Are -yo~ .~mp{o~/ed by a; b4sineps that is. loQated within th~ Ci[y of:Fort ·PierQ.~: . -'£~b:::....· ------,...-----, lf'i:'.e~1 stat(:ilhe blJsines;~: arid focatioft: --::-------'--------=-------=-----
on Y.d.t;l.b];l~ $p:~c.t~J tr~lning pr l$.nowte.d~e .in the a·r~a qf. Arcpife~re . -. Engineering Re~I Estat~ Brokeliqg -::-:-~= ¢qntra-ctli:J~ L~nd.D$Y~Iopment X .Other: . (;O.n1?.!Zf1l.EiOSjl)e fLllli/S.
DesGrib~:YO.llr .edu~ation, b·a~gerq_ynd,. training, ·ar.Yd ~nowledg:e in tnB: abov.e·.Frrea's; . , . SEE 11f(llc -He.o. R./!.'3't{/he; 7 f/t.fi Rs t:fflv'{) us£ fA-f!lfJ»:r,u& j G *_11:'~8· £fJ1el. b.lf'!.k. v 1!16N r f?l!lrJr!lif.4!i5
Emergency Management Expertise: State Disaster Response Contractor DSl Group, LLC Jan uary 2010 to February 2011 /July 2012 to current
State Public Assist.1nce Coordinator St. Lucie County for f-lmricane Isaac and Pasco County for Tropical Stonn Debby Public Assistance Team Lead / Closeout Specialist for Palm Beach County Te.1m
Federal Emergency Man<lgement Agency (FEi\IA) Disaster Response Contractor URS Corporation January 2006 to January 2Ul0 / J\lay 2011 to March 2012 • Communication Lead/Specialist in New Orleans, Louisiana for I lunicanes I~atrina, Rita, Gustav and Ike
Closeout Specialist in Bay, 1-l olmes, Franklin, Palm Beach, St. Lucie and l3roward Counties, Florida Team Lead, Orleans Parish Technical Assistance, New Orleans Oftice of Homeland Security to assist in the creation of the City Assisted Evacuation Plan (CAEP)
• Deputy Team Lead fur the Long-term Community Recovery (ESF-14) Plan for Oberlin, Louisiana
Planning ;md Land Use Expertise: WilsonMiller, Development Planni11g, Tampa, Florida Planner January 2004 to January 2006
Large Scale Comp1:ebensive Plan Amendments: Responsible for data collection, analysis, application completion, submittal and iollow through fm parcels ranging in size from 200 acres to I ,000 acres.
• Development of Regional Impact (DRI): Notice of Proposed Change (NO PC) applications, including buildout date extensions and Master Planned U nit Development (NIPUD) applications rcl(UCsting specific approval. Day to day management, including calculations of potencial/ available entitlements. Affordable !lousing Studies: Based on East Coast Regional Planning Council methodology and Florida Statutes, assessing the Supply and Demand created by the commercial component of the ORis.
URS Corporation, Tampa, Plocida Planner/Project Manager .May 2002 to January 2004
South County Community Redevelopment Area (CRA) Plan: Project Planner responsible for data collection, strategy development, and publ.ic involvement activities for inner-city redevelopment. North Manatee/Palmetto Enterprise Zone Urban lntilJ and Redevelopment Area (UIRA) Plan: Identified strategies for physical improyemcnts to complement economic and social advances. Imagine J\.fanatec: Data collection and public involvement for a 50-year co untywide visioning plan. Tampa Bay \V'atcr: Project Planner for land use planning services, including the review of all rczunings and land nsc changes within a specific t\rea of Interest. Plorida Department of Transportation: Project Planner responsible for data collection and analysis for the viabilitr of a public truck stop/rest :trea located on a major interstate. Eminent Domain: Evaluated comparable sales for the highest and best usc.
Pasco County, Board of County Commissioners, Growth 1\lanagement/Zoning Department Planner II/Interim Senior Planner 1\pril 200 I to i\hy 2002
Prepared and reviewed Bi-annual Amendments, Small Scale Development Amendments, Future Land Usc 1'vfap Amendments, Amendments tn the Comprehensive Plan, and DR l Comprehensive Pbn Amendments using Florida Statutes. Reviewed Cultural Resource Assessments to determine the impact of development projects on archeological recourses. Staff Liaison to the Citizen's 1\dvisory Committee and Historical Preservation Committee.
C1;1nzi, Erica Page 2 of2
Project Coordinator for revision of the Telecommunication Ordinance. • Gnmt \'(,'riter, Historic Preservation Grant: Prepared and defended the need for this grant before the
Florida I listoric Preservation Committee.
City of Pensacola, Planning and Neighborhood Development, Neighborhood Enhancement Team Extra Personnel Services (Grant Funded Position) t\pril 2000 to March 2001
Urban Infill and Redevelopment 1\rea (UIRA) Grant: Prepared a successful gnult application to fund various neighborhood redevelopment projects.
• \\Iced & Seed Pederal Grant: Preparation of a successful grant application with assistance from Federal, State, and local Ia\\' en~c>rccmcnt officials.
• University of \\.'est Florida- Conummit~· Outreach Partnership Center: gather and analyze economic, demographic, and market data used to support various other organizations. Conum111ity Development Block Gmnt (CDTIG): development and analysis of data to support the distribution of CDBG funds for pedestrian improvements. Front Porch Florida: Assisted neighborhood residents in the organization, writing, and presentation of data.
Education: Master of Public Administration, University of \Vest Florida, December 1999 U.S., Business Administration, i\Iarketing, University of \Vest Florida, i'VIay 1997 Certificate nf Further Study, European Union, University of lJlm, Germany, summer 1 9!)7 A.A., Business Administration, Indian River State (formerly Community) College, 1995
Memberships: American Planning Associadon, AICP, Certified Planner City of Ft. Pierce Parks and Recreation Committee 2012, Chairman Plorida Vlanning and Zoning Association, Suncoast Chapter, Past President Pasco Economic Development Council, Past i\·Iember Bar Area Le1,ral Services, Pa~t Steering Committee Member Alpha Gamma Delta \\/omen's Pmternity, l'Vlember
Do ;ou now or. in th~ future plan to do busi.ness.·with.the ci~ of Fort Pier~e? /IJD tfyes, .. in.whatcapaclty? _____ ~---------=---------,...---...
Are ·you employed by a bl(sineis that is located ~ithi~- the ·city of Fo.rf Pierce1. /1//)f If yes, state the business an<l · 1oca~iqi): · ?leAk. ~ ee fl-hatJ--e · ' . .
. . Oo y~u have ~peolal training or knowledge in the area of!·. · · Arch~teoture __ Enf$f neeri ng Real Estate ·sroketi ng _,_,;,__
· · .Contracting __ ... land Oeveioprnent ~ Other areas:-·----.,...---
· ' Oesoribe your educatl9n·, baokgrou~qr~~rainlng and·k~~wiedge .. in !\1~ abov~·areas. . b (Z,A-OUA-!ZF . [)~ c/o(rd{t:t CI-I~P? f,;;_ V/'2/1/ec;/h . V"JE~ck. lo;_( .
. .. :T.-- 23e>>r-j€>:( Ac((/trr?ri~rq-/:-/~:-, ~ :L(/)•6,;:, aAf-. ~~~~<q(~~. Haveyoueverbeen.convictedofacdme? _Ye$ No .~ lfyes1 what.lsfuenature of the crlme(s) you were convicted of: --~--~---___;;...._ ___ _
FORT PIERCE, FLORIDA 34950 (772) 467-3000 FAX (772) 467-3841
APPLICATION FOR APPOINTMENT/REAPPOINTMENT
JAN 3 I 2014
• PIERCE, FA.
Choose Board from drop-down list: L.l P_ra_n_n_in...;g;..B_o_a_rd __________________ _.
Name: Steven M. Weaver, Sr. I Home Phone: 772-344-7100
Home Address: 1615 Thumb Point Drive, Fort Pierce, FL 34949
Are you a citizen of the United States? liZI Yes DNo
Occupation: General Contractor , Real Estate Sales Person
Do you own a business that operates within the City of Fort Pierce? liZI Yes DNo If yes, list the address and nature of said business:
RealTime Property & Development Services, Inc. 1615 Thumb Point Drive, Fort Pierce, FL 34949 General Contracting, Construction Management, Land Development
Do you now or in the future plan to do business with the City of Fort Pierce? DYes liZI No If yes, in what capacity?
Are you employed by a business that is located within the City of Fort Pierce? liZI Yes DNo If yes, state the business and location:
RealTime Property & Development Services, Inc.; 1615 Thumb Point Drive, Fort Pierce, FL 34949 and Coldwell Banker Hoyt C. Murphy Realtors; 411 S. US 1, Fort Pierce, FL 34950
Do you have special training or knowledge in the area of: · ·
Contracting: liZI Yes DNa land Development: Jill Ye.s DNo Other:!
Describe your education, background, training and knowledge in the above area(s):
Florida Unlimited General Contracting License; Florida Real Estate License; 30 years experience in Construction, Real Estate, & Land Development; skilled at interpreting Building & Zoning Codes, Land Use Regulations, Architectural & Engineering Drawings, Plans, & Specifications.
Are you currently a member of a Commission-appointed board/committee? liZI Yes DNo If yes, please specify:
Planning Board
Have you ever been convicted of a crime? DYes liZI No If yes, what was the nature of the crime(s) you were convicted of:
Date: 1/30/14 !.Referred by: Commissioner Rufus Alexander
.... d~~ ~- ; /go//'1 " Please return form to: clt; Clerk's Office -100 North US Hwy 1, Fort Pierce, Florida 34950
Are you a citizen of the United States? Ill Yes DNo
Occupation: Teacher in the School System of St. Lucie County for 33 years
Do you own a business that operates within the City of Fort Pierce? DYes Ill No If yes, list the address and nature of said business:
Do you now or in the future plan to do business with the City of Fort Pierce? DYes fll No If yes, in what capacity?
··~I ..
. ,
Are you employed by a business that is located within the City of Fort Pierce? fll Yes DNo If yes, state the business and location:
School System
Do you have special training or knowledge in the area of:
Architecture: D Yes DNo Engineering: DYes D No Real Estate Brokering: DYes DNo
Contracting: 0 Yes DNo Land Development: 0 Yes 0 No Other:l
Describe your education, background, training and knowledge in the above area(s): Current member of Planning Board - Vice-Chairman. Past member of Community Wide Council. Past City Commissioner of Fort Pierce, 1988-1996. I hold a BA degree in political science.
Are you currently a member of a Commission-appointed board/committee? Ill Yes ONo If yes, please specify:
Planning Board ,•, ., .,
I,
Have you ever been convicted of a crime? 0 Yes fll No If yes, what was the nature of the crime(s) you were convicted of:
·Date: 1/28/13 I Referred by:
Please return form to: City Clerk's Office -100 North US Hwy 1, Fort Pierce, Florida 34950 or via email at [email protected]
CI1Y OF F CRT PIERCE 1 00 NORTH US HWY 1
FORT PIE.:RCE, FLORIDA 34950 (772) 467·3000 FAX (772) 467·3841
APPLICATION FOR APPOINTMENT REAPPOINTMENT Choo&e Board from drop-down list: LP~Ia:.:n.::.n:.:;.in.:.;g:..;B;.;o;.;,a;..rd;._ ________________ _.. .....
Name: Kimberty Step I Home Phone: 772-466-8506
Home Address: 111 Hialeah Ave Eort Pierce Flordia 34982
Are you a citi:zen ofthe United States? ~Yes DNo
Occupation: TmnsportatiOJ'I/~erty care
Do you own a business that operates within the City of Fort Pierce? DYes ~No
If yes, list the address and nature of said business:
Do you now or in the future plan to do business with the City of Fort Pierce'? DYes ~No
If yes, 111 what capacity?
Are you employed by a business that is loc:ated within the City of Fort Pierce? DYes ~No If yes, state the business and location:
Oo you have special training or knowledge in the area of:
Architecture: 0 Yes DNo Engineering: 0 Yes ONo Real Estate Brokerlng: 1!'1 Yes DNo Contracting: ~Yes DNo land Development: DYes DNo othed building in$pector/residential
Describe your education, b<~.;:kground, training and knowledge in the above area(s}:
Are you currently a member of a Commission-appointed board/committee? ~Yes DNo If yes, please specify:
Planning and Zoning
Have you ever been convicted of a crime? DYes i!l No If yes, what was the nat1.1re of the crime(s) you were convicted of:
Ccv?'J/n ~·55/ o ·) P r.;; Date: /I.; J) /:Zc11 f/ j Referred by;. ~5 1'&1 S H<i t\ n {)._ . ~A; /-hi
I i' i)/e.· 4./~ .J( r.r /7/- .· ·'· X rl 1 53~:-1 c:. 1. ;rlt2_/6 ,...
Please return form to: City Clerk's Office -100 Norttt US Hwy 1, Fort Pierce, Florida 34950 or via email at [email protected] ·
CITY OF FORT PIERCE 1 00 NORTH US HWY 1
FORT PIERCE, FLORIDA 34950 (772) 467-3000 FAX (772) 467-3841
APPLICATION FOR APPOINTMENT REAPPOINTMENT Choose Board from drop-down list: Planning Board
~--~~---------------------------------------
Name: Eloise Cumings I Home Phone: 7724678885
Home Address: 1320 Bayshore Drive, Fort Pierce, FL 34949
Are you a citizen of the United States? ~Yes D No
Occupation: Real Estate Agent
Do you own a business that operates within the City of Fort Pierce? DYes ~No If yes, list the address and nature of said business:
Do you now or in the future plan to do business with the City of Fort Pierce? DYes ~No If yes, in what capacity?
Are you employed by a business that is located within the City of Fort Pierce? ~Yes D No
If yes, state the business and location:
ABC Realty, 946 Seaway Drive, Fort Pierce, FL 34949
Do you have special training or knowledge in the area of:
Architecture: DYes D No Engineering: DYes D No Real Estate Brokering: ~ Yes
Contracting: D Yes . D No Land Development: DYes DNa Other:l
Describe your education, background, training and knowledge in the above area(s):
I have my Realtor license, I work for a Real Estate Agency
Are you currently a member of a Commission-appointed board/committee? ~Yes D No If yes, please specify:
Planning Board
Have you ever been convicted of a crime? DYes ~No If yes, what was the nature of the crime(s) you were convicted of:
Date: 1/16/14 j Referred by:
Please return form to: City Clerk's Office -100 North US Hwy 1, Fort Pierce, Florida 34950 or via email at [email protected]
D No
CITY OF FORT PIERCE 1 00 NORTH US HWY 1
FORT PIERCE, FLORIDA 34950 (772) 467-3000 FAX (772) 467-3841
APPLICATION FOR APPOINTMENT/REAPPOINTMENT Choose Board from drop-down list: L.l P_l_an_n_in...;g;..B_o_a_rd __________________ _.
Name: Phyllis Castro I Home Phone: 772-240-1785
Home Address: 3405 Delaware Avenue, Fort Pierce, Florida 34947
Are you a citizen of the United States? lil1 Yes DNo
Occupation: Accounting Manager
Do you own a business that operates within the City of Fort Pierce? DYes lil1 No If yes, list the address and nature of said business:
Do you now or in the future plan to do business with the City of Fort Pierce? DYes fll No If yes, in what capacity?
Are you employed by a business that is located within the City of Fort Pierce? DYes fll No If yes, state the business and location:
' Do you have special training or knowledge in the area of:
Architecture: DYes fll No Engineering: DYes fll No Real Estate Brokering: DYes fll No
Contracting: DYes liZ! No Land Development: DYes fll No Other:l Accounting
Describe your education, background, training and knowledge in the above area(s):
Bachelors in Business - major in Accounting, former auditor with Deloitte & Touche- I specialized in governmental and not for profit accounting. Passed the real estate exam in the State of Hawaii.
Are you currently a member of a Commission-appointed board/committee? lil1 Yes DNo If yes, please specify:
Currently a member of the Planning Board
Have you ever been convicted of a crime? DYes fll No If yes, what was the nature of the crime(s) you were convicted of:
Date: 1/15/13 I Referred by: In prior year by Commissioners Becht and Perona
Please return form to: City Clerk's Office -100 North US Hwy 1, Fort Pierce, Florida 34950 or via email at [email protected]
APPLICATION FOR APPOINTMENT REAPPOINTMENT Choose Boatd from drop-down list: Planning Board
w---~------------------------------------~ N3me: Marcia Baker J Home Phone: (772)465-3718
Home Address: 1753 Seaway Drive Ft Pierce, Fl. 34949
Are you a citizen of the United States? Ill v~s DNo
Occupation: Insurance agent
Do you own a business that operates within the City of Fort Pierce? t;i1Yes ONo If ves, list the address and nature of said business;
Detached Insurance Sales Home Offioo 1753 Seaway Orive Business Tax Paid
Do you now or in the future plan to do business with the Oty of Fort Pierce? DYes lll No If yes, in what capacity?
Are you employed by a business that is located within the City of Fott Pierce? ~Yes DNo If ye'J, state tho business and location:
Rains Insurance 204 N 2nd St
.. Do you have special training or knowledge in the are:!a of:
Architecture; 0 Yes Ill No IZ1 No Real Estate Brokering; ill Yes DNo Engineering: 0 Yes Contracting; 0 Ves 1{.) No Land Development; Ill Yes ONo Otner:IAppraising a~d Property lnsurii Describe your education, background, training and knowledge in the above are;;~(s):
licensad and practicing as a real estate broker. developer and appraiser for 40 years ( 1945~1985) Licensed and practicing as a property insurance agent 1990-to current date
Are you currently a member cf a Comrnission·appointed board/committee ( Ill Yes ONo If yes, please specify:
Planning board member
-··· Have vou ever been convicted of a crime? DYes ~No
If yes, what was the nature of the crime(s) you were convicted of:
Date: 1/15/14 j Referred by: Planning Staff -·
Plea$e return form to: City Clerk' !I Office -100 North US Hwy 1, Fort Pletce, Flofldil 34950 or via email at [email protected]
CITY OF FORT PIERCE 1 00 NORTH US HWY 1
FORT PIERCE, F"LORIDA 34950 (772) 467·3000 FAX (772) 467·3841
APPLICATION FOR APPOINTMENT!LREAPPOINTMENT r;:;:.o;::.u::,."\;:'!~i:=.t-:~=·r.:~=-~r.-,,___. __ ..__ =>'~1.~.!.~~~..£:.-:'".c!"-~~.!it'~-,..,;•"!..::=--::~.4iio'l"":".~;-:""~:=:r,">:.::t'~."'::.\"i':::.:=".!:J
Home Address: 1112 Pine Avenue Fort Pierce, Florida, 34982
Are: you a citizen oft he United States? Ill Yes DNa
Occupation: Engineering Construction Inspector (currently retired)
Do you own a busihess that operates within the City of Fort Pierce? DYes Ill No If yes, listthe .address and nature of said business:
Do you now or ih the future plan to do business with the City of Fort Pierce? DYes .liZ! No If yes, in what capacity?
Are you employed by a business that is located within the City of Fort Pierce? DYes Ill No If yes, state the business and location:
t
Do. you have special training or knowledge in the area of:
Architecture: DYes DNo Engineering: Ill Yes DNa Real Estate Brokering: 0 Yes DNo
Contracting: DYes DNa land Development: DYes DNa Other:l Describe your education, background, training and knowledge in the above area(s):
Worked (over 25 years in government employment) as an Engineering Construction lnspectorfor N.Y. State DOT, Port Authority of NY & NJ, ahd Florida Dept. ofTransportation. I possess a B.S. Degree and passed part A of Professional Engineer's exam. I am a Certified Construction Testing Technician by NICET and ACI. I have
Are you currently a member of a Commission-appointed board/committee? DYes ~No If yes; please spetify:
Have you ever been convicted of a crime? DYes liZ! No If yes, what was the nature of the crime(s) you were convicted of:
~,;,,a__ ;kv.,~ Date: January 31, 2014 I Referred by: available upon request
Please return form to: City Clerk's Office-100 North US Hwy 1, Fort Pierce, Florida 34950 or via email at [email protected]
CITY OF FORT PIERCE 1 00 NORTH US HWY 1
FORT PIERCE, FLORIDA 34950 (772) 467-3000 FAX (772) 467-3841
APPLICATION FOR APPOINTMENT/REAPPOINTMENT Choose Board from drop-down list: ... I P_l_an_n_i_nE_~-~-oa_r_:~---------------------'
Name: Irene A. Szedlmayer I Home Phone: 956-854-5236
Home Address: 713 Easter Avenue, Fort Pierce, FL 34950
Are you a citizen of the United States? lill Yes DNo
Occupation: urban planner (unemployed); formerly practiced law
Do you own a business that operates within the City of Fort Pierce? DYes lill No If yes, list the address and nature of said business:
Do you now or in the future plan to do business with the City of Fort Pierce? DYes lill No If yes, in what capacity?
Are you employed by a business that is located within the City of Fort Pierce? DYes lill No If yes, state the business and location:
Do you have special training or knowledge in the area of:
Architecture: D Yes DNo Engineering: DYes DNo Real Estate Brokering: DYes DNo
Contracting: DYes D No Land Development: lill Yes DNo Other:l
Describe your education, background, training and knowledge in the above area(s):
I have a Master degree in urban and regional planning, 6 years professional planning experience and a passion for the impact land use decisions have on current and future community prosperity, quality of life, and quality of the built environment. I am familiar with land development regulations and Comprehensive Plans.
Are you currently a member of a Commission-appointed board/committee? DYes liZI No If yes, please specify:
I have also submitted applications expressing interest in the Community-wide Council, the Keep Fort Pierce Beautiful Committee and the Board of Adjustment.
Have you ever been convicted of a crime? DYes lill No If yes, what was the nature of the crime(s) you were convicted of:
Date: 1/31/14 I Referred by: self, Darryl Bey
Please return form to: City Clerk's Office- 100 North US Hwy 1, Fort Pierce, Florida 34950 or via email at [email protected]
CITY OF FORT PIERCE 100 NORTH US HWY 1
FORT PIERCE, FLORIDA 34950 (772) 467-3000 FAX (772) 467-3841
APPLICATION FOR APPOINTMENT/REAPPOINTMENT Choose Board from drop-down list: I Choose an item::U;J N f)) ;Jc; /)o/1!21)
Name: {!_;1 A f'_L~ S !-I A v1 £ /(.~ I Home Phone: /7 L (& /- J7fo Home Address: /7 0 J biiLF~ftffJff\ Av £ £7// N rz-r f; E'f-cZ ;::'L :31/IJt/9 Are you a citizen ofthe United States? ~Yes ONo
Occupation: Ck-).} fit!J (__ (} oJJTfl!J c~~L Do you own a business that operates within the City of Fort Pierce? AYes DNa
If yes, list the address and nature of said business: 17 0 I 6vU L,:: s 1U/) If) /J I£ t~'! /I
f' r. fJJ '€'rtLi) ['L 3 V1'-l q c._ 0 pJ <:;'11!JA C:T) v ;J
Do you now or in the future plan to do business with the City of Fort Pierce? 0 Yes _A(No If yes, in what capacity?
Are you employed by a business that is located within the City of Fort Pierce? )?Yes DNo If yes, state the business and location:
"'7;£'£' fJ61J -vt HCwf J( k'- Co IJ <;'/f!M c 77 o r!
Do you have special training or knowledge in the area of:
Architecture: 0 Yes DNo Engineering: 0 Yes DNo Real Estate Brokering: Q(ves Contracti ng:JKJ Yes DNo Land Development: DYes DNo Other:! Describe your education, background, training and knowledge in the above area(s): 11J,Os7'£' L % 5 C;'lt J,.i CJ(. /l?l(fo /L /L£/J(, ;;;-')!P;r //JS/fli>:l:6~t/
->&/f'm:fZ_tO t .-.tJo,~'Tll(JC/ML t/o .J. (~ s '1-.~/Jt.. r~7/J,l! A~i:;JI L/6..;. 11/Ls·
Are you currently· a member of a Commission-a~pointed board/committee? _,{fYes DNo If yes, please specify:
;-/; ~Jt:J/U ( fl L 6 oPt-!J )1/TI fUJ ;(T/~
Have you ever been convicted of a crime? DYes ~o If yes, what was the nature of the crime(s) you were convicted of:
Date: /- J- /- J LJ I Referred by:
Please return form to: City Clerk's Office -100 North US Hwy 1, Fort Pierce, Florida 34950 or via email at [email protected]
Address: .5 :Z .3 h e.v-01--VJD 0-r g=DFt ~~) .n Zip Code:
o'ccup~tion: A rc~·1(f.eu r Are you' a citizen of t~e United Statesi ~ Do you own a business that operates withf~ the .City of ~ort Pie;ce? -:--. ---+14=+-J)~---If yes, list the address, and nature of-said business: -------:------
Do you now or. in the future plan to do business with the Clty of Fort Pie~~e? liD_ If yes, In what capacity? ______ ·· _______ ...;,.,_, _______ _
Are you employed by a business that is located within the City of Fort Pierce? No If yes, state the business and locatl~~: ---------------
. Do y~u have special training or knowledge In the area of: . Arohiteotura X Engineering Real Estate Brokering __ _ Contracting .. Land Oeveiopment ....:__ Other areas: ---..-----
. . ~ ,
Have you ever been convicted of a crime? Yes __ No X If yes, what is the nature of the crlme(s) you were convioted of: ____________ ___;,.. ____ _
. /') .AI t:c.Tf!l-\e_ ~~~Lc_A. UC~' Occupation: l<c.......,u '"" 1 Are you a citizen of the United States?~':::>
Do you own a busiriess that oper~tes within the .City of Fort Pierce? -......,.o..,-tu_o ____ _ If yes, list the address, and nature of said busi'ness: -~-----------
Do you now or in the future plan to do business with the City of Fort Pierce? ~o If yes, in what capacity? ______ · ________ __;_ _________ _
Are ·you employed by a business that is located within the City of Fort Pierce? fJo If yes, state the business and location:------------------
Do you have special training or knowledge in the area of: Architecture Engineering Real Estate Brokering _z.;.x_· __ Contracting X .. land Development L._ Other areas: ______ _
Describe your education, background, training and knowledge in the above areas. C (LoA'i'(;W vQN'O NJ,~>-.JA e,.l() ;35 el\.~m--J c.lfJ ~ S T/Ay\-
Have you ever been convicted of a crime? Yes ___ No X If yes, what is the nature of the crlme(s) you were convicted of: ______ .;.__ _________ _
Do you own a business that operates within the City of Fort Pierce? . · J G
If yes, list the address, and nature of said business:-------~-----
Do you now or in the future plan to do business with the City of Fort Pierce? ·l\)o If yes,
in what capacity?-------------------------
Are you employed oy a business that is located within the City of Fort Pierce? yc2 5 If yes, state the business and location: !II!) !-G.-.. If u r h t C.&-LJJ W&-vC 13 0vn IL ~v ) l ~o.--u f h t/t .. L-FC./(t [..1)_ 5 o-?V Js ~ Yl- M. __ ,r ;:: 1--. '/tree
Do you have special training or knowledge in the area of: Architecture Engineering~ ----: - Real Estate-Brokering Contracting __ Land Development __ Other areas: ______ _
Describe your education, background, training and knowledge in the above areas. [; c, e.-i2 s Gn j?t&n/;? 14-- Re--&--1/h 1'(__
> .
Have you ever been convict?d of a crime? Yes ___ No / If yes, ~hat is the nature
of the crime(s) you were convictf?d of:---------------------:-
Are you a citizen ?f the United States? 1'1 ° . -- Do you own a business that operates within the City of fort Piqrce? . ~~ ,~ :3 . - _. ..
If yes, list the add res , and nature of-s d business: f:'r o Y\+ \\ n (l., F <1 1 1:\: J s 1 1 n c ~ 3 b 'S< 7-r"- _ . - .{/.,'_ • . t)y-Q.._-. rL J'f~)~ . I
. .. .. . - ..
Do you now or. in th~uture plan to do business with the_ Ci~ .o-f Fo~ Pierce? '1 e) If yes, fn_what~paoity? ..!.- e_'-\V\. tt~· frD~~<£'0~\vv.r•·--)1 bud-:~-~ ht-tsine'>5
Are you employed b~ a- b~siness th~t is located wi~in the City of. -~ort Pi~rce? ~ _ e > ltyes, state the bus~~locl!tiQ~: r~~"''l-1' '"':~ ~ :JS, .lJ I L"'- . ·]09 s. 7-rt-'~1 r·.f. ru:-~; f:L. 3Lf'S0' .: -_ . Oo y~u have special training or knowiedge tn the area of:- .
~- Architecture . Engineerin~ Rea_! Estate.Brokl7ing __ _ _ Contracting .. Land Development....:....__ Other areas: _v;__---~--
. . .. ..
Have you ever been convrcted of a crime? Yes No ___ of the crime(s) you were convicted of:--~--......;...------..:..-----
I
--~-· .Oat~: I L f' /; # - Signature · · :·: · .......
Contractinr. l and Development Other areas: EnvironmentaJl ·science ·
Q(;Scribc your education, background. tr<1ining and knrJwledge in the a:Jove -area~ Retired Instructor - Indian River State College Arts & Sc~ence Dept. :R~tifed · superint.Efooent of Safety & Aquatics -- st.· Lucie count.v--·
•oo_,."_ ~-()(~ ••-~~'4~\.Q. S:"L . ·~--Occupation: _3.,~~~5:... ..... _ .... ,.,......,_~·-·-- Are you a cittzen_O.f the llnite.d
Do you own a business that operates within the Ci-ty of Fort Pierce?~.....--~------··-" lf yes, list the ad dross. and nature of said business: ·--.:~"""""'""'"~~-............... ~.........;----·--·-
APPLICATION FOR APPOINTMENTlREAPPOINTM·ENtY:l:::;,~,_. ?1 """'"'; "") ·.. Board .. ,.,""-
.Phone: 5G,l -(o'<33- 8£ 8 2
Address: ~:' 0-<a..(je.. A-J.e.... } u"': t Zo 2.
\ o~ t r~ cz.." c.iL ) ~ L. 3 4 ~SO . Zip Code: d +-9 50
O.ccup~tion: c..\~~\ (L_V\.j\ V\<L~-c ~ '\L--\-~'\~Areyou· a citi~en ~ftlie United Statesi~S
Do you own a business that operates within the City of Fort Pierce?_..:.,.\;lArf-----lf yes, list the address, and nature of-said business: __ · ______ · ·_· ----
Do you now or. in the future plan to do business with the City of Fort Pie~ce? No If yes,
in what capacity?-----------------------
Are ·you employed by a business that is located within the. C1ty of Fort Pierce? No U yes, state the business and tocatiq~: ----------------
. Do y~u have spectal training o.r knowledge in t~e area of: . Architecture Engineering X. Real Estate Brokerlng __ _ Contracting . Land Deveiopment ....:___ Other areas:---~--
• • 9 ~
Oe.scribe your education, background,· ~raining and knowledge in the above· area$. • 'PlCLa5a.. :sa-a... a\-\- .a c1. Lb.. ~fL s u VV\.L. · I I
Have you ever been convicted of a crime? Yes _ __...._.· No ·-.:""'X.___ If yes, what is the nature of the crlme(s) you were convicted of:--------· _. ----~----
