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Temp. Use Permit - BBQ Fundraiser Youth GroupCity of Okeechobee 55 S.E. 3rd Avenue Okeechobee, Florida 34974 (863) 763-3372 X9821 Temporary Use Permit Permit Number: 18-002 Permit Expiration: March 30, 2018 11:59PM Date(s) of Event: March 30, 2018 3AM-3PM Purpose of Request: Barbegue Fundraiser- Youth Group Property Owner: Royal's OK Lunch Inc. Address: 324 SW 16th Street City: Belle Glade Applicant: More 2 Life Ministries State: Florida Zip Code: 33430 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. Applicant's Signatu Administrative Secretary REF:.ORD.716, Temporary Structures Date: ) I / � Date: March 7, 2018 Revised 115/18 jd .oF.okFF�y TEMPORARY USE PERMIT APPLICATION OTHER TEMPORARY STRUCTURES (666) a s City of Okeechobee - General Services Department 55 SE 3rd Ave, Room 101, City Hall, Okeechobee, FL 34974 Phone: (863) 763-3372 ext. 9821 DATE RECEIVED: DATE ISSUED: 3 - .APPLICATION APPLICATION NO.: FEE: $175.00 fiDon-Profit/Civic Organization DATE PAID: Name of Property Owner(s): (f o � \ Address:.I HCl S\( -A Telephone Numbers: 1 Home: Work: S' Cell: Name of Applicant: Address:( O S S S Telephone Numbers: Home: Work: Cell: ARKvt•.t -_—vSG?r-A i+Ait le(;"4 Future Land Use Map Desigation: Current Zoning Designation: a %i Legal Description of Property: C L-0 ?1-' & t% " S&L R Ac N� 5-F Fr& A y �1�•••• - k �� h o 6 c�EL 9 �: Z Please Explain Type of Use: ): r V 7 H 6'&',C Briefly describe use of adjoining property North: Li; k, 5 i> t-& 5 (C East: 7,.,1 x,3 \/'-5 L South: W; I . c . 5,i c o,L= s West: eA Ai- Other temporary structures subject to the following regulations: 1. Christmas tree, fireworks and similar seasonal sales operated by a non-profit organizaiton. 2. Carnival, circus, fair or other special event operated by a non-profit organization on or abutting their principal use. ('additional information required) 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 $1,000,000.00 per occurrence. 2. Have notarized written permission of property owner, if applicant is not the property owner. 3. Remove all debris within 48 hours of expiration of permit. 4. Submit Site Plan, State Inspection Certificates and submit State Annual Permit" City Staff (Please review the application, attach comments orspecial conditions). Occupational and.or State License Verification: AUMr Date: Fire Department Approval:,mss- t o^'` Date: 1$ Police Department Approval: AWY of 4- Date: Public Works Department Appro Date: - Building Inspector Approval: Date: 2 • Z • City Administrator Approval: Date: hereby certify that the information on this appication is correct. The information included in this application is for use by the City of Okeechobee in processing my request. False or misleading information ma be punishable a fine of up to $500.00 and imprisonment of up to thirty days and may result in the summary denial of this application. S 1� cv Eric Royal From: Aaron Hall <aaronjosephhalll@gmail.com> Sent: Tuesday, February 27, 2018 2:15 PM To: Eric Royal Subject: Permission Hey Eric! My name is Aaron Hall. I spoke with Brian a few weeks ago about having the BBQ fundraiser for our students in the parking lot on March 30th. If we are still able, could you print the following out on a paper and sign it so I can turn it in to the city when I apply for the permit? We need the following printed out: I, give More 2 Life Ministries, Inc. permission to use the parking lot of the Royal's Plaza on March 30th, 2018 from 3am to Spm for a youth camp BBQ fundraiser. Thanks, Date: Aaron Hall Website: Aaron #IB_gg_ks.cQm Focebook: hitpiliwww.facebook.com/AafonHaLIPMe Twitter: httPJJA yJJWj"t .comLArrQNH—# 4J- Instagram: h t : instaeram. 9m/A;franH 114 3 MORE2-1 OP ID: ME ACORN CERTIFICATE OF LIABILITY INSURANCE 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. DATE2/28/2018Y) TYPE OF INSURANCE 02/2812018 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 CON NAME: Lowell H Pritchard Pr[tchards & Associates, Inc. 1802 S Parrott Ave PHONE FAX A/C No E:: 863-763-7711 AIC, No): 863-763-5629 L ADDRESS: Okeechobee, FL 34974-6179 Lowell H Pritchard PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. PRO POLICY Q JECTLOC OTHER: _ INSURER(S) AFFORDING COVERAGE NAIC • PRODUCTS -COMP/OP AGG $ 2,000,00 INSURER A: Auto OWners Insurance Co. 18988 INSURED More 2 Life Ministries, Inc. INSURERS: Ohio Security 24082 605 SW Park St Ste 214 INSURER C : West American Insurance Co 44393 Okeechobee, FL 34972 - — — INSURERD:Florida Citrus, Business 8r Ind 10/06/2018 COMBMe accident) ED I $ 300,00 INSURER E: BODILY INJURY (Per accident) $ 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. LTR TYPE OF INSURANCE INSO POLICY NUMBER MMIDD MMIDD LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKOCCUR. BKS58184017 11/11/2017 11/11/2018 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 1,000,0001 MED EXP (My one person) $ 15,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. PRO POLICY Q JECTLOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMP/OP AGG $ 2,000,00 $ C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS XX NON -OWNED HIRED AUTOS AUTOS X BUSINESS 5049898900 10/06/2017 10/06/2018 COMBMe accident) ED I $ 300,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accident $ $ UMBRELLA LAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEG I I RET=WION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILRY ANY PROPRIETORIPARTNER1EXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? F (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N / A 06.44532 04/01/2017 04/01/2018 X STATUTE ER EL EACHACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT $ 500,00 B Property Section BKS58184017 11111/2017 11/11/2018 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) r•COTICII^ATC Uni 119:12 CGNCFi I ATInN OKEEC4 CI Of Okeechobee City 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD MORE2-1 OP ID: ME '44COR17 �� CERTIFICATE OF LIABILITY INSURANCE DATE (MIA100f YW) 02/28/2018 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(les) 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 Prttchards & Associates, Inc. 1802 S Parrott Ave CONTACT NAME: _ _ _ Lowell H Pritchard r ONE FAx c No E:: 863-763-7711 No : 863-763.5629 ADDRESS; Okeechobee, FL 34974-6179 Lowell H Pritchard INSURER(S) AFFORDING COVERAGE NAIL i INSURER A:Auto Owners Insurance Co. 18988 11/112018 INSURER IS: Ohio Security 24082 INSURED More 2 Life Ministries, Inc. 605 SW Park St Ste 214 Okeechobee, FL 34972 INSURER C: West American Insurance Co 44393 INSURER D: Florida Citrus, Business & Ind INSURER E: GENERAL AGGREGATE S 2sr INSURER F : S CnVFRAGIF9 CFRTIFICATE NUMRFR: 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 INSURANCEADDL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Royals Ok Lunch, Inc. POLICY NUMBER MMID POLICY EXP LWTg B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKOCCUR X BKS58184017 11!11/2017 11/112018 EACH OCCURRENCE $ 1,000, PREMISES Eeoccurrence $ 1,00o, MED EXP (Any orae person) $ 15,0001 PERSONAL 8 ADV INJURY S 1,000,00( GENL AGGREGATE LIMIT APPLIES PER POLICY JECCTE-1PRO- LOC OTHER: GENERAL AGGREGATE S 2sr PRODUCTS- COMP/OP AGG $ 2,OW, S C AUTOMOBILE LIABILITY ANY AUTO SCHEDULED �D S ULED NON-OWNED X HIRED AUTOSX AUTOS x BUSINESS 5049898900 1010612017 1010612M8 ED SINGLETEW Ee accident S 3W, BODILY INJURY (Per person) $ ODDLY INJURY (Per accident) $�O PROPERTY DAMAGE $ PereoddenC $ UMBRELLA LIAR EXCESS LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE S DED RETENTION $ S D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRETORiFARTNERIEXECUTIVE Y❑ OFFICERMIEMBER EXCLUDED9 (Mandstory In NH) It yes, descnbe under DESCRIPTION OF OPERATIONS below N/A 06."532 04/Of/2OI7 O4/Mi2M8 xI PER EL EACH ACC [DENT S 1001 E.L. DISEASE -EA EMPLOYEE $ 100, E.L. DISEASE - POLICY LIMIT $ 5001 B Property Section BKS58184017 11!1112017 11M11/M8 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space Is required) Holder is listed as additional insured with regards to General Liability as required by contract, agreement or permit. /^C0Ti0l `ATC Ur%1 MCO rAAIr FI I ATInNI ROYA-12 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Royals Ok Lunch, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 324 SW 16th Street Belle Glade, FL 33430 AUTHORIZED REPRESENTATIVE OO 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD .. _ f w ..... ._ T' IN U sal,ab,o� Detail by Entity Name Page 1 of 2 Department of State / Division of Corporations / Search Records / Detail By Document Number / httn://search. sunbiz. orii/Inouirv/CorporationSearch/SearchResultDetail?incl ... 2/28/2018 Detail by Entity Name 420 SW 17TH AVE OKEECHOBEE, FL 34974 Title VP GARNER, JAMES 13140 NE 4TH TERR OKEECHOBEE. FL 34972 Title D/T GARNER, JOHN T 1208 SW 3RD AVE. OKEECHOBEE, FL 34974 Annual Reports Report Year Filed Date 2016 01/06/2016 2017 01/03/2017 2018 01/02/2018 Document Images 01/02/2018 -- ANNUAL REPORT View image in PDF format 01/03/2017 -- ANNUAL REPORT View image in PDF format 01/06/2016 --ANNUAL REPORT View image in PDF format 01/07/2015 --ANNUAL REPORT View image in PDF format 01/15/2014 -- ANNUAL REPORT View image in PDF format 02/05/2013 —ANNUAL REPORT View image in PDF format 01/10/2012 -- ANNUAL REPORT View image in PDF forma 01/05/2011 —ANNUAL REPORT View image in PDF format 01/06/2010 --ANNUAL REPORT View image in PDF format 02/27/2009 — ANNUAL REPORT View image inPDF format 01/09/2008 —ANNUAL REPORT View image in PDF format 71 02/23/2007 -- ANNUAL REPORT View image in PDF format 10/27/2006 -- Amendment View image inDma 04/26/2006 --ANNUAL REPORT View image in PDF format 1 03/28/2005 — Amendment View image in PDF format 03/0912005 — Domestic Non -Profit View image in PDF format Page 2 of 2 httD:Hsearch.sunbiz.orv/Inauirv/ComorationSearch/SearchResultDetail?inci... 2/28/2018 - 711 MA -Am 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 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 70100 FT N P/L TO E 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