HomeMy WebLinkAboutDocumentation_Regular_Tab 09_09/14/2000 � MesnoYandu'n
To: Village Courtcil
From: Joann Manganiello, Acting Village Manager� .
Date: September 8, 2000
Snbject: Consideration of Appointment of 1 Regnlar Member to the
Community Appearance Board; Agenda Item
The term of Community Appearance Board Regular Member Stephen J. Parker expired
on September 8, 2000. The Deparlment of Community Development advises that Mr.
Parker has indicated a willi.ngness to continue servi.ng in this capacity. The membership
of the Community Appearance Board is as follows:
REGULAR MEMBERS SUBDIVISION TERM EXPTRATION
Gerald Wenta. Te uesta. Country Club 06/08/03
Richard B. Sterlin T uesta Pines 06/08/03
Robert E. Stein Te uesta Oaks 06/08/03
Vic Sh�ahan Rid ewood 07/31/O1
Vacant
ALTERNATE MEMBERS SUBDIVISION TERM EXPIRATION
Moll McCormick Ba �ew Terrace 04/12/O1
Karen D. Flint Te uesta Pines 06/08/01
The tables below indicate the breakdown of minority persons, per Section 761.80, Florida
Statutes, in the Village of Tequesta. population as determined by the 1990 U.S. Census.
VII�LAGE OF TEQUESTA 1990 U.S. CENSUS DATA:
POPULATION: 4499
RACE NUMBER PERCENTAGE
African-American 5 .0012%
Asian-American 15 .0034%
His anic-American 87 .0194%
Native American 0 0%
Cancasian 4473 99%
Not Known 6 .0014%
Memorandum: Village Council
September 8, 2000
Page Z —
GENDER NUMBER PERCENTAGE
Male 2103 47%
Female 239b 53%
Unknown 0 0%
The tables below represent the current membership of the Community Appearance Board
and reflect the number and percentage that each group of minority persons, specified in
Secti.on 761.80, Florida. Statutes, which comprise the total membership of the Community
Appearance Board represents in the population of the Village of Tequesta as deternvned
by the 1990 U.S. Census.
RACE NUMBER PERCENTAGE
African-American 0 0 %
Asian-American 0 0 %
His anic-American 0 0 %
Native American 0 0 %
Cancasian 6 100 %
Not Known 0 0 %
GENDER NUMBER PERCENTAGE
Male 4 67%
Female 2 33%
Unknown 0 0 %
It is recommended that the Village Council either consider the reappointment of Stephen
J. Parker to serve as Regular Member to the Community Appearance Board or appoint a
new Regular Member, with said 3-year term expiring on September 14, 2003. Attached
are applications for the Community Appearance Board for your review and consideration
in this regard.
kkv/wor/mydocuments/clerk/CAB Reappointment Memo
♦ .
M E M O R A N D U M
To: Joann Manganiello, Ac#ing �Ilage Manager
From: Scott D. Ladd, Director of Community Development ����t
Date: August 17, 204Q
Subject: Community Appearance Board Term Expiration
The #erm � of Communi#y Appearance Board member Steve Parker wifl expire on
9-08-00. Mr. Parker has been corrtacted and has expressed a desire to continue to
serve on the Board for an addifional three year term.
P[ease place this item on the agenda of an upcoming Councit meeting for
consideration. Thank you.
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APPLICATION FOR �. � � � .
CONIlKUNITY APPEARANCE BOARD !;,
ALTERNATE MEMBER
• 'c:,, \ P
1 ' �i
The Board shall be composed of five members who sha serve without
compensation, appointefl by the Village Couttcil. Appoi.atments are for a term •
of three years. Board eacanciea shall be filled by the Village Council for
the unexpired term. The Village Council shall have power to remove any
member of the Board for cause. The Village Council should apgaint two (2)
Alternate.Niembers of the Board who shall serve when called upon by the
Chairman in the absence or •disability of any regular iaember. Alternate
Members shall be appoia�ed bg the village Council for a term of one year.
,1. Name: ��P�TIP�Gt C�. �il�'f�/�
2. 3treet P,ddress: :s�[� 1�1 �� �ff� �- ,� �7�- . � v
3. Mailing Addresa: '
(If different than No. 2)
,4. Name of your subdivision, condominium or townhouae aomplex.
5. Telephone tso. �ome; 7��''�2q� susiness: ��'7
�.6. How long a resident of the Village of Tequesta? � WLD(�t_� years
7. Are you a registered voter of the Village of Tequesta? � Yes _ ldo
�8 . Present and prior. occnpation ( s): k�A�lOI -�..zGA.{7G �Lfr' 1�[/,PrtA
a,in - (1� ��fa� m �lorida.. � co�l �
9. Why do you want to be a pointed as a member o the Commnnity Appearance
Board?
. �v d� Q de�u�i' ,�b,�A� �a ,/..'rr�_
(�`ta additional sheet if necessary)
10. Whg do you feel that you are qualifiec� to be a member, of the Cv�¢aunity
Appearance Board7 �,l�,�i�'G ��^�� Gr1rA �t 6�r�es
� �.�,�1�-� ��� �� � rdl � � �f��
!'ro��i� �tr�- �ri la� �c�rs �'U� �sa a�rc/i� �/��� �zrr,�i ��ccfi�e
(Attach ad i� tional she�t i necessary) /�U��
l
I1. Are you willing to serve as an Alternat�e Member to the Board?
Yes � No
12. I hereby acknowledge that to the best of my knowledge, the above
statements are true and aorrebt and that by executinq this applica�ion,
I certify tYtat no remunerat�on shaZl be received by the unders�.gned.
relative to any actians or activitieg of the undersigned as a memb�r of
the Board if and when appointed as a n►ember of the Board. Furtherihore,
� I am aware that appointment to the Board will require.me to comply with
Florida's Sunshine Law and Financial Reporting requirements.* .
��' / D7 �/'
Si ure Da e
*Detailed information on the Sunshine L�w and Financial Repostinr3
requirements, including copie� of the Financial Reporting forms, m�y rie
obtained from the Village Adm�nistration for your review.
REV. 10-25-90 '
05/31/2000 14:11 FA% 1 61 b75 9426 CHARTER DA�AB � INT'L '�'° O1
' � ' i � tlill��e �f �"c;��esta.
� . ;
. vt��ac� oF � M AY .� 1 200Q
LiC 1TON FU
� co�a._��a�aNC a�n c �'�lage 1V�anager's Uffi.c�
The caB re�►ievs+�s �pli�ons tar bmld�g t�n►ts rel�ive m�� such as -
d�sigu• The CAB s�all6e � of frn me�6ers who shall serve out c�mFeas�m, aPP��� �y the ViUage
Counci). Appaintq►ents are for a ter�m of tbree year�. CAB vacanci�shaU be � by the V'illage Co�mdl �or the
unexpir�ed t�. Z�6e V�lage Cou�c�t sheU heve pow� to renwve �r �ber of �te CAB for ca�e. T'he V'�tage
Caamc�l shoukl mt two (2) Att�ats Me�s of the CAB wl�o s¢etl scrve when calt�d ugon by the Cha� in •
tBe absence or di�s�ty of pmy regala�r memb�: Alte�e Membas tse appomt� by die V'illage Cound7 for a
t�m of a�e ye� � -
1. Name: /�!/L L/ - ���9nl�PcA/
z. s� n : 6/ ,�t� �,e - ►'���ss� - ,v . � ���o �
3_ M�iliag� .
(ifdi�erent th�anNa Z) . . . '
�— �
4. Name of your �division, candomoinnmu a� towahouse mmp ��',�U�.SF79 C l�tll��
p �/ �
� 5. TeleghoneNo. H���oI �� /��o B�ess: �" � . / .
6_ How l�g are�d�t ofthe V'�Ilage ofTeqnesra.7 � y� •
7. Are you a registr�red vot� of dte Vt7Iage ofT Yes No j
. 8. aad p�ior occ�� (s�: — .C+f�'i?fEX4T 9' f,�G��f'�
�,Q ,�--��.�.�. �-E.�;�.��� r.�� .
9. wliyaoy�w��ou��a�a�o�e� ns� . . - . : : � � .
cS�� 97'TA�'f!� ' .
. � � � ,
� � {Attach �onal if a�y). I � . . . :
to why ao you reel wat you are t�ualifiea w be a me�o6 f the cna7 !
�'� � T?'"�Cs1L:E'.b .
; . . � '
(Att�ch additionxl shcet ifn�ry} . ' �
• 11. Are yau vn7lmg to serve as � Alte�nate Member to �e CAB? Yes t� ATo
, ' •
( 1Z L�formationreq�red pea Sectisin 780.80, Fta�ida Statues. .
� � �
Afiican- American Male '
Asia�rAmerican —T^ Female
. Hispanic-American
Native Americ�n PHYSICAI. DISABILITY
Cauca�an � Yes ,
Not Known No � �
• . 13. I hedeby as.ffi�wledge thatto the be�t ofmylm�wledge, dte a6mte statements are ttve aud correct �atl tbat by
ex�g t�is applic�ioq I c�tify that na re�neratioa shall be received by the tuid�ed relative to �y
. actions or achivides of the u�dersigned aa a tn�uber of the CA$ if and when appomted as a member of iha
• CAB. � o aware t�at appointme.nt to the CAH w�71 rec�we me to camply �►eth F}orida's
S'vn ' w cial lteporiing re�drem�s.*
/ ~
� 3 Date
*Detailed infarmation an the Sunshine Law �d Futaacist Reporbing requireanents, including capies of the
Fittanciai Repotqng Fardos uiay be obtained the V�71age Adno�ratian for yow review.
RSV.12-08-39
' i+irnl�lWordlMyDoenmeals�FamislCAB Farm
I ! i
' � VILLAGE OF TEQUESTA � �j��a,�e Of T��C��.E'St�.
APPLICATION FOR
co�ux��.a,PpE,�axcsBOaROrc.a►s� APR 1 � 2000
The CAB reviews appfi,�ations for building permits relative to sesthetics such as archiYectival gr'S (��1CL'
design. 7'he GAB shall be coa�posed of five mexnbers who sball serve without compensation, appo e
.Co�nciL Appointments are for a tem of three years. CAB vacancies sLall be filled by the Vil
unexpire�i tem�. The Village CounciI shall have power to remave any member of t3te CAB for cause. The VilIage
Council should appoint two (2) Alternate Memb�s of the CAB who shall serve when cal}ed upon by the Chairm� ia .
the absence or disab�ity of any regular member. Alternate Members shall be appointed by the Village Council €or a
term of oae }+e�
1. Name: tf0 �4A�A� C !7 • �it�L��'�.$D!V
2. • StreetAddress: o� T7 CrC7Gl.t1%��/ �.GG/� �i� • �Q
-�
. 3. Mailing Address:
(If differertt ti� No. 2)
4. Name of yovr subdivis�o4 condominium or townhouse complex. ! c. ���'T
5. ' Telephone No. Home�.��/� ���' U l�.3 Busffiess: ^
.�
6_ Aow long a resident of ti►e Village of Tequesta? �i�S rdi�[05.yeazs
7. Are you a registered voter of the Vil}age of Tequesta? _� Yes 1Vu
. s. Presenc and priar occupation (s}: � /GETi�P�',�� ���•pEf�� us� /�i��R • �""o.e (�S.
.
�/ST, �T�i� O�` j�/S�� �P��LAist1 OF G��"ST. ��s'•P�/�1�,f!
9. Whydo yon waat to be appointed as a member of the CAB? �d����G� ���� '��
' � G � .� %���'k �" .
. c,,���%� Ze �a� ��-��1��� �-.� � ��'�� ��
• (Attach additional sheet if ) . .
10. Why do you feel that you are qualified to 6e a member of the CAB �_ �t „��G� �,�'�`''�'�' .
u �� � G% � � � �
�„r-t,,�i ��G:'�.c�
� > ' � . � .
(Attach add�tional sheet if n�+) .
i l. Are you wlling to serve as an Alternate Member to the CABT � Yes No
12. Informati.on reqmred per Section 780.80, Florida Stata�. .
RAC+ � , GENDER
Africaa- Americ�a Male
Asian-Americ:an Female ,� •
Hispanic-American
Native Ameriean P�YSIC�iL DISABILITY
Caucasisn .� Yea ' .
Not Known No �
� 13. I hereby aclmawledge that to the best of my knowledge, the above statements are true and correct and that by
exrPCUting this app�icati�n, I certify that no remuneration shall be received by the undersigned reIative to any �
actions or adivities of the undersigned as a member of the CAB if and when appointed as a member of the
CAB. Fwrthetmoze, I am awaze that appointment to the CAB will require me to comply with Florida's
Stinshine I.aw and Financial rtamg requirements.*
- � c�� %� �.00a
signat�ure �
. *Detailed information an the Sunshu►e Law aad Finaucisl Reporting requirements, including copies o€ the
Financial i�eporting Forrns may be obtained from the vllage Adminishation far yow review.
RfiV.12-08-99
Nmh\WordlMyDocuments�Fmms1CAB Form
. , , VILLAGE OF TEQUESTA
APPLICATION FOR
COMMUM'I'Y APPEARANCE BOARD (CAB)
The CAB reviews applications for bu�d'mg peamits relaGve to aesthetic� snch as azchitechual deta�s aad l�dscape
desiga. The CAB shall be composed of five members who svall serve without compensation, appointed by die Village
CounciL Appoinbnents are for a term of th� years. CAB vac�ncies sball be fiiled 6y the V�llage Councal for the �
unexpired temi The V'illage Council shall have power to' retnove any member of the CAB for cause. The VilIage
Counc�l should appomt two (2) Alt�nate Me�cnbers of the CAB who sha11 serve whe,n c�lled upon by the Chairman in �
the abseace or disability of any regular member. Aiternate M�bers shatl be appointed by the Village Couaa'1 for a
teim af ona yar. '
i. .Name: ��,��/ t�'Dlf �O/_t/
z s�c Aaa�: ��' �/�/� I�t1�f-� 5� ��Si .
c
3. ��aiung Aaare� %�'� j�'�6��T ��C.. ° ���I�'
(If different than No. 2) �— . ' •
4. Name of your subdivisian, candominium � townhoux complex. ' I�Q�(J/l/l'�.��f /9�
5. Telephone No. Ha�e• ��J � Busin�
�
6. How long a regident of the Village of Tequesta7 � �ars
7. Are you a registered vot�r of the V'illage of Taquesta? _�/'�Yes No
g. FiCBCIIt 8ttd �1I102 OCCRjlB�ldII �3�: 67y��6�X-6� ='��-y�1���'!S.-L1E/" �/' •�� r
9. �Vhy dv yon want Yo be appointe�l as a member of the CAB7 �� •. /,✓I�� /�,�-r/
,� ���L �'� COr�-f/�!/iilJ/T.y' .�/f/� � �S/�2� 7"4 • . _
e � . ..._
_ � .�� /T //i/T�C' % .s ��Q� / � tD �L�S'�"�-I��OF C�.
� ' (Attach additional sheet ifn�ary3, .. . - • -
. 10. Why do yQU feel that you aze qualified to be a member of the CAB7 /�f'.��/I /V �y' �- / t/�� .
. ���� �'�� 7 �/�=��1� s" ,,�/'�.�i�� ���i1= � � . .. . .
. ` �' � T � � �SE�7'/�% j/� �
� �A�n aaam� �� �a ) �� 77��' ��ffv7i�/ri19��Hfi . .
11. Arg Yuu w�7ling to serve as an Altema�e Membe.r to the CABT /� Yes No �UR V` f L E..
iZ Information. required per Section 780.80, Florida S�.�s. .
RACE - GENDER
A&ican- Americ�n Male
Asian-Americ�aa Female �
Hispanic-American
Native American P�YSICAL DISABILTTY
Caucesian � Yes
Not Known No /
� . 13. I hereby acknowledge �►at to the best of my laiowledge, the above stabemea�ts are true and correct aad tbat by
eaecuting this applic�tion, I ce�ify that no remuneration shall be receivesi by the undersigned relative to sny
. actioas or activities of the �mdersigned as a member of the CAB if and whe� appointed as a member of the
• CAB. Furthermore, I am aware t�at appoinianent to the CAB wi}1 require me to comply with Florida's
Suns ' e La�v and Finaacial ReForting recN�rements.*
!� � � C�7i7/`v
igivature Date
"`Detailed informatinn on the Sunshine Law and Financial Reporting iequirements, includ'mg capies of the
Finaacial Reporting Forms may be obtained from the Village Adminisl�atian for your reviaw. �
REV. iZ-08-99
' Nmh\WordlMyDociunen�tslFormslCAB Form
tl ♦
. , . VILLAGE OF TEQUESTA
APPLICATION FOR
COMMUNITY APPEARANCE BOARD �CAB)
The CAB reviaws applications for bu�7diag peamits relative to �eticx such as architectural deta�s and landsc�pe
desiga The CAB shall be composed of five members who shall serve without co�on„ appointed by t6e Village
Counc�l, A�ointments are for a term of three yesrs. CAB vacencies shall be filled by the V'iIlage Co�mcil far the
unexpIIed term The V�71age Coimcit shall have powea to remove any member of the CAB for cause. The Village
Counc� should appomt two (2) Alteinate Membeis of the CAB who shall save wh� called up�n by the Cbairm� in
the absence or disab�7ity of any regular member. A}te�e M�beas shall be appuint+ed by the Vi7lage Coun�ii for a
term of one ye�:
t. N� �.L . . i .
2. S� �: � �J . 1 a�e of 1'equesta
3_ �� �aY 3 o Z000
�a�a�t � �va. z� � . � `���?��e ��an�ger's ��'fice
4. Name of your suhdivisioq c�ndominium ar townhonse complex. ��i�XV �+`7 l� �
5. Telephane No. Home: L��' �_ Busines� �`f' �-�"� �v
_+
6. How long a residetit of the V'illage of Tequesta7 �� ye�s •
7. Are you a� voter nf the Village of Teque�.? � Y�s No
S. Fresent and prior occupation (s): jT L� ��i+L'� .
9. Why do you w�t to 1� appoinbed as a member of the CAB7 ..' <.�: :��i ��'�i� , - .-
. �1�c1�D 1�5�5� M`S [ot�l��t4�`�C, .
. - � � �attach acidiaonat she.ec ifnece�,}, . • ..; . . ..
✓
. 10. Why do you feel that you are qualified to be a mcmber of the CAB? �� 1���
. _o+� I��r4�"Ec,-t���� �����.� �� , . � . . .
� (Attach additional aheet if n�ry) . .
11. Arg Yon wY7ling to serve as an Attemate Membea to 8ie CAB? � Yes No .
12. G�€ormafion. re4uired Per Section 78a.80, Florida Statues. �
� �X
afr;can- Am�►arn Male
Asian American Female
Flispanic-Americ.an
Native Amearicaa PHYSICAL DISABII�ITY
Caacasian �. Ye.a .
Not Known No �
� . 13. I hereby acknswledge'A�at to the best ofmy I�owledge, the above sta��ments �e true and correct aad that by
esecuting this applicatioq I c�r�j+ that no ranuneratian shall be receiv� by the imdersigned relative to any
. actions or activities of the undersigned as a member of tt►e CAB if and whe.n appoi�ed a's a member of the
• CAB m thermo I am aware that �poinhnent to the CAB will require me M comply with Florida's
S e La�vv �d ' �' Reporbng requirements.'�
' U � -Zb• o0
Dabe
*Detailed info on on the Sunshine Law and Financial Reparti�g requirements, mcluding copies of the
Finaacial Reporting Farms may be obtained &om the V�"llage Administ�ation for your review.
REV.12-08-99
' NmItlW�rd�MyDocv�ntslFotms\CAB Farm
� ,
� , . VILLAGE UF TEQUBSTA
APPLICATION FOR
COMMUMTY APPEARANCE BOARD �C.ABZ
The CAB reviews applications for building permits re3ative to ae�thetics s�h as�azchitect�ual deta�'ls aad l�e
design. The CAB shall be co�osed of five mffibeas who shall serve without �ns�ion, appomted hy the Village
Counc�7. A�ointments are for a term of thre� years. CAB vacancies sball be filled by the d'illage Coimcil for tite
unexpireci beim. The V�71age Council shall have power to remove aay member of the CAB for cavse. The Village
Councl should appoint two (2) Altemate Members of the CAB who shall serve when c�lled up� by the Chairman in �
the absence or disabi7ity of any regular member. Alternate Mea►bers shell be appointed by the V'illage Couacil for a
term of ane ye�r: '
�. N�: d: �,� 1���;� c�� 7'�����sta
z. s�c Aaa�: �,� �� ; '� MAY �� ZOOQ
3. �� Aaa�g: illa e 1Viana "
�a��t � rro. a� . g ger s(�tce
4. Name of your subdivision, condominium or townhouse complex. _' �+ �Gt7�4Qd
5. Tel�phoneNo xo�: . 743 � 433t B�n�s: Z�4$-5'p50 ..
6. How laag a r�sidet� of the V'illage of Teq�eesta? � years •� �
7. Are you a registered voter of �e V'iliage of Tequesta? �� Yes No
. s. Pre�t anctprior ocxupation (s): �Gt� E'�toVerd - 7��maHS l�+r,sHe�ow�+H
III�or'�'qaqG Ce rp �Y�►a � 1�.P./ l� n(��,'ce� - Ic,?a�e t o�u �+�a l$wtk �'f"rw� �J 4 Yrs.�
9. wh m t� �� am� ofwe cas� . T'o: b� ii�✓ot+� rn ntix � ._
. . le�c3 ( co,�ea,u�t 'r�e.
_ � . � �A�► �nat � �n�} � ' ..: .. . .:
. 10. Why do you feel tt►at you are yualified to be a member of the CAB`d ,�dty! 8/?d� dG 4�T
. _l�n�rr�, `�al� �l. L�'oc�.►�i�► �nd �' hade �, �nvo/d�d r�vri�. � . . ..
� . rral r �s J! r� � � �
� � nt� �ionat a�eec i�n�►� . .
11. Arg yon w�ting to serve as aa Alteinate Membea to the CAB? ✓ Yes No ,
12. in€ormation required per Seqion 780.80, Florida Statues. '
� � GENDER
Africsaa- Ame�rican Ma1e ✓
Asian A�rcerican Fe�nale .
Hispanie-Am�ican
Native American �HYSICAL DISABIIdTY
_ Gaacasian �_ Yes
Not Known No �L
. 13. I hemby acknowledge that to the i�t of my I�owledge, the above statements are hue and correct and ti�at by
executing this applicatian, I certify that ao rem�meration shall be received by the undersigned relative to any
. aaions or activities of the undersigned as a member of the CAB if and when appointed as a member of the
• CAB. Furthermore, I aun awaze that appoin�nent to the CAB will require me bo comply with Florida's
Sunshine Law and Finaacial Repa�ling requiremeats.*
� � .� � 5�30,00
s�,� n�
*Detalled information on the Sunshme Law and Financial Reporimg requirements, mcluding copies of the
Financial Reportiag Forms may be obtained from d►e V�71age Adminishratian for yow review.
REV. 12-08-99
' Nmh\WordlMyDocu�nts�ForinslCAB Form
i ♦
, ` AP dR A 'V"�llage of T'equesta.
COMMUMTY APPEARANCE BOARD (CAB)
The CAB reviews agplic�tions for building per�rits retative to a�thetics such as architectural �a�u�d3 pe ZDOQ
design. The CAB sball be composed �f five members who shall save without compeasation, � I'S �Ce
Council. Appoinbments are for a term of tivee yeazs. CAB vacencies shall 1� filled by the V 1 e cil for
unexpir� teim The Village Councel shall have power to r�ve any mem6er of the CAB for cause. The Village
Council should agpoint two (2) Alternate Meanbers of the CAB who shall serve when called upon by the Ct�airman in
the absence or disability of arry regutar member. Alternate M�bers shall be appomted by the �Ilage Cauncil for a
term of one y�r. ,
1. Name: �''[ .l � � C,T'
2. � s� Aaa�: d L L � f �., ��/� S f!�, �� .
3. Mat7ing Addmss: 3 ��� �
(If diffeze�t than No. 2)
4. Name of yaur subdivision, cbndominiwn or townhonse �I�. , / L7'" � �
i. ���►���. �v�"�l ?�- � ��`"I :�
6. How long a re.sident of �e Village of T�? yeazs
7. Are you a registeted trotea of the V'iliage of Teguesta? Yes No
�� �- �
8. Pre.ae.nt and prior occupation (s): • ���� �.
� �/`' I
9. Why do you want to be appointed as a�embea of the CAB? � �� �
/ �
. c ' ..
(A '6ona1 sheet if � .' � .
10. why do you feel that you are qualified to be a member of the C.AB? .
(Atta�h additional sheet if necess�y) `
t 1. Ar� you wt7ling to serve as �t Alternate Member to ti►e CAB? �Yes No
12. Tafotmabon required per Section 78�.Si�, Flari� �tatues.
RACE � GENDEB
African- Americ�n Male
Asian-Americ�a Female �
Hispanic American
Native Americ�a PHYSICAL DISABII.ITY •
. Caucasian �� Yes
Not Known No �
� 13. I hereby acknswledge that to the be.st ofmy loiowledge, the above statements are true and correet aad that by
execut3ng this application, I cxrtify t3�at no remuaeration shall be received by the undersigned relative �o any .
actions or activities of the uadersigned as a member of the CAB if and when aggointed as a member of the
CAB. Furthermore, I am that appomtment to the CAB wi11 require me to comply with Florida's
Sunsl�e Law aQd Financi ' g e�s,*
� � �� ��� �J
�� �
. `'Detailed information on the Sunshine I,aw and Financial Reporfing irec�uitements, inchiding copies of the
Financial Reporting Forrns may be obteined from the. Village Administratian for your rev�ew.
REV.12-08-99 •
Nmh\WnrdlMviku��rn�nffi1FntmR1('AB Farm
. 4 . VILLAGE OF TEQUESTA
.APPLICATION FOR
COM11RiJMTY APPEARANCE BOARD IC.AB�
The CAB reviews applications for building permits relative to aesthetic.s svch as architectural deta�7s and landscape
desigo. The CAB shall be composed of Sve metnbers who shall serve without �nsation, appointed by the Village
Council. Appo�ts are for a term of t�e years. CAB va�ncies s6a11 be filled by the Village Council for the
unexpir�i term The Village Councit shall have power to remove any �nber of the CAB for eause. The Village
Councl shoutd a�int two (Z) Altemate Members of the CAB who shaq save wh� calted upon by the Chairman in
the absence or disab�ity of any regulaz member. Alteraate Me�ers shall be appomted by the V�71age Caiwcil for a
_ term of mie year. ` '
1. A1a�: �*-� �' 2 � ~ �o �I �� � l�-.
2. Street Addr�: � �/ � � � � ! �
3. Mailing Address: � �`'/�' ��� �' r � �.t.� �����s a I
(If diffe�ent ti�an No. 2) .
4. Neme of yaur subdivisian, c�ndominium or townhouse camplex. �
S. Telephone No. Home: "' y��� ` �2 � <3 Busin�s: `-' � ' , .
6. How Iong a r�aidert of the Village of T�? 'Y � years �
7. Are you a registered voter di the Viliage of T�? "f Yes No
. s. Pre�ent and �ior occupation (s): ��-.i 'l d'�� �i9..� � .
� � � �A � � � ( �� � � � � � �n,�. .
9. Why dor you want to be appainted as a n�mber of the CAB7
. �����,�f1����-��,�
, � �°`�'"'' �'Ll�� � ! G ��'�-����l��Gl ae C:R+� S� y-�.. . . . . .._
. � � f� c��w �- .- .
� • A�tach additionei �eet if n�y} - .. . . ..
. 10. VVhy do you feel that you are qvalified ro be a member of the CAB? � t �' �sf /� ����'�c �
�-r� � �v �--� �� `� �f . �- �yt.
4�iGt .�I��m r � � . . .
(Attach 'onal sh�t if . �
11. Are yon w�7ling to serve as an Alternate Member to the CAB? Yes No .
12. Tnformatio� tequized pea Section 780.80, FIorida Statues. �
, � ��
Afric�- Amerirdn Male
• Asiau American Female
Hispanic-Amerir�n
Native American PHYSICAL DLSABILITY
' Ca�ucasian -T 7 Yes '
Not Known No � �
• 13. I hereby acd�owledge that to the best of my knowledge, fhe ahove statements �re true and coirect amd that by
ea�g, this application, I c�rfify that no nemuneration shall be received by the undersigued relat�ve to airy
. actions or acbivities of the undersigned as a member of the CAB if and when a�poiated a� a membex of the
• C . ermore, I am aware that appommnent to the CAB will require me to co�ply with Florida's
' e w�nd Financial Reporting reqt�remeats.*
,��=� �,,.� � �-lt l ��� �
s�� �
'�Detailed information on the Sunshine Law and Finaacial Reportmg requ'vements, including copi� of the
Financial Reporting Forms may be obtained &om the Village Administration for your reviaw.
R�V.12-08-99
� Nmh\WordlMyDacumenffi1Farms1CAB Farm