HomeMy WebLinkAbout2019 12 06 Withee, Davis Application (BOT) - ELIGIBLE FOR DISPOSITION 10/01/2028 CITY OF WINTER SPRINGS DEC 0 6 2019
APPLICATION FOR APPOINTMENT TO CITY BOARD/COMMITTEE
CITY OF WINTER SPRINGS
Applications may be submitted in person at City Hall, facsimile (407-327-MSVIV"8rYilatiCLERK
( CityClerkDepartment(a' -wintersprin sfl.ur ).
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
1. Name: David Withee
2. Home Address: 177 Nandina Terrace
3. Occupation: Banker/Financial Advisor
4. Telephone (cell): 407-448-0089 Telephone (other):
5. Email: witheeCa)-mindspring.com
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:
1a. Are you duly registered to vote in Seminole County: (Y)_2L (N)_
1 b. Are you duly registered to vote in the City of Winter Springs? (Y) X (N)_
2a. Do you live within the City limits of Winter Springs: (Y)_X_ (N)_
2b. What district do you reside in? (1)_ (2)_2L_ (3)_ (4)_(5)_
2c. How long have you been a resident of the City? 16 years (since 2004)
3. Have you ever been convicted or found guilty, regardless of adjudication, of a felony in
any jurisdiction? Any plea of nolo contendere (no contest) shall be considered a conviction for
purposes of this question. (Y)_ (N) X
4a. Do you presently serve on any other City of Winter Springs board or committee?
(Y)_(N) X
4b. Please list each:
5. Do you have any private or personal interests which might conflict with serving the City's
interests, if you were to be appointed to serve on this board or committee? (Y)_ (N) X
6. City ordinance requires that.'all' persons 'applying for a City board or committee most
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? (Y.) X (N)�
6a. Are you related to a City of Winter Springs Commission merrmber.'by blood, adoption or
i marriage`? (Y)_(N)' X
6b. If yes to 6a,.please.provide relation;C. INTEREST AND'EXIRERIENCE
Please see attacheddescriptions 'for.each of the following boards .or committees. and
indicate below on which board or committee you with-to serve. Please' ihdicate your
preferericeVith a oner,(l) indicating your first.choice:andrarik any additional cholce%wlth
successive n.ornbering.
1'. Please indicate.to which board or committeeyou are applying:
_Bidycle and.Pedestrian Advisory,Gorrimittee
X Board of Trustees
_.Code.Enforcement Board.
Districting Commission (every.3 years, 20161)
_Oak Forest Wall.and Beautification Distrid.Advisory Committee
parks and,Recreation Advisory Committee
_Planning and'.Zoning Board/Local Planning Agency
t _Tuscawilla Lighting and Beautification District Advisory Committee
Other/Ad Hoc C.onin.iittee
2. Briefly state why you are.interested in serving an.this board.or committee.(attach
addltiorml sheets as needed if interested in more than one Board):
My profession is investment-advisonr and noetfollo.inanagement,which is aerfectivsuited,
for the Board of Trustees:whose orlmary obllaatlon is oversloht;,ngd consuitati6h for the
Ci 's Pension fund. Vd like to brig that indu .knowledge.and ez ettlse to bear--tot
my-fellow citizens and the City of Winter Spriftas,
3: Briefly state any specialized knowledge or prior exper'lotice you have that woulld,be.
useful !n assisting th6:boat.d or committee in"accomplishlrig its purpose(attach additional
sheets.as needed it interested in more.than:orte board):
Workft in the financial services industry, rhy.seeclalized knowledge and experlenbe is in
portfolio construction, asset allocation,.and.p&gngmlc forecasting, all of which would be..
useful for the Board of Trustees.
4. Briefly state any experience you have in serving on any governmental board or
committee:
I have been on the Board of Trustees for three years now and Chairman for the past year.
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
appropriate boxes:
RACE GENDER
African-American X Male
Asian-American Female
Hispanic-American _ Not Known
Native American
X Caucasian 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
BEST 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
OBLIGATION AND /DUTY TO COMPLY WITH SUCH LAWS.
Signature:
Date: November 811, 2019
Please return to: City of Winter Springs
The Office of the City Clerk
1126 East State Road 434
Winter Springs, Florida 32708 2799
Revised-V13h015
CITY OF 'WINTER SPRINGS, FLORIDA. — ADVISORY BOARD$ AND- COMMITTEES, AND
-CODE ENFORCEMENT BOARD
Bicycle and *Pedestrian Advisory-C.ommiffee.- 'This*fivib- (6) 'memb&advisory Committee will
furtherthe deVelopmeht bfan. intqrd6n'nect6d*.network of'trails, tide w* aIRs,. and bikeways within
the City. and will adVise and make recommendations on matters 'relating. to. non—motorized
-transportation.. Regular meetings are held .quarterly on the third Wednesday of March, June,
September,grid Decernber at 5.30 pii-n.
Board of Trustees:This 19 a five (5)-member advisory board administers they
.,Cit 's pension plan
pursuant to the provisions adopted bythe I.City C.bhlmj.s'aion. Regular-'Meetinogare held quarterly
on the.second Thursday of February, May,
August, and November at 5:3.0 p.m..
Code Enforcement Board: This Board holds heatings complete
Ote Wi*t *h 16§timony with discussion
on.findings 6f.f6ct based on.evide*nce.of record and conclusionsof law and'issues orders affording
the ptoppr relief consistent -withpowers- granted herein.. The Code. Enforcement'So6rd It
comprised 'of seven (7) regular members. Regularr-meetihp are held on the fourth Tuesday of
eachmonth at 5:30-p.m.
Districting (;6mMi0ion: This-seven (7).Memb.er' advisory commission files a report containing
a recommended plan, for establishment or 'adjustment of the district:boundaries. By. City
Ordihande- this -advisory commission meets every three (3). 'Oats. The next Districting
Commission Will,be selected in late 2016-or early 2016. Regular meetings are.held when agreed
upon.
Oak Forest Wall and Beautification District Advisory Comffiilttqe: This five �5) member
advis ry
Q. committee reviews .and discusses issues' relateOjo the foregoing andother directly
related matters-of.interest to the owners of property vith in th&Oak-Forest community. ARegular
meeting is held annually, on the second Thursday of Meiyat.5:30 p.m.
Parks -and Recreation Adv0sory Committee: This nine (9) member advisory. committee
promotes.an and,' makes
akes recommendations on the planning,:design, construction, f
.on,.and utilization o
City parks and-related special events: fundraising, and recreation programs. Regular meetings,
are hold quarterly on the first Tuesday 6f'February, MaV, AQgust, and November at'5:3Q.p-m.
Planning and Zoning Board?Local Plann ing-Agency: This five (5) member advisory board
recommends to the.City-Gommistion the boun:dairies.of the.various original*konino districts and,
appropriate regulations toIke 6nfo rced thpr0irr and.any proposed:a mend ments along.with dealing
with traffic circufaition elements and the Comprehensive Plan. The 'Board alsomakes,
recommendations to the City Commission onvariances, waivers., donditiohal uses, and
aftinittrativ6-appeals. Regular,Meetings-are held'oh the first Wednesday of each month at 5:30
p.m.
Tuscawilla Lighting and Beautification District Advisory Committee: 'This.five-(5) member
advisory committee e6views and discUsses issues related to the fc(reg6ing and other directly
related matters of interest to'the owners of'propetty,within the TusdaWilla-Comm' 'Uhity. Regular
meetings are held-quarterly ort.the third Wedhesdayof January' April, July, and.fOctqberat 55,16
P.M.
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Other Committees(including Ad Hoc.Committees)- may be established fromtime to time:
Note: Please be advised that -above infoPmatibn is subj6ct to.change. Fee.l.fr6o.t6 check with
the Office.of the City Clerk for furtherInf&mption or updates about the.Citys::Current Advisory
Boards and Committees.and Code Enforcement Board.
Revised 101071201,9.
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