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HomeMy WebLinkAboutMahnken, David Application (PZLPA) - PZLPA.pdfSubmit Date: Nov 17, 2024 First Name Middle Initial Last Name Home Address City State Postal Code Email Address City of Winter Springs, FL Boards & Commissions Application Form Public Records Profile What district do you live in? District 1 Which Boards would you like to apply for? Planning and Zoning Board/Local Planning Agency: Submitted Eligibility Are you duly registered to vote in Seminole County? Yes No Are you duly registered to vote in the City of Winter Springs? Yes No Do you live within the city limits of Winter Springs Yes No How long have you been a resident of Winter Springs? 19 years 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 the purposes of this question. Yes No David M Mahnken 155 East Panama Road Winter Springs FL 32708 davidmahnken@outlook.com David M Mahnken Do you currently serve on any other City of Winter Springs board or committee? Yes No 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? Yes No 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? Yes No Are you related to a City of Winter Springs Commission member by blood, adoption, or marriage? Yes No Interest & Experiences Why are you interested in serving on a board or committee? I am interested in taking an active role in supporting the City's mission to provide an efficient delivery of public services by offering my years of experience and expertise in environmental and land planning regulations. Briefly state any specialized knowledge or prior experience you have that would be useful in assisting the board or committee in accomplishing its purpose. More than twenty years as an environmental consultant providing plan review and environmental permitting services for various municipalities, the FDOT, and private clients. I have also work as an employee of Orange County Government, the South Florida Water Management District and Seminole County. Briefly state any experience you have in serving on any governmental board or committee. Served six years on the Seminole Soil and Water Conservation District as an elected Supervisor. Financial Disclosure Requirement David M Mahnken Date of Birth Question applies to Planning and Zoning Board/Local Planning Agency,Code Enforcement Board,Board of Trustees Please Agree with the Following Statement All members of the Board of Trustees, Code Enforcement Board, and Planning and Zoning Board are required to annually file a Form 1 - Statement of Financial Interests via the Electronic Financial Disclosure Management System (EFDMS). By clicking "I Agree" you are stating you understand and agree to comply with this requirement if appointed to one of these Boards. For more information about the Form 1, please visit https://ethics.state.fl.us/FinancialDisclosure/Index.aspx I Agree State Reporting Requirements Ethnicity * Caucasian/Non-Hispanic Gender * Male Do you have a physical disability? Yes No Please Agree with the Following Statement 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. I Agree Please Agree with the Following Statement 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 I Agree Acknowledgment 10/27/1963 David M Mahnken Please Agree with the Above You agree that you have read and understood the above and further agree to comply with noted requirements. I Agree David M Mahnken