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Temp. Use Permit - BBQ Fundraiser More2Life Haiti MissionsCity of Okeechobee 55 S.E. 3rd Avenue Okeechobee, Florida 34974 (863) 763-3372 X9821 Temporary Use Permit Permit Number: 18-004 Date(s) of Event: June 1. 2018 6AM — 1 PM Permit Expiration: June 1, 2018 11:59PM Purpose of Request: Barbeque Fundraiser- Haiti Missions 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. Applicant's Signature Date: J /S'o4d,is .�� Date: May 29, 2018 Administrative Secretary REF: .ORD.716, Temporary Structures Revised 1/5/18 jd 0/1".. ,- TEMPORARY USE PERMIT APPLICATION .'' I OTHER TEMPORARY STRUCTURES (666) ► City of Okeechobee - General Services Department 0► 55 SE 3rd Ave, Room 101, City Hall, Okeechobee, FL 34974 Phone: (863) 763-3372 ext. 9821 DATE RECEIVED: .5- ay _) s. DATE ISSUED: 5-A9.1 9 APPLICATION NO.: 1 0 -00c EVENT DATE(S) & TIME: CA. - 1- (3) 64- l P FEE: $175.00 jon-Profit/Civic Organization DATE PAID: ,ti i3__ E.' Name of Property Owner(s): C'hu C/( %3 0 q� I ° a a s Address: 39, LJ S W / 4 3f • /34 le blade , F/. 3 3430 Telephone Numbers: Home: Work: 561- (Nip_ 6511 Cell: Name of Applicant: mare Z 1, re/ /s -/-r/ Q 5 e l ih er'0 h - Af 3 "(o V-106,,7 L Address: 6,0 5 ail( LW . 12/igc'choh ee F/. 3V97,2 a Telephone Numbers: / 7/� Home: Work: S 3- �� 7- 6796 (, Cell: Future Land Use Map Desigation: ,iee ad -fit CGS' C Current Zoning Designation: C 1-I if Legal Description of Property: 5E- % ,3 ' i r4 C I -t EQ Address of Property: 111 Sc.'''. Y 'ri Al) C Please Explain Type of Use: /Gt/)d ra. /sir /3/50 - /'"[ 7 sst . /7 5 . Briefly describe use of adjoining property North: len://al /410L//e i__%Uitle fez,11 4. /� East: /905 a tr Ce. South: ®K@eclw6-ee [I L/eS West: ea -Igo- // f j Other temporary structures subject to the following regulations: J 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 or s�ecial conditions). Occupational and.or State License V r. 'cation: ' / 0/1/1/A._Date: 5-o75 -/ g Fire Department Approval: i �i Date: ,f o2,f �l Police Department Approval: /vri Date: �-� Public Works Department Ap'royal: Date: S' —7-41- ^ // Building Inspector Approval: '—/ C. ' ' / ' Date: 6-.24 %B City Administrator Approval: _ Date: 5-120e I hereby False certify that information on t s apps . tion is correct. The information included or misleadin, in or(nation may be p • • .. ble by a fine of up to $500.00 and imprisonment in this application is for use by of up to thirty days and may the City of Okeechobee in processing my request. result in thesummarydenial of this application. 571(///g // g Signature of App cant Date MORE2-1 OP ID: S2 '4km v�Ro CERTIFICATE OF LIABILITY INSURANCE °ATE'MM,°°"YYY 05/25/2018 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(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 34 974-61 79 Lowell H Pritchard CONTACT NAME: Sandy Hines FAX (AIC, No, Ext): 863-763-7711 (A/C, No): 863-763-5629 E-MAILSS: shines@pritchardsinc.com INSURER(S) AFFORDING COVERAGE NAIC 1 INSURER A:Auto Owners Insurance Co. 18988 INSURED More 2 Life Ministries, Inc. 605 SW Park St Ste 214 Okeechobee, FL 34972 INSURER B: Florida Citrus, Business & Ind INSURER C : Ohio Security 24082 INSURER D : $ 1,000,000 INSURER E : INSURER F : CLAIMS -MADE l X1 oCCu? 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYW) POLICY EXP (MMIDDIYYYY) LIMITS C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE l X1 oCCu? BKS58184017 11/11/2017 11/11/2018 DAMAGE Tb RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (My one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY )Ea accldEDt)INGLE LIMIT $ MAO A X ANY AUTO --' 5049898900 10/06/2017 10/06/2018 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) _ $ HIRED AUTOS _ NON -OWNED (Per accidenDAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTH- ER B YIN ANYPROPRIETOR/PARTNERIEXECIJTIVE N / A 106-44532 04/01/2018 04/01/2019 E.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 C Property Section BKS58184017 11/11/2017 11/11/2018 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more apace Is required) CERTIFICATE HOLDER CANCELLATION OKEEC-4 City of Okeechobee 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 <! 1 6 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and Togo are registered marks of ACORD • 401.11r1.1.111.1 ...• ., . ... I 4 i • Nortm'tore r I ;LZ1 11.S. 1,-,., . JO - ' .6061‘"'' ligilsr_._ - 4,,...::, - - '.... ' ' - ---4. • .- ,,,- II, ', 310.46. ' 4.44111111,_ ..,..i• O.. to,,,,, 01,itobve . VL ":1, , -.t1 - _ • 114416.,. - 1 -lc /ri 565- €3‘r-t--1/4Au 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 RIVERVIEVV DRIVE 678.7 FT MORE OR LESS -10Z 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 ird `3 L BBQ Fundraiser When: Friday, June 1st @ 11:oo a.m. Where: Royal's Plaza; Okeechobee, FL. Cost: $io per ticket (free delivery to orders of 5 or more) -Plates include: pulled pork, baked beans, potato salad, and a dinner roll -All proceeds go to Casting Love For Haiti. A Christian Ministry in Jeremie, Haiti. -Call (863)634-1067 with any questions- Jackie Dunham From: Lisa Lumpkin <okeepregcenter@yahoo.com> Sent: Thursday, May 24, 2018 4:59 PM To: Cameron Tewksbury Subject: Fw: BBQ north shore plaza Sent from Yahoo Mail for iPhone On Thursday, May ^'4. 2018, 4:27 PM, Bryan Royal broyalAroyalsinc.com Original Message From: Eric Royal Sent: Thursday, May 24, 2018 3:47 PM To: Bryan Royal <broyal@royalsinc.com> Subject: RE: BBQ north shore plaza To whom it may concern, This email is granting permission for M2L Ministries to use the North Shore Plaza parking lot facilities in Okeechobee, FL, for a BBQ Fundraiser on 6/1/18. * 808 E N Park St., Okeechobee, FL, 34972 Eric Royal 1