05/30/1989 (2)
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P&Z
PLANNING & ZONING BOARD
DATE
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AGENDA
PLANNING & ZONING BOARD MEETING
TUESDAY, MAY 30,1989 - 1:30 PM
PLEDGE OF ALLEGIANCE
(~.~", INVOCATION
ITBM
ACflON
A. Approval of minutes of May 16, 1989
CONDmONAL USES:
ALL TESTIMONY IS GIVEN UNDER OATH. The Board follows the procedures outlined below:
1. The Chairman reads from the Public Hearing Notice each item as it is presented.
2. The Planning Director advises the Board of any pertinent background information.
3. The applicant or his representative presents his case.
4. Persons who support the application speak.
5. The Planning Director presents any supporting written documents.
6. Persons who oppose the application speak.
7. The Planning Director presents any opposing written documents.
8. Persons supporting the application (other than applicant) may speak in rebuttal.
9. Persons opposing may speak in rebuttal.
10. The applicant has an opportunity for final rebuttal.
11. The Board makes a decision.
FLORIDA STATUTE 286.0105 STATES: ANY PERSON APPEALING A DECISION OF THIS BOARD
MUST HA VB A RECORD OF THE PROCEEDINGS TO SUPPORT SUCH APPEAL.
B. Conditional Uses:
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1.
(CONTINUED FROM 512189 AND
5/1fj189)
(TO BE CONTINUED 1'061Z7189)
Lot 3 and part of Lot 4, Blk. 84, Mandalay
Replat Unit 5 (647 Mandalay Avenue)
Laura H. Wagner (The Ship
Wreck)lLarry H. Wagner
CU 89-27
Request - 4-COP-SRX (On-Premise
Consumption of Alcoholic
Beverages)
Zoned - CB (Beach Commercial)
2. (CONTINUED FROM 5/16189)
Lots 8 through 11, Blk. 8, Clearwater
Beach Sub. Rev. (32 Bay Esplanade)
Nostimo, Inc. (Pick Kwik Food Stores,
Inc.)/Harry D. Hast)'
CU 89-37
Request - 2-APS (Package Sales of
Alcoholic Beverages)
Zoned - CB (Beach Commercial)
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P & Z AGENDA
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3.
(CONTINUED FROM 5/16189)
Lots 7 through 13 and 15 through 20, Blk.
B, Bayside Sub. No.5
E &. G Investors, Inc. (Gondolier
Pizza)/Bill Sioutis/Calvin Samuel
CU 89-34 (AMENDED APPUCATION)
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Request - 4-COP.SRX (On-Premise
Consumption of Alcoholic
Beverages)
Zoned - CB (Beach Commercial)
4. M&B 34.36, Sec. Ol-29S-15E,
(1710 Hercules Avenue)
Clark Investments, Inc. (Sophia's Pizza
Restaurant)/Peter Drakakis
CU 89-38
Request - 2-COP (On-Premise
Consumption of Alcoholic
Beverages)
Zoned - IL (Limited Industrial)
ANNEXATION". ZONING. LAND USE PLAN AMENDMENTS. LAND DEVELOPMENT CODE TEXT
AMENDMENTS. AND LOCAL PLANNING AGENCY REVIEW:
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(1) Statement of case by applicant - 5 minutes
(2) Presentation by staff - 5 minutes
(3) Comments from public in supporUopposition:
individual - 3 minutes
spokesperson for group - 10 minutes
(4) Public Hearings are closed
(5) Discussion/Action by Board
c. Annexati()D. ZoninS!:. Land Use Plan
amendments.. and Local Planning As!ency
Review:
1. (CONTINUED FROM 5/16189)
M&B 13.11, Sec. 12-29S-15E (Located at
1151 Kapp Drive)
(NUS Corp.)
A 89-07
Request - Annexation and Zoning, IL
(Limited Industrial)
2. Lots 1, 2, 9, and 10, Blk. E, Brooklawn
Sub. (Located at the southeast corner of
Evergreen Avenue and Union Street)
(Pearce)
A 89-08 LUP 89-05
Request - Annexation and Zoning,
RM-12 (Multiple Family
Rcsidential"Twelve")
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Land Use Plan:
FROM: Low Density Residential
TO: Medium Density Residential
P & Z AGENDA
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3.
M&B 22.012, Sec. 07.29S-16E, (Located
on the east side of Belcher Road,
approximately 150 feet south of South
Lagoon Circle, 1625 North Belcher Road)
(The Salvation Army)
A 89-10 LUP 89-06
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Request - Annexation and Zoning,
P/SP (public/Semi-Public)
Land Use Plan:
FROM: Low Density Residential
TO: Public/Semi-Public
4. M&B 41.05, Sec. 24-29S-l5E (Located at
the northwest corner of Belcher and
Nursery Roads, 1496 South Belcher Road)
(Mobil Oil Corp.)
Z 89-07
Zonins!: Atlas:
FROM: CC (Commercial Center)
TO: CG (General Commercial)
D_ Chairman's Items
B. Directors Items
F. Board and Staff Comments
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P & Z AGENDA
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05/30/89
MINUTES
PLANNING & ZONING BOARD
TUESDAY, MAY 30, 1989 - 1:30 PM
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Members Present:
Chairman Johnson, Ms. Nixon, Messrs. Green, Hamilton, and Schwob
Members Absent:
Mr. Ferrell; one position vacant
A. Motion was made by Mr. Schwob, seconded by Mr. Hamilton, to continue approval of the minutes of the
May 16, 1989 meeting. Motion carried unanimously (5 to 0).
ChairlUan Johnson outlined the procedures for conditional uses and advised that anyone adversely affected by
a decision of the Planning and Zoning Board, with regard to conditional uses, has two weeks from this date in
which to file an appeal through the City Clerk's Office. Florida Law requires any party appealing a decision of
this Board to have a record of the proceedings to support the appeal.
ITEMS ARE LIsrED IN AGENDA ORDER THOUGH NOT NECESSARILY DISCUSSED
IN THAT ORDER.
B. Conditional Uses:
1. (CONTINUED FROM 512189 AND 5/16/89)
erO BE CO:NTINUED TO 6/Z1189)
Lot 3 and part of Lot 4, Blk. 84, Mandalay Replat Unit 5 (647 Mandalay Avenue)
Laura H. Wagner (The Ship Wreck)/Larry H. Wagner
CU 89-27
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Request - 4-COP-SRX (On-Premise Consumption of Alcoholic Beverages)
Zoned - CB (Beach Commercial)
Mr, Pruitt advised the applicant has submitted a letter requesting the above item be continued to the Planning
and Zoning Board Meeting of June 27, 1989.
Motion was made by Mr. Schwob, seconded by Mr. Hamilton, to continue tb.e above request to the Planning and
Zoning Board Meeting of June 27, 1989. Motion carried unanimously (5 to ()).
2. (CONTINUED FROM 5/16189)
Lots 8 through 11, Elk. 8, Clearwater Beach Sub. Rev. (32 Ba.y Esplanade)
Nostimo, Inc. (Pick Kwik Food Stores, Inc.)/Harry D. Hasty
CU 89-37
Request - 2-APS (package Sales of Alcoholic Beverages)
Zoned - CB (Beach Commercial)
Mr. Eamilton declared a conflict of interest (see form attached) and advised he will excuse himself from the
Board for the subject item and will not vote in the Board's decision. Mr. Pruitt advised since there will be no
quorum. the above item lUust be continued.
Motion was made by Mr. Schwob, seconded by Mr. Green, to continue the above request to the Planning and
Zoning Meeting scheduled for June 13, 1989. Motion carried (4 to 0).
3. (CONTINUED FROM 5/16/89)
Lots 7 through 13 and 15 through 20, Blk. B, Bayside Sub. No.5
E &. G Investors, Inc. (Gondolier Pizza)/Bill Sioutis/Calvin Samuel
CU 89-34 (AMENDED APPUCATION)
Reqllest - 4-COP-SRX (On-Premise Consumption of Alcoholic Beverages)
Zoned . CB (Beach Commercial)
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Mr. Pruitt advised as follows: This is a request for on-premise consumption ()f alcoholic beverages in the Beach
Commercial zoning district, the specific request being approval of a new 4-COP-SRX State license; the governing
sections of the Land Development Code are Sections 136.024 and 136.025(b); the proposed use is for a restaurant
with 150 seats within a retail shopping plaza under construction on Clearwater Beachj the Traffic Engineer
commented there should be no further reductions in available parking to tb.is development; a parking variance
P & Z MINUTES
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05/30/89
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Lt. Frank Polombo. Clearwclter Police Department, stated he is representing the department and Chief Klein's
view. He stated the police department comments submitted with alcoholic beverage requests relate only to
background checks of an applicant. He stated there are in excess of 53 alcoholic beverage establishments on the
beach, which are more than sufficient, and any additional establishments will create a hardship. Lt. Polombo
stated the parking situation is critical. He also stated tl1e subject property has been used for public parking and
will no longer be available which will create additional problems. He further stated there are nearly a dozen
establishments in the area that sell alcoholic beverages. Mr. Schwob felt that restaurant-type licenses do not have
the same problems as that of a bar. Lt. Polombo agreed but stated it is very difficult to enforce the 51% food
sales Tcquirement. He added the State also has difficulty enforcing the SRX requirement. Mr. Green stated that
applicant is requesting a midnight closing and the Board has usually found that problems occur with those
establishments that close at 2:00 AM. Lt. Polombo stated a restriction to close at midnight is a good restriction
but the applicant often comes back to the Board at a later date to ask that the restriction be lifted.
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of seven spaces is required and is scheduled to be heard by the Development Code Adjustment Board on June
8, 1989; and, the Police Department saw no reason to deny license to applicant. Mr. Pruitt advised that staff
recommended approval of the above request subject to the following: 1) That a parking variance be approved
by the Development Code Adjustment Board; and, 2) That the Occupational License be obtained within one
year. Mr. Pruitt advised the second condition is suggested to allow time for construction completion.
Atty. George W_ Greer, representative of proposed business owner, stated a family-type restaurant is proposed
witI1 hours of operation to be 7:00 AM to midnight. He also stated that no bar is intended and alcoholic beverage
sales is simply an adjunct to the restaurant. After questioning by Mr. Schwob, Atty. Greer advised he does not
know if there will be entertainment but if there is, it would be along the lines of one persoll . He clarified there
would be no dancing or floor shows and only a family-type operation is intended.
In opposition to the above request, the following persons appeared to give tl1eir comments:
Mr. Peter Zhun.. 675 South Gu1fview Boulevard President of Continental Towers Association, felt every request
made for the subject property has required variances. He felt there were enough drinking establishments on the
beach. He stated a pizza place would be an advantage but he dreaded another Dock of the Bay. He stated there
are other places selling alcoholic beverages in the immediate area. He expressed concern about parking and
hours of operation. He requested the hours of operation be reduced. He expressed concern that the Board
would base its decision on staff recommendation.
Chairman Johnson advised Mr. Zhun that the Board listens to staff recommendations but makes its decision on
its own. After questioning by Ms. Nixon, Mr. Pruitt advised that the beach has a 50% reduction of parking
requirements.
In rebuttal, Atty. Greer stated applicant is not asking for package sales of alcoholic beverages but is asking for
on-premise consumption in conjunction with food. He stated the purpose of this hearing is to decide if this
applicant can operate and he felt other establishments should not be considered. He also stated the applicant
is requesting a midnight closing. He clarified the only possible entertainment is one-man/one-instrument
entertainment and applicant will agree to having no entertainment. He stated the parking variance is to go
before another Board next week and should be the Development Code Adjustment Board's decision. He felt this
Board's responsibility is to decide whether this applicant deserves a chance.
After questioning by Board members, Atty. Greer advised there will be outdoor scating on the line of the Olive
Garden and there will be no outside speakers.
Ms. Nixon felt another alcoholic beverage establishment is not in the best interest of the beach and the property
is directly across the street from a residential area. She stated she will not longer vote for approval of alcoholic
beverage establishD1ents when the establishment will directly impact on residential areas.
Mr. Schwob felt there were different kinds of licenses and alcoholic beverage sales in conjunction with a meal
should not be a problem. He did feel that conditions of approval should include a midnight closing and no
outside speakers.
Ms. Nixon felt if the request is approved the closing time should be 10:00 PM.
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Motion was made by Mr. Schwob, seconded by Mr. Green, to approve the above request subject to the following:
1) That a parking variance be approved by the Development Code Adjustment Board; 2) That the Occupational
License be obtained within one year; 3) That there be no outside speakers; and, 4) That the establishment close
at midnight. Mr. Hamilton expressed concern about outside seating because, though the request is for an SRX
license, outside seating can create a lot of noise. He also expressed concern about parking but stated parking is
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05/30/89
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Request -
Zoned -
2-COP (On-Premise Consumption of Alcoholic Beverages)
IL (Limited Industrial)
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not within the Planning and Zoning Board's jllrisdiction. Mr. Hamilton stated the outside seating at the Olive
Garden is not near a residential area and felt noise can be generated from outside seating areas. Mr. Schwob
felt the SRX license, as intended, is where people would eat and there would be no live entertainment. After roll
call, motion failed (2 to 3) with Messrs. Green and Schwab voting "aye" and Ms. Nixon and Messrs. Hamilton
and Johnson voting "nay..
4. M&B 34.36, Sec. 01-29S-15E,
(1710 Hercules Avenue)
Clark Investments, Inc. (Sophia's Pizza Restaurant)/Peter Drakakis
CD 89-38
The applicant was not present.
Motion was made by Mr. Schwob, seconded by fvfr. Hamilton, to continue the above request to the Planning and
Zoning Board Meeting of June 13,1989. Motion carried unanimously (5 to 0).
C. Annexation. Zo~ Land Use Plan am.endmen~ and Local Pl:mninf! Agency Review:
1. (CONTINUED FROM 5/16189)
M&B 13.11, Sec. 12-29S-15E (located at 1151 Kapp Drive)
(NUS Corp_)
A 89-07
Request - Annexation and Zoning, IL (Limited Industrial)
The above property is located at 1151 Kapp Drive.
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The applicant was not present.
Motion was made by Mr. Schwab, seconded by Mr. Hamilton, to continue the above request to the Planning and
Zoning Board Meeting of June 13,1989. Motion carried unanimously (5 to 0).
2. Lots 1, 2, 9, and 10, Blk. E, Brooklawn Sub. (Located at the southeast corner of Evergreen Avenue
and Union Street)
(Pearce)
A 89-08 LUP 89-05
Request - Annexation and Zoning,
RM-12 (Multiple Family Residential "Twelve")
Land Use Plan:
.FROM: Low Density Residential
TO: Medium Density Residential
The above property is located at the southeast corner of Evergreen Avenue and Union Street.
Mr. Dell Pearce, property owner, stated the property consists of four lots now located in tl1e county. He stated
the property has been surrounded by city property for years. He stated he wants to build on the land or sell to
another developer. He requested the annexation and zoning be approved.
Mr. Pruitt advised as follows: This is a request for annexation, RM-12 (Multiple-Family Residential "Twelve")
zoning, and a Land Use Plan Amendment to Medium Density Residential; the presently vacant parcel is
proposed to be developed with a small apartment building; the Public Works Department notes an additional
10 feet of right-of-way for Union Street and a 10-foot drainage and utility easement will be required upon
development of the property; City sewer will have to be extended to the property; and, water and natural gas is
available. Mr. Pruitt advised staff recommended approval of the request for annexation, RM-12 (Multiple-Family
Residential "Twelve") zoning, and a Land Use Plan Amendment to Medium Density Residential.
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,. No persons appeared in support of or in opposition to the above request.
P & Z MINUTES
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05130/89
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Request - Annex:ation and Zoning, P/SP (Pablie/Semi-P\lblic)
Land Use Plan:
FROM: Low Density Residential
TO: Public/Semi-Public
Motion was made by Mr. Schwob, seconded by Mr. Hamilton, to recommend approval of tbe annexation, RM-
12 (Multiple-Family Residential "Twelve") zoning and the Land Use Plan amendment to Medium Density
Residential. Motion carried unanimously (5 to 0).
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3.
M&.B 22.012, Sec. 07-29S-16E, (Located on the east side of Belcher Road, approximately 150 feet
south of South Lagoon Circle, 1625 North Eelcher Road)
(The Salvation Army)
A 89-10 LUP 89.06
The above property is located on the east side of Belcher Road, approxin1ately 150 feet south of South Lagoon
Circle, 1625 North Belcher Road.
Mr. Harlan Merhige, Advisory Board member of Salvation Army, stated the above request will benefit
Clearwater and Upper Pinellas County. He advised the open space fees ltavc been paid and the property is 7.5
acres.
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Mr. Pruitt advised as follows: Tills is a request for annexation, P/SP Zoning and a Land Use Plan Amendment
to Public/Semi-Publicj the property is presently vacant but is proposed to be developed with a Salvation Arm)
facility consisting of offices, a chapel and classrooms; the County's Land Use Plan will remain Low Density
Residential and, if approved by the City, the Land Use Plan amendm.ent will require State reviewj the
surrounding uses are single-family residential to the North, the Clearwater for Youth Project to the South, a
mobile home park to the east, and industrial to the westj impact on traffic circulation will increase; and, there
will be no problem with sewer treatment facilities. After questioning by Ms. Nixon, Mr. Pruitt explained the
figures in the LP A review. Mr. Pruitt advised staff recommended approval of the request for annexation, P/SP
(Public/Semi-Public) zoning and a Land Use Plan Amendment to Public/Semi-Public.
After questioning by Mr. Schwob, Capt. Donald Omninp'... SalVatiOIl Arm'Y, stated the subject facility is a church
and public-service type facility for residents within the area and the facilities in downtown Clearwater are for
administrative and transitional uses. He also stated that services sllch as services to the needy, will be done from
downtown. He stated the subject location will primarily be a church and be program oriented.
Chairman Johnson asked for those in support to stand and many people in the audience voiced their support of
the project.
No persons appeared in opposition to the above request.
Motion was made by Mr. Schwob, seconded by Mr. Green, to recommend approval of the request for annexation,
P/SP (Public/Semi-Public) zoning and a Land Use Plan Amendment to Public/Semi-Public. Motion carried
unanimously (5 to 0).
4. M&.B 41.05, Sec. 24-29S-15E (Located at the nortllV/est corner ()f Belcher and Nursery Roads, 1496
South Belcher Road)
(Mobil Oil Corp.)
Z 89-07
Zonine; Atlas:
FROM: CC (Commercial Center)
TO: CG (General Commercial)
The above property is located at the northwest corner of Eelcher and Nursery Roads, 1496 South Belcher Road.
Ms. Angela Adams, representative of Mobil Oil Corp., the subject parcel is individually owned. She stated that
in 1985 when the property was rezoned it was assumed that the station was an out parcel but was in fact
individually owned. She stated the property owner cannot comply with the Code unless the property is yezoned
. to General Commercial as it previously was zoned. After questioning by Board Members, Ms. Adams advised
~'" as follows: Mobil Oil is redeveloping its properties and the subject property will be brought into current Code
requirements as much as possible; in 1985 when the property \Vas rezoned, it was owned by someone else; the
subject Mobil Oil station currently has an alcoholic beverage licensej and Mobil purchased all Kayo properties
P & Z MINUTES
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05/30/89
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in a blanket purchase and individuals requirements for all of the properties were not known at the time of the
purchase.
After questioning by Ms. Lois Cormier. 615 McI.p.noao Street Ms. Adams clarified that Mobil Oil Corp. was
before the Development Code Adjustment Board the past week the subject property is a different property than
what was before the Development Code Adjustment Board.
Mr. Pruitt advised as follows: This is a request for a zoning atlas amendment form CC (Commercial Center) to
CO (General Commercial); the parcel was originally zoned General Commercial but was amended to
Commercial Center in conjunction with the adoption of the Land Development Code in 1985; the property is
presently developed as a vehicle service station and is under different ownership than the adjacent shopping
center; and the request is being made to permit an addition to the existing facility which would not be possible
under the setback requirements of the existing Commercial Center zoning. Mr. Pruitt advised it is staff's point
of view that the City Commission did not intend for parcels such as this to be included in the shopping center
zoning category; and, for that reason, staff recommended approval of the request for a zoning atlas amendment
from CC (Commercial Center) to CG (General Commercial).
Motion was made by Mr. Schwob, seconded by Ms. Nixon, to recommend approval of the request for a zoning
atlas amendment from CC (Commercial Center) to CG (General Commercial). Motion carried unanimously (5
to 0).
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E. Director's Items
Mr. Jim Polatty the new director of the Planning and Development Department was introduced. Mr. Polatty
stated he would like to meet with each individual Board member in the future.
F. Board and Staff Comments
Discussion fonowed regarding the City's parklands and how State and national standards compared with what
the City actually has.
Meeting adjourned at 2:50 PM.
P & Z MINlITES
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05130/89
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FORM 88 MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
NA~n 01 BOARD, COUNCIL, COMMISSION, AUTHORITY. OR COMMITTEE
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1111 Il()A RL\ COUNCIL COM'MISSION, AUT!lORITY. OR COMMITlEE ON
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DAlE ONjWHICI(1 VO,I!, OCCUHRl'I)
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WHO MUST FILE FORM 88
This form is for llse by allY 11l'rmll ~l:1 viJlg at lite <.'Ollllly, c:it y, 01 other local Ienl or government on an appointed or elected board,
council, commission. aut horit y, or l:ll 1111 lIi tiel', II appl j('~ cqu all y to IIlcl1Ihers of ad visory nnd non-advisory bodies who are presented
with a votillg connict of intercst IIlldt" Sl'rt inn 112..~ I,U, (,lor ida Statutes. The requirements of this la\.... are mandator>'; although
the use of lhb particular form is nol lcqllim.l by law, YOll ale encourag.ed to l1~e it ill making the disclosure required by law.
Your responsihililies Ilndn lhl' 1:1\\ whl'll laved with a Illt'a"'lIle ill which you ha\T a conflict or interest will vary greatly depending
on \..'helher you hold alll'b.,tivc or apl'Oillli\'L' pmition. For Ihb leaSOJl, please pay close attention to the instructions on this form
before completing thl' 1l'\'CISe sitkO and I iling the fOIJ1l,
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~( INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
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i;l;, ('.LEerED OFF! CEHS:
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^ persoll holding eleclive cOllllly, rllllliil'ipal, 01 othcrl(lcal public olliee !\ILJST ABSTAIN from voting on a measure which inures
to his spl'cial prh'ale g;tin. Each 10\.';11 (llnce! aho is prohibited frolll knowingly \oting 011 a measure which inures to the special
gain of a principal (otht'l Iltall iI gml'll1l11r.'lIt agellcy) by whom he is retaincd.
In cith~r case, you .,Ilollld <.li...dm<: the L'ollllil'l:
PRIOR TU 1I11; nn F BUNt; IAKEN hy publicly st3ting tl) the assembly the nature of YOllr interest in the nll.:<1sure on
which you arc ah<,taining I rOIll \'(11 i ng; ulld
\\' ITH I N I) l>/\ \'S ^FTl ;,1{ 'III F VUTE OCCU RS by completing and rilillg this form with the person responsible for rccording
the minules of lhe lIleeting, who should incorporate the forlll in the minutt:s.
APPOIN'I EI> OFFlCEHS:
^ persoll holding appointive: C()III1I)', llIunicipal. or other local public office tvtUST ABSTAIN from voting 011 a mcasure which
inures 10 his spl:cial pi ivall' gain, Fachlocal orncel also is prohibited from knowingly voting on a measure which inures to the
special gain of a principal (othel Ihal1 a government agency) by \\'hol1l he is retained.
A perst)1l hllldilll! all appointivL' local office othcrwise may participate in a matter in which hc has a conflict of inlerest, but mllst
disclosL' 1h(' IJatllle nt lhe cOllniel befol(' making any attempt to influence the decision by oral or written communication, whether
madc by tht' nlfic('l (1I al hi!-- dircction.
IF YOII I N'I r; Nt) T() r-.lAK F l\N\' t\TTEM PT TO I NFLUENCE THE DECISION PRIOR TO THE t\IEETING /\1' \VH ICH
THE \'()IT \\11.1. BEtAKEN:
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\'011 shollld complete and rile this form (before making any attempt to influence the decision) with the persoll responsible for
recoldinp the l1linlltl'~ of the meeting, who will incorporale lhe form in the minutes.
· t\ C(lp~ (If lite 1'0111I should be pro\'idcd immediately to the other members of the agenc)'.
· I ht' Itllltl o.;hould be: read publicly at lhe meeting prior to consideration of the matter in which you have a conlliet of illterc~t.
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i IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
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· YOll should disclose orally the nature of your conflict ill the measure hefore participating. ~
· You should cOlllplete t he form and file it within 15 days after the \'ote occlIrs wit h the person responsible for recording the minutes
of the meeting, who should incorporate the form in the 1l1inlltcs.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
J / '-I / I / /' I c..: - )-:;1, 'II 9/ (",7
I, .Jt...:f.q 11 (~.-, I ~.., Htll') /, -rc..1' , 1_, hereby disclose thai 011 / _ .;/~ ._ U
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(a) A Inl'aSlIre ell mc or will come before my agency which (ched one)
__ inured to m)' special private gain; or
_ inured to lhe special gain of ____________
, by whom I am retained.
(b) The mcasure before IllY agency anu the nature of illY inrcrcsl in the measure is as follows:
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Dale Filed
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Signat lire
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NOTICE: UNDER PRO\' ISIONS OF FLORI DA STATUTES ~1I2.317 (1985), A FAI LURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y DE PUNISHED BY ONE OR MORE OF THE FOLLO\\'ING:
IMPEACHI\'1ENT, REMOVAL OR SUSPENSION FROM OFFICE OR El\,IPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
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