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Okeechobee Wrestling BBQ '0`d!�'oF�oK�F`y CITY OF OKEECHOBEE a 55 SE THIRD AVENUE • •o s•` OKEECHOBEE, FL 34974 Wigw,/o OW a ''`� Tele: 863-763-9821 Fax 863-763-1686 %;;;;,. e-mail: permit@cityofokeechobee.com Temporary Use Permit Permit Number: T-23-006 Date(s) of Event: Nov. 17, 2023 7AM-2PM Permit Expiration: Nov. 17, 2023, 11:59 PM Purpose of Request: Wrestling BBQ Fundraiser Property Owner: Arrants, LLC Address: 1600 South Parrott Avenue City: Okeechobee State: Florida Zip Code: 34974 Applicant: Fellowship of Christian Athletes Applicant's Address: 8701 Leeds Rd, Kansas City Phone Number: 863-634-3083 Curtis Address of Project: 1600 South Parrott Avenue Current Zoning: Heavy Commercial FLU Designation: Commercial Subdivision: City of Okeechobee Restrictions/Remarks: • Contact the Okeechobee County Fire Department at 863-763-5544 to schedule a final field inspection before the event. • All debris must be removed within 24 hours of expiration date. 7Geiteda 7onde October 25, 2023 General Services Administrative Secretary Date TEMPORARY USE PERMIT APPLICATION OTHER TEMPORARY STRUCTURES (666) }r-v .,/. 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: 4 O - a S- a o 93 APPLICATION NO.: - EVENT DATE(S) &TIME: 1\lov. ill oZ L ,23 FEE:S175.00 \ion-Profit/Civic Organization DATE PAID: Nth Name of Property Owner(s): 4--(1/ y Address: - Du ve /lP DD `fh i/cp Telephone Numbers: Home: Work: n`/1� Cell: Name of Applicant:Je//D i,3 of pp f rl�75-an 4-i-fi ei[S Address: S,7 Q l Leeds IQ c Kansas s Telephone Numbers: e d $�erenf-h4 �C-Fresivole CUy iS Home: Work SmaJ .cm . Cell: 863- (UM-3G813 Future Land Use Map Desigation: C__hjt,/ ryle✓t,(Qt. J Current Zoning Designation: Legal Description of Property: L 1- 311 d1 Na f 1-I1 bL.c1 t t RS T no D) l O ti.d Address of Property: y 660 5.�ptaLrvri} ( U ..- Please Explain Type of Use: yv R'eS ht Al 5 6 t.-Y fu_tict rats. I Briefly describe use of adjoining property - North: Cie.):u Mtu f i' East: VIVO y - CpnnrvpR't-ct /cji �(•� South: 0 aArtat.s911 West: <YCl-t-ea-( icij 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 S 1,000,00J.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, attac is r special conditions). Occupational and.or State License Verification: - Date: /0 -(r• Fire Department Approval: Date: 1,D I S 1 2 , Police Department Approval: Date: 10 if04/23 Public Works Department Approval. j Date: /0• `i ' 2-7 Building Inspector Approval: Date: 1 C _ City Administrator Approval: Date: /0 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 misleading information may be punish 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. — Z3 .gnature of Applic nt Date Revised 3-5-19 jld APPLICATION FOR SPECIAL EVENT Application Number: {0 - .Q3 -00(p Date Received: NAME OF EVENT: OReec ho bey W(e51 l 1 `-a-BQ ADDRESS OF EVENT: ( W Q S LC( Qa((ott Pale DESCRIPTION OF EVENT: n-3Q 4imAicdse' NAME OF SPONSOR ORGANIZATION: Contact Number before and during event OF RESPONSIBLE PERSON: ( ) RESPONSIBLE PERSON'S NAME: 1` ` 14 r1 aj tIS - 3 DATE(S) AND TIME(S) OF EVENT: Date: //• /l• Z 3 Starting Time: 7Ar-1 Closing Time: 2 prL. Date: Starting Time: Closing Time: ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? ikrQ LOCATION 11/4J j(k- Will Emergency Apparatus (Fire and Ambulance)have access to area? L 5 IF NO,THEN (provide alternatives): WILL ELECTRICITY BE USED? YES 1] OD (circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED?(circle)YES 1] ONO Type of Heating Equipment Used: WILL A TENT BE ERECTED? (circle) YES 17 N0 1] • uS lrt l D X it) CR f"' Tent Manufacturer: Size fire rating posted: Tent have sides and how many? On I Are there Fire Extinguishers accessible and ready for use? (circle) Yes No """ATTACH SITE MAP OF EVENT LAYOUT"*" FIRE SERVICES SI-IALL COMPI.,ETE ITEMS BELOW: FIRE DEPARTMENT LIFE SAFETY& FIRE SERVICES REQUIREMENTS: (See above) Tents/canopy fire rating certificate required. O Tent Size require life safety inspection (900 square feet or less then no permit is required) C-) Floor plan / seating/ setup drawing required showing exits, etc. • Emergency access must be maintained. (REFERS TO VEHICLES AND EQUIPMENT) O Fire extinguishers must have current tag, and be operational and readily accessible. C Cooking requires LPG outside of tent pointing away from exposures. C) Electrical wiring exterior rated, not overloaded. O Fire Services inspection required. O Fire watch or inspector(s) REQUIRED? FIRE WATCH Amount: 0 Firefighter/Inspector Amount: (-i Other: ( FIRE DEPARTMEN OFFICIAL(PRINT): 3�Q,�S S) (A u CtJcc•CI SIGNATURE: Please call the FD at 863-467-1586 for any questions. Revised 11-6-19 PARKING AGREEMENT This Agreement entered into effect November 17th, 2023 by and between Lightsey's Fish Company/ Arrants LLC. and "' till November 18th, 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; 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 attorney's fees from: any and all liability arising out of the use of the above described premises. In witness whereof,the undersigned parties have executed the Agreement as of I N(• q Z ZE //9 4,, s4.-m7 Representative ffff Date Z 73 Occupant Date ' ., e_ ._ /,nrr„ pd, ,r,£,� ,,p,� fiaay,»y;,,r:;xf,:i,;> • < ,..."3 t 53�1"1�' `�E ' t,,, y rs,E ; Yi,, E �'v' A' ry' 'mod M: -'Ali„ b"n ;� , n..3,' eL �,r .'� �%�, e�,, Via' ^;� '�„Yb, ( ,. � dc.� '-''' %„,rr ff�ri'd ,y��Y't,�..^tt',,�r^,,,v< f�`e ' < r x iv,J- ., .,.... „ <_<,1:;',ai,'3,��w�,...^ ..,.. ,' '�'";`,�;<x`£ � ri•yyg,�:,,, 9�ta ., .,./',t;' n'',•:«. 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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 James Greene&Associates, Inc. PHONE FAX 275 West Kiehl Ave (A/C.No,Ext): 800-422-3384 (A/C,No):800-604-1401 Sherwood AR 72120 ADDRESS: customerservice@jamesgreeneins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: 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: 161271222 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD,WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 24MEA0518584 9/1/2023 9/1/2024 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $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 PRO JECT LOC PRODUCTS-COMP/OP AGG $10,000,000 OTHER: Sex Abuse/Mol $$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 9/1/2023 9/1/2024 EACH OCCURRENCE $20,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N 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 I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) BBQ Wrestling Fundraiser, November 17,2023 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. City of Okeechobee 55 SE 3rd Ave Okeechobee FL 34974 AUTHO ZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/17/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA' ION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVEL't 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 (A/C.No.Extt: 800-422-3384 (A/c,No):800-604-1401 Sherwood AR 72120 ADDRESS: customerservice@ jamesgreeneins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Brotherhood Mutual Insurance 13528 INSURED MOKANFO-02 Fellowship of Christian Athletes INSURER B 8701 Leeds Rd INSURER C: Kansas City MO 64129 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1845837826 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS LTR INSR VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 24MEA0518584 9/1/2023 9/1/2024 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $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 PRO POLICY X JECT LOC PRODUCTS-COMP/OP AGG $10,000,000 OTHER: Sex Abuse/Mol $$1 M 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 9/1/2023 9/1/2024 EACH OCCURRENCE $20,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N 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) FCA BBQ Wrestling Fundraiser, November 17,2023 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 AUTHO ZED REPRESENTATIVE V ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD 01/09/20 �__..�.. . DR-14 Ai Consumer's Certificate of Exemption R.01/18 Issued Pursuant to Chapter 212, Florida Statutes FLORIDA 85-80179473550-4 01/08/2020 01/31/2025 501(C)(3) ORGANIZATION Certificate Number Effective Date Expiration Date Exemption Category This certifies that FELLOWSHIP OF CHRISTIAN ATHLETES INC MELBOURNE 3301 DAIRY RD MELBOURNE FL 32904-7603 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. I DR-14 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. yi'yr r y i ¢ g are OKEEC j C A iii fHEB FELLOWSHIP OF CHRISTIAN ATHLETES BBQ By: Kyle Reno Brahman Movie Theater Nov17, 2023 " 11am till 1pm SMOKED PORK , BBQ BEANS , POTATO SALAD , ROLL & COOKIE $ 10 . 00 DELIVERIES 5 OR MORE TO BUSINESS IN TOWN Keli Trimnal From: Keli Trimnal Sent: Thursday, October 26, 2023 11:57 AM To: serenitycoffeeshop@gmail.com Cc: Keli Trimnal; Patty Burnette; Permit Subject: Fellowship of Christians Athletes - Permit No.T-23-006 Attachments: T-23-006 BBQ FUNDRAISER FELLOWSHIP.docx Please see attached Permit No. T-26-006 for Fellowship of Christian Athletes, Wrestling BBQ Fundraiser, held at Arrants, LLC 1600 So Parrott Ave. Thank you, Keli Note: Please do not"reply all"to this email to avoid a potential Sunshine Law Violation. Regards, Keli Trimnal, City of Okeechobee generaC Services, BuiCding k Zoning Administrative Secretary 55 SE 3rd Avenue Okeechobee,EL 34974 Phone: (863) 763-3372 ext.9824 Direct: (863) 763-9824 Tax: (863) 763-1686 e-mail:ktrimnal@cityofokeechobee.com website:www.cityofokeechobee.com -s ^y ;� P' . �,�rrra:•, Under Florida law,email addresses are public records. If you do not want your email address released in response to a public records request,do not send electronic mail to this entity. Instead,contact this office by phone or in writing,Florida Statute 668.6076. CITY OF OKEECHOBEE ELECTRONIC DEVICE DISCLAIMER: Florida has a very broad public records law.Most written communications to or from local officials regarding city business are public records available to the public and media upon request.Your correspondence via e-mail,text message, voice mail,etc., may therefore be subject to public disclosure. 1