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Temp. Use Permit - More 2 Life BBQ for YouthCITY OF OKKEECHOBEE General Services Department, Room 101 55 Southeast 3rd Avenue Okeechobee, FL 34974 e: 863- 763 -3372 ext. 217 Fax: 863 - 763 -1686 • TEMPORARY USE PERMIT APPLICATION URES (sac 666 APPLICANT I ,mom • • ' DATE RECEIVED: Lt / i .3 j •7 DATE ISSUED: , _ f -7 Name of Applicant: l t 1 pt t 1 L. N ,r..14 r e v T 11 L. • ,j•" r`'���'wo APPLICATION No DATE(S) OF EVENT: (% ? / 7 ,/y, FEE: 175.4 N /A DATE PAID: r4- .T If Non-Profit/Civic Organization TEMPORARY USE PERMIT APPLICATION URES (sac 666 APPLICANT I Name of Property Owner(s): . V 9 Ty) S k L \'‘h 6,11 1-11 L Address: \% S E CZ-k\' poi i Q k kk G\A kk. F L ? L.) V7 LI Telephone Numbers: Home: Work: Mobile /Cell: Pager: Name of Applicant: l t 1 pt t 1 L. N ,r..14 r e v T 11 L. • J Address: C 3 .S'\,.► VQf\ 54 cl..k STF 21`) CAk.k1106k■ 1--"L 3�°t92. Telephone Numbers: Home: Work: sO- `i4,- Olt Moblle /Cell: (3-1%1 -117 )Pager: L hl aOther w a. O cc a, h n • Iv r. /n Nr /4•� ., a.. - • r Future Land Use Map Designation: Current Zoning Designation: C. i� V Legal Description of Property: (,Lm pi., i TL p i„ A 4 D 5 • Address of Property: 4 1r , E cal Ad E-; Please Explain Type of Use: d �r F'u DA4 ; E k — \/o t,t,� DLL. P Briefly describe use of adjoining property: .. North: k0 61 h_L l -�7ttE pAAl'i East: �O A.Erc t 4 I BSS; elc'SS South: dct:.6, D�,� i i -4 t i-.1r�me. 5 West: C 0,- /mc,AL;,A ( xs : n e s5 . 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 46 hours of expiration of permit 3. Have notarized written permission of property owner, If applicant is not•the property owner. 4. Submit Site Plan 5. Submit State inspection Certificate(s) ' 6. Submit State Annual Permit in this a lication is for use by the hereby certify that the information on this application is correct. The ,....,....—..,-.-1-1,,,I-4 nc pp City of Okeechobee in processing my request. False or misleading information may be punishable by afine of up to $500.00 and isonment of p to thirty days and may result in the summary denial of this application. • )3/ `7 Signatu - of Applican City Staff (Please review the application, attach comments or special conditions): Occupational and /or State License Verification: 01/ b VI Date Date: 6/15//7 ry,o & Dav1±R ikaa � .,. ytn Police Department Approval: ;szcs AppileCAt.. Z,,,_ Building Inspector Approva • City Administrator Approval: Ravlsad.211 /09 blc Date: G / /s1 7 Date Date: t -Jo-1 Date: Date:6z. ' 1 r? Date: /.712,//7_ City of Okeechobee 55 S.E. 3rd Avenue Okeechobee, Florida 34974 (863) 763 -3372 X9821 Temporary Use Permit Permit Number: 17 -005 Date(s) of Event: June 30, 2017 3AM -4PM Permit Expiration: June 30, 2017 11:59PM Purpose of Request: Barbeque Fundraiser- Youth Group 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 - 467 -0796 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. Date: G /67) / Applicant's Signature JatA<Le, ima.kaArvt, Date: June 20, 2017 Administrative Secretary REF: .ORD.716, Temporary Structures /17 3G Fill 4 v t Okeechobee County Property Appraiser Miekey 1,, Banal, Appraiser Parcel: <‹ 2-22-37-35-0A00-00013-A000 » Aerial Viewer Pictometery Google Maps Owner & Property Info • 2015 2014 2011 Result: 1 of 1 ROYALS 0 K LUNCH INC Owner 324 SW 16TH ST , .-r. BELLE GLADE, FL 334302824 .-., 1 , Site 117 SE 8TH AVE, OKEECHOBEE '''' - 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 "P# ' r — Description 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 BD ...more>» Page 1 of 2 2016 Tax Roll Year updated: 6/1/2017 2009 2005 Sales *- a* as Area 5.481 AC SfT/R 22-37-35 COMMUNITY Use Code Tax District 50 (001600) The Description above is not to be used as the Legal Description for this parcel in any legal transaction. The Use Code is a Dept. of Revenue (DOR) code. Please contact the e *4, = Okeechobee County Planning & Development office at 863-763-5548 - for specific zoning information. i* %.61 - 4 4,n - Property & Assessment Values ,- .... i.....: . — - ..... 2015 Certified Values 2016 Certified Values . — . 74 ' 4..t - Lu fl: - ', < .■ - v4.. Mkt Land (3) -- $549,907 Mkt Land (3) $731 Ag Land (o) $0 Ag Land (o) ., 4 -4 W,.„ :1- „ — ,■;:•, 4.,,,, 1, "'es°,,„.,, - Building (5) $1,204,173 Building (5) i $1,224 XFOB (15) $167,967 XFOB (15) --t,------- $167 , -.. Just $1,92Z047 Just I $2,123! aut. Class $0 Class Appraised $1,922,047 Appraised , $2,123 4 Exempt 1 $0 Exempt I Assessed $1,922,047 Assessed $2,123 county:$1,650,000 county:$1,815 * Total city$1,650,000 Total city:$1,815 4. ' ' Taxable other:$1,650,000 Taxable other:$1,815 school:$1,922,047 schooi:$2,123 ' ' ''' Sales History Sale Date Sale Price Book/Page Deed V/I 3/1/1970 $16,000 123/0073 WD i V 3/1/1970 $35,000 118/0645 WD --4 1 ; V A . Quality (Codes) RCode Q Q Building Characteristics Bldg Sketch Bldg Item Bldg Desc Year Bit Base SF , -- Sketch 1 RES F/FOOD (005700) 1971 2376 Sketch 2 NBHD CENTR (003800) 1971 26439 t Sketch ! 4 STORE RETL (003500) 1971 r 17695 "-- Sketch 5 FOOD MARKT (003900) 1971 i 9820 Sketch 6 NBHD CENTR (003800) 1971 ` 9800 13928 Actual SF Bldg Value 3136 $141,378 30514 $449,942 21693 $283,981 11464 $169,276 $179,851 http://ap2.okeechobeepa.com/gis/recordSearch 3 Details/ 6/13/2017 AAORO CERTIFICATE OF LIABILITY INSURANCE MORE2 -1 OP ID: S2 DATE (MM /DD/YYYY) 06/13/2017 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 Pritchards & Associates, Inc. 1802 S Parrott Ave Okeechobee, FL 34974 -6179 Lowell H Pritchard INSURED More 2 Life Ministries, Inc. 605 SW Park St Ste 214 Okeechobee, FL 34972 COVERAGES CERTIFICATE NUMBER: CONTACT NAME: Sandy Hines PHONE I 863- 763 -7711 (A /C, No,lExt: E -MAIL ADDREsO- shines@pritchardsinc.com INSURER(S) AFFORDING COVERAGE Auto Owners Insurance Co. Florida Citrus, Business & Ind American States Insurance FAX No): 863 - 763 -5629 INSURER INSURER B INSURER C INSURER D INSURER E : INSURER F : T NAIC # 18988 19704 REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS ILTR IS TO CERTIFY THAT THE POLICiES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH TYPE OF INSURANCE T OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED TERM OR CONDITION OF ANY CONTRACT OR OTHER PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER ) INSD WVD (NM/DD YYYY (MM /DD /YYYY) NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS C X 1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ' CLAIMS -MADE OCCUR 25CC38518120 111/11/2016 11/11/2017 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 i - _ -_ - PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY PRO- , LOC PRODUCTS COMP /OP AGG I $ 2,000,000 I OTHER. $ AUTOMOBILE LIABILITY', r 1 COMBINED SINGLE LIMIT $ IEa accident 300,000 _ i ANY AUTO 5049898900 110/06/2016 10/06/2017 BODILY INJURY (Per person) $ ALL OWNED , SCHEDULED r__ AUTOS AUTOS BODILY INJURY (Per accident) $ X X , NON -OWNED _ - -_', HIRED AUTOS ,AUTOS PROPERTY DAMAGE $ Leer accident X BUSINESS AUTO $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION. PER 0TH - AND EMPLOYERS' _ STATUTE ; ER B Y / N N / A 106-44532 04/01l2017 04/01/2018 E L EACH ACCIDENT �$ 100,000 ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER PROPRIETO R EXRTINER /E (Mandatory in NH) E . DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under, DESCRIPTION OF OPERATIONS below E . DISEASE - POLICY LIMIT I $ 500,000 C Property Section ,25038518120 11/'1/2013'.11;11 /2017 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CITY -92 City of Okeechobee Y 55 SE 3rd Ave Okeechobee, FL 34974 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 (44:4C141 �J ACORD 25 (2014/01) © 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Exempt Organizations Select Check Page 1 of 1 1IRS Exempt Organizations Select Check Exempt Organizations Select Check Home 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, click 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. 1 -1 of 1 results EIN 20- 2645914 More 2 Life Ministries Inc. Legal Name (Doing Business As). Return to Search Results Per Page 25 V OK City Okeechobee State ■Country FL United States Prey 1 -1 l Next » Deductibility ibility Status . PC I tt Prey l 1 -1 I Next » https: / /apps.irs.gov /app /eos /pub78Search.do ?ein 1 =20- 2645914 &names = &city= &state = All... 4/21/2017 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 RUNS 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 BDRY OF RIVERVIEVV DRIVE 678.7" FT MORE OR LESS-70-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 Okeechobee County Property Appraiser - Map Printed on 11/11/2016 3:20:46 PM Z Page 1 of 2 2-22-37-35-0A00-00013-.A000 ROYALS 0 K LUNCH INC F •+ • 5.481ACI3,1119700- $113,000 -V0 .w a" ar Okeechobee County Property Appraiser W.0 'Bill" Sherman, CFA - Okeechobee, Florida - 563 -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 SON E BDRY OF GOVT LOT 3 456.17 FT TO SE COR OF GOVT LOT 3 RUN S 73 DEG 51 MIN 22 SEC WON 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 EON 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 http:// www. okeechobeepa.com /gis /Print_Map. asp? pjboiibchhjbrtligcafcefocnikfdfefdbblejngbckcicnkcfaomk1 ... 11 /11/2016 6/13/17 To Whom it May Concern I give More 2 Life Ministries permission to have a BBQ youth fundraiser in the Royals parking of on Friday, June 30th, 201 7 from 3am until 4pm. Sincerely, Brian Royals