
Whereas, the proposed development is impacted by the provisions the 2015
City of Sanford/Seminole County Joint Planning Agreement (JPA); and
Whereas, under the JPA the HIP -TI, High Intensity Planned Development —
Target Industry (Seminole County future land use designation) is equivalent to the WIC,
Westside Industry and Commerce (City future land use designation) and Exhibit "B" of
the JPA describes equivalent future land use designations in the City and the County
comprehensive plans and the proposed change in future land use designation
thereunder has been deemed equivalent due to their similar intensities and densities of
allowable development; and
Whereas, the City of Sanford's Planning and Zoning Commission (P&ZC), as
the City's local planning agency, held a public hearing December 2, 2021, in order to
consider amending the Future Land Use Map of the Future Land Use Element of the
21 Page
City of Sanford Comprehensive Plan and unanimously recommended approval of the
proposed Future Land Use Map amendment to the Comprehensive Plan for the subject
property as requested by the property owner; and
Whereas, Section 163.3184(3), Florida Statutes, relates to the amendment of
adopted local government comprehensive plans and sets forth certain requirements
relating to an expedited process of State review of proposed amendments to local
government comprehensive plans and relates to processes and actions relating thereto;
M
Whereas, Exhibit "B" of the JPA steers the assignment of land use
designations, upon annexation of properties, the from HIP -TI, High Intensity Planned
Development Target Industry (Seminole County Land Use Designation), to the WIC,
Westside Industry and Commerce (City of Sanford Land Use Designation), finding that
the 2 land use designations are equivalent on the basis of their similar intensities and
densities of allowable development; and
Whereas, Exhibit "B" of the JPA places this property within sub -area 8 and
Exhibit "C" identifies the following excerpts apply to this land use conversion:
The City has amended its Comprehensive Plan to require PD zoning in
this area. All lands in this area annexed by the City subsequent to the JPA
have received land use designations of Westside Industry Commerce,
one of the City's equivalent designations to HIP -TI. City and County
Comprehensive Plan policies for this area are very similar. The City's
densities and floor areas are slightly less intense than the County's.
The County and the City established gateway corridor standards for SR
46 to ensure compatible and aesthetically pleasing development in the
area. This area is developing rapidly, consistent with both the City and the
County's Comprehensive Plan policies and corridor standards. The
County and City, working together, have been successful in minimizing
urban sprawl, providing affordable housing opportunities and targeting
industrial and commercial growth in this area. Both the County and the
31 P age
; and
City will continue to ensure that the area is developed consistent with their
mutually agreed upon standards and policies. This area should be
reserved for target industry and SunRail supporting development as there
is limited vacant acreage available on which target industry will site.
Single-family and low or medium density residential developments are not
compatible within this area. (Note: Modifications to the WIC, Westside
Industry and Commerce, future land use designation, in a Comprehensive
Plan update removed the requirement to rezone to PD, Planned
Development.)
Whereas, the City's Planning and Development Services Department has
conducted a thorough review and analysis of the demands upon public facilities and
general planning and land development issues should the subject application be
approved and has otherwise reviewed and evaluated the application to determine
whether it comports with sound and generally accepted land use planning practices and
principles as well as whether the application is consistent with the goals, objectives and
policies set forth in the City's Comprehensive Plan and determined that the proposed
amendment of the City's Comprehensive Plan relative to the subject property as set
forth in this Ordinance is internally consistent with the Comprehensive Plan of the City
of Sanford and is consistent with the controlling provisions of State law; and
Whereas, the City Commission concluded that the overall goals, objectives
and policies of the City's Comprehensive Plan and the controlling State law support the
approval of the application; and
Whereas, the City of Sanford has complied with all requirements and
procedures of Florida law in processing this amendment to the City of Sanford
Comprehensive Plan including, but not limited to, Section 163.3184, Florida Statutes,
as well as other controlling law; and
HUME
Whereas, additionally, this Ordinance is enacted pursuant to the home rule
powers of the City of Sanford as set forth at Article VIII, Section 2, of the Constitution of
the State of Florida; Chapter 166, Florida Statutes, and other applicable controlling law.
Now, therefore, be in enacted by the People of the City of Sanford, Florida:
Section 1. Legislative findings and intent.
(a). The City Commission of the City of Sanford hereby adopts and
incorporates into this Ordinance the City Commission agenda memorandum relating to
the application relating to the proposed amendment to the City of Sanford
Comprehensive Plan pertaining to the subject property.
(b). The City of Sanford has complied with all requirements and procedures of
Florida law in processing and advertising this Ordinance.
(c). This Ordinance is internally consistent with the goals, objectives and
policies of the Comprehensive Plan of the City of Sanford.
(d). The exhibits to this Ordinance are incorporated herein as if fully set forth
herein verbatim.
Section 2. Amendment to Future Land Use Map/Future Land Use
Designation.
(a). The Future Land Use Plan Element of the Comprehensive Plan of the City
of Sanford and the City's Future Land Use Map are hereby amended by from the HIP -
TI, High Intensity Planned Development Target Industry (Seminole County future land
use designation) to the WIC, Westside Industry and Commerce, future land use
designation under the City's Comprehensive Plan, with regard to the real property which
is the subject of this Ordinance as set forth herein.
(b). The property which is the subject of this Comprehensive Plan amendment
51 Page
is more specifically defined, described and depicted in the exhibits to this Ordinance.
Section 3. Implementing Administrative Actions.
The City Manager, or designee, is hereby authorized to implement the provisions
of this Ordinance as deemed appropriate and warranted.
Section 4. Incorporation Of Maps.
The maps attached to this Ordinance are hereby ratified and affirmed and
incorporated into this Ordinance as a substantive part of this Ordinance.
Section 5. Ratification Of Prior Actions.
The prior actions of the City Commission and its agencies in enacting and
causing amendments to the Comprehensive Plan of the City of Sanford, as well as the
implementation thereof, are hereby ratified and affirmed.
Section 6. Severability.
If any section, sentence, phrase, word, or portion of this Ordinance proves to be
invalid, unlawful or unconstitutional, it shall not be held to impair the validitrdinorce or
effect of any other action or part of this Ordinance.
Section 7. Conflicts.
All ordinances or parts of ordinances in conflict herewith are hereby repealed.
Section 8. Codification/Instructions to Code Codifier.
It is the intention of the City Commission of the City of Sanford, Florida, and it is
hereby ordained that the provisions of this Ordinance shall become and be made a part
of the codified version of the City of Sanford Comprehensive Plan and/or the Code of
Ordinances of the City of Sanford, Florida in terms of amending the Future Land Use
Map of the City.
61 P a g e
Section 9. Effective Date.
The Comprehensive Plan amendment set forth herein shall not become
effective, in accordance with Section 163.3184(3), Florida Statutes, until 31 days after
the State land planning agency (Florida Department of Economic Opportunity) notifies
the City that the Plan amendment package is complete. If timely challenged, the Plan
amendment shall not become effective until the said State land planning agency or the
Administration Commission enters a final order determining the adopted amendment to
be in compliance.
Attest:
Passed and adopted this 24th day of January, 2022.
City Commission of the City of
Sanford, Florida /---\ I
AA
titsq'u)reU
'
#ity'Attorney
C' -A
71 P a g e
V0
A4
CITY COMMISSION MEMORANDUM 22-028
JANUARY 24, 2022 AGENDA
To: Honorable Mayor and Members of the City Commission
PREPARED BY: Eileen Hinson, AICP — Planner Director
SUBMITTED BY: Norton N. Bonaparte, Jr., ICMA-CM, City Manager
SUBJECT: Application to amend the land use of approximately 3.35 acres from HIP -
TI, to WIC, Westside Industry and Commerce at 3883 Church Street.
❑ Unify Downtown & the Waterfront
❑ Promote the City's Distinct Culture
❑ Update Regulatory Framework
❑ Redevelop and Revitalize Disadvantaged Communities
SYNOPSIS:
A request to amend the land use of approximately 3.35 acres from HIP -TI (Seminole County), to
WIC, Westside Industry and Commerce (City of Sanford) at project address 3883 Church Street
has been received.
The property owner is MJ Wellington Associates LLC. The applicant is Michael Harding of
MHarding Enterprises Inc. The applicant, Michael Harding, was responsible for completing the
modified CAPP (Citizens Awareness and Participation Plan) process. A summary of the CAPP is
attached to this report.
The Affidavit of Ownership and Designation of Agent forms are attached and additional
information is available in order to ensure that all potential conflicts of interest are capable of being
discerned.
FISCAL/STAFFING STATEMENT:
Based on the 2021 property tax roll, the property has a assessed value of $525,202. The tax bill for
2021 is $7,244.95. The applicant is proposing to develop new industrial construction, which would
generate additional tax revenue to the City.
No additional staffing is anticipated if the land use amendment is approved.
I
The 3.35 acre site is located on the south side of Church Street and west of Headquarter Lane. Per
the Seminole County Property Appraiser, the lot currently houses an agriculture storage building.
The parcel was annexed on September 27, 2021 through Ordinance No. 4622.
Page I of 4
Per Exhibit B of the 2015 Seminole County/ City of Sanford JPA the HIP -TI, v(Seminole County
Land Use Designation) is equivalent to the WIC, Westside Industry and Commerce (City of
Sanford Land Use Designation). Exhibit B describes equivalent future land use designations in the
City and the County comprehensive plan. The designations have been deemed equivalent due to
their similar intensities and densities of allowable development.
Per Exhibit D, of the JPA, planning places this property within sub -area 8, and Exhibit C identifies
the following excerpts apply to this land use conversion.
The City has amended its Comprehensive Plan to require PD zoning in this area. All lands in
this area annexed by the City subsequent to the JPA have received land use designations of
Westside Industry Commerce, one of the City's equivalent designations to HIP -T]. City and
County Comprehensive Plan policies for this area are very similar. The City's densities and
floor areas are slightly less intense than the County's.
The County and the City established gateway corridor standards for SR 46 to ensure
compatible and aesthetically pleasing development in the area. This area is developing
rapidly, consistent with both the City and the County's Comprehensive Plan policies and
corridor standards. The County and City, working together, have been successful in
minimizing urban sprawl, providing affordable housing opportunities and targeting industrial
and commercial growth in this area. Both the County and the City will continue to ensure that
the area is developed consistent with their mutually agreed upon standards and policies. This
area should be reserved for target industry and SunRail supporting development as there is
limited vacant acreage available on which target industry will site. Single-family and low or
medium density residential developments are not compatible within this area.
Modifications to the WIC Designation in the 2018 City of Sanford Comprehensive Plan Update
amended the language regarding the PD zoning classification, and it is no longer required.
OBJECTIVE FLU 1.12: Promote Westside Industry and Commerce (WIC). The "Westside
Industry and Commerce" (WIC) area is a mixed use designation intended to promote the
development of employment centers in the vicinity of the West SR 46 corridor and the commuter
rail station. The corridor's proximity to 1-4 as well as SR 417 and the SunRail commuter line
provides access to Regional markets and a substantial labor force. The CSX Main Rail Line also
provides a transportation amenity of Regional significance.
Policy FLU 1.12.1 Establish parameters for development within the WIC. The WIC designation
shall be limited to that area of Sanford generally bound by the CSX railroad to the north and SR
417 to the south. The WIC designation permits both a vertical and horizontal land use mix of
commercial, office, residential, and the maximum intensity for commercial, office, and industrial
development as a floor area ratio is 0.50. The residential density shall be a minimum of 10 dwelling
units per acre and a maximum of 20 dwelling units per acre, where compatible with adjacent uses.
Distribution of specific densities and intensities for this district shall be in accordance with Table
FLU2. New development shall be required to address infrastructure needs, provision of services,
development phasing, development intensity and land use compatibility as part of an integrated
design scheme which includes very detailed strategies and techniques for resolving development
impacts. PD proposals in the WIC area may be the subject of negotiated development agreements.
No development order shall be granted prior to approval by the City of the development agreement.
Development within the WIC area existing prior to the adoption of this Plan will be
"grandfathered." All new development in the Westside Industry and Commerce Area shall comply
with the performance criteria outlined in Policy FLU 1.1.7, as well as the following:
Pap 2 of 4
9 Requirements and procedures for obtaining a WIC mixed use Future Land Use Map
designation and appropriate zoning;
9 Standards for controlled access and internal circulation, including cross access easements and
joint use of driveways;
e Development standards for Gateway Corridor Development Districts, including requirements
for buffer yards, landscaping, and screening, off-street parking, and signage; and
9 Planning and management criteria regulating the land use mix, intensity, and qualitative
standards for assuring land use compatibility and consistency with the Comprehensive Plan.
In addition, the applicant is seeking to rezone the property to RI -1, Restricted Industrial zoning
which is compatible with development currently surrounding the property as well as the proposed
Future Land Use and development patterns intended for this area.
LEGAL RFviEw:
When voting on matters such as whether to recommend approval of an amendment to the City's
Comprehensive Plan or the enactment of, or amendment to, a land development regulation, those
matters are legislative in nature and not quasi-judicial matters.
The assistant City Attorney has drafted the Ordinance for the change.
The City Commission approved the first reading of Ordinance No. 4661 on January 10, 2022.
The City Clerk published notice of the 2nd Public Hearing in the Sanford Herald on January 12,
2022.
Staff finds that the small scale land use amendment is appropriate and suitable for the subject site
and is compatible with the surrounding land uses and is consistent with the City of Sanford
Comprehensive Plan, Joint Planning Agreement and Chapter 163 of Florida Statutes and
recommends approval of the request.
On December 2, 2021, the Planning and Zoning Commission held a public hearing and after
finding the proposed land use change to be consistent with the Goals, Objectives and Policies of
the City's Comprehensive Plan and the State's Growth Policy Act and the 2015 Seminole
County/City of Sanford Joint Planning Agreement, recommended the City Commission approve
the small scale Comprehensive Plan Amendment to amend the land use of approximately 3.35
acres from HIP -TI, High Intensity Planned Development — Target Industry to WIC, Westside
Industry and Commerce (City of Sanford) at project address at 3883 Church Street.
Additional comments or recommendations may be presented by staff at the meeting.
It is staff's recommendation the City Commission adopt Ordinance No. 4661.
SUGGESTED MOTION:
"I move to adopt Ordinance No. 466 L"
Attachments: (1) Project Information Sheet
(2) Future Land Use Map
(3) Aerial Map
Pan 3 of 4
0
(4) Affidavit of Ownership
(5) CAPP Summary/Letter
(6) Ordinance No. 4661
TADevelopment Review\03-Land Development\2021\3883 Church Street\PZC\CPA\CC\CC Memo - 3883 Church Street SSCPA_lst.docx
Page 4 of 4
PROJECT INFORMATION - 3883 CHURCH STREET
COMPREHENSIVE PLAN AMENDMENT
Requested Action: Comprehensive Plan Amendment to amend the land use of approximately 3.35 acres from
HIP -TI, High Intensity Planned Development — Target Industry (Seminole County) to
WIC, Westside Industry and Commerce (City of Sanford)at project address at 3883
Church Street.
Proposed Use: Commercial Warehouse
Project Address: 3883 Church Street
Current Zoning: A-1 (County)
Proposed Zoning: AG (City)
Cut -rent Land Use: Storage Building
Legal Description: W 200 FT OF LOT 56 (LESS RDS ) ST JOSEPHS PB I PG 114
Tax Parcel Numbers: 16-19-30-5AC-0000-056A
Site Area: 3.35 Acres
Property Owner: MJ Wellington Associates, LLC.
Applicant/Agent: Michael Harding
MHarding Enterprises, INC
5005 Jennifer Place,
Orlando FL 32807
Phone: (407) 342-8386
Email: michael@mhardingenterprises.com
CAPP Meeting: A Modified CAPP letter (COVID-1 9) to residence in a 500 radius feet area was mailed on
May 13, 2021. A summary completed report was provided on August 6, 2021.
Commission District: District 2 — Kerry S. Wiggins Sr.
COMPREHENSIVE PLAN COMPLIANCE REVIEW
Planning staff has reviewed the request and has determined the use and proposed improvements to be consistent with
the Goals, Objectives and Policies of the Comprehensive Plan.
Existing Land Use: HIP -TI — High Intensity Planned Development (County)
Future Land Use: WIC - Westside Industry and Commerce (City)
41P0111-911191 11 Iffa-
Zonin2 Uses
North Planned Development Pro Build Lumber
South Planned Development Empty Lot
East Planned Development North Park Commerce Center
West Planned Development (County) Maronda Homes
111111q iiiiiiiiiiii��illillill iq��1111111111111111 -;,111 '�illillilli iiiiiiiiii� 111, : li� -
Site: 3883 Church Street
Parcel: 16-19-30-5AC-0000-056A
Proposed Future Land Use: Westside Industry and Commerce
(WIC)
3.35 Acres
Existing Land Use Current Future Land Use Proposed Future Land W
Agriculture
ME City Westside Industry
commercial
M conifnetclal and Commerce
Industrial
114h Intensay Planned -Target lndustjy
Institutional
Utility - Public/ nasi -Public
Off -ice
Recruation
Public
Right 0( Way
Public 5chools/Colleges
Su.>urb an Estates
Recreation
Single Family
MARC)" wys"M
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Transportation
Vacant
N
jk
I
Proposed Future .and Use
SCHOM
rr
MARC)" wys"M
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1, County w4l*-
Zoning
AG
PD
RI-1
„
CHURCH ST
SITE
CIML
ARONDA
WY
r
W
O%
Z
O.
Site
Ll
3883 Church Street
I
NA
Parcel No: 16-19-30-5AC-0000-056A
0
AFFIDAVIT OF OWNERSHIP AND DESIGNATION OF AGENT
Please use additional sheets as needed. If any additional sheets are attached to this document, please sign here and note below:
Additional Page 2 for Notary
1. Ownership
MJ Wellington Associates, LLC. By: Ume Abeeha Jiwa, Murtaza Ji
1, — 'Thereby attest to ownership of the property described below:
Tax Parcel Number(s): 16-19-30-5AC-0000-056A
Address of Property: 3883 Church Street Sanford, Fl. 32771
for which this Annexation, Re -Zoning, Comprehensive Plan Ammendment, application is submitted to the City of Sanford.
Development Plan
11. Designation of Applicant's Agent (leave blank if not applicable)
As the owner/applicant of the above designated property for which this affidavit is submitted, I designate the below named individual
as my agent in all matters pertaining to the application process. In authorizing the agent named below to represent me, or my
company, I attest that the application is made in good faith and that all information contained in the application is accurate and
complete to the best of my personal knowledge. e
Applicant's Agent (Print): Michael D. Harding Signature: _.j
Agent Address: MHarding Enterprises, Inc. 5005 Jennifer Place, Orla
Email: michael(,Dmharding�-,nter-prises.com Phone: 407-342-8386 Fax:
Ill. Notice to Owner
A. All changes in Ownership and/or Applicant's Agent prior to final action of the City shall require a new affidavit. If ownership
changes, the new owner assumes all obligations related to the filing application process.
B. If the Owner intends for the authority of the Applicant's Agent to be limited in any manner, please indicate the limitations(s)
below. (i.e.: limited to obtaining a certificate of concurrency; limited to obtaining a land use compliance certificate, etc.)
None.
The owner of the real property associated with this application or procu
re activity is a (check one)
ci Individual o Corporation o Land Trust o Partnership Liability Company
o Other (describe):
1. List all natural persons who have an ownership interest in the property, which is the subject matter of this petition, by name and
address.
2. For each corporation, list the name, address, and title of each officer, the name and address of each director of the corporation;
and the name and address of each shareholder who owns two percent (2%) or more of the stock of the corporation. Shareholders
need not be disclosed if a corporation's stock are traded publicly on any national stock exchange.
3. In the case of a trust, list the name and address of each trustee and the name and address of the beneficiaries of the trust and the
percentage of interest of each beneficiary. If any trustee or beneficiary of a trust is a corporation, please provide the information
required in paragraph 2 above.
Name of Trust:
07�,.�r0 •4 Is
4. For partnerships, including limited partnerships, list the name and address of each principal in the partnership, including general
or limited partners. If any partner is a corporation, please provide the information required in paragraph 2 above.
5. For each limited liability company, list the name, address, and title of each manager or managing member, and the name and
address of each additional member with two percent (2%) or more membership Interest. If any member with two percent (2%) or
more membership interest, manager, or managing member is a corporation, trust or partnership, please provide the information
required in paragraphs 2, 3 and/or 4 above.
Name of LLC: MJ WELLINGTON ASSOCIATES LLC
6. In the circumstances of a contract for purchase, list the name and address of each contract purchaser. If the purchaser is a
corporation, trust, partnership, or LLC, provide the information required for those entities in paragraphs 2, 3, 4 and/or 5 above.
Name of Purchaser:
Date of Contract:
NAME
TITLE/OFFICEfTRUSTEE
OR BENEFICIARY
ADDRESS
% OF
INTEREST
Ume Abeeha Jiwa
Manager
1665 Brid ewater Dr. Lake Ma Fl.
50%
Murtaza Jiwa
Manager
1665 Brid ewater Dr. Lake Mary Fl.
50%
(Use additional sheets for more space.)
T. As to any type of owner referred to above, a change of ownership occurring subsequent to the execution of this document, shall be
disclosed in writing to the City prior to any action being taken by the City as to the matter relative to which this document pertains.
8. 1 affirm that the above representations are true and are based upon my personal knowledge and belief after all reasonable inquiry. I
understand that any failure to make mandated disclosures is grounds for the subject rezone, future land use amendment, special
exception, or variance involved with this Application to become void or for the submission for a procurement activity to be non-
responsive. I certify that I am legally authorized to execute this Affidavit and to bind the Applicant or Vendor to the disclosures
harain
August 20, 2021
Date
STATE OF FLORIDA)
COUNTY OF SEMINOLE
Owner, Agent, Applicant Signature
Ume Abeeha Jiwa, MJ Wellington Associates, LLC.
I HEREBY CERTIFY that on this day, bef me, an officer duly authorized to administer oaths and take acknowledgments,
personally appeared Ume Abeeha Jiwa who is personally known to me or () who produced
as identification - d acknowledged before me that s/he executed the same. Sworn and subscribed before me, by Urne AbeEa iwa
by means of r physical presence or {)online notarization on the 20tidtay of August 2021 2020 -
the said person did take an
oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read the foregoing and that the
statements and allegations contained herein are true and correct.
WITNESS my hand and official seal in the County and S to last aforesaid this ?20tT!!tA ugust 2021 2020
Notary Public; State of Florida jai
(Affix Notarial Seat} 44 p Anne M. p'Ccxin€>r
Printed Name: Anne M. O'Connor Comm.#GG960207
*• w
AtrdaAt of Ow=shlp - February 2020PyR 11 "C"q
��... `' B cl ft AmNONY
4. For partnerships, including limited partnerships, list the name and address of each principal in the partnership, including general
or limited partners. If any partner is a corporation, please provide the information required in paragraph 2 above.
5. For each limited liability company, list the name, address, and title of each manager or managing member; and the name and
address of each additional member with two percent (2%) or more membership interest. If any member with two percent (2%) or
more membership interest, manager, or managing member is a corporation, trust or partnership, please provide the information
required in paragraphs 2, 3 and/or 4 above.
Name of LLC: MJ WELLINGTON ASSOCIATES LLC
6. In the circumstances of a contract for purchase, list the name and address of each contract purchaser. If the purchaser is a
corporation, trust, partnership, or LLC, provide the information required for those entities in paragraphs 2, 3, 4 and/or 5 above.
Name of Purchaser:
Date of Contract:
NAME
TITLE/OFFICE[TRUSTEE
OR BENEFICIARY
ADDRESS
% OF
INTEREST
Urne Abeeha Jiwa
Manager
1665 Bridgewater Dr. Lake Mary Fl.
50%
Murtaza Jiwa
Mana er
1665 Brid ewater Dr. Lake Mary Fl.
50%
(Use additional sheets for more space.)
7. As to any type of owner referred to above, a change of ownership occurring subsequent to the execution of this document, shall be
disclosed in writing to the City prior to any action being taken by the City as to the matter relative to which this document pertains.
I affirm that the above representations are true and are based upon my personal knowledge and belief after all reasonable inquiry. I
understand that any failure to make mandated disclosures is grounds for the subject rezone, future land use amendment, special
exception, or variance involved with this Application to become void or for the submission for a procurement activity to be non-
responsive. I certify that I am legally authorized to execute this Affidavit and to bind the Applicant or Vendor to the disclosures
herein. C /11'
0 11 �
August 20, 2021
Date Oviner. Ai6
STATE OF FLORIDA) Murtaza Ji
COUNTY OF SEMINOLE
Applicant Signature
Wellington Associates, LLC
I HEREBY CERTIFY that on this day, bef me, an officer duly authorized to administer oaths and take acknowledgments,
personally appeared Murtaza Jiwa Wit
Who is personally known to me or who produced
as identification />d acknowledged before me that s/he executed the same. Sworn and subscribed before me, by MU
by means of J\'physical presence or {} online notarization on the 20t4ay of Aust 2021 2MM, the said person did take an
oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read the foregoing and that the
statements and allegations contained herein are true and correct.
WITNESS my hand and official seat in the Court a tate last of resaid this 20 August 2021 left.
Notary Public-, State of Florida 114 Anne M. O'CMnW
(Affix Notarial Seat) Comm tGG980207
AtrodzO of Chmershlp - February 2020 Printed Name: Anne M. O'Connor EOM: AM 21. 2M4
2