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Peter A. Chevalier I v\ 1 AM { B EAd H CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: C �� A I � � — Last Name ( First Name (� Middle initial HOME ADDRESS: i t \ 1 5 '0 et" -c2,'S Ave_ M +�w+�t,.. -L 33 1 3°) Apt No t1 ouse No. /Street City State Zip Code PHONE: 7 ? ..SS ' / �.. fc.1)exicitt ciT och2V ((C)cerr Horne W.rk Fax Email address Business Name: k �� C Position: A I �- 4-ec.� Address: No. Street City State Zip Code MI A . ; Professional License (describe) ; 1 Expires: Z 0 t Attach a copy of the license Pursuant to City Code section 2 -22(4) a an 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 •wnership /interest for a minimum of six months in a business established in the city. • Resident of Miami Beach for a minimum of -ix (6) months: Ye or No ❑ • Demonstrate an ownership /interest in a bus ess in Miami Beach for a minimum of six (6) months: Yesi or No ❑ • Are you a registered voter in Miami Beach: esApr No ❑ • (Please circle one): I am now a resident of: North Beach South Beach Middle Beach • I am applying for an appointment because I ave special abilities, knowledge and experience. Please list below: • Are you presently a registered lobbyist with e City of Miami Beach? Yes 0 or No Please list your preferences in order of ranking 1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's office. (Regular Boards of City) ❑ Affordable Housing Advisory Committee ❑ Marine Authority ❑ Art in Public Places Committee ❑ Miami Beach Commission for Women ❑ Beautification Committee ❑ Miami Beach Cultural Arts Council 0 Board of Adjustment* 0 Miami Beach Human Rights Committee ❑ Budget Advisory Committee ❑ Miami Beach Sister Cities Program 0 Capital Improvements Projects Oversight Com ittee ❑ Normandy Shores Local Government Neigh. Improvement ❑ Committee on the Homeless ❑ Parks and Recreation Facilities Board ❑ Committee for Quality Education in MB ❑ Personnel Board 0 Community Development Advisory ❑ Planning Board* 0 Community Relations Board ❑ Police Citizens Relations Committee ❑ Convention Center Advisory Board 0 Production Industry Council 0 Debarment Committee ❑ Public Safety Advisory Committee ❑ Design Review Board* 0 Safety Committee ❑ Disability Access Committee 0 Single Family Residential Review Panel ❑ Fine Arts Board ❑ Sustainability Committee ❑ Gay, Lesbian, Bisexual and Transgender (GLB ❑ Transportation and Parking Committee ❑ Golf Advisory Committee 0 Visitor and Convention Authority 0 Health Advisory Committee ❑ Waterfront Protection Committee ❑ Health Facilities Authority Board 0 Youth Center Advisory Board ❑ Hispanic Affairs Committee 0 Historic Preservation Board 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 Boar 1: Yes 0 No 0 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 \aFORMS \BOARD AND COMMITTEES \BC Application.doc ,; V/ •Have you ever been convicted of a felony. Yes 0 or No If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes 0 or No) . If yes, please explain in detail • Do you currently owe the City of Miami Beach any money: Yes ❑ or No(lf yes, explain in detail • Are you currently serving on any City Boards or Committees: Yes 0 or NoX If yes; which board? • What organizations in the City of Q b iami / Beachh do you currently hold membership in? Name: p+�l t�,(,ljGti £k� /J / d fr CJuMA-- Title: Name: Title: • List all properties wned or have an interest in, which are located within the City o iami Beach: • 1 am now employed by the City of Miami Beach: Yes 0 or N . Which department? • Pursuant to City Code Section 2 -25 (b): Do you have a parent 0, spouse 0, child 0, brother 0, or sister ❑ who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): y ,� 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: Male ❑ Female hni 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. ❑ 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 NoD. 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 the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, A ' II — of the City Code "S dards,of Conduc for ty Officers, Employees and Agency Members." 4- a J C ,�,� / 1 S I P> 7 — 4 - C A plicant's Signature Date Name of Applicant (PLEASE PRINT) Received in the City Clerk's Office by Date / /20 0 Control No/ e Date _ /2010 / Name of Deputy Clerk CHEVALIER LLC Architecture — Construction Mgt PETER A. CHEVALIER FIELDS OF SPECIALIZATION Architectural Design & Planning Construction Mgt. /Owner Representation Historic Rehabilitation /Adaptive Reuse EDUCATION Syracuse University, Florence, Italy Masters of Architecture (M. Arch II) 1991 Syracuse University, Syracuse, New York Bachelor of Architecture 1988 REGISTRATIONS Florida AR 94822 New York 029785 -1 AIA 30132814 CERTIFICATIONS SBA SMALL EMERGING BUSINESS SBA HUBZONE FIRM 01/25/2011 MIAMI DADE COUNTY CBE /A &E App. Pending LEED Green Associate 2011 NAICS SERVICE CODES 541310 Architectural Services 236116 Construction Management, Mt.ltifamily Building 236220 Construction Management, Commercial & Institutional Building EXPERIENCE Chevalier Ilc was formed in Florida in early 2003 to deliver professional architectural services and construction management on behalf of its clients. Frior to 2003, Mr. Chevalier practiced architecture for ten years in Italy working in collaboration with Ricci — 5paini Architects in Rome & Florence, Italy. Projects for international clients have been completed in Italy, Albania, Kosovo and Egypt. Mr. Chevalier was also a member of the design -build project team for the New USAID Headquarters in Cairo, Egypt, in collaboration with ABB SUSA and SOM, NY. Over the course of the past eight years, Chevalier LLC has played an integral role on Fulcrum Mgt project teams delivering Owner Representative services to Real Estate Developers in the area. Mr. Chevalier has served on the Miami Beach Design Review Board for the maximum term of six years. Mr. Chevalier served as the DRB Chair for two years. Mr. Chevalier is currently a board member of the March Of Dimes, South Florida Chapter and the Miami Beach Community Church. Chevalier LLC 145 Jefferson Avenue, #411 Miami Beach, FL 33139 T. 786.556.4569 F. 786.752.3258 E. pchevalier @chevllc.com CHEVALIER LLC Architecture — Construction Mgt Chevalier LLC has successfully delivered Architecture & Construction Management services on projects in South Florida including: • Burg Residence, Miami Beach, FL (Arch. — CM) • 111 Sunrise Avenue, Coral Gables, FL (Arch. — CM) • Terrazas River Park Village, Miami, FL (CM *) • South Of Fifth Residences, Miami Beach, FL (CM *) • Canyon Ranch - Carillon Phase I, Miami Beach, FL (CM *) • Absolute Bay Lofts, Miami, FL (CM *) • Broadspan Capital Offices, Miami FL (Arch. - CM) • Atlas One Capital Offices, Miami, FL (Arch.) • McDonagh Residence, Miami Beach, FL (Arch. — CM) CM* projects completed for Fulcrum Management Corp. SKILLS & INTERESTS Software: Autocad /Revit, MS Word, Excel & Project, Prolog Manager Languages: English (Mother tongue) Italian fluent, Spanish basic, Creole (beginner) Sports: Boxing & Golf