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Temporary Use Permit_Toys for Tots Bike Run '`�`dy�oF�okFFcy_ CITY OF OKEECHOBEE ..z- �v: 55 SE THIRD AVENUE `o ' x. OKEECHOBEE, FL 34974 .> _ .a a;� Tele: 863-763-9821 Fax 863-763-1686 'J. *915* Ai- e-mail: permit@cityofokeechobee.com Temporary Use Permit Permit Number: T-24-007 Date(s) of Event: December 15, 2024, 12 PM — 6 PM Permit Expiration: December 15, 2024 @ 11:59 PM Purpose of Request: Toys for Tots Bike Run Property Owner: American Legion Post #64 Address: 501 SE 2nd Street City: Okeechobee State: Florida Zip Code: 34972 Applicant: Daniel Coyle, American Legion Post #64 Applicant's Address: 2051 NW 399th Street Phone Number: 772-321-5863 Address of Project: 501 SE 2nd Street Current Zoning: Residential Multiple Family (RMF) FLU Designation: Commercial (C) Subdivision: 1ST Addition to 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 the expiration date. 7 ezed4t 7ocde December 11, 2024 General Services Administrative Secretary Date TEMPORARY USE PERMIT APPLICATION '% OTHER TEMPORARY STRUCTURES (666) o City of Okeechobee -General Services Department Ni.i 55 SE 3rd Ave, Room 101,City Hall, Okeechobee, FL 34974 Phone: (863)763-3372 ext.9821 DATE RECEIVED: 1204/24 DATE ISSUED: APPLICATION NO.: `--Zy-� -7 EVENT DATE(S)&TIME: a_/S-_�o,)ti alp, 7-o tpp FEE:$175.00 on-Profit/Civic Organization DATE PAID: Name of Property Owner(s): APi of C 114-1 Lcs; o P'ST 41 Address: j'Q SE ..., S% (:),/(v�c.,_, A.. o B -e_sa_ f'L 3V '-?„.„2 Telephone Numbers: Home: Work: Cell: ? ,..7_3 / -,s-863 Name of Applicant:0,9 , ,e / J Coy/ II Address: tU 5/ ,[/w 3F F, "4 S— OK - L„n/g_ca / Z- ,-? '9-P r� Telephone Numbers: Home: Work: Cell: ��,�- 3a I - ,Sez. � Future Land Use Map Desigation: (._. Current Zoning Designation: t`)1't t Legal Description of Property: Lt� oZ-6 L3LOCIt.. EL3 pi Acitoioi tU un{G-fttt 0)v ic- Address of Property: 5-0/ SE gw d s% Oik -- c- -z),1,-.e. FL 35/Y71 Please Explain Type of Use: /cxf S /-a 7-Ci7-S 4'Sev r7'-e--L. /3 i/<•-c Rt.J_...._. Briefly describe use of adjoining property North:,.'/i- :a01/'Q unkflt Mil East: Ad/H- (}Oennti th-f /1�� (fwck South: Aim- ties idk htii C West: ,/fr. Vtsihnj IJuiS6 1 V 3P Theiittli 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 Permit* City Staff(Please review the rcafio , ttach comments or special conditions). Business Tax Receipt Verification: Date: /2l 7 02` Fire Department Approval: Date: 1.2 ( j 2 Police Department Approval: Date: /2 f Public Works Department Approval: Date: 1Z.. 1Q Z4 Building Inspector Approval: Date: j2, -. ^ 24 City Administrator Approval: Date: J 2 ii12-4( I hereby certify that the is . atio• .09h ..ppli9afitSiiiicorrect.The information included in this application is for use by the City of Okeechobee in processing my request. ie False or misleadin•' o • ati. i'uniafiable >rj a fine of up to$500.00 and imprisonment of up to thirty days and may result in the summary denial of this application. /a 0) -c " ,ignaturrApplicant Date Revised 5-13-24 pb DATE(MM/DD/YYYY) ' ACORCP CERTIFICATE OF LIABILITY INSURANCE 12;6/2024 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 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 CONTACT Pritchards And Associates PHONE Stevie White FAX 1802 S Parrott Avenue (AIC,No.E,xt):863-763-7711 wc,NO: Okeechobee FL 34974 E-MAIL Do ess: stevie@pritchardsinc.com INSURERS)AFFORDING COVERAGE NAIL i INSURER A:*Default Interface Company* INSURED AMERLEG-01 INSURER B The American Legion Okeechobee Memorial Post#64, Inc. 501 SE 2ND ST INSURER C: OKEECHOBEE FL 34974-4407 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:225758255 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 SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD 1NVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY NPP2592725 8/29/2024 8/29/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE N/A El.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? -- -- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Liquor Liability NPP2592725 8/29/2024 8/29/2025 Aggregate 2,000,000 Per Occurance 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I 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. For Information Purposes Only AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 0000130 03/16/22 DR-14 rdi Consumer's Certificate of Exemption R.01/18 Issued Pursuant to Chapter 212, Florida Statutes FLORIDA 85-8012668427C-5 05/31/2022 05/31/2027 VETERANS ORGANIZATION Certificate Number Effective Date Expiration Date Exemption Category This certifies that AMERICAN LEGION OKEECHOBEE MEMORIAL POST 64 501 SE 2ND ST OKEECHOBEE FL 34974-4407 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. • u State of Florida Department of State I certify from the records of this office that THE AMERICAN LEGION OKEECHOBEE MEMORIAL POST NO. 64, INC. is a corporation organized under the laws of the State of Florida, filed on January 3, 1994. The document number of this corporation is N94000000148. I further certify that said corporation has paid all fees due this office through December 31, 2024, that its most recent annual report/uniform business report was filed on February 20, 2024, and that its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twentieth day of February, 2024 ce• ,,-. • -, 1N 12 � ' Secretory of tote Tracking Number: 8259509211CC To authenticate this certificate,visit the following site,enter this number,and then follow the instructions displayed. https://services.su nbiz.org/Filings/CertificateOfStatus/CertificateAuthentication 1 4 V •1m� ,tiO LL 61-0 Z OMIMI w Z u J w cc 4) O N o f— -10 W O (I) Cis p w Z vi Q LU V) D 2 o C 2 CO Z f— ,o v w W E a, Q F- � o v O I- ri J a N u c to O ai � � 0Q Z W 2 M N c O u Q in W Z WLLI • Li. 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