01-28-2021 VC REG-MMINUTES OF THE REGULAR SESSION
VILLAGE COUNCIL OF NORTH PALM BEACH, FLORIDA
JANUARY 28, 2021
Present: Susan Bickel., Mayor
Mark Mullinix, Vice Mayor
David B. Norris, President Pro Tem
Darryl C. Aubrey, Sc.D., Councilmember
Deborah Searcy, Councilmember
Andrew D. Lukasik, Village Manager
Len Rubin, Village Attorney
Jessica Green, Village Clerk
ROLL CALL
Mayor Bickel called the meeting to order at 7:30 p.m. All members of Council were present except
for Councilmember Searcy who was running late. All members of staff were present.
INVOCATION AND PLEDGE OF ALLEGIANCE
Vice Mayor Mullinix gave the invocation and Mayor Bickel led the public in the Pledge.
APPROVAL OF MINUTES
The Minutes of the Regular Session held January 14, 2021 were approved as written.
DECLARATION OF EX PARTE COMMUNICATIONS
Mayor Bickel, Vice Mayor Mullinix, President Pro Tem Norris and Councilmember Aubrey
reported speaking with Mr. Sehayik and Mr. Hearing on a conference call regarding the proposed
creation of a Planned Unit Development and proposed 7-11 gas station for the corner of AIA and
Richard Road. Mayor Bickel reported having discussions with residents regarding the proposed 7-11
gas station for the corner of A 1 A and Richard Road.
PUBLIC HEARING AND SECOND READING OF ORDINANCE 2021-02 CODE AMENDMENT
— BUILDINGS AND BUILDING REGULATIONS
A motion was made by Vice Mayor Mullinix and seconded by President Pro Tem Norris to adopt
and enact on second reading Ordinance 2021-02 entitled:
AN ORDINANCE OF THE VILLAGE COUNCIL OF THE VILLAGE OF NORTH PALM
BEACH, FLORIDA, AMENDING CHAPTER 6, "BUILDINGS AND BUILDING
REGULATIONS," ARTICLE II, "MINIMUM CONSTRUCTION STANDARDS," SECTION 6-
17, "CODES ADOPTED," TO RECOGNIZE THE ADOPTION OF ADMINISTRATIVE
AMENDMENTS TO CHAPTER 1 OF THE FLORIDA BUILDING; ADOPTING
ADMINISTRATIVE AMENDMENTS TO THE 7TH (2020) EDITION OF THE FLORIDA
BUILDING CODE; PROVIDING FOR CODIFICATION; PROVIDING FOR SEVERABILITY;
PROVIDING FOR CONFLICTS; AND PROVIDING FOR AN EFFECTIVE DATE.
Minutes of Village Council Meeting held January 28, 2021 Page 2 of 6
PUBLIC HEARING AND SECOND READING OF ORDINANCE 2021-02 CODE AMENDMENT
— BUILDINGS AND BUILDING REGULATIONS continued
Mr. Rubin explained the ordinance would recognize and formally adopt the adoption of
Administrative Amendments to Chapter 1 of the Florida Code.
Mayor Bickel opened the public hearing on the Buildings and Building Regulations ordinance.
There being no comments from the public, Mayor Bickel closed the public hearing.
Thereafter, the motion to adopt and enact on second reading Ordinance 2021-02 passed with all present
voting aye.
Councilmember Searcy arrived to the meeting at 7:36 p.m.
PUBLIC HEARING AND SECOND READING OF ORDINANCE 2021-03 CODE AMENDMENT
— CREATING A PLANNED UNIT DEVELOPMENT
A motion was made by Vice Mayor Mullinix and seconded by President Pro Tem Norris to adopt
and enact on second reading Ordinance 2021-03 entitled:
AN ORDINANCE OF THE VILLAGE COUNCIL OF THE VILLAGE OF NORTH PALM
BEACH, FLORIDA, CREATING A PLANNED UNIT DEVELOPMENT ON
APPROXIMATELY 1.95 ACRES OF REAL PROPERTY LOCATED ON THE NORTHEAST
CORNER OF RICHARD ROAD AND ALTERNATE AIA, AS MORE PARTICULARLY
DESCRIBED HEREIN; REZONING THE PROPERTY FROM THE C -T TRANSITIONAL
COMMERCIAL DISTRICT TO THE C -S SHOPPING COMMERCIAL DISTRICT;
PROVIDING FOR DEVELOPMENT OF THE PROPERTY IN ACCORDANCE WITH THE
PLANS, SPECIFICATIONS, WAIVERS AND CONDITIONS REFERENCED IN THIS
ORDINANCE; PROVIDING PROCEDURES FOR FUTURE MODIFICATIONS; PROVIDING
FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND PROVIDING FOR AN
EFFECTIVE DATE.
Mr. Lukasik stated that Council could proceed with public comment first since the applicant was
not ready to begin their presentation.
Mayor Bickel opened the public hearing on the Creating a Planned Unit Development ordinance.
Mayor Bickel read into the record a public comment received from Kathy Baummier, 909
Eucalyptus Road. In her comment, Ms. Baummier expressed concerns with and opposition to the
proposed 7-11 gas station for the corner of AIA and Richard Road.
Mayor Bickel read into the record a public comment received from Tim Hullihan, 840 Country
Club Road. In his comment, Mr. Hullihan expressed concerns with and opposition to the proposed
7-11 gas station for the corner of AIA and Richard Road.
Mayor Bickel read into the record a public comment received from Mary Phillips, 525 Ebbtide
Drive. In her comment, Ms. Phillips expressed concerns with and opposition to the proposed 7-11 gas
station for the corner of Al and Richard Road.
Minutes of Village Council Meeting held January 28, 2021 Page 3 of 6
PUBLIC HEARING AND SECOND READING OF ORDINANCE 2021-03 CODE AMENDMENT
— CREATING A PLANNED UNIT DEVELOPMENT continued
These residents addressed the Council regarding their concerns and opposition to the proposed
Planned Unit Development at the northeast corner of Richard Road and Alternate Al A:
Theresa Cleary, 2781 Hinda Road
Arthur MacDonald, 913 Laurel Road
Karen Spear, 2623 Hinda Road
James Jarvis, 2720 Hinda Road
Aaron Jarvis, 2720 Hinda Road
John Frerking, 130 Cruiser Road South
Rita Budnyk, 840 Shore Road
Andrew Hirschhorn 9422 Marand Way
Barbara Rochefort, 2735 Hinda Road
Lauren Jarvis, 2720 Hinda Road
Kim Wendt, 909 Laurel Road
Alice Ludwig, 2686 Honey Road
In addition, Ms. Budnyk submitted documentation relating to the proposed Planned Unit
Development at the northeast corner of Richard Road and Alternate AIA for the official record.
These residents addressed the Council regarding their approval and favor of the proposed Planned
Unit Development at the northeast corner of Richard Road and Alternate AIA:
Martina Covarubbias,149 Bowsprit Drive Kenneth Csont,108 Paradise Harbour Blvd., #115
Justo Naranjo, 2597 Hinda Road Mr. Howell, 11333 Ellison Wilson Road
There being no further comments from the public, Mayor Bickel closed public comment.
Donaldson Hearing of Cotleur & Hearing, on behalf of the applicant, began a presentation on the
proposed Planned Unit Development at the northeast corner of Richard Road and Alternate AIA.
Mr. Hearing reviewed the history, location and proposed rezoning of the site. Mr. Hearing
discussed the site's surrounding businesses and zoning. Mr. Hearing reviewed and explained the
site plan discussing traffic flow and 7-11's strict standards with regards to safety for its customers
and the public. Mr. Hearing stated that an 8 -foot concrete wall would be constructed at the rear of the site.
Mr. Hearing discussed and explained the 24 hours of operation and its benefits. Mr. Hearing
discussed the roadways surrounding the site and the elevations of the convenience store. Mr.
Hearing explained that there would be three layers of landscaping planted along the rear wall for
extra buffering. Mr. Hearing stated that letters from the Village of North Palm Beach dated
November 23, 2020 and November 24, 2020 were supportive of the project and found no cause of
concern with relation to crime. Mr. Hearing stated that there had been extensive coordination with
Palm Beach County and the Florida Department of Transportation and that the proposed project
met all applicable standards. Mr. Hearing discussed environmental sustainability and stated that
Florida standards were the most ridged in the country and modern day fueling stations maintain
high standards that include double walled tanks. The 7-11 corporate governance and standards
exceed industry benchmarks.
Mr. Hearing discussed and reviewed existing fueling stations within the Village. Mr. Hearing reviewed
the following changes to address community concerns which included, agreeing to limit hours of alcohol
sales to be consistent with on premise consumption standards, added two Level 2 electric charging
stations, agreed to relocate the dumpster, increased the height of the wall closest to the fueling area
to 8 feet in addition to extensive landscape and voluntarily committed to restrict prohibiting adult
entertainment. Mr. Hearing concluded the presentation by explaining the 7-11 corporate culture
and reminded Council of the substantial efforts of the applicant who gave unprecedented
community outreach and transparency throughout the process along with extensive coordination
with Village staff to provide the best designed project and proactively delayed the second reading
of the ordinance to go door to door to meet with neighbors to gain further feedback from the community.
Minutes of Village Council Meeting held January 28, 2021 Page 4 of 6
PUBLIC HEARING AND SECOND READING OF ORDINANCE 2021-03 CODE AMENDMENT
— CREATING A PLANNED UNIT DEVELOPMENT continued
In addition to the presentation, Mr. Hearing submitted documentation relating to the proposed
Planned Unit Development at the northeast corner of Richard Road and Alternate AIA for the
official record.
Councilmember Searcy commended Cotleur & Hearing for the landscape and site plan design of
the proposed project. Councilmember Searcy stated that she was in favor of the 7-11 convenience
store but not in favor of having a gas station.
Vice Mayor Mullinix commended the applicant and designer for going above and beyond in
meeting the Village's expectations for the proposed project. Vice Mayor Mullinix stated that he
was in support of the project.
President Pro Tem Norris stated that the developer did a good job of addressing all of the issues
that were brought up by residents and the Village.
Councilmember Aubrey stated that he was impressed with the design and presentation of the
project. Councilmember Aubrey expressed concern about approving a project that many residents
were opposed to. Councilmember Aubrey stated that even though he did not respond to every
email he received from the public regarding the project, he did read every single one of them.
Mayor Bickel expressed concern with rezoning the property since the site abuts residences and
those homeowners purchased their homes believing the property next door to them would remain
the same zoning classification.
Mr. Hearing requested a postponement or additional time to go back to 7-11 to request additional
changes or modifications to the project.
Discussion ensued between Council and Mr. Rubin regarding the proposed Planned Unit
Development at the northeast corner of Richard Road and Alternate AIA.
Thereafter, a motion to table Ordinance 2021-03 was made by Vice Mayor Mullinix, seconded by
President Pro Tem Norris and passed unanimously.
CONSENT AGENDA
President Pro Tem Norris moved to approve the Consent Agenda. Councilmember Searcy
seconded the motion which passed unanimously. The following items were approved:
Resolution — Approving an authorizing the purchase of firefighter protective clothing from
Bennett Fire Products Company, Inc. utilizing pricing established in an existing Lake
County contract at a total cost of $20,019.81.
Resolution — Approving a Contract with Papico Construction, Inc. for the resurfacing and
laser grading of tennis courts at the North Palm Beach Country Club at a total cost of
$25,580; and authorizing execution of the Contract.
Minutes of Village Council Meeting held January 28, 2021 Page 5 of 6
CONSENT AGENDA continued
t
Resolution — Extending the Village's Agreement with Nowlen, Holt & Miner, P.A. for
Independent Annual Auditing Services; approving an Amendment to the Agreement for
Auditing Services; and authorizing execution of the Amendment.
Resolution — Approving Agreements with the Palm Beach County Property Appraiser and
Palm Beach County Tax Collector for the collection of stormwater utility non -ad valorem
assessments on the property tax bill; and authorizing execution of the Agreements.
Receive for file Minutes of the Environmental Committee meeting held 1/9/21.
Receive for file Minutes of the Audit Committee meeting held 1/14/21.
MOTION — Consider a motion to suspend time limitations applicable to political campaign signs
Attorney Rubin gave a background on past discussions that had taken place with regards to making
revisions to the Village's sign codes due to recent court decisions and stated that there would be a
future workshop to address those revisions. Mr. Rubin explained that at the last Council meeting,
Councilmember Searcy suggested waiving or suspending the Village's sign code which prohibits
the display of campaign signs more than 30 days before an election for the current election cycle.
Mayor Bickel and President Pro Tem Norris recused themselves from voting on the item.
A motion was made by Councilmember Searcy and seconded by Councilmember Aubrey to
discuss the suspension of time limitations applicable to political campaign signs.
Vice Mayor Mullinix opened public comment.
John Frerking, 130 Cruiser Road South, expressed his concerns with suspending the time
limitations applicable to political campaign signs for the current municipal election taking place
on March 9, 2021.
Discussion ensued between Council and Mr. Rubin regarding the suspension of time limitations
applicable to political campaign signs.
Mr. Frerking addressed Council a second time with his concerns.
A motion was made by Councilmember Searcy and seconded by Councilmember Aubrey to
approve the suspension of time limitations applicable to political campaign signs for the March 9, 2021
election effective January 30, 2021.
Thereafter, the motion passed 3 to 0.
RESOLUTION 2021-10 — FIRST AMENDMENT TO EMERGENCY SERVICES AGREEMENT
A motion was made by Vice Mayor Mullinix and seconded by President Pro Tem Norris to adopt
Resolution 2021-10 entitled:
A RESOLUTION OF THE VILLAGE COUNCIL OF THE VILLAGE OF NORTH PALM
BEACH, FLORIDA, APPROVING A FIRST AMENDMENT TO THE EMERGENCY
SERVICES AGREEMENT FOR MUTUAL ASSISTANCE, AUTOMATIC AID, AND
DISPATCH SERVICES WITH PALM BEACH COUNTY AND THE CITY OF PALM BEACH
GARDENS AND AUTHORIZING THE MAYOR AND VILLAGE CLERK TO EXECUTE THE
FIRST AMENDMENT; PROVIDING FOR CONFLICTS; AND PROVIDING FOR AN
EFFECTIVE DATE.
Minutes of Village Council Meeting held January 28, 2021 Page 6 of 6
RESOLUTION 2021-10 — FIRST AMENDMENT TO EMERGENCY SERVICES AGREEMENT
continued
Fire Rescue Chief J.D. Armstrong explained that the First Amendment to the Agreement would
provide for regularly scheduled interagency training drills, extend the term by six years and add a
new section addressing the statutory requirement to E -verify prospective employees.
Thereafter, the motion to adopt Resolution 2021-10 passed with all present voting aye.
MAYOR AND COUNCIL MATTERS/REPORTS
Mayor Bickel asked if comments from chat can be kept from popping up or displayed on screen
during a Zoom Council meeting due to the fact that offensive language was being used.
Information Technology Director Michael Applegate explained that he could turn of the chat
feature to keep those comments from popping up or being displayed.
Mayor Bickel expressed concern that public comments were not limited to three minutes per
comment for the current meeting. Mayor Bickel requested that a system for limiting public time
be utilized for future meetings.
Councilmember Searcy congratulated Police Chief Jenkins and the Village's Police Department
for the Village receiving the status of the 4th Safest City in the State.
Vice Mayor Mullinix thanked Council, staff, residents, friends and family members for the well
wishes, cards and condolences he received after the passing of his mother.
VILLAGE MANAGER MATTERS/REPORTS
Mr. Lukasik stated that Village Cleric Green had made the candidates aware and sent them
information regarding the political signage agenda item well in advance of the Council meeting.
Mr. Lukasik explained that the receipt of the item by the candidates was not entirely successful.
Mayor Bickel stated that Council adheres to and follows the Sunshine Law which prohibits
Council from discussing items with each other outside of a public meeting.
Mr. Lukasik stated that in response to public input, a simpler to understand, plain English agenda
for Planning Commission and Council meetings has been implemented. Residents would have the
opportunity to sign up to receive text alerts when the agenda is ready for viewing.
ADJOURNMENT
There being no further business to come before the Council, the meeting was adjourned at 10:11 p.m.
Je ca Green, MMC, Village Clerk
FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME—FIRST NAME—MIDDLE NAME
NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE
—Norris David B.
Village Council of the Village of North Palm Beach
JG ADDRESS
THE BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE ON
5u-I U.S. Highway 1
WHICH I SERVE IS A UNIT OF:
Id CITY ❑ COUNTY ❑ OTHER LOCALAGENCY
CITY COUNTY
NAME OF POLITICAL SUBDIVISION:
Village of North Palm Beach
North Palm Beach Palm Beach
DATE ON WHICH VOTE OCCURRED
MY POSITION IS:
U( ELECTIVE ❑ APPOINTIVE
WHO MUST FILE FORM 813
This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council,
commission, authority, or committee. It applies to members of advisory and non -advisory bodies who are presented with a voting conflict of
interest under Section 112.3143, Florida Statutes.
Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before
completing and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
would inure to his or her special private gain or loss. Each elected or appointed local officer also MUST ABSTAIN from knowingly voting on
a measure which would inure to the special gain or loss of a principal (other than a government agency) by whom he or she is retained
(including the parent, subsidiary, or sibling organization of a principal by which he or she is retained); to the special private gain or loss of a
relative; or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies (CRAs) under
Sec. 163.356 or 163.357, F.S., and officers of independent special tax districts elected on a one -acre, one -vote basis are not prohibited
from voting in that capacity.
For purposes of this law, a "relative" includes only the officer's father, mother, son, daughter, husband, wife, brother, sister, father-in-law,
mother-in-law, son-in-law, and daughter-in-law. A "business associate" means any person or entity engaged in or carrying on a business
enterprise with the officer as a partner, joint venturer, coowner of property, or corporate shareholder (where the shares of the corporation
are not listed on any national or regional stock exchange).
ELECTED OFFICERS:
In addition to abstaining from voting in the situations described above, you must disclose the conflict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you are
abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the
minutes of the meeting, who should incorporate the form in the minutes.
APPOINTED OFFICERS:
Although you must abstain from voting in the situations described above, you are not prohibited by Section 112.3143 from otherwise
participating in these matters. However, you must disclose the nature of the conflict before making any attempt to influence the decision,
whether orally or in writing and whether made by you or at your direction.
YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
EN:
You
• You must complete and file this form (before making any attempt to influence the decision) with the person responsible for recording the
minutes of the meeting, who will incorporate the form in the minutes. (Continued on page 2)
CE FORM 813 - EFF. 11/2013 PAGE 1
Adopted by reference in Rule 34-7.010(1)(f), F.A.C.
APPOINTED OFFICERS (continued)
• A copy of the form must be provided immediately to the other members of the agency.
• The form must be read publicly at the next meeting after the form is filed.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
• You must disclose orally the nature of your conflict in the measure before participating.
• You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the
meeting, who must incorporate the form in the minutes. A copy of the form must be provided immediately to the other members of the
agency, and the form must be read publicly at the next meeting after the form is filed.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
David B. Norris , hereby disclose that on �--- GNU,"`') , 207, 1:
(a) A measure came or will come before my agency which (check one or more)
4 inured to my special private gain or loss;
inured to the special gain or loss of my business associate,
inured to the special gain or loss of my relative
inured to the special gain or loss of
whom I am retained; or
inured to the special gain or loss of
is the parent subsidiary, or sibling organization or subsidiary of a principal which has retained me.
(b) The measure before my agency and the nature of my conflicting interest in the measure is as follows:
��p T
rz-
, by
, which
If disclosure of specific information would violate confidentiality or privilege pursuant to law or rules governing attorneys, a public officer,
who is also an attorney, may comply with the disclosure requirements of this section by disclosing the nature of the interest in such a way
as to provide the public with notice of the conflict.
2 'J� fir•
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSUf
CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMEK..,_
REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, ORA
CIVIL PENALTY NOT TO EXCEED $10,000.
CE FORM 813 - EFF. 11/2013 PAGE 2
Adopted by reference in Rule 34-7.010(1)(f), F.A.C.
FORM 813 MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
'QST NAME—FIRST NAME—MIDDLE NAME NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE
Bickel, Susan Village Council of the Village of North Palm Beach
MAILING ADDRESS THE BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE ON
501 U.S. Highway 1 WHICH I SERVE ISAUNIT OF:
CITY COUNTY Cid CITY ❑ COUNTY 0 OTHER LOCAL AGENCY
North Palm Beach FL NAME OF POLITICAL SUBDIVISION:
Village of North Palm Beach
DATE ON WHICH VOTE OCCURRED MY POSITION IS:
Cd ELECTIVE ❑ .APPOINTIVE
WHO MUST FILE FORM 813
This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council,
commission, authority, or committee. It applies to members of advisory and non -advisory bodies who are presented with a voting conflict of
interest under Section 112.3143, Florida Statutes.
Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before
completing and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
would inure to his or her special private gain or loss. Each elected or appointed local officer also MUST ABSTAIN from knowingly voting on
a measure which would inure to the special gain or loss of a principal (other than a government agency) by whom he or she is retained
(including the parent, subsidiary, or sibling organization of a principal by which he or she is retained); to the special private gain or loss of a
relative; or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies (CRAs) under
Sec. 163.356 or 163.357, F.S., and officers of independent special tax districts elected on a one -acre, one -vote basis are not prohibited
from voting in that capacity.
For purposes of this law, a "relative" includes only the officer's father, mother, son, daughter, husband, wife, brother, sister, father-in-law,
mother-in-law, son-in-law, and daughter-in-law. A business associate means any person or entity engaged in or carrying on a business
enterprise with the officer as a partner, joint venturer, coowner of property, or corporate shareholder (where the shares of the corporation
are not listed on any national or regional stock exchange).
ELECTED OFFICERS:
In addition to abstaining from voting in the situations described above, you must disclose the conflict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you are
abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the
minutes of the meeting, who should incorporate the form in the minutes.
APPOINTED OFFICERS:
Although you must abstain from voting in the situations described above, you are not prohibited by Section 112.3143 from otherwise
participating in these matters. However, you must disclose the nature of the conflict before making any attempt to influence the decision,
whether orally or in writing and whether made by you or at your direction.
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
TAKEN:
You must complete and file this form (before making any attempt to influence the decision) with the person responsible for recording the
minutes of the meeting, who will incorporate the form in the minutes. (Continued on page 2)
CE FORM 813 - EFF. 11/2013 VAUt I
Adopted by reference in Rule 34-7.010(1)(0, F.A.C.
APPOINTED OFFICERS (continued)
• A copy of the form must be provided immediately to the other members of the agency.
• The form must be read publicly at the next meeting after the form is filed.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
• You must disclose orally the nature of your conflict in the measure before participating.
• You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the
meeting, who must incorporate the form in the minutes. A copy of the form must be provided immediately to the other members of the
agency, and the form must be read publicly at the next meeting after the form is filed.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
Susan Bickel hereby disclose that on , 20 a
(a) A measure came or will come before my agency which (check one or more)
X inured to my special private gain or loss;
inured to the special gain or loss of my business associate,
inured to the special gain or loss of my relative, ;
inured to the special gain or loss of
whom I am retained; or
inured to the special gain or loss of
is the parent subsidiary, or sibling organization or subsidiary of a principal which has retained me.
(b) The measure before my agency and the nature of my conflicting interest in the measure is as follows:
�ier�, .ems—�•��..�
, by
, which
If disclosure of specific information would violate confidentiality or privilege pursuant to law or rules governing attorneys, a public officer,
who is also an attorney, may comply with the disclosure requirements of this section by disclosing the nature of the interest in such a way
as to provide the public with notice of the conflict.
Date Filed
Signature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE
CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, i
REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A'.
CIVIL PENALTY NOT TO EXCEED $10,000.
CE FORM 8B - EFF. 11/2013 PAGE 2
Adopted by reference in Rule 34-7.010(1)(f), F.A.C.