agenda item#: board of county commissioners board ... · 2. biography/resume for nominee 3. current...

Meeting Date:

Department:

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS

BOARD APPOINTMENT SUMMARY

September 18, 2018

Fire-Rescue

Agenda Item#: 351

Advisory Board: Fire Code Board of Appeals and Adjustments

I. EXECUTIVE BRIEF

Motion and Title: Staff recommends motion to approve: reappointment to the Fire Code Board of Appeals and Adjustments Committee beginning October 1, 2018 through September 30, 2021.

Reappoint: Nominee Jacek Tomasik

Category Building Official

Seat No. 3

Nominated By Mayor McKinlay Vice Mayor Bernard Commissioner Valeche Commissioner Kerner Commissioner Abrams Commissioner Berger

Summary: The Fire Code Board of Appeals and Adjustments is maintained in accordance with the Palm Beach County Local Amendments to the Florida Fire Prevention Code

·(Ordinance 2017-043). On July 18, 2018 a memo was distributed to the Commissioners requesting nominations to this eight (8)-member board (At-Large). This board is appointed by the Board of County Commissioners and members serve no more than three (3) cons~cutive three (3) year terms. No other nominations were received. The board consists of eight (8) members, with five (5) seats currently filled and a diversity count of Caucasian: 4 (80%) and African-American: 1 (20%). The nominated candidate is a Caucasian male. The current gender ratio (male:female) is 5:0. Countywide (SB)

Background and Justification: The Fire Code Board of Appeals and Adjustments requires the appointment by the County Commission of individuals working in specific, related fields that are knowledgeable to make decisions on Fire Code appeals, and to make recommendations for changes to the Fire Code to the Board of County Commissioners and Fire Rescue. There is still a vacant position for the General Contractor, Seat 1, Fire Sprinkler Contractor, Seat 5, Mechanical Engineer, Seat 7 and nominations are being pursued.

Attachments: 1. Board/Committees Application Forms 2. Biography/Resume for Nominee 3. Current List of Board Members 4. Section 1.1 O Board of Appeals and Adjustments, Section 12-57 Amendments to the

Florida Fire Prevention Code, Palm Beach County Code 5. Memo dated July 18, 2018 to Commissioners requesting nominations 6. 2018 Meeting Schedule

Recommended By: ~(,' ~ Department Director U

~-6~ AssistantCounty Attorney

e)u/1e Date ·

l!f~k Approved By: Date

II. REVIEW COMMENTS

A. Other Department Review:

Department Director

REVISED 06/92 ADM FORM 03 (THIS SUMMARY IS NOT TO BE USED AS A BASIS FOR PAYMENT.)

2 U:\Bcc\BDAPPT.FRM

Updated1/13/17

H:\Agenda ltems-Misc\Board Appointment\Fire Code Board of Appeals and Adjustments\09-18-18 3S1 Reappoint Tomasik (final).docx

PALM BEACH COUNTY BOARD OJF COUNTY COMM][SSIONERS BOARDS/COMMITTEES APPLICATION

Attachment 1 Page 1 of 10

The information provided on this form will be used in considering your nomination. Please COMPLETE SECTION 11 IN FULL. Answer "none'' or "not applicable" where appropriate. Please adJ1{//cffE a bfograp!ay @r resume do tlaisform.

Section I fDepairtm1emO: (Please Print)

Board Name: _F_C_B_A_A~~--~~-~~~~~~~~~~~~ Adv~ory [ ] NotAdvbory[~]

[ ] At Large Appointment or [ .] District Appointment /District #: __ _

From; ~ 0 j ~ J U 5 To: q J 30 J @2 ~ Years. -----3 Term of Appointment:

Seat Requirement: 0 .0fb · c...»· a ~ Seat#: _ __,.,3""'------[ X ]*Reappointment or [ ] New Appointment

or [ ] to complete the·term of Due to: [ ] resignation ~~---~~---~

[ ] other

Completion oftenn to expire on:

*Wlhte!Ol a pe1mm is !being considered foir reappointmellllt, tllne mnmbier of 1pnrevhnus irllnsdosedl voting conmctts dhrnrillllg the previmns term sirnnD lbe considered by the Bcmrd of County Commissioners: __ _

Section H (AppUc~mO: (Please Print) APPLICANT9 UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Tomasik Last

Occupation/Affiliation:

Bllllsiness Name:

Bush11ess Addlress:

City & State

Residenu1Ce Adldress:

Jacek First

Building Official

Owner [ ] Employee [

Village of Wellington Building Department

12300 Forest HiUBlvd

_W_e_ll_in..wg_to_n ____________ Zip Code:

12328 85111 Road North

Midd!le

Officer [ ]

334!4

City & State

Home· Phone:

West Palm Beach, Fl. 33412 Zip Code: 33412 --~---~---~

) mi/llll Business Phone: __,__( 5_6_1_,_) __ 7_53_-.;....25_0_5 ______ E_~,t_. _n_/a __ _

Cell Phone: _(_5_6__..1 )"-6_3_2-_33_·9_1 _____ Fax:

Email Address: [email protected]

Mailing Address Preference: [ X ] Business [ ] Residence

Have you ever been convicted of a felony: Yes No _X_ U Yes, state the court, nature of offense, disposition of case and date: _____ _,___ _____________ _

Minmrity Icllelllltllfncatnm.11 Code: [ ] Native-American

Page 1 of2

lN Male [ j Hispanic-American

[ ] Female [ ] Asian~American [ ] African-American [~Caucasian

SectnmD U ConH11.rnecll:

Attachment 1 Page 2of10

CONTRACTUAL REL.A nONSHIPS: Pursuant to Article XIII. Sec. 2~443 of the Palm Beach County Code of Ethics. advisory board members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions to this prohibition include awards made under sealed competitive bids, certain emergency and sole source pu.rchases, and transactions that do not e}<ceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition docs not apply when the advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners. To determine compHance with thns provnsfom, nt ns m.!cessary that yoUB 9 as a bmurd! member appUcant. idlen:ntify aUI colrllttracta.ml re~afaOU]SbJps behveen P~dm Beach County gover111meud imd yoll.ll as Sll] um:llividtrnJ, di1tcdly on· nmHrectlly~ on- yom· em.pfoycr or busirness. This information should be provided in the space below. If there a.re no contracts or tmnsactions to rep011, pl.ease verify that none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or waiver pursuant to the code.

On1tract/TransacUon No.

!~~.lllmplc: CR#XX~XX/!P'O XX)

NONE

Depa rtment/Dllvnsfon IDJescriptnon of Servkcs

Parks & Recrenthm

(At:fach Additional Shit\d(s), nf necessary) OR

D NOT APPLICABLE/ 0 (Governmental Entity)

n {D/O H /00-09/3012 n 00

---,··--·-··--

ETHKCS TRAJINilNG~ All board members arc required to read and complete training on Article XHI, the Palm Beach County Code of Ethics, and read the State Guide to the Sunshine Amendment ... Artidie XUU~ arndl the tranni.ng requkcmenu can be fomuJ mu the web at: lhttp://"l:V\1v·w.pa!mbeadmn..1ntyetMcs.com/ttt·aiirnfr11g.Mm. ·Ethics tnnu!l]Ul{]g ns on-goiimg~ arudl [mnu.unllll.t to PlPM CW-.P-79 fa required before appointment, ~md upon re~Bpiponlllltmierot.

JBy siguing lbeRow I aicknowiedge Ornrt. n have reacll1 anmforst.and, alllld agree to albic.Be lby Artkfo X.Il.U. Urn Palm Be:mc~n Cov.mty Code of Etthk.s, aJl]dl I !!nave received U]}ie requfred lEtMcs 11.rain.iimg (Iln thie ma1nm.crr ch:~drndl bellow):

.... x .... _ By watching the training program on the Web. DVD or VHS on _______ _July __ 2018 By attending a live presentation given on---------~· 20. ___ _

By signi.ng be~ow I acknowledge that B have re~uJ, mruierstamdl and agree to abide !by the GUJ1Mte to One Sl!mstninc Amendment & State of FUorndni Codie of Et · ·s:

"" AJPp!kmlllt~s Sngm1tmre: ___ _A++l~i ...... ·_,..,._. ______ Printed Name: J!!_C:;"t:E.!_C /

...-· a c._· -i/ J-._ ( tJ --",l (.;.7 I o 11'1 h_:.__2,:::_ Date: _-r ____ CJ ___ ~-

Any questions and/or concerns rega i.ng Article XIII, the Palm Beach County Code of Ethics, please visit the Commission on Ethics website ~WW~J:?J!l1ni1~n.~.hrnuntyethics .. com or contact us via email at [email protected]~R.t;llrn.u.r.tlyethics.com or (561) 355-19.15.

Rehnn thus FORM to: {Ilnsert Uaison Name H~'rc}, {fos~rt Dep111rtmeJrJUilJivasnoi] Here}

{h.iser-t Acllc.Un-css IH!.cre)

Seeltio.llll m (Commnssiorne.r, nh1Ql!]likabllet Appointment to be made at BCC Meeting on: c

commissioner's Signature:J'.l,_? ~Jl,~--fmL~ ~~>')~- Date: ~1/1JL__ ____ _ \1 «:.._../' Ii ft

Pursuant to Florida's Public Records Law, this document may be reviewed and photocopied by members oflhl! public. Revised 02/0112016

Page 2 of2

I

Attachment 1

PALM BEACH COUNTY BOARD OJF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION

Page 3of10

The information provided on this form will be used in considering your nomination. Please COMPLETE SECTION 11 IN FULL.

Answer "none" or "not applicable" where appropriate. Please atdac!o a l/Jfogllaplay or risume to tlnis/01rm.

Section I (DepartmienO: (Please Print)

Board Name: _FC-'-B_A_A ____________________ Adlvnsrnry [ ] Not Advisory [J']

[ ] At Large Appointment or [ .] District Appointment /District#: __ _

From: ~ 0 i ~ j a 5 To: ~l I 3D J ;) ~ Years. -----3 Tenn of Appointment

Seat Requirement: Of>f\"c_n·a~ Seat#: _ __s.3=-------

[ X ] *Reappointment or [ ] New Appointment

or [ ] to complete the·term of ----------- Due to: [ ] resignation [ ] other

Completion of term to expire on:

*Wllum. a persollll us lbienng collllsi<llereirll for reappofintment, tllne nnnmbieir of previouns d!nscilosiedl voting conmcts dl1U1irnirng tll:ne previous

term shallll lbe conshllered lby the Board of Coum.ty Commissioners: __ _

Se11::tncm U (AppllicanO: (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Tomasik Last

Occupation/ Affiliation:

Business Name:

BUJ1siltlless Adldlress:

City & State

Rieside!flliee Adldriess:

Jacek First

Building Official

Owner [ ] Employee [ ]


12300 Forest Hill' Blvd

_W_e_ll_in __ g_to_n ____________ Zip Code:

12328 85thRoad North

West Palm Beach, Fl. 33412 Zip Code: ~------~~-<------~~-~--~

Middle

Officer [ ]

33414

33412 City & Sfate

Horne. Phone: _._( _..)_JID_/2 _________ Business Phone: ( 561) 753-25()5

Cell Phone: _(.__5_6_1 ).__6_3_2-_33_9_1 _____ Fax:


Mailing Addr~ss Preference: [ X ] Business [ ] Residence

Have you ever been convicted of a felony: Yes No _X_

Ext. n/a

U Yes, state the court, nature of offense, disposition of case and date: _____ _,_ ______________ _

Millllority Xdl(tmfilfkaticm Code: [ ] Native-American

Pagel of2

[YJ Male [ ] Hispanic-American

[ ] Female [ ] Asian-American [ ] African-American 00 Caucasian

-·· I

Sectionb U ConHnrnecll:


CON'fRACTllAL RELATIONSHIPS: Pursuant to Article XII I.. Sec. 2-443 ofthe Palm Beach County Code ofEthic.s. advisory board

members are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions

to this prohibition inclnde. awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions

that do not exeeed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the

advisory board member's board provides no regulation, oversight, management or policy-setting recommendations regarding the

subject contrar.;t or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners.

To determine compfo.mce "ltvntlh this provision, nt us necessary Urnt yo1m~ as a board 11111t(!Jmber appRicairat1 idcrntiry aHI coln\tnnctuiaK

reRatuonsbips behve1N1 PaKm Beach O:.nrnty govermnent anull you 3lS ~m inuftnvkhllal, tdlircctlly on· ilflldirecUy~ or yom· iempkP}'Clf' rnr

lbusilllless. This informaticm should be provided in the space below. If there are no contracts or transactions to report, please verify that

none exist. Staff will review this informatfon and determine if you are eligible to serve or if you may be eligible for an exception or

waiver pursuant to the code.

Contract/Trans~ctfion No.

J~xnmple: <IR#XX-XX/PO ~

NONE

Diepartmentmnvis.uon

Parks & Rccnrn.thm

D

(Attach Additiomd Sbed(s), if m~ces:sary) OR

NOT APPLICABLE/ w (Governmental Entity)

ETHHCS TRAINHNG: All board members are required to read and complete training on Article xm. the Palm Beach County Code of

Ethics, and r~ad the State Guide to the Sunshine Amendment ... Artidc XHU. au11d tliM~ trainli111g reqqdrement c1m. !be f-0m:nl!ll mm the web

at: Mtp://v1/,vn·.pa hnbeacht.mmh·en-ltks.com/trnilllinrn.Mm. · Efhks tn'llnlrlling is on-going~ mrall pm·su.n:mrrnd to Pl?M CW~IP'~ 79 ns

riequiriecll before appointment, mmdl IUl[MHn rea[.Jin:mnnt.miellllt

By sugunng bie[ow [ ackncnv~cdge th~ut n have rend~ llllllllderstalllld, :nilllldl agree tto aMdle !by Au-Ude XlH,the Palm JBe.~c[] Cotnrnty

Code of lEtlllk.s, al!11dl rr lh!ave reteivcdl Hne rc<1rnnrcd Ethics trainill1lg (nun U1c mallllilllCD" cltu:-ckeidl lbeRo-w):

_,X ...... _ By watching the training program on the Web, DVD or VHS on _____ )uly __ 2018

By attending a live presentation given on--· .. -·---.. --··-·-· .. ·-~' 20,_ __ ·-·

By signing bc~ow I acknmvledlge drnt I ~rnve remll, muKershllmJl alllld agree to ~llbide lby the GIUlid!e to tllne Stn111lsMm.! Am.emdment

& State of FRorUd!n Code of JEi"t · s: _.,,..~ ,....- .... ' . '?- /J _.,,-·!ff-;)

._ • • J • ~,,if,,· .C:::.IV"' / 0f1'1 A.:::J<; rl/ D -··- (:>) ' ~"AjppincarrnPs Sllgiruahnre: __ _/~-1'tM't------- Prmted Name: n~ .. !:::.. i r·r .,,,.~!.-=~ ' ate:--.. -~'.__-

·v

Any questions and/or concerns regm.ting Article xm, the Palm Beach County Code of Ethics, please visit the Commission on Ethics

website W\.vw.11.iJ:l!.1111~acl1£.QJ.ll1tyethics,com or contact us via email at ethics(q!Qfill11hc11£hCQlm,tvethics.com or (561) 355~1915.

Rctm·nl tMs FORM to: {[nsert Uansorn Name Here}, {hlsert Dep2.rhnell1lt/ll)Msfomi Here}

{Ummrt Address Herc)

SedfoUll m (CommDSSDO«]CU\ n1f appHcaMe):

Appointment to be made at BCC Meeting on: . ______ _

Commissioner's Signatur~ le>~--- Date:~----Pursuant to Florida's Public Records Law. this document may be reviewed and photocopied by members oflhc public, Revised 02/0112016

Page 2of2



The information provided on this form will be used in considering your nomination. Please COMPLETE SECTION 11 IN FULL.

Answer "none" or "not applicable" where appropriate. Please attac!o « biognsp!oy or risume to tloasform.

Secfam JI fDepartmeDllO: (Please Print)

Boai:d Name: _~_B_A_A ____________________ A~~~[] N~A~b~lN

[ ] At Large Appointment or [ .] District Appointment /District #: __ _

Term of Appointment: Years. -----3 From; ~To: cl1

Seat Requirement: 0 .P.f\ · <L-». a~ Seat#: _ ___,3""""-------

[ X ]*Reappointment or [ ] New Appointment

or [ ] to complete the·tenn of Due to: [ ] resignation [ ] other


*Wllnien a person is !being consD<llieredl for reappointment, the ltllllllmber of prevfo1llls ddscfoseidl votnng conmcfts duriITTlg tlhtie p.revfous

term slbtaHI lbe cmnsh:lleired by tlhle Board oW Orrninty Commissioners: __ _

Sedu0111 H (AppllicanO: (Please Print) APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Tomasik Last


Bllllsirniess Name:

Bllllsiness Adldlress:

Jacek First

Building Official

Owner [ ] Emp!oyee [



Middle

Officer [ ]

City & State· _W_e_Il_in-""g""-to_n ____________ Zip Code: 33414

Resid.emce Aidldress:

City & State

Home· Phone:

Cell Phone:

Email Address:

12328 g5tllRoad North

West Palm Beach, Fl. 33412

__,_( --")_n.....:../3 _________ Business Phone:

_(,_5_6_1 )'--6_3_2-_33_9_1 _____ Fax:

[email protected]


Have you ever been convicted of a felony: Yes No _X_

Zip Code: 33412

( 561) 753-2505 Ext n/m

U Yes, state the court, nature of offense, disposition of case and date: _____ __,__ ______________ _

Mhmrity Mielllltllfncatfon Oode: [ ] Native-American

Page 1 of2

l"1 Male [ ] Female [ ] Hispanic-American [ ] Asian~American [ ] African-American [;<;J Caucasian

SectftonD n Coutimnedl:


CONTRACl'llAL RELATIONSHIPS: Pursuant: to Article Xm. Sec. 2-443 of the Palm Beach County Code of Ethics. advisory board

mernbers are prohibited from entering into any contract or other transaction for goods or services with Palm Beach County. Exceptions

to this prohibition include awards made under sealed competitive bids, certain emergency and sole source purchases, and transactions

that do not exceed $500 pe.r year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the

advisory board member's board provides no regulation, oversight, management. or policy-setting recommendations regarding the

subject contract or transaction and the contract or transaction is disclosed at a public meeting of the Board of County Commissioners.

To dleterm.iirne co1111pHance ·with this p.rovnsiionn, at is l!m:.essary mat ymn, as a boanll miembeJr appfik.a1111t~ in:llentnfy aRR coirntrl!llctlUlail

rellatiol1lslb.ftps benveen Palm Beach Cmrnty govern1mir.rnt :.uuD ymJ as an] inullnvnduai, directly ou· imUriectly, on= yomr empUoycr or

ltmsiirness. This information should be provided in the space below. If there are no contracts or transactions to report, please verify that

none exist. Staff will review this in formation and determine if you are eligible to serve or if you may be eligible for an exception or


Conh·act/Tnmsaction No.

!~lJU!Ul!e: (IR#XX-XX/PO )fX}.

NONE

Deparh11:umt/JDives.fon JDiescriptfion of Servnces

IP'nrk~ & Recreation

(Mfach Add.iticma~ Sh~et(s), uf m~cessary} OR

D NOT APPLICABLE/ Q (Governmental Entity)

~ MH /00-09/30/2 U 00

ETHICS TRAilNUNG: All board members are required to read and complete training on Article Xm. the Palm .Beach County Code of

Ethics, and read the State Guide to the Sunshine Amendment.:. ArUde x.m, and tbc trninuirag u·equdreme11d can be fmmd 0111 Uu~ web

at: .hlln:f/vt"'lr'V'W.palmbem.~h<'o11.mtv«~thks.com/trah11ingJr1m. 'Etllnics trairuh:ig is mu-gnnng~ and lf-llllllll·sarnmtt to PPM CW-P-79 ns

rcqUifrcdl before apponntmeirnt, mud UllJPO.ill rearpoi111tmeunt.

By sugnh1g beHmv H ackll'llOwlliedge tl.uuu: H lrnve read!~ 11.undliersbmd, amll agree to abidle. lby A.rUdc XUl, tllu.~ l?a~m Beach Couirnty

Codie of Eth ks, and Il have received U11ie requ»iredl Ethics traftn11ing (inn tlllc maJiurnen- c.U1edrndl !be.Im'\:):

___ X____ By watching the training program on the Web, DVD or VHS on -~-.July __ 2018

By attending a live presentation given on ____ ·-·-··----~' 20 .. __ , __ ..

By sigufrng beiow I aicknmvledge that ll ~mve readl, umdierstam:ll all1ldl uigreie to albndie by tilH? Gu..uide fo 011e Stnirushlllllc Amendment

& State of florfidla Code oft' '1ts: • /\.pplieant' s Signature: / ef Printed Name: J'A~ k'. . I 0 /)1 Fl 5i rt::: Date: ·7~ g ~ ~ f?

l\.ny questions and/or concerns rega~ing Article XIII, the Palm Beach County Code of Ethics, please visit the Com.mission on Ethics

\Vebsite www.r..::1!111 .. Q~a_ch~Q.untyethics.com or contact us via email at ethic~fum.[nb~!!£h~m1ntveth.ics 1com o.r (561) 355-1915.

Ret1llrn this FORM to: {Ilnsiert Uais01111 Name Hiere}, {fosert Dei:m1·hn11ent!Divisfon Jrfon-e}

{lllllsert Add1riess Here)

Pursuant to Florida's Public Records Law. this document nrny be reviewed and photocopied by members of ih1~ public,

Page 2 of2

Revised 02/01/2016

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION

Attaclhmernt 1 Page 1 of HJ)

The information provided on this form will be used in considering your nomination. Please COMPLETE SECTION II JN FULL.

Answer "none" or "not applicable" where appropriate. Ple@se atdac!o a baognup!oy orr reslJ)Jme do tiads form.

Siecfom ][ <DepairtmenO: (Please Print)

Board Name:

[ ] At Large Appointment or [ J District Appointment /District#: __ _

Term of Appointment: Years. -----3 From: ~To: q~-=;)..____~ __

Seat Requirement: 0 .P .f\ ·"-~·a~ Seat#: ---""3""-------


or [ ] to complete the·tenn of Due to: [ ] resignation ~~---~~---~

[ ] other


*Wlhiellll a pers~m is benng consfidiererll for 11·eappountmelf1lt, the n:mmbier of ]j]ll'evi1tnns dnscfosietdl vot&Jrng ecmmds dull"nli'llg the prevno1tlls

term shallll be col!1lsncllered lby the Board of Cou.mty Commissioners: __ _

Sectfo111 H (AppllkaJtDO: (Please Print) APPLICAN~· UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Tomasik Last


Bl!.llsiltTless Name:

Jihrnil!lless Addlress:

City & State

Resideniee Atdld!ress:

Jacek First

Building Official

Owner [ ] Employee [



_W_e_ll_in_g_to_n ____________ Zip Code:

12328 85°1Road North

_W_e_st_P_a_Im_B_ea_c_h..._, F_l_. 3_3_4_1_2 _______ Zip Code:

Middle

Officer [ ]

33414

33412 City & Sfate

Home· Phone: __ ( _..)_llll_/'21 _________ Business Phone: ( 561) 753-2505

Cell Phone: _(.._5_6_1.._) _63_2_-3_3_91 ______ Fax:



Have you ever been convicted ofa felony: Yes No _X_

Ext. n/a

U Yes, state the court, nature of offense, disposition of case and date: _____ _,_ ______________ _

MinmrUy Mentmcatioll11 Cl{))d\e: [ ] Native-American

Page 1 of2

lN Male [ ] Hispanic-American

[ ] Female [ ] Asian~American [ ] African-American f1l Caucasian

Sectum1 lil O:mthrned:


CONTRACTUAL RELATIONSlHflllPS: Pursuant to Article XH t Sec. 2~443 ofthe Palm Beach County Code of Ethics. advisory board


to this prohibition include awards made under sealed competitive bids. certain emergency and sole source pwrchases, and transactions

that do not exc;ecd $500 pe.r year in aggregate. These exemptions are described in the Code. This prohibition dat!s not apply when the

advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the


To ddermirae compfouuce 'li'l'Dth tMs 1r.u·ovusiou:1, U us necessary Hnat yollll~ as u boan-cll memlbc1r ~11pplkant. idlcHitUy allll contractuaU

re~atnornsi:D.ftps !between PaUm Beaclh Cou!ilty govermnelf.ut amB yo11.n as IDln undivudumJ, dlfrecOy or hudfrecil:ly~ on- yomr iemp~oycr or

business. This information should be provided in the space below. lf there are no contracts or transactions to report.1 please verify that

none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception o.r

\'Vaiver pursuant to the code.

Coll1trm:.t/Trans:t11dfo1111 No.

NONE

Depa rtmcnt!DMs.ion

D

(Atfad11 Additional Shcd(s), if Jrnecessary) OR

NOT APPLlCA.BLE/ 0 (Governmental Entity)

i 0/(U /00-09/30/2 Il 00

JETHllCS TRAINnNG: All board members are required to read and complete training on Article xm. the Palm Beach County Code of

Ethics, and re.ad the State Guide to the Sunshine Amendment.:. An-tide 'XHU; a_[ll«l! the frafrnhn.g requirement can be fmmd! 011] tlhl.e ·web

at: http:/hvw·1•\·'.palmb('nchcmrnt'vethncs.com/trairnilfllJl!.;~!tJyq. · \Ethfics tn-illni1lull]g is mi-gohng~ and! pausmmt to PPM CW-1?~79 fa

required! before appointment, mnd llllpm11 reapponB11tmellllt.

By sigunng below H 21ck11wwlcdgie t~rni ll have rend, llllUllderstarruR, 3ll1ldl agree to 2bidle by Artk~e Xl.U~. the P~Dm !BeRclhi Cotmty

Codie of lEthk.s, alllldl [ lhiavc ire.ceivccll Hae rcquxired !Ethics traiirnilfllg (Uiru me n.mllmm· checllrncll lbeKow):

___ X.____ By watching the training program on the Web, DVD or VHS on .. _____ )uly __ 2018

By attending a live presentation given on-----.. ··---·-... -.... -.. _··---' 20 ____ .

Hy signing bc~ow I acknu:nv!edge Un~t Il ~rnrvie nmd, muforstamll am.ll agree to ~lbidlie lby U~e GIUIOdre.to Uuc Stmshhnie Amie[]ldmernJ

& State of Florid!ll Codie of EiJ · : / . ~

•Applicant's Signatue:--4 Printed Name: Jtlt:-Q 7 O /YI 11.i!!5:. Date: 'l=J fl -:_!Jr ;./

Any questions and/or conccms regartHng Artie.le Xlll, the Palm Beach County Code of Ethics, please visit the Commission on Ethics

website w\.vw.i:mhnl1~lit~11£.9Ulllyethics.com or contact us via email at ethic:~.(£fu2aln1h~.ach\',;.QJJ.U.I:Y.ethkf).COm or (561) 355-19.15.

Return this FORM to: {Ilnsen-¢ Ualison N21mc He.re}, {Insert Dcp2.rtmelllt/Divisnorn Here}

{hnsett·~ Adld1ness Here)

Sednc.m m (CommissBO«H!r, Df apipHkable): Appointment to be made at BCC Meeting on:

Commissioner's Signature:_... c7.:..r--~ i~_:-___ ... __ Date: _O~_~[}i_ __ ...l/.~~~~-·---Pursuant to Florida's Public Records Law, this document may be rnvicwcd and photocopied by members of th~ public. Revised 02/01/2016

Page 2of2



The information provided on this form will be used in considering your nomination. Please COMPLETE SECTION 11 IN FULL. Answer "none" or "not applicable" where appropriate. Please atdac!u a biograploy or resume to tlRU.sfmrm.

Sednrnrn I IDepartmienO: (Please Print)

Board N rune: _F_C_B_A_A __________________ ~A~~my[] N~A~~cy[N

[ ] At' Large Appointment or [ .] District Appointment /District#: __ _

From:~ To: Cf}3o};)~ Years. -----3 Term of Appointment:

Seat Requirement: 0 .P fb • LJ. a ~ Seat#: _ __,.,3=-------[ X ] *Reappointment or [ ] New Appointment

or [ ] to complete the·tenn of ----------- Due to: [ ] resignation [ ] other


*Wlhieru a person is lln'!ing considered! for reappointmellllt, tHne mnmber of previous dlnscllosedl votbllg con mets durnrmg tlhtie pirevfou§ term shallll lbe ccmsnirlleJried by the Board of County Commissioners: __ _

Section U (AppRicanO: (Please Print) . APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Tomasik Last


Ihnsiniess Name:

Bu.JIShness Addlress:

City & State·

ResidieJrnce Adldrress:

Jacek First

B uHding Official




_W_e_ll_in_...g'-to_n ____________ Zip Code:

12328 85l11 Road North

Middle

Officer [ ]

33414

City & Sfate

Home· Phone:

West Palm Beach, FL 33412 Zip Code: _3_3_4_12 ________ _

( ) 'IT!/a Business Phone: _,,,_( 5_6_1,.,_)_7_53_-_25_0_5 ______ E_:xt_·._n_/a __ _

Cell Phone: _(.._5_6_1 )._6_3_2-_33_9_1 _____ F,ax:

Emai[ Address: [email protected]


Have you ever been convicted ofa felony: Yes No _X_ Ilf Yes, state the court, nature of offense, disposition of case and date: _____ _,_ ______________ _

Minority Idi.entlllfiicatiollll Code: [ ] Native-American

Page 1 of2

DQ Male [ ] Hispanic-American

[ ] Female [ ] Asian-American [ ] African-American D<I Caucasian

Section rrll CouHnrned:

Attachmeirnt 1 Page 1 Ol of 1 Ol

CONTRACTUAL RELATIONSHilPS: Pursuantto Article Xiii. Sec. 2M443 ofthe Palm Beach County Code ofEthics. advisory board

members nre prohibited from entering into any contract or other tmnsaction for goods or services with Palm Beach County. Exceptions

to this prohibition include awards made under sealed competitive bids. certain emergency and sole source purchases~ and transactions

that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the

advisory board member's board provides no regulation; oversight, management, or policy-setting recommendations regarding the


To dleteirmine compHance ·wutlhl thus prorvision, frt ns mecessairy tlhat you~ as a boairc!l mcmlber applicant~ identify an corrntractuaH

rellaUonsMps bdweellli Pallm Beach Comnty govennmernt. mrud yoll.ll :r:us 11rn im:ll.ftvaduall, dirccUy or ftmKfrectlly. or yrnl.llr iempk»yer or

ltnrnhne.ss. This information should be provided in the space below. JJ there are no contracts or transactions to report, please verify that

none exist. Staff will review this information and determine if you are eligible to serve or if you may be eligible for an exception or


Contract/Tr~ms~cthm No.

f=.Zf..am[?!_e: {R#XX-XX/1?0 XX)

NONE

----=-===

Department/Davis.non Descriptuon of Sien1uces

lP'arks & Recreathm Genneni Mldntc1ruim~e

(A Hach Additicmrd Shed(s), nf m~cessary) OR

D NOT APPLICABLE/ w (Governmental Entity)

U 0/0] /00-09/30/2 U OQ

P:THICS TRAINKNG: All board members are required to read and complete truining on Article XUI, the Pa~m Beach County Code of

Ethics. and read the State Guide to the Sunshine Amend·ment.! A.rtide XUil, amll ti'ne franning requdrement emrn lbe fmmd Ollll the web

1nt: hjtip~//'i\'V\'\'f.rm!mbencibromutvtduks.com/trainim1r.htm. · Ethks tr~ahuh:ng is 11m-gohng~ mull [n11rsllll~rrut to PPM CW-JP-79 is

requfiredl !before appointmellllt, a1rnd upon renrpohrtmellllt.

By saguing lbielow [ ackmJiwledge Hrnt R have read~ muiers1tau:nd 1 mull agree to slbftcJ!e by An·tklc XUl, the PaHm Beach Cm..uirnty

Codie of Ethics, anull X have received One required !Ethics h·ah1h1g (nu~ the ma[mier clhteck~edl below):

.... X ... __ By watching the training program on the Web, DVD or VHS on ,, ____ _July __ 2018

By attending a live presentation given on-------·-.... -----··--' 20 ___ _

By signing bc~ow li aidumwRedge thalt n have read, arnciierstam:H. mull agree to abide !by tll1e G1U10die to the Sllllnsinhne Amrendment

& State of Fnoridls Code of E2',9~f ~/ ~

* Applka1T11t's Sigrnatune: _ ___L ~ Printed Name: J_!i.q~ 7 O /111'9 ~ Date: ?_:::iJ! ~-I ff

Any questions and/or concerns regm~i.ng A11icle X111. the Palm Beach County Code of Ethics, please visit the Commission on Ethics.

website www.pJ!.l.!1li~~l1coJmtyethics.com or contact us via email at ethic~@paltnl1§~ll~.QJUJ1Yeth.ics.com or (561) 355-19'15.

Retunnn thns lFORM to: {hlsera Uaisrnrn Name H¢;.•rie}, {hllsert DepIDirhnenUDivnsnol111 llferie}

{hisiert Address Heu·c)

Secticm m (Commission11«!r, U 2ppHcablle)t Appointment to be made at liC ... c JX!e,, e,ting on:

rr'"~ il\ Commissioner's Signature: :;::\ .JtJV\o·r~~~~· \b _,_,,, ______ _

Pursuant to Plorida's Public Records Law, lhis document mny be rnvicrwed and photocopied by mcmbcn> of ihe public.

Page 2 of2

Revised 02/0112016

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS BOARDS/COMMITTEES APPLICATION

The information provided on this form will be used in considering your nomination. Please COMPLETE SECTION II IN FULL.

Answer "none" or unot applicable,, where appropriate. Please attacfl a biography or resume to tlzis form.

Section I (Department): (Please Print)

Board Name: _F_C_B_A_A ____________________ Advisory [ ] Not Advisory[~]

[ ] At Large Appointment or [ .] District Appointment /District#: __ _

From: J 0 J I } I B To: q J 3D J ~ l Years. -----3 Term of Appointment:

Seat Requirement: o.rf,.c_ia.I Seat#: _ ____,3~-----


or [ ] to complete the·tenn of ~-----~---~

Due to; [ ] resignation [ ] other


*When a person is being considered for reappointment~ the number of previous disclosed voting conflicts during the previous

term shall be considered by the Board of County Commissioners: __ _

Section II (Applicant): (Please Print)

APPLICANT, UNLESS EXEMPTED, MUST BE A COUNTY RESIDENT

Name: Tomasik Last

Occupation/ Affiliation;

Business Name:

Business Address:

City & State

Residence Address:

Jacek First

Building Official



12300 Forest HiU Blvd

_W_e_ll_in ...... g._to_n _____________ Zip Code:

12328 85thRoad North

_W_e_st_P_a_lm_B_ea_c_h-'--, F_l_. _33_4_1_2 _______ Zip Code:

Middle

Officer [ ]

33414

33412 City & State

Home· Phone: __,_( _)_n_/a ________ ~ Business Phone: ( 561) 753-2505

Cell Phone: _(~5_6_1 ~) _63_2_-3_3_91 ______ Fax:



Have you ever been convicted ofa felony; Yes No _X_

Ext. n/a

If Yes, state the court, nature of offense, disposition of case and date: _____ __,__ ______________ _

Minority Identification Code: [ ] Native-American

Page 1 of2

p{.] Male [ ] Hispanic-American

[ ] Female [ ] Asian-American [ ] African-American [~Caucasian

Section II Continued:

CONTRACTUAL RELATIONSHIPS: Pursuantto Article XIII. Sec. 2-443 ofthe Palm Beach County Code of Ethics. advisory board


to this prohibition include awards made under sealed competitive bids. certain emergency and sole source purchases, and transactions

that do not exceed $500 per year in aggregate. These exemptions are described in the Code. This prohibition does not apply when the

advisory board member's board provides no regulation, oversight, management, or policy-setting recommendations regarding the


To determine compliance with this provision, it is necessary that you. as a board member applicant. identify all contractual

relationships between Palm Beach County government and you as an individual, directly or indirectly. or your employer or

business. This information should be provided in the space below. ff there are no contracts or transactions to report, please verify that

none exist. Staff wiH review this information and determine if you are eligible to serve or if you may be eligible for an exception or


Contractff ransaction No.

Example! CR#XX-XX/PO XX>

NONE

Department/Division Description of Sen1ices

Parks & Recreation General Maintenance

(Attach Additional Sheet(s), if necessary) OR

D NOT APPLICABLE/ 12] (Govern.mental Entity)

I 0/01/00-09/30/2100

ETHICS TRAINING: Aii board members are required to read and complete training on Article XlJl, the Palm Beach County Code of

Ethics. and read the State Guide to the Sunshine Amendment.:. Article XIII, and the training requirement can be found on the web

at: http://\l'\1\'Wrpalrnbenchcountyethics.com/training.htm. ·Ethics training is on-gning~ and pursuant to PPM CW-P-79 is

required before appointment, and upon reappointment.

By signing b~low l acknowledge that. I have read, understand, and agree to abide by .Article XIII,. the Palm Beach County

Code of Ethics, and I have received the required Ethics training (in the manner c.hecked below):

__ X .. _ By watching the training program on the Web. DVD or VHS on. July __ 2018

By attending a live presentation given on _______________ , 20 __

By signing below I acknowledge that I have read, understand and agree to abide by the Guide to the Sunshine Amendment

& State of Florida Code of Et · s:

*Applicant's Signature: _____ -tf'M+------ Printed Name: Jr'~~ /O/J'1175ti< pate: -::f- rff--/ fl

Any questions and/or concerns regar ing Article Xlll, the Palm Beach County Code of Ethics, please visit the Commission on Ethics

website W\.Vw.pal.mbeachcountvethics.com or contact us via email at ethics(~ppalmh~aclwounty~th.ics.com or (561) 355-1915.

Return this FORM to: {Insert Liaison Name Here}, {Insert Department/Division Here}

{Insert Address Here)

Section m {Commissioner, if applicable): Appointment to be made at BCC Meeting on:

Date: __ _

Pursuant to Florida's Public Records Law, this document may be n:viewed and photocopied by members of the public,

Page 2 of2

Revised 02/01/2016

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Jace~< R. Tomasnk 12328 95th Road North, West palm Beach, Fl. 33412

Phone: (561) 632 - 3391

jEmp~oyment Hn.stocy:

City of Wemngton Building Department - Ja11rnrni.rv 2001 - Present

- March 2006 - Present: Building Official, Vmage of WeHington.

Supervisory and administrative duties of enforcement of local, state and

F~deral construction codes for new and existing construction. I

October 2009-0ctober 2010 - Addituonal Dllltoes of Development Services

Director - In charge of Land Development permitting. I

July 2002 - March 2006: Chief inspector, Village of Wellington. I Supervisory and administrative duties related to inspection and permitting p'jcess.

Janrmary 2001- Judy 2002: Con.strndim.11. fosped:or, Vmage of Wemngton.

Inspections in Structural, Plumbing and Mechanical categories. I

Village of Raval .Palm Beach - January 1989 - JamJ1anr 2001

- June 2000-Jan. 2001-: Construction inspector, Village of Roya~ Palm Beach. Inspections in Structural Category

- January 1990 - Jan. 2001: Trade Worker, Village of Royal Palm Beach.

In charge of construction, maintenance and repair of municipal structures.

!state Ucensure:

Building Code Administrator Building Plans Examiner Mechanical Plans Examiner Plumbing Plans Examiner I & 2 Family Dwelling Plans Examiner Structural Inspector Mechanical Inspector Plumbing Inspector 1 &2' Family Dwelling Inspector LEED AP Certified Building Code Administrator Building Code Professional

I Memberships:

Building Official Association of Florida National Fire Prevention Institute International Code Council

iCC/SBCC~ Certnifllcatu0n.$ I I

Building Plans Exami~er Mechanical Plans Examiner Plumbing Plans Exarriiner Costal Construction lrtspector Structural Inspector Mechanical Inspector Plumbing Inspector 1 &2 Family Dwelling 1

1nspector

Fire Safety Inspector~ ICC Fire Inspector I al d II

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Florida Association of Plumbing - Gas - Mechanical Inspectors Association of Floodplain Managers Palm Beach County Building Code Advisory Board Palm Beach County Fire Code Board of Appeals and Adjustments

!References:

Available upon request.

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I. AUTHORITY :

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS

FIRE CODE BOARD OF APPEALS & ADJUSTMENTS

Ordinance No. 92-18, Section 105.1, Fire Code Ordinance; amended by Ordinance No. 94-12; amended by Ordinance No. 2001-101 and Administrative Order 03-03

on January 1, 2004; amended by Ordinance No. 2004-073; adopted December 29, 2004; amended by Ordinance No. 2011-038, adopted December 28, 2011;

amended by Ordinance 2014-002, adopted February 4, 2014; amended by Ordinance 2017-043, effective December 31, 2017.

II. APPOINTING BODY:

Ill. COMPOSITION,QUALIFICATIONS,TERMS & REMOVAL:

The Board is comprised of eight members who are qualified by training and experience to vary the application and provisions of the Code, and act on related matters,

and to perform such other duties as established. The composition of the Board is as follows: one registered engineer, practicing in the mechanical field; one Florida or

Palm Beach County certified general contractor; one certified fire alarm contractor; one fire sprinkler contractor; one citizen of Palm Beach County, not eligible under

other membership categories; one registered architect; one Palm Beach County municipal building official; and one Palm Beach County municipal fire service

representative. Where a member is required to be registered or certified, same shall be issued by the State of Florida unless otherwise specified. The members shall

serve no more than three consecutive three year terms. Members terms shall begin on October 1st and end on September 30th. All members must reside within Palm

Beach County at the time of the appointment and while serving on the Board and shall be qualified electors of Palm Beach County. A quorum for said Board shall be

five (5) members. *NOTE: When sitting solely in its advisory capacity, the Board shall be known as the Fire Code Advisory Board and shall be composed of the same

members as the Board of Appeals & Adjustments.

EXTENDED COMPOSITION:

IV. MEETINGS :

Meetings are scheduled on a monthly basis, or as needed for resolution of pending appeals. Upon receipt of the notice of appeal, a hearing shall be held at the next

regularly scheduled meeting of the Board, with notice to the appellant, the AHJ, and the members of the Board, at least five (5) working days prior to said hearing.

Special meetings may also be called by the Board provided that five (5) working days notice is given to both parties.

V. FUNCTIONS:

1) The Board shall review the Fire Code and make recommendations, in the form of specific amendments, to the Board of County Commissioners for corrections,

additions, substitutions or deletions to said Code for the purposes of clarification, applicability, public safety, and changes in technology, so as to maintain this Code as

an effective and responsive document; 2) To entertain appeals or decisions made jointly by the local AHJ and the local building official, in acccordance with Section

553.73(11), Florida Statutes; 3) To resolve conflicts between the building code and the fire code, in accordance with Section 553.73(11), Florida Statutes.

* indicates a member having an action pending

SpecificsBoardComp_Members.rpt Page 1 of 4 8/27/2018 0 :::s =ft P+ ~w

VI. LIAISON INFORMATION :

LIAISON DEPARTMENT

Fire Rescue

CONTACT PERSON

Larry Willhite


SpecificsBoardComp_Members.rpt

ADDRESS

405 Pike Rd Bureau of Safety . West Palm Beach FL 33411 Phone# 561-616-7031

Page 2 of 4

SEAT ID CURRENT MEMBER ROLE TYPE

FIRE CODE BOARD OF APPEALS & ADJUSTMENTS

RACE BUSINESS I CODE GENDER HOMEPHONE SEAT REQUIREMENT

Appointed By : At-Large/Palm Beach County Board of County Commissioners

2

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Vacant Member

NOMINATED BY:

David Woodside Member [email protected] City of Boca Raton/Fire Rescue Services 6500 Congress Ave Ste 200 Boca Raton FL 33487

NOMINATED BY :

Jacek R. Tomasik [email protected] Village of Wellington 12300 Forest Hill Blvd Wellington FL 33414

NOMINATED BY :

Member

General Contractor

AA M 561-982-4000 Municipal Fire Representative

CA M 561-753-2505 Building Official

APPOINT DATE

10/01/2016

05/19/2009

REAPPOINT DATE

07111/2017

10/01/2015

EXPIRE DATE

09/30/2019

09/30/2018

----- 4-·-Steve-R-;-8eEferh:IAEl-----Member--G-A---M---9§4~260-3452--Ar-ehiteet---------·--1·G/M/-20-1·5--1·G/G4·f-2048---89/-38/282-1-

steve@soderl undarchitecture. com Soderlund Architecture and Design, P.A. 19369 Colorado Cir Boca Raton FL 33434

NOMINATED BY:


SpecificsBoardComp_Members.rpt Page 3of4 8/27/2018 0 ::s =ft r=+-

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Appointed By : At-Large/Palm Beach County Board of County Commissioners

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Vacant

NOMINATED BY :

Roy S Pollack [email protected]

3212 Florence St Wellington FL 33414

NOMINATED BY :

Vacant

NOMINATED BY:

George T. Heisel [email protected]

3802 Captains Way Jupiter FL 33477 4082

NOMINATED BY :

Member

Member

Member

Member


SpecificsBoardComp_Members.rpt

CA M

CA M

Fire Sprinkler Contractor

561-779-7199 Fire Alarm Contractor 10/01/2017 09/26/2017 09/30/2020

Mechanical Engineer

561-575-6845 Resident of Palm Beach County 10/01/2017 09/30/2020

Page 4of4 8/27/2018 0 :i ....... Ff>.

~ (,.)

I

I Attachment 4

Page 1of3

Sec. 12-57. -Amendments to the Florida Fire Prevention Code. I

1. 1 O Board of Appeals and Adjustments. I

1. 10. 1 General. Whenever it is claimed that the provisions of this Code do not applt or have been misapplied, or when it is claimed that the true intent and meaning of this Code or any of the regulations there under have been misconstrued or misapplied, or when it is claimed that a decision lis unreasonable or arbitrary as it applies to alternatives, the owner or his duly authorized agent may appea

1

1

1 the decision of the AHJ to the Board of Appeals and Adjustments. Notice of appeal shall be in writing and filed with the AHJ within thirty (30) days after the decision is rendered by the AHJ. Appeals shall be o~ forms provided by the AHJ.

1. 10. 2 Board of Appeals and Adjustments Created. There is hereby created a Fire Code Board of Appeals and Adjustments, herein after referred to as the "Board", consisting of eight (8

1

) members who are qualified by training and experience to vary the application of the provisions of this gode, and act on related matters, and to perform such other duties as established herein. The Board shall 1be appointed by the Board of County Commissioners. All members must reside within Palm Beach Coun

1

ty at the time of appointment and while serving on the Board and shall be qualified electors of Palm Becrch County. The Board shall adopt rules and regulations for conducting its business. The AHJ shall designate a representative to act as Secretary to the Board. Public Notice of all Board meetings shalil be provided. All Board meetings shall be open to the public and shall comply with the applicable reqJirements of the Florida "Government in the Sunshine" and "Public Records" laws. Minutes shall be~I taken at each meeting. The Board shall be subject to the uniform policies and procedures established by the Board of County Commissioners as currently set forth in Resolution No. 2013-0193, as may be furt er amended by action of the Board of County Commissioners. All Board meetings shall be governed by obert's Rules of Order. Board members shall be governed by the applicable provisions of the state Ethids Code and the applicable provisions of the Palm Beach County Code of Ethics. •

1.10.3 Recommendations to Board of County Commissioners. The Board shall review this Code and make recommendations, in the form of specific amendments, to the Board of County cdmmissioners for corrections, additions, substitutions or deletions to said Code for the purposes 'i'of clarification, applicability, public safety, and changes in technology, so as to maintain this Code as kn effective and responsive document. . I

1.10.4 Composition. The composition of the Board of Appeals· and Adjustments shall be as follows:

a. One (1) Florida or Palm Beach County certified general contractor.

b. One (1) Palm Beach County municipal fire service representative.

c. One (1) Palm Beach County municipal building official.

d. One (1) registered architect.

e. One (1) certified fire sprinkler contractor.

f. One (1) certified fire alarm contractor.

g. One (1) registered engineer, practicing in the mechanical field.

h. One (1) citizen of Palm Beach County, not eligible under other membership categqries. I

Where a member is required to be registered or certified, same shall be issued by the State of Florida unless otherwise specified.

1. 10. 5 Vote Calculation. Each member shall have a full vote.

I Al ttachment 4

Page 2 of 3

1.10.6 Term. The members shall serve no more than three (3) consecutive three (3) i)lear terms. Any vacancy occurring during a term shall be filled for the unexpired portion of the term andi shall not count towards the member's term limits. The member's terms shall begin on October 1 and en:d on September 30. Current members' terms shall expire on September 30 of the year in which their term ~xpires.

I I

1.10. 7 Removal/Absences~ All members shall he subject to the rules, adopted by the Board of County Commissioners, governing Board participation and attendance. I

I

1.10.8 Fire Code Advisory Board. When sitting solely in its advisory capacity, the Board shall be known as the Fire Code Advisory Board and shall be composed of the same members as the Board of Appeals and Adjustments. Persons appointed to the Board of Appeals and Adjustments shall bb deemed to be likewise appointed to the Fire Code Advisory Board.

1. 10. 9 Procedures on Appeal.

1.10.9.1 Hearing. Upon receipt of the notice of appeal by the AHJ, a hearing shall be held at the next regularly scheduled meeting of the Board, with notice to the appellant, the AHJ, and the members of the Board, at least five (5) working days' prior to said hearing. Special meetings may also e called by the Board provided that five (5) working days' notice is given to both parties. If the applicant requires a special meeting to be called, the appeal fee shall be One Hundred Dollars ($100.00). Both the a!ppellant and the AHJ, or their representatives, shall attend the hearing and may present evidence at s~me. The Board shall consider each appeal on its own merits and shall base its decision only on the evi~ence presented at said hearing. I . 1.10.9.2 Board Action. The Board, upon an affirmative vote of a majority of the votes present, shall either 1) affirm the decision of the AHJ; 2) modify the decision of the AHJ; or 3) reverse the dedision of the AHJ and affirm the appellant's position. The Board's decision, with the reasons therefore, sha!ll be transcribed in writing and a copy shall be mailed, by certified mail, to the appellant, within ten (1 d) days after the hearing. All such decisions shall be final, subject to judicial review as provided by law. I

1.10.9.3 Tie Vote. In the event the Board is deadlocked in a tie vote, the appellant may r1quest the Board to defer final action until the next regular meeting date or a specific date certain. The appellant shall be entitled to one (1) such deferral as of right. The matter shall be deferred and heard de ~ova, unless the majority then present at the time deferral is requested vote for the matter to be determined upon the record only at the upcoming hearing after deferral.

1. 10. 1 O Decisions.

1.10.10.1 The Board shall provide for reasonable interpretation of the provisio~s of this Sode and rule on appeals from decisions of the AHJ. The Board may approve an equivalent alternative in accordance with Section 1.4 of this Code. I

1.10.10.2 Action. The Board shall, in every case, reach a decision without unreasonable or unnecessary delay. If a decision of the Board reverses or modifies a refusal, order, or disallowance of the AHJ, the AHJ shall immediately take action in accordance with such decision.

1.10.11 AHJ Order Stayed, Exception. Pending the disposition of an appeal scheduled for hearing, the order or decision of the AHJ sought to be appealed shall be stayed unless the AHJ certifies under oath, based upon available data, that an extreme danger to life or property exists, warrahting immediate compliance under this Code. Said certification must be included in the order and be filectl with the Board within ten (10) days after the notice of appeal is filed.

1. 10. 12 Conflict Resolution.

1.10.12.1 Any conflict between the Florida Building Code and the Florida Fire Prevention Code and Life Safety Code as applied to a specific project shall be resolved in accordance with Sec~ion 553.73(11), Florida Statutes.

I

Al ttachment 4 ] Page 3 of 3

1.10.12.2 The Fire Code Board of Appeals and Adjustments is hereby designated a~d authorized to perform the local administrative board functions set forth in Section 553. 73(11 ), Flo~ida Statutes. In accordance with Section 553.73(11), Florida Statutes, the duties and functions of the Fire Code Board of Appeals and Adjustments shall include the following: I

a. To hear and render decisions in appeals of conflict decisions made jointly by the local AHJ and the local building official, in accordance with Section 553.73(11), Florida Statutes. I

b. To resolve conflicts between the building code and the fire code, in accordance with Section 553. 73(11 ), Florida Statutes, in those instances where the local AHJ and the local bJ,ilding. official are unable to agree on a resolution of said conflict. I

· 1.10.12.3 If the County has, or does, designate another local board to perform the funptions set out in Section 553.73(11 ), Florida Statutes, then said board and the Fire Code Board ?f Appeals and Adjustments shall rotate the duty to fulfill the functions as set forth in this Section 1.10.12 and in Section 553. 73(11 ), Florida Statutes, on an annual basis or as otherwise agreed to by the AHilJ and the local building official.

1.10.12.4 Any conflict between the Building Code and the Fire Code that involves th County's local amendments to either Code shall likewise be resolved in the manner set forth in Seol1tion 553.73(11), Florida Statutes, and this Section 1.10.12.

1. 10. 13 Additional Powers and Functions. The Board of Appeals and Adjustments is hereby authorized and empowered to: 1) hear and rule upon appeals from orders of the AHJ in Lobal Amendment challenges brought pursuant to Section 633.208(3)(d), Florida Statutes, and in accordafce with Section 1.7.21 of this Code; 2) hear and rule upon appeals from decisions of the AHJ relating t~1 false alarms as set forth in Section 10.6.6 of this code; 3) perform any other functions authorized for tne Board by this Code. I

1.10.14 Fireworks Board of Appeals. The members of the Fire Code Board of Appeals Cjlnd Adjustments shall serve ex-officio as members of the Fireworks Board of Appeals and perform the functions of that Board, all as set forth in Palm Beach County Ordinance No. 2004-020, as it may be amended from time to time. · ~ 1. 10. 15 Any decision of the Fire Code Board of Appeals and Adjustments shall be final a d reviewable in the manner and within the time provided by the Florida Rules of Appellate Procedure onl by a petition for writ of certiorari filed with the Circuit Court in Palm Beach County.

(Ord. No. 98-29, §§ 1-5, 7-21-98; Ord. No. 00-5, § 1, 1-11-00; Ord. No. 01-101, App. A, 12-18-01; Ord. No. 04-073, § 1, App. A, 12-21-04; Ord. No. 08-045, § 1, App. A, 11-18-08; Ord. No. 2011-038, § l(Exh. A), 12-20-11; Ord. No. 2014-002, § 1, 2-4-14; Ord. No. 2014-042, § l(App. A), 12-16-14; Ord. No. 2017-043, § l(App. A), 12-19-17) I

T

FD.re Rescue

Chief Michael Mackey

405 Pike Road

West Palm Beach, FL 33411

(561) 616~7000

www.pbcgov.com

JP'anm Beach County Board oJf County Commissioners

Melissa McKinlay, Mayor

Mack Bernard, Vice Mayor

Hal R. Valeche

Paulette Burdick

Dave Kerner

Steven L. Abrams

Mary Lou Berger

County Admilllistirator

Verdenia C. Ba~er

"An Equal Opportunity Affirmative Action Employer"

~ printed on sustainable D(Y and recycled paper

To: Melissa Mcl<inlay, Mayor Board of County Commissioners

·~ Michael Mackey, Administrator ~ from: Fire-Rescue Department

Date: July 18, 2018

Subject: Fire Code Board of Appeals and Adjustments


The Fire Code Board of Appeals and Adjustments is an advisory boatid appointed by the County Commission to review the Fire Code, hear appeals, and make recommendations to the Commission on fire and life safetyJssues.J This Board, established in 1984, is required by the County Fire Code, Palm Beach County Ordinance 2017-043.

Each position on the Board is representative of a segment of the fire protection , I

community. The following member's term will expire on Septemby 30, 2018,

Name Industry Term --1

Jacek Tomasik Building Official 3 years

Mr. Tomasik has agreed to remain on the Board if reappoint~d. He has completed training on the Palm Beach County Code of Ethics and has signed and acknowledged his training and understanding of the Guide to tHe Sunshine

I Amendment. . . I

If you would like to nominate the above listed applicant, please sign the attached Board/Committee Application Form. If you would likeJ to make a nomination for appointment or reappointment, please forward the information to the office of Larry Willhite, Division Chief, Bureau of Safety Servilces. Please submit your nominations by August 2, 2018.

Thank you for your assistance in this appointment process. If you have any questions, please contact Larry Willhite.at 616-7030 or my office at 616-7001.

Attachment: Board/Committee Application Form Member Resume Attendance Record

cc: Larry Willhite, Divisio.n Chief Nancy Bolton, Assistant County Administrator

Atta chment 6 age 1 of 1

PALM BEACH COUNTY FIRE RESCUE Bureau of Safety Service

405 Pike Road West Palm Beach, Fl 33411

(561} 616-7030

PALM BEACH COUNTY FIRE CODE BOARD OF APPEALS AND ADJUSTMENTS

{Third Wednesday of the Month)

2018 MEETING SCHEDULE

Date Room I

January 17 Everglades Conferenc'.e Room February 21 Everglades Conferenc~ Room March 21 Everglades Conferenc~ Room April 18 Everglades Conferenc:e Room May 16 Everglades Conferenc:e Room June 20 Everglades Conferenc;e Room July 18 Everglades Conferenc:e Room August 15 Everglades Conferenc~ Room September 19 Everglades Conferenc~ Room October 17 Everglades Conferenc:e Room November 21 Everglades Conferenc:e Room December 19 Everglades Conferenc:e Room

• Meetings wi,11 be held, as needed, at Fire Rescue Headqu·arters, 2nd Floor Everglades Room indicated above and will begin at 9:00 a.m.

• Please contact Nicole Davis at 561-616-7030 if you are unable to attend. I I i

p

agenda item#: board of county commissioners board ... · 2. biography/resume for nominee 3. current...

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