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Scott Needelman board and committee applicationCA MIAMIBEACH NAME: Needelman CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Scott A Last Name First Name Middle Initial HOME ADDRESS: 1455 Drexel Avenue #1 Miami Beach FL 33139 Apt No. PHONE: 305 - 710 -5584 Home No. /Street City 305 - 673 -1463 N/A State Zip Code san1455@att.net Home Business Name: SAN Development, Inc. Address: 1455 Drexel Avenue #1 Work Fax Position: President Email Address Miami Beach FL 33139 Street City State Zip Code 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 a minimum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six (6) months Yes • Demonstrate an ownership /interest in a business in Miami Beach for a minimum of six (6) months: Yes • Are you a registered voter in Miami Beach: Yes • (Please circle one): I am now a resident of: South Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Historic building renovation. • Are you presently a registered lobbyist with the City of Miami Beach? 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) Choice 1: Historic Preservation Board Choice 2: Choice 3: 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: No Years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: • Have you ever been convicted of a felony: No If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: No If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: No If yes, please explain in detail: • Are you currently serving on any City Boards or Committees: No If yes, which board? • What organizations in the City of Miami Beach do you currently hold membership in? Name Title Flamingo Park Neighborhood Association Director • List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 440/460 15th Street, 1455 Drexel Ave • I am now employed by the city of Miami Beach: No Which department? 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 Race /Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish /Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No Physically Challenged: No 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 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, Article VII — of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." I Scott Needelman agreed to the following terms on 12/7/2014 9:37:00 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Scott Needelman 1455 Drexel Avenue #1 Miami Beach, Florida 33139 305 -710 -5584 Education Bachelor of Science, Civil Engineering, May 1993 Florida State University, Tallahassee, Florida Graduated, Miami Beach Senior High School, June 1988 Committees /Activities Director, Flamingo Park Neighborhood Association, August 2014- present; Member, January 2009 - August 2014 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 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. Certifications Certified Building Contractor, State of Florida Engineer Intern, State of Florida STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 NEEDELMAN, SCOTT ALAN SAN DEVELOPMENT INC 1455 DREXELAVENUE #1 MIAMI BEACH FL 33139 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants. and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www,myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is. License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE RICK SCOTT, GOVERNOR (850) 487 -1395 •_ STATE OF FLORIDA '4` DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CBC1250381 ISSUED: 08/10/2014 CERTIFIED BUILDING CONTRACTOR NEEDELMAN. SCOTT ALAN SAN DEVELOPMENT INC dS CERTIFIED under the provisions of Ch.489 FS. Exporation dale AUG 31, 2015 L1408100001923 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER The BUILDING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 NEEDELMAN. SCOTT ALAN SAN DEVELOPMENT INC 1455 DREXELAVENUE #1 MIAMI BEACH FL 33139 ISSUED: 08/10/2014 DISPLAY AS REQUIRED BY LAW SEQ # L1408100001923