Fort Walton Beach Council agenda — 11-22-05 ‎(regular)‎ — reading text

111 FERRY RD. S.E. . FORT WALTON 6EAa1, FL 32546 . 850- Agency jameym@kddarchitects,com must be a resident, own property or work in the district 4. Do any circumstances/ conditions exist which may inhibit your ability to be totally objective? ANO YES If yes, Explain: 5. ' M1at special qualifications do you feel you will bring. to this Board? LI~^ tsD A.f,- rt.,(, J" rtt<.--r f'fLIItLIPlk- Q k IJ'- IIJ('- 6. J J&~~ s.~~~(}' Until you are selected for $<e Board of your choice, may we submit your application when vacancies occur rather than contacting YES NO, I wish to be contacted first. . ./. you? YES NO 7. Would you consider serving on another Board other than the one you selected above? ~ Other Board in which you would be interested 11.'" r11fC-/ c..f4r1, cJAJ) r O tJ... f(~ fl. { c;f71:S I AM NOT . L a resident; * I AM A _ resident of the city; * I HAVE BEEN a resident for I AM V a registered voter / years I AM NOT a registered voter ** NO_ in the CRA Dis. YES _ NO - 1L. *** I work in the CRA District YES 1L.. -- SIGNATURE DATE b(" v/( fJ Or:;- NOTE: Application INFORMATION BELOW FOR USE ONLY BY THE CITY OF FORT WALTON BEACH Appointed to: Date of original appointment: Length of Term: appointed: Date( s) re- 833- 9509 or the City Hall TDD # 833- 9925 If you have any questions on the above, please call the City Clerk, Helen Spencer, at Updated 3-7-03  CITY OF FORT WALTON BEACH ~ APPUCATION TO SERVE \, On C' ncies, Authorities, Boards, Commissions or ~ mittees Rete ce: Codified Ordinances ot Fort Walton Beach - Section 2-60) Donald E. Mertz, Jr. Name: I- Iomead res : 148- A Alabama Ave NW, Unit A me phone: 850- 621- 1Q45 E- mail: c;)J01iba.] t.S; 8I20 0(i!cnx. net upation: AF. U!=; Rp-t" irpn; C:: n11~~ 11npnr Business phone: r~ p ~~ JiJ USAF, Retired ( Security, Mess Mgnt., Human Resources) 1. Brief Resume of Education and Experience BA- Interdisciplinary Humanities- UWF, currently enrolled in Masters program to earn MS in Environmental Studies. Depends on the committee. Overall I am committed to 2. WhatoDtionswouldyouinitiateifapRointed? re- development versus new aevelopmenc. L beL~ eve cnac nacuraL, ~ na~ g~ nous ~ provemBnEs are other options and that there are always choices, even when the~ e appear not to be. preferable to I have no vested interests in any corporate or private 3. H ow you wou Id a dd ress . Issues if appoint . ed entities and am certain that I cam be ta~r ana obJecc~ve ~ n any aecisiun maRIllg pLU~~~~. E F HE F o LLOWIN G Please CH EC K ANYO NOT I see other side of application for a brief description of duties BEAUTIFICATION COMMITTEE * FIRE FIGHTERS' RETIREMENT * POLICE OFFICERS' FUND RETIREMENT FUND must be a resident) ( must be a resident) BOARD OF ADJUSTMENT * FWB HOUSING AUTHORITY * MUNICIPAL PLANNING BOARD must be a resident) - ( must be a resident for 2 Yr-' and a registered voter) CODE ENFORCEMENT BOARD GOLF CLUB ADVISORY * VISION PLAN STEWARDSHIP must be a resident) COMMITTEE COMMITTEE citizen- at- Iarae must be a resident) COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY AGENCY BOARD x - ( must be a City resident, own proDertv or work in the district) 4. Do any circumstances/conditions exist which may inhibit your ability to be totally objective? x NO YES If yes, explain: My eduation focused on Environmental Phil~SOphY 3. WhatspecialqUalificationsdoyoufeelyouwillbringtOthiSBoard? studies ~ nVOive me ~ n many areas LhaL al~ uf vILa and Growth Management. My current interest to the enviornment. interest to the community and of special when vacancies occur rather than contacting you? 6. UntiJ you are selected for the Board of your choice, may we submit your application JC YES NO, I wish to be contacted first. 7. Would you consider serving on another Board other than the one you selected above? v YES NO Other Board( s) in which you would be interested any 7 I am a resident of the City: YES ~ NO _ * I HAVE BEEN a resident for years x NO x I work in the CRA District: YES NO I own property in the CRA District: YES _ NO _ I am a registered voter.YES .2- SIGNATURE DATE 1- cf - () S- QTE: Application e ct' e for ONE YEAR from date of submission. the City Clerk., Helen Spencer. at 833-9509 or the City Hall TDD # 833-9925 you have any questions on the above, please call INFORMATION BELOW FOR USE ONLY BY THE CITY Appointed to: Date of original appointment: Length of Term: appointed: Date( s) re-