Castell, George Stephen
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CITY OF MIAMI BEACH
REQUEST FOR APPROVAL OF OUTSIDE EMPLOYMENT
Page 1 of 2 L J L I ...', '! . ,
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I. TO BE COMPLETED BY EMPLOYEE - This Form must be completed & approved prior to
beginning any other employment
A. INFORMATION REGARDING CITY OF MIAMI BEACH (CMSJ EMPLOYMENT
10 # DEPARTMENT I DIVISION
EMPLOYEE NAME: LAST NAME, FIRST NAME, MIDDLE NAME 13627 NEIGHBORHOOD SERVICES I CODE COMPLIANCE DIVISION
CASTELL,GEORGE,STEPHEN
JOB TITLE - CODE COMPLIANCE OFFICER II
WORK PHONE #
305-673-7000
EXT, # 6776
HOME PHONE #
954-450-9518
SUPERVISOR - JOSE ALBERTO
CODE COMPLIANCE ADMINISTRATOR
WORK PHONE #
305-673-7000
EXT, # 6854
EMPLOYEE'S OTHER PHONE #S (BEEPER, CELL)
CELL - 3054-469-6473
NORMAL WORK DAYS AND TIMES
MONDAY - FRIDAY 8:00AM - 4:30PM
/
To BE COMPLETED BY SUPERVISOR: Do)'Ou AGREE WITH THE
INFORMATION IN THIS SECTION? / YES No
B. INFORMATION REGARDING OUTSIDE EMPLOYMENT
NAME OF BUSINESS OR INDIVIDUAL HIRING CMB EMPLOYEE EMPLOYEE 10 # DEPARTMENT I DIVISION
S&S FORTUNE INVESTMENTS, INC, N/A N/A
WORK PHONE # TYPE OF BUSINESS
JOB TITLE - PRESIDENT 954-450-9518 REAL ESTATE - PURCHASE PROPERTIES, RESALES AND TAX SALES
WORK PHONE #
SUPERVISOR N/A N/A
DATE OF HIRE
NORMAL WORK DAYS AND TIMES N/A IN THE PROCESS OF SETTING UP CORPORATION,
EVENINGS, NIGHTS AND WEEKENDS
ADDRESS OF BUSINESS: STREET
18008 SW 30th Court CITY MIRAMAR STATE FL. ZIP 33029
DESCRIPTION OF DUTIES - Purchasing and selling properties via internet, online auctions of properties, nationwide, This is an internet business
(Home based business),
WHAT DUTIES MIGHT BE CONSIDERED TO BE A CONFLICT OF INTEREST - None, no business to take place on Miami Beach, Working at a County,
State and National Level.
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This form has 2 pages - be sure to complete both pages
CITY OF MIAMI BEACH
REQUEST FOR APPROVAL OF OUTSIDE EMPLOYMENT - CONTINUED
PAGE 2 of2
c.
By signing below, I certify that all of the information given on page one (1) of this document is true, accurate, and
complete to the best of my knowledge, I understand that all information is subject to investigation and that falsification,
omission, or misrepresentation is sufficient cause for disciplinary action, up to and including termination, I also understand
that I am responsible for informing my supervisor in writing if any information about my outside employment changes,
especially if there arises any possible conflict of interest. Failure to do so may lead to disciplinary action, including termination
of employment with the City of Miami Beach, This request for approval will be made on a yearly basis,
Employee Name
George S. Castell
Employee 10 Number
13627
D.
By signing below, I certify that I have read this form completely and that I do not ha e an other em 10 ment. I understand
that before I start any other employment, I must request and obtain the above approvals, I further understand that failure to
comply with Outside Employment procedures could lead to disciplinary action up to and including termination of my
employment with the C' Miami Beach,
EMPLOYEE NAME
GEORGE S. CASTELL
10 NUMBER
13627
II. TO BE COMPLETED BY EMPLOYEE'S CITY OF MIAMI BEACH DEPARTMENT
VIV IA N GUZMAN
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NAME OF SUPERVISOR
JOSE ALBERTO
NAME OF DIVISION HEAD
JIMMY McMILLION
NAME OF DEPARTMENT DIRECTOR
PLEASE CIRCLE ON
DISAPPROVED
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CITY MANAGER
PLEASE CIRCLE ON APPR
DISAPPROVED
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This form has 2 pages - be sure to co
M:\$CMB\HUMARESO\Outside Employment Form 10 06 03,doc
REV: 10/06/03