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Item S3 S3 BOARD OF COUNTY COMMISSIONERS COUNTY of MONROE Mayor Craig Cates,District 1 The Florida Keys Mayor Pro Tern Holly Merrill Raschein,District 5 Michelle Lincoln,District 2 James K.Scholl,District 3 David Rice,District 4 Board of County Commissioners Meeting July 19, 2023 Agenda Item Number: S3 2023-1188 BULK ITEM: Yes DEPARTMENT: Employee Services TIME APPROXIMATE: STAFF CONTACT: Bryan Cook N/A AGENDA ITEM WORDING: Approval to enter into a one (1)year Residential Lease with a County employee for Location commencing August 1, 2023, through July 31, 2024. The monthly rental amount is $1,640.80. ITEM BACKGROUND: Monroe County Board of County Commissioners owns certain residential properties, which it rents to qualified County employees,per the established Employee Housing Rental Program in Resolution 155- 2022. Resolution 088-2023 established the method of selection of lessees; set lease terms; and set the rental rates for County-owned employee housing rental units. The current tenant at has vacated the property as of June 30, 2023 and a new tenant has been selected per the guidelines of the Resolution 088-2023. PREVIOUS RELEVANT BOCC ACTION: June 21, 2023: Approval of Residential Lease for February 15, 2023: Resolution 088-2023 was adopted May 18, 2022: Resolution 155-2022 establishing the Employee Housing Rental Program CONTRACT/AGREEMENT CHANGES: One year lease agreement for STAFF RECOMMENDATION: Approval DOCUMENTATION: Final Residential Lease and Exhibits FINANCIAL IMPACT: Effective Date: 08/01/2023 Expiration Date: 07/31/2024 1 Total Dollar Value of Contract: N/A Total Cost to County: N/A Current Year Portion: N/A Budgeted: Yes Source of Funds: Rents CPI: No Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: Yes If yes, amount: $1640.80/monthly Grant: N/A County Match: N/A Insurance Required: Yes 2 COUNTY-OWNED PROPERTY RESIDENTIAL LEASE (EMPLOYEE) This Agreement is made and entered into on this 19 day of July 2023, by the parties, MONROE COUNTY, a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, ("County" or "Lessor"), and a single person, and a Monroe County Employee, ("Lessee"). WITNESSETH: WHEREAS, the County owns a residential 360 square foot, one (1) bedroom/one (1) bath, Tiny House("Premises") located at and WHEREAS, the County has decided that at the present time it is in the County's best interest to enter into a lease with the Lessee upon the terms and conditions as contained herein; and WHEREAS, the Lessee is desirous of leasing the Premises from County on the terms and conditions as contained herein; NOW, THEREFORE, the parties agree as follows: 1. PROPERTY. County leases to the Lessee the Premises located at , as identified herein. Consisting of approximately 360 square feet of living area. A 10'x10' shed owned by Monroe County has been placed on the Premises. Lessee shall be allowed to use the shed to store lawn maintenance equipment, bicycles, and other similar equipment in order to maintain the Premises as required under the terms of this Lease. 2. TERM. The term of this agreement is for one (1) year commencing on August 1, 2023, and terminating on July 31, 2024. There is no automatic renewal of this Agreement. The Lessee shall have the option to renew the Lease as long as the terms of the Lease are met. In the event that the Lessee does not vacate the Premises and surrender it to the County upon termination of this Agreement, Lessee will be liable for rent at a rate of Twenty and 00/100 Dollars ($20.00)per square foot per month prorated for the time he continues to occupy the property, as well as County's expenses and reasonable attorney fees in obtaining possession of the property. 3. USE. The Premises shall be used solely for the purpose of only a "primary" residence. If the Premises are used for any other purpose, the County shall have the option of immediately terminating this Agreement. The Lessee shall not permit any use of the Premises in any manner that would obstruct or interfere with any County function or duties. The Lessee will further use and occupy said Premises in a careful and proper manner, and not commit any waste thereon. The Lessee shall not cause, or allow to be caused, any nuisance or objectionable activity of any nature on the Premises. The Lessee will not use or occupy said Premises for any unlawful purpose and will, at the Lessee's sole cost and expense, conform to and obey any present or future ordinances and/or rules, regulations, requirements, and orders of governmental authorities or agencies respecting the use and occupation of said Premises. The Lessee acknowledges that if he ceases to be employed as a Monroe County Employee during the term of the Lease, for any reason whatsoever, the Lease shall be terminated. County-Owned Property Residential Lease 1 Lessee covenants and agrees that he will, during the term of the Lease, keep the Premises in a good state of repair and in the current condition, and that upon the termination of the Lease, Lessee will relinquish possession of the Premises in the same good state of repair as when he took possession of the Premises. Lessee agrees to maintain the outside lot area as to all lawn care and maintenance, to include but not limited to, mow the grass, trim, and maintain any trees, shrubs, plants and/or flowers, water the grass and other greenery as needed, eliminate weeds as needed, trim appropriate trees during storm season to avoid any safety hazards, and other such landscaping maintenance. Lessee and guests shall only park the designated area and not on the grass. Lessee shall keep the outside of the Premises and lot in an acceptable and attractive condition. The Lessee agrees that only his immediate family or an approved roommate shall occupy the Premises. The Lessee agrees to clean the Premises at the end of the lease term and to return it to the same condition that it was in when the Lessee accepted the Premises. The Lessee agrees to pay any fees that the County incurs to clean the Premises, if necessary, after the Lessee vacates the Premises. 4. RENT AND SECURITY DEPOSIT. For the use of the Premises, the Lessee shall pay the County the current rent of ONE THOUSAND SIX HUNDRED FORTY AND 80/100 DOLLARS ($1,640.80) per month, with said payment due on the first day of each and every month beginning on August 1, 2023, and continuing up and until termination of this Lease. The Lessee shall pay a security deposit in the amount equal to one (1) month's rent to the County prior to occupancy. The monthly payment shall be remitted to the Monroe County Clerk of Courts, Finance Department, 500 Whitehead Street, Key West, Florida 33040. 5. APPLIANCES. The County shall provide, maintain, and replace as necessary the appliances listed below. Lessee shall contact Employee Services when maintenance is needed for the listed appliances. Lessee shall not attempt to repair the below listed appliances on their own. * Refrigerator * Washing Machine * Dryer * Microwave * Dishwasher(if applicable to unit) All appliances are the sole possession of Monroe County and shall be left on premise when the Lessee's lease ends. 6. UTILITIES. The Lessee shall pay for the utilities including water, sewer, electricity, and solid waste collection. The cost of connections for the above-described utilities shall be at the expense of the County. The Lessee shall arrange for and provide residential electric service, telephone service, internet and cable television service, at his own expense. The cost of connections for residential telephone service and internet/cable television service shall be paid for by the Lessee. 7. CONDITIONS. The Lessee, further agrees that, during the term of this Lease; a) The Lessee is now and will remain an employee of Monroe County; and County-Owned Property Residential Lease 2- b) He shall have a letter of permission from his Department Director permitting the Lessee to execute this Lease, a copy of which is attached hereto as Exhibit "A" and made a part hereof. c) He shall maintain the Premises as his sole "primary" residence during the tern of this Lease and immediately notify Lessor if he shall cease to reside in the Premises as his "primary" residence. d) Lessee will not have an ownership interest in another residential property in Monroe, Miami-Dade, or Collier Counties. 8. QUIET ENJOYMENT. Upon the payment by Lessee of the rents provided, and upon the observation and performance of all the covenants, terms, and conditions on Lessee's part to be observed and performed, Lessee shall peacefully and quietly hold and enjoy the subject premises for the term hereby demised without hindrance or interruption by Lessor or any other person or persons lawfully or equitably claiming by, through, or under Lessor, subject, nevertheless, to the terms of the Lease. 9. ASSIGNMENT AND SUBLETTING. This Lease may not be sold, transferred, or assigned in full or part without the written permission of Lessor. Any purported assignment without such prior written consent shall be null and void. Lessee shall not have the right to sublet this Lease or any portion of this Lease or property. 10. DEFAULTS. In the event that Lessee fails, within thirty (30) days after notice, to cure any default of any obligations owed by Lessee to Lessor under this Lease Agreement then, in that event, Lessor shall have the right to terminate this Lease Agreement and to enter upon the leased Premises and again have, repossess, and enjoy the same as if this Lease Agreement had not been made. 11. 'FERMINA""LION BY C0E.1N'TY. This Agreement may be terminated before the expiration of a one (1) year term, with or without cause and in the sole discretion of the County, upon a) Sixty (60) days' written notice by the County to the Lessee; b) Thirty(30) days' written notice by the County to the Lessee when; i) The Lessee fails to timely pay the County the amount described in this Agreement; or ii) The Lessee leases the Premises or assigns any interest without the required consent under this agreement; or iii) The Lessee has left the employ of Monroe County; or iv) Lessee fails to maintain the Premises as his "primary"residence; or c) Fifteen(15) days' notice by the County to the Lessee in an emergency situation. 12. TERMINATION BY LESSEE. The Lessee may terminate this Lease upon thirty (30) days' written notice to the County if he leaves the employ of Monroe County or ceases to maintain the Premises as his "primary residence"; or upon fifteen (15) days' notice by the Lessee to the County in an emergency situation. 13. INSURANCE AND HOLD HARMLESS. The Lessee agrees to carry Ten Thousand and 00/100 Dollars ($10,000.00) in personal liability coverage on the Premises and shall provide evidence thereof by a Certificate of Liability Insurance, a copy of which is attached hereto as Exhibit "B" and County-Owned Property Residential Lease 3 . made a part hereof. Lessee will notify County upon receipt of any notice of reduction or termination of such insurance, and shall immediately obtain replacement insurance. The Lessee covenants and agrees to defend, indemnify, and hold harmless Monroe County Board of County Commissioners, and its elected and appointed officers, officials, agents, servants, and employees from any and all claims, demands, or causes of action for bodily injury (including death), personal injury, and property damage (including property owned by Monroe County) and any other losses, damages, costs, penalties, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of the Lessee utilizing the property governed by this lease/rental agreement. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. Insofar as the claims, actions, causes of action, litigation, proceedings, costs, or expenses relate to events or circumstances that occur during the term of this Lease, this section will survive the expiration of the term of this Lease or any earlier termination of this Lease. 14. DAMAGE TO PROPERTY BY PETS OR ANIMALS. Lessee may only keep pets on the Premises that have been approved by the Monroe County Assistant County Administrator and included in the lease application for the Premises. The Lessee shall have sole responsibility for any damage, harm, nuisance, claim, or other liability which arises as a result of the Lessec(s) keeping pets or other animals on the Premises, including the parking area upon which the rental Premises is situated. Any repairs of the Premises, caused by animals or pets of the Lessee, shall be paid for by the Lessee within thirty (30) days of being given notice by the County of the cost of the damages. 15. ALTERATIONS Ai' DIOB. MODIFICATIONS. If the Lessee wishes to make any modifications or alterations to the Premises, he must first make the request in writing to the County, and receive written permission from the Director of Facilities Maintenance Department prior to making any alterations and/or modifications. 16. NOTICE. Notices in this Agreement, unless otherwise specified, must be sent by United States Mail, certified, return receipt requested, postage prepaid, or by courier with proof of delivery. Notice is deemed received by Lessee when hand delivered by national courier with proof of delivery or by U. S. Mail upon verified receipt or upon the date of refusal or non-acceptance of delivery. The place of giving Notice shall remain the same as set forth herein until changed in writing in the manner provided in this paragraph. Notices shall be sent to the following: For the County: For the Lessee Assistant County Administrator And Monroe County Attorney P. O. Box 1026 Key West, Florida 33041-1026 County-Owned Property Residential Lease 4 - 17. ATTACHMENTS. The following documents are required to be attached to this Agreement: a) EXHIBIT A: Letter from Lessee's Department Head recommending Lessee and approved by Assistant County Administrator permitting Lessee to execute the Agreement. b) EXHIBIT B: Certificate of Liability Insurance. c) EXHIBIT C: Affidavit—Employee Housing Rental Program This Agreement shall not be effective until signed by all parties and all fully completed Exhibits to the Agreement are attached hereto. 18. WHOLE CONTRACT RAC"T" AND WAIVER. This Residential Lease is the whole agreement between the parties, and no prior or contemporaneous oral or written communications are part of the Agreement. If the County waives any breach of the Agreement, that waiver shall not waive the covenant or conditions breached, nor any later breach of any part of the Agreement. 18. TOBACCO FREE ENVIRONMENT/NO SMOKING POLICY. Lessee, or Lessee's family, roommate, or guests shall not smoke within or outside the Premises. This includes smoking cigarettes or tobacco of any kind, cigars, marijuana, pipes, vaping, or any other smoking device. This policy is in effect a desire to mitigate (i) the irritation and known health effects of secondhand smoke; (ii) the increased maintenance, cleaning, and redecorating costs from smoking; and (iii) the increased risk of fire from smoking. Lessee acknowledges that Lessor's adoption of a no smoking policy does not make the Lessor the guarantor of the Lessee's health or of the smoke-free condition of the Premises. Lessee is responsible for all costs and damage caused by the smoking including, but not limited to, stains, burns, odors, and removal of debris. Any breach of this no smoking policy could subject Lessee and all occupants of the Premises to eviction and loss of any security deposit. 19. GOVERNING LA"'1rVSNENUE. This Agreement shall be governed by the laws of the State of Florida and the United States. Venue for any dispute arising under this agreement must be in Monroe County, Florida. The County and Lessee specifically agree that neither the provisions of Florida Statutes, Chapter 733, (Mobile Home Park Lot Tenancies) nor the provisions of Chapter 513, Mobile Home and Recreational Vehicle Parks) are to be applied as governing this Agreement or used as constructing provisions of this Agreement. 20. A"I'TOR EY'S FEES. Should any cause of action or administrative proceeding arise out of this Lease in connection with the enforcement or interpretation of this Lease between Lessor and Lessee, the prevailing party shall be entitled to reasonable attorney's fees, court costs, and out-of-pocket expenses, as an award against the non-prevailing party. Mediation proceedings initiated and conducted pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and usual and customary procedures required by the Sixteenth Judicial Circuit in and for Monroe County, Florida. 21. MEDIATION. The parties agree to mediate any disputes under this Agreement, and further agree that they will not arbitrate any disputes. 22. SEVERA;BILI°T°'V. If any term or provision of this Agreement shall to any extent be held invalid or unenforceable, the remainder of this Agreement shall not be affected thereby, and each remaining term and provision of this Agreement shall be valid and enforceable to the fullest extent permitted by law. County-Owned Property Residential Lease 5 23. ABANDONMENT. If at any time during the term of this Agreement Lessee abandons the Premises or any part thereof, County may, at County's option, obtain possession of the Premises in the manner provided by law, without becoming liable to Lessee for damages or for any payment of any kind whatever. County may, at County's discretion, as agent for Lessee, relet the Premises, or any part thereof, for the whole or any part thereof, for the whole or any part of the then unexpired term, and may receive and collect all rent payable by virtue of such reletting, and, at County's option, hold Lessee liable for any difference between the rent that would have been payable under this Agreement during the balance of the unexpired term, if this Agreement had continued in force, and the net rent for such period realized by County by means of such reletting. If County's right of reentry is exercised following abandonment of the Premises by Lessee, then County shall consider any personal property belonging to Lessee and left on the Premises to also have been abandoned, in which case County may dispose of all such personal property in any manner County shall deem proper and County is hereby relieved of all liability for doing so. 24. HAZARDOUS MATERIALS. Lessee shall not keep on the Premises any item of a dangerous, flammable, or explosive character that might unreasonably increase the danger of fire or explosion on the Premises or that might be considered hazardous or extra hazardous by any responsible insurance company. 25. INSPECTION OF PREMISES. County and County's agents shall have the right at all reasonable times during the term of this Agreement and any renewal thereof to enter the Premises for the purpose of inspecting the Premises and all buildings and improvements thereon, and for the purposes of making any repairs, additions, or alterations as may be deemed appropriate by County for the preservation of the Premises or the building. County and its agents shall further have the right to exhibit the Premises and to display the usual "for sale", "for rent", or "vacancy" signs on the Premises at any time within forty-five (45) days before the expiration of this Lease. The right of entry shall likewise exist for the purpose of removing placards, signs, fixtures, alterations, or additions that do not conform to this Agreement or to any restrictions, rules, or regulations affecting the Premises. 26. ILADON GAS. Notice to prospective Lessee: Radon is a naturally occurring radioactive gas that, when it has accumulated in a building in sufficient quantities, may present health risks to persons who are exposed to it over time. Levels of radon that exceed federal and state guidelines have been found in buildings in this state. Additional information regarding radon and radon testing may be obtained from a County public health department. 27. SECTION HEADINGS. Section headings have been inserted in this Agreement as a matter of convenience of reference only, and it is agreed that such section headings are not a part of this Agreement and will not be used in the interpretation of any provision of this Agreement. 28. MUTUAL REVIEW. This Agreement has been carefully reviewed by Lessee and Lessor; therefore, this Agreement is not to be construed against either party on the basis of authorship. IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date written above. BOARD OF COUNTY COMMISSIONERS Attest: KEVIN MADOK, CLERK OF MONROE COUNTY, FLORIDA, LESSOR I:Iy:....,.. As Deputy Clerk Mayor County-Owned Property Residential Lease 6 7 SSES for LESSEE; l '�n I'n insure m .. I r Print Name Date Approved as to form and legal sufficiency: Monroe County Attorney's Office 7-18-2023 County-Owned Property Residential Lease ,7- Exhibit A County Of Monroe .m..M „ �ARL)01;c°�J�UNTY ACO MISSIONS S Mayor Craig Cates,District 1 The Florida Keys p Mayor Pro Tern Holly Merrill Raschein,District 5 Michelle Lincoln,District 2 James K.Scholl,District 3 David Rice,District 4 Memo To: Department of Human Resources From: Judy Clarke D'9,Ad"�Y°'gnrd by Judith Clarke' y Judith Clarke,P.E. P.E. Da[m.10,JkB,PgG28 12:41:42-09'DD' Date: June 28, 2023 Rey Approval for ,application to County Housing Opportunity at I approve the application of County Employee Housing Opportunity. I further approve request to allow his pet, a 3 year old, well-behaved medium sized Chow dog to live with him on premises. Cc: Kimberly D. Kelley Exhibit A County Of Monroe BOARD OF COUNTY COMMISSIONERS Mayor Craig Cates,District l The Florida Keys Mayor Pro Tern Holly Merrill Raschein,District 5 Michelle Lincoln,District 2 James K. Scholl,District 3 David Rice,District 4 in AW ,me mo To: Department of Human Resources _ � From: � . Date: June 28, 2023 Re: Request to allow pet on application for Employee Housing Opportunity at I request that my pet, a 3-year-old, well-behaved medium sized Chow dog to live with me on premises if accepted through my application process. Cc: Kimberly D. Kelley Exhibit B Homeowmens Dedaradou psge AR4 PROGRESSIVE A r*f ERjc,&.LN Lvq)wjRANC.F ('�()MpANV Agent; THE V45ITRAN(13 CONNE-C palkv Kulnkr. 99313 0)?UtSMAS HWY Of k�'P( 41�1r- 010 Plan lypm H04 KEY LkRoo'FL 1'303 7 Palicy 11weIA10A17, 6144!2923 k -q - Palle vs) Agent Code: 159794 dw, 0711411024 For PoHCyS&vk%Call, (MS)451-146)7 To 19C It Claim,C1111: 86(,-274-567' Named lowlvd., Efftefive boo of7his Transaction: 7/14!20.13 Activity of Tids rrausseflaw t4ew.swinefis Reddgntt Pre 'seas Covorap at thr rvsiecnw is provided only where a limit offabilty iq shown ore tXemana iy Atated Cuverages and Lluaib oftiability Umit Prftdum SECTION 1: C.Fwzsona'Property O,OgO 259.05 D.Lou of Utz %4,000 InjAwled SPICTiON III Pa.viial UjaWity-Each Occurrawx 45,00 LS ov'a'"Dab;e% ,F4cl 1,1,rru I PC "ON 'p F.-MeAcal PfLyments u, Other*-Eack 1'emon It a OTHERCOVEIRAGES'AND FNDORSEMENTS: (FA=d on tho folirro-ikg psp) DEDUC'FIBLES: $500 spegial.Mesta g": OTHEPCOV' RAG L rMYS A."EXCLIMIUN'S APPLY-RMFERTO YOUR POLICY FOR DETAXLS THIS POLICY DOES NOT UNCLUDE COVERAGE FOR FLOOD LOSSE& cpnpAn� OtI1000c pros dioat Secretary Coate wn�ig�ud'u,v'AuLhorj.lod St.Povmbvvs,,,`1 Date; 07/13,2023 PGR NOR FL DEC 12 3110 page 1 or I Named Igsiumd(N). Exhibit B PohQkV Number. PG"4059069 Other COveriges and Endon merits: For Number 11MIJ Premium Rdfflerg K(OtUon Policy POR ROR FL.10 11 Additional ifitesw Mk HOR A.INT 66 15 SjObole Loss Cover—Florida PGR HOR?L SIR D6 IS PC/constswKon Factor Windstorm r vs,Redibotion -133 14' Flced Brae Yra turn Aff?&iN Deductble 2-'0(p WWROM FUR DOR FL W!IE 06)5 -.32.90 HowaShicid-F Package POR PO R FL HSR 08 21 45A0 Paid in F%di Discount 1 5.08 14CE(i .16.10 Emej);emcy Z4.4nagenient edame Awstance Pet "AD Flanda In wf=e Guaranty Assozjauor Fee 1.36 selfedul,ml Items "escription Mahe Premium The flurricanc Coverag4 por s or your Vatal premium is: Non4lurricapke Coverage portion ot yout Total Premlonk ls° $198 Additionsl Interrat- Monk at Coluly I I W Simor-tcki S', Key Wast VL 33040 fntvtvet; Other spit4621 Conditions, PLFASF,READ YOUR POLICY DOCUMEIN fS C.kMFUMLY AS SPECM COMMONS AND APPLY. THESE INCLUDE AMONO OTHER& i.11.AfED LIABILITY FOR WKiERCRAFT AND REC11.9KTIONAL NTOK I,ES L.NO LIMMMY C01TRA5E FOR FRORMITED ANUMAM) Notes- page 1 of 2 Kk HO)t M DEC 12 19 ..................... Exhibit C AFFIDAVIT — MONROE COUNTY EMPLOYEE HOUSING RENTAL PROGRAM (Must be signed by all adults occupying the Rental Property.) Name of Person Signing: ) I, Sean Martin, state as follows: 1. 1 understand that the Property is a 1-bedroom house. By signing this Affidavit, I am attesting to the fact that I have 1 or more people occupying the Property. The persons who will be occupying this Property are the following: Name ❑Adult ❑ Minor <18yearsyold) _... .. �..� _ ...�._m� . �� Y... ). X Adult ❑ Minor(,<18 gears old ❑Adult ❑ Minor(<18_years or olds 0 Adult ❑ Min <18�rears olds ❑Adult 0 Minor(<18 years old) 0 Adult_yy y❑ Minor <18 years olds 2. All household members residing in the Property must fall into one of the following categories: spouses, domestic partners, roommates who choose to share a unit, dependent children and parents. By signing below, I am attesting to the fact that all household members residing in the Property fall into one or more of these categories. 3. 1 understand that monthly rent for this Property is set at$1,640.80. By entering into this Affidavit, I am attesting to the fact that the monthly rent is equal to 22.5% of the combined monthly income of all adult occupants at the time the Lease is executed. Signed: .. F.S. 68.082(Florida False Claims Act): Any person who knowingly makes or uses a false record or statement is liable to the state fora civil penalty of not less than$5,500 and not more than$11,000 and for treble the amount of damages the state sustains because of the act of the person. Monroe County Code Section 2-724: Any person who knowingly presents or causes to be presented to the county, or to any officer, employee, agent, or consultant of the county, a false or fraud claim for payment or approval shall be liable to the County for an amount equal to three times that part of the claim which is false, fraudulent, or inflated, in addition to attorneys'fees and other remedies. Exhibit C AFFIDAVIT— MONROE COUNTY EMPLOYEE HOUSING RENTAL PROGRAM (Must be signed by all adults occupying the Rental Property.) Name of Person Signing: Janice Fuller Rental Property Address: 41 Judy Place, Key Largo ("Property") I, Janice Fuller, state as follows: 1. 1 understand that the Property is a 1-bedroom house. By signing this Affidavit, I am attesting to the fact that I have 1 or more people occupying the Property. The persons who will be occupying this Property are the following: Name _.e.._ _ ❑Adult ❑ Minor <18 vears old X Adult ❑ Minor(<18 years old en„ � ❑Adult ❑ Mino r�<1�ears olds Adult ❑ Minor <98 ears< old -0 18 ears old .- ....... . Adult ❑ Minor.. Y..�._��... ❑Adult ❑ Minor(<18 years olds 2, All household members residing in the Property must fall into one of the following categories: spouses, domestic partners, roommates who choose to share a unit, dependent children and parents. By signing below, I am attesting to the fact that all household members residing in the Property fall into one or more of these categories. 3. 1 understand that monthly rent for this Property is set at$1,640.80. By entering into this Affidavit, I am attesting to the fact that the monthly rent is equal to 22.5%of the combined monthly income of all adult occupants at the time the Lease is executed. Signed: ,°" , � ) F.S. 68.082(Florida False Claims Act): Any person who knowingly makes or uses a false record or statement is liable to the state for a civil penalty of not less than$5,500 and not more than$11,000 and for treble the amount of damages the state sustains because of the act of the person. Monroe County Code Section 2-724: Any person who knowingly presents or causes to be presented to the county, or to any officer, employee, agent or consultant of the county, a false or fraud claim for payment or approval shall be liable to the County for an amount equal to three times that part of the claim which is false, fraudulent,or inflated, in addition to attorneys'fees and other remedies.