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John Turchin application packageCITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM TurchinJohnA NAME: First Name Last Name Middle Initial FL33139 HOME ADDRESS : 215 East Dilido DriveMiami Beach Home No./StreetState Apt No.City Zip Code jturchin@turchinserver.com 305-773-6322305-672-0702305-531-0318 PHONE : WorkEmail Address HomeFax President / Qualifyer Business Name: John A Turchin Construction, Inc Position: 1900 Purdy Avenue Suite #1 Miami BeachFL33139 Address: State CityZip Code Street Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated requirement shall be fulfilled in the following ways: a) an indi   months; or b) an individual shall demonstrate ownership/interest Yes Yes Yes South Beach circle one): I am now a resident of:  Designing & Building for over 30 Years No 123Please note that only three (3) Please list your preferences in order of ranking [] first choice [] second choice, and [] third choice. choices will be observed by the City Clerk’s Office. (Regular Boards of City) Choice 1:Design Review Board* Choice 2:Single Family Residential Review Panel Choice 3: Capital Improvements Projects Oversight Committee Note : If applying for Youth Advisory Board, please indicate your aff 1. Past service on the Youth Center Advisory Board: NoN/A Years of Service: if yes, please list the names of your children, their No 2. Present participation in Youth Center activities by your chil ages, and which programs. List below: No Have you ever been convicted of a felony:If yes, please explain in detail: No Do you currently have a violation(s) of City of Miami Beach codeIf yes, please explain in detail: No Do you currently owe the City of Money Beach any money:If yes, please explain in detail: No Are you currently serving on any City Boards or Committees:If yes, which board? What organizations in the City of Miami Beach do you currently h List all properties owned or have an interest in, which are loca Property 215 East Dilido Drive Miami Beach, Fl 33139 1900 Purdy Avenue Suite #1 Miami Beach, Fl 33139 NoNone I am now employed by the city of Miami Beach:Which department? The following information is voluntary and is neither part of yo being asked to comply with federal equal opportunity reporting r Gender:Male Race/Ethnic Categories What is your race?White Mark one or more races to indicate what you consider yourself t Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spani No No Physically Challenged: NOTE:  If appointed, you will be required to follow certain laws which These laws include, but are not limited to, the following:    Prohibition from directly or indirectly lobbying city personnel o    Prohibition from contracting with the city (Miami-Dade County Co o    Prohibition from lobbying before board/committee you have served o Beach Code section 2-26).    Requirement to disclose certain financial interests and gifts (M o (re: CMB Community Development Advisory Committee):  prohibiti from having   any interest in or receiving any benefit from Co or those with whom you have business or immediate family ties Upon request, copies of these laws may be obtained from the “I hereby attest to the accuracy and truthfulness of the applica VII – of the City Code “Standards of Conduct for City Officers, I John Turchin agreed to the following terms on 12/23/2013 2:51: Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date Hatfield, Liliam To:Prieto, Silvia Subject:FW: Board and Committee application submitted by John Turchin Silvia, please see Mr. Turchin’s email below for Only Choice 1 DRB. BEACH MIAMI Liliam Hatfield, Office Associate V CITY CLERK'S OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411/ Fax: 305-673-7254 / www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. From: John [mailto:jturchin@turchinserver.com] Sent: Tuesday, December 24, 2013 9:16 AM To: Hatfield, Liliam Subject: Re: Board and Committee application submitted by John Turchin Liliam I am only interested in sitting on the Design Review board . Thank You John Turchin The Turchin Companies 305.773.6322 On Dec 24, 2013, at 8:06 AM, "Hatfield, Liliam" <LiliamHatfield@miamibeachfl.gov> wrote: <image001.gif> Attached please find Board and Committee package submitted by Mr. Turchin, who is interested in serving in one of the following boards: Choice 1: Design Review Board* Choice 2: Single Family Residential Review Panel Choice 3: Capital Improvements Projects Oversight Committee Respectfully submitted, BEACH MIAMI Liliam Hatfield, Office Associate V CITY CLERK'S OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411/ Fax: 305-673-7254 / www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. 1 <John Turchin application package.pdf> 2