Temp. Use Permit - More 2 Life BBQCity of Okeechobee
55 S.E. 3rd Avenue
Okeechobee, Florida 34974
(863) 763 -3372
Temporary Use Permit
Permit Number: 17 -003 Date(s) of Event: April 28, 2017 10:30AM- 1:30PM
Permit Expiration: April 28, 2017 11:59PM
Purpose of Request: Barbeque Fundraiser- Mission Fund
Property Owner: Royal's OK Lunch Inc.
Address: 324 SW 16th Street
City: Belle Glade State: Florida Zip Code: 33430
Applicant: More 2 Life Ministries Applicant's Address: 605 SW Park St. Ste 214 Okeechobee
Phone Number: 863 - 634 -7051 Address of Project: 117 SE 8th Avenue
Current Zoning: Heavy Commercial (CHV) FLU Designation: Commercial (C)
Subdivision: Unplatted Lands of the City of Okeechobee
Restrictions /Remarks: All debris must be removed upon final completion date.
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 There may be additional permits required from other governmental entities.
Applicant's Sig ture
Pa'fy M. 61A-rfr e>f e/
General Services Coordinator
REF: .ORD.716, Temporary Structures
Date: o qi
Date: April 26, 2017
a1 // 7
CITY OF OI�EECHOBEE
General Services Department, Room 101
55 Southeast 3rd Avenue
Okeechobee, FL 34974
e• 863 - 763 -337 ext 2t? Fax: 863 -763 -1686 •
TEMPORARY USE PERMIT APPLICA
APPLICANT ,I
Name of PropertyOwner(s): . 071,i de ROiQ/ r0 1a.t 01< inc_
DATE RECEIVED: !.-1_ I C , "i DATE ISSUED: 6.10Aa 02(x, .. Uf 7
Telephone Numbers: Home: Work: 5" -, 64/4.- Mobile /Cell: Pager:
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APPLICATION NO: ( (7 06 DATE(S)OF EVENT: l f„ /'l
cy7 -
FEE: $175.00 _ DATE PAID: �/ <�% , d� — / 30
o,% If Non - Profit/Civic Organization / R'
" "' °'.
TEMPORARY USE PERMIT APPLICA
n Included in this application is for use by the
hereby certify that the information on this application Is correct. The In orma o
City of Okeechobee in processing my request. False or misleading Information may be punishable by aline of up to $500.00
and Imprisonment o up to thirty days and may result in the summary denial of this application. •
% /-
Daty / ,
i6n'atul of A ant
City Staff (Please review the application, attach comments or special conditions):
Occupational and /or State License Verification:
Fire Department Approval:
Police Department Approval:
Public Works Department Appr
Building Inspector Approval:
City Administrator Approval:
Aavlsed?11 /oB blc
Date:
Date: at' 5,11
Date:
Date:
Date:4, 2P 47
Date: ci/.2 / 1-
APPLICANT ,I
Name of PropertyOwner(s): . 071,i de ROiQ/ r0 1a.t 01< inc_
rLunch
Address: 3:•I `/ SW /6„ fh SI- . ��i/ 6` dI t�r . 3 &7•.:?6
Telephone Numbers: Home: Work: 5" -, 64/4.- Mobile /Cell: Pager:
Name of Applicant: /Vlore 2_ //-fie /I; j/n / J-r f eS
Address: %D5 5W Ptrif 5/. ,37e )!`f eeChoke / FI. 3-Q 7�
/o Pager:
Telephone Numbers: Home: Work: V7-0 79 Mobile /Cell: lG 3`�_w5 /
zr
n Included in this application is for use by the
hereby certify that the information on this application Is correct. The In orma o
City of Okeechobee in processing my request. False or misleading Information may be punishable by aline of up to $500.00
and Imprisonment o up to thirty days and may result in the summary denial of this application. •
% /-
Daty / ,
i6n'atul of A ant
City Staff (Please review the application, attach comments or special conditions):
Occupational and /or State License Verification:
Fire Department Approval:
Police Department Approval:
Public Works Department Appr
Building Inspector Approval:
City Administrator Approval:
Aavlsed?11 /oB blc
Date:
Date: at' 5,11
Date:
Date:
Date:4, 2P 47
Date: ci/.2 / 1-
xOther t
Future Land Use Map Designation: (1/4... • Current Zoning Designation: (t, H 1
Legal Description of Property: Coil purled Lax s
' `' I' to e dd2v bee, F- f . EFT .E. 9 iii
Address of Property: ��`rt �,�. t�� v �
��°++
Please Explain Type of Use: 6130 A j dral set 1M! 5 s' onS 7-iu?d
Briefly describe use of adjoining property: '
North: (nobilc- MMe Park East: �Om nit r',1(L) 13GtStrf32 •
South: lie:. ;�'.�,k i rJ_ • -z -np. West: �Idol inr 1 Bi sir"YseS
temporary structures subject to the following regulations:
f tl n
hereby certify that the information on this application Is correct. The In orma o
City of Okeechobee in processing my request. False or misleading Information may be punishable by aline of up to $500.00
and Imprisonment o up to thirty days and may result in the summary denial of this application. •
% /-
Daty / ,
i6n'atul of A ant
City Staff (Please review the application, attach comments or special conditions):
Occupational and /or State License Verification:
Fire Department Approval:
Police Department Approval:
Public Works Department Appr
Building Inspector Approval:
City Administrator Approval:
Aavlsed?11 /oB blc
Date:
Date: at' 5,11
Date:
Date:
Date:4, 2P 47
Date: ci/.2 / 1-
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
5.481 AC 131111970 - $16,000 - V,C1
230
CC
s W d
Okeechobee County Property Appraiser
W.C. "Bill' Sherman, CFA - Okeechobee, Florida - 863 -763 -4422
PARCEL: 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
TO 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 0 K LUNCH INC LandVal $731,080.00
Site' 117 SE 8TH AVE, OKEECHOBEE BldgVal $1,224,428.00
Mail: 324 SW 16TH ST ApprVal $2,123,475.00
BELLE GLADE, FL 334302824 JustVal $2,123,475.00
Sales Assd $2,123,475.00
Info Exmpt $0.00
0 76 152 228 ft
httn://www.okeechobeena.com/vis/Print Man acn7nihniihrhhihnliarafrPfnrnflrfflf f,1L,1,1o;.,,.t.,L,.;,. „1,..F ,...,1,1
11 /11 /1111L
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
ONE BOR,Y.O'F RIVERVIEW s7(3.7 . T MOI4E
BDRY OF STATE RD 70 THENCE RUN E ON S BDR OR-LESS
F STATE TO S
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 TOE BDRY OF GOVT LOT 3 73 FT E
ALONG S RTY LINE OF RD 70100 FT TO POB, SECTION 22,
TOWNSHIP 37 SOUTH. RANGE 35 EAST. 5.32 ACRES
MORE2 -1
OP ID: S2
AC'C►RE,
1/4.-„_- CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDri YY)
04114/2017
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
Prltchards & Associates, Inc.
1802 S Parrott Ave
Okeechobee, FL 34974 -6179
Lowell H Pritchard
CONTACT
NAME: Sandy Hines
PHONE _.. FAX
(AJC. No, Ectj: 863- 763 -7711 1 (Arc, No): 863- 763 -5629
ADDRESS: shines @pritchardsinc.com
INSURER(S) AFFORDING COVERAGE
INSURER A : Auto Owners Insurance Co.
NAIC O
18988
INSURED More 2 Life Ministries, Inc.
605 SW Park St Ste 214
Okeechobee, FL 34972
INSURER B: Florida Citrus, Business & Ind
INSURERC : American States Insurance
INSURER D :
19704
INSURER E :
COMMERCIAL GENERAL
INSURER F
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
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 MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
'ADUL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
(MMIDDNYYY)
POLICY EXP
(MM /DDNYYY)
LIMITS
C
X
COMMERCIAL GENERAL
LIABILITY
<' - :
25CC38518120
11111/2016
11/11/2017
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1,000,000
1,000,000
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AUTOMOBILE
LIABILITY
1
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BUSINESS
5049898900
10/06/2016
10/06/2017
DINE_ IE -� II 1. LE L *:R-
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300,000
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UMBRELLA LIAB
EXCESS LIAB
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EiFT
B
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY Y r N
,» z r ('� f Far./ .fT - '= R � I11 a- -
TT ILTVEt -GC ELIEC
(Mandatory In NH) _.
If -ro L '11t1
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NIA
106-44532
04/01/2017
04/01/2018
i F I (F !
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Property Section
25CC38518120
11/11/2016
11/11/2017
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required)
Certificate holder is listed as Additional Insured in regards to Form
CG7635.
CANCELLATION
ROYA -12
Royals Ok Lunch, Inc.
Y
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
Q X i.+ n
ACORD 25 (2014/01)
@ 1988 -2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Po
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Permission letter
Eric Royal <eric @royalsinc.com>
To: okeepregcenter @yahoo.com
To whom it may concem,
Page 1 of 2
Lisa Home
You can earn
This email is granting permission for M2L Ministries - Missions to use the North Shore Plaza parking
lot facilities in Okeechobee, FL, for a BBQ on 4/28/17.
• 808 E N Park St., Okeechobee, FL, 34972
Eric Royal
Royal's OK Lunch Inc.
324 SW 16`h St., Belle Glade, FL 33430
561 - 996 -6581 x 105
eric(cilroy a l si n c. co m
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Exempt Organizations Select Check
IRS
Exempt Organizations Select Check
Organizations Eligible to Receive Tax - Deductible Charitable Contributions (Pub. 78 data) - Search Results
The following list includes tax - exempt organizations that are eligible to receive tax - deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of
limitations on the deductibility of contributions made to different types of tax - exempt organizations.
Results are sorted by EIN. To sort results by another category, dick on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort
order. Click on a column heading for an explanation of information in that column.
Page 1 of 1
Exempt Organizations Select Check Horne
1 -1 of 1 results
EIN
20- 2645914 More 2 Life Ministries Inc.
Leal Name (Doing Business As) ■
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https: // apps.irs.gov/ app /eos /pub78Search.do ?ein1 =20- 2645914 &names = &city= &state = All... 4/21/2017
INTERNAL REVENUE SERVICE
P. O. BOX 2508
CINCINNATI, OH 45201
Date:
Nov 0 9 2006
MORE 2 LIFE MINISTRIES
195 SW 28TH ST
OKEECHOBEE, FL 34974
DEPARTMENT OF THE TREASURY
Employer Identification Number:
20- 2645914
DLN:
17053262028016
Contact Person:
GREGORY S PAJDA ID# 31533
Contact Telephone Number:
(877) 829 -5500
Accounting Period Ending:
December 31
Public Charity Status:
170(b) (1) (A) (i)
Form 990 Required:
No
Effective Date of Exemption:
March 9, 2005
Contribution Deductibility:
Yes
Dear Applicant:
We are pleased to inform you that upon review of your application for tax
exempt status we have determined that you are exempt from Federal income tax
under section 501(c)(3) of the Internal Revenue Code. Contributions to you are
deductible under section 170 of the Code. You are also qualified to receive
tax deductible bequests, devises, transfers or gifts under section 2055, 2106
or 2522 of the Code. Because this letter could help resolve any questions
regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501(c)(3) of the Code are further classified
as either public charities or private foundations. We determined that you are
a public charity under the Code section(s) listed in the heading of this
letter.
Please see enclosed Information for Exempt Organizations Under Section
501(c)(3) for some helpful information about your responsibilities as an exempt
organization.
Sincerely,
Lois G. Lerner
Director, Exempt Organizations
Rulings and Agreements
Enclosures: Information for Organizations Exempt Under Section 501(c)(3)
Letter 947 (DO /CG)