ROOSEVELT CONDOMINIUM ASSOCIATION
1255 Pennsylvania Avenue, Miami Beach, FL 33139
APPLICATION FOR RESIDENCY (RENTAL)
The City of Miami Beach defines rentals of less than six months plus
one day as “short term”
and illegal in the area of the Roosevelt (the City has severe penalties
for anyone involved in doing this)
Property Address: 1255 Pennsylvania Avenue, Miami Beach, FL 33139
Unit #: _________ Monthly Rent: _______________
· Refundable Security Deposit (per unit via personal check): $300.00 made out to Roosevelt Condominium
· Non-refundable application fee (per person via cashier’s check): $100.00 made out to Transparent Condo Management
· Non-refundable move in fee (per unit via cashier’s check): $100.00 made out to Roosevelt Condominium
Each adult who will be living in the unit must provide a copy of a government issued photo identification with this application.
Lease Term from _________________________________ to _______________________________
GENERAL INFORMATION FOR
OCCUPANCY:
1.
Name (Adult)
__________________________________________________SS#:
____________________
2.
Name (Adult) __________________________________________________SS#:
____________________
3.
Name (Minor)
_________________________________________________ SS#:
____________________
Is any Applicant a member of
the U.S. Armed Forces on active or state active duty? _____Yes
_____No
Is any Applicant a member of
the U.S. Reserve Forces or Florida National Guard? _____Yes
_____No
Present
Address_______________________________ City__________________State___Zip
Code________
Present Landlord's Name
________________________________ Landlord's Phone #:___________________
Reason for Leaving
____________________________________ Length of Residency: ___________________
Previous
Address_______________________________ City_________________State___Zip
Code_________
Previous Landlord's Name
________________________________ Landlord's Phone #:___________________
Reason for Leaving
____________________________________ Length of Residency: ___________________
EMPLOYMENT INFORMATION:
Adult 1: Present Employer:
_____________________________________Position:_______________________
How long?_________
_____Business Phone #: __________________________________________________
Adult 2: Present Employer:
_____________________________________Position:_______________________
How long?_________
_____Business Phone #: __________________________________________________
PETS: _____ YES
_____ NO DOG (Breed): ____________________ Weight:______ No of Pets: _____
CAT: ______________ BIRD: ___________________ OTHER:
_____________________________________
EMERGENCY CONTACT:
Name: ______________________________________ Relationship:
_________________________________
Address:
______________________________________________________Phone: _____________________
Receipt in the sum of $_______ is hereby acknowledged. This building deposit is to be returned to the applicant if the application is rejected. If accepted, this sum will be applied to the Roosevelt Condominium Association non-interest bearing security deposit account.
The Roosevelt is a residential building. Units cannot be used for purposes that are not in compliance with all applicable local and state laws and ordinance. It is the responsibility of the tenant to obtain approval from local and state zoning authorities for activities conducted in the unit that are not residential. Such approval must be provided to the Board upon request, and failure to provide evidence of approval by authorities is a violation of the Roosevelt's Rules & Regulations. It is the Roosevelt’s policy to perform a background check on all applicants.
THIS
APPLICATION IS NOT A RENTAL AGREEMENT, CONTRACT OR A LEASE. ALL APPLICATIONS ARE SUBJECT TO APPROVAL BY
THE OWNER, CONDOMINIUM ASSOCIATION, OR MANAGING AGENT. NO LEASE FOR LESS THAN 6
MONTHS IS PERMITTED.
Rental
applicant(s), including any new renters added during the period of the lease, MUST
meet with a member of the Condo Board PRIOR TO MOVING IN.
To
the best of my knowledge, all of the above information is true. I/We have received and reviewed the Rules and
Regulations for tenancy.
Applicant #1:
Date: __________ _______________________________________________________________
Applicant's
Signature
Home Phone:
_______________________________ Work
Phone: _________________________________
Applicant #2:
Date: __________ _______________________________________________________________
Applicant's
Signature
Home Phone:
_______________________________ Work
Phone: _________________________________
Rental Agent's Name and
Phone: ______________________________________________________________
(10-June-2019)