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Haiden Feightner Scholarship Benefit `tiypF_� y: TEMPORARY USE PERMIT APPLICATION . gym, OTHER TEMPORARY STRUCTURES (666) rLL m City of Okeechobee -General Services Department � s� '�'•'•• 55 SE 3rd Ave, Room 101,City Hall,Okeechobee,FL 34974 "'' Phone:(863)763-3372 ext.9821 DATE RECEIVED: i1_'Z\—'25 DATE ISSUED: APPLICATION NO. 23— '»4 EVENT DATE(S)&TIME: lip p,‘/ OS` .6 l r' FEE:$175.00 ID on-Profit/Civic Organization DATE PAID: Name of Property T Owner(s): a At Ira Address: /51% R , ra 1-k r 1 `lw°_ Regf Lil ee.. Telephone Numbers: • Home: Work: V h 3 J743-Lf .7 Cell: Name of Applicant: - - - ^ h }� f- 1 LOLA5 D ri f MTh-_ . 'g lu'. . he � l�e► T1CLr l�'�"�"L l,l.1�-a Address: f - S. 18'70r1 1-teas F.Ce(yh--h fr 0 c-I04.(Ul Telephone Numbers: .• Home: :I ��2j 5-3c - /'/id Cell: Future Land Use Map Desigation: I . Current Zoning Designation: 0,L-1' Legal Description of Property: ] 5�-Add/ la to ,S• 01��. 1. I--3 -1-1—`l 4 9`of 1C 13L a•-`1 -LOr44-4'— Address of Property: rtd id c. ar►v4t A`-- LA)i � 'fz of a-Lley Please Explain Type of Use: Q Dc cvhdYrt is r Briefly describe use of adoiningll property • '/ North: R•Qs- O U''V/IaJJj tl' East: '7// �(�Vr1YY f�,I GL r(e I South: Ca)— Uvos J, West: 1—ti '�—• r(rCL(Ca) 0 1 dt� 1 Other temporary structures subject to the following regulations: I 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: G/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. y2.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 corn,,ent •r -pedal conditions). Occupational and.or State License Verification _ ......---. Date: —,12(p- :. Fire Department Approval: tilfr Date: 2(0( 23 Police Department Approval: di 0.1 Date: ,/ '„?-y./,, Public Works Department Appro . . ' I / - Date: - 2.11-Z..1. Building Inspector Approval: �=• ', Date: • Zi •2.; City Administrator Approval: Iii�) — Date: /� /�� I hereby certify that the information on this application is correct.The information included in this application is for use by the City of Okeechobee in processing my request. False or misleadi • formation ma be punishable by a fine of up to$500.00 and imprisonment of up to thirty days and may result in the summary denial of this application. 4—a l —.Q3 Signature of licant Date Revised 3-5-19 jld APPLICATION FOR SPECIAL EVENT Application Number: Date Received: L-'1 _2-) NAME OF EVENT: 1414(4\ Fe r J-I-hel- cch p�J� i` IfhP'1># g � ADDRESS OF EVENT: Mod S. arrirk t^t- DESCRIPTION OF EVENT: e 30 I NAME OF SPONSOR ORGANIZATION: Contact Number before and during event OF RESPONSIBLE PERSON: ($6 53 L - /1/kY RESPONSIBLE PERSON'S NAME: gfhh&f `f"P roA4 i r DATE(S) AND 1-rT,IME(S) OF EVENT: Date: — 3— Starting Time: 6gYh Closing Time: / Ff1 Date: Starting Time: Closing Time: ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? /Vd LOCATION Will Emergency Apparatus(Fire and Ambulance)have access to area? IF NO,THEN(provide alternatives): OA WILL ELECTRICITY BE USED? YES 0 (circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? (circle)YES 1=1 NO Type of Heating Equipment Used: WILL A TENT BE ERECTED?(circle) YES 0 0 i7 Tent Manufacturer: Size fire .ting posted: Tent have sides and how many? Are there Fire Extinguishers accessible and ready for use? (circle)Yes No ***ATTACH SITE MAP OF EVENT LAYOUT' FIRE SERVICES SHALL COMPLETE ITEMS BELOW: FIRE DEPARTMENT LIFE SAFETY&FIRE SERVICES REQUIREMENTS: (See above) C Tents/canopy fire rating certificate required. Li Tent Size require life safety inspection (900 square feet or less then no permit is required) L Floor plan/seating/setup drawing required showing exits, etc. Li Emergency access must be maintained. (REFERS TO VEHICLES AND EQUIPMENT) Fire extinguishers must have current tag, and be operational and readily accessible. n Cooking requires LPG outside of tent pointing away from exposures. n Electrical wiring exterior rated,not overloaded. Fire Services inspection required. n Fire watch or inspector(s) REQUIRED? FIRE WATCH Amount: n Firefighter/Inspector Amount: Other:r FIRE DEPARTMENT OFFICI (PRINT): 0-6 0 1 C4 (raga SIGNATURE: Please call the FD at 863-467-1586 for any questions. Revised 11-6-19 01,13/20 DR-14 ! Consumer's Certificate of Exemption R.01/18 Issued Pursuant to Chapter 212, Florida Statutes FLORIDA 85-8017949590C-5 01/10/2020 01/31/2025 501(C)(3) ORGANIZATION Certificate Number Effective Date Expiration Date Exemption Category This certifies that FELLOWSHIP OF CHRISTIAN ATHLETES INC FORT PIERCE 1312 S 33RD ST FORT PIERCE FL 34947-6314 is exempt from the payment of Florida sales and use tax on real property rented,transient rental property rented, tangible personal property purchased or rented, or services purchased. Important Information for Exempt Organizations R.01/18 FLORIDA 1. You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases. See Rule 12A-1.038, Florida Administrative Code (F.A.C.). 2, Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's customary nonprofit activities. 3. Purchases made by an individual on behalf of the organization are taxable, even if the individual will be reimbursed by the organization. 4. This exemption applies only to purchases your organization makes. The sale or lease to others of tangible personal property, sleeping accommodations, or other real property is taxable. Your organization must register, and collect and remit sales and use tax on such taxable transactions. Note: Churches are exempt from this requirement except when they are the lessor of real property(Rule 12A-1.070, F.A.C.). 5. It is a criminal offense to fraudulently present this certificate to evade the payment of sales tax. Under no circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for payment of the sales tax plus a penalty of 200% of the tax, and may be subject to conviction of a third-degree felony. Any violation will require the revocation of this certificate. 6. If you have questions about your exemption certificate, please call Taxpayer Services at 850-488-6800. The mailing address is PO Box 6480, Tallahassee, FL 32314-6480. AC RL7 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/20/2023 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 CONTACT _NAME: James Greene&Associates, Inc. PHONE FAX 275 West Kiehl Ave (Arc,No,Ex11:800-422-3384 (NC,No):800-604-1401 E-MAIL Sherwood AR 72120 ADDRESS: customerservice_@jamesgreenerns.com_ INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Brotherhood Mutual Insurance 13528 INSURED MOKANFO-02 INSURER B: Fellowship of Christian Athletes 8701 Leeds Rd INSURER C: Kansas City MO 64129 INSURER D:_ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1778825537 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 - -_--_ -�- ------- ADDL SUBR ----_-- ---- POLICY EFF POLICY_EXP LIMITS LTR TYPE OF INSURANCEW INSD VD POLICY NUMBER (MM/DD/YYYY) ( M/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 24MEA0518584 9/1/2022 9!1/201 3 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED l CLAIMS-MADE X-1 OCCUR PREMISES(Ea occurrencej $1,000,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 X POLICY -l PRO- JECT LOC PRODUCTS-COMP/OP AGG $10,000,000 OTHER: Sexual Abuse/Molest $$1M Occ.$2M Agg AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS _------ —-_------------ ---- NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) A UMBRELLA LIAB X OCCUR 24MEA0518584 9/1/2022 9/1/2023 EACH OCCURRENCE $20,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N L STATUTE_ ER_,-.______ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED'? N/A - - - _ - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Arrants LLC 1600 S. Parrott Avenue Okeechobee FL 34974 AUTHORIZED REPRESENTATIVE Zr i<' /v ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD PARKING PERMIT This Agreement by and between Lightsey's Fish Company/Arrants LLC and Laura Feightner till April 28, 2023. WHEREAS Lightsey's Fish Co/Arrants LLC is the owner of the parking lot at 1600 S, Parrott Avenue, Okeechobee, FL. 34974. WHEREAS occupant desires to use the parking lot on the terms and conditions set forth on April 28, 2023. NOW THEREFORE, in consideration of the. Mutual promises contained herein and other good and valuable consideration the parties hereto agree as follows: Occupant agrees to indemnify and hold Lightsey's Fish Co./Arrants LLC harmless including attorneys fees from any and all liability arising out of the use of the above described premises. 4 / zI / z3 Office Man caner Date cupant Date c 09 6arrott Ave US Hwy 441 Y 65 0) eo t_ US Hwy98 US Hwy 441 co Tr) 0 Iiii U /1 m (n v P T N m L r^r l L N N I/^ /\x\n/ C� J \� V 0 /-] it c r-,-, v) N ®L ny U 1 2,) N4 J N L L n SW 2nd Ave SW 2nd Ave SW 2nd Ave SW 2nd Ave SW 2nd A% APRIL 2 , - Ela � m T f , HAIDEN FEIGHTNER MEMORIAL BBQ **Proceeds willgo towards a scholarshipfund in Haiden's Memory** Y .-. $10 Pulled Par (By Kyle Ren ._ 10:30am - 1:0 I Lunch will include Potato Salad, Baked Beans, Roll and a Dessert Walk-Ups Welcome and Deliveries Available for orders of 5 or more Tickets can be purchased at American Drilling, The Pregnancy Center of Okeechobee, or by Contacting Laura 863-610-1 1 17 _ 4/24/23, 1:43 PM Okeechobee County Property Appraiser Okeechobee County Property Appraiser 2022 Certified Values Mickey L.Sandi,CFA updated:4/20/2023 Parcel: « 3-28-37-35-0050-00290-0010(36831) >' Aerial Viewer Pictometery Google Maps Owner&Property Info Result:6 of 36 2023 ''._ '2022 , 2021 2020 0 2019 rsaies • ARRANTS LLC rs i' ( y1h'� 3-� i%• ' is s� >. Owner 399 SW 18TH ST + • • 3 OKEECHOBEE,FL 34974 t" +�`i of *,. ' '' r� Site 1600 S PARROTT AVE OKEECHOBEE ' ar a.- T. • FIRST ADDITION TO SOUTH OKEECHOBEE(PLAT BOOK 1 PAGE•. t • • Description* 17 LOTS 1 2,3,7,8,9 AND THE NORTH 9.00 FEET OF LOT 10, `--- +fir u E p BLOCK 29.TOGETHER WITH THAT PORTION OF THE VACATED ALLEY IN THE NORTH 1/2 OF SAID BLOCK 29. f SW 116TH sT.r_ 7 Area 1.063 AC S/T/R 28-37-35 •;'`,`. ' !+. Use Code** THEATER/AUDITORIUM(3200) Tax District 50IM *The Description above is not to be used as the Legal Description for this parcel in any legal axt_ 4,1 transaction. i ,� 1 **The Use Code is a Dept.of Revenue code and is used solely for Property Appraisal purposes. i ;,t ` - Please contact Okeechobee County Planning&Development at 863-763-5548 for zoning info. a ,'.r t h , "A,,,,,"... i..,,, :tea Property&Assessment Values ,.; ,f•-" J 2021 Certified Values 2022 Certified Values 1 - * ar' Iv Mkt Land $403,170 Mkt Land $254,117 . : - Ag Land $0 Ag Land $0 I '41 ,, '-. wir *wi 1 1.1 g i. ., l Building $145,846 Building $152,905 I b I .k '`,;y..., ,; XFOB $49,890 XFOB $27,038 - ,,/ Just $598,906 Just $434,060 Class $0 Class $0 11 Appraised $598,906 Appraised $434,060 1 +/ SOH/10% SOH/10%Cap 1 Cap(?] $0 I?] $23,070 1; Assessed $598,906 Assessed $434,060 j 1= -, Exempt $0 Exempt $0 - - county:$598,906 county:$410,990 -- . _ ( Total city:$598,906 Total elty:$410,990 Taxable other:$598,906 Taxable other:$410,990 school:$598,906 school:$434,060 Note:Property ownership changes can cause the Assessed value of the property to reset to full Market value,which could result in higher property taxes. Sales History Sale Date Sale Price Book/Page Deed V/I Qualification(Codes) RCode 3/14/2023 $100 2023003204 EM V U 11 11/8/2022 $515,000 2022014818 WD I Q 01 11/25/2020 $750,000 2020011748 WD I Q 01 10/24/2012 $100 0721/0733 QC I U 11 4/1/1990 $0 0316/1278 QC I U 03 7/1/1987 $0 0288/1302 WD V U 03 1/7/1986 $0 0280/0925 N/A V U 03 1/1/1973 $0 0145/0341 WD V U 03 1/1/1973 $57,500 0144/0045 WD I Q 5/1/1972 $0 0138/0537 WD V U 03 w Building Characteristics Bldg Sketch Description* Year Blt Base SF Actual SF Bldg Value Sketch AUDITORIUM(6000) 1974 12084 14208 $152,905 *Bldg Desc determinations are used by the Property Appraisers office solely for the purpose of determining a property's Just Value for ad valorem tax purposes and should not be used for any other purpose. Nr Extra Features&Out Buildings (Codes) Code Description Year BIt Value Units Dims Condition(%Good) SPRINK WET PIPE 1974 $10,907 12852.00 0 x 0 PD(30%) CONC B COM SLB WLK 1984 $3,699 4377.00 0 x 0 PD(25%) ASPH 2 COM SLB WLK 1984 $7,048 23089.00 0 x 0 PD(15%) CONC I BUMPERS 1984 $78 11.00 0 x 0 PD(35%) CONC E CURB 1984 $288 103.00 0 x 0 PD(35%) i FENC Y 3RAIL WOOD 1990 $357 112.00 0 x 0 PD(35%) l'/l,.l,f flfll/ctfll l/fl nnn, PA CCA .1-,Oft nn n..It flit/fC0/s www.okeechobeepa.com/gis/ 1/2 4/24/23,1:43 PM Okeechobee County Property Appraiser L.vrvt,r i rtsn.a I rcIvuu I cuur 1 ,4,00 I i 41 ou.uu i U X v rt.,Vo7o) Nr Land Breakdown Code Description Units Adjustments Eff Rate Land Value 067SP3 SO PARROTT(MKT) 150.000 FF (0.516 AC) 1.0000/.8900 1.0000// $1,246/FF $186,900 067SP8 SO SIDE ST(MKT) 159.000 FF (0.547 AC) 1.0000/.8900 1.0000// $423/FF $67,217 Search Result:6 of 36 0 Okeechobee County Property Appraiser I Mickey L.Bandi,CFA I Okeechobee,Florida 1863-763-4422 by:GrizzlyLogic.com www.okeechobeepa.com/gis/ 2/2