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2021-10-05 Ex 01 M E M O R A N D U M TO: Mayor Watford & City Council DATE: September 27, 2021 FROM: City Clerk Gamiotea SUBJECT: Planning Board-Board of Adjustments-Design Review Board Appointments As you are aware, Planning Board-Board of Adjustment-Design Review Board Regular Member Felix Granados resigned effective August 31, 2021. Following normal procedures, we advertised the vacancy on many media platforms and have received one application to date. Additionally, one of the current alternate members requested to be moved to the regular member position. Kindly consider the following action: Motion to move Mr. Joe Papasso from alternate to regular member and appoint Mr. David McAuley as a new alternate member to the Planning Board, Board of Adjustment, and Design Review Board, terms being October 6, 2021 through April 30, 2023. Mr. McAuley’s application is attached for your review, who is a City resident. Currently there is only one other board member who is a city resident, and three that own businesses within the City. Council can of course make appointments as they deem appropriate, the above motion is only a recommendation. Please call me with any questions. �ITY OF OKEECHOBEE 55 Southeast 3rd Avenue, Okeechobee, Florida 34974 Phone: (863) 763-3372 APPLtCAT10N FOR CtTY CITIZEN B4ARD/COMMtTTEE APPOINTMENT Please print or type all information. The information from this application will be us,sd��i � '� , Council when considering action on your appointment. The application MUST BE,�G@ �� FULL. Answer "None" "Not Appticable" or "NIA" where appropriate. -��;`"; � _... � v _, � CHECK THE BQARD(S) C1F tPITEREST TQ YtJU °�'���° r � L�'��� A COPY OF EACH BOARD'S DUTIES, MEETING DATES, AND TIMES ARE CHED �� �� � �"' k ���'� � �BIPlanning Board/Board of Adjustment & Appeals/Design Review Board � �� �'� � u I� O k e e c h o b e e U t i l i t y A u t h o r i t y B o a r d o f D i r e c t o r s �c�ey ReS�aents o��y> � e,'� � 1 ❑ Po lice O fficers' Pension, Fire f ig h ters' Pension, or Genera i Emp loyees' Re tiremen t Sys tem Boar d o � r`' (City Resident Trustee: ❑ OR Fifth Member Trustee: �� � ❑other: Type here or choose from drop down list APPLICANT'S FULL NAME: �„ � ,� S d n �'/� ��.. NAME COMMONLY USED: � �, pI RESIDENCE ADDRESS: ll02� S���f S� Q�,..c,. t ✓4-c -t y9�� HOW LONG AT ADDRESS: Years: �. % Is this in the City Limits? I$Yes ❑No MAILING ADDRESS: � � �s �/ �" ��,.f ,%� TELEpHONE/CELL: � 3 - �3 �— %.� .3 EMAIL: �i'�t �<d u/-c p� t��C C/`,5 1C c v h,/�C �'• Go �t ARE YOU A US CITIZEN? �Yes ❑ No, explain: FLORIDA REGISTERED VOTER? I�Yes County Registered in: �K-titi ��i i,�j �. �- ❑No Hiph Schooi Name(s) & Locati s Year Graduated EDUCATION: ��d,, t-r �t .,,Z'r �.t �/ � l� ff' y Q,�i O /v �- Coile e Name s Certificatei�e�; s Aw �eYn Date(�� end� /a�� POST SECONDARY EDUCATION: �� �$ ' � �� � � Branch(es) Dates of Service Discharqe Date(sl MILITARY SERVICE: GURRENT OR MOST RECEN7 EMPLOYER: �� rr� � G� `j �/ L,/" � I v� �. S JOB TITLE/DESCRIPTION: r.� �� ,.�s /�'f� y � � �- WORK ADDRESS: JC' nn %%%�, ,�1 qhn�� � �� � WORK TELEPHONE: %O- 3 �/� c Page 1 of 5 Last Name & First Initial /�'/ �t� �Y ,� � ARE YOU CURRENTLY EMPLOYED AS: ❑General Contractor ❑Business Person ❑Architect (CHECK ALL THAT APPLY) ❑Engineer ❑Sub-Contractor ❑Realtor ❑ Attorney p Doctor ❑ Surveyor ❑Lay Person ❑Urban Planner ❑Landscape Architect Have you ever been appointed to, or do you currently serve on, a citizen or community board for any other agency or government? �lo ❑ Yes*, and list: �lf you are currentiy serving on another Board that the State deems an `office," your applicafion cannof be considered. Each Soard will have to be reviewed and verifred. AGENCY BOARD NAME POSITION DATE(S1 Are you now, or have you ever been, elected or appointed to any public office? Q'�Vo �Yes, and list: LEVEL OF GOVERNMENT OFFICE TITLE DATE OF ELECTION TERM(S) Do you work with or have any association with a current member of the board/committee to which you are requesting appointment? �No ❑Yes, and list: NAME OF BOARD/COMMITTEE MEMBER(Sl RELATIONSHIP/ASSOCIATION Are you related to, or employed by, any City of Okeechobee emp{oyees or elected officials? �'No �Yes, and list: NAME UF EMPLOYEE/ELECTED OFFICIAL RELATIONSHIP/ASSOCIATION Have you ever been found to be in violation of Fiorida Statutes Chapter 112, Part III, Code of Ethics for Public Officers and Employees? 6�10 ❑Yes, and list: DATE(Sl NATURE OF VIOLATIQN Have you ever been convicted of a FELONY, plead guilty or no ontest, or entered into an agreement setting forth the terms leading to the reduction or dismissai of the charges? �o ❑Yes, and list: DATE S VIQLATIQN CITY AND STATE C ,2 Page 2 of 5 Last Name & First Initial � lT.� -� a � ALL INFORMATION PROVIDED ON THIS FORM IS A PUBLIC RECORD. Information for certain individuals with a specific public records exemption can be withheld. In order to claim the exemption, compiete the following: Are you a current or former, the spouse of a current or former, or the child of a current or former sworn or civilian law enforcement personnel, certified firefighter, EMT, paramedic, code enforcement officer, or other covered employee who is exempt from public records disciosure under Florida Statute 119.071? Review list of other covered employees before responding. �No ❑Yes, and list: JOB TITLE OR COVERED POSITION TITLE RELATIONSHIP Page 3 of 5 Last Name & First Describe any skills, experiences, interests and/or background information about yourself that would be helpful to the Board you wish to serve on. Include personai accomplishments that qualify you for the appointment. limore space is needed, please attach an additiona! page. THE FOLLOWING INFt�RMATION IS USED WIiHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, DISABILITY, OR MARITAL STATUS. HOWEVER, THE FEDERAL AND STATE GOVERNMENTS REQUIRE THE CITY TO PROVIDE STATISTICS ON THE NUMBER OF WOMEN, MINORITIES, VETERANS, AND DtSA6LEQ PERSC)NS THAT ARE APPCIINTEQ Tl� BOARQS. INFORMATION WILL HE USE� FQR STATtSTICAL PURPOSES ONLY AND HAVE NO BEARING ON YOUR APPOINTMENT: SEX: ETHNIC GROUP �MALE ❑ FEMALE �CAUCASIAN �BLRCK ❑SPANISH HERITAGE ❑NATIVE AMERICAN ❑ASIAN OR PACIFIC ISLANDER ❑OTHER (specify): CHECK ALL THAT APPLY: C) WARTIME PERIOD VETERAN ❑ DISABLED VETERAN ❑ VIETNAM VETERAN HANDICAPPED STATUS: [�(jV0 ❑YES, AND LIST THE HANDICAP: STATEMENT OF APPLICANT: I certify that the answers are true and complete to the best of my knowledge. i authorize investigation of all statements contained in this application. i hereby release ail companies, schoals, or persons from all liability for any damage for issuing this information. 1 understand that the City may request a copy of my driver's license. I have the right to request that the City completely and accurately disciose to me the contents of any investigation or reports upon request to the Office of the City Clerk, i further understand all information provided becomes a matter of public record. CERTIFICATION: i understand that falsification, omission, misleading statements, or misrepresentation is cause for rejection of this application. I understand that this application is a Public Record and is subject to the provisions of Florida Statutes Chapter 119. FINANCIAL DISCLOSURE REPORTING: 1 understand that should I be appointed to a City of Okeechabee citizen board I am required to complete and file a State of Florida Financiai Disclosure Form 1 upon my appointment, annually and a Financial Disclosure Form 1-Finat upon my resignation/sunset of term. PUBLIC RECORDS/OPEN MEETINGS LAWS: I understand and agree that should I be appointed to a citizen board/committee for the City of Okeechobee, I will comply with all State Statutes, Florida Administrative Code, and State Constitution regarding public records, recnrds retention, public record requests, and the open public meeting requirements. I hereby acknawledge that I have read and understand each of the above statements. Signature of Applicant: ��/ �. ���jt Date: 9' -Z�� �� 1, The City Code Book Sec. 70-151, 70-171, 70-1 91 70-21 1 read: ....membership of the board, where possible, shall consist of any of the following: architect, engineer, surveyor, urban planner, landscape architect, general contractor, realtor, business person, and lay persons." 2. Other covered jobs include current or former, their spouse, and children: correctional and correctional probation officers; juvenile probation officers, supervisors, detention superintendents and assistants; Department of Juvenile Justice: detention officers I and II, detention office supervisors, residential officers, residential officer supervisors I and II, counselors and supervisors, human services counselor administrators, senior human services counselor administratars, rehabilitation therapists, and social services counselors; certain personnel of: the Department of Children and Families; the Department of Health; the Departrnent of Financial Services; and the Department of Revenue or local governments whose responsibilities include revenue collection and enforcement or child support enforcement; investigators or inspectors of the Department of Business and Professional Regulation; the Office of the Inspector General or internal audit department; justices of the Supreme Court; judges of the district court of appeals, circuit court, and county court; general and special magistrates, judges of compensation claims, administrative law judges of the Divisions of Administrative Hearings, and child support enforcement hearing officers; state attorneys and assistants, statewide prosecutors and assistants; public defenders and assistants, criminal conflict and civil regional counsel and assistants; guardians ad litem; human resource, labor relations, or employee relations directors and assistants, managers or assistant managers of any local govemment agency or water management district whose duties include hiring and firing employees, labor contract negotiations, administration, or other personnel-related duties; tax collectors; certain impaired practitioners and consultants; [see � 119.071, Florida Statutes]. c Page 4 of 5 Last Name & First Initial� � PLEASE RETURN COMPLETED APPLICATION TO: CITY OF OKEECHOBEE OFFICE C?F THE CITY CLERK 55. SE 3.RD AVENUE, RQQM.IQQ OKEECHOBEE, FLORIDA 34974 C/TY CLERK'S OFFICE USE ONLY Boards Applicant is appofnted to: Verified State's consideration as an "Office": #1 #� #2 #2 #3 #3 APPOINTED TO: CITY COUNCIL INITIAL TERM NOTIFICATION RE-APPOINTED TERM RE-APPOINTMENT RESIGNEDffERM CERTIFICATE OF MEETING: DATES: SENT: DATES: NOTIFICATION SENT: SUNSET: APPREC�ATION PRESENTED: � .z� � s,` � ,i, T F Page 5 of fi Last Name & First Initiat �� a�Y �_