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Temp Street Closing/Park Use Permit_OKMS_Labor Day Festival CITY OF OKEECHOBEE oa 55 SE THIRD AVENUE : r OKEECHOBEE, FL 34974 te9 Tele: 863-763-9821 Fax 863-763-1686 ,� e-mail: permit(a.cityofokeechobee.com Park Use & Temporary Street Closing Permit Permit Number: 24-013 Date(s) of Event: September 2, 2024 Permit Expiration: September 2, 2024 @, 11 :59 P.M. Purpose of Request: Labor Day Festival Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee State: Florida Zip Code: 34974 Applicant: Okeechobee Main Street Applicant's Address: 111 NE 2nd Street Phone Number: 863-357-6246 Address of Project: Seminole Square & Settlers Square Current Zoning: PUB FLU Designation: PF Subdivision: City of Okeechobee Restrictions/Remarks: All debris must be removed within 24 hours of expiration date. • Contact the Okeechobee County Fire Department at 863-763-5544 to schedule a final field inspection before event. Ile eda 7onde August 7, 2024 General Services Administrative Secretary Date Page 1 of 3 Revised 5/13/24 CITY OF OKEECHOBEE effro,74% 55 SE THIRD AVENUE $`� <t OKEECHOBEE, FL 34974 ALL , � Tele: 863-763-9821 Fax: 863-763-1686 = � ;.• PARK USE AND/OR TEMPORARY STREET/ " =:;::•��'•'0 SIDEWALK CLOSING PERMIT APPLICATION Date Received: 7 -g•-2c2'f Date Issued: '-7- 2(-)2 Application No: 2' -C l3 Date(s)&Times of Event: OF— 1 ,2 t_ Se-1-Up i�- prri q _a-�c,1 Fesri ,1 166 - a Information: P Organization: OKe eo b e e r a I S}e t ivc Mailing Address: % ) I / r-E.• ,c? Sit aeee 14 b e e ) FL o�/17 a Contact Name:f 7),c (21 pnr �e C� S !l�`11Y1 e 12- E-MailAddress: i"i @ O)<eeC`h N5 - ee -. Le.- Telephone: Work: , 3 3 S 7 -( t7L( Home: Cell: %63-5 - 1 S 7- Summary of act'vities: L/C}-bo 5T1\)A) q- 719 eFfb.e Pgrs I N►% .ery rbo g5 Fc:c1 vc.ioks , lmuoro_. f)NC -flee Aire s 46g 1 s. - ee Adiry»ssio >v * Rh . Proceeds usage: Rceeeds 5u� 7 rN Sfee�� A d rf'-s p )ee/5 tN f �r nKcve obee . Please check requested Parks: Flagler Parks: ❑ City Hall Plaza o #1 Veterans Memorial Square ❑ #2-Speckled Perch Square #3-Seminole Square X#4-Settlers Square o #5-Cattlemen's Square o #6-Butterfly Square [Park 3 is location of Gazebo. Park 4 is location of Bandstand] (If other private property used in conjunction with this Park Use Permit please provide the address and parcel number below along with notarized letter of authorization from property owner) Additional Addresses,if applicable Parcel ID: Page 2 of 3 Revised 5/13/24 TEMPORARY STREET AND SIDEWALK CLOSING INFORMATION (Street Closings require City Council approval.Meetings 1st&3rd Tuesdays but subject to change) Address of Event: f?f t e . as a 4.14 Street(s)to be closed:.3 ,j 3P2d eve ANb .6l1J Lth►NJe lX I we'P pl )}w $t Date(s)to be closed: , L)NTh f ?- 1-a y �� f cYJi \ Time(s)to be closed: q-' ac� �'un r- ek,k Q-a-,D4 5 b0 re) Purpose of Closing: L R c oic-/ " _ALc, cO LghD 1 des)i V A I Attachments Required for Use of Parks Attachments Required for Street/Sidewalk Closings ► Site Plan ► Site Plan ► Copy of liability insurance in the amount of ► Copy of liability insurance in the amount of$1,000,000.00 $1,000,000.00 with the City of Okeechobee as with the City of Okeechobee and R.E. Hamrick Testamentary additional insured. Trust as Additional Insured. ►Proof of non-profit status ► Original signatures of all residents,property owners and business owners affected by the closing. ► State Food Service License if>3 days. ► State Food Service License if>3 days. ► Notarized letter of authorization from ► State Alcoholic Beverage License, if applicable.** property owner, if applicable.* * Required if private property used in conjunction with a Park Use application. ** Alcoholic beverages can be served only on private property. Alcoholic beverages NOT ALLOWED in City Parks, City streets or City sidewalks. See additional note below. o Please check if items will be sold on City streets/sidewalks. Each business will need to apply for a Temporary Use Permit 667 along with the Street Closing application. Note: ► Clean-up is required within 24 hours. ► No alcoholic beverages permitted on City property, streets or sidewalks. ► No donations can be requested if any type of alcoholic beverages are served on private property/business unless you possess a State Alcoholic Beverage License. Please note there are inside consumption and outside consumption licenses. You must have the appropriate license(s). ► The Department of Public Works will be responsible for delivering the appropriate barricades. ► Dumpsters and port-o-lets are required when closing a street for more than three(3)hours. Applicant must meet any insurance coverage and code compliance requirements of the City and other regulations of other governmental regulatory agencies. The applicant will be responsible for costs associated with the event, including damage of property. By receipt of this permit, the applicant agrees and shall hold the City harmless for any accident, injury, claim or demand whatever arises out of applicant's use of location for such event, and shall indemnify and defend the City for such incident, including attorney fees. The applicant shall be subject to demand for, and payment of, all of the actual costs incurred by the City pertaining to the event including, but not limited to, Police, Fire, Public Works or other departmental expenses. The City reserves the right to require from an applicant a cashier's check or advance deposit in the sum approximated by the City to be incurred in providing City services. Any such sum not incurred shall be refunded to the applicant of this Park Use/Street Closing Permit. Page 3 of 3 Revised 5/13/24 I hereby acknowledge that I have read and completed this application,the attached Resolutions No.(s)03-8 and 04-03, concerning the use and the rules of using City property, that the information is correct, and that I am the duly authorized agent of the organization. I agree to conform with,abide by and obey all the rules and regulations,which may be lawfully prescribed by the City Council of the City of Okeechobee,or its officers, for the issuance Certificate of Insurance must name City of Okeechobee as Additional Insured as well as R.E. Hamrick Testamentary Trust if closing streets or sidewalks. —114-1-1-ASNL 4Crinija -P -y Applicant Signature Date ••••OFFICE USE ONLY•••• Staff Review Fire Department: Date: l <f ,'lL Building Official: i Date: 7-Zz 2 ( - :::::ment: Date: 11-Li( .0 Date: /1 2 BTR Department: �� Date: r/S, ram= City Administrator: r Date: TA )/— City Clerk: , a w I Date: ''1 1/g 4 ►4 NOTE: APPLICATION AND INSURANCE CERTIFICATE MUST BE COMPLETED AND RETURNED TO THE GENERAL SERVICES DEPARTMENT THIRTY(30)DAYS PRIOR TO EVENT FOR PERMITTING. Temporary Street and Sidewalk Closing submitted for review by City Council on PcU O-i,1/2 4 Dati Temporary Street and Sidewalk Closing reviewed by City Council and approved AO-5"J 6, IO2f Date �a' .%� City of Okeechobee Okeechobee County Fire Rescue qiV 'o '. 55 SE 3rd Avenue 707 NW 6th Street .. / ',1111 ? i :• Okeechobee• ,FL 34974 Okeechobee,FL 34972 in*;rso' Phone(863)763-3372 Phone(863)763-5544 Tent Permit Application Permit # *Permit is not required for tents less than 900 square feet* In addition to this permit application,three copies of the following must be submitted for approval: ❑ Certificate of Flame Resistance for tent/canopy meeting the flame propagation performance criteria ! r NFPA 701 Standard Methods of Fire Test for Flame Propagation of Textiles and Films o Floor Plan of tent depicting layout,entrances/exits,and extinguisher locations(hand drawn plan- ill not be accepted). o Copy of License to sell fireworks(if applicable) a Owner c Owner Address I Address g0City City State Zip _ V State Zip 4 Phone( ) P..ne ) E-mail : m: OSignature . ft a e U Proposed Tent Location Proposed Tent Description Address . :1 t e Parcel Identification Number o Open o Enclosed The following requirements are in compliance with National Fire Protecti.r - sociation(NFPA)101 Life Safety Code,Chapter 11 Special Structures and High- Rise Buildings,NFPA 1124,Chapter 7 Retail Sales of Consumer Firewo .These are the minimum requirements approved by the Authority Having Jurisdiction (AHJ),Okeechobee County Fire Rescue.The AHJ res- es the right to exceed the minimum requirements as conditions warrant. Please initial next to each statement. PORTABLE FIRE EXTINGUISHERS:Fire extinguishers . st be inspected by a licensed contractor,have a current tag,and be readily accessible. MEANS OF EGRESS:The minimum number of exits pro ded from the retail sales areas shall be not less than three(3).Means of egress,including but not limited to aisles,doors,and exit discharge,shall be clear at all Um..when the tent is occupied.Exit signs shall not be required to be illuminated in tents that are not open for business after dark.Exit openings from tents shall have a cl :. opening width of not less than 44 inches. EGRESS TRAVEL DISTANCE:Exits provided for e retail sales area of tents shall be located so that the maximum egress travel distance,measured from the most remote point to an exit along the natural and unobstruc d path of egress travel does not exceed 75 feet. AISLE WIDTH:Aisles shall have a minimum cl width of 48 inches and shall be maintained and unobstructed at all times the tent is occupied by the public. EMERGENCY LIGHTING:The means of egr .s,including exit discharge shall be illuminated whenever the tent is occupied.Emergency lighting shall not be required in tents that are not open for business after d . ELECTRICAL:Electrical wiring must be : .for exterior use and not overloaded.Where temporary electrical conductors are placed on top of an outdoor surface to connect the permanent power source to the tent's emporary electrical system,the conductors shall be provided with physical protection against damage caused by pedestrian or vehicular traffic.Temporary electric i wiring installed in tents shall comply with NFPA 70,National Electric Code. FIRE DEPARTMENT ACCESS:Any..rtion of the sidewall of a tent shall be accessible within 150 feet of a public way or approved access by the fire department. COOKING OPERATIONS:Coo: :requiring LPG must be outside of the tent pointing away from exposures.Cooking equipment of any type shall not be permitted within 20 feet of tents used for st- .ge or sale of consumer fireworks.Open flame cooking equipment of any type shall not be allowed within 50 feet of tents used for storage or sale of consumer fire .rks. SIGNS:Signage stating"NO S OKING"in 2-inch letters on a contrasting background shall be conspicuously posted at each entrance. SECURITY:Signage stating' 0 FIREWORKS DISCHARGE WITHIN 300 FEET"in 4-inch letters on a contrasting background shall be conspicuously posted (if applicable). FLAME BREAKS:Tents sed for storage or sale of consumer fireworks shall not exceed display dimensions of 4 feet wide,8 feet in length and 6 feet in height. Flame breaks and solid displays aces shall not be required for packaged fireworks merchandise displayed in bins,display racks,on pallets or tables located at the end of a row of display fixtures. CLEARANCE TO C s BUSTIBLES:The area located within 30 feet of a tent used for sales of consumer fireworks shall be kept free of accumulated dry grass, dry brush,and combustible d•.ris. DISTANCE FRO FUEL DISPENSING:Tents for use of consumer fireworks sales shall not be located within 50 feet from the following:retail propane- dispensing station dispens. ;aboveground storage tanks for flammable or combustible liquid,flammable gas,or flammable liquified gas;compressed natural gas- dispensing station dispen--rs;motor vehicle fuel-dispensing station dispensers. DISTANCE F:OM BULK FUEL DISPENSING:Tents for use of consumer fireworks sales shall not be located within 300 feet of any aboveground bulk storage or bulk dispensing ar•: for the following:flammable or combustible liquid,flammable gas,flammable liquified gas. PARKING: ,'o motor vehicle or trailer used for the storage of consumer fireworks shall be parked within 20 feet of a tent except when delivering,loading,or unloading fireworks.r other merchandise and materials used,stored,or displayed for sale. SEPARA ION DISTANCES:Tents for use of consumer fireworks sales shall have a minimum separation distance of 20 feet from building,stands,combustibles, other tents and:. motor vehicle or trailer used for the storage of consumer fireworks.Tents for use of consumer fireworks shall be 10 feet from vehicle parking. SOUR i, S OF IGNITION:Temporary electrical equipment,battery-powered equipment,and electrical cords that are used in conjunction with a tent used for the sales of con ' r fireworks shall be listed and used in accordance with their listing. - POR ABLE GENERATORS:Portable generators supplying power to tents for the sale of consumer fireworks shall use only Class III combustible liquid fuels. Class II and'lass III combustible liquid generator fuel shall be limited to not more than 5 gallons.Portable generators shall be allowed to use Class I flammable liquids as fuel,provided the quantity of such fuel is limited to 2 gallons.Portable generators shall be located not less than 20 feet from the tent.Where generator fuel storage is located not less than 50 feet from a tent for the sale of consumer fireworks. RECORDS:A copy of the approved permit shall be on the premises and made available to the AHJ upon request. Highway 70 U ____ _ 344 12231r01211112 41, -I iii. 4= O O O o i �1 ��� Legend •E � �!,t., 330 °D 346 M 329 ® Bench 336 10 Trash Can E III ® I l 1 M F61 II • w ® Picnic Bench � — - 114E '•E 3270 Light Pole r„ .E Electric Outlets g\, Water Spigot III315 320 ® 325 Shrubs . 319 ® E 'I O 350 0 % O 316 OAt ® p Tree 318 $ 349 $ 317 EExhibitor Space ___ 'E ®4.4„,••• o < Atu ' 312 311 0310 309 308 307 L06 3 303 302 301 �tilities R Pole " / J� / Drawn by Joe Papasso 3/1/2020 Park Street 11 ' p q I Park 3 Onphk Scde =2/ Highway 70 i. — — , a ..-- & 446 445 — ` l Ig-7,,,dt°439 7 436 435 ' 4:433 Legend a0 —11 />4 �'� ® Bench it444 ' t" . Trash Can 449 I O 0 0 0 —1 Picnic Benct 450 ® m, ® Q 0 430 `�// 0 Light Pole • ® ' .E Electric Outl ® 429 ® ;7 Shrubs �, 454 Flag 00 I I 452 Mot�ment N QC 1ito 426 J • 456 ® ® 422422 ExhibitorSpQ 440 o o o421 4201 utilities ® — 419 - • �t !' 410 40.4 ' ,T •411hZ T ' ,,., 4 I& lt,'It I 1" ` , oje t�► -EEO -Ewe - n 4 406 405 404 403 61�; 4 61 1 j � f l'% irii , ....,. , 1...2 Park Street Drawn by Joe Papasso 3/1/2020 P ark 4 Graphic Scale e 21 OKEEMAI-01 MBUCHANAN ACORO CERTIFICATE OF LIABILITY INSURANCE �T DIYYYY) 11/1/1/2023 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 policylies)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 endorsementls). PRODUCER NONTACT Lawrence Insurance Agency,Inc. PHONE 863 FAx P.O BOX 549 (A/C.NO,Exq ( )467-0600 (NC.No):(863)467-5142 Okeechobee,FL 34973 marlene@Iawrenceins.com INSURER(S)AFFORDING COVERAGE NAICO INSURER A:Mt.Vernon Fire Insurance Co INSURED INSURER Okeechobee Main Street INSURERC: 111 NE 2nd Street INSURER D: Okeechobee,FL 34972 INSURER E: _ INSURERF: 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. ILT R TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY YY POLICY EXP LIMITS LTR MISD WVD lMM/DDIYYVYL-(MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ...._.. I X DA MAGETORENTED 100,000 J CLAIMS-MADE X OCCUR NBP2552460F 10/25/2023 10/25/2024 •pREMiSES(Eaocwrrence) $ X Directors&Officers MED EXP(Any one person) $ 6,000 1,000,000 PERSONAL 8 ADV INJURY S _ GEN'L AGGREGATE LIMIT APPLIESPER GENERAL AGGREGATE $ 1,000,000 POLICY j�� LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS�E�ONLY AUTOS BODILY BODILY INJURY(Per accident) $ AUTOS ONLY AUOTOS ON LV eRO de R pAMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB I CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ PER ll OTH- AND WORKERSM YER COMPENSATION STATUTE 1SR AND EMPLOYERS'LIABILITY Y/N ANYQN� PROPRIIET@OERIPARTNERIEXECUTVE E.L.EACH ACCIDENT $ EtRIM IIM1 NHR EXCLUDED? N/A OFFIC EL DISEASE-EA EMPLOYEE$ If yes,describe under - DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Okeechobee and RE Hamrick is included as additional insureds with request to General Liability Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Okeechobee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 55 S.E.3rd Avenue Okeechobee,FL 34974 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. 0. BOX 2508 CINCINNATI , OH 45201 Employer Identification Number: Date: APR 2 9 Z005 65-0887929 DLN: 17053329002014 OKEECHOBEE MAIN STREET INC Contact Person: 111 NE 2ND ST DEBRA JOHNSON ID# 75126 OKEECHOBEE, FL 34974 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: September 30 Public Charity Status : 509(a) ( 1) Form 990 Required: Yes Effective Date of Exemption: November 22 , 2004 Contribution Deductibility: Yes Advance Ruling Ending Date: September 30 , 2009 Dear Applicant : We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests , devises , transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status , you should keep it in your permanent records . Organizations exempt under section 501 (c) ( 3) of the Code are further classified as either public charities or private foundations . During your advance ruling period, you will be treated as a public charity. Your advance ruling period begins with the effective date of your exemption and ends with advance ruling ending date shown in the heading of the letter. Shortly before the end of your advance ruling period, we will send you Form 8734 , Support Schedule for Advance Ruling Period . You will have 90 days after the end of your advance ruling period to return the completed form. We will then notify you, in writing, about your public charity status . Please see enclosed Information for Exempt Organizations Under Section 501 (c) (3) for some helpful information about your responsibilities as an exempt organization. Letter 1045 (DO/CG)