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Temporary Use_Haven of rest_ Tent Revival ' ''0y °��O1 FF''- CITY OF OKEECHOBEE 55 SE THIRD AVENUE `o ' , OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax 863-763-1686 %,�;;•��'� e-mail: permit@cityofokeechobee.com Temporary Use Permit Permit Number: T-25-003 Date(s) of Event: February 28, 2025 - March 15, 7 PM — 9 PM Permit Expiration: March 15, 2025 @ 11:59 PM Purpose of Request: Tent Revival Property Owner: Haven Of Rest Church Address: 807 SW 2nd Street City: Okeechobee State: Florida Zip Code: 34974 Applicant: Aaron Ferree Applicant's Address: 1408 Fore Dr. SW, Apt.1 Cleveland, TN 37311 Phone Number: 423-715-4108 Address of Project: 807 SW 2nd Street Current Zoning: Residential Multiple Family (RMF) FLU Designation: Multi-Family Residential (MFR) Subdivision: Unplatted 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. 7deze¢a 7onde March 4, 2025 General Services Administrative Secretary Date TEMPORARY USE PERMIT APPLICATION =°c.'01%;:i. OTHER TEMPORARY STRUCTURES (666) ,,' City of Okeechobee -General Services Department 1.: ":ice ,••• 55 SE 3rd Ave,Room 101,City Hall,Okeechobee, FL 34974 Phone: (863)763-3372 ext.9821 DATE RECEIVED: L f 2$r2C72 j DATE ISSUED: 5!L//20 ?5 APPLICATION NO.: "-2 5_ OD3 (EVENT.DATE(S)&TIME:'C6. - Ntc„.k (so' 'W M- RPM' FEE:$175.00 Q"lon-Profit/Civic Organization DATE PAID: 2/28/2025 Name of Property Owner(s):r K OVEN O F JST C UOC 1....1 Address: - 'U 07 5 v.) Z lac 3 \ 12. . Telephone r�Numbers: Q Q �-- Home: 3,� / >0 5 3 Work: b /Q 7- ( fJ Z Li Cell: b�7 I U Z(-1 Name of Applicant: ! A w FF r r ..`. Address: t'l o W F,.-z, Dr. rSp l . I 5'— , C l .v•. l c rvl • -r r-i . 31•3 r 1 Telephone Numbers: ) IP 3 -7 r S y/08 Home: - Work: Cell: c Future Land Use Map Desigation: -' (NO F R Current Zoning Designation: R M E. -rim_ Ec.5 r lu • a4 0.crc5 csc- 41.--c.l• Pa+cct oc (c,r.cl elc,sc•%bcc( in • i.c:0, 1 1 Legal Description of Property: f��o r v to„o Ks c c 'P,• 154 4u k,i i.._ r�� d a� a .� o d....1,.. «.. R 'v.-5 twit,,. Address of Property: . _ Ss o - SW Z a d_ 5 V«<-+ , 0 I(- . 1-.o b c<. . r C c_ Please Explain Type of.Use: i CIA Q<<L - i en+ Re viva! Briefly describe use of adjoining property 1 .Nort �✓ h: l:sa- e.d k- P-. ro + East: I!Innorev,0,, HotA'‘n yS •-South: Sc..t,,r-..,,t 1 .,.,!-s e.,A4•v-41i, Lk„•c,1. West: Jarwr.-1^ 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:_ _ _ _ _ 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. c4:Submit Site Plan,State Inspection Certificates and submit State Annual Permit* City Staff(Please review the a.i ca ion,a ach comm is o cial co itions). , Business Tax Receipt Verification. , 7 . Date: - ,2 2 . Fire Department Approval: f 4.ilit/....r;�A1 Date: 3- 3- )-(-- 7 Police Department Approval: / Date: 3`���5 Public Works Department Approval: !t 4-4 411P Date: _'3 . 45 Building Inspector Approval: friaw2r0„.„.„ Date: ^g-'� Ci Administrator Approval: - Date: _.. _ ty PP �� 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 information may Ibe 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. (()t /Qj(A-ti - Z— 7 '-- 5 , Signature of Applicant Date Revised 5-13-24 pb ,...., • o• f ,of "Arc_,— �G�Ol3EE CGG `+�. r� .� �r% City of Okeechobee Okeechobee County Fire Rescue a- F Z,, O 1p. d .,a' < �o �,� _ c� 55 SE 3'd Avenue 707 NW 6"'Street r' { =* ` .1 'i.0 Okeechobee,FL 34974 Okeechobee,FL 34972 , ".i l4Iffe�j ,4i'1� Phone(863)763-3372 Phone(863)763-5544 �49 -gESG��` Tent Permit Application Permit # 1- 2 5-OO 3 *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 per 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 plans will not be accepted). o Copy of License to sell fireworks(if applicable) Owner A,,r,,., fI., e.�� o Owner o Address I4 o y •F..r.c,, D 1. A p4-- I 174 Address City 5�,, , G 1 c t c I r-J E City o g State -TM Zip 3 i 3 i i State Zip ,44„ Phone( y a3 ) —7 t 5 c{, O N o Phone( ) 3 E-mail G ,,,,;,t e„Li t 1 t .n ,...1/ • c•m E-mail mi O Signature o Signature U Proposed Tent Location Proposed Tent Description Address 81) ,1 Sw rci S - • OK cc..‘1"u bcc. , R. Tent Size 140 )C (D 0 Parcel Identification Number Open :Enclosed d• Jr' 11* '35- t]i4ob- CIO OOco- C000 /3 `1Sa) The following requirements are in compliance with National Fire Protection Association(NFPA) 101 Life Safety Code,Chapter 11 Special Structures and High- Rise Buildings,NFPA 1124,Chapter 7 Retail Sales of Consumer Fireworks.These are the minimum requirements approved by the Authority Having Jurisdiction (AHJ),Okeechobee County Fire Rescue.The AHJ reserves the right to exceed the minimum requirements as conditions warrant. Please initial next to each statement. 0 4- 'ORTABLE FIRE EXTINGUISHERS:Fire extinguishers must be inspected by a licensed contractor,have a current tag,and be readily accessible. 1 ' EANS OF EGRESS:The minimum number of exits provided from the retail sales areas shall be not less than three(3).Means of egress,including but not mited to aisles,doors,and exit discharge,shall be clear at all times when the tent is occupied.Exit signs shall not be required to be illuminated in tents that are not open f ss after dark.Exit openings from tents shall have a clear opening width of not less than 44 inches. EGRESS TRAVEL DISTANCE:Exits provided for the retail sales area of tents shall be located so that the maximum egress travel distance,measured from the s ote point to an exit along the natural and unobstructed path of egress travel does not exceed 75 feet. "` ISLE WIDTH:Aisles shall have a minimum clear width of 48 inches and shall be maintained and unobstructed at all times,the tent is occupied by the public. O- .EMERGENCY LIGHTING:The means of egress,including exit discharge shall be illuminated whenever the tent is occupied.Emergency lighting shall not be re in tents that are not open for business after dusk. ELECTRICAL:Electrical wiring must be rated 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 temporary electrical system,the conductors shall be provided with physical protection against damage caused by pe e or vehicular traffic.Temporary electrical wiring installed in tents shall comply with NFPA 70,National Electric Code. `--:FIRE DEPARTMENT ACCESS:Any portion of the sidewall of a tent shall be accessible within 150 feet of a public way or approved access by the fire nt. COOKING OPERATIONS:Cooking 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 storage or sale of consumer fireworks.Open flame cooking equipment of any type shall not be allowed within 50 feet of tents Aus torage or sale of consumer fireworks. IGNS:Signage stating"NO SMOKING"in 2-inch letters on a contrasting background shall be conspicuously posted at each entrance. ,,. .SECURITY:Signage stating"NO FIREWORKS DISCHARGE WITHIN 300 FEET"in 4-inch letters on a contrasting background shall be conspicuously posted ( ble). FLAME BREAKS:Tents used 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 display surfaces shall not be required for packaged fireworks merchandise displayed in bins,display racks,on pallets or tables located at the end of Wa display fixtures. "' €CLEARANCE TO COMBUSTIBLES:The area located within 30 feet of a tent used for sales of consumer fireworks shall be kept free of accumulated dry grass, d� ,and combustible debris. `ACI-DISTANCE FROM FUEL DISPENSING:Tents for use of consumer fireworks sales shall not be located within 50 feet from the following:retail propane- dispensing station dispensers;aboveground storage tanks for flammable or combustible liquid,flammable gas,or flammable liquified gas;compressed natural gas- slisj acing station dispensers;motor vehicle fuel-dispensing station dispensers. DISTANCE FROM BULK FUEL DISPENSING:Tents for use of consumer fireworks sales shall not be located within 300 feet of any aboveground bulk storage or laili.dispensing area for the following:flammable or combustible liquid,flammable gas,flammable liquified gas. PARKING:No 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 or other merchandise and materials used,stored,or displayed for sale. SEPARATION DISTANCES:Tents for use of consumer fireworks sales shall have a minimum separation distance of 20 feet from building,stands,combustibles, o and any motor vehicle or trailer used for the storage of consumer fireworks.Tents for use of consumer fireworks shall be 10 feet from vehicle parking. I : SOURCES OF IGNITION:Temporary electrical equipment,battery-powered equipment,and electrical cords that are used in conjunction with a tent used for the i saonsumer fireworks shall be listed and used in accordance with their listing. PORTABLE GENERATORS:Portable generators supplying power to tents for the sale of consumer fireworks shall use only Class III combustible liquid fuels. Class II and Class 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 I tt1yot 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. 1 • DATE(MMIDD/YYYY) ACCORD CERTIFICATE OF LIABILITY INSURANCE 02/27/2025 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 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). CONT PRODUCER NAMEACT Church Mutual Insurance Company,S.I. AX Church Mutual Insurance Company,S.I. (a/cD.No.Ext): 1-800-554-2642 In c,No): 855-264-2329 3000 Schuster Lane n"RE D D SS: customerservice@churchmutual.com P.O.Box 357 INSURER(S)AFFORDING COVERAGE NAIC# Merrill WI 54452 INSURER A: Church Mutual Insurance Company,S.I. 18767 INSURED INSURER B HOUSE OF PRAYER INSURERC: 12476 US HIGHWAY 421 S INSURERD: INSURER E: DEEP GAP NC 28618-8913 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. INSR ADDL SUBR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER D/POLICY EFF POLICY EXP LIMITS (MM/DYYY`!) (MMIDDJYYYI') X COMMERCIAL GENERAL LIABILRY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGES RENTED PREMISES lEa occurrence) $ 1,000,000 ( MED EXP(Any one person) $ 10,000 A N N 0267258 25-701802 04/09/2024 04/09/2025 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 CX POLICY JET LOC PRODUCTS-COMP/OP AGG $ 1,000,000 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 ANYPROPRIETOR/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 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Tent Revival 2/28/25 to 3/18/25 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOM VELIE ACCORDANCE WITH THE POLICY PROVISIONS. 807 SW 2nd St AUTHORIZED REPRESENTATIVE t1 �,� Okeechobee FL 34974 ` 43rokda�' I )-' uMy- I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD P . . ' r • . 1 To killhDrn 1--z—L\r) cx4 c)-nr V-6'.e- o k-i-61LV4-)n PeC-4- cY)uvr- ,, twrzc)c--Nr-?,Lt-' •- et W.:kW i; tAnOff#1461515.4 • NO tg01%itaPefniolifliarlda— tfetilMI§Mitlitl*Ogge#6 ,N.7441 - = • JAN. • FEB MAR APR MAY JUN JUL AUG SEPT OCT NOV DEC 1 2 3 4 5 6 7 8 9 10 tfa216-- 17 18 19 20 21 22 23 24 526 27�62� 0 /15)() 640 /- �3Di0 60 5v-) 15`'0 16, ---- 350 ZC o6 Receipt Number: R00008214 ,keedobee 55 SE 3rd Avenue Cashier Name: Theresa Forde FLORIDA.fradtd BIS Okeechobee, FL 34974 Terminal Number: 4 Receipt Date: 2/28/2025 12:00:05 PM Trans Code: 001-329-20000-Special Event Permit Fe Name: AARON FERREE TENT REVIVAL $175.00 Product: Special Event Permit Fee Units: 0.00 Amount: 175.00 AARON FERREE TENT REVIVAL 175.00 Special Event Permit Fee 175.00 001-329.2000.000 -175.00 Total Balance Due: $175.00 Payment Method: Cash Payor:AARON FERREE TENT REVI\ Reference: CASH Amount: $175.00 Total Payment Received: $175.00 Change: $0.00 • • 2/28/2025 12:01:42 PM Page 1 of 1