Park Use Permit - Baseball Team to StateCITY OF OKEECHOBEE
55 SE THIRD AVENUE
OKEECHOBEE, FL 34974
Tele: 863 - 763 -3372 ext. 217 Fax: 863 - 763 -1686
e -mail: iclunham@cityofokeechobee.com
Park Use Permit
Permit Number: 014 Date(s) of Event: June 24, 2016 6AM -4PM
Permit Expiration: June 24, 2016 11:59 A.M.
Purpose of Request: OCRA BBQ Fundraiser for Boy's Baseball to State Tournament
Property Owner: City of Okeechobee
Address: 55 SE Third Avenue
City: Okeechobee State: Florida Zip Code: 34974
Applicant: Krystal Avant
Phone Number: 863 - 447 -3282
Current Zoning: P
Subdivision: City of Okeechobee
Applicant's Address: 3328 SW 18th St. ,Okeechobee
Address of Project: Park 4
FLU Designation: Public
Restrictions /Remarks: All debris must be removed within 24 hours of expiration date.
*Memo attached regarding political rallies and similar events held in City Parks
c iei
General Services Assistant
June 22, 2016
Date
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Page 1 of 3
CITY OF OKEECHOBEE
'"' ' . ' 55 SE THIRD AVENUE
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�� °� OKEECHOBEE, FL 34974
rI Tele: 863 - 763 -3372 ext. 218 Fax 863 - 763 -1686
PARK USE AND /OR TEMPORARY STREET/
,; }r SIDEWALK CLOSING
PERMIT APPLICATION
Date Received:
;
Date Issued:
,. -.
Application No:
; i t aj
Date(s) of Event:
t;.
Information:
Organization:
OCRA
Tax Exempt No:
85- 8012540987C -7
Mailing Address:
3328 SW 18TH ST Okeechobee, Fl 34972
Contact Person:
Krystal Avant
E -Mail Address:
kavant2 @yahoo.com
Telephone:
Work:
863 - 467 -0667
Home:
Cell:
863 - 447 -3282
Summary of activities:
Take out BBQ dinners
Proceeds usage:
Boys baseball team traveling to State Tournament
Please check requested Parks:
Flagler Parks: ❑ City Hall Park ❑ #1 Memorial Park ❑ #2 ❑ #3 X#4 ❑ #5 ❑ #6
OR
Address of event:
Parcel ID:
Page 2of3
TEMPORARY STREET AND SIDEWALK CLOSING INFORMATION
(If not using Park(s), provide event address)
Street Address City State Zip Code
Street(s) to be closed:
Date(s) to be closed:
Time(s) to be closed:
Purpose of Closing:
Attachments Required:
Charitable Function
Temporary Street and Sidewalk Closing
• Site Plan
• Original signatures of all residents, property
owners and business owners affected by the closing.
• Copy of liability insurance in the amount of
$1,000,000.00 with the City of Okeechobee as
additional insured. _lc 3
• Copy of liability insurance in the amount of
$1,000,000.00 with the City of Okeechobee as
additional insured.
•Proof of non - profit status
•Letter of Authorization from Property Owner
• If any items are being sold on City streets or
sidewalks, a Temporary Use Permit (TUP) must be
attached for each business. TUP can be obtained
from the General Services Department.
• State Food Service License, if applicable.
• State Food Service License, if applicable.
• State Alcoholic Beverage License, if applicable. (Alcoholic beverage can be served only on private
property. No alcoholic beverages are allowed on City property, this included streets and sidewalks.)
Note:
• Clean -up is required within 24 hours.
• No alcoholic beverages permitted on City property, streets or sidewalks.
• No donations can be requested if any type of alcoholic beverages are served on private
property /business unless you possess a State Alcoholic Beverage License. Please note there are inside
consumption and outside consumption licenses. You must have the appropriate license(s).
• The Department of Public Works will be responsible for delivering the appropriate barricades.
• Dumpsters and port -o -lets are required when closing a street for more than three (3) hours.
Applicant must meet any insurance coverage and code compliance requirements of the City and other
regulations of other governmental regulatory agencies. The applicant will be responsible for costs
associated with the event, including damage of property. By receipt of this permit, the applicant agrees and
shall hold the City harmless for any accident, injury, claim or demand whatever arising out of applicant's
use of location for such event, and shall indemnify and defend the City for such incident, including
attorney fees. The applicant shall be subject to demand for, and payment of, all of the actual cost incurred
by the City pertaining to the event including, but not limited to, Police, Fire, Public Works or other
departmental expenses. The City reserves the right to require from an applicant a cash or cashier's check
advance deposit in the sum approximated by the City to be incurred in providing City services. Any such
sum not incurred shall be refunded to the applicant.
Page 3 of 3
I hereby acknowledge that I have read and completed this application, the attached Resolutions No.(s) 03-
08 and 04 -03, concerning the use and the rules of using City property, that the information is correct, and
that I am the duly authorized agent of the organization. I agree to conform with, abide by and obey all the
rules and regulation, which may be lawfully prescribed by the City Council of the City of Okeechobee, or
its officers, for the issuance of this Charitable Function Permit.
CERTIFICATE OF INSURANCE MUST NAME CITY OF OKEECHOBEE AS ADDITIONAL
INSURED.
r LACLit--k ( dc)ni )(C
Applicant Signature Date
••••OFFICE USE ONLY••••
Staff Review
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Fire Department:
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Date:
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Building Official:
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Date:
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Public Works:
Date:
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Police Department:
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Date:
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BTR Department:
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Date:
City Administrator:
Date:
City Clerk: f
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Date:
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NOTE: APPLICATION AND INSURANCE CERTIFICATE MUST BE COMPLETED AND
RETURNED TO THE GENERAL SERVICES DEPARTMENT THIRTY (30) DAYS PRIOR TO
EVENT FOR PERMITTING.
Temporary Street and Sidewalk Closing submitted for review by City Council on
Date
Temporary Street and Sidewalk Closing reviewed by City Council and approved
Date
04 i251,.
DEPARTMENT
OF REVENUE
E18_5-12540987C-7
Certificate Number
This certifies that
Consumer's Certificate of Exemption
Issued Pursuant to Chapter 212, Florida Statutes
11/30/2013
Effective Date
OKEECHOBEE CITIZENS RECREATIONAL
ASSOCIATION
3328 SW 18TH ST
OKEECHOBEE FL 34974 -5412
DR -14
R. 04/11
.icy (C}(3 OfRekiktiON
itCyrfstivli ratr;
Fxpiration Date
is exempt from the payment of Florida sales and use tax on real property rented, transient rental propertyl Tinted, tangible
personal property purchased or rented, or services purchased.
t.1;01.7M.A:
al \,
OEPARTME NT
OF REVENUE
mportant Information for Exempt Organizations
DR -14
R. 04/11
1, You must provide ail vendors and suppliers with an exemption certificate before making tax - exempt purchases.
See Rule 12A- 1.038, Florida Administrative Code (FA.C.).
2. Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's
customary nonprofit activities.
3, Purchases made by an individual on behalf of the organization are taxable, even if the individual will be
reimbursed by the organization.
4. This exemption applies only to purchases your organization makes. The sale or lease to others of tangible
personal property, sleeping accommodations, or other real property is taxable. Your organization must register,
and collect and remit sales and use tax on such taxable transactions. Note: Churches are exempt from this
requirement except when they are the lessor of real property (Rule 12A- 1.070, F.A.C.).
5. It is a criminal offense to fraudulently present this certificate to evade the payment of sales tax. Under no
circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for
payment of the sales tax plus a penalty of 200% of the tax, and may be subject to conviction of a third -- degree
felony. Any violation will require the revocation of this certificate.
6. If you have questions regarding your exemption certificate, please contact the Exemption Unit of Account
Management at 800 - 352 -3671. From the available options, select "Registration of Taxes," then "Registration
Information," and finally "Exemption Certificates and Nonprofit Entities." The mailing address is PO Box 6480,
Tallahassee, FL 32314 -6480.
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