DOWNTOWN IMPROVEMENT DISTRICT
BOARD APPLICATION
Applicants must be owners of non-residential property subject to ad valorem taxation within the
geographic boundary limitations of the District as indicated on the reverse.
(please type or print clearly)

 

NAME: HOME PHONE:
CURRENT MEMBER SEEKING RE-APPOINTMENT?
HOME ADDRESS: ZIP CODE:
E-MAIL: DATE:
CITY RESIDENT: DISTRICT:
ADDRESS OF NON_RESIDENTIAL PROPERTY OWNED WITHIN THE DISTRICT
NAME OF PROPERTY OWNER*:
OCCUPATION:
NAME OF BUSINESS:
BUSINESS ADDRESS: BUSINESS PHONE:
ARE YOU CURRENTLY SERVING ON A CITY BOARD?
IF YES, WHICH BOARD?
RESUME OF EDUCATION AND EXPERIENCE:

MEMBER OF THE FOLLOWING CIVIC ORGANIZATIONS:
WHY DO YOU DESIRE TO SERVE ON THE ABOVE BOARD?
HAVE YOU EVER BEEN CONVICTED OR PLED "NO CONTEST" TO A FELONY OR MISDEMEANOR OFFENSE?
IF CONVICTED OF A FELONY, HAVE YOUR CIVIL RIGHTS BEEN RESTORED?
GIVE DETAILS:
* If owner is a corporation, partnership or any other non-natural person, documentation must be provided indicating the individual has executive authority within the entity to become a member of the Board.
I UNDERSTAND THAT IF APPOINTED, I WILL SERVE ON THE ABOVE BOARD WITHOUT COMPENSATION AND AT THE PLEASURE OF THE CITY COMMISSION.

GEOGRAPHICAL BOUNDARIES OF THE DOWNTOWN IMPROVEMENT DISTRICT

Generally, the District is bounded on the north by Second Street, on the east by Goodrich Avenue and Pine Place, on the south by Ringing Boulevard, on the southwest by Palm Avenue or the properties on the southwest side of Palm Avenue and on the west by Cocoanut Avenue, although two parcels on the west side of Cocoanut Avenue at Second Street are included in the boundaries of the District.

Reviewed by the City Attorney for compatibility with the provisions of the Downtown Improvement District:

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Office of the City Attorney


PLEASE NOTE:

APPLICANTS FOR BOARD APPOINTMENTS ARE REMINDED OF THE CONFLICTS OF INTERESTS PROVISIONS OF THE FLORIDA STATUTES. PLEASE DIRECT ANY QUESTIONS RELATIVE TO CONFLICT OF INTEREST TO THE CITY AUDITOR AND CLERK, TELEPHONE NO. (941)954-4160.

I HEREBY ACKNOWLEDGE THAT IF APPOINTED I WILL BE ASSIGNED A CITY PROVIDED E-MAIL ACCOUNT.  I UNDERSTAND AND ACCEPT THAT, IN ACCORDANCE WITH CITY POLICY AS STATED IN RESOLUTION NO. 10R-2187, ALL E-MAIL CORRESPONDENCE RELATED TO THE BUSINESS OF THE ADVISORY BOARD TO WHICH I AM APPPOINTED MUST BE CONDUCTED ON A CITY ISSUED E-MAIL ACCOUNT.

ALL BOARD APPLICATIONS ARE RETAINED FOR ONE (1) YEAR AFTER THE DATE OF APPLICATION, A NEW APPLICATION WILL BE REQUIRED AT THAT TIME.

 

By Submitting, I accept to all the terms and conditions.

SUBMITTED BY
ON THIS DATE: