Scott A. Needelman Board Application ca MIAMI BEACH CITY OF MIAMI BEACH
& BOARD AND COMMITTEE APPLICAT ON FORM
NAME: SC0 TT
Last Name /41 ,
First me iddle Initial
HOME ADDRESS: I 6 5 L k/ t �� 39
Apt No. / / 3 30 5- D /��c7 House NQ City_ 2 _ -- State Zip Code
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PHONE 6 3 — qV 5'- ONO 51 `it /n 4 '
Home Work Fax Email address /VET
Business Name: ��Y) OeuefoermAit ■ �,/4G Position: P re&Ai t
Address: ii57 tE2L Ave #( /KB re--- 33/3q
No. Street City State Zip Code
Professional License (describe)( "4Ct Ott ( CICKYMOVr Expires: l / a Attach a copy of the license
Pursuant to City Code section 2 -22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this
requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six
months; or b an individual shall demonstrate ownership/interest for t o a minimum of six months in a business established in
p the city.
• Resident of Miami Beach for a minimum of six (6) months: Yes "or No ❑
• Demonstrate an ownership /interest in a business in Miami Beach for a minimum of six (6) months: Yesplor Noce a
• Are you a registered voter in Miami Beach: Yes *or No ❑ —4 o
• (Please circle one): I am now a resident of: North Beach - outh Beach Middle Beach c m
• I am applying for an appointment because I have special abilities, k perience. Please list below: c-)
• Are you presently a registered lobbyist with the City of Miami Beach? Yes ❑ or No f' 71 j M1
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note VW ()Wry thr (3)
choices will be observed by the City Clerk's Office. (Regular Boards of City) -r-► 9
❑ Affordable Housing Advisory Committee ❑ Marine Authority
0
co
Art in Public Places Committee 0 Miami Beach Commission for Women
0 Beautification Committee ❑ Miami Beach Cultural Arts Council
it Board of Adjustment* I 0 Miami Beach Human Rights Committee
0 Budget Advisory Committee 0 Miami Beach Sister Cities Program
0 Capital Improvements Projects Oversight Committee 0 Normandy Shores Local Government Neigh. Improvement
0 Committee on the Homeless 0 Parks and Recreation Facilities Board
0 Committee for Quality Education in MB 0 Personnel Board
0 Community Development Advisory ® Planning Board* 3
0 Community Relations Board 0 Police Citizens Relations Committee
0 Convention Center Advisory Board 0 Production Industry Council
0 Debarment Committee 0 Public Safety Advisory Committee
lie Design Review Board* t 0 Safety Committee
0 Disability Access Committee 0 Single Family Residential Review Panel
❑ Fine Arts Board 0 Sustainability Committee
0 Gay, Lesbian, Bisexual and Transgender (GLBT) 0 Transportation and Parking Committee
0 Golf Advisory Committee 0 Visitor and Convention Authority
❑ Health Advisory Committee 0 Waterfront Protection Committee
0 Health Facilities Authority Board 0 Youth Center Advisory Board
0 Hispanic Affairs Committee
0 Historic Preservation Board
0 Housing Authority
0 Loan Review Committee *Board Required to File State Disclosure Form
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: Yes ❑ No ❑ Years of Service:
2. Present participation in Youth Center activities by your children Yes❑ No 0. If yes, please list the names of your children, their
ages, and which programs. List below:
Child's name: Age: Program:
Child's name: Age: Program:
F: \CLER \$ALL \oFORMS \BOARD AND COMMITTEES \BC Application.doc
,---1/P
•Have you ever been convicted of a felony: Yes ❑ or No • If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ❑ or No •' If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ❑ or No e. If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes a or No ❑. If yes; which board?
bac ry - - ( rr, nom, e)
• What or anizations in the City of Miami Beach do you currently hold membership in?
Name: lcthN' b Pai4- Nh6ork,ot /1 x. Title: era�k�e
Name: Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
40 - / 9f Sf, / 455 Prey(-( Ave,
• I am now employed by the City o Miami Beach: Yes ❑ or Nof Which department?
• Pursuant to City Code Section 2 -25 (b): Do you have a parent ❑, spouse ❑, child ❑, brother ❑, or sister ❑ who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s):
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is
being asked to comply with federal equal opportunity reporting requirements.
Gender: ti Male ❑ Female
Ethnic Origin: Check one only (1)
*White (Not of Hispanic Origin): All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
❑ African - American /Black (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa.
❑ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
El Asian or Pacific Islander: All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, on
the Pacific Islands. This area includes, for example, China, India, Japan, Korea, the Philippine Islands and Somoa.
❑ American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America, and who maintain
Cultural identification through tribal affiliation or community recognition.
Physically Challenged: Yes ❑ or N od.
Employment Status: Employed Retired ❑ Homemaker ❑ Other ❑
NOTE: If appointed, you will be required to follow certain laws which apply to city board /committee members.
These laws include, but are not limited to, the following:
o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2 -459).
o Prohibition from contracting with the city (Miami -Dade County Code section 2- 11.1).
o Prohibition from lobbying before board /committee you have served on for period of one year after leaving office (Miami
Beach City Code section 2 -26).
o Requirement to disclose certain financial interests and gifts (Miami -Dade County Code section 2- 11.1).
(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,
from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself ,
or those with whom you have business or immediate family ties (CFR 570.611).
Upon request, copies of these laws may be obtained from the City Clerk.
"I hereby attest to t% a accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
A - VII — • the lb, Code "Standards of Cond ct for City Officers, Employees and Agency Members."
1 P / 3/rn iUeeklervit\
Applicant's Si.' ature Date Name of Applicant (PLEASE PRINT)
Pleaso'attach copy.of *we resume to thls a'pptication
NO'TE. Appli,i+atio (Ikren�atn, fits fo,r a„per odoof one,(ucalendar year
Received in the City Clerk's Office by : _L.a< < Date: W/2010 Control No Date: _/_/2010
t t
Name of Deputy Clerk
o: T STATE OF FLORIDA
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''< - o� DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
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am = CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395
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'` _ " •' 1940 NORTH MONROE STREET
"` TALLAHASSEE FL 32399 -0783
NEEDELMAN, SCOTT ALAN
SAN DEVELOPMENT INC
1455 DREXEL AVENUE #1
MIAMI BEACH FL 33139
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Congratulations! With this license you become one of the nearly one m : ' ''..9 r
Floridians licensed by the Department of Business and Professional Regulation. OF R A
Our professionals and businesses range from architects to yacht brokers, from .`.` R CAF a ,.,, N I I G x' ` N
boxers to barbeque restaurants, and they keep Florida's economy strong.;' ^4 ��`
Every day we work to improve the way we do business in order to serve you better , 3 = z f }� � , , � ;; y E B ;
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For information about our services, please log onto www.myfloridalicense.com C rI ,�, O R .
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There you can find more information about our divisions and the regulations that NE , { '? : .' '
impact you, subscribe to department newsletters and learn more about the
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Our mission at the Department is: License Efficiently, Regulate Fairly. We 5, 5 . ¢.,
constantly strive to serve you better so that you can serve your customers. g o x . y r Y x 2
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Thank you for doing business in Florida, and congratulations on your new licenses i tioi aate 5
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Scott Needelman
1455 Drexel Avenue #1
Miami Beach, Florida 33139
305 -710 -5584
305- 673 -1463
Education Bachelor of Science, Civil Engineering, May 1993
Florida State University, Tallahassee, Florida
Graduated, Miami Beach Senior High School, June 1988
Work Experience President, SAN Development, Inc., September 2002 - present
Completed construction of a 2700 sq. ft. home.
Property Manager, York Towers Apartments,
May 1993- present
Responsible for the day -to -day operation of 24 apartment units and four
commercial spaces.
Assistant Project Manager, Fisher Island Holdings, LLC,
January 2005 -May 2008
Managed the submittal and RFI processes for the construction of a 10 story
luxury condominium building and oversaw various other small construction
projects.
Project Supervisor, Carmel at California Club Property Owners
Association, September 2001 - December 2001
Oversaw the repairs to 34 condominium buildings due to flooding.
Project / Construction Manager, York Towers Apartments
February 1995- August 2000
Conceived and executed the substantial renovation of three historic multi - family
buildings, approx. 18,000 sq. ft. Oversaw, on a daily basis, the various
subcontractors from concept to completion of projects.
Skills Microsoft Office, AutoCAD
Certifications Certified Building Contractor, State of Florida
Engineer Intern, State of Florida
Committees /Activities . Member, Debarment Committee, City of Miami Beach
January 2009 - December 2010
Member, General Obligation Bond Oversight Committee
City of Miami Beach, March 2003 -April 2008
Member, Eleventh Judicial Circuit Grievance Committee A
State of Florida, February 2001 - January 2004
Member, Safety Committee, City of Miami Beach
January 2002 - December 2002
Member, Planning Board, City of Miami Beach
January 2000 - December 2001
Graduate, Miami Beach Citizens Police Academy
November 2000
Member, Community Development Advisory Committee
City of Miami Beach, January 1998 - December 1999