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Temp Use Permit_Fellowship of Christian Athletes_BBQ Act °°'`FFcy1. CITY OF OKEECHOBEE �`•2 <111, 55 SE THIRD AVENUE co ' = r-: OKEECHOBEE, FL 34974 ••` Tele: 863-763-9821 Fax 863-763-1686 wire,.��'�� e-mail: permit@cityofokeechobee.com Temporary Use Permit Permit Number: T-25-004 Date(s) of Event: April 4, 2025, 11 AM — 1 PM Permit Expiration: April 4, 2025 @ 11:59 PM Purpose of Request: Wrestling BBQ Fundraiser Property Owner: Arrants LLC Address: 1600 S Parrott Avenue City: Okeechobee State: Florida Zip Code: 34974 Applicant: Fellowship of Christian Athletes Applicant's Address: 8701 Leeds Road Kansas City, MO 64129 Phone Number: 478-361-6112 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. 7‘eireda sfAnde April 1, 2025 General Services Administrative Secretary Date �,,, ._ TEMPORARY USE PERMIT APPLICATION o ii OTHER TEMPORARY STRUCTURES (666) 1- A City of Okeechobee -General Services Department =�• UI- •AAA, 55 SE 3rd Ave, Room 101,City Hall,Okeechobee, FL 34974 Phone: (863)763-3372 ext.9821 DATE RECEIVED: 3/2m /25 DATE ISSUED: y 1 i /2025 APPLICATION NO.: `f-2 5-O0 -f EVENT DATE(S)&TIME: i-t/it/) 5 I(:O i — 1-t'z' FEE:$175.00on-Profit/Civic Organization DATE PAID: Name of Property Owner(s): A e_K'/ /\j..1-,3 L Address: RP 00 S' t4Z T(01-f 4d e OeeCh ob-eel FLU Telephone Numbers: Home: Work: Cell: Cell: Name of Applicant: re r/our Sh;p� o T e -Sf Lail /4'I-h Ie/es `,,,' Address: 5101 ( ,eed.S c3 ' 1Q�S&S Ci (�.O t(�`T 12J Telephone Numbers: Ca I e b Court ett' Home: Work: Cell: 47 — 3 to/- (. It 2-- Future Land Use Map Desigation: ( !) L,,1 fry\ e v"C i C1 / Current Zoning Designation: Cc",hkt o'i e v-(r_1 I Legal Description ofPropertyV- Add% \cc Ice OKee -I-e— i12,3,-1,g c 4 '1- Ni, gcort pc- Lot io FNocic 2 Address of Property: kUc0 ((ctt - 'C --((,K{= e I EL- Please Explain Type of Use:tbi3c,) ,tc\c:(_C0.66( Briefly describe use of adjoining property North: L r y !i +t e y' East: f}(4t(1 Z 01 1 f South: Cu If wPI 5 i West: r . I ea r14 16 I Other temporary structures subject to the following regulations: 1.Christmas tree,fireworks and similar seasonal sales operated by a non-profit organizaiton. 2.Camival,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 ion ommen or speci conditions . Business Tax Receipt Verification: N _______(_\, Date: ...7--d�2�� Fire Department Approval: f Date: / 3I/ Z. C Police Department Approval: Date: y...7-,ea-5-Publ ic Works Department Approval` Date: q , ', Building Inspector Approval: Date: S-- z '225 City Administrator Approval: Date: 3 a /2 S-------- I hereby certify that the information on this application is cor ct.The information included in this application is for use by the City of Okeechobee in processing my request. False or misleading information m e 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. Signature o Applicant Date Revised 5-13-24 pb AC o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/10/2025 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 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# INSURER A: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: 1162540500 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 LTR „I�ISD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 24MEA0518584 9/1/2024 9/1/2025 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 POLICY PRO LOC PRODUCTS-COMP/OP AGG $10.000,000 X PRO- ' 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 HIRED AUTOS NON-OWNED PROPERTY DAMAGE _ AUTOS (Per accident) A UMBRELLA LIAB X OCCUR 24MEA0518584 9/1/2024 9/1/2025 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 $ ' I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Okeechobee FCA Wrestling Fundraiser,April 4,2025 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 Parrot Ave Okeechobee FL 34972 AUTHO ZED REPRESENTATIVE /dr ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD Consent for BBQ Fund Raiser Use of Land March 24th, 2025 Re: Fellowship of Christian Athletes I, Raymond Arrants, president of ARRANTSLLC with property located at 1600 S Parrott Ave Okeechobee, FL , hereby permit you to use this land specifically for the Fellowship of Christian Athletes BBQ Fund Raiser, on April 4th, 2024 from 6 am to 4 pm. This consent is granted under the following conditions: 1 . The FCA BBQ Fund Raiser activities must be limited to the agreed-upon scope and time frame. 2. FCA is responsible for ensuring the safety of all participants. 3. Partaking in methods as to not cause damage to the property. Please acknowledge your acceptance of these terms by signing. Raymond Arrants- Arrants LLC Jennie Tyson- FCA Notary Public State of Florida Christy Denise Schneider My Commission HH 438471 tiit Expires 8/28/2027 1 .1. • ', . ' Chobee Wrestling Presents Our 9th Annual BBQ Fundraiser 0 Prepared By Kyle Reno Friday April 4, 2025, ii:oo am - i:oo pm Brahman Theater III (Future Home of Coot's BBQ) i600 S Parrott Ave. - Parking Lot Delivery 5+ "FOR BUSINESS IN TOWN ONLY" Pulled Pork, Baked Beans,A Side, Roll, Cookie Vvows info contact: t. O For more � Serenity Coffee Shop 863.824.2287 n to FCA 41 qN 1.**14*