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Temp. Use Permit Pregnancy Center Open HousePermit Number: 16 -010 City of Okeechobee 55 SE Third Avenue Okeechobee, FL 34974 (863) 763 -3372 Temporary Use Permit Date(s) of Event: December 15 & 16, 2016 5:30pm- 9:OOpm Permit Expiration: December 16, 2016 11:59PM Purpose of Request: Annual Christmas Open House Property Owner: Chuck Royal Address: 324 SW 16th Street City: Belle Glade State: Florida Zip Code: 33430 Applicant: Pregnancy Center of Okeechobee Applicant's Address: 808 NE Park St., Okeechobee Phone Number: 863 - 467 -8748 Address of Project: 117 SE 8th Ave (Parking Lot) Current Zoning: Heavy Commercial (CHV) FLU Designation: Commercial (C) Subdivision: Unplatted Lands of the City Restrictions /Remarks: All debris must be removed upon final completion date. Cannot block egress for businesses Must maintain access to structure Contingent on access for Fire Department vehicles All electric must be safely grounded "No Smoking" signs must be posted around hay Fire Extinguishers must be present Requires field inspection by Fire Department contact 863 - 467 -1586 No tents, food vendors or generators will be used per Applicant. Owner understands and agrees to the following: X Issuance of a permit may be subject to other conditions and time limitations. X Issuance of a permit is not authorization to violate public or private restrictions. X Failure to comply with applicable regulations may result in withholding future permits. X Ther- - ay be additional permits required from other governmental entities. ) Applicant's Sig ture F:.ORD.716, Temporary Structures Date: / /c3lfh6 Date: November 30, 2016 CITY OF OIKEECHOBEE General Services Department, Room 101 55 Southeast 3rd Avenue Okeechobee, FL 34974 • 863- 763 -3372 ext. 219 Fax: 863 -763 -1686 • � �I =0 �_ „ ~-, —_ . , 0 0 ,::.FF�'.y DATE RECEIVED: _ DATE ISSUED: I I - 11-'.-.j (1 11-30 1 t, . 3 V 6 0 t k ,, Y"` n.3:e �, I S, ...: ��:.. $4,' APPLICATION NO (I- ^ DATE(S) OF EVENT: 1 U - it I © 4 li / / ` 6 - / �/i�/ Jh' FEE: $175.00 DATE PAID: aaQ` If Non-Profit/Civic Organization /j/ Pager: 5 ; 30 .. C}%c TEMPORARY USE PERMIT APPLICATION ORES (SEC 666 APPLICANT I Name of Property Owner(s):.' (J1 U /l K HO c/a_ / Future Land Use Map Designation: __ , V. •, ZS- Current Zoning Designation: C k \j Address: 2, S W l 4 h 51L . -� / /�� l e.; acI e, F- 1. 3 V 6 0 LL Telephone Numbers: Home: Work: s6I- qql' -6 oblle /Cell: Pager: / Name of Applicant: Pia_ ri ay? G Cui/et t cK &, M cbee- South: Re,5;(,�e,rTiG�( West: d2�}0,‘ bu_N,f`FSS Address: `ACS /CSC Pre 1. okz r1. 3 X 77 Telephone Numbers: Home: Work: 40-116 Mobile /Cell: Pager: hereby certify that the information on this application is correct. The informa on n City of Okeechobee in processing my request. False or misleading information may be punishable by a fine of up to $500.00 and imprison t of up to thirty days and may result in the summary denial of this application. ;1, / ////44, Date iature of Applicant City Staff (Please review the application, attach co nd /or State License Verification: C ALDT "ZLOC'' - E,r4S ?2n.. (Must' ,w as Aeee� �v s re._ c:Erica_ - SAM M �`' . rJ./a d$ .5 tam a�....,.c HAv frro ate" A L 3 J r+c>�n�u�.s.f� T. ...tr..) -';. �►s�tc�to.. ments or s p eclat conditions): Fire Department Approval: Av,y reAfS o,L Public Works Department Ap Building Inspector App oval: City Administrator Approval: Revised 2/1/08131c G fvL(�QQ_ Date: Date: Date: it Date: // -, Date: v► •ZI ,IL Datet // /( b PROPERTY I) Future Land Use Map Designation: __ , V. •, ZS- Current Zoning Designation: C k \j Legal Description of Property: s L� .a Mi j E h In Art D$ Cl F -114G e- i I i Sri A Address of Property: , : ! , - - (1 1 s e 53-rick V L:. Please Explain Type of Use: 1 % ✓e /4 /d,�t v/ /y • Briefly describe use of adjoining property: East: �C�j(1 S North: �a.5i t)evc A1- Q,ter Pvr � South: Re,5;(,�e,rTiG�( West: d2�}0,‘ bu_N,f`FSS Other temporary structures subject to the following regulations: 1. Christmas tree, fireworks and similar seasonal sales operated, by a non- profit organization. 2. Carnival, circus, fair or other special event operated by a non - profit organization on or abutting their principal use. " • 3. Commercial carnival, circus or fair In commercial or Industrial districts. 4. Similar temporary structures where the period of use will not exceed 30 days a year. The applicant shall: 1. Submit proof of liability insurance, paid In full covering the period for which the permit is issued, in the minimum amount of $1,000,000.00 per occurrence. 2. Remove all debris within 48 hours of expiration of permit 3. Have notarized written permission of property owner, if applicant Is notthe property owner. 4. Submit Site Plan * . 5. Submit State inspection Certificate(s) 5. Submit State Annual Permit' • tl 1 eluded in this application is for use by the hereby certify that the information on this application is correct. The informa on n City of Okeechobee in processing my request. False or misleading information may be punishable by a fine of up to $500.00 and imprison t of up to thirty days and may result in the summary denial of this application. ;1, / ////44, Date iature of Applicant City Staff (Please review the application, attach co nd /or State License Verification: C ALDT "ZLOC'' - E,r4S ?2n.. (Must' ,w as Aeee� �v s re._ c:Erica_ - SAM M �`' . rJ./a d$ .5 tam a�....,.c HAv frro ate" A L 3 J r+c>�n�u�.s.f� T. ...tr..) -';. �►s�tc�to.. ments or s p eclat conditions): Fire Department Approval: Av,y reAfS o,L Public Works Department Ap Building Inspector App oval: City Administrator Approval: Revised 2/1/08131c G fvL(�QQ_ Date: Date: Date: it Date: // -, Date: v► •ZI ,IL Datet // /( b Jackie Dunham From: Herb Smith Sent: Monday, November 28, 2016 1:50 PM To: Jackie Dunham Cc: Sue Christopher Subject: Re: Live Nativity no, I have very short time to get my new engine on the agenda so its priority today so I will attempt to have it done tomorrow. It will be approved but I will include contingencies that should not be an issue for them to fulfill. If they feel they don't want to advertise it is on them. Thanks From: Jackie Dunham Sent: Monday, November 28, 2016 12:23 PM To: Herb Smith Cc: Sue Christopher Subject: Live Nativity Chief, just wondering if you had signed my Temporary Use Permit for the Pregnancy Center yet? They want to advertise it in the newspaper but they don't want to do that until they know it will be approved. Ja ck ie Du,rtha nv A clittim.i4tratiNeSecretcwy Cray of Okeecho -1 55 SE Thi,rd, Avenue. Okeechobee, EL 34974 Teri' 863 - 763 -3372 ext. 217 Fagc/' 863-763-/686 j dunham(ai cityofokeechobee. com Website: http: / /www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. 1 Jackie Dunham From: Jackie Dunham Sent: Friday, November 18, 2016 1:39 PM To: Herb Smith; David Allen; Major Peterson; Jeff Newell Cc: Robin Brock; Marcos Montes De Oca Subject: Live Nativity Royal's Plaza Attachments: Live Nativity Royal's Plaza.pdf I'm attaching a portion of the Temporary Use Permit I have received from the Okeechobee Pregnancy Center requesting to use a portion of the parking lot at Royal's Plaza for a live Nativity during their Open House on December 15th and 16th from 5:30P to 9:00P. An email is included from Heath Lawrence who is on their Board for assistance in understanding how they plan to construct the corral. Once you have reviewed please stop by my desk to approve by signature. Thank you. Jc ck�,ei Dw hilt i. Adtratwe-Secreta.ry City of okeecholse. 55 SE 7hixol.Aven,ue/ Off, EL 34974 rote,: 863-763-3372 east: 217 ram' 863-763-/686 jdunham@cityofokeechobee.com Website: http: / /www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. i Jackie Dunham From: Heath Lawrence <heath @lawrenceins.com> Sent: Friday, November 18, 2016 1:03 PM To: Jackie Dunham Subject: Nativity Scene The Pregnancy Center of Okeechobee has asked to use my children's show animals to help give a special touch to the Nativity, we are planning on constructing a pen made out of wood post placed in each corner, then using 2x4 to make a 3 board fence with 8 inch spacing. This will provide the need protection for the animals to be safe and secure. We also plan on having the pen fastened to the trailer. At the end of each night I will take the animals back home for their security. If anyone has individual questions for me please call my cell at 863 - 634 -8742. Thank you for your help bring this live nativity to Okeechobee. Heath Lawrence Lawrence Insurance 2020 South Parrott Ave Okeechobee, FL 34974 863 - 467 -0600 main 866 - 302 -7838 toll free 863 - 467 -5142 fax www.lawrenceinsuranceagency.com - Atli A A E 1.11m g S GAS AS LI !4 Si,nw An 114 IS. Auto 1 Home 1 Renters I Motorcycle 1 Boat 1 Motorhome 1 Flood Personal Umbrella 1 Business 'Contractors 1 Farm 1 Life Like what I'm doing? Recommend me, t 51-1-- on -tor or part<rh Jaij ai•d_ --t hor5e, r cui4tr 3 -knce. -6 ho id ------- ct, 11,4_1614J-ors • sa.6te-3 S6E. ATTALI4gi 'D;AGR AR. ��. v Okeechobee County Property Appraiser - Map Printed on 11/11/2016 3:20:46 PM Page 1 of 2 2-22-37-35-0A00-00013-A000 ROYALS 0 K LUNCH INC 5.481AC 3;1,`1970- $16.,000 -t G Okeechobee County Property Appraiser W.C. 'Bill' Sherman, CFA - Okeechobee, Florida - 863- 763 -4422 ARCEL: 2- 22- 37- 35 -0A00- 00013 -A000 - COMMUNITY (001600) UNPLATTED LANDS OF THE CITY COM AT NE COR OF GOVT LOT 3 IN SEC 22 RUN S ON E BDRY OF GOVT LOT 3 23.04 FT TO S BDRY OF RD 70 THENCE CONT SOUTH 73 FT FOR POB RUN S ON E BDRY OF GOVT LOT 3 456.17 FT TO SE COR OF GOVT LOT 3 RUN S 73 DEG 51 MIN 22 SEC W ON S BDRY OF GOVT LOT 3 WHICH IS ALSO HOPKINS M/L 617.09 FT TO E BDRY OF RIVERVIEW DRIVE THENCE RUN NRLY ON E BDRY OF RIVERVIEW DRIVE 678.7 FT MORE OR LESS 0 S BDRY OF STATE RD 70 THENCE RUN E ON S BDRY OF STATE RD 70 281.4 FT THENCE RUN S 83 FT THENCE E 100 FT TO POB, SECTION 22, TOWNSHIP 37 SOUTH, RANGE 35 EAST. TOGETHER WITH THE FOLLOWING: UNPLATTED LANDS OF THE CITY BEG AT INTERSECTION OF E BDRY OF GOVT LOT 3 AND S RTY LINE OF RD 70 RTY LINE BEING 60 FT FROM CENTER LINE MEASURED AT RT ANGLES RUN S ALONG E BDRY LINE OF LOT 3 73 FT W P/L TO S RTY LINE OF RD 70 100 FT N P/L TO E BDRY OF GOVT LOT 3 73 FT E ALONG S RTY LINE OF RD 70 100 FT TO POB, SECTION 22, TOWNSHIP 37 SOUTH, RANGE 35 EAST. 5.32 ACRES Name: ROYALS O K LUNCH INC LandVal $731,080.00 Site 117 SE 8TH AVE, OKEECHOBEE BldgVal $1,224,428.00 324 SW 16TH ST ApprVal $2,123,475.00 Mail: BELLE GLADE, FL 334302824 JustVal $2,123,475.00 Sales Assd $2,123,475.00 Info Exmpt $0.00 1 i 1 d 76 152 228 ft http:// www. okeechobeepa.com /gis /Print_Map. asp? pjboiibchhjbnligcafcefocnfkfdfefdbblejngbckcicnkcfaomkl ... 11/11/2016 Detail by Entity Name Page 1 of 3 'Ft OE:II):1DEl,•\Ri 11 D - ON Or CORPOR IONS a DIVISION Of 'k.i CORPORATIONS ne, nor i;;l Stare' cI F1Oriria ire t,Sire Department of State / Division of Corporations / Search Records / Detail By Document Nu r / Detail by Entity Name Florida Not For Profit Corporation PREGNANCY CENTER OF OKEECHOBEE, INC. Filing Information Document Number N07000004109 FEI /EIN Number 33- 1164762 Date Filed 04/23/2007 State FL Status ACTIVE Principal Address 808 NE PARK STREET OKEECHOBEE, FL 34972 Changed: 02/13/2014 Mailing Address 808 NE PARK STREET OKEECHOBEE, FL 34972 Changed: 02/13/2014 Registered Agent Name & Address LUMPKIN, LISA R 808 NE PARK STREET OKEECHOBEE, FL 34972 Name Changed: 04/06/2016 Address Changed: 02/13/2014 Officer /Director Detail Name & Address Title PD WATFORD, CHERI 701 NE 5TH STREET OKEECHOBEE, FL 34972 Title DS MATTHEWS, KAREN httn•//cparch sunhi7,. org/ Inauirv/ CornorationSearch/ SearchResultDetail ?inquirytype= Entit... 11/17/2016 Bryan Royal From: Eric Royal Sent: Wednesday, November 16, 2016 To: Bryan Royal Subject: Pregnancy Center of Okeechobee -Live Nativity To Whom it may concern: The owners of the North Shore Plaza in Okeechobee hereby grant permission to The Pregnancy Center of Okeechobee to use the premises for a Live Nativity on December 15 -16, 2016. Should you have questions or concerns, please feel free to contact me. Thank you, Eric Royal Royal's Ok Lunch Inc. 324 SW 16th Street, Belle Glade, FL 33430 eric @royalsinc.com Legal Description and Aerial — North Shore Plaza UNPLATTED LANDS OF THE CITY COM AT NE COR OF GOVT LOT 3 IN SEC 22 RUN S ON E BDRY OF GOVT LOT 3 23.04 FT TO S BDRY OF RD 70 THENCE CONT SOUTH 73 FT FOR POB RUN S ON E BDRY OF GOVT LOT 3 456.17 FT TO SE COR OF GOVT LOT 3 RUN S 73 DEG 51 MIN 22 SEC W ON S BDRY OF GOVT LOT 3 WHICH IS ALSO HOPKINS M/L 617.09 FT TO E BDRY OF RIVERVIEW DRIVE THENCE RUN NRLY ON E BDRY OF RIVERVIEW DRIVE 678.7 FT MORE OR tESSTO -S BDRY OF STATE RD 70 THENCE RUN E ON S BDRY OF STATE RD 70 281.4 FT THENCE RUN S 83 FT THENCE E 100 FT TO POB, SECTION 22, TOWNSHIP 37 SOUTH, RANGE 35 EAST. TOGETHER WITH THE FOLLOWING: UNPLATTED LANDS OF THE CITY BEG AT INTERSECTION OF E BDRY OF GOVT LOT 3 AND S RTY LINE OF RD 70 RTY LINE BEING 60 FT FROM CENTER LINE MEASURED AT RT ANGLES RUN S ALONG E BDRY LINE OF LOT 3 73 FT W P/L TO S RTY LINE OF RD 70 100 FT N P/L TO E BDRY OF GOVT LOT 3 73 FT E ALONG S RTY LINE OF RD 70 100 FT TO POB, SECTION 22, TOWNSHIP 37 SOUTH. RANGE 35 EAST. 5.32 ACRES t ® � `.I CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD IYYYY) 11/16/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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) must 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 Inc. . Patriot Insurance Agency, PO Box 1298 Sonoita AZ 85637 -1298 CONTACT Erika Hill NAME: HONE (520) 455 -9252 (A/C, No): (520) 455 -9358 (A/C, No. Ext): ADDRless:ehill @patriot- insurance.com INSURER(S) AFFORDING COVERAGE NAIC # INsuRERA:Spirit Mountain Ins Co RRG Inc INSURER B : 10754 INSURED Pregnancy Center of Okeechobee 808 North East Park Street Okeechobee FL 34972 INSURER C : SMIC- LPP2016- CPP109 RETRODATE: 11/19/2010 INSURERD: 7/1/2017 INSURER E : $ 1,000,000 INSURERF: $ 100,000 • GUVtKAULO t.rt 11rwn I I- •vnw..Is. - - --- - -. - • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF .SUCH POLICIES. LIMITS SHOWN, AO rOAVE.BFEN REDUCED BY PAID CLAIMS,. .. , _ ..... _. _...._,. . ,.., -,,:,,, -�,-..,, - , INSR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM /DDYYY) POLICY EXP (MM /DD/YYYY) LIMITS LTR A X COMMERCIAL GENERAL LIABILITY X SMIC- LPP2016- CPP109 RETRODATE: 11/19/2010 7/1/2016 7/1/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 X CLAIMS -MADE OCCUR MED EXP (Any one person) $ 0 X PROF. LIABILITY INCLUDED PERSONAL & ADV INJURY $ 1,000,000 X DED: $2500 GENERAL AGGREGATE $ 3,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PRO- PER: LOC PRODUCTS - COMP /OPAGG $ 1,000,000 Professional Liability $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION N / A _ I STATUTE I I OERH AND EMPLOYERS' LIABILITY Y 1 N E.L. EACH ACCIDENT $ ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED'? E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EVENT: Live Nativity held on 12/15/2106 & 12/16/16. CERTIFICATE HOLDER Royal's OK Lunch, Inc. 324 SW 16th Street Belle Glade, FL 33430 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 Erika Hill /EEH ACORD 25 (2014/01) INS025 (9014(111 ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMENTS /REMARKS CERTIFICATE HOLDER TO BE NAMED AS ADDITIONAL INSURED UNDER THE ABOVEPOLICY BUT ONLY AS THEIR INTERESTS MAY APPEAR AND ONLY WITH RESPECT TO THE OPERATIONS OFTHE NAMED INSURED. NOTICE:THIS CERTIFICATE OF INSURANCE IS BASED ON POLICY COVERAGE ISSUED BY SPIRIT MOUNTAININSURANCE COMPANY RISK RETENTION GROUP, INC., TO ALL MEMBERS OF THE INTERNATIONALASSOCATION OF THE COMMUNITY SERVICES ORGANIZATIONS. SPIRIT MOUNTAIN INSURANCE COMPANYRISK RETENTION GROUP MAY NOT BE SUBJECT TO ALL OF THE INSURANCE LAWS AND REGULATIONS OFYOUR STATE. STATE INSURANCE INSOLVENCY GUARANTY FUNDS ARE NOT AVAILABLE FOR SPIRIT MOUNTAIN INSURANCE COMPANY RISK RETENTION GROUP 0FREMARK COPYRIGHT 2000, AMS SERVICES INC. Detail by Entity Name Page 2 of 3 442 SE 35TH TERRACE OKEECHOBEE, FL 34974 Title TD HELTON, DONNA L 393 SW 77TH TERR OKEECHOBEE, FL 34974 Title D JEFFERS, CATHERINE 505 SW 9TH ST OKEECHOBEE, FL 34974 Title D RUCKS, HEATHER 2240 NW 144TH DRIVE OKEECHOBEE, FL 34972 Title Director Royal, Bryan 6685 SW 86th Terrace Okeechobee, FL 34974 Title Director DeCarlo, Frank 405 SW 2nd St Okeechobee, FL 34974 Title Director Reno, Kyle 405 SW 2nd St Okeechobee, FL 34974 Title Director Garcia, Trini 1500 SW 32nd St Okeechobee, FL 34974 Title Director Tumoszwicz, Ernie 4925 NE 115th Place Okeechobee, FL 34972 Annual Reports Report Year Filed Date http: // search. sunbiz. org / Inquiry /CorporationSearch/ SearchResultDetail ?inquirytype = Entit... 11 /17/2016