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Application- Tomaski, Mark CHARTER RC 3-14-14CITY OF ATLANTIC BEACH BOARD I COMMITTEE MEMBER APPLICATION FORM Please check(..../) the box beside each Board or Committee that you are applying to serve on. If you check more than one, please rank your interest in each board I committee by order of priority. (A summary of each board/committee is available on page 2 of this form.) Code Enforcement Board Pension Board of Trustees Cultural Arts and Recreation Advi sory Committee DATE: __________ _ APPLICANT'S NAME: ADDRESS: DAYTIME -PHONE: E -MAIL ADDRESS: _________ _ Community Development Board Board Member Review Committee EVENING PHONE: _______ _ FAX: ------------------------------- Please explain any employment ex perience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasons for wishing to be appointed to this board/committee. Please return completed form to Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: Members of the Code Enforcement Board, Community Development Board and Pension Board of Trustees are required to file Statement of Financial Interest Forms. Also, information regarding "Conflict of Interest" is provided on page two of this application. This application will expire two (2) years after date of submittal. 1 Code Enforcement Board (Also acts as the Nuisance Control Board) Meets in Commission Chambers, 800 Seminole Road, at 6:00 pm the second Tuesday of January, March, May, July, September and November. The board consists of seven members and one alternate who are appointed by the City Commission and who serve three-year terms. The Code Enforcement Board has the jurisdiction and authority to hear and act on alleged violations of the following: • City of Atlantic Beach Code of Ordinances, • Building codes, as adopted by the City, • Standard Housing Code, as adopted by the City, • State of Florida Health Code, • Florida State Statutes, and • State, county, and local laws and ordinances whose intent is to promote the health, welfare, and safety of the citizens of the City. The Code Enforcement Board has the authority to assign penalties as provided by Fla. Stat., Chapter 162 . Community Development Board Meets in Commission Chambers, 800 Seminole Road, at 6:00 pm the third Tuesday of each month. The board consists of seven members who are appointed by the City Commission and who serve two-year terms. Applications for Variances, Uses-by- Exception, and rezonings are considered by the Community Development Board. The board makes final decisions on Variances and forwards recommendations to the City Commission on Uses-by-Exception, rezonings and several other types of applications. Ihe..City Commis.sion..makes a :fmal ~cision onJ;bese_re ue t~ _ ___ _ _ _ _ Pension Board of Trustees Meets in City Hall, 800 Seminole Road, quarterly or as scheduled. The City has two pension boards, one for police employees and one for general employees. The boards are responsible for the general administration, management, and oversight of the operation of the retirement system. Each board consists of five members. Cultural Arts and Recreation Advisory Committee Meets in Adele Grage Cultural Center, 716 Ocean Boulevard at 6:00pm on the fourth Tuesday of each month. This committee consists of nine members who are appointed by the City Commission and who serve 2-year terms. The duties and responsibilities of the committee include: • Develop plans, promote and support programs and projects to bring the benefits of recreation to the citizens of Atlantic Beach, • Recommend a calendar of special events, • Evaluate and advise the City on the effectiveness of programs, • Evaluate and make recommendations on assignments or requests made by the City Commission or City Manager, and • Evaluate and make recommendations to the City commission on requests for City funding for special events, art projects, and recreation programs. Board Member Review Committee ems iu_Commission Chambers, 800 Seminole....R.oad, at 5:0(Lpm usuali)l-Oll-a-l'hursday ~when-needed). This committee consists of six (6) members. The committee reviews applications and makes recommendations for the appointment and reappointment of members to the city's Boards and Committees. "CONFLICT OF INTEREST" NOTICE: "Part III of Chapter 112, Fla.Stat., is the Code of Ethics for Public Officers and Employees. This Code defines "conflict" or "conflict of interest" to mean a situation in which regard for a private interest tends to lead to disregard of a public duty or interest. Fla. Stat. § 112.312(8). The intent of this Code, in part, is that public office not be used for private gain. Fla. Stat. § 112.311(1). A "conflict" or "conflict of interest" is something that would result in a special private gain to an individual, usually a special financial benefit. An appointed member of a committee of the City of Atlantic Beach will most likely be subject to the provisions of the State Code of Ethics. Disclosure of any "conflict" or "conflict of interest" should be made as soon as possible in the appointment process. While it may be difficult to anticipate conflicts or conflicts of interest that may arise during future committee meetings, which should be disclosed immediately by any committee member, those known or anticipated initially, including those which others might perceive as a conflict or conflict of interest, should be disclosed during the appointment process." 2