Temp. Street Closing - Christmas ParadeDate:
STME FLCtt:OAD P.'nTt a•17of ,ic•ul,POfTAT ;CH
TEMPORARY CLOSING OF STATE ROAD PERMIT
Permit No.
wc;::ccs
CITY OF QUE41.1011EREntity o g7o�. /zot ‘
Approving Local Government 55 SE 3rd AVENUE Contact Pei son - - -'t{
Address
nt�ccrunoc�r U 34974
Telephone / 7 . Email yr ; ,.t n • •_, ';!(_1(
Organization Requesting Special Event
Name of Organization r: , ;, 1 J},l >, t Contact Person
Address
Telephone
Description of S ecial Event
Event Title
Start Time End Time
Event Route (attach map) =? j `,
Date of Event
Detour Route (attach map)
Law Enforcement A enc Res onsible for Traffic Control
Name of Agency )4 (Irk) C ITV L(' �_ r c_ c=
US Coast Guard Approval for Controlling Movable Bridge
Not Applicable
Copy of USCG Approval Letter Attached ❑
Bridge Location
The Permittee will assume all risk of and indemnify, defend and save harmless the State of Florida and the FDOT from
and against any and all loss, damage, cost or expense arising in any manner on account of the exercise of this event.
The Permittee shall be responsible to maintain the portion of the state road it occupies for the duration of this event, free
of litter and providing a safe environment to the public.
Event Coordinator
Law Enforcement
Name/Title r vi- ,cEc;' /7(.7t/_ �S4,) 77,f= 0,ef— Signature Date y
Signatures of Authorization
Signature
Date
Government Official
Name/Title !tom eu .,„ _,. •ta s �(JQO� f'
Signature
FOOT Special C ditions
FDOT Authorize
n
Name/Title
Signature _ _ Date
rr
APRROVED
Prior to any work requiring lane closures, rnobile operations or traffic pacing operations the contractor or
perrnittee shall submit a request to the Department that includes the time, location, and description of work being
performed. The lane closure request shalt be submitted to the Department a minimum of 2 weeks prior to the
proposed closure date and must be approved by the Department before work requiring the closure may begin n
within the FDOT Right of Way. https / /lcis.dot.state.fl.us/
Traffic Control shall comply with the Federal
Manual on Uniform Traffic Control Devices
(MUTCD) and FDOT Design Standards 600 Series
—
FDOT Authorize
n
Name/Title
Signature _ _ Date
rr
APRROVED
INDEMNIFICATION AGREEMENT
This AGREEMENT, by and between the CITY OF OKEECHOBEE, FLORIDA,
(hereinafter 'CITY") and
(hereinafter "APPLICANT"), dated this _ day of
WHEREAS, APPLICANT desires to hold or sponsor a special event, parade,
festival, or other activity requiring the temporary closure of a state-controlled
roadway in the City of Okeechobee, Florida, and therefore requires the execution
and submission of an application for such temporary closure to the State of Florida
Department of Transportation by the CITY pursuant to regulations of said
Department, and
WHEREAS, pursuant to Resolution No. 88-5 the CITY requires
indemnification by any applicant for temporary road closure before the appropriate
CITY officials may execute such application to the Department.
NOW, THEREFORE, in consideration of the mutual obligations and covenants
set forth hereafter, the parties agree as follows:
I. APPLICANT shall indemnify, protect, defend, and hold harmless the CITY
from any and all losses, injuries, damages, or claims of any nature or type
resulting directly or indirectly from the temporary road closure and the
special event, festival, parade, or other activity to be held on day of
„ . Applicant shall further reimburse the CITY for any
and all attorneys fees, court costs or other legal costs incurred by the CITY
as a result of any such losses, injuries, damages or claims.
2. If the APPLICANT is a corporation, partnership or other legal entity (other
than an individual), APPLICANT shall attach hereto a duly executed
resolution, partnership agreement or other document in legal form
evidencing the authority of the officers of such entity to enter into this
indemnification agreement.
3. Upon the APPLICANT complying with paragraph 2 above, the requirements
of Resolution No. 88-5 of the CITY, and any other reasonable requirements
of the CITY, the CITY shall cause the appropriate City officials to execute
the necessary forms to make application to the State of Florida,
Department of Transportation, for temporary road closure.
APPLICANT
BY:
TITLE:
CITY OF OKEECHOBEE, FLORIDA
BY:
• " 4
TITLE: ftt t
FOR CITY USE ONLY
Proof of liability insurance
Corporate resolution completed
Other requirements (specify)
BY: 0.-k
TITLE: t.
DATE: ;
'ainoa ape.ied
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OKEEMAI.01 SFISHER
A C:C.OR
CERTIFICATE OF LIABILITY INSURANCE I DATE (Mft/O0tYYYY
712812016
THIS CERTIFICATE - IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC- ATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) most be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Maury, Donnelly & Parr
24 Commerce St.
Balthnore, MD 21202
INSURED
Okeechobee Main Street
55 S. Parrott Avenue
Okeechobee, FL 34972
CONTACT
NAME:
PHOE
. N No eau (410) 685-4625
E-MAIL
ADDRESS:
FAX
(A/C No) (410) 685-3071
INSURER(S) AFFORDING, COVERAGE NA)C 0
INSURER A •Transportation Insurance Services, Inc 20494
INSURER Et
INSURER 0 :
INSURER 0
INSURER
NSURER 5.
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
FHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWTHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY 3E ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN i S SUBJECT TO AL I rHE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR A DUCTOBR i 7 POLICY EFF POLICY EXP I
LTR ..,.._ TYPE OF INSURANCE INSD WVD.1 POLICY NUMBER . iNIM/DO/YYYYJ IMM/00/YYYY1 I LIMITS
1 1 EA;I:B :(JL.JLHRENL:J., s 1,000,000
A X ! COMMERCIAL GENERAL LIABILITY _.,.
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' I CLAIMS MADt 1 ., C..t.t.. . 4025933977 07/0112016 07/01/2017 0.5:4M.A"71.71WIED J '1000,000
PPFMISES (Ea °endears:a) 0
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0E45 AGGREGATE LIMIT '0 155 PEP
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AUTOMOBILE IJABILir!
PPREONAI 5 AD$ !IOTA Ilia $ 1,000,000
,SFNERAL TCOPEIGA I E. $ 2,000,000
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DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (ACORD 101. Additional Remarks Schedule; may be attached if more space is requ)red)
CERTIFICATE HOLDER CANCELLATION
Department of Transportation
801 North Broadway Avenue
Bartow. FL 33831
ACORD 25 (2014/01)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
- --/
1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Jackie Dunham
From:
Sent:
To:
Cc:
Subject:
Attachments:
Jackie Dunham
Thursday, August 11, 2016 8:07 AM
Jayce Fitzwater (Jayce @okeechobeemainstreet.org); Brittany Carner
Lt. Hagan (opddonaldhagan @yahoo.com)
Top of the Lake Christmas Parade 2016
Christmas Parade 2016.pdf
Attached is your approved permit from FDOT for the upcoming Christmas Parade.
Jcwkle. D w ha wv
��rcxUve, Secv'eta,ry
City ofOkeeCho
55 SE Thi,rd Avevu e
Off, FL 34974
Te e,: 863-763-3372 e4c.t. 217
Fa-' 863 -763 1686
jdunhamiikityofokeechobee.com
Website: http: /'www.cityofokeechobee.com
NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure.
CITY OF OKEECHOBEE
FIRE PERMIT /INSPECTION
55 SE THIRD AVENUE
OKEECHOBEE, FL 34974
Tele: 863- 763 -3372 Fax: 863 - 763 -1686
Date Rec'd:
Date Issued:
Building Permit No.:
Fire Dept. No:
NOTE: To schedule inspections call 863 - 467 -1586
Applicant Name:
Street Address:
City, State and Zip:
Parcel ID No.:
Project Description:
Project Address:
Note: Inspections to be determined by
Fire Department
Phone No.:
Date Paid:
Amount Paid $ Receipt No:
DESCRIPTION
1
FEE
Check application required
Al
Site Plan Review -per submittal
$40.00
Site Plan Review Revisions -per submittal
$80.00
New Construction /Renovations /Additions
$0.05
per square foot
Fire Sprinkler /Standpipe Systems
$50.00
per system, per building up to 10,000
s.f. or portion thereof over 10,000 s.f.
Fire Alarm Systems
$50.00
per system, per building up to 10,000
s.f. or portion thereof over 10,000 s.f.
Smoke Evacuations Systems
$50.00
per system, per building up to 10,000
s.f. or portion thereof over 10,000 s.f.
Fire Suppression Systems (Hood /Paint Booths -per systen
$40.00
Ventilation Systems (Hood /Paint Booths) -per system
$40.00
Emergency Generator System -per system
$40.00
Fel Tanks, Underground Installations
$40.00
includes plan review, slab inspection &
anchoring
Fuel Tanks, Removal
$20.00
witness of tank removal required
Fuel Tanks, Above Ground
$40.00
includes plan review & inspection of
installation supports
Residential Alarm Registration
$15.00
Fire Pumps, Well, or Tanks
$35.00
INSPECTION FEES (CONSTRUCTION)
Fire Inspection
N/C (included w /plan review fees)
1st Re- inspection
$15.00
2nd Re- inspection
$30.00
3rd Re- inspection
$60.00
4th & Additional Re- inspections
$100.00
Non - compliance issues -per hour (4 hr. minimum)
$50.00
Note: All construction re- inspection and after - hour /weekend inspection fees shall be paid prior to inspection
ANNUAL /PERIODIC LIFE SAFETY INSPECTIONS
Commercial 1
Annual inspections /per 5,000 s.f.
$10.00
1st Re- inspection
$20.00
2nd Re- inspection
$40.00
3rd Re- inspection
$80.00
4th & Additional Re- inspections
$100.00
Non - compliance issues
Code Board
Residential Daycares /ALF /AFCH /Group Homes
$10.00
Residential Foster Homes I 1 1
$5.00