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PALM BEACH COUNTY
BOARD OF COUNTY COMMISSIONERS
BOARD APPOINTMENT SUMMARY
Agenda Item#
=============================================----------------======= Meeting Date:
Department:
Submitted By:
Advisory Board Name:
OCTOBER 16, 2012
PLANNING, ZONING & BUILDING
CONTRAC::TORS CERTIFICATION DIVISION
CONSTRUCTION INDUSTRY LICENSING BOARD
==============================================================------------I. EXECUTIVE BRIEF
Motion and Title: Staff recommends a motion to approve: A.) Appointment of two (2) new members and B.) Re-appointment of two (2) current members to the Construction Industry Licensing Board (CILB)
A.) Appoint Donald Sharkey
Edward Lynch
B.) Re-appoint John Desnoyers
Stanley Goodman
Summary:
Seat# Requirement Term 2 Electrical Contractor 10/16/12-9/30/15
11 Building Contractor 10/16/12-9/30/15
Seat# Requirement Term 9 Engineer 10/16/12-9/30/15
14 Consumer 10/16/12-9/30/15
Nominated by Comm. Burdick Comm. Abrams Comm. Marcus Comm. Vana Comm. Aaronson Comm. Burdick Comm. Abrams Comm. Marcus Comm. Vana Comm. Aaronson Nominated by Comm. Burdick Comm. Abrams Comm. Marcus Comm. Vana Comm. Aaronson Comm. Burdick Comm. Abrams Comm. Vana Comm. Aaronson
The Construction Industry Licensing Board was established by Special Act, Chapter 67-1876, Laws of Florida as amended. The Special Act and subsequently Florida State Statute sets forth the membership of the Board, which consists of fifteen (15) memhers. The above named members have been recommended by the International Association of Electrical Inspectors (IAEI) (Mr. Sharkey); the Associated Builders of America Inc (ABC) (Mr. Lynch); and the Florida Engineering Society (FES) (Mr. Desnoyers). Mr. Donald Sharkey was nominated to replace Mr. Nelson Dozier who is unable to continue to serve. Mr. Edward Lynch was nominated to replace Mr. Ezra Saffold who resigned. The Florida Engineering Society recommends the re-appointment of Mr. John Desnoyers to complete a second term. Mr. Stanley Goodman has also expressed a willingness to continue serving the board. The nominations represent the seats for an Electrical Contractor, a Building Contractor, an Engineer and a Consumer Member as cited in the Special Act and F.S. § 489.131 establishing the Construction Industry Licensing Board. Memorandums were sent to the Board of County Commissioners on September 10, 2012 advising of the vacant position; No other nominations were received. Countywide (SF)
Background and Justification: The membership of the construction board consists of 15 members: two (2) general contractors, one (1) member of the following categories; building; residential; electrical; plumbing; HARV; roofing; swimming pool; architect; engineer and a building official. In addition, F.S. § 489.131 requires that we have three (3) consumer representatives. The Board is to establish qualifications and competency of contractors that work within the County. The Board also provides for the testing and licensing of these contractors and is empowered to discipline licenses. The Cl LB has 14 member,, seats currently filled and a diversity count of White: 12 (85. 72%) Black: 1 (7.14%) and Hispanic: 1 (7.14%). The gender ratio (male: female) is 12:2.
Attachments: 1. Board Appointment Forms. 2. Recommendation from the International Association of Electrical Inspectors (IAEI), the Associated
Builders of America Inc (ABC), and the Florida Engineering Society (FES). 3. Resumes for Mr. Sharke,, Mr. Lynch, Mr. Desnoyers, & Mr. Goodman. 4. Special Act (excerpt regarding membership composition)
~::::.;.ended Bz~:,cii~t~--0:Jl&//z_ ===========
Legal Sufficiency: ~ J- tr"7 /0 ( d--{ (:)., Assistant County Attorney Date
II. REVIEW COMMENTS
A. Other Department Review:
Department Director
REVISED 06/92 ADM FORM 03 (THIS SUMMARY IS NOT TO BE USED AS A BASIS FOR PAYMENT.)
2 H:\CILB-BOARD\BOARD.APPOINTMENTS\2012\BDAPPT.MAR.DOC
BOARDS/COMMITTEES APPLICATION CHECKLIST This form must be completed by Staff and accompany the Board Appointment Item
Proposed BCC Date: 10/16/12
Applicant's Name: Donald G Sharkey
Dept/Division: Contractors Certification/ PZB
Board/Committee Name: Construction Industry Licensing Board of PBC Purely Advisory [ ] Not Purely Advisory [X]
# Description
1. Is Part I fullv completed and correct? . • .. . · ..
2. Is Part II fully completed? 3. Bioqraphv or resume included? 4. Is Aoolicant a Palm Beach Countv resident? a. If "No", please explain:
5. Did Applicant disclose felony conviction? a. If "Yes", did staff review information? b. Based on review, does staff recommend Aoolicant for consideration? C. Please explain:
6. Did Applicant disclose contractual relationship(s)? If "Yes" complete Questions "a" and "b" below: If "No" skip to Question 7:
a. Board/Committee provides regulation, oversight, management
List Each Contract(s) Identified in Application or policy setting recommendations regarding the contract identified
(Check if "Yes")
b. Does Department Recommend Waiver and/or Disclosure ?,· •<(i,,;i >(: <(;;.;.;;.,. " ..•......... . '
.. : : . 7. Is Part Ill completed?
Completed by: Kurt Eismann (Print Name)
Department Head: Rebecca Caldwell (Print Name)
.. ',; . · ... /) /1
~r:2 -,
Yes
X
X X X
X
Board/Committee provides NO regulation, oversight, management or policy setting recommendations regarding the contract identified
(Check if "Yes)
Yes
. · • .. '
X
.. ~
To be completed by Administration if Staff answered "Yes" to Questions 5 or 6:
Administration (Initials): ____ _ Date: ____ _
Failure to complete this Checklist and/or incomplete Board Applications
will be returned to the Department
No N/A
: .
X X
X
X
Waiver Disclosure Required Required (Yor N) (Y or N)
No N/A X
· ... . . .·
Date: 9/2 ✓/4<
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further,please attach a biography or resume to this form.
Section I (Department): (Please Print)
Board Name: _C_o_n_stnl_c_ti_on_In_d_u_stry--"--_L_ic_en_s_;_in__,g"'-B_oa_r_d_o_f_P_al_m_B---'-ea-'-c_h_C_o_u_n__.ty'----- Advisory [ ] Not Advisory [X]
[X] At Large Appointment or [ ] District Appointment /District #: __ _
Term of Appointment: 3 ----- Years. From: 10/16/2012 To: 9/30/2015
Seat Requirement: Electrical Contractor Seat #: ----------------------- 2
[ ]*Reappointment or [ X ] New Appointment
or [ to complete the term of Due to: [ ] ---------- resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Sharkey Donald G First Middle Last
Occupation/ Affiliation: Electrical Contractor / International Association of Electrical Inspectors (IAEI)
Owner[~' Employee [ ] Officer [ ]
Business Name: Current Connections Inc
Business Address: 1620 Hill Ave
City & State Mangonia Park, FL Zip Code: --~----'------------ 33407
Residence Address:
_J~v...,r,...::."'-: .... -l.....,"C.-=-..,...f' ___ r:_-1c_. ________ Zip Code: City & State
Home Phone: ----------- Business Phone: (561) 863-0010
Cell Phone: _(.,_5_6 ___.1 )_5_1_2-_02_1_7 _____ Fax:
Email Address:
Mailing Address Preference: [vjBusiness [ ] Residence
Have you ever been convicted of a felony: Yes ___ No v If Yes, state the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ ] Native-American
Page I of2
[«·t\1ale [ ] Female [ ] Hispanic-American [ ] Asian-American [ ] African-American [?J.-eaucasian
I
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. Ifthere are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code:
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Description of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR G NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
1,./ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 __
l vi By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:
• Applicant's Signature: A lcril Q i(J(/l,.t,,i a)rwd Name: 'Lhn Q l c\ :,bn r \.( <" l(Date: . f'>o · ;;.,o · 1 l.
Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III {Commissioner, if applicable):
October 16, 2012 Appointment to be made at BCC Meeting on:
Commissioner's Signature: U 1 <....kif-::,; 08-11 I?~ i::1 Date: -----J¼,.._,./_,1 ..... ·,t-/_,@.c=..._.I_L-=-=·-~ I
Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/0 I /20 I I
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attach ·a biography or resume to this form.
Section I (Department): (Please Print)
Board Name: _C_o_n_stru_c_ti_on_In_d_u_stry_.___L_ic_en_s_in_,g.,_B_oar_d_o_f_P_alm_B_ea_c_h_C_o_u_n_.ty'----- Advisory [ ] Not Advisory [X]
[X] At Large Appointment or [ ] District Appointment /District #: __ _
Term of Appointment: 3 ----- Years. From: 10/16/2012 To: 9/30/2015
Seat Requirement: Electrical Contractor ----------------------- Seat#: 2
[ ]*Reappointment or [ X ] New Appointment
or to complete the term of ---------- Due to: [ ] resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Sharkey Donald G First Middle Last
Occupation/ Affiliation: Electrical Contractor I International Association of Electrical Inspectors (IAEI)
Owner [v],.,..,. Employee [ ] Officer [ ]
Business Name: Current Connections Inc
Business Address: 1620 Hill Ave
City & State _M_a_n""'go_n_i_a_P_ar_k--'-, _F_L __________ ziiCcide: 33407
Residence Address:
J ._r q: -i -c:, r f:-L Zip Code: -~T'. ~~~-----'---------City & State
Home Phone: ----------- Business Phone: (561) 863-0010
Cell Phone: (561)512-0217 Fax: (56l)'f°.Ho·~-.5~f~O
Email Address: de, n G l°A, ~r r ·e,,., + c: .c~ n (\ e .. d-; C"! o .e., , . o e..+ Mailing Address Preference: [v(Business [ ] Residence
Have you ever been convicted of a felony: Yes___ No v,... If Yes, state the court, nature of offense, disposition of case and date: ---------------------
Minority Identification Code: [ ] Native-American
Page 1 of2
[/,y'Male [ ] Female [ ] Hispanic-American [ ] Asian-American [ ] African-American [,¼Caucasian
---------------- ---- ----------
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code:
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Description of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR [Z] NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
r.-.:1 t...:::J By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach
County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
-..,,,,. By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ ., 20 __
I vi By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:
I: - , ./! J;, !J'\P/2 *Applicant's Signature: ",rvi( O t/._ h-ccW,tt{J. (,p-mted Name: r)-~r·in l d _e:iho c½'.e\fDate: E:~ · ?-£)· i L
Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable): ,,-----.____
Appollltmontto be mado~C Moetinijl:~' ~@ Commissioner's Signature: lAJtt=- J--\t}~ /
October 16, 2012
Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/2011
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attach ti biography or resume to this form.
Section I {Department): (Please Print)
Board Name: _C_on_s_tru_ct_io_n_In_d_u_stry_,_L_ic_en_s_in_.g"-B_oa_r_d_o_f_P_al_m_B_ea_c_h_C_o_u_n--"ty ____ Advisory [ ) Not Advisory [X)
[X] At Large Appointment or [ ] District Appointment /District#: __ _
Term of Appointment: 3 ----- Years. From: 10/16/2012 To: 9/30/2015
Seat Requirement: Electrical Contractor ----------------------- Seat#: 2
[ ]*Reappointment or [ X ] New Appointment
or [ to complete the term of ---------- Due to: [ ] resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _
Section II {Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Sharkey Last
Occupation/ Affiliation:
Business Name:
Business Address:
City & State
Residence Address:
City & State
Home Phone:
Cell Phone:
Email Address:
Donald G First Middle
Electrical Contractor I International Association of Electrical Inspectors (IAEI)
Owner ["1:.1/ Employee [ ] Officer [ ]
Current Connections Inc
1620 Hill Ave
Mangonia Park, FL Zip Code: -----~----------- 33407
J ✓' n ,· -~ -c., f' r::-1, Zip Code: ?;, ~1..:Vl ~:~• -~r, "-=--~~---.-----'--------- ~--=-~---'-==------------------- Business Phone: ~(5_6_1~) _86_3_-_00_1_0 __________ _
(561) 512-0217 Fax: ~-'---------- (561) ~j w:;;;~. 5 ~80
Mailing Address Preference: [-,,,,f'Business [ ] Residence
Have you ever been convicted of a felony: Yes ___ No \./ If Yes, state the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ ] Native-American
Page 1 of2
[t:r'Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American [q-Caucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Description of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR 0 NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
.,,,,.. By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 __
[2J By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:
• Applicant's s;guature: A fr,/ Ii Q 1{f :tfl, Jl),yr.ted Name: u-.n a i cl ,':bo rk ""ljDate: 6 -"'~o . 1 z Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III {Commissioner, if applicable):
Appointment to be made at BCC Meeting on: October 16, 2012
Commissioner's Signature: ~ '/(_ /;:; .e..,.;f ~ hKL Date: '1 / 1'"6{I ?--. , . Co-ivv~. t.-o--~ ~YlA.JGLv~ 1
Pursuant to Florida s Pubhc Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/20 I I
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attach a biography or resume to this form.
Section I (Department): (Please Print)
Board Name: _C_o_ns_tru_c_ti_on_In_d_u_stry_.__L_ic_e_ns_in_,g"'--B_o_ar_d_o_f_P_a_lm_B_e_ac_h_C_o_u_n~ty'------ Advisory [ I Not Advisory [X)
[X] At Large Appointment or [ ] District Appointment /District#: __ _
Term of Appointment: 3 Years. From: 10/16/2012 To: 9/30/2015 -----
Seat Requirement: Electrical Contractor ----------------------- Seat#: 2
[ ]*Reappointment or [ X ] New Appointment
or to complete the term of Due to: [ ] ---------- resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Sharkey Donald G First Middle Last
Occupation/ Affiliation: Electrical Contractor / International Association of Electrical Inspectors (IAEI)
Owner ['-1"" Employee [ ] Officer [ ]
Business Name: Current Connections Inc
Business Address: 1620 Hill Ave
City & State _M_a_n.,..go_n_i_a_P_ar_k_,_, _F_L __________ Zip Code: 33407
Residence Address:
City & State _J__,.....,""1pl"""-'-; ...... ·\....,,'C..""--'-r---.,_Fl--'-'-.-------- Zip Code:
Home Phone: ___________ Business Phofle: ___,,_(5_6_1,_) _86_3_-_00_1_0 __________ _
Cell Phone: (561) 512-0217 Fax: (561) '2:,tp':1;). 5 ~f,O Email Address: doo @ux:c M± a,n o e..c±i c,a ~, o e .. .+ Mailing Address Preference: [v(Business [ ] Residence
Have you ever been convicted ofa felony: Yes___ No v If Yes, state the court, nature of offense, disposition of case and date: ---------------------
Minority Identification Code: [ ] Native-American
Page 1 of2
[ ] Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American [ ] Caucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Description of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
ORD NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
✓ By watching the training program on the Web, DVD or VHS By attending a live presentation given on ------~ 20
B By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:
• Applicant's Signature: I,. 6ta 1,LlJ.,6,1,~ted Name: rbn a Id .:::bo r:kel/Date:1:,- ?:,0- I 2
Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III {Commissioner. if applicable):
• . October 16 2012 Appomtment to be made at,X-C Meetmg on: ____ ' ,
Commissione,'s Signanrre: ~/ ~ Date: 9 ft is' /2 "7__ ., -........:__ I I Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/0 I /20 I I
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attach a biography or resume to this form.
Section I (Department): (Please Print)
Board Name: _C_o_ns_tru_ct_io_n_In_d_u_stry--"-L_ic_en_s_in_,g.,_B_oa_r_d_o_f_P_alm_B_ea_c_h_C_o_u_n_.ty ____ Advisory [ ) Not Advisory [X)
[X] At Large Appointment or [ ] District Appointment /District#: __ _
Term of Appointment: 3 ----- Years. From: 10/16/2012 To: 9/30/2015
Seat Requirement: Seat#: -----------------------Electrical Contractor 2
[ ]*Reappointment or [ X ] New Appointment
or to complete the term of ---------- Due to: [ ] resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Sharkey Donald G First Middle Last
Occupation/ Affiliation: Electrical Contractor / International Association of Electrical Inspectors (IAEI)
Owner ['-1/ Employee [ ] Officer [ ]
Business Name: Current Connections Inc
Business Address: 1620 Hill Ave
City & State _M_a_n....,g'-on_i_a_P-'ar_k..,_, _F...;,L __________ Zip Code: 33407
Residence Address: •.•• ·-:1 ,,, ,.. '· -l .·-1 ·i-:- D.. - • 1. , .... · ~-, * t? t...,.,. • - _:Jj _ , ~ ~
J t' .-, . ,l .,,. ,, .f-'.--.. Zip Code: -~ ........... i .J=•~t-'---"' .... "-# '"--....---·-·--------
City & State
Home Phone: ----------- Business Phofie: (561) 863-0010
Cell Phone: (561) 512-0217 Fax: ~-~--------Email Address:
Mailing Address Preference: [·\,,f'Business [ ] Residence
Have you ever been convicted of a felony: Yes___ No v .. If Yes, state the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ ] Native-American
Page I of2
[ ] Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American [ ] Caucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Description of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
ORD NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
v,,. By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ ., 20 __ .
I vi By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:
• Applicant's Signature: ,1 {r'i),(Q {f,.;J.j). l ~)rted Name: 'Q-,no l cl .:bt:i rk <'!/Date: ·E:, · ",O · I l
Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
Appointment to be made at BCC Meeting on: October 16, 2012
Commissioner's Signature: /1i ~----._- Date: /tr-tf dZ--Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/2011
BOARDS/COMMITTEES APPLICATION CHECKLIST
This form must be completed by Staff and accompany the Board Appointment Item
Proposed BCC Date: 10/16/12
Applicant's Name: Edward J Lynch
DepUDivision: Contractors Certification/ PZB
Board/Committee Name: Construction Industry Licensing Board of PBC Purely Advisory [ ] Not Purely Advisory [X]
# Description
1. Is Part I fullv completed and correct? . ·. ~ . ·. Y. ,,:;l1l. > 7
;}:\ \. • c:· •: ' " / '·
' ',, ·,v,'.: .. .: .·
2. Is Part II fully completed? 3. Biography or resume included? 4. Is Aoolicant a Palm Beach Countv resident? a. If "No", please explain:
5. Did Aoolicant disclose felony conviction? a. If "Yes", did staff review information? b. Based on review, does staff recommend Aoolicant for consideration? C. Please explain:
6. Did Applicant disclose contractual relationship(s)? If "Yes" complete Questions "a" and "b" below: If "No" skip to Question 7:
a.
List Each Contract(s) Identified in Application
Completed by: -K=u~rt-E-is~m~an'--'-'n"'-------(Print Name)
Department Head: Rebecca Caldwell (Print Name)
Board/Committee provides regulation, oversight, management or policy setting recommendations regarding the contract identified
(Check if "Yes")
Yes
X
X X X
X
Board/Committee provides NO regulation, oversight, management or policy setting recommendations regarding the contract identified
(Check if "Yes)
Yes
To be completed by Administration if Staff answered "Yes" to Questions 5 or 6:
Administration (Initials): Date: ____ _
I
I
Failure to complete this Checklist and/or incomplete Board Applications
will be returned to the Department
No
X
X
Waiver Required (Y or N}
No
"
N/A
:
X
X
Disclosure Required (Y or N}
N/A X
Date:~C....,
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further,please attach ii biograph for resfl'fJ'le to this form.
Section I (Department): (Please Print)
Board Name: _C_o_n_stnI_c_ti_on_In_d_u_stry......,,__L_ic_e_ns_in.....,g"'--B_o..:,.._ard_o_f_P_a_lm_B_ea...:...c'-h_C-=--o'-u_n~ty'--___ Advisory [ ] Not Advisory [XI
[X] At Large Appointment or [ ] District Appointment /District #: __ _
Term of Appointment: 3 Years. From: 10/16/2012 To: 9/30/2015
Seat Requirement: Building Contractor Seat#:
[ ]*Reappointment or [ X ] New Appointment
or [ to complete the term of ------------ Due to: [ ] resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _
Section II {Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Lynch Edward James First Middle Last
Occupation/ Affiliation: Building Contractor / Associated Builders and Contractors Inc. Florida East Coast Chapter (ABC)
Owner [ ] Employee [ ]
Business Name: DeLeon Industries LLC
Business Address: 6453 W. Rogers Circle, Ste C4
City & State Boca Raton, FL
Residence Address: 8584 Wendy Lane E
City & State West Palm Beach, FL
Home Phone: Business Phone:
Cell Phone: (561) 445-3139 Fax:
Email Address: [email protected]
Mailing Address Preference: [0 Business [ ] Residence
Have you ever been convicted of a felony: Yes___ No V If Yes, state the court, nature of offense, disposition of case and date: ---
[ ] Female
Officer [ ]
Zip Code: 33487
Zip Code: 33411
(877) 425-9235
(877) 630-6095
Minority Identification Code: [ ] Native-American
[""Male M'Hispanic-American [ ] Asian-American [ ] African-American [ ] Caucasian
Page 1 of2
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions· to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Descnption of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR~ NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
✓ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 ~
By,; signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:
'Applicant's Signature: &J,u.l'.l,J_ & ~ Printed Name: tbWl\,t,/) :r LVll»I I S/2. Date: f,-30 - /}
Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
Api,oll1tment to be ma~CC Meeting on: . r
Commissioner's Signature: Utt: /3 µA cl .t---( October 16, 2012
Date: <;Jc /2 &. . /,RO lcb-, I I
Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/2011
PALM BEACH COUNTY BOA.RD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please qttach il biography or res"(lme to this form.
Section I (Department): (Please Print)
Board Name: _C_o_n_stru_c_ti_on_In_d_u_stry__.__L_ic_e_ns_in---'g"'--B_oa_r_d_o_f_P_a_lm_B_ea_c_h_C_o_u_n__.ty'------ Advisory [ ) Not Advisory [X)
[X] At Large Appointment or [ ] District Appointment /District #: __ _
Term of Appointment: 3 ----- Years. From: 10/16/2012 To: 9/30/2015
Seat Requirement: _B_u_il_d_in_.,.g,_C_o_n_tr_a_ct_o_r ________________ Seat#:
[ ]*Reappointment or [ X ) New Appointment
or [ to complete the term of Due to: [ ] resignation ------------ [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Lynch Edward James First Middle Last
Occupation/ Affiliation: Building Contractor / Associated Builders and Contractors Inc. Florida East Coast Chapter (ABC)
Owner [ ] Employee [ ] Officer [ ]
Business Name: DeLeon Industries LLC
Business Address: 6453 W. Rogers Circle, Ste C4
City & State Boca Raton, FL Zip Code: 33487
Residence Address: 8584 Wendy Lane E
City & State West Palm Beach, FL Zip Code: 33411
Home Phone: Business Phone: (877) 425-9235
Cell Phone: (561)445-3139 Fax: (877) 630-6095
Email Address: deleonindustr•[email protected]
Mailing Address Preference: [vf Business [ ] Residence
Have you ever been convicted of a felony: Yes ___ No \I If Yes, state the court, nature of offense, disposition ofcase and date: _____________________ _
Minority Identification Code: [ ] Native-American
Page 1 of2
~Male l¥f Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American [ ] Caucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions· to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Descnption of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR~ NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have r.-!ceived the required Ethics training (in the manner checked below):
✓ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ ,, 20~
AND
~ By) signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:
• Applicant's Signature: &J,m;J_ & ~ Printed Name, EbWAt-1) :r l,..'J;l,'l>f I se Date: 1:,-30 - I 2 Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
ppointment to be made ~C Me~tin~n A · @ October 16, 2012
Commissioner's Signature: atµ U-- BbfM8. _J____ Date: _9H/_,!_,1'-+/--l-1_..i'-------------Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public. Revised 08/0 I /20 I I
Page 2 of2
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Fur.ther, please {ltta'Ch a ~iogfaphy or res411J1i to this form.
Section I (Department): (Please Print)
Board Name: _C_o_ns_tru_ct_io_n_In_d_u_stry~L_ic_en_s_in~g~B_oa_r_d_o_f_P_al_m_B_ea_c_h_C_o_u_n~ty ____ Advisory [ ] Not Advisory [X)
[X] At Large Appointment or [ ] District Appointment /District#: __ _
Term of Appointment: Years. -----3 From: To: 9/30/2015 --------10/16/2012
Seat Requirement: Building Contractor Seat#:
[ ]*Reappointment or [ X ] New Appointment
or [ to complete the term of ------------ Due to: [ ] resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Lynch Edward James Last
Occupation/ Affiliation: First Middle
Building Contractor / Associated Builders and Contractors Inc. Florida East Coast Chapter (ABC)
Owner [ ] Employee [
Business Name: DeLeon Industries LLC
Business Address: 6453 W. Rogers Circle, Ste C4
City & State Boca Raton, FL
Residence Address: 8584 Wendy Lane E
City & State West Palm Beach, FL
Home Phone: Business Phone:
Cell Phone: (561) 445-3139 Fax:
Email Address: [email protected]
Mailing Address Preference: [vj Business [ ] Residence
Have you ever been convicted of a felony: Yes___ No V If Yes, state the court, nature of offense, disposition of case and date: ---
[ ] Female
] Officer [ ]
Zip Code: 33487
Zip Code: 33411
(877) 425-9235
(877) 630-6095
Minority Identification Code: [ ] Native-American
lYtMale M'Hispanic-American [ ] Asian-American [ ] African-American [ ] Caucasian
Page 1 of2
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions· to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#:XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Descnption of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR 0 NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment 'prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have r.:ceived the required Ethics training (in the manner checked below):
✓ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ ., 20~_
AND
0 B)1) signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:
*Applicant's Signature: &J,,a:,,J!_ & ~~ Printed Name: 1,/)WI\Jtb :r k.V'-1'.>11 se Date: €,-30 -12 Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
Appointment to be made at BCC Meeting on: October 16, 2012
Commissioner's Signature: ~£J?e3-~ fc-ll Date: Cf/ I fs'/t ;2 C,o \/\. · It..~ 7': (Ylo.-/Lt!-U 5 1 ' Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/2011
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attach a biography.or resµme to this form.
Section I (Department): (Please Print)
Board Name: _C_on_s_tru_ct_io_n_ln_d_u_stry_.__L_ic_e_ns_in__.g"--B_oa_r_d_o_f_P_a_lm_B_ea_c_h_C_o_u_n~ty,______ Advisory [ ] Not Advisory [X]
[X] At Large Appointment or [ ] District Appointment /District #: __ _
Tenn of Appointment: 3 Years. From: 10/16/2012 To: 9/30/2015 ----- --------
Seat Requirement: Building Contractor Seat#: ---~------------------- 11
[ ]*Reappointment or [ X ] New Appointment
or [ to complete the tenn of ____________ Due to: [ ] resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: _L.._yn_c_h ____________ Ec:.:.d_w_ar..c:.:d ___________ J_am_es __________ _ Last First Middle
Occupation/ Affiliation: Building Contractor / Associated Builders and Contractors Inc. Florida East Coast Chapter (ABC)
Owner [ ] Employee [ ] Officer [ ]
Business Name: DeLeon Industries LLC
Business Address: 6453 W. Rogers Circle, Ste C4
City & State Boca Raton, FL Zip Code: 33487
Residence Address: 8584 Wendy Lane E
City & State West Palm Beach, FL Zip Code: 33411
Home Phone: Business Phone: (877) 425-9235
Cell Phone: (561) 445-3139 Fax: (877) 630-6095
Email Address: deleonindustri:.:[email protected]
Mailing Address Preference: [v1 Business [ ] Residence
Have you ever been convicted of a felony: Yes___ No V If Yes, state the court, nature of offense, disposition of case and date: _____________________ _
Minority Identification Code: [ ] Native-American
Page 1 of2
[ 1 Male M"Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American [ ] Caucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions· to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX}
Department/Division
Parks & Recreation
Descnption of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR 0 NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIII. the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and 1 have r~ceived the required Ethics training (in the manner checked below):
✓ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 ~
BY,i signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:
•Applicant's Signatu,e: ~ & ~ Pdnted Name: !cl'iWAt-0 :r L'f'X>l I SR- Date: f,-30 - /2 Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
Appointment to be mad~l/lfl,
Commissioner's Signature: _ 'I,//(~
October 16, 2012
Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/2011
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attad, a
• biography tJ.r res~me to this form.
Section I (Department): (Please Print)
Board Name: _C_o_n_stru_c_ti_on_In_d_u_stry..........__L_ic_e_ns_i__,ng"'--B_o_ar_d_o_f_P_a_lm_B_ea_c_h_C_o_u_n_,,ty'---- Advisory I ] Not Advisory [X)
[X] At Large Appointment or [ ] District Appointment /District #: __ _
Term of Appointment: 3 Years. From: 10/16/2012 To: 9/30/2015 -----
Seat Requirement: _B_u_il_d_in_,,g ..... C_o_n_tr_a_ct_o_r ________________ Seat#: H
[ ]*Reappointment or [ X ] New Appointment
or [ to complete the term of ------------ Due to: [ ] resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ _
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Lynch Edward James Last
Occupation/ Affiliation:
Business Name:
Business Address:
City & State
Residence Address:
City & State
Home Phone:
Cell Phone:
Email Address:
First Middle Building Contractor / Associated Builders and Contractors Inc. Florida East Coast Chapter (ABC)
Owner [ ] Employee [ ] Officer [ ]
DeLeon Industries LLC
6453 W. Rogers Circle, Ste C4
Boca Raton, FL Zip Code: 33487
8584 Wendy Lane E
West Pahn Beach, FL Zip Code: 33411
Business Phone: (877) 425-9235
(561) 445-3139 Fax: (877) 630-6095
Mailing Address Preference: [yf' Business [ ] Residence
Have you ever been convicted of a felony: Yes___ No V If Yes, state the court, nature of offense, disposition of case and date: ___ ------~------------
Minority Identification Code: [ J Native-American
Page 1 of2
[ 1 Male M' Hispanic-American
[ ] Female [ J Asian-American [ ] African-American [ ] Caucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions· to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: {R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Descnption of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR~ NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have r~ceived the required Ethics training (in the manner checked below):
✓ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20~_
A@
~ By:, signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State of Florida Code of Ethics:
• Applicant's Signature: &J,a,-uf. & ~ Printod Name: fhWI\Jtb :r L'/i1)04 I se Date: f,-30 - I 1 Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III {Commissioner, if applicable):
Appointment to be made at BCC M~eting on: October 16, 2012
Commissioner's Signature:_-,;1-~h-~-.---,-,,.,,...-~_-_,_· ------"--- Date: --J./'---"'~'-----+{_-__,J'----?--____ _ Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/201 I
BOARDS/COMMITTEES APPLICATION CHECKLIST
This form must be completed by Staff and accompany the Board Appointment Item
Proposed BCC Date: 10/16/12
Applicant's Name: John Desnoyers
Dept/Division: Contractors Certification / PZB
Board/Committee Name: Construction Industry Licensing Board of PBC Purely Advisory [ ) Not Purely Advisory [X)
# Description Yes
1. Is Part I fullv completed and correct? X .··
2. Is Part II fully completed? X 3. Bioqraphv or resume included? X 4. Is Applicant a Palm Beach Countv resident? X a. If "No", please explain:
5. Did APPiicant disclose felonv conviction? a. If "Yes", did staff review information? b. Based on review, does staff recommend Applicant for consideration? X C. Please explain:
6. Did Applicant disclose contractual relationship(s)? If "Yes" complete Questions "a" and "b" below: If "No" skip to Question 7:
a. Board/Committee Board/Committee
provides regulation, provides NO regulation, oversight,
oversight, management management or policy List Each Contract(s) Identified in Application or policy setting
setting recommendations
recommendations regarding the contract regarding the contract identified
identified (Check if "Yes") (Check if "Yes)
Yes b. Does Department Recommend Waiver and/or Disclosure
. 7. Is Part Ill completed? X
Completed by: Kurt Eismann ~a~ (Print Name)
Department Head: Rebecca Caldwell (Print Name)
/ - -•.
To be completed by Administration if Staff answered "Yes" to Questions 5 or 6:
Administration (Initials): ____ _ Date: ___ _
Failure to complete this Checklist and/or incomplete Board Applications
will be returned to the Department
No NIA
.
X X
X
X
Waiver Disclosure Required Required (Y or N) (Yor N)
No N/A X
.
Date: 9.b-£ £ i.
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attach a biography di'resumltii this form.
Section I (Department): (Please Print)
Board Name: _C_o_ns_tru_c_ti_on_In_d_u_stry~_L_ic_e_ns_in_,g"--B_oa_r_d_o_f_P_al_m_B_ea_c_h_C_o_u_n~ty ____ Advisory ( ] Not Advisory (X]
[X] At Large Appointment or [ ] District Appointment /District #:
Term of Appointment: 3 ----- Years. From: I 0/16/2012 To: 9/30/2015
Seat Requirement: Engineer Seat#: 9
[ X ]*Reappointment or [ ] New Appointment
Due to: r ] resignation otter L or to complete the tem1 of
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: _,.....o __ Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Desnoyers Last
Occupation/ Affiliation:
Business Name:
Business Address:
John First
Engineer/ Florida Engineering Society (FES)
Owner [
SAFE
6625 Miami Lakes Drive
Employee [ ]
Middle
Officer [ ]
City & State _M_i_am_i L_ak_e_s,'-F_L ___________ Zip Code: 33014
Residence Address: 4075 NW 7th Court
City & State
Home Phone:
Delray Beach, FL Zip Code: -~--~----------- 33445
Business Phone: ------------ (305) 779-8597 Cell Phone: (56 l) 927-7105 Fax: -"'-~'---------- (561) Email Address: i [email protected]
Mailing Address Preference: [ ] Business )>(Residence
Have you ever been convicted of a felony: Yes___ No~ If Yes, state the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ J Native-American
Page I of2
"M'Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American ~aucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions. to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and · transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: {R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
OR
Description of Services
General Maintenance
NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIT1, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found · on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going. ~By signing below I acknowledge that I have read, understand, and agree to abMe by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
ls_ By watching the training program on the Web, DVD or VHS By attending a live presentation given on------~ 20
_0-.. By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State f rida Code of Ethics:
Date: Any questions and/or concerns ding Ar(cle X , the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www. almbeachcoun ethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division 2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner. if applicable):
October 16, 2012 Appointment to be made ~C Meeting on:
Commissioner's Signature: w l4_l;-lt:.) Bu d~c Date: __ __,c;'-J/'--'--1=.:L"'---1--/-=a,..,o"'-·_,_/__,Q.__==---,~ Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public. Page 2 of2
Revised 08/01/2011
I I,
" I
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attach. a biography o,:res~ml,:tothisform.
Section I (Department): (Please Print)
Board Name: _C_o_n_stru_c_ti_on_In_d_u_stry--"-_L_ic_e_ns_i_,ng"'----B_o_ar_d_o_f_P_a_lm_B_ea_c_h_C_o_u_n_.ty'----- Advisory ( I Not Advisory (X)
[X] At Large Appointment or [ ] District Appointment /District#: \
Term of Appointment: 3 Years. From: 10/16/2012 To: 9/30/2015 -----Seat Requirement: Engineer Seat#: 9
[ X ]*Reappointment or [ ] New Appointment or [ to complete the tem1 of Due to: r ] resignation ] otter L
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: _..;.o __ Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Desnoyers Last
Occupation/ Affiliation:
Business Name:
Business Address:
John First
Engineer/ Florida Engineering Society (FES)
Owner [
SAFE
6625 Miami Lakes Drive
Employee [ ]
Middle
Officer [ ]
City & State Miami Lakes, FL Zip Code: ----~'------------- 33014
Residence Address: 4075 NW 7th Court
City & State
Home Phone:
Delray Beach, FL Zip Code: -----"-__ __.__ __________ _ 33445 ____________ Business Phone: (305) 779-8597
Cell Phone: (561) 927-7105 Fax: ----'--'------------ (561) Email Address: j [email protected]
Mailing Address Preference: [ ] Business )>(Residence
Have you ever been convicted ofa felony: Yes___ No A If Yes, state the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ J Native-American
Page 1 of2
~Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American ~aucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions. to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. lfthere are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: <R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Description of Services
General Maintenance 10/01/11-09/30/12
All board members are required to read and complete training on Article XITI, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going. ~By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach .. County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
,&_ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 __
a By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine · Amendment & State f rida Code of Ethics:
·, *Applicant's Signature: , .:f f b r;;i;rJo1(;C,£ Date: °( / 1o f tz-. >Any questions and/or concerns ~Qrding Art;cle X , the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www. almbeachcoun ethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division 2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable): · . . October 16 2012
. Appomtment to be made atee~ Meetmg i\ I ' Commissioner's Signature: ~ltJJLt: ~ Date: -~--+---l_1 __ \~t~{ ______ _ Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public. Revised 08/01/2011 Page 2 of2
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
,,·.:,
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attach a biography or resumisto this form.
Section I (Department): (Please Print)
Board Name: _C_o_ns_tru_c_ti_on_In_d_u_stry......__L_ic_en_s_in__,g"--B_oa_r_d_o_f_P_al_m_B_ea_c_h_C_o_u_n_..,_ty ____ Advisory I I Not Advisory (X)
[X] At Large Appointment or [ ) District Appointment /District #:
Tenn of Appointment: 3 Years. From: 10/16/2012 To: 9/30/2015
Seat Requirement: Engineer Seat#: 9
[ X )*Reappointment or [ ] New Appointment or to complete the tem1 of Due to: [ ] resignation otter Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ o __ Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Desnoyers Last
Occupation/ Affiliation:
Business Name:
Business Address:
John First
Engineer I Florida Engineering Society (FES)
Owner [ ]
SAFE
6625 Miami Lakes Drive
Employee [ ]
Middle
Officer [ ]
City & State Miami Lakes, FL Zip Code: ----~------------ 33014
Residence Address: 4075 NW 7th Court City & State
Home Phone:
Delray Beach, FL Zip Code: --~-~~----------- 33445
Business Phone: ------------ (305) 779-8597 Cell Phone: (561) 927-7105 Fax: ~-~--------- (561) Email Address: j [email protected]
Mailing Address Preference: [ ] Business )>(Residence
Have you ever been convicted of a felony: Yes___ No A If Yes, state the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ J Native-American
Page I of2
~Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American }<tfaucasian
I
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions.to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX}
Department/Division
Parks & Recreation
Description of Services
General Maintenance
NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XIH, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going. ~By signing below I acknowledge that I have read, understand, and agree to abid~ by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
K_ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 __
g_ By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State f rida Code of Ethics:
.:ff. b b ~rJi}j(s(L> Date: . Any questions and/or concerns ~ding Art:cle X , the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www. almbeachcoun ethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division 2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
Appointment to be made at BCC Meeting on: October 16, 2012
Comm;ss;oner's s;gnature: ~ ,Ii: he.T~ fiAL- Date: "I /1'41 '>-• > • • • tt. ~/'-e.,J,'\ . ~0--U .s / Pursuant to Florida s Public Records La==t may be reviewed and photocopied by members of the public. Page 2 of2
Revised 08/01/20 I I
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attach a biography or resume to this form.
Section I (Department}: (Please Print)
Board Name: _C_on_s_tru_ct_io_n_In_d_u_stry__,__L_ic_en_s_in_,g._B_oa_r_d_o_f_P_al_m_B_ea_c_h_C_o_u_n~ty ____ Advisory ( I Not Advisory [X]
[X] At Large Appointment or [ ] District Appointment /District#:
Term of Appointment: 3 ----- Years. From: 10/16/2012 To: 9/30/2015
Seat Requirement: Engineer Seat#: 9
[ X ]*Reappointment or [ ] New Appointment
or to complete the tem1 of Due to: [ ] resignation [ ] ott.cr
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: __ o __
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Desnoyers Last
Occupation/ Affiliation:
Business Name:
Business Address:
John First
Engineer/ Florida Engineering Society (FES)
Owner [
SAFE
6625 Miami Lakes Drive
Employee [ ]
Middle
Officer [ ]
City & State _M_i_am_i _L_ak_e_s,'-F_L ___________ Zip Code: 33014
Residence Address: 407 5 NW 7th Court
City & State
Home Phone:
_D_el_ra_,yc,_B_ea_c_h,.._, F_L ___________ Zip Code: 33445
Business Phone: ------------ (305) 779-8597
Cell Phone: (56 l) 927-7105 Fax: ~~~--------- (561)
Email Address: j des no ye r s@c om cast.net
Mailing Address Preference: [ ] Business )>(Residence
Have you ever been convicted ofa felony: Yes___ No A If Yes, state the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ ] Native-American
Page 1 of2
'M"Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American ~aucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions_ to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
OR
Description of Services
General Maintenance 10/01/11-09/30/12
NONE
All board members are required to read and complete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
~By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
K By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 __
g__ By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State f •rida Code of Ethics:
Date:
Any questions and/or concerns rding Art\:;le X , the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www. almbeachcoun ethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
. . October 16 2012 Appomtment to be made at BCC Meetmg on: '
Commissione,'s Signature:~~~ Date: ijrrk// z_ Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/2011
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further,please attach a biography or, r'esiime'to this form.
Section I (Department): (Please Print)
Board Name: _C_o_ns_tru_c_ti_on_In_d_u_stry~_L_ic_en_s_in_,g"-B_oar_d_o_f_P_al_m_B_ea_c_h_C_o_u_n~ty ____ Advisory ( ) Not Advisory (X)
[X] At Large Appointment or [ ] District Appointment /District#:
Term of Appointment: 3 ----- Years. From: 10/16/2012 To: 9/30/2015
Seat Requirement: Engineer Seat#: 9
[ X ]*Reappointment or [ J New Appointment or [ to complete the tem1 of Due to: [ ] resignation [ ] otter Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: --"'O __
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Desnoyers Last
Occupation/ Affiliation:
Business Name:
Business Address:
John First
Engineer I Florida Engineering Society (FES)
Owner [
SAFE
6625 Miami Lakes Drive
Employee [ ]
Middle
Officer [ ]
City & State _M_i_am_i L_a_k_e~s,'-F_L ___________ Zip Code: 33014
Residence Address: 4075 NW 7th Court
City & State
Home Phone:
_D_el_ra"""y_B_e_a_c_h,.__, F_L ___________ Zip Code: 33445 ____________ Business Phone: (305) 779-8597
Cell Phone: (561) 927-7105 Fax: __,___,__ ________ _ (561) Email Address: j [email protected]
Mailing Address Preference: [ ] Business J><Residence
Have you ever been convicted of a felony: Yes ___ No A If Yes, state the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ J Native-American
Pagel of2
'M'Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American }<If aucasian
I I
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions. to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and · transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: <R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
OR
Description of Services
General Maintenance
NONE
10/01/11-09/30/12
All board members are required to read and complete training on Article XITI, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going. ~By signing below I acknowledge that I have read, understand, and agree to abid_e by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
K By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 __
g_ By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State f rida Code of Ethics:
Date: Any questions and/or concerns i!fding Art;cle X , the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www. almbeachcoun ethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division 2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
Appointment to be made at BCC Meeting on: October 16, 2012
Commissioner's Signature:_--.,1--rp-J;t,,t;,.,.~=---__.-~2._,...,-;.=• .,.-:.,9--'-"-::::::::::.::.:::::_--_'--_ Date: __ _,./_6...__-_{~_-_I_~ ____ _ Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public. Page 2 of2
Revised 08/01/201 I
BOARDS/COMMITTEES APPLICATION CHECKLIST This form must be completed by Staff and accompany the Board Appointment Item
Proposed BCC Date: 10/16/12
Applicant's Name: Stanley Goodman
Dept/Division: Contractors Certification / PZB
Board/Committee Name: Construction Industry Licensing Board of PBC Purely Advisory [ ] Not Purely Advisory [X]
# Description
1. Is Part I fully completed and correct?
2. Is Part II fully completed? 3. BioaraohY or resume included? 4. Is APPiicant a Palm Beach County resident? a. If "No", please explain:
5. Did Aoolicant disclose felony conviction? a. If "Yes", did staff review information? b. Based on review, does staff recommend Applicant for consideration? C. Please explain:
6. Did Applicant disclose contractual relationship(s)? If "Yes" complete Questions "a" and "b" below: If "No" skip to Question 7:
a. Board/Committee provides regulation, oversight, management
List Each Contract(s) Identified in Application or policy setting recommendations regarding the contract identified
(Check if "Yes")
b. Does Department Recommend Waiver and/or Disclosure
7. Is Part Ill completed?
Completed by: Kurt Eismann (Print Name)
Department Head: Rebecca Caldwell (Print Name)
,1
#tl ,
Yes
X
X X X
X
Board/Committee provides NO regulation, oversight, management or policy setting recommendations regarding the contract identified
(Check if "Yes)
Yes
X
____,
To be completed by Administration if Staff answered "Yes" to Questions 5 or 6:
Administration (Initials): ____ _ Date: ___ _
Failure to complete this Checklist and/or incomplete Board Applications
will be returned to the Department
No N/A
X X
X
X
Waiver Disclosure Required Required (Yor N) (Yor N)
No N/A X
Date: 1&, /41
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. F'urther;please:attach, a hiograpliyt,r.MsumelQ thisjd'rm;'
Section I (Department): (Please Print)
Board Name: _C_o_n_stru_c_ti_on_In_d;_u_stry__.__L_ic_en_s_in_,g.,_B_oa_r_d_o_f_P..:.alm __ B_ea_c_h_C_o_u_n_.ty'----- Advisory [ ) Not Advisory [XI
[X] At Large Appointment or [ ] District Appointment /District#: __ _
Tenn of Appointment: Years. -----3 From: To: 9/30/2015 --------I 0/16/2012
Seat Requirement: Consumer Member ----------------------- Seat#: 14
[ X ]*Reappointment or ( ] New Appointment
or to complete the term of ------------ Due to: [ ] resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: _ _._O __
Section II (Applicant): (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Goodman. Last
Occupation/ Affiliation:
Business Name:
Business Address:
City & State
Residence Address:
n/a
Owner [
n/a
n/a
n/a
Stanley First
Employee [ ]
-----------------7130 Via Genova
Zip Code:
· City & State
Home Phone:
_D_el_r__,ay~B_ea_c_h,_, F_L ___________ Zip Code:
_(~5_6_,1)~6_3_8_-8_9_2_2 ______ Business Phone: n/a
Cell Phone: ~ F~ n/a ------------Email Address: stand o t l [email protected]
Mailing Address Preference: [ ] Business [ ) Residence
Middle
Officer [ ]
n/a
33446
Have you ever been convicted of a felony: Yes___ No -JL-If Yes, stat.e the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ J Native-American
Page I of2
['A Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American p4 Caucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awm-d:; made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations
' regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX}
Department/Division
Parks & Recreation
Description of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR[Z] NONE
10/01/11-09/30/12
All board members are required to read ancj ~.9mplete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
✓ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 __
[ZI By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State f Florida Cf/de o/thics:
* Applicant's Signature· J/.F,A,HP'V- ~ Printed Name: ~5---'--rfJ_fv._l.u_t __ c;_o_,..1_P_ffl_.A_µIDate: i/3o)1 Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner. if applicable):
October 16, 2012 Appointment to he mad~ Meeting on:
Commissioner's Signature: t -J/;, ~1.,u:/_, .:11t';, Date: 9j; :i_ /t1._o , 2. "" Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public. Revised 08/01/20 I I
Page 2 of2
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. Thisforrrz MUST. BECO~PLETED IN FULL. Answer "none" or "not applicable" where appropriate, Further,piease attack a bivgraphyir,ri¢suitlelQ thisfor~
Section I (Department): (Please Print)
Board Name: _C_o_n_stru_c_ti_on_In_d_u_stry--"---_L_ic_e_ns_in___,g.,__B_o_ar_d_o_f_P_al_m_B_e_ac_h_C_o_u_n~ty'---___ Advisory [ ] Not Advisory (X]
[X] At Large Appointment or [ ] District Appointment /District#: __ _
Term of Appointment: 3 Years. From: 10/16/2012 To: 9/30/2015
Seat Requirement: Consumer Member ----------------------- Seat#: 14
[ X ]*Reappointment or { ] New Appointment
or [ to complete the term of ------------ Due to: [ ] resignation [ ] other
Completion oftenn to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: --=-0 __
Section II (Applicant}: (Please Print) APPLIC4NT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Goodman, Last
Occupation/ Affiliation:
Business Name:
Business Address:
n/a
Owner [
n/a
n/a
Stanley First
Employee [ ]
City & State _n/_a _______________ Zip Code:
Residence Address:
· City & State
Home Phone:
Cell Phone:
Email Address:
7130 Via Genova
Delray Beach, FL
___,_(5_6_1 ),_6_3_8_-8_9-'2..::.2_______ Business Phone:
_n/_a ___________ Fax:
standot l [email protected]
Mailing Address Preference: [ ] Business [ ] Residence
Zip Code:
n/a
n/a
Middle
Officer [ ]
n/a
33446
Have you ever been convicted of a felony: Yes___ No ~ If Yes, stat~ the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ T Native-American
Page 1 of2
r;4 Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American p4 Caucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awitrd::; made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government ancl you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contractffransaction No.
Ex: (R#:XX-XXXX/PO XXX)
-------·--·--
Department/Division
Parks & Recreation
Description of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR[ZJ NONE
10/01/11-09/30/12
All board members are required to read ancj i;gmplete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
✓ By watching the training program on the Web, DVD or VHS By attending a live presentation given on 20 __ ------~
understand and agree to abide by the Guide to the Sunshine
Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
Appointment to be made October 16, 2012
Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/201 I
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Further, please attach a biography or resume ti> this form;
Section I (Department): (Please Print)
Board Name: Construction Industry Licensing Board of Palm Beach County Advisory [ ] Not Advisory IX]
[X] At Large Appointment or [ ] District Appointment /District#: __ _
Term of Appointment: 3 Years. From: 10/16/2012 To: 9/30/2015 -----
Seat Requirement: Consumer Member Seat#: 14
[ X ]*Reappointment or [ ] New Appointment
or [ to complete the term of Due to: [ ] ------------ resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: ---0 __
Section II (Applicant): (Please Print) APPLIC4NT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: _G_o_od_m_an_, ___________ St_a_nl_e,t._y ______________________ _ Last First Middle
Occupation/Affiliation: n/a -----------------------------------
Business Name:
Business Address:
City & State
Residence Address:
City & State
Home Phone:
Cell Phone:
Email Address:
Owner [
n/a
n/a
n/a
Employee [ ]
-----------------7130 Via Genova
Zip Code:
_D_e_lr....,ay~B_ea_c_h.,_, _F_L __________ Zip Code:
(561) 638-8922 Business Phone: n/a
n/a Fax: n/a
standot l [email protected]
Mailing Address Preference: [ ] Business [ ] Residence
Have you ever been convicted of a felony: Yes___ No ~'j.. __
Officer [ ]
n/a
33446
If Yes, state the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ ] Native-American
Page 1 of2
r,4 Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American p<1 Caucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awiird:.; made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government anct you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contractffransaction No.
Ex: (R#XX-XXXX/PO XXX)
Department/Division
Parks & Recreation
Description of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR [Z] NONE
10/01/11-09/30/12
All board members are required to read an<) ~gmplete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.palmbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
/ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 __
Beach
read, understand and agree to abide by the Guide to the Sunshine
Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
: . October 16 2012 Appomtment to be made at Bf f ~1)f;. on~ '
Commissioner'sSignature: ~~ Date: 9Jg/tz. Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/2011
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION
The information provided on this form will be used by County Commissioners and/or the entire Board in considering your nomination. This form MUST BE COMPLETED IN FULL. Answer "none" or "not applicable" where appropriate. Ji'urther;;pl~ase attach a biograplif otreSllme tQ fhisjorm.
Section I (Department): (Please Print)
Board Name: --'Cc...::o_n_stru_c_ti_on_In_d....:.u-=-stry~..:...L..:...ic-=-e....:.ns....:.i2ng"'-=B-=-o-'-'-ar....:.d_o_f_P....:.a---'lm:c:...::..B-=-e.:::.cac-=-h:..._C::..co:..._u'-n--'-'ty'--___ Advisory ( ] Not Advisory (X]
[X] At Large Appointment or [ ) District Appointment /District#: __ _
Term of Appointment: Years. -----3 From: To: 9/30/2015 --------10/16/2012
Seat Requirement: Consumer Member Seat#: -----"-=----------------- 14
[ X ]*Reappointment or [ ) New Appointment
or to complete the term of ------------ Due to: [ ) resignation [ ] other
Completion of term to expire on:
*When a person is being considered for reappointment, the number of previous disclosed voting conflicts during the previous term shall be considered by the Board of County Commissioners: _ _..a-0 __
Section II (Applicant): (Please Print) APPLIC4ivT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT
Name: Goodman, Stanley Last
Occupation/ Affiliation:
Business Name:
Business Address:
City & State
Residence Address:
· City & State
Home Phone:
Cell Phone:
Email Address:
n/a
Owner [
n/a
n/a
n/a
7130 Via Genova
Delray Beach, FL
First
Employee [ ]
~(5_6_1)~6_3_8_-8_9_2_2 ______ Business Phone:
n/a Fax: ------------stand o t [email protected]
Mailing Address Preference: [ ] Business [ ) Residence
Have you ever been convicted ofa felony: Yes___ No __ _
Zip Code:
Zip Code:
n/a
n/a
Middle
Officer [ )
n/a
33446
If Yes, state the court, nature of offense, disposition of case and date: ____________________ _
Minority Identification Code: [ JNative-American
Page 1 of2
['f.i Male [ ] Hispanic-American
[ ] Female [ ] Asian-American [ ] African-American ~ Caucasian
Section II Continued:
CONTRACTUAL RELATIONSHIPS: Pursuant to Article XIII, Sec. 2-443 of the Palm Beach County Code of Ethics, advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awiird:; made under sealed competitive bids, certain emergency and sole source purchases, and transactions that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compliance with this provision, it is necessary that you, as a board member applicant, identify all contractual relationships between Palm Beach County government and you as an individual, directly or indirectly, or your employer or business. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.
Contract/Transaction No.
Ex: (R#XX-XXXX/PO XXX}
Department/Division
Parks & Recreation
Description of Services
General Maintenance
(Attach Additional Sheet(s), if necessary)
OR[ZJ NONE
10/01/11-09/30/12
All board members are required to read ancj ~9mplete training on Article XIII, the Palm Beach County Code of Ethics, and read the Guide to the Sunshine Amendment prior to appointment/reappointment. Article XIII, and the training requirement can be found on the web at: http://www.pa1mbeachcountyethics.com/training.htm. Keep in mind this requirement is on-going.
By signing below I acknowledge that I have read, understand, and agree to abide by Article XIII, the Palm Beach County Code of Ethics, and I have received the required Ethics training (in the manner checked below):
/ By watching the training program on the Web, DVD or VHS By attending a live presentation given on _______ , 20 __
~ By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment & State f Florida Cie o/thics:
* Applicant's Signature· / Afi'hlP/,"'-' ~ Printed Name: .,_}..:..._11-J_/ll._t_li,:;_f __ G_o_o_p_tn_.A_JDate: ik/,1 Any questions and/or concerns regarding Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website www.palmbeachcountyethics.com or contact us via email at [email protected] or (561) 233-0724.
Return this FORM to: Janeth Cervera, Contractors Certification Division
2300 N. Jog Road, Ste. 2W-61, West Palm Beach, FL 33411
Section III (Commissioner, if applicable):
Appointment to be made at BCC Meeting on:
/p ·-f'-7T) ;,,. .,..., ,- . • • , l-z;,,-- ' C Comm1ss1oner's Signature: y-c ~
October 16, 2012
Date: / lJ .,,.. t/ - / 2-, Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members of the public.
Page 2 of2
Revised 08/01/20 I I
2012 OFFICERS
ERIC WASSER PRESIDENT
GLEN LABONTE 1st VICE PRESIDENT
STEVE NAUMANN 2nd VICE PRESIDENT TREASURER
DAN PRATER SECRETARY
BOARD OF DIRECTORS
VINNY BURDO CHAIRMAN
ELLIS BAIRD LEONARD DEVINE DAVE HOLT JAKE LEAHY DEBBIE NUTTER BOVELL RICHARDS KARL SWIERZKO
HONORARY MEMBERS
TIM VAN FOSSEN LEONARD DEVINE
International Association of Electrical Inspectors
Kurt Eismann,
Southern Section * Florida Chapter PALM BEACH COUNTY DIVISION
Director Contractors Certification Palm Beach County 2300 North Jog Road West Palm Beach, FL 33411
Re: CILB / PBC Nominations
Dear Mr. Eismann,
The Palm Beach County Division of the International Association of Electrical Inspectors, IAEI, received your letter, requesting a nominee to fill the vacancy for an electrical contractor on the Palm Beach County Construction Industry Licensing Board.
At our August 21, 2012 meeting, after a short discussion, the members voted to support our well respected and longtime member, Donald G. Sharkey. Don is the qualifier for his local electrical contracting business, Current Connections, and has been in business in PBC for 28 years. We know Don to be very conscientious and knowledgeable of the Codes, along with a good common sense approach to issues. We also know that he previously served with distinction on the CILB.
This Division of IAEI does not know anyone else that we could recommend more to serve on the PBC CILB.
On behalf of the PBC Div. IAEI
Dan Prater Secretary PBC IAEI
P.O. Box 174 Jupiter, Florida 33468-0174
Associated Builders and Contractors, Inc.
Florida East Coast Chapter
Chairman Clay Fischer
Woodland Construction Co., Inc.
Chairman Elect Scott R. Moss
Moss and Associates
Immediate Past Chairman Randall Lebolo
Lebolo Construction Management, Inc.
First Vice Chairman George Cuesta
Cuesta Construction
Second Vice Chairman Jesus Vazquez
Facchina Construction of Florida, LLC.
Miami-Dade Council Chairman Antonio Obregon
Formrite Construction, LLC
Space Coast Council Chairman Felix Perez
Woodland Construction Co., Inc.
Directors
Carlos Ardavin Jr. Matrix Construction Group, Inc.
John Bennett Coastal Construction Group
Bill Bower Southeast Mechanical Contractors
Alberto Fernandez ANF Group, Inc.
Clinton Glass Balfour Beatty Construction
Chris Kennedy Suffolk Construction Co., Inc.
Casey K Lee DynaServ Florida, Inc.
Roy F. MacRobert Supermix/Superblock/Superpaver
Russell P. Nash William R. Nash, Inc.
Bill Parker lnSource, Inc.
Bernard Paul-Hus Hypower, Inc.
John Scherer Guld Building LLC
Brian A. Wolf, Esq. Smith, Currie & Hancock, LLP
Alternates
Juan Bauza Cellucrete Corp.
Monica Manolas CEMEX
Mike McWilliams SimplexGrinnell, LP
President and CEO Peter M. Dyga
ABC Florida East Coast Chapter
August 17, 2012
Kurt Eismann Director- Contractors Certification and Code Enforcement
3730 Coconut Creek Pkwy., Suite 200 Coconut Creek, FL 33066
Phone 954.984.0075 Fax 954.984.4905 www.abceastflorida.com
Palm Beach County Department of Building, Planning and Zoning 2300 North Jog Road West Palm, FL 33411-2741
Dear Kurt,
On behalf of Associated Builders and Contractors Florida East Coast Chapter, I proudly recommend Edward J. Lynch, Sr. for the vacant seat on the Construction Industry Licensing Board of Palm Beach County. We believe that Edward would be a fantastic
addition to this very important effort.
Mr. Lynch meets the requirements for this position based on the following: - He is currently a resident of Palm Beach County and has been since 2000 - He is currently licensed in the State of Florida #CGC1509578 - The License is in his name - Since 2005, Mr. Lynch has been actively engaged in construction in Palm Beach
County.
Associated Builders and Contractors Florida East Coast Chapter is the largest commercial construction association in Florida. Representing the interests of member companies from Key West to Melbourne, we truly are the Voice of Commercial Construction. We would be thrilled to have our member, Edward Lynch, represent us on the Palm Beach County CILB. Additional and pertinent information is enclosed.
August 24, 2012
Palm Beach County Planning, Zoning & Building Attn: Kurt Eismann - Director Construction Industry Licensing Board 2300 N Jog Road, West Palm Beach, FL 33411
Dear Mr. Eismann:
Florida Engineering Society
The Florida Engineering Society endorses Mr. Jean-Francois (John) Desnoyers, PE of Delray Beach, Florida, for re-appointment to the Construction Industry Licensing Board. Mr. Desnoyers is a highly qualified, accomplished and dedicated Licensed Professional Engineer and has been a member of the Florida Engineering Society for over 9 years. I am confident that, if reappointed, he will continue to serve the Board with the same degree of commitment and focus.
Thank you for your consideration of Mr. Desnoyers to this important Board position and I hope you will not hesitate to call me if you need further information.
Sincerely,
Frank H. Rudd Executive Director
125 S Gadsden St PO Box 750 Tallahassee, FL 32302-0750 850-224-7121
Fax: 850-222-4349 E-mail:[email protected] Web site: www.fleng.org
Current Connections, Inc. 1620 Hill A venue Mangonia Park, FL 33407
(561) 863-0010 Donald G. Sharkey (561) 863-5380 Fax
Vitae
Donald G. Sharkey President
Professional Certifications
State ofFlorida EC-0001253 August 1991
Palm Beach County Journeyman J-12358
July 1979
Professional Organizations
Association of General Contractors (AGC)
Board Member 1996 to 2008 Treasurer 2004 to 2008
Construction Industry Licensing Board
of Palm Beach County 1997-2003
Independent Electrical Contractors, Inc
International Association of Electrical Inspectors
Electrical Council of Florida
IEC Forum Group # 11
SUMMARY OF QUALIFICATIONS AND EXPERIENCE
Mr. Sharkey formed Current Connections, Inc in 1984, and has over 35 years of experience in the electrical industry. Specializing in commercial, industrial and institutional construction and renovation, projects include schools, nursing homes, public facilities, airport buildings, country clubs, storm water facilities, and marine projects.
KEY PROJECTS
• Polo Club of Boca Raton-Additions to an existing 75,000 sf clubhouse facility resulting in a 167,000 sf finished product. Included new tennis and golf pro shops, spa and fitness areas, indoor racquetball courts, and underground parking garage and larger, updated dining and bar areas. Boca Raton, FL Weitz Golflnternational, LLC. $2,955,000.
• Jupiter Hills Country Club--New construction of a 42,000 sf two-story clubhouse. Tequesta, FL. Weitz Golflnternational, LLC. $ 763,954.
• Palm Beach County 1916 Historic Courthouse Restoration West Palm Beach, FL. Hedrick Brothers Construction Co. $2,147,796.00
• Old Port Cove Marina North Basin-46 Slip Mega-Yacht Marina North Palm Beach, FL. The Murphy Construction Co. $1,251,122.00
• Old Port Cove Marina South Basin - 144 Slip Mega-Yacht Marina North Palm Beach, FL. The Murphy Construction Co. $2,770,000.00
• Palm Harbor Marina - 180 Slip Mega-Yacht Marina West Palm Beach, FL. Leisure Resorts, LLC. $3,020,537.00
• Port of Palm Beach-Refrigeration Power Station, Riviera Beach, FL. Port of Palm Beach. $ 500,940.00
• WPB V AMC Parking Deck - 400 space parking garage addition. Riviera Beach, Fl. The Clement Group $329,921.00
PROFESSIONAL HISTORY
• 1984-Present Current Connections, Inc
President. State certified electrical contractor specializing in commercial, institutional and industrial construction from St. Lucie to Miami-Dade Counties.
• 1976-1984 - Employed by various local electrical contractors in the capacities of General Foreman, Job Foreman, and Superintendent on residential, commercial, institutional and industrial projects throughout Palm Beach County.
Objective:
Edward J Lynch, Sr. 10269 Trianon Place
Wellington, Florida 33449 561.445.3139
Appointment to the Palm Beach County Construction Industry Licensing Board.
Experience:
2004 - Present
2001- 2002
2000- 2001
1995 - 2000
1993 -1996
1989 -1993
Education:
1983 -1987
DeLeon Industries, LLC (President, CEO) Construction Consulting, Construction Management, General Contractor, Electrical Contracting, Federal Contracting
International Interests, Inc. (President, CEO) Construction Consulting, Construction Managements, General Contractor, Program Management Telecommunications
Qserve Communications, Inc. (President, NE Operations) Construction Consulting, Construction Management, General Contractor, Program Management
DeLeon Industries, Inc. (President, CEO) Construction Consulting, Construction Management, General Contractor, Electrical Contractor, Tower Contractor, Excavation Contractor, National and International Program Management Telecommunications
R & L Electrical Contracting (CFO) National General Contractor, National Electrical Contractor, Construction Management
JRJ Contracting, Inc (COO) General Contractor, Construction Management, Telecommunications Construction, Commercial Construction
Drew University Major: Economics with Business Management Emphasis Minor: Spanish and Computer Science
Resume
Education
Registrations
Professional Affiliations
Professional Specialties
Professional History
2011
1993-2011
1991-1993
,,/\ .. E. SCIENTIFIC APPLICATIONS IN FORENSIC ENGINEERING LLC
Jean Francois Desnoyers, P .E.
Associates of Arts, Broward Community College, 1981 Bachelor of Science in Engineering, Florida Atlantic University, 1984 Masters of Science in Engineering, Florida Atlantic University, 1987 emphasis on structural, geotechnical, corrosion, and environmental engineering.
Florida Professional Engineer, PE 47885 Certified Special Inspector of Threshold Buildings, License No. 1060
Palm Beach County Construction Industry Licensing Board American Soils and Foundation Engineers Florida Engineering Society Florida Institute of Civil Engineers American Society for Civil Engineers American Council of Engineering Companies
Geotechnical, subsurface soil investigations and recommendations, determination of soil bearing capacity, foundation design, demucking, test pits, pressure grouting, vibroflotation, and dynamic compaction. Special inspection of reinforced masonry, structural steel, foundation systems, framing, drywall, and roofing systems. Threshold inspections of foundations, elevated slabs, exterior wall systems, light gage metal framing, metal decking, bolted and welded connections, columns and beams, and fire proofing.
Senior Civil/Geotechnical Engineer Scientific Applications in Forensic Engineering, LLC (SAFE) Miami Lakes, FL
Vice President of Engineering GFA International Delray Beach, FL
Principal Engineer Corrtech Consultants Inc .. Boca Raton, FL
Scientific Applications in Forensic Engineering. LLC • 6625 Miami Lakes Drive, Suite 417 • Miami Lakes, FL 33014 Toll Free: 877-711-2027 • Phone: 305-779-8597 • Fax: 305-777-3802
www.safe4claims.com
1988-1991
Brief Professional Biography
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Engineering and Inspection Manager Florida Testing & Engineering Inc. Fort Lauderdale, FL
Mr. Desnoyers has extensive experience on projects involving soil investigations for land and marine foundation assessments, shallow and deep foundation design, rigid and flexible pavement design. His experience in threshold and special inspection includes low and high rise buildings of residential and commercial construction. His experience in construction materials testing includes the management of hundreds of projects involving earthwork quality control, building materials QA/QC and roadway construction testing.
Representative Project Experience
Senior Engineer for Geotechnical Projects:
• Geotechnical investigation for hi-rise and low-rise buildings in South Florida including: Las Olas City Center, Stiles Tower, Sunrise Harbour, Boca Resort and Club, Hard Rock Hotel and Casino, St-Regis Hotel, Coral Springs Automall parking garage, City Furniture Main Office/warehouse.
• Geotechnical investigation for thousands of single and multi-family residential structures in South Florida.
• Geotechnical investigation for bridge projects- Fort Lauderdale, Fl. Bridge# 865712, Castle Harbor Isle drive, Bridge# 865713, Fort Royal Isle, Bridge# 865729, East Las Olas over Himmarshee Canal, Bridge# 865770, Laguna Terrace, Bridge# 865773, West Lake Drive over Lucille River, Bridge# 865774, West Lake Drive over Mercedes River, Bridge# 865775, South Ocean Drive, Bridge# 865778, Harborage Isle Drive. Mr. Desnoyers was responsible for borings, laboratory soil classification and corrosion testing, field and laboratory testing procedure, and evaluation of subsurface rock and soil conditions.
Senior Engineer for Low and High Rise Structures:
• Consolidated Rental Car Facility -Ft. Lauderdale/Hollywood lnt'I Airport, 4.5 Million S.F .Parking Garage • Las Olas City Centre, Fort Lauderdale - 20+ story high rise • Stiles Tower, Fort Lauderdale - 20+ story high rise • Espirito Santos, Miami - 30+ story high rise • Las Olas Centre, Fort Lauderdale - 15+ story high rise • Sunrise Harbour, Fort Lauderdale - Twin 15+ story high rises • Boca Resort and Club, Boca Raton - 200+ million dollar expansion project • 2700 Singer Island, Singer Island - Twin 20+ story condominium • Resort at Singer Island, Singer Island - 20+ story hotel/ condominium • Hard Rock Hotel & Casino, Hollywood - 15 story hotel, 300K sq ft casino/conference, 7 story parking
garage • 900 Biscayne , Miami - 60+ story condominium • St. Regis Hotel, Fort Lauderdale - 20+ story hotel • Brickell Financial, Miami - 40+ story office building • Marlins Stadium, Miami - 37,000 seat covered baseball stadium
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Objective
Stanley Goodman 7130 Via Genova
Delray Beach, FL 33446 (561) 638-8922
Reappointment to the Palm Beach County Construction Industry Licensing Board
Education Queens College - Associate in Applied Science Western Illinois University - Bachelor of Arts University of North Carolina at Wilmington - Elementary Education Licensure (Post Retirement)
Relevant Experience Palm Beach County Fair Housing/Equal Opportunity Board Construction Industry Licensing Board of Palm Beach County, three years Board of Directors of Alliance of Delray Residential Associations, (a non-partisan civic association) five years Delegate to the Alliance of Delray Residential Associations, eight years President, Villa Borghese Home Owners Association, two terms Chairman and member of various committees at Villa Borghese Received award from NC Governor's office for volunteer work with children Board of Directors several synagogues Board of Directors Family Services, Wilmington NC Vice Commander Post 766 Jewish War Veterans, South Brunswick, NJ
Employment Experience JCPenney Company Inc. Corporate Office 6501 Legacy Drive, Plano TX 75024 May 1968 - June 1993
Division Control Manager - Retail and Catalog Children Division and Family Shoes Division.
Forecasted and presented to top management projections of all measureable factors. Developed and monitored training for all pertinent issues. Coordinated and was in charge of special projects, analyses and committees that supported company objectives. Evaluated monthly performance and issued reports projecting future performance. Developed production schedules for suppliers.
United States Air Force May 1958 - May 1962 Aircraft Control and Warning , Osan Korea, Trained Korean Air Force Servicemen. Using flight plans, identified aircraft called in by radar sites. Unidentified aircraft resulted in action by fighter jets. Lockport NY, monitored air traffic
Personal Married to wife Dorothy 52 years. Three daughters, six grandchildren
BOARD MEMBER QUALIFICATIONS
Chapter 67-1876, Section 3 (B) To be eligible for appointment each contractor member shall be:
(1) Actively engaged in the construction business in Palm Beach County and have held a certificate of competency in his name and have been so engaged for a period of not less than 5 consecutive years immediately before the date of his appointment, and be a resident of Palm Beach County. The Architect and Engineer member shall be licensed in the State of Florida and be a resident of Palm Beach County.
(2) Each member of the Board except the Building Official shall hold a valid certificate issued by this Board or the state of Florida in addition to have the qualifications required in subsection (8)(1) above.
CONSUMER MEMBER QUALIFICATIONS
FS. § 489.131 (CONSUMER REPRESENTATIVES)
(10) No municipal or county government may issue any certificates of competency or license for any contractor defined in s. 489.105 (3) (a)-(o) after July 1, 1993, unless such local government exercises disciplinary control and oversight over such locally licensed contractors, including forwarding a recommended order in each action to the board as provided in subsection (7). Each local board that licenses and disciplines contractors must have at least two consumer representatives on that board. If the board has seven (7) or more members, at least three (3) of those members must be a consumer representative. The consumer representative may be any resident of the local jurisdiction who is not, and has never been, a member or practitioner of a profession regulated by the Board or a member of any closely related profession.