PINELLAS COUNTY UNIFIED PERSONNEL SYSTEM EMPLOYMENT APPLICATION

Clearwater Office St. Petersburg Office 400 South Fort Harrison Avenue 501 1st Avenue North Room 121, County Annex Building Room 117, 501 Building Clearwater, Florida 33756-5113 St. Petersburg, Florida 33701-3726 (727) 464-3367 (727) 582-7780 TDD: (727) 464-4063 Job Line: (727-464-3745 Internet: http://www.co.pinellas.fl.us/persnl Last Name: First Name: Middle Initial: Courtemanche Edward A Position: Building Inspector 2 Date Applied: 11/3/10 General Information/Instructions: This employment application is a part of the selection procedure for employment with Pinellas County Government. It is used to document specific information about your background (previous experience and training). The information you provide will be used to determine whether or not your name will be placed on the eligible register for a job classification in which you are interested. (The eligible register contains the names of eligible candidates for consideration for a position within a job classification.) You must meet the minimum qualification requirements for a job classification to be placed on the eligible register. Important Information ATTENTION - THIS STATEMENT MUST BE SIGNED READ THE FOLLOWING PARAGRAPHS CAREFULLY BEFORE DIGITALLY SIGNING It is very important that you complete the entire form. Answer all questions that apply to you. Incomplete forms will not be accepted or considered for employment. Answers such as "see resume" will not be accepted or considered. Be advised that the Florida State Supreme Court has ruled that all information supplied while making application with all state, county and municipal entities and agencies, becomes a part of Public Record under provisions of Chapter 119 of Florida Statutes, and as such must be made available to interested parties upon specific request. The Unified Personnel System complies with the federal Drug-Free Workplace Act of 1988. Offers of employment maybe contingent upon successful completion of a drug screening, which would be part of the entrance physical examination. In accordance with the provisions of the Fair Labor Standards Act, as a condition of employment, management reserves the right to compensate employees who work overtime and who are eligible for overtime compensation either monetarily or with compensatory time off. The Unified Personnel System complies with the Americans with Disabilities Act of 1990. Requests for accommodations in the application and selection process should be made to the Human Resources Department. Verification of need for accommodation may be required. Reasonable accommodations will be made on a case-by-case basis. Veterans' Preference will be given to eligible veterans or their spouses in accordance with Chapter 295 of the Florida Statutes and Florida Administrative Code Chapter 55-7 with respect to Veterans' Preference. Should you be offered employment, we will need to verify your eligibility for employment in accordance with the U.S. Immigration and Reform Act of 1986. Various forms of identification are outlined by this legislation. A copy of the required identification documents is available on request. All information I provided will be considered in reviewing my application, and a false answer to any question may be grounds for denied employment, or for dismissal after beginning work. All statements are subject to verification, including a background check of police records and former employers. Submitting incorrect or misleading information will result in your name being removed from consideration for employment or promotion. Pinellas County has my authorization to thoroughly investigate my work and personal history that is job-related. I will hold no person, corporation, or organization liable for giving or receiving information in this investigation. I hereby authorize Pinellas County Government to obtain college or university transcripts, and/or employment references from my former employers. The Unified Personnel System of Pinellas County Government is an Equal Employment Opportunity Employer. Certification: By selecting "YES", I certify that I have read and understand the General Information/Instructions and Important Notices. I understand by selecting "NO", I acknowledge this application will not be reviewed or considered for employment or promotional opportunities. Certifications: Do you certify that you have read and understand the GeneralInformation/Instructions and Important Information sections? Yes Print Date: 11/3/10

PINELLAS COUNTY UNIFIED PERSONNEL SYSTEM EMPLOYMENT APPLICATION

Last Name: Courtemanche Street Address: 3474 Rolling Trl Home Phone: (727)330-7487 City: Palm Harbor Email Address: buddy.bodean@att.net First Name: Edward Apartment/Suite #: Daytime Phone: State: Florida (727)409-1661 Zip: 3484 Middle Initial: A

NOTE: The Human Resources Department collects Social security numbers of applicants, employees and some dependents thereof as required or permitted by law. We are commited to protecting this and other sesitive information and will disclose social secuirty numbers to independent parties only as legally required. The Human Resources Department collects social security numbers for the following reasons: Compliance with record keeping and reporting to Federal, State, and local agencies. Establishing identity Conducting pre-employment screening Providing employee benefit programs Social Security Number: XXX-XX-XXXX Are you a U.S. Citizen? Yes Are you currently employed by the Pinellas County Unified Personnel System? Department: No Division: Date of initial Application: 7/10/10 Do you have a work Visa? No

Have you ever been employed by the Pinellas County Unified Personnel System? Yes If yes, please indicate which department: Real Estate Mgmt. Are any of your relatives currently employed by the Pinellas County Unified Personnel System? Yes Name of relative Sandra Courtemanche Relationship Spouse Department Clerk of the Court

Are you willing to work in the following areas? North County Only: Yes Are you willing to work: Saturdays: Yes Various Shifts: Yes Sundays: Yes Holidays: Yes Temporary Employment: No Nights: Yes Part-time: No Mid County Only: Yes South County Only: Yes

Did you graduate from high school (or will you in the next nine months)? Yes Do you posses a G.E.D. certificate? No Name of high school North Kingstown City North Kingstown State RI

Last Name: Courtemanche

First Name: Edward Driver's License Information

Middle Initial: A

Do you possess a current, valid driver's license? Yes If you do not possess a current, valid driver's license, briefly explain why: Do you possess a CDL (Commercial Driver's License)? No Which type of driver's license do you possess? Certified Driver's License E State Issuing License Driver's License Number

Expiration Date

Florida

C635-221-62-304-0

8/24/11

Do you have a "C - Business Purposes Only" restriction on your driver's license? No Do you have a "D- Employment Purposes Only" restriction on your driver's license? No Do you have a E- Daylight Driving Only" restriction on your driver's license? No Do you have an "Air Brakes Only" restriction on your driver's license? No Please indicate which driver's license endorsement (if any) you possess: H Any vehicle designed to transport hazardous materials in placardable amounts. No N P S A tank vehicle designed to transport any liquid or gaseous material with designed capacity of 1,000 gallons or more. No Any vehicles, public or private, designed to transport 16 or more passengers, including the driver. No A commercial motor vehicle (requires CDL) used to transport pre-primary, primary, or secondary school students from home to school, from school to home, or to and from school-sponsered events. Does not include a bus used as commoncarrier. Combination vehicles with double/triple trailers. Any tank vehicle used to transport placardable amounts of hazardous materials. No Have you been cited for any violation in which points were assessed against your driver's license in the past 3 years? No If yes, how many violations? How many points? No

T X

No

Has your driver's license been suspended or revolked in the past 3 years? No If yes, for what violations? For what time period?

Note: If you are hired into a position which requires the operation of County vehicles or equipment, you must possess a valid Florida driver's license and your driving recdord will be checked with the Florida Department of Motor Vehicles.

Last Name: Courtemanche

First Name: Edward

Middle Initial: A

Have you ever been terminated or asked to resign from a place of employment: No Have you ever been convicted of an offense against the law or forfeited collateral? (You may omit parking violations and any other offense committed before your 18th birthday which was finally adjudicated in a juvenile court or under a Youth Offender law.) No Have you ever been a defendant in a civil action for intentional tort? No If you have been convicted of an offense against the law or you have been a defendant in a civil action for intentional tort, please explain. Include the nature, disposition and penalty. Note: A prior record of conviction(s) will not necessarily disqualify you from consideration. Each case is considered individually, considering the nature of the offense and requirements of the job. Florida State Statue 112.011 provides that a person cannot be disqulified from employment soley because of a prior conviction of a crime. A person may be denied employment only if the crime was a felony or first-degree misdemeanor and it is directly related to the position of employment being sought. However, withholding or falsifying information may result in termination if hired. Records searches are made on every individual hired.

Last Name: Courtemanche

First Name: Edward Education & Training

Middle Initial: A

Post secondary education (any education or training beyond high school) School: New England Insititute of Technology City: Warwick State: Rhode Island Country: United States Dates Attended: 6/1/95 - 6/1/99 Still in Progress? No Degree Awarded: Bachelors of Arts Units Completed: Units of Measure: Major Subjects: Architectural/Building and Engineering Technology Minor Subjects: Additional Information: GPA 3.51

Last Name: Courtemanche

First Name: Edward Work History

Middle Initial: A

Please provide the following information concerning your work experience. Please work in reverse chronological order, listing your most recent or current experience first. Complete all information requested. Employer: Pinellas County Real Estate Mgmt., Building Design Division Phone: 727-464-4074 Address: 509 East Ave S City: Clearwater State: Florida Zip Code: 33756 Dates Employed: 4/1/06 - 9/30/10 Hours a Week: 40.00 Hourly wage or annual salary: 60,000.00 Pay basis: Per year Supervisor's Name: Mario Ferfoglia Supervisor's Title: Sr. Reg. Architect Position Held: Architectural Production Mngr Reason for Leaving: Lay Off Major Responsibilities: Professional architectural work involved in managing, coordinating, and participating in the planning, design, and construction of new facilities and the alteration/renovation of existing facilities.

Employer: Design Styles, Inc Phone: 727-797-4420 Address: 2907 State Road, Ste 7 City: Clearwater State: Florida Zip Code: 33759 Dates Employed: 8/1/04 - 4/1/06 Hours a Week: 40.00 Hourly wage or annual salary: 40,000.00 Pay basis: Per year Supervisor's Name: Peter Fertig Supervisor's Title: Partner Position Held: Sr. Draftsman / Building Code Reason for Leaving: Lack of Benifits, Upward Promotion Oppertunities Major Responsibilities: Analyze building codes, by-laws and other technical documents and reports to determine their effect on architectural designs. Performed and supervised the daily architectural based duties of 11 persons.

Last Name: Courtemanche

First Name: Edward Resume

Middle Initial: A

Ed Courtemanche, Jr. ________________________________________ 3474 Rolling Trail Palm Harbor, FL 34684 727-330-7487 buddy.bodean@att.net

Objective: Seeking a position as a Building Inspector. Experience: Pinellas County Government -- Real Estate Mgnt., Building Design & Const. Clearwater, FL Architectural Production Manager April 2006 to October2010 -Performs professional architectural work involving managing, coordination, and participation in planning, design, and construction of new facilities and the alteration/renovation of existing facilities. -Realized thousands in cost savings to the County by providing in-house design services. Design Styles, Inc. Clearwater, Florida Senior Draftsman / Project Manager August 2004 to March 2006 -Directly responsible for the content of all construction documents generated by 11 draftspersons. -Managed staff workloads, assigned jobs, monitored progress and mentored junior personnel. R R Hunt, Architect, Ltd. West Greenwich, RI Job Captain / Right Hand Man 2001 to 2004 -Work required coordinating and/or preparing building assessments, programming, schematic design, design development, specifications and other construction documents, and Computer Aided Drafting and Design (CADD). Buddy Bodean Designs Rhode Island and Florida Owner / Designer / Draftsman 1998 to Present -Provides architectural drafting services for residential and small commercial projects. Architectura, Inc. Cranston, RI Project Manager / Designer / Draftsman 1995 to 2001 -Work required the exercise of independent judgment coordinating the efforts of consultants, contractors and inter/intra departmental personnel involved in all phases of assigned projects. Education: New England Institute of Technology Bachelors Architectural / Building Engineering Technology B.S. GPA: 3.51; A.A. GPA: 3.78 Received the 1999 NEIT Faculty Award for Excellence in Design. Numerous continuing education and building code courses Energy Gauge Rater Class 3, Florida Solar Energy Center Job Order Contracting (JOC) Advanced Training Software: Autodesk AutoCAD Architecture, Versions 12 thru current Microsoft Office Suite PROGEN (Job Order Contracting) Software

Warwick, RI 1999

Last Name: Courtemanche SUPPLEMENTAL QUESTIONNAIRE

First Name: Edward

Middle Initial: A

This knowledge and experience questionnaire is a part of the selection procedure for employment with Pinellas County Government. It is used to document specific information about your background (previous experience and training). The information you provide will be used to determine whether or not your name will be placed on the eligible register for a job classification for which you are interested. (The eligible register contains the names of eligible candidates for consideration for a position within a job classification.) You must meet the minimum qualification requirements for a job classification in order to be placed on the eligible register. If your knowledge and experience questionnaire does not provide all the information requested in the appropriate space on this form, it may result in your being removed from consideration. Answers to all requests for information must be shown on the questionnaire. Answers such as "see resume" or "see work history" will not be considered. Submitting incorrect or misleading information will result in your name being removed from consideration for employment or promotion.

WHO MAY APPLY: This recruitment is open to the public and all County employees.

Minimum Qualifications: Must possess valid certification as a Building Inspector as recognized by the State of Florida and 5 years of experience as a trades foreman, contractor, or at a similar supervisory level, or 3 years as a building inspector; or Certification and Associates degree in an engineering, planning, construction or related field, or completion of a 2 year vocational or technical diploma or certification in a related field and 3 years as a building inspector; or Certification and Bachelors degree in civil engineering, construction or related field and 1 year as a building inspector; or An equivalent combination of training, education, and/or experience. Appointing Authority May Also Require: Florida Driver's License or Florida Commercial Drivers License and endorsement, if any. Assignment to work a variety of work schedules including compulsory work periods in special, emergency, and/or disaster situations. Employee to maintain designated certifications and continuing education as required by Florida. Other highly desirable knowledge, skills, abilities, and credentials relevant to a position. Do you posses a vailid certification as a Building Inspector as recognized by the State of Florida? No How many months or years of experience do you possess as a trades foreman, contractor, or at a similar supervisory level? Over 10 years Please indicate when (dates) and where (employer) you obtained the experience and what type of experience. I have filled the position of supervisor throughout my career in this industry

What is your minimum starting salary requirement? 50000

In the space provided indicate the total number of months or years of experience you have in the type of work described by the following statements. How many months or years of experience do you posses checking projects for defects, omissions, violations, and other departures from correct procedure and county building codes? Over 10 years Describe/explain your experience in this area. Include examples of your work which are similar to that described by the statements. Please indicate when (dates) and where (employer) you obtained the experience. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

How many months or years of experience do you possess making technical inspections of signs, new buildings and structural installations or modification of old building constructions? Over 10 years Describe/explain your experience in this area. Include examples of your work which are similar to that described by the statements. Please indicate when (dates) and where (employer) you obtained the experience. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

How many months or years of experience do you possess issuing notices of non-compliance where work is not correct and directing this to the attention of the Chief Building Inspector? No experience Describe/explain your experience in this area. Include examples of your work which are similar to that described by the statements. Please indicate when (dates) and where (employer) you obtained the experience.

I have never done this directly.

How many months or years of experience do you possess inspecting all work upon completion and signing permits giving final approval for the county that the work is safe for life and property? No experience Describe/explain your experience in this area. Include examples of your work which are similar to that described by the statements. Please indicate when (dates) and where (employer) you obtained the experience. I have not done this directly but as a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

How many months or years of experience do you possess making routine and periodic inspections of areas assigned to check for violations and hazardous conditions? Over 10 years Describe/explain your experience in this area. Include examples of your work which are similar to that described by the statements. Please indicate when (dates) and where (employer) you obtained the experience. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

How many months or years of experience do you possess investigating complaints of defective building installations reported as safety hazards; making re-inspections as directed and reporting violations? Over 10 years Describe/explain your experience in this area. Include examples of your work which are similar to that described by the statements. Please indicate when (dates) and where (employer) you obtained the experience. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

Review the list of knowledge, skills and abilities below. Evaluate your capabilities in each area using the following scale: 0 - No exposure or experience 1 - Some knowledge, skill or ability (i.e. Would require some on the job training in this area.) 2 - Satisfactory (i.e. Could perform activity or apply knowledge with guidance.) 3 - Very Good (i.e. Could perform the activity or apply knowledge independently.) 4 - Excellent (i.e. Could provide guidance to others under difficult conditions.) Knowledge of the methods and materials involved in building construction and of standard building testing devices. 3 - Very Good (i.e. Could perform the activity or apply knowledge independently.) Please explain your evaluation. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

Knowledge of possible defects and faults in construction or hazardous conditions and of effective corrective measures. 3 - Very Good (i.e. Could perform the activity or apply knowledge independently.) Please explain your evaluation. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

Knowledge of the regulations governing building construction in the unincorporated areas of the county. 4 - Excellent (i.e. Could provide guidance to others under difficult conditions.) Please explain your evaluation. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

Ability to read and interpret building construction plans and specifications, and to recognize deviations from such plans in the construction process. 4 - Excellent (i.e. Could provide guidance to others under difficult conditions.) Please explain your evaluation. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

Ability to apply computer applications and software. 4 - Excellent (i.e. Could provide guidance to others under difficult conditions.) Please explain your evaluation. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

Ability to diagnose defects and hazards in old and new building construction and enforce specifications and regulations firmly, tactfully, and impartially. 3 - Very Good (i.e. Could perform the activity or apply knowledge independently.)

Please explain your evaluation. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

Ability to keep records and to prepare and submit reports. 4 - Excellent (i.e. Could provide guidance to others under difficult conditions.) Please explain your evaluation. As a Project Manager / Owner's Rep I have accomplished this task as a normal duty throughout my career in this industry

Ability to complete the continuing education required by the state. 4 - Excellent (i.e. Could provide guidance to others under difficult conditions.) Please explain your evaluation. I am always attending training to help improve my knowledge.

Knowledge 4 - Excellent (i.e. Could provide guidance to others under difficult conditions.) Please explain your evaluation. ?

Knowledge 4 - Excellent (i.e. Could provide guidance to others under difficult conditions.) Please explain your evaluation. ?

I attest that my answers to the above statements are correct to the best of my knowledge. I also understand that any misinformation provided may disqualify me from employment consideration or promotional consideration. Yes

Last Name: Courtemanche

First Name: Edward

Middle Initial: A

IMPORTANT NOTICES The Unified Personnel System complies with the federal Drug-Free Workplace Act of 1988. Offers of employment may be contingent upon successful completion of a drug screening, which may be part of the entrance physical examination. In accordance with the provisions of the Fair Labor Standards Act, as a condition of employment, management reserves the right to compensate employees who work overtime and who are eligible for overtime compensation either monetarily or with compensatory time off. Should you be offered employment, we will need to verify your eligibility for employment in accordance with the U.S. Immigration and Reform Act of 1986. Various forms of identification are outlined by this legislation. A copy of the required identification documents is available on request. The Unified Personnel System complies with the Americans with Disabilities Act of 1990. Requests for accommodations in the application and selection process should be made to the Human Resources Department. Verification of need for accommodation may be required. Reasonable accommodations will be made on a case-by-case basis. The Unified Personnel System of Pinellas County Government is an Equal Employment Opportunity Employer.

ATTENTION - THIS STATEMENT MUST BE SIGNED READ THE FOLLOWING PARAGRAPHS CAREFULLY BEFORE DIGITALLY SIGNING

1. Be advised that the Florida State Supreme Court has ruled that all information supplied while making application with all state, county, and municipal entities and agencies becomes a part of Public Record under provisions of Chapter 119 of Florida Statutes, and as such must be made available to interested parties upon specific request. 2. Pinellas County has my authorization to thoroughly investigate my work and personal history that is job-related. I will hold no person, corporation, or organization liable for giving or receiving information in this investigation. 3. All information I provided will be considered in reviewing my application, and a false answer to any question may be grounds for denied employment or for dismissal after beginning work. All statements are subject to verification, including a background check of police records and former employers. 4. By selecting yes, I hereby authorize Pinellas County Government to obtain college or university transcripts, and/or employment references from my former employers.

Certification: By selecting YES, I certify that I have read and understand the General Instructions and Important Notices sections. I certify that all statements made in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I understand by selecting "No", I acknowledge this application will not be reviewed or considered for employment or promotional opportunities.

Do you certify the above statements to be true? Yes