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Temporary Use Permit_Arrantd_Plant & Craft Sale ',�`A�/OF OKFFC� i. CITY OF OKEECHOBEE z ,, oT 55 SE THIRD AVENUE lit 10 �o�` OKEECHOBEE, FL 34974 _ a6. Tele: 863-763-9821 Fax 863-763-1686 *•91••*g00'�0 e-mail: permit@cityofokeechobee.com Temporary Use Permit Permit Number: T-25-002 Date(s) of Event: January 25, 2025, 9 AM — 2 PM Permit Expiration: January 25, 2025 (c 11:59 PM Purpose of Request: Plant & Craft Sale Property Owner: Arrants LLC Address: 1600 S Parrott Avenue City: Okeechobee State: Florida Zip Code: 34974 Applicant: Okeechobee Garden Club Applicant's Address: 2690 NW 50th Avenue Phone Number: 863-357-2425 Address of Project: 1600 S Parrott Avenue Current Zoning: Heavy Commercial (CHV) FLU Designation: Commercial (C) Subdivision: 1ST Addition to South 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. 7lwzeda 7ande January 21, 2025 General Services Administrative Secretary Date oF:oK TEMPORARY USE PERMIT APPLICATION r '�� OTHER TEMPORARY STRUCTURES (666) CrI rIP' City of Okeechobee -General Services Department ti• 55 SE 3rd Ave Room 101 �..__ • ,City Hall. Okeechobee, FL 34974 Phone: (863)763-3372 ext.9821 DATE RECEIVED: I 1 2 1 1,OZ6 DATE ISSUED: 1 i2I1•2,G25 APPLICATION NO.: T 25 -C 2 EVENT DATE(S)&TIME: % I'25 12 S al am— 2 rn FEE: $175.00 faon-Profit/Civic Organization DATE PAID: AV Name of Property Owner(s): ARRA/4-7S LL C (j (R4)) 4R144-k ) Address: 39 q S I,f 1 Es'-4 SI-• Q iittG110 6.4e. Telephone Numbers: Home: Work: Cell: iL 3_ G9 7- G 1GS Name of Applicant: 'J(gee -m6\—) , , t e ri C,`� Address: ��(�� ) 6 O`� \-R- Telephone Numbers: Home: 3t.p3 "9:6 1 -0?LPr Work: Cell: -At 3 _5 -b'O -- Future Land Use Map Desigation: '"Re_S tAtt,c (� Current Zoning Designation: (�ocn £,rk c c Legal Description of Property: 3-: g .-- '7-oc.JC) -Obo2Q6 -00 1 U Address of Property: l c:. (_f 5 "uc re .(i3 Please Explain Type of Use: \vtl\ , P✓ 4r C-1(0_V\- .WQ Briefly describe use of adjoining property North: (1 a- (l)Ck_.S.t..\__ East: tt\v, 2 z L- South: L.t p ce�! West: If bit,\ Other temporary strictures 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 I Permit* City Staff(Please review the application,attach Comment special conditions). Business Tax Receipt Verification: Date: //42// ` Fire Department Approval: ( Date: ( /2t,/2 S Police Department Approval: "� Date: I'Z I-2 S Public Works Department Approva' Date: t ..' •-_,:• C Building Inspector Approval: Dater2— t 'SS- City Administrator Approval: Date:l/�// I hereby certify that the information on this ap lication is correct.The information included in this application is for use by the City of Okeechobee in processing myrequest. False or misleading information 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. ( 4c' ,Mt--(7u - / % 3) ,z h-.. Signature of Applicant Date Revised 5-13-24 pb ACORLY CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYVY)1/17/2025 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: Joseph Guerrero PHO DOXA Programs, LLC DBA R.V. Nuccio&Associates Insurance yuc.N..Ext): (800)364-2433 (A°/c,No): (818)980-1595 Brokers E-MAIL ADDRESS: Support@rVnuCCIO.COm 10148 Riverside Drive INSURER(S)AFFORDING COVERAGE NAIC# Toluca Lake, CA 91602 _ _ _ INSURERA: Fireman's Fund Insurance Company 21873 INSURED INSURER B: Axis Insurance Company 37273 Okeechobee Garden Club INSURER C: 2690 Northwest 50th Avenue INSURERD: Okeechobee , FL 34972 INSURERS: INSURER F: 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. INSR I INSR SUBR ADDL POLICY EFF POLICY EXP TYPE OF INSURANCE yyYD POLICY NUMBER (MM/DDIYYYY) (MMIDD/YYYY) LIMITS A GENERAL LIABILITY UST021822230 1/18/2025 1/18/2026 EP'CHOCCURRENCE $_ 1,000,000 ✓ COMMERCIAL GENERAL LIABILITY PREMISES O RENTED $ 100,000 NAA000043750 JCLAIMS-MADE ✓l OCCUR MEDICAL EXPENSE $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ✓❑ POLICY I PRO- LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED [ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS 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 - I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured Wording: Start Date: 01/25/2025 End Date: 01/25/2025 Event Description: Plant and Craft Sale CERTIFICATE HOLDER CANCELLATION Arrants LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 399 SW 18th St AUTHORIZED REPRESENTATIVE `'1 f Okeechobee ,FL 34972 Joseph Guerrero ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: UST021822230 COMMERCIAL GENERAL LIABILITY EFFECTIVE DATES: 01/25/2025 to 01/25/2025 CG 20 26 07 04 CERTIFICATE NUMBER:NAA000043750 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Arrants LLC 399 SW 18th St Okeechobee ,FL 34972 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 0000044 06/27/23 1 11 DR-14 Consumer's Certificate of Exemption R.01/18 Issued Pursuant to Chapter 212, Florida Statutes FLORIDA 85-80191655640-6 06/23/2023 .06/30/2028 501(C)(3) ORGANIZATION Certificate Number Effective Date Expiration Date Exemption Category This certifies that FLORIDA FEDERATION OF GARDEN CLUBS DISTRICT X INC 1887 NW PINE LAKE DR STUART FL 34994-9444 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. 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 (Rule 12A-1.070, F.A.C.). property 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. Consent for Recreational Use of Land January 15th, 2025 Dear Carol McGum of Okeechobee Garden Club, I, Raymond Arrants, president of ARRANTSLLC with property located at 1600 S Parrott Ave Okeechobee, FL , hereby permit you to use my land for recreational purposes, specifically for selling / trading gardening materials, on January 25th, 2024 from 7 am to 5 pm. This consent is granted under the following conditions: 1 . The recreational activities must be limited to the agreed-upon scope and time frame. 2. You are responsible for ensuring the safety of all participants and supervising the recreational activities. 3. Any damage to the property caused by recreational use must be repaired at your expense. 4. You must obtain any necessary permits or licenses required for recreational activities. Please acknowledge your acceptance of these terms by signing and returning a copy of this letter. I f rt.,�"., NOEL SIDDAII fp �*mot•= Notar)r public State of Florld� ; ,�` Commission t HH 330196 a y and Arrants I '•.,,a M1ar3 My Comm.ExPires Nov 7.:026 .Bonded through National Notary Assn. ( 0.0 .}Ad OcogAC(DuillY‘ Carol McGum L 9 o ao ( 3 J o C6 C TDQ DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 06-26-2024 Employer Identification Number: 99-3702641 Form: SS-4 Number of this notice: CP 575 E OKEECHOBEE GARDEN CLUB 2690 NW 50TH AVENUE OKEECHOBEE, FL 34972 For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 99-3702641. This EIN will identify your entity, accounts, tax returns, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for business and tax purposes. Some taxpayers receive CP575 notices when another person has stolen their identity and are operating using their information. If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear-off stub and return it to us. When you submitted your application for an EIN, you checked the box indicating you are a non-profit organization. Assigning an EIN does not grant tax-exempt status to non-profit organizations. Publication 557, Tax-Exempt Status for Your organization, has details on the application process, as well as information on returns you may need to file. To apply for recognition of tax-exempt status, organizations must complete an application on one of the following forms: Form 1023, Application for Recognition of Exemption Under Section 501(c) (3) of the Internal Revenue Code; Form 1023-EZ, Streamlined Application for Recognition of Exemption Under Section 501(c) (3) of the Internal Revenue Code; Form 1024, Application for Recognition Under Section 501(a) ; or Form 1024-A, Application for Recognition of Exemption Under Section 501 (c) (4) of the Internal Revenue Code. Nearly all organizations claiming tax-exempt status must file a Form 990-series annual information return (Form 990, 990-EZ, or 990-PF) or notice (Form 990-N) beginning with the year they legally form, even if they have not yet applied for or received recognition of tax-exempt status. If you become tax-exempt, you will lose tax-exempt status if you fail to file a required return or notice for three consecutive years, unless a filing exception applies to you (search www.irs.gov for Annual Exempt Organization Return: Who Must File) . We start calculating this three-year period from the tax year we assigned the EIN to you. If that first tax year isn't a full twelve months, you're still responsible for submitting a return for that year. If you didn't legally form in the same tax year in which you obtained your EIN, contact us at the phone number or address listed at the top of this letter. For the most current information on your filing requirements and other important information, visit www.irs.gov/charities.