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Home My WebLink About2020 02 05 Blachstein, Janice Application (Resigned 2020 08 28) !R,FECEIVED CITY OF WINTER SPRINGS APPLICATION FOR APPOINTMENT TO 1TY 1 Sp 6NGS ,µ a HE A a u Applications may be submitted in person at City Hall, facsimile ( 07- 7-473), or email, ( t� [Qp2 rtment�"P' nters�tl r("l ). Applicants may attach a resume, references, recommendations, or other such documentation that the applicant desires to have the City Commission consider. Please be aware that documents submitted to the City are public records available for inspection to the extent allowed by Chapter 119, Florida Statutes. Please complete the following in the space provided: A. GENERAL .mm...... 2. Nome A.._� .._... .._ _ ddress: 3. Occupation: ... ° � .. .. . ............... .. —--. ----_ 4. Telephone (cell): a° ' Telephone other . 5. Email: �.�.� _A,�. .., B. ELIGIBILITY The information provided in this section is for purposes of determining whether you are eligible to serve on a City board or committee: 1 a. Are you duly registered to vote in Seminole County: (Y) Or 1 b. Are you duly registered to vote in the City of Winter Springs? (Y) ��""" ( )_ 2a. Do you live within the City limits of Winter Springs: (Y) m""�' (N)® 2b. What district do you reside in? (1)� ( ) (3) (4)r(5)_ City?2c. How long have you been a resident of the Ci ? ..m__ .2.....�u---..�.� .��:.e .. ........._.._.........w..............___.e. 3. Have you ever been convicted or found guilty, regardless of adjudication, of a felony in unsof this question.Any plea of nolo contendere (no contest) shall be considered conviction nvi do mfo„r,...,. purposes 4a. Do you presently serve on any other City of Winter Springs board or committee? (Y).`(N)- 4 . Please list each: 5. Do you have any private or personal interests which might conflict with ith serving the )ity's,,,..,. interests, if you were to e appointed to serve on this board or committee. Y 6. City ordinance requires that all persons applying for a City board or committee must voluntarily consent to a standard criminal background check before being appointed to a board or committee. Do you voluntarily consent to having a standard background check being performed on you by the City of Winter Springs? (YL-_'(N) 6a. Are you related to a City of Winter Springs Commission member by blood, adoption or marriage? (Y)_(N) 6b. If yes to 6a, please provide relation: . ...... C. INTEREST AND EXPERIENCE Please see attached descriptions for each of the following boards or committees and indicate below on which board or committee you is to serve. Please indicate your preference with a one(1) indicating your first choice and rank any additional choices with successive numbering. 1. Please indicate to which board or committee you are applying: Bicycle and Pedestrian Advisory Committee Board of Trustees Code Enforcement Board Districting Commission (every 3 years, 2016) Oak Forest Wall and Beautification District Advisory Committee Parks and Recreation Advisory Committee Planning and Zoning Board/Local Planning Agency Tuscawilla Lighting and Beautification District Advisory Committee Other/Ad Hoc Committee 2. Briefly state by you are interested in serving on this board or committee (attach additional sheets as needed if interested in more than one Board): ........................................................................... --------- .......... p±!�t- .............. ..................... ... .............. .. ............. ......... .. ........ ...................... 4. ........- 3. Briefly state any specialized knowledge or prior experience you have that would be useful in assisting the board or committee in accomplishing its purpose (attach additional sheets as needed if interested in more than one board). -------- ..... ................ ............ .......................................--------- 4. Briefly state any experience you have in serving on any governmentalr r committee: D. STATE REPORTING REQUIREMENTS Florida law requires that the City annually submit a report to the Secretary of State disclosing race, gender, and physical disabilities of board and committee members. Please check the appropriateboxes: RACE GENDER African-American Male Asian-American Female Hispanic-American Not Known Native American vim° ucsian DISABILITY Not Known Physically disabled YOU HEREBY REPRESENT TO THE CITY OF WINTER SPRINGS UNDER PENALTIES OF PERJURY THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND ACCURATE TO THE EST OF YOUR KNOWLEDGE AND THE CITY OF WINTER SPRINGS HAS THE RIGHT TO RELY ON THAT INFORMATION. YOU HEREBY ACKNOWLEDGE THE EXISTENCE OF THE CODE OF ETHICS FOR PUBLIC OFFICERS, AND THE FLORIDA SUNSHINE LAW, WHICH MAY PERTAIN TO YOU IF YOU ARE APPOINTED TO A CITY BOARD OR COMMITTEE. IF APPOINTED IT IS YOUR SOLE LIGATION AND DUTY TO COMPLY WITH SUCH LAWS. Signature: ..._ Date: - �k...................._.......... . Please return to: City of Winter Springs The Office of the City Clerk 1126 East State Road 434 Winter Springs, Florida 32708 2799 a �„��„a ue)r Pp.i„ � 2/5/2020 SCPA Parcel View:05-21-31-504-0000-0550 al aap)ra11 Iftaaa:aalyd Ca)ud„ Parcel) 05 21-31-504-0000 0550 e �uu r wrd'w,ya m x 4'•'molpeutr Add ress 102 PEREGRINE CT WINTER SPRINGS,FL 32708 P alrcell linfoirim atua)u� V alluuie Suainnunn alrlp Parcel „05„21-31-504 0000 0550,,,, 2020 Working 2019 Certified f BLACHSTEIN LEONARD Tenancy by Entirety Values Values Owner(s) BLACHSTEIN JANICE Tenancy by Entirety ( Valuation Method Cost/Market Cost/Market 102 PEREGRINE CT Property Address WINTER SPRINGS FL 32708 Number of Buildings 1 1 Mailing NE CT WINTER SPGIS,FL 32708-5616 Depreciated Bldg Value $184,992 $181,079 Subdivision Name �!C�1,. ..VV!„., ,.,�„�,.�„.„ Depreciated EXFT Value $1,238 $1,250 TaxDistrict(W 1 WINTER SPRINGS,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, D OR Use Code(01 SINGLE FAMILY Land Value(Market) $62,000 $62,000 Exemptions.00 HOMESTEAD(1999) Land Value Ag ........ ......... .... lust,/lMa ketVa,lue..".."., $248,230 $244,329 5'16' b, Portability Adj 110 to Save Our Homes Adj $83,172 $82,982 am Amendment 1 Adj $0 $0 L P&G Adj $0 $0 Assessed Value $165,058 $161,347 0.59 Tax c Amo unt o t t w th l u SOH: $4,017.85 0 7 .7 P 1 ..js. $1,984.36 Save Our Homes Savings: $2,033.49 LegaaII II:1asciriiI tiia)mn LOT 55 EAGLES WATCH PH 2 PB50PGS20&21 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value COUNTY BONDS $165,058 $50,000 $115,058 WINTER SPRINGS BONDS $165,058 $50,000 $115,058 SJWM(Saint Johns Water Management) $165,058 $50,000 $115,058 CITY WINTER SPRINGS $165,058 $50,000 $115,058 FIRE FUND $165,058 $50,000 $115,058 COUNTY GENERAL FUND $165,058 $50,000 $115,058 Schools $165,058 $25,000 $140,058 Saalles Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 1/1/2018 C,753,C7,Cr`2 1,,,5„,1,,,5 $100 No Improved WARRANTY DEED 12/1/2011 C,7;7Cr`97 C,7,a�3„0 $100 No Improved SPECIAL WARRANTY DEED 7/1/1998 0.24.6..11„ 1.2.9.2 $132,200 Yes Improved SPECIAL WARRANTY DEED 7/1/1996 C,31109 05„03 $1,970,800 No Vacant Laamnd Method Frontage Depth Units Units Price Land Value LOT 1 $62,000.00 $62,000 I!I.lmaiiilldiimng Ilmmhm)Irimnaaliia)mn https://parceldetails.scpafl.org/ParcelDetailPrinterFriendly.aspx?PID=05213150400000550 1/2 2/5/2020 SCPA Parcel View:05-21-31-504-0000-0550 # Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 SINGLE FAMILY 1998 8 „i 2 0. 1,766 2,411 1,934 CB/STUCCO $184,992 $201,078 FINISH Description Area BASE 168.00 OPEN PORCH 36.00 FINISHED GARAGE 441.00 FINISHED Peirimniits Permit# Description Agency Amount CO Date Permit Date 01688 REROOF SHINGLES Winter Springs $10,247 6/11/2014 00437 INSTALL SCREEN ENCLOSURE W/SCREEN ROOF ON EXISTING SLAB Winter Springs $1,135 3/1/1999 00666 2419 SQ FT Winter Springs $142,529 7/9/1998 4/1/1998 Permit data does not originate from the Seminole County Property Appraiser's office For details or questions concerning a pert it,please contact the building department of the tax district in which the property is located. l::xtiY'aA 1::ea Amite. Description Year Built Units Value New Cost PATIO 1 6/1/1999 1 $238 $500 SCREEN ENCL 1 6/1/1999 1 $1,000 $2,500 zoo niimn0 Zoning Zoning Descriptionun Future Land Use Futurel-andUseDescription PUD PUD Medium Density Residential Medium Density Residential https://parceldetails.scpafl.org/ParcelDetailPrinterFriendly.aspx?PID=05213150400000550 2/2 Christian Gowan From: Charlene Pike <pike@voteseminole.org> Sent: Wednesday, February 5, 2020 12:11 PM To: Christian Gowan Subject: Re: Winter Springs Voter Registration Confirmation EXTERNAL EMAIL: CaIIIi:IILf k)iV"iN„ D� tlVfll;d gtick �m ggtlVks �r1 �rpxm "'Irly lI's utlVk"ss y�pu"II'lasi, 'aril kril r%Av p'bVlA",gpll; 'b.l!! s" l�', I She has been registered at that address since 11/17/1998. Charlene Pike Chief Administrative Officer Representing Chris Anderson Seminole County Supervisor of Elections 407-708-7706 � yolggnunoue.org �.votoseminoue. NT or - SUPERV'ISO,R OF ELECTIONS Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact this office by phone or in writing. On Wed, Feb 5, 2020 at 10:30 AM Christian Gowan <cgowan(ea�,winterstarin sg .m4>wrote: Good morning, At your earliest convenience,could you please advise if your records show the following individual as a registered Winter Springs voter? Janice Blachstein 102 Peregrine Court Winter Springs, FL 32708 1 If so, can you please advise as to how long the individual has been registered at this address? Thankyou Interim City Clerk : (407) 327-6560 : (407) 327-4753 ,N :1126 East State Road 434 INlin Winter Springs, Florida 32708 tuum;��c��m�,pnmam��m�,��it R 0 0 0 s 0Inuii +"os•afklenfl ak)} N4otr l'Ns r -a may , usaa� usa, ,mft mhmont to ft c op•atas ns�nt'+;;oswam fl os•a ntesa+kd+:ns ) for tho uso of tho �r fi,,'ds:k u!d°",o or ent¢t), m,macd on tho r-nm'H &t tho Wea✓ iJr;; of tNs e-x?mH ps not tho pntcmma e�J W"w✓(;:rpkmt,o; tho r✓mN'yAo;'ee or IVgent pe',H„vr;r"?,,bk)foy der +I"Q'dng pt t o tho pd?tcx?akd W"r✓u`qppcnt You VW"e h+rebh'Y n otifiod t,hs,'ut r aiJrn+ ft�s st,rrctly proh'Ntc�iJ ff You Nr,e r c o r,od tNs r-n m'H rn r �m r,p aso r t°Urn'ft to tho ;oml � uml dc cte'ft t'aom Yrour; st m,"�h usak You Under Florida taw,email addresses are public records.If you do not want your email address released in response to a public-records request do not send electronic mart to this entity.Instead,contact this office by phone or in writing. 2