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Temp Use Permit_FCA_Haiden Feightner Scholarship BBQ FundraiserCity of Okeechobee 55 S.E. 3rd Avenue Okeechobee, Florida 34974 (863) 763-9821 Temporary Use Permit Permit Number: T-24-002 Permit Expiration: MARCH 22, 2024 CaD- 11:59 p.m. Date(s) of Event: FRIDAY, MARCH 22, 2024 7:00 A.M. — 2:00 P.M. Purpose of Request: HAIDEN FEIGHTNER SCHOLARSHIP BENEFIT BBQ Property Owner: ARRANTS LLC Address: 1600 SOUTH PARROTT AVENUE City: OKEECHOBEE State: FLORIDA Zip Code: 34974 Applicant: FELLOWSHIP OF CHRISTIAN ATHLETES Applicant's Address: 1312 S 33RD STREET, FORT PIERCE, FL 34947 Phone Number: 863-610-1117 Current Zoning: HEAVY COMMERCIAL Address of Project: 1600 S PARROTT AVENUE FLU Designation: COMMERCIAL DESCRIPTION: FIRST ADDITION TO SOUTH OKEECHOBEE (PLAT BOOK 1 PAGE 17) LOTS 1, 2, 3, 7, 8, 9 AND THE NORTH 9.00 FEET OF LOT 10 BLOCK 29 TOGETHER WITH THAT PORTION OF THE VACATED ALLEY IN THE NORTH Y2 OF SAID BLOCK 29 Restrictions/Remarks: ALL DEBRIS MUST BE REMOVED UPON FINAL COMPLETION DATE. PLEASE CONTACT THE CITY (863) 763-9821 IF YOUR EVENT IS CANCELLED OR RESCHEDULED. 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. Date: March 13, 2024 Administrative Secretary REF:.ORD.716, Temporary Structures TEMPORARY USE PERMIT APPLICATION do OTHER TEMPORARY STRUCTURES (666) � � T �' ' 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: 12- �O2 DATE ISSUED: APPLICATION NO.: 'T_ZL4- b2 EVENT DATE(S) & TIME: 2 Z o'yn- 2 FEE: $175.00 on-Profit/Civic Organization DATE PAID: Name of Property Owner(s): A rr-anfz Lt-e ' Address: 1506Q� Telephone Numbers: Home: Work: 3-�]� _2�1. Cell: Name of Applicant: Address: 1312 S 3 rd I Fbg - ex F -ju 0114 Telephone Numbers: Home: Work: Cell: o — 1 1 1 Future Land Use Map Desi ation: C Current Zoning Designation: Legal Description of Property: FInI aAA"in o S Q LI - +-1 -q V 31 J lo Address of Property: 0 w/ N ' ' A alb Please Explain Type of Use: rc , Briefly describe use of adjoining ro e North: re T East: y a South: Cf-k West: u,\ 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 Pe City Staff Please review the application, attach _comT.� r s ial c ndi ons . Occupational and.or State License Verification: Date: �- Fire Department Approval: Date: 3 1 Z Police Department Approval: Date: .3 /3 Public Works Department Approval: Date: 3 2 Building Inspector Approval: Date: Z Z City Administrator Approval: Date: 32 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 Inform on may 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. Sign re of Applicant Date Revised 3-5-19 jld APPLICATION• ' SPECIAL EVENT Application Number: D. NAME OF EVENT: ADDRESS OF EVENT: I loQ)O S . -Prt MA K«C DESCRIPTION OF EVENT: r . r- ,\ NAME OF SPONSOR ORGANIZATION: f -CR Contact Number before and during event OF RESPONSIBLE PERSON: (SQ 6(D - 1111 DATE(S) AND TIMES) OF EVENT: Date: 3- Z1-'LA Starting Time: Date: Starting Time: ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? NV LOCATION Closing Time: Closing Time: Will Emergency Apparatus (Fire and Ambulance) have access to area? IF NO, THEN (provide alternatives): WILL ELECTRICITY BE USED? YES D? NO � circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? (circle) YES 0 N Type of Heating Equipment Used: WILL A TENT BE ERECTED? (circle) YES 0 NO 0 Tent Manufacturer: Size fire rating posted: Tent have sides and how many? Are there Fire Extinguishers accessible and ready for use? (circle) Yes No ,ell' ATTACH SITE MAP OF EVENT LAYOUT-'** FIRE SERVICES SHALL COMPLETE ITEMS BELOW: FIRE DEPARTMENT LIFE SAFETY & FIRE SERVICES REQUIREMENTS: (See above) NQ( Tents/canopy fire rating certificate required. io Tent Size require life safety inspection (900 square feet or less then no permit is required) No Floor plan / seating / setup drawing required showing exits, etc. N Emergency access must be maintained. (REFERS TO VEHICLES AND EQUIPMENT) I4* Fire extinguishers must have current tag, and be operational and readily accessible. l,.* Cooking requires LPG outside of tent pointing away from exposures. vjjk Electrical wiring exterior rated, not overloaded. NVt Fire Services inspection required. lam' Fire watch or inspector(s) REQUIRED? FIRE WATCH Amount: [Of Firefighter/Inspector Amount: O Other: FIRE DEPARTMEN OFF IAL (PRINT): SIGNATURE: f i CO Safes call the FD at 863-467-1586 for any questions. Revised 11-6-19 f ACoR�® V CERTIFICATE OF LIABILITY INSURANCE l DATE (MM/DD/YYYY) 3/11/2024 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 James Greene & Associates, Inc. 275 West Kiehl Ave Sherwood AR 72120 CONTACT NAME:PHONE gOO-4ZZ-3384 (FAX No): 800-604-1401 E-MAIL ADDRESS: customerservice@jamesgreeneins.com INSURERS 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: 559349428 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. ILTR TYPE OF INSURANCE LSUBR POLICY NUMBER MMIDDY EFF MMIDD/YY P LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 24MEA0518584 9/1=3 9/1/2024 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTVD 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: X POLICY 0 PRO- JECT LOC OTHER: GENERAL AGGREGATE $10,000,000 PRODUCTS - COMP/01? AGG $10,000,000 Sex Abuse/Mol $ $1 M Occ. $2M Agg AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY accident)EDAMAGE $ $ A UMBRELLA LIAB EXCESS LIAS X OCCUR CLAIMS -MADE 24MEA0518584 9/112023 9/1/2024 EACH OCCURRENCE $ 20,000,000 X AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Ya OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A QTH- STATUTE R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltional Remarks Schedule, may be attached If more space Is required) Haiden Feightner Memorial BBQ, March 22,2024 GtF( I IML;A Arrants LLC 1600 S Parrot Ave Okeechobee FL 34972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7ED REPRESENTATIVE 'I— /Y _— ©1938-2014 ACORD CORPORATION. All ngnts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD V1/ W)/Lu Consumer's Certificate of Exemption R DR -14 ` Issued Pursuant to Chapter 212, Florida Statutes FLORID1/18 85-801794959OC-5 01/10/2020 01/31/2025 501 (C)(3) ORGANIZATION Effective Date This certifies that FELLOWSHIP OF CHRISTIAN ATHLETES INC FORT PIERCE 1312 S 33RD ST FORT PIERCE FL 34947-6314 Expiration Date 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. FLORIDA 1. Important Information for Exempt Organizations DR-14 R. 01/18 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.). 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. tyyy IERS Department of the Treasury 1C Intornal Revenue Service In reply refer to: 0248188046 CINCINNATI OH 45999-0038 Jan. 26, 2018 LTR 4167C 0 44-0610626 000000 00 00013301 BODC: TE L924 FELLOWSHIP OF CHRISTIAN ATHLETES FRED OLSON 8701 LEEDS RD KANSAS CITY MO 64129 Employer identification number: 44-0610626 Group exemption number: 9380 Dear Taxpayer: This is in response to your request dated Jan. 17, 2018, for information about your tax-exempt status. Our records indicate ale issued a determination letter to you in August 1956, and you're currently exempt under Internal Revenue Code (IRC) Section 501(c)(3). We also recognized the subordinates on the list you submitted as exempt from federal income tax under IRC Section 501(c)(3). For federal income tax purposes, donors can deduct contributions they make to you as provided in IRC Section 170. You're also qualified to receive tax deductible bequests, legacies, devises, transfers, or gifts under IRC Sections 2055, 2106 and 2522. Because IRC Section 170(c) describes your subordinate organizations, donors can deduct contributions they make to them. Please refer to www.irs.gov/charities for information about filing requirements. Specifically, IRC Section 6033(j) provides that, if you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked on the filing due date of the third required return or notice. In addition, each subordinate organizatinn is su��act to automatic revocation if it doesn't file a required return or notice for three consecutive years. Subordinate organizations can file required returns or notices individually or as part of a group return. For tax forms, instructions, and publications, visit www.irs.gov or call 1-800-TAX-FORM (1-800-829-3676). If you have questions, call 1-877-829-5500 between 8 a.m. and 5 p.m., local time, Monday through Friday (Alaska and Hawaii follow Pacific Time). FELLOWSHIP OF CHRISTIAN ATHLETES FRED OLSON 8701 LEEDS RD KANSAS CITY MO 64129 0248188046 Jan. 26, 2018 LTR 4167C 0 44-0610626 000000 00 00013302 Sincerely yours, �ekax�- Kim A. Billups, Operations Manager Accounts Management Operations 1 PARKING PERMIT This Agreement by and between Lightsey's Fish Company/Arrants, LLC and Laura Feightner / FCA til March 22, 2024. WHEREAS Lightsey's Fish Company/Arrant's, 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 March 22, 2024. NOT THEREFORE, in considered 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 Company/Arrant's, LLC harmless including attorney's fees from any and all liability arising out of the use of the above described premises. Office er/Owner ccupant Date 2 2 Lti Date DONNA BURK `,• �t-_Notary Public -State of Florida Commission # HH 388124 My Commission Expires April 18, 2027 %L,t� '?, �,+/\ • 3/13/24, 1:12 PM Detail by Entity Name DIVISION OF CORPORATIONS -.org �����J,�-``�`��)l f Dg.oartment of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company ARRANTS LLC Fjijpg Information Document Number L15000093609 FEI/EIN Number 47-4143313 Date Filed 05/28/2015 State FL Status ACTIVE 399 SW 18TH STREET OKECHOBEE, FL 34974 Mailing Address 399 SW 18TH STREET OKECHOBEE, FL 34974 $ggistered Agent Name & Address UNITED STATES CORPORATION AGENTS, INC. 399 Southwest 18th Street Okeechobee, FL 34974 Name Changed: 03/08/2016 Address Changed: 02/18/2024 Authorized Person(ra Detail Name & Address Title President ARRANTS, RAYMOND A 399 SW 18TH STREET OKECHOBEE, FL 34974 Annual Reppik Report Year Filed Date 2022 02/07/2022 2023 02/28/2023 2024 02/18/2024 https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameOrder=ARRANT... 1 /2 S s M-AlIx , a_ C3 fC3 V f �