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Temp. Use Permit - Christmas Tree Sales by GFWC Okeechobee Junior Women's ClubCity of Okeechobee 55 S.E. 3rd Avenue Okeechobee, Florida 34974 (863) 763-9821 Temporary Use Permit Permit Number: 18-005 Date(s) of Event: Nov 18 — Dec 24, 2018 9AM -9PM Permit Expiration: December 24, 2018 11:59 A.M. Purpose of Request: Christmas Tree Sales Property Owner: Downtown Okeechobee LLC Address: 205 SW Park St. City: Okeechobee State: Florida Zip Code: 34974 Applicant: GFWC Okeechobee Junior Women's Club, Inc. Address: 1800 SW 3rd Avenue Phone Number: 863-634-6322 Address of Project: SW Park St, Lot 6, Block 167 Current Zoning: Commercial Business District (CBD) FLU Designation: Commercial (C) Subdivision: City of Okeechobee Restrictions/Remarks: All debris must be removed within 48 hours of expiration date. Fire Department requests no wooden pallets are to be used as security fencing as in the past. 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- may be additional permits required from other governmental entities. ce ' IN that ve examined this permit, it is correct and I will abi a by its requirements. is Sig ture Date dministrative Secretary REF: .ORD.716, Temporary Structures Revised 1/5/18 jd ,.'--'''- TEMPORARY USE PERMIT APPLICATION STRUCTURES (666) - General Services Department 101, City Hall, Okeechobee, FL 34974 763-3372 ext. 9821 4: r m= OTHER TEMPORARY I \- o; City of Okeechobee = r '1----_-.,-4.44$ 55 SE 3rd Ave, Room Phone: (863) DATE RECEIVED: ) 1 -1 3 _t g DATE ISSUED: / il- 5-1 APPLICATION NO.: _005 EVENT DATE(S) & TIME: 11 bell 8 4 -kat 1 a,I,Z,i, 18 FEE: $175.00 Talon-Profit/Civic Organization DATE PAID: N 4. 4 iii -t- 9 PH W Name of Property Owner(s): D L(-(_ 0 o a Address: � J' 860 c 3' ; k,P,e h -) Ocii i %A Telephone Numbers: Home:gif- 55(D -2100 Work: Cell: Name of Applicant:}�&F to c 3--„,,,,o dq,, Woman's ants MAD I i Address: Igb0 SW ' � Afire t 0 .l � 3( 7 - Telephone Numbers: (� ,, ��,, _ "� / // Home: Work: Okke'ar' al'l¢iT►r1u.t.1C, rocs//: �Ip' •� 4- /93A .R Future Land Use Map Desigation: VACANT' [.0 t' Current Zoning Designation: Ck3 0 Legal Description of Property: 3- 15-- 37-3C- 0010 - 0 16 7 -, 0 n0 ,006 Address of Property: 3 Ate OW P Arf J( 5-1-; P�0 tLet, ( 3 q-�' 7 Please Explain Type of Use: �d'�.t'.e, 6a.-D.U.) Briefly describe use of adjoining prop rty North: cjtg l" ' .4 3 East: 1 sir P Ste 0 % South: hel-5 UYYIht West: 6 ovr+ Other temporary structures subject to the following regfl(ations: C 1. Christmas tree, fireworks and similar seasonal sales operated by a non-profit organizaiton. 2. Camival, circus, fair or other special event operated by a non-profit organization on or abutting their principal use. (*additional Information required) 3. Commercial camival, 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 o special conditions). Occupational and.or State License Ve :tion: 00 Date: I - ��/ Fire Department Approval: !�. /�� t f �. / ,;,� Date: // // , Police Department Approv. • / `, Date: // 5--io- Public Works Department ' : * rova Date: / ) - ) 3- i Building Inspector Approval: „/"/�L.e.t,reee Date: ! 1 • l s • le City Administrator Approval: / , Date: -(f ( (3 'fie I hereby False certify that e informati. • /his . • plication Is correct. The Information included or mislead', • informatio . be p fishable by a fine o p to $500.00 and Imprisonmpat In this application Is for use by of up to thirty days and may the City of Okeechobee In processing my request. result In the summary denial of this application. !/ I _�� S , nature of Applica ,e Date This Lease Agreement dates on the 9th of November 2018, by and between Downtown Okeechobee LLC /David Feltenberger (Landlord) and 1 Stop Party Shop LLC /Kimberly Hargraves (Tenant). The parties agree to as follows: Premises: The Landlord in consideration of the lease payment provided in this agreement agrees to lease the premises of: Vacant Lot #6, Block 167 of the City of Okeechobee, as recorded in the plat book 1, page 10, plat book 5, page 5, Okeechobee Florida 34972, consisting of .162 Acres (Premises). Term/Payment: this agreement shall be for a maximum of 1 month. The lease Term shall commence on November 16, 2018 until December the 16, 2018. The Tenant agrees to pay the Landlord a sum of 850.00 for the lease term listed above. Liability Insurance: The Tenant agrees to list the Landlord as a additional insured for said dates above. Indemnify Regarding the Premises: Tenant agrees to indemnify, hold harmless, and defend landlord from and against all losses, claims, liabilities, and expenses, including reasonable attorney fees, if any, which Landlord may suffer or incur in connection with Tenant's use of Premises. Landlord: Downtown Okeechobee LLC David Feltenberger g3 Yy7-6svY Tenant: 1 Stop Party Shop LLC ® A�O CERTIFICATE OF LIABILITY INSURANCE DATE ��rn 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 have ADDITIONAL INSURED provisions or 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 Ileu of such PRODUCER Pritchards & Associates, Inc 1802 S Parrott Ave Okeechobee FL 34974 NUNIACT Melissa Ferrell (ANµo, Ems: (863) 763-7711 AIC, NO EADDREEs • mferrell@pritchardsinc.com INSURER(S) AFFORDING COVERAGE NAIC INSURER A : OHIO SECURITY INS CO 24082 INSURED 1 Stop Parry Shop, LLC 319 SW PARK ST OKEECHOBEE FL 34972 INSURER 8 : BKS57419072 INSURER C : 06/30/2019 INSURER D : S 1,000,000 INSURER E : S 300,000 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LS TYPE OF INSURANCE AUUL,UCH INSD WVD POLICY NUMBER POLICY EFF (MM DD/YYYY) POLICY GAP (M1WDD/YYYY) LIMITS A X COMMERCIAL GENERAL UABIIJ Y BKS57419072 06/30/2018 06/30/2019 EACH OCCURRENCE S 1,000,000 UAMAIit IU HLN I LU PREMISES (Ea occurrence) S 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 15,000 PERSONAL a ADv INJURY s 1,000,000 GENERAL AGGREGATE S 2,000,000 GEM. AGGREGATE LIMIT APPUES PER: RPOLICY [JJECT [j LOC OTHER: PRODUCTS - COMP/OP AGG S 2,000,000 S AUTOMOBILE — — — — LIABtUTY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY — — — SCHEDULED ALTOS NON -OWNED AUTOS ONLY I.OME3INEll SINULt UMIF (Ea accident) $ BODILY INJURY (Per person) S BODILY INJURY (Per accident) S 1'HUVEH I Y UAVIMit (Per accident) S S UMBRELLA /JAB EXCESS UAB — OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S S DED 1 I RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUIIVE OFFICER/MEMBER EXCLUDED? 'Mandatory In NH) iyes desabe under DESCRIPTION OF OPER/MONS bebw N / A FER R ' EH- EL EACH ACCIDENT S EL DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY UMRT S DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 11 more space is required) Downtown Okeechobee, LLC 320 SW Park Street Okeechobee, FL 34972di • SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) C 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • Issued By:: 7 Registered rabrk orCicern Number Certificate of Flame Resstance .. CAL • FIRE •swriar--3 'Trivon.tage;: L.Lc 1831 NOrth Park.Ave. F-12123 Glen RaVen, NC 27217 Date. treated or manufaotured: 09116/2013 Tigs-lstaterlify th 1he.nt (sde�ribed below 1)ye been lrbated with. a 'ffame-refardantchical bliaikkiherently rionffayupdhle, FOR:. Ttiv.aritage; LLC: ......... crozi- .Gl'en Raven •STATE: NO 2721.7 SDDRESS: 1831 Norih..Park.Ave. .11 Dertifitation is. hereby Made th'at: (Chetk!a" Crib!) oy 'The:articles-described at:the:bottom cif. this Certificate. hay.e been treated with.a.flame-retardant chemical approved. and registered by the State Fire Marshal and Ithe•application :saidchemical was done in Otinformance With the IaWs athe.State of•Califorhia and the Rtilet.and.RegUlatibtit Of the State Fire Mffrtbel? Marne rifChernical. Uted: Chemical RegistlatiOri . . • • :•.•;• • • • •-•';'• • • • Method of application :-..• ••• •.• ••• : • ; -. • X (b)...The articles .describetat:theibottom of this !Certificate are made 'from 'a:flame-resistant:fabric ormaterial fe0ittered. and approved bY•theState Fire.Marshal forauch. use: . . . . . , trgde Name or:t2tr-iulte:tiotot • fah& or niateriardied: RENTERS CHOICE 16,0Z:= : • -.••. • • • Fteg.Ktrati.ah *FA 21.23. The.P0rt6-yietaidant Process Used. Will Not Be•Rdilipitad By Washing • • ALBERt. EjOHNSOISI :Name of.Applicato. r or Production Superintendent (c• VICE .PRESIDENT, BUS, bEVELOPME • :pie 'RCN #• • 10P.:968.346.16:103'g6834:6,1.679 CUSTOMER ORDER,NO. FRECil ROAD SAL: CliSTOMERINVOICE• NO. • 266862 Y.A0)8.013: tiumstrirt• 10.00.,60.. • DESCRIPTION :.* ••• : 'Renter's .Choice. Blackout 61"..167oz:V.VIlite (Standard ri.ack1•00, • - Ward; • . . • . %•• .• . • . ••• • . We hereby dengy...the •abcive-to accurately. reflect;the..information contained.w.ithina,",CERTIFICATE:OFFLAME.RESISII.kNCE" ittUed.lo Trivatitagei.CLG Rohl thelebi§trant set fOrthaltiare. A copy cif•thebrigitial tertifltatetifFlaiiie..ROtiMa-Me i'availabteXitsoli" • requsYtO tegt.Stratitiginteirrtiatlein.tet.fo.... aboye JkOrifetord With tita:PatirCrhia State flte. Marshal, . . ... • A 1 TENTS:AND::ST.RUCT.UkE8 . . 2.4-Wg8T: I-RALE:AK. Ft, .3301 Q . . MAILING Aprik5SS • • I - ACORO® `---- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DWYYYY) 11/8/2018 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 have ADDITIONAL INSURED provisions or 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 CUNiAL. r NAME: Melissa Ferrell (ANo, Ext): (863) 763-7711 1(Aro/Ct., No): EADDRESS: mferrell@pritchardsinc.com INSURER(S) AFFORDING COVERAGE NAIC 1 INSURER A : OHIO SECURITY INS CO 24082 INSURED 1 Stop Party Shop, LLC 319 SW PARK ST OKEECHOBEE FL 34972 INSURER B : BKS57419072 INSURER C : 06/30/2019 INSURER D : $ 1,000,000 INSURER E : 300,000 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 NSURANCE 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. INSH LTR TYPE OF INSURANCE AUULbUUFf INSD WVD POLICY NUMBER POUCY-LFF (MM/DDMYYY) POUCY LXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY BKS57419072 06/30/2018 06/30/2019 EACH OCCURRENCE $ 1,000,000 PREMISES (EatoccurrenceL_$ 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN_ AGGREGATE LIMIT APPUES PER: POLICY JPERCOI [] LOC OTHER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE — — — LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY — — SCHEDULED AUTOS NON -OWNED AUTOS ONLY t:UMt INLO bINULL LIMII SEa accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PHUPtH 1 Y UAMAUZ (Per accident $ UMBRELLA UAB EXCESS UABCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, desabe under DESCRIPTION OF OPERATIONS below N / A PEHTUTE I I STA EUIHR- E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY UMFT $ DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space is required) City of Okeechobee SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 55 SE 3rd Avenue I Okeechobee FL 34974 AUTHORIZED REPRESENTATIVE 1:.rS!titiw'. ti !:'Afit,r, ACORD 25 (2016/03) ®1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Jackie Dunham From: Jackie Dunham Sent: Thursday, November 15, 2018 4:16 PM To: 'okeeparty@hotmail.com' Subject: Christmas Tree Sales I have your Temporary Use Permit for your sales to begin on Sunday, the 18th. Please stop by tomorrow to sign and take with you. Thank you. Jackie.Du.vtham/t/ Ad n rai'we.Secvetc y City of Okeechobee: 55 SE 7-hied/Aye's/we/ Okeechobee, FL 34974 863-763-3372 (Maivv) 863 -763 -9821 (Diee,ct) 863 -763 -1686 (7a40 jdunham@cityofokeechobee.com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. 1