06-28-21 Speaker FormsWELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM//
Date: / � 2- Name: L
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local business
are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address: 17 �2� �2� City: l �%AVT� Q�121r4 �-
Phone No.: t' -ZZ- �E-mail
(..rAJT/�j6(2 1,AjM. (,
PLEASE CHECK ALL THAT APPLY: (OPTIONAL)
❑ Atlantic Beach Resident ❑ Atlantic Beach Property Owner ❑ Atlantic Beach Business Owner
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
wish to address the Commission during Courtesy of the Floor on:
Agenda Item No.
a4or
❑ Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
U
WELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic proces!
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Pmcfuce active listening.
Euprress yourself assertively, not aggressively, not submissively.
C®ftborate, do not compete or collude.
Troost each other, unless and until such trust is violated.
* * * i iri: >4 # t, i f:'.:'.c'..•5': is is h5': t. � itir54 irst54ici: is irir'ric5t:';ir � 3: t': � is is 54 i:'.:ir it it �i::4'c *i: is it5': � isis ic';��s: c:: � iF:: t. it �is ;:'s:: •kir'.: Yr',r'.; it i:'.r irir'.::':'� � t. l: i::r � 54',:'.::`ic:': is 54':'.: it is is is t. •.'; is is ict. itis ;
SPEAKER REQUEST FORM
®ate: (Dame: �A �k
(Please Notre: ForMa has a venj broad IPubflc Records Low. Most vurri4tcern and rrecorrdlec
communications tic or from State and Local) Offfocoals and agenciles regarding Vats orf Lo(caP busonev
are p ubIlic rrecovds av0W9 to the pna bft and media upon rrequasit.
IPROr/0NG YOUR CONTACT WIFORNgATpO`9 BELOIA& (IS OIPTIOMAL.-
Address:
Phone No.: E-mail:
PLEASE CHECK ALL THAT APPLY- (OP T IONAL)
City:
c Beach Resident Nt Atlantic Beach Property Owner ❑ Atlantic Beach Business Owner
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
I wish to address the Commission during Courtesy of the Moor on:
❑ Aganda Rem No.
and/or
❑ Topic not on the agenda,
❑ I wish to address the Commission during the Pubflc Hearing for Agenda Rem No.
❑ I am in support of the alcove agendas item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but i am gpposed to agenda item
WELCOME -
Yo the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports malting the best decisions for the citizens who we are here
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Reffrraln from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
i racVice active listening.
Express yourself assertively, not aggressively, not submissively.
CoIOa borate, do not compete or collude.
Trust each other, unless and until such trust is violated.
* �r>Y': irt. is i; A::: t.',::r'.: is irk ti: t � �r:4>kit>F*hice: iricir�c:'r>Y is � ti::: * is is a ie?;>Y irir � i::Y it 1: >': is ir>Y � is t ir':.->Y'.r is �>Yir t, it � :: is irk :::` ir'--: Yc'.r i; ir'.-fc is ic'.:::'.: irt.:': i::c � ir'.:::>`. ir:Y is ir': is itis Y: i:•t i i:': is t, itis ;
®ate: 6/Z 8 / Z
SPEAKER REQUEST FORM
Name: a k L� C r— A7 n% 0 P S
Pease Notre: FarrMa has a venj broad Pubft Records Low. Pu9ast verritten and rrecorrdec
communicafions to or from Bute and Loccai OgfficWs and agencies regarding State air Locall businesm
Sarre pubflc records avaftWe to the pubft and media upon requast.
PROVVNG YOUR CO TACT i( FORMATA OH BELOVrV iS O PTi ICi AL.
Address:
Phone No.:
E-mail:
City:
PLEASE CHECK ALL THAT APPLY. (OP u TONAL)
la'Atlantic Beach Resident La' Atlantic Beach Property Owner 0 Atlantic Beach Business Owner
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
Aish to address the Commission during Courtesy of the Foor on:
PZ /agenda Rem No. 9 1_�Z & 16 -0 A D
and/or
❑ Topic not on the agenda,
❑ I wish to address the Commission during the Grub l6c Gearing for Agenda OS em No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but i am opposed to agenda item
OY
VVELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are her(
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Co1Uaboratte, do not compete or collude.
Trust each other, unless and until such trust is violated.
i; irir?: it is ie it �Y **?:'.e :; t iris ?e?: is � it k�Y?rir�Y iritis ir?r'.r�Y�Y?rir �ti: ?: *?: •.': xir:Y:Y it ir* is fi:k h t, is it iris � �kir?r!: �• is ?r': � S•' ;'ri: it � �: is ?r � :: kir'•; i:'.e?; it is frit ;Y'.: ?:',e is t?: i::r � ?r'r?::`. it :`. it k?r?: ie?: ?: is i::': is ?: it is is?: ;
SPEAKER REQUEST FORM
I
®ate:_
Name:
01 4
Pease Tofte: Farida has a vers] broad Pubiic Records Laevo Most written and recordee
commuMcaflons to or from State and L acai Off iciais and agencies regarding State ®r Locai businesm
are public records available to the public and media upon request.
PRIOQ9VNG YOUR CONTACT WFORMATI lON BELOW lS OPTIONAL -
Address:
Phone No.:
E-mail:
City:
(PLEASE CHECK ALL THAT APPLY, (OPT0NAL)
Atlantic Beach Resident '�' Atlantic Beach Property Owner O Atlantic Beach Business Owner
---------------------------------------------------------------- —------------ --------- --------- ---------------------------- --------------
PLEASIE COMPLETE AND CHECK ALL THAT APPLY:
I wish to address the Commission during Courtesy of the Fl (Dor on:
❑ Agenda Rem No.
and/or
❑ Topic not on the agenda,
wish to address the Commission during the Pu.ublic HearirrD� for Agenda Rom o.
am in support of the above agenda, item. ❑ 0 am opposed to the above ag nda hem.
❑ I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
C�
blUELC0l'u'lE
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are her(
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
T
Reffva M from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Pracdce active listening.
E;3prress yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
fi�r•h': ir:YaY:kt**•:r:t 'xi: itir:Fi: f. � �riHtirzYir irir is it •l: a'rir:t:'r ick i::": *i::': tr ir'::4 irir * i::4 it •1: is it ir:': � *Y: ic:': �� s`: ;c:; � ::cis it � :: i;'c's:: •k �:'.: ir'.c f::'r t :r ir•h'.: s:'.: s!• t. ^: i::c � ir'::'::` ir:': i::t'.:': *:'::': �: t �: i::: is is •fr �: ;
SPEAKER KE R REQUEST FORA
®ate: +1 Zc z. , 2-0 Z/ Name:
Pease Notre. ForrWa has a vicerrsj broad Pu bflc Records Low. Most vVNKrew and rrecorrdec
commr ung cat ns to or from State and Local OfffocWs and agcenc6es regamdong Butte ov Lorcabusonese
are pubfloc records arvauia We to the pa bft and mrDedoa upon request.
PROQ9VNG YOUR CONTACT W FORPt/ ATM, BELO'VA M OfPMNALo
Address: � (c�Z� City:
Phone No.: 104- S -L t- )_'10� E-mail: a LC (o.1� e 5,.,..u.. 1, C --
PLEASE CHECK ALL THAT APPLY: QOPTMALD
Lp--Atlantic Beach Resident ❑ Atlantic Beach Property Owner ❑ Atlantic Beach Business Owner
-------------------------------------------------------------------------------------------------------------------------------------
PLEASE COCiGiPLETE AND CHECK ALL THAT APPLY:
❑ I wish to address the Commission during Caurtes�j of the fFOooP on:
_;3 Agenda ltemrD No. I?a
and/or
❑ Topoc not on the agenda:
h to address the Commission during the Pulbluc HeaLlnR for Agenda Nam No.
am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ B do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
U
W ELC0l'vgE-
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are her(
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support: each other, even if you don't agree.
RPacfte active listening.
raKprress yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
* �c'h'.: �r t, :t*�`ti:'.:'c'.••F.:t*:4s': is � dt:Y:Y'r:F�': icir is fcir:'rirskicir�k:': ic:: � i::': it iry ;4 tc it � is ;; :4 is t:: !cit Y: � f �: fir':'.: s::c': � tr;r t it � is i:'.c's:: k ir': Yc'r i::'r �; it irfr'.:::'c *t:': i::<�:'c'.::::: ic:: i; tN:': fir'.: �; :': is hiri: i:t it i::
SPEAKER REQUEST( FORM
Date: �� /� � - -- flame:
[lease Dote: MorWa has a venj IbroadJ G' u bft Records Laue. G`u'lost wruttsaY and rercordlec
comm unoccatoons t® or from State and Local Offueiaals and amgcenoiies regar®91ng Smote or Local busonesm
are Imubflc records aea6laWe to the l ubflocc and mruedloa upon request.
PROV0MG YOUR COMTIACT IIFORM/Ail M BELOVA0 M OPTlONAL:
Address:f Ul ti—ca �;2p ; _ �Q 4,� �� City:
Rhone No
PLEASE CHECK ALL THAT APPLY: QOPTM/ALD
i2r Atlantic Beach Residenttlantic Beach Property Owner ❑ Atlantic Beach Business Owner
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ wish to address the Commission during Courtesy of the fel®®r on:
❑ Agendas Rem No.
and/or
❑ Top6c not on the agenda.,
Klarm
sh to address the Commission during the G�o�bliio C�iearin� for Agenda lteruaNo.
❑ in support of the alcove agenda, item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in suppor'a of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
U-7
TOELCOPWE
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic proces
deserves. This allows for better public input and supports malting the best decisions for the citizens who we are here
to serve. We ask: that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Reffrraiin from putdowns, criticism and personal attacks,
Encourage others to state their views.
Support each other, even if you don't agree.
Prarcdce active listening.
Express yourself assertively, not aggressively, not submissively.
Colla borate, do not compete or collude.
Trust each other, unless and until such 'trust is violated.
SPEAKER REQUEST FORM
®ate: Name: � 61 nA t/, �' � N IV
Pease Note. Fiorrid7ar has a enemy broad Pubflc Records Lowe Most written and rrecorrdle¢
comrrr un5cartions to or from State and ILoca1 OfffriciMs and agencies regasrrd[ing State or Local busingse
are pubft records a v0a We to the pa bft and medJim upon request.
PROQ98® NG YOUR CONTACT UNFORR�/ ATiOH BELLOVA& iS OPT° ONAL:
Address: � 2_7 : A(`(� L: Pn City: R
Phone No.: `(r 7 37,5L L E-mail:
PLEASE CHECK ALL THAT APPLY: (OP u 0NAL)
Atlantic Beach Resident ❑ Atlantic Beach Property Owner ❑ Atlantic Beach Business Owner
PLEASE COMPLETE AND CHECK ALL THAT APP LSY-
I wish to address the Commission during Courtesy of the Foor on:
,;( Agenda item No. I,\
2nd/or
❑ Topic not on the agenda,
❑ f wish to address the Commission during the Pulbflc Hearrifor Agenda Otsm No.
❑ I am in support of the above agenda, item. ❑ 0 am opposed to the above agenda item.
❑ I do not wish to address the Commission, but l 2m in support of agenda item
❑ I do not wish to address the Commission, but k arra opposed to agenda item
WELCOME
To the Atlantic Beech City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are her(
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrraln from putdowns, criticism and personal attacks,
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Exprress yourself assertively, not aggressively, not submissively.
Collarbamte, do not compete or collude.
`burst each other, unless and until such trust is violated.
is sties: it t. is � :� :': i:'.c'.::: is icic kis •.`. � ic'.r:Y'.c:t:` ieiri: iris ic:tsY :'air � i::t': � is t. x ic'.::Y is stir i; :t is t, is is it t. fit, is ir'; :: s': is is � :: ict, it � :: is se's i; k ir'.ririr i; it is is stir'.: i:'.c �i:': is it � it ic:'::`ie s`. i::ti: is ir'.:'Y. iris ,: i; ick * is i; ;
®ate:
LA
SPEAKER REQUEST FORM
Name:
Blease Note. (FlorrWa has a venj broad Publuc Records Law. Most verriften and rrecorrde¢
conn munucaa'fuons to or from State and Local Offf oWs and agencies Pegard`ong State OF LOCM busonesd
are publuc records avaru able to the pubft and mnedlia upon request.
PROVVNG YOUR CONTACT WFORMATMH BELO`VA0 M OPTIONAL:
Address:
Phone deo.:
E-mail:
City:
PLEASE CHECK ALL THAT APPLY. (OPTIONAL)
❑ Atlantic Beach Resident ❑ Atlantic Beach Property Owner ❑ Atlantic Beach Business Owner
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
G i l wish to address the Commission during Courtesy of the (Floor on:
❑ Agenda Rem No.
and/or
❑ Topiic not on the agenda:
q I wish to address the Commission during the Publuc Hearin_q for Agenda Ism No. % cz,
❑ u am in support of the above agenda item. ❑ I am opposed to the above agendas item.
Ea i do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am ppposed to agenda item
C9)
WE LC 0 11 E
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Pracfte active listening.
Exprress yourself assertively, not aggressively, not submissively,
CoNa borarte, do not compete or collude.
Trust each other, unless and until such trust is violated.
* ici:iirt. is t•f: �i:'.:'.r �•i: is i; ht:': � lr'::Y'e* � kiri: iclr'rhsti:ie Ft. i::: � is taYir'.: s4 itirit�: ^• kir i; irf: ir* � i::Fict � a': i:i: � st'ri: it � :: i:•'s:Y•:; kir': ic'ri: it t. it irir': i:'� � is ": i::r �:Y'.c'::`ir:`. i::k':': d:'.: Y: i:l: tick ir* it i::
SPEAKER REQUEST FORM
®ate: dame:
e
Pease Note: F0orrWa has a venj broad Pubft Records Law. Mast verri teen and rrecorrde¢
comm unucafions to or from State and Loca ll OffifucWs and agencues rega rd`ong Smote or Loca0 Ibusunesm
arre pa bflc records av0ablle to the pub0oc and m ad'a upon rrequast.
PROVVNG YOUR CONTACT 0NF0RMAT0N BELOCJffl 0S OPiiOOMAL:
Address: � r,)c;�< 7c�t5 '` City: L�
Phone o i t�i�_�/!
(PLEASE CHECK ALL THAT APPLY- QOIPT0ONAL
Atlantic Beach Resident ❑ Atlantic Beach Property Owner ❑ Atlantic Beach Business Owner
[PLEASE COMPLETE AND CHECK ALL THAT APPLY -
ft -!
wish to address the Commission during Courtesy of the Foov on:
VA ganda 0temro No. _
and/or
❑ Topoc not on the agenda:
❑ I wish to address the Commission during the fPubflc Hearing for Agenda Kern Mo.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but l am in support of agenda item
❑ I do not wish to address the Commission, but I yam opposed to agenda item
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are her(
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
7axprress yourself assertively, not aggressively, not submissively.
Co00arborrate, do not compete or collude.
Trust each other, unless and until such frust is violated.
-- SPE A KE�R REQUEST FORM
®ate: IAN -Name: �� Finn
Pgase Note: ForMa has a venj broad fPubiic Records Lave. Most written and rrecorrdec
communications to or from State and fLocai OfffficcWs and agencies regardng State or Lorcai businesa
arrce public records avaiiabie to the pubft and mrDedlia upon request.
r-Jr,o� il• i .c� c.� �rc�� Tac r it F o -' , �,Ti<•� � -�c� �s ��F=� ri��►.RI__
Address:
Phone leo.:
E-mail:
City:
PLEASE CHECK ALL THAT IT ADPL Y: (OPTIONAL)
❑ Atlantic Beach Resident ❑ Atlantic Beach Property Owner ❑ Atlantic Beach Business Owner
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ I wish to address the Commission during Courrtes p of the Foor on:
❑ Agenda Rem No.
and/or
❑ Topic not on the agenda:
❑ l wish to address the Commission during the Public Hearr6n�. for Agenda IStem No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
I do not wish to address the Commission, but I am in supporf of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item _