HomeMy WebLinkAboutMinutes P&Z 121311I CITY OF PALM BEACH GARDENS
2 PLANNING, ZONING AND APPEALS BOARD
3 REGULAR MEETING
4 December 13, 2011
5 I. CALL TO ORDER
6 The regular meeting was called to order at 6:05 p.m. by Chair Michael Panczak.
7 H. PLEDGE OF ALLEGIANCE
8 III. ROLL CALL
9 Members Present:
10 Chair Michael Panczak, Vice Chair Randolph Hansen, Joy Hecht, Roma Josephs, Douglas
11 Pennell, Charles Hathaway, Howard Rosenkranz.
12 Members Absent: None.
13 Also Present: City Attorney, R. Max Lohman; Director of Planning and Zoning, Natalie Crowley.
14 IV. ADDITIONS, DELETIONS, MODIFICATIONS
15 Director of Planning and Zoning, Natalie Crowley advised there was a request to have the
16 agenda reordered. Specifically, Item 1 would remain the same; Item 4 would become Item 2;
17 Item 2 would become Item 3 and Item 3 would become Item 4.
18 Charles Hathaway made a motion to approve the changes.
19 Douglas Pennell seconded.
20 Motion passed 7 -0.
21 V. REPORT BY DIRECTOR OF PLANNNING AND ZONING: NATALIE
22 CROWLEY
23 Reported on items approved by the City Council at the December 1, 2011 meeting.
24 VI. APPROVAL OF MINUTES
25 Joy Hecht made a motion to approve the October 11, October 18, and November 1, 2011
26 minutes.
27 Douglas Pennell seconded.
28 Motion passed 7 -0.
29 VII. PUBLIC HEARINGS
30 Those preparing to give testimony were sworn in.
31 1. Recommendation to City Council (Public Hearing) - QUASI - JUDICIAL HEARING
32 MISC- 10 -07- 000074 - The Sanctuary PUD
33 A request by The Sanctuary Homeowner's Association Inc., for approval of a development
34 order amendment to provide for an alternative street tree replacement plan and the
35 elimination of a condition of approval pertaining to street tree installation requirements. The
36 PUD is approximately 82 acres in size and located on the north side of Hood Road
37 approximately 1,500 feet west of Prosperity Farms Road.
38 Chair Panczak opened the public hearing.
39 Petitioner: Don Hearing, Cotleur & Hearing.
40 Staff Presentation: Director of Planning and Zonine, Natalie Crowley.
41 Public comment: None.
42 Chair Panczak closed the public hearing.
43 Discussion ensued.
44 Douglas Pennell made a motion to approve MISC- 10 -07- 000074.
45 Randolph Hansen seconded.
Page 1
I Howard Rosenkranz abstained from voting, Form 8B on file. Alternate Robert Savel sat for
2 Howard Rosenkranz.
3 Roma Josephs; Robert Savel voted against.
4 Motion passed 5 -2.
5 2. Recommendation to City Council (Public Hearing) - QUASI - JUDICIAL HEARING
6 PUDA- 11 -07- 000030 — Waterford Hotel Planned Unit Development (PUD)
7 Amendment
8 A request by Greenway at the Gardens, LLC, for approval of an amendment to the
9 Waterford Hotel PUD to reduce the number of existing hotel rooms from 90 to 77 through
10 the conversion of 13 rooms into suites, and to convert the private restaurant into a public
11 restaurant. The 1.85 -acre parcel is located on the east side of U.S. Highway One,
12 approximately one -tenth of a mile south of the intersection of U.S. Highway One and PGA
13 Boulevard.
14 Chair Panczak opened the public hearing.
15 Petitioner: Donald Hearing, Cotleur & Hearing
16 Staff Presentation: Planner, Kathryn Dewitt.
17 Public Comment: Chelle Konae, St. John Rossin Burr & Lenne, West Palm Beach; Bill
18 Wehrman,11278 Glen Oaks Ct., North Palm Beach.
19 Chair Panczak closed the public hearing.
20 Discussion ensued.
21 Douglas Pennell made a motion to approve PCDA- 10 -07- 000030.
22 Howard Rosenkranz seconded.
23 Motion passed 7 -0.
24 3. Recommendation to City Council (Public Hearing) - QUASI - JUDICIAL HEARING
25 PCDA - 10-07- 000010 — Parcel 31.04 PCD Amendment
26 A request by Cimarron Cove, LLC and Hawkeye Central, LLC, for an amendment to the
27 Planned Community District (PCD) to allow for a revised development program consisting
28 of 15,000 square feet of restaurant, 60,000 square feet of professional office, 35,000 square
29 feet of commercial, 60,000 square feet of medical office, 10,000 square feet of bank with
30 drive through, 15,000 square feet of drugstore with drive through, 20,000 square feet of
31 health club, and 341 multi - family units. The approximately 50.58 -acre PCD is generally
32 located at the southeast corner of Central Boulevard and Victoria Falls Boulevard and is
33 bounded on the west by Central Boulevard and Interstate 95, on the north by Victoria Falls
34 Boulevard, on the east by Elm Avenue, and on the south by the Northern Palm Beach
35 County Improvement District EPB -3 canal.
36 Chair Panczak opened the public hearing.
37 Petitioner: Ryan Johnston, Johnston Group.
38 StaffPresentaion: Sr. Planner, Richard Marrero.
39 Public comment: John VanderWaaen,12321 Auiles Circle, Palm Beach Gardens; Catherine
40 Morris, 12484 Auiles Circle, Palm Beach Gardens; Michael Gottlieb, 12471 Auiles Circle,
41 Palm Beach Gardens; Steve Sandberg, 12463 Auiles Circle, Palm Beach Gardens; Glenn
42 Cohen, 12448 Auiles Circle, Palm Beach Gardens; Ron Anzivino 4714 Cadiz Circle, Palm
43 Beach Gardens.
44 Chair Panczak closed the public hearing.
45 Howard Rosenkranz made a motion to approve PCDA- 10-07-0000 10.
46 Douglas Pennell seconded.
Page 2
1 Randolph Hansen abstained from voting, form 8B on file. Alternate Robert Savel sat for
2 Randolph Hansen.
3 Motion passed 7 -0.
4 4. Recommendation to City Council (Public Hearing) - QUASI - JUDICIAL HEARING
5 PUDA- 10 -04- 000025 - Southampton PUD Amendment
6 A request by Hovstone Properties Florida, LLC, requesting approval of a Planned Unit
7 Development (PUD) amendment for the approval of 192 townhouse units on an
8 approximately 38.5 -acre site. The proposed Southampton PUD is located at the northeast
9 corner of Central Boulevard and PGA Boulevard.
10 Chair Panczak opened the public hearing.
11 Petitioner: Dodie Glas, Gentile Holloway.
12 Staff Presentation: Sr. Planner, Richard Marrero.
13 Public comment: Steven Strivelli. 4918 Pacifico Court, Palm Beach Gardens; Beth Kyne,
14 329 Woodview Circle, Palm Beach Gardens.
15 Chair Panczak closed the public hearing.
16 Charles Hathaway made a motion to approve PUDA- 10 -04- 000025.
17 Howard Rosenkranz seconded.
18 Motion passed 7 -0.
19 VIII. OLD BUSINESS
20 None.
21 IX. NEW BUSINESS
22 Natalie Crowley wished everyone happy holidays.
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X. ADJOURNMENT
Chair Panczak adjourned the meeting at 8:45 p.m.
The next regular meeting will be held on January 10, 2012.
Approved:
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32,.,- V -
Howard Rosenkranz
3 , r iApatServices Coordinator
4f Note: these minutes are prepared in compliance with 286.011 F.S. and are not verbatim transcripts
42 of the meeting.
43 All reference attachments are on file in the Office of the City Clerk.
44 Note: all those preparing to give testimony were sworn in.
45
46
Page 4
FORM $B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY MUNICIPAL AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME—FIRST NAME (�
Z--
NAME OF BOARD, COUNCIL, CO7MMISSION, AUTHORITY, OR COMMITTEE
�C�7N1
,q d 5, 4qA n1 J� / ���'�
FL0.N ) ,k r, NC--
MAILING ADDKSS
THE BOARD, COLKA , COMMISSION, AUTHORITY OR OOMMITTEE ON
J %�/ V
S
YNNCH I SERVE IS A UNIT OF:
QTY 13 COUNTY O OTHER LOCH_ AGENCY
CITY CONY
NAME OF POLTnCALSUBDIVISION:
PQ G 1p 1
DATE ON WHICH VOTE OCCURRED
MY POSITION IS:
/ /3 l %
O ELECTIVE APPOINTIVE
WHO MUSS FILE FORM 813
This form is for use by any person serving at the county, dry, or other local level of government on an appointed or elected board, council,
commission, authority, or committee. It applies equally to members of advisory and non - advisory bodies who are presented with a voting
conflict of interest under Section 112.3143, Florida Statutes.
Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, please pay dose attention to the instructions on this form before
completing the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 1123143, FLORIDA STATUTES
A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
inures to his or her special private gain or loss. Each elected or appointed local officer also is prohibited from knowingly voting on a mea-
sure which inures to the special gain or loss of a principal (other than a government agency) by whom he or she is retained (including the
parent organization or subsidiary of a corporate principal by which he or she is retained); to the special private gain or loss of a relative; or
to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies under Sec. 163.356 or
163.357, F.S., and officers of independent special tax districts elected on a one -acre, one vote bads are not prohibited from voting in that
capacity.
For purposes of this law, a 'relative' dudes only the officers father, mother, son, daughter, husband, wife, brother, sister, father-in-law,
mother4n4aw, son-in-law, and daughter4n4aw. A 'business associate' means any person or entity engaged in or carrying on a business
enterprise with the officer as a partner, joint venturer, coowner of property, or corporate shareholder (where the shares of the corporation
are not listed on any national or regional stock exchange).
ELECTED OFFICERS:
In addition to abstaining from voting in the situations. desathed above, you must disclose the conflict
PRIOR TO THE VOTE BEING TAKEN by publicly slating to the assembly the nature of your interest in the measure on which you
are abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filling this form with the person responsible for recording the min-
utes of the meeting, who should incorporate the form in the minutes.
APPOINTED OFFICERS:
Although you must abstain from voting in the situations described above, you otherwise may participate in these matters. However, you
must disclose the nature of the conflict before making arty attempt to affluence the decision, whether orally or in writing and whether made
by you or at your direction.
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
TAKEN:
You must complete and file this form (before making any arttempt to influence the decision) with the person responsible for recording the
minutes of the meeting, who will incorporate the form in the minutes. (Continued on other side)
^0 CAn\m On C A /ff1fY1
APPOINTED OFFICERS (continued)
A copy of the form must be provided immediately to the other members of the agency.
• The form must be read publicly at the next meeting after the form is Sed.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
You must disclose orally the nature of your conflict in the measure before participating.
You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the
meeting, who must incorporate the form in the minutes. A copy of the form must be provided immediately to the other members of the
agency, and the form must be read publicly at the next meeting after the form is filed.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
A6" A-0 RaS A/Z hereby disclose that on Df6- 1)79 r2. /3 , 20 /:
(a) A measure came or will come before my agency which (check one)
inured to my special private gain or loss;
_ inured to the special gain or loss of my business associate, ;
inured to the special gain or loss of my relative, ;
'< inured to the special gain or lass of MY ,COM/lf 0,/l. 1 i% %�� S,p N C j/�Gl fz �/ /�1c� ,Q by
whom I am retained, or
inured to the special gain or loss of which
is the parent organization or subsidiary of a principal which has retained me.
(b) The measure before my agency and the nature of my conflicting interest in the measure is as follows
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE
CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT,
REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A
CIVIL PENALTY NOT TO EXCEED $10,000.
CE FORM 8B - EFF. 112000 PAGE 2
•' :: *1 RA I mili go] • • •'
10 ITJ RR ILIA 1:7.111u,
it
II �
WE
fiI`
• -,
WHO MUST FILE FORM SB
This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council,
commission, authority, or committee. It applies equally to memi ms of advisory and non - advisory bodies who are presented with a voting
conflict of interest under Section 112.3143, Florida Statutes.
Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, please pay dose attention to the instructions on this form before
completing the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 1123143, FLORIDA STATUTES
A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
inures to his or her special private gain or loss. Each elected or appointed local officer also is prohibited from knowingly voting on a mea-
sure which inures to the special gain or loss of a principal (other than a government agency) by whom he or she is retained (inducing the
parent organization or subsidiary of a corporate principal by which he or she is retained); to the special private gain or loss of a relative; or
to the special private gain or lass of a business associate. Commissioners of community redevelopment agencies under Sec. 163.356 or
163.357, F.S., and officers of independent special tax districts elected on a one- acre, one -vote basis are not prohibited from voting in that
capacity.
For purposes of this law, a'relative' inahides only the officer's father, mother, son, daughter, husband, wife, brother, sister, father-in-law,
mother-in-law, son4n4aw, and daughter-in-law. A 'business associate' means any person or entity engaged in or carrying on a business
enterprise with the officer as a partner, joint venturer, covwner of property, or corporate shareholder (where the shares of the corporation
are not listed on any national or regional stock exchange).
ELECTED OFFICERS:
In addition to abstaining from voting in the situations described above, you must disclose tine conflict
PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of yohr interest in the measure on which you
are abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and Kmg this form with the person responsible for recording the min-
utes of the meeting, who should incorporate the form in the mimes.
APPOINTED OFFICERS:
Although you must abstain from voting in the situations described above, you otherwise may participate in these maters. However, you
must disclose the nature of the conflict before malft arty attempt to intiuenoe the decision, whether orally or in writing and whether made
by you or at your direction.
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
TAKEN:
You must complete and file this form (before making any attempt to influence the decision) with the person responsible for recording the
minutes of the meeting, who will incorporate the form in the minutes. (Continued on other side)
APPOINTED OFFICERS (continued)
A copy of the form must be provided immediately to the other members of the agency.
• The form must be read publicly at the next meeting after the form is fled.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
• You must disclose orally the nature of your conflict in the measure before partieapating.
• You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the
meeting, who must incorporate the form in the minutes. A copy of the form must be provided immediately to the other members of the
agency, and the form must be read pubtidy at the next meeting after the form is filed.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
(a) A measure came or will come before my agency which (check one)
inured to my special private gain or loss;
inured to the special gain or loss of my business associate, ;
inured to the special gain or loss of my relative, ;
inured to the special gain or loss of by
whom I am retained; or
inured to the special gain or loss of
is the parent organization or subsidiary of a principal which has retained me.
which
(b) The measure before rrry agency and the nature of my conflicting interest in the measure is as follows.
fVEM oUA.0 1s A a(L:4jT OF AAJ�JG, .z i-AIR3
MC L lr\J T14G TZTS�T
12.1�.�1
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE
CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT,
REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A
CIVIL PENALTY NOT TO EXCEED $10,000.
CE FORM 8B - EFF. 12000 PAGE 2
FORM 813 MEMORANDUM OF VOTING CONFLICT FOR
COUNTY MUNICIPAL AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME- FIRST NAME - MIDDLE NAME NAME OF tom, COUNCl- GOMMISSION, AUTHORITY, OR COMMITTEE
y '
MAILING ADDRESS THE BOARD, COUNCIL~ COMMISSION, AUTHORITY OR COMMITTEE ON
0 WHICH I SERVE IS A UNTr OF
CCTV ) COUNTY - �C1TY El COUNTY ❑ 0T "7R LOCAL AGENCY
P Je,/
NAME OF PCUi7CAL SUBOFVIS1ON
DATE ON WHK>A VOTE OCCURRED MY POS{TION G.
1, 1/ / Z/, % 7 ❑ ELECTIVE j APPOINTIVE
WHO MUST FILE FORM SB
This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council,
commission, authority, or committee. It applies equally to members of advisory and non-- advisory bodies who are presented with a voting
conflict of interest under Section 112.3143, Florida Statutes.
Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, please pay dose attention to the instructions on this form before
completing the reverse side and filing the form_
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
A person holding elective or appointive county, municipal or other local public office MUST ABSTAIN from voting on a measure which
inures to his or her special private gain or loss_ Each elected or appointed local officer also is prohibited from knowingly voting on a mea-
sure which inures to the special gain or loss of a principal (other than a government agency) by whom he or she is retained (including the
parent organization or subsidiary of a corporate principal by which he or she is retained); to the special private gain or loss of a relative; or
to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies under Sec. 163.356 or
163.357, F.S., and officers of independent special tax districts elected on a one -acre, one -vote basis are not prohibited from voting in that
capacity.
For purposes of this law, a "relative" includes only the officer's father, mother, son, daughter, husband, wife, brother, sister, father -in -law,
mother -in -law, son-in -law, and daughter-in -law_ A "business associate means any person or entity engaged in or carrying on a business
enterprise with the officer as a partner, joint venturer, coowner of property, or corporate shareholder (where the shares of the corporation
are not listed on any national or regional stock exchange)-
.
ELECTED OFFICERS:
In addition to abstaining from voting in the situations described above, you must disclose the conflict
PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you
are abstaining from voting, and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the min-
utes of the meeting, who should incorporate the form in the minutes.
APPOINTED OFFICERS:
Although you must abstain from voting in the situations described above, you otherwise may participate in these matters. However, you
must disclose the nature of the conflict before making any attempt to influence the decision, whether orally or in wnbng and whether made
by you or at your direction.
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
TAKEN:
• You must complete and file this form (before making any attempt to influence the decision) with the person responsible for recording the
minutes of the meeting, who will incorporate the farm in the minutes. (Continued on other side)
r,F PnRM Firs - FFF 119(= 1
APPOINTED OFFICERS (continued)
• A copy of the form must he provided immediately to the other members of the agency.
• The form must be read publicly at the next meeting after the form is filed.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING
• You must disclose orally the nature of your conflict in the measure before participating-
• You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the
meeting, who must incorporate the form in the rrrnutes. A copy of the form must be provided immediately to the other members of the
agency, and the form must be read publicly at the next meeting after the form is filed.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I A'd l., W AL? 1 i�C7SF7V%C�iC) frJ Z hereby disclose that on Di6Emg /:? —.20 / /
(a) A measure came or will come before my agency which (check one)
inured to my special private gain or loss;
inured to the special gain or loss of my business associate,
inured to the special gain or loss of my relative,
{ inured to the special gain or loss of ��` � �'✓� a ��, TiOL -Y,0" c -iQR y 1<10,d _ by
whom I am retained; or
inured to the special gain or loss of which
is the parent organization or subsidiary of a principal which has retained me.
(b) The measure before my agency and the nature of my conflicting interest in the measure is as follows:
/J -C� - /I
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE
CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT,
REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A
CIVIL PENALTY NOT TO EXCEED $10,000.
CE FORM 813 - EFF. 1/2000 PAGE 2
FORM 813 MEMORANDUM OF VOTING CONFLICT FOR
COUNTY MUNICIPAL AND OTHER LOCAL PUBLIC OFFICERS
AAST
M — AM
M ME
BjJv4f�b ZMOM,S7RCQMyu
MgL1,ING E 7�
Iif V�/J
T14E BQAR D,, COIJUNCIL, COMM ALT HDRrFY OR COMMITTEE ON
I SERVE IS A 11N1T OF
r= U COUNTY Q OTHER LOCAL AGENCY
O
Li�'D��
1
DATE QIy A�1t� I TE CURBED
LI. 1J
W, _ON IS
❑ ELECTIVE APPOANTIVE
WHO MUST FILE FORM 813
This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council,
commission, authority, or committee. It applies equally to members of advisory and non - advisory bodies who are presented with a voting
conflict of interest under Section 112.3143, Florida Statutes.
Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, please pay dose attention to the instructions on this form before
completing the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
inures to his or her special private gain or loss. Each elected or appointed local officer also is prohibited from knowingly voting on a mea-
sure which inures to the special gain or loss of a principal (other than a government agency) by whom he or she is retained (including the
parent organization or subsidiary of a corporate principal by which he or she is retained); to the special private gain or loss of a relative; or
to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies under Sec. 163.356 or
163.357, F.S., and officers of independent special tax districts elected on a one -acre, one -vote basis are not prohibited from voting in that
capacity.
For purposes of this law, a 'relative' includes only the officer's father, mother, son, daughter, husband, wife, brother, sister, father -iMaw,
mother -in -law, son -in -law, and daughter -in -law. A 'business associate' means any person or entity engaged in or carrying on a business
enterprise with the officer as a partner, joint venturer, coowner of property, or corporate shareholder (where the shares of the corporation
are nat listed on any national or regional stock exchange)_
ELECTED OFFICERS:
In addition to abstaining from voting in the situations described above, you must disclose the conflict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you
are abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the min-
utes of the meeting, who should incorporate the form in the minutes.
APPOINTED OFFICERS:
Although you must abstain from voting in the situations described above, you otherwise may participate in these matters. However, you
must disclose the nature of the conflict before malting any attempt to influence the decision, whether orally or in writing and whether made
by you or at your direction.
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHiCH THE VOTE WILL BE
TAKEN:
• You must complete and file this form (before making any attempt to influence the decision) with the person responsible for recording the
minutes of the meeting, who wilt incorporate the form in the minutes_ (Continued on other side)
GE FORM 813 - EFF 117000
APPOINTED OFFICERS (continued)
A copy of the form must be provided immediately to the other members of the agency.
• The form must be read publicly at the next meeting after the form is filed.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
• You must disclose orally the nature of your contlict in the measure before participating.
• You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the
meeting, who must incorporate the form in the minutes. A copy of the form must be provided immediately to the other members of the
agency, and the form must be read publicly at the next meeting after the form is filed.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I, l--f l } hereby disclose that on _1� 20 IL
(a) A measure came or will come before my agency which (check one)
inured to my special private gain or loss;
inured to the special gain or loss of my business associate,
inured to the special gain or loss of my relative,
inured to the special gain or loss of
whom I am retained; or
inured to the special gain or lass of
is the parent organization or subsidiary of a principal which has retained me_
(b) The measure before my agency and the nature of my conflicting interest in the measure is as follows:
FFU51 M OLUOT IS A CLI L4JT OF nAl�JG, s I
W ! _ �JVC L IN THG fF0]y5CF
tSy ffCf V0� S (� FWFV1
d2. S3.1i
Date Filed
by
which
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE
CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT,
REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A
CIVIL PENALTY NOT TO EXCEED $10,000.
CE FORM 8B - EFF. 112900 PAGE 2