HomeMy WebLinkAboutDocumentation_Regular_Tab 06_02/14/2019 ' � � VILLAGE OF TEQUESTA
- ,��
4 Building Department
MEMORANDUM
TO: Honorable Mayor Abby Brennan and Council Members
CC: James M. Weinand, Acting Village Manager
FROM: Jose Rodriguez, Director, Building Department
DATE: January 11, 2018
SUBJECT: PSEP19-0002 -Annual Strawberry Festival— Fundraiser for the First
Presbyterian Church of Tequesta, Inc. — March 2, 2019 Special Event Permit
Application (�650 Attendees)
This is a Special Event application for an annual Strawberry Festival, Fundraiser, by First
Presbyterian Church of Tequesta, Inc., a registered Florida Not-For-Profit Corporation,
signed by its Registered Agent, Jane Speak, (see attached Special Event Permit Application),
to take place at 482 Tequesta Drive. The event is to be held on Saturday, March 2, 2019
from 9:00 a.m. - 1:00 p.m. No alcohol will be served. Food will be sold at the event
(including strawberries, tomatoes, hot dogs, ice-cream, etc.)
The projected number of attendees for the event is ^'650 over the course of the event.
There will be one (1) open tent set up at the event (i.e., without sides), and a bounce house
(see site plan map, attached).
The applicant, First Presbyterian Church of Tequesta, Inc., is hiring two Village of Tequesta
EMTs for the event (see Public Safety Special Event Form, attached) and one Village of
Tequesta Uniformed Police Officer (see Application For Extra-Duty Police Service form,
attached).
The purpose of the event is to raise funds for mission work and community work. The
applicant, First Presbyterian Church of Tequesta, Inc. has provided proof of General Liability
and Umbrella Liability insurance (see Certificate of Liability Insurance, attached). The fee
for the Special Event Application in the amount of $100.00 has been paid by the applicant
(see payment receipt No. 274694, attached).
VILLAGE OF TEQUESTA PERMIT NO:
COMMUNI7Y DEVELOPMENT DEPARTMENT 5ubmittal Date:
''� 345 Tequesta Drive DepositAmount:
Tequesta, Florida 33469
Phone:(561)768-0450 Fax: (561)768-0698
SPECIAL EVENT PERMIT APPLICATION
Any Village resident,or any Village business holding a current Village business tax receipt pursuant to Chapter 70,Article Ii,is eligible
to apply for and obtain a special event permit pursuant to Sec. 78-561. Any such resident or business that desires to conduct any
type of special event within the Village must obtain a permit from the Village in order that the Village may adequately provide for
the potential impacts created by the proposed event. A maximum of four (4) such permits shall be allowed per address or per
business in any single calendar year. A special event that includes multiple addresses,for example within a shopping center, shall
count as one event for each address captured by the special event permit.
"Special Event" is any outdoor activity, gathering or group of persons, vehicles or both, organized and having a common
purpose,upon public or private property,which is likely to inhibit the usual fiow of vehicular or pedestrian traffic,which is
likely to create noise in excess of that typically associated with the areas upon which the event is to occur,or which is likely
to preempt or restrict use of property typically accessible by the general pubiic. Examples of Special Events include,but are
not limited to block parties,parades,races or walks,grand opening events,charity fundraisers,and other similar events not
specificaily permitted by the Village's zoning ordinance. Special Events that are sponsored by the Village and held on Village
property shall be exempt from the provisions of this section.
Written application must be submitted to the Village Community Development Department at least forty five(45) days prior to the
date for which the Special Event is proposed;which application shall contain the following information:
DATE OF SALE/EVENT: rI�LIV���I L�� "W I� HOURS: FROM: Q�O� TO: I �UD
TYPE OF EVENT: r!(�nIJ (!�( S�LI Gl� 6(�,IY'U F��"�Y�� — InODD1� �L�,I�C l A'�
�r,�,��Uvt� Dn C.lW v C,�, ��rU�o.e� � ���ut�C2 �v�e.- � o��t��u►� ��I-eS
LOCATION OF EVENT: �1r�� ��2�Lu �IPr-tu � �vr� � ��a `I f-Qt,t�-57-;�►- Q-.
PROPERTY OWNER: 5�1'rYl-C (Attach written consent of property owner of record.)
Print Name
CONTACT INFORMATION: I,1 l
r l�t(�'(�1 ' `—u Vi�l VU�(Q Y1'U�l') � �!/'
SPONSOR or PERSON(S)RESPONSIBLE FOR EVENT: 1 l + �P D��-✓\<<�"l r
��� 5��, �i-�� � I 3��- �c) S�l, Ce�-� �(� 3 �3 EMAi�: ��,•knr��n � Cavncusr � n�:i
MAILING ADDRESS: �S���u�ST/� �� _ PHONE NO.: 7(o�� lc 2S�- l�333
-r-5 c�u es�� `t"L� FAX NO.: `7��, � -��-o�
PROIECTED NUMBER OF ATfENDEES: LO S� COUNCIL APPROVAL REQUIRED: (x )YES ( )NO
• Any proposed Special Event whose attendance is contemplated to exceed 200 people in total shall require final approval by
the Village Council which, after considering the recommendations of the Community Development Director, the Police
Chief and the Village Manager, may approve the application, deny the application in whole or in part, or approve the
application with conditions.
IS ALCOHOL BEING SERVED? ( )YES (}C)NO
• The service of alcoholic beverages at any Special Event shall require the issuance of the appropriate state alcoholic
beverage permit,a copy of which must be provided to the Village in conjunction with the Special Event permit application.
• The Village may require the use of physical barriers to define and contain the outdoor area within which alcoholic
beverages may be consumed and/or the use of security or off-duty law enforcement personnel at the Special Event.
• It is the applicant's responsibility to monitor for and prevent excessive as well as underage consumption of alcoholic
beverages at all times.
Page 1 of 2
INDEMNIFICATION:
• By submitting a complete application,the Special Event holder/applicant and property owner(if different)expressly agree
that they shall indemnify,defend and hold the Village harmless from any and all damage to any real or personal property,
and from any and ali injury or death suffered by any person directly or indirectly related to attendance at or participation in
any activity in conjunction with the Special Event,including the consumption of alcoholic beverages.
NON-PROFIT ENTERPRISES:
• The Village may issue non-profit permits to any person or organization for the conduct or operation of occasional sales
and/or fundraising projects held by non-profit enterprises, either regularly or temporarily, when the appiicant signs an
affidavit that the applicant operetes without private profit, for a civic, public, charitable, youth, service, educational,
literary,fraternal,or religious purpose.
• A person making application under this section must comply with all rules and procedures for the granting of Special Event
permits as set forth in this section. All persons operating under a non-profit permit shall operate their non-profit enterprise
in compliance with this section and all other rules and regulations of the Village.
THE FOLLOWING ITEMS ARE REQUIRED TO BE SUBMITTED AT TIME OF APPLICATION:
• Proof of insurance in amounts acceptabie to the Village for the type of event. The Village shall be named as an additional
insured on all liability insurance.
. Expected traffic,fire-rescue,and utilities impact,if any,and proposed mitigation plans.
• Copy of all required state and county permits if event will be held on or utilize state and/or county-controlled property.
a.• A refundable deposit is required if the event is held on any Village property.
• Site Plan required with each application accompanied with drawing indicating layout for event.
• All sale sites shall be left in a clean and orderly manner upon completion of sale.
• Should the sale/event include the use of one or more tents,a$35.00 Fire Insaection Fee,due at time of application,and a
certificate of flame resistance is required for each tent. Inspection to be done on the first day of event.
SPECIAL EVENT FEES:
• Under 200 attendees:$40.00.
�� Over 200 attendees:$100.00
._
SIGNATURE OF HOLDER/APPLICANT: �h�') 'V�L(��yl(�� tM W��",��'�l DATE: �� O
Print Name Signature
SIGNATURE OF PROPERTY OWNE . � L S� �l� DATE: � j 0 I�
Print Na e Signature
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RECOMMEND FOR APPROVAL: n
COMMUNITY DEV.DIRECT . DATE: /^ `Zw/�
BUILDING DIRECTOR: . DATE: � � a � ���
POLICE CHIEF: � DATE: � I
FIRE CHIEF: � DATE: I / ��/19
PARKS/RECR ION: DATE:
APPROVED BY:
VILLAGE MANAGER: DATE: '
Approval/Review Notes: .5a.�, .�tfe,;�i.c/ /a//ajr '�+�M �rc per t �c�%���.--�n�v�.: h,�vC
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Mrs.Jane Speak, President
First Presbyterian Church of Tequesta, Inc.
482 Tequesta Drive,Tequesta,FL 33469
Cell Phone 561-746-0386
e-mail jspeak.cog@gmail.com
January 18, 2019
TO: Mr.James B. Trube, Fire Chief
�Ilage of Tequesta
357 Tequesta Drive
Tequesta, FL 33469
RE: Annua)Strawberry Festival—Special Event Permit
Dear Chief Trube:
Thank you for meeting with Strawberry Festival Vice Chair Lynn Weidman and me at your office
today. In response to your concerns about the festival listed in your letter dated January 15th,
I offer the following clarifications:
Medical Emergencies: We request 2 Village of Tequesta EMT's to be on duty at our March 2"d
event during our open hours from 9:00 AM to 1:00 PM.
Fire Hazards: Our campus is a licensed preschool,so fire alarms and alert systems are in place.
We will make sure our volunteers are aware of the location of all fire extinguishers. We will
have a 10 x 50 foot canopy on the front lawn. I understand this canopy does not require a fire
inspection.
Permanent and Temporary Structural Systems: Shop managers will be responsible for assuring
evacuation of their area through the nearest outdoor exit to the parking lot. After evacuation,
they will be instructed to report to me that their area is clear and secure.
Severe Weather Conditions: We would cancel the event if severe weather warrants that action.
In case of sudden weather conditions, our Sanctuary is not used for this event and is available
to shelter attendees.
Thank you for your help through this process.
Sincerefy,
V��
LJ e Speak, President
First Presbyterian Church of Tequesta, Inc.
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Village of Tequesta
Public Safety Special Event Form
Date of Request: ► I D 1�l
Fire Dept. Contact: Police Dept. Contact:
Contact Person(s): �Nr� ���� m�+'�
Telephone Number(s): �� ��I. �}4� � J 3 �� � ��� ��f . � �� ' �3 3"3
Location of Event: 4 k �1�4 u QS�� 0 2 �i�G u es-fr+ � �L
Expected Number of Attendees: �v SO
Number of Tents at event: I Will Tents Contain Sides (must include flame resistance
certification and $35 fee): yes no �
EMS Services Provided (does not have to be VOT EMS Services can be privately contracted):
Yes: � No: EMS Service Provider: ��T �i re �-.eS�.0�
Police Detail Request: � (see attached)
Brief Summary of Event: (can be typed or written withlout an attachment)
�n�zc��( .5��Jb�en^c� Fe�fi.Ifi+C- - lvi 0 00�' �il e� - v�r,000r s,4-C�
n�a�n� �5� , �.� c��.�.5 0, �.�
5 e-e ����d�.�1 .
Provide information (site plan, written description etc.) re�arding ingress and egress:
r� �( �a rz�u.�t� � C�zu�'�� n r�n.e,r�r
;� TEQUESTA POLICE DEPARTMENT � �
,��DUEST,Q , 357 Tequesta Drive I F ��
,` Tequesta, Florida 33469-0273 `` ;
Phone: (561)768-0500 '
'OOLi��' Fax: (561)768-0695 �
EP �
Gustavo Medina
ch�efofPor�e APPLICATION FOR EXTRA-DUTY POLICE SERVICE
This application is required to engage the off-duty services of the requested number of Police
Officers for public safety, health and welfare that are in addition to those generally provided to
the public. It is understood that this is a NON-BINDING agreement. A minimum of Five (5) Days
advance notice is requested prior to the service date. Payment for the service is required by
CHECK OR MONEY ORDER made payable to the assigned officer(s).
**Three(3) hour minimum per detaii.
Applicant: 1'�{l�l tl'���Su�1 t�i��(L211 ����Y.�1 U•� �G�����
Address: ��� �c_(�U 25"f-i1- {�� City: _���1�'T�
Phone: 5�� • ��, ' S�(�� Business:
Number of Officers Required � Uniformed: Yesa No�
Number of Days: � Date(s): �.�t,V�r.�1 Z, '�(���
Hours: �_Starting Time: ��iYl Ending Time: � �✓n
Basic Services Requested:
Exact Location: �� � �N ��JT� �� -��U eS� � �� _
Estimated Attendance: (r� 5 U Alcohol Served: Yes❑ No �
Other Comments or Requests:
DATE: � �O �� C( �� 'V�'` ��, —
Applicant's Signature
c�o
CHARGES: � Officers X � Hours X$ 35.00 (rate)_ ���r
Supervisors X Hours X$ 40.00 (rate)_
Holiday Detail Officers x Hours X$ 45.00 (rate)_
Total Amount Due fq\r Service=$�
/ _/ /
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Approved By: �� �\ Date: �1 � '�
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GENERAL SAFETY REQUIItEMENTS 1-67
10.143.2 Conditions to be Assessed. Life safety evaluations (2) Building area and popularion capacity of the proposed facility
shall include an assessment of all of the following conditions and (3) Principal fire and life safety features/strategies for the building,
related appropriate safety measures: includingthe following:
(I) Nature of the events and the participants and attendees (a) Sprinkler protection
(2) Access and egress movement, including crowd density (b) Smoke controUprotection
problems
(3) Medical emergencies (c) Fire alarm-visual and audible
(d) PA system
(4) Fire hazards (e) Emergency power and lighting
(5) Permanent and temporary structural systems
(� Provisions for patrons with disabilities
(6) Severe weather conditions
(g) Fire department access
(7) Earthquakes
(h) Fire/Emergency command center
(8) Civil or other disturbances
(4)Exterior construction design parameters used/applied
(9) Hazardous materials incidents within and near the facility
[I01:12.4.1.4.2]
(10)Relationships among facility management, event
participants, emergency response agencies, and others 10.14.3.4.3 Life Safety Floor Plans. Life safety floor plans of
having a role in the events accommodated in the facility each level shall be provided with the following:
[I01: 12.4.1.2J (1) Occupant load, exit location, exit capacity, main exit/entry,
10.14.3.3* Building Systems and Facility Management horizontal exits,travel distance and exit discharge
Assessments.Life safety evaluations shall include assessments of (2) Fire and smoke barriers
both building systems and facility management upon which (3) Areas of smoke protected assembly occupancy
reliance is placed for the safety of facility occupants, and such �4) Separate smoke protected areas or zones if applicable
assessments shall consider scenarios appropriate to the facility.
[I01:12.4.1.3] (5) Areas of other occupancy type and separations if required
10.14.3.3.1 Building Systems. Prior to issuance of the building �6) Unprotected vertical openings, including atriums,
permit, the design team shall provide the AHJ with building communicating spaces,and convenience openings
systems documentation in accordance with L0.143.4. [I01: (7) Event plans for each anticipated type of event depicting the
12.4.13.1] following:
10.14.3.3.2 Facility Management. Prior to issuance of the (a) Seating configuration
certificate of occupancy, the facility management shall provide (b) Exhibit booth layout
the AHJ with facility management documentation in accordance
with 10.14.3.5.[I01:12.4.13.2] (c) Stage location
(d) Occupant load, exit capacity required, exits provided
10.143.3.3 Life Safety Evaluallon.
and travel distance
10.14.33.3.1 Prior to issuance of the building pernvt,the persons (e) Any floor or stage use restrictions
performing the life safety evaluation shall confirm that the
building systems provide safety measures. [I01: 12.4.1.3.3.1] �� P1an and/or section drawing indicating areas where the
roof construction is more than 50 feet and limits of
10.14.33.3.2 Prior to issuance of the certificate of occupancy, the sprinkler protection.
persons pedorming the life safety evaluation shall confirm that
the facility management and operational plans provide �g) Areas ofrefuge—interior and exterior[I01:12.4.1.43]
appropriate safety measures.[]Ol: 12.4.1.3.3.2] 10.14.3.4.4 Engineering Analysis and Calculations. An
10.14.3.3.3.3 The AHJ shall detemune the acceptable persons engineering analysis and calculations shall be provided with the
performing the life safety evaluation in a timely manner to enable following:
the design team and facility management to resolve concems to (l) Smoke protection calculations as follows:
the satisfaction of the persons performing the life safety (a) Smoke exhaust and fresh air requirements per NFPA
evaluation prior to their submission. [IOl: 12.4.1333] 92,Standard for Smoke Control Systems
10.14.3.4 Life Safety Building Systems Document. The AHJ (b) Smoke maintained at a level six ft above the floor of the
shall be provided with a life safety building systems document means of egress
providing the information required in 10.14.3.4.2 through �c) Proposed testing protocol for smoke system and
10.143.4.4. [IOl:12.4.1.4]
pass/fail criteria
10.14.3.4.1 Document Distribution. The persons performing the (d) Calculations for performance-based design methods
life safety evaluation, the AHJ, the A/E design team and the accepted by the AHJ
building owner sball receive a copy of the life safety building
systems document prior to issuance of the building permit. [IOI: (e) Smoke and fire modeling
12.4.1.4.1] (� Timed egress analysis
10.14.3.4.2 Life Safety Narrative.A life safety narrative shafl be (g) Assumed flow rates and travel speed
provided describing the following: (2) SprinkJer protection calculations, including an engineering
(1) Building occupancy,construction type,and intended uses and events analysis substantiating locations in accordance with
2015 Edition �Zi
1�6 FIRE CODE
10.12.3 The AHJ shall have the suthority to require an inspection lighting,in an approved manner. ,.-_
and test of any fire protxtion system or fire alarm system that has 10.13.4 Vegexaeon and Christ�nas trees shail not obstruct corridors,
been out of service for 30 days ar more before restored back into ���o��means of egress.
service.
10.135 Only listed elactrical 6ghts and wiring shall be used on
10.13 Combustible Vegetatlon. natival or artificial combustible vegetation, nat�ral or artificial
10.13.1 Combust�ble vegetadon, including natural cut Christmas Chiishnas trees,�d othc similar decorations.
h�ees,shall be in accordance with Section]0.13. 10.13.6 Electrical lights sball be prolubited on meta(artificial trees.
10.13.1.1 Chrisimas tree placement within buildings shall comply 10.13.7 Open flacnes suc�as from candles,]antems,keaosene heatas,
with Table 10.13.1.1. � �� heatas shall not be located on ar near oombustible
vegetation,Chiistrnas trees,or other simi77ar combushble materials.
Table 10.13.1.1 Provisioas for Christmss Trees by Occapancy 10.13.8 Combastibk vegetation and nahual cut Christmas h�es shall
Cut Tree Cnt Tree DO���0��°�b�g Ve°ts or othet fixed or portable 6eating
Permitted Permitted ���°O�d cause it to dry out prematenely or to be ignited
With Withoat 10.13.9 Provisioos for Nat�ral Cut'I�ees.
Aatomatic Aatomatic BaDed 10.13.9.1 Where a nat�ual cut trce is peamiued,the bottom end of the
No Trees Sprinlcier Sprinkler Tree trunk shail be cut off with a straight&esh cut at least'/z m.(13 mm)
Occnpaacy Permitted Systems Syatew Permitted above the end prior to placing the tree in a stand to allow the tree to
Ambulatory X absarb water.
h��� 10.13.9.Z'Ihe tree shall be placed in a suitabk stand with water.
Apartment Within Wi�� �{ 10.13.9.3 T6e water level shall be maintamed above the fi�esh cut and
buildings unit unit ���1�°��y'
10.139.4*The tree shall be removed from the btrilding immediately
Assembly X upon evideace of dryness.
Board and X 10.13.10 Faterfor Ve�etation
� 10.13.10.1 C�t or uncut wceds, grass, vines, and other vege�on
Business X X ���v�����1 by the AHJ to be a fire hazard.
Day-care �{ X 10.13.1Q2 Whea tbe AW determines that total removal of growth is
unpiactical due to size or environmemal factocs,approved fuel breaks
Detention and X shall be establist�ed,
���10°� 1Q13.103 Desi�ated areas shal] be cleared of combushble
Dormitories X ������u�����eks-
Educational J{ 10.14 Spe�ial Outdoor Events,Caroivals,and Fairs.
10.14.1 Permib.Pe2nits,whene required,shall cotnply with Sedi�
Health care X 1.12.
Hotels X 10.14Z The AHJ shall be penuitted to regulabe all outdoor events
Industrial X X X �b � �� e°d faus as it patains to eccess for emergency
v�icles; access to fine pnotxtion equiPmen�placemeat of stands,
LodSing and X concession booths, and exW'bit�; and the co�rol of hazardous
rooming conditions danganus to life and prope�ty.
Mercantile X �{ 10.143 life Safety Evaluadon The AHJ shall be permitted to order
a life safety evaluation in acco�dance with this subsection
One and two X X X 10.14.3.1* GenersL Where a life evaluation is
�ly atha provisions of the Cade,it shall comply with all of the fo�Ilo�wing
Storage X X X (1) The life safety evaluetian shall be P�� b3' P���
aoceptable to the AHJ.
10.13.2 In anY o�ncy, Iimited quantitics of combustible �2) The life safety evaluation shall inctude a written assessm�t of
vegetation shall be permitted where the AHJ dete�mines that adequate ��' �'� for vonditions listod in 10.143.2 and of the
saf aze vided based on the �dmB systems and fscility managen�ent in accordance widi
eguards I�o quantity and nature of the 10.14.33.
oombushble vegetation.
10.133*Provisions for Fire Retardance for ArHficial Vegetatioo. (3) The life safety evaluation shall be �proved affivally by the
10.13.3.1 Attificial vegetation and artificial Christinas trees shall be AW and shdll be updated for s�iat or imusual conditions in
accordance with the provisions of 13.4.1 of NFPA 101 for
labeled or otherwise identi5ed or cxrtified by die manuFdcwrer as �cisting assembly oceupancies.[IO1:12.4.1.1)
being fire refandant
10.133Z Such Sre ret�dance shall be de�nstrated by each
�dividuel decotative vegetation item, including any dec�ative �,__
�'Mi 2015 Edition
i1 PaqQ 1 oP 2
ACORO� CERTIFICATE OF LIABILITY INSURANCE °��"'"""�"""'
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Naahvilla, TN 372305191 II311 INSURE S AFFORDINGCOVERAGE NAICN
INSURERA: �inqton Znsuranc� Compaay 19437
INSURED INSURERB• �'kehire Hatharay 8pecialty In�uraace Com 22276
0000003983-Fir�t Pr�abyt�rian Church of T�questa,Inc
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INSURER D:
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COVERAGES CERTIFICATE NUMBER:x95�9��a REVISION NUMBER:
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EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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DED RETENTIONS s
WORKER8COMPENSIITION PE OTH-
AfJD EMPLOYERS'W181UTY Y�N TATUTE ER
ANYPROPRIE701LPARTNER/EXECUTIVE
OFFICERIMEMBEREXCLUDED9 � N�A E L.EACH ACCIDENT f
(Wndalory in NN) E.L.DISEASE-EA EbIPLOYEE S
II yes,Aeccribe uWer
DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POUCY LIMIT S
DE8CRIPTION OF OPERATIONS/LOCATION9/VEHICIES(ACORD 101,ACAldonal RsmaAcs Schedule,may be athchad if moro space I�requirad)
A�: Annual 3traxbarry Fe�tival.
Plaasa contact your Insuranc� Board Aq�nt, RICHARD V. ]►I.ERANDER at (561j 512-5732 for qu�ations reqardinq your
C�rtificata of Zneuranea. It you would lika to epoak to aom�one at tho Inaurance Board, pleasa call 800-437-BB30.
Tho Villaqa oP T�quasta ie an ]ldditional Ineurod With raspacta to Ganerel Liability, Auto Liability and
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTiCE WILL BE DEIIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Villaqa of Toquosta AU7HOf�EDREPRESENTATtVE
345 Toquasti Driva � �J�
Tpuesta, FL 33469 �N��%
�1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016J03) The ACORD name and logo are registered marks of ACORD
8R ID: S7ZBSB74 BATCH: lOOO107
South Party Rental �11VOICe
9250 Belvedere Unit# 108
Royal Palm Beach,FL 33411 Order Date Invoice#
Ph: 561-791-2950 Fax# 561-855-669t
09/OS/2018 11280
Email: info(a3southpartyrents.com
Bill To
1 st Presbyterian Chutch of Tequesta
Lynn Weidman
482 Tequesta Drive
Tequesta FL 33469
Shl TO
Customer Phone 561-628-6373 482 Tequesta Drive Event time/Date 03/02/2019_
Tenns CREDIT CARD Tequesta FL 33469 Delivery Date 3/12019
Via Delivery Ship Time open
Event Type Event Pick up Date 3/4/2019
Qty Description Rate Amount
1 1Ox50 Frame Tent-White Top'Setup included 350.00 350.00
g�ass surface(•*NON-ENCLOSED TEIVT**)
Subtotal 350.00
Damage Waiver 7%of-(Applies to all Rental Equipment) 7.00% 24.50
Standard Delivery/Round Trip 50.00 50.00
Event Date:03/02/2019
Delivery Date:03/Ol/2019
Pick up Date:03/04/2019
•*SETUP 8c BREAKDOWN SERVICE NOT INCLUDED FOR FOLLOWIIYG ITEMS:TABLES,
CHA[RS,LINENS,8c CATERING EQUIP,ETC
(PLEASE CONSULT WITH REP FOR SETUP dt BREAKDOWN)
All Rentals are for one day use,unless specified.Responsibility of rental item(s�equipment remains SUbtO�� $424.50
with the customer from the time rented until the time retvrned.No credit will be given for unused
items once delivered/picked up.All equipment is to be Imocked down and stacked for pick-up such as
chairs stacked and tables foided.For health purposes,all china,glassware,flatware and other food Sales Tax (7.0%� �Zg'�
service equipment must be rinsed and repacked in the same containers as delivered.Linen should be
refuge free and air-dried to prevent staining and mildewing.
Total $452.50
NON COMPLIANCE TO TERM-ADDITIONAL CHARGES WILL BE APPLIED
Payments/Credits $o.�
Please take s moment to ensure sll invoice details are correct and sign below witL your approval
of the wmpany Terms&Conditions.
Balance Due sasa.so
PRINT: SIGN:
AGENCY CUSTOAAER ID:
LOC#:
q`��� ADDlTIONAL REMARKS SCHEDULE Page 2 ot 2
AGENCY NAMEDINSUF�D
Ni111s ot Ohio, Iaa. 0000003983-airet Fr�abyterian Church of Taqueata,Iac
482 2aquasta Drive
POLICYNUMBER 4equesta, PI, 33469
Sw Paqe 1
��� NAIC COOE
Sao Page 1 Sea Paqa 1 EFPECTIVE DATE:gee paqe 1
ADDITIONAL REMARKS
THIS ADDITIONAL RENIARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER• 25 FORM TITLE• certiricat� ot Liability �naurance
Umbrella/Ezcass Liability ae raquired by ►rrittan contraet.Geaeral Liability policy shall be Primnry and
Non-contributory with any other insurance in force for or xhich may be purchased by Additional Inaured whan required
by written contract.Tha Umbralla is followinq the Primary General Liability policy.
ACORD 101(2008/01) m 2008 ACORD CORPORATION. Atl rights reserved.
The ACORD name and logo are regfstered marks of ACORD
3R ID: 17281674 BATCH: 1000187 CERT: p9579774
This endorsement,effect(ve: iH/2019
Forms a part of Policy No.: 011971558 8 048409888
Issued to:The United Church Purchasing Group of Colorado
By: Lexington Insurance Company
ADDITIONAL INSURED REQUIRED BY WRITTEN CONTRACT
- ENDORSEMENT
A. Section 11—Who is an Insured is amended to include any person or organization you
are required to include as an additional insured on this policy by a written contract
or written agreement in effect during this policy period and executed prior to the
"occurrence"of the"bodily injury"or"property damage".
B. The insurance provided to the above described additional insured under this
endorsement is limited as follows:
1. This insurance provides coverage with regard to COVERAGE A BODILY
INJURY AND PROPERTY DAMAGE(Section I—coverages only.)
2. The person or organization is only an additional insured with respect to liability
arising out of"your work", "your product", or your operations.
3. In the event that the Limits of Insurance provided by this policy exceed the
Limits of Insurance required by the written contract or written agreement, the
insurance provided by this endorsement shall be limited to the Limits of
insurance required by the written contract or written agreement.This
endorsement shall not increase the Limits of Insurance shown in the
Declarations pertaining to the coverage provided herein.
4. This insurance does not apply to"bodily injury"or"property damage"arising
out of"your work","your product", or your operations included in the
"product-completed operations hazard" unless you are required to provide
such coverage by written contract or written agreement and then only for the
period of time required by the written contract or written agreement and in no
event beyond the expiration date of the policy.
5. Any coverage provided by this endorsement to an additional insured shall be
excess over any other valid and collectible insurance available to the additional
insured whether primary, excess, contingent or on any other basis, unless the
written contract or written agreement with additional insured specifically
requires that this insurance be primary and non-contributory with any other
insurance carried by the additional insured. In such case,this insurance shall
be primary and non-contributory with any other insurance carried by the
additional insured.
C. In accordance with the terms and conditions of the policy and as more fully
explained in the policy, as soon as practicable, each additional insured must give us
prompt notice of any"occurrence"which may result in a claim,forward all legal
papers to us, cooperate in the defense of any actions,and otherwise comply with all
of the policy's terms and conditions. Failure to comply with this provision may, at
our options, result in the claim or"suit"be denied.
All other terms and conditions of the policy remain the same.
�� �
ut orized Representative
Flonda Deoartmenl of Slate Divi;ion cF CoRaoe.arior�s
1�l
/— ( f�f,I'I���� �ll
f
�//�/�7��org �ir��� rJrJ�J�"-_.!!fS��� I_J
�y�>.v^� yo� _. ,,. . �� ,_ . l i„i� . ,
w�^—
Deoartment of Slale / Division of Comorations / Search Records / pelail Bv Document Number/
Detail by Entity Name
Florida Not For Profit Corporation
FIRST PRESBYTERIAN CHURCH OF TEQUESTA, INC.
Filinq Information
Document Number 702218
FEI/EIN Number 59-1237866
Date Filed 03/31/1961
State FL
Status ACTIVE
Last Event AMENDMENT AND NAME
CHANGE
Event Date Filed 12/11/2000
Event Effective Date NONE
Principal Address
482 TEQUESTA DR.
TEQUESTA, FL 33469
Changed:03/08/2000
Mailinct Address
482 TEQUESTA DR.
TEQUESTA, FL 33469
Changed:03/08/2000
Reqistered Aqent Name 8 Address
Speak,Jane
19173 SE Fearnly Dr
Tequesta, FL 33469
Name Changed: 04/30/2018
Address Changed:04/30/2018
OfficerlDirector Detail
Name 8 Address
Title PD
Speak,Jane
18430 SE Wood Haven Ln
19173 SE Fearnley Dr
TEQUESTA,FL 33469
Title VD
Cone,Mary Helen
6258 Winding Lake Dr
Jupiter, FL 33458
Tide SD
Rippe,Scott
21 S Fairway W
TEQUESTA,FL 33469
Titfe TD
Rippe,Scott
218 Fairway W
TEQUESTA,FL 33469
Annual Reports
Report Year Filed Date
2016 04/07l2016
2017 04/20/2017
2018 04/30l2018
Document Imaqes
Q4/30/2018—ANNUAL REPORT View image fn PDF fortnat
04/20/2017—ANNUAL REPORT Vfew image In PDF format
OM07Y1016—ANNUAL REPORT Y�ew image in PDF tortnat
03l19/2015—ANNUAL REPORT View image in PDF fortnal
07/07/2014—Rea.Aaent Chanoe �View image in PDF formal
OBI09/2014—AMENDED ANNUAL REPORT Y�ew image in PDF fortnat
01/17/2014—ANNUAL REPORT �Vlew image in PDF fortnal
03121/2013—ANNUAL REPORT Vfew image In PDF format
03I30/2012—ANNUAL REPORT View image in PDF(ortnat
02l22/2011—ANNUAL REPORT Vlew image In PDF formal
05J042010—ANNUAL REPORT View image In PDF fortnat
03/23/2009—ANNUAL REPORT View Image in PDF fortnal
01f31/2008—ANNUAL REPORT View imape In PDF formal
03/23/2007—ANNUAL REPORT View image in PDF fortnat
44L28/Z006—ANNUAL REPORT Vlew image in PDF fortnat
02/28/2005—ANNUAL REPORT Vlew Image in PDF tormat
02/11/2004—ANNUAL REPORT V'rew image In PDF format
02/13/2003—ANNUAL REPORT Vlew Image in PDf format
04/18/2002—ANNUAL REPORT View image in PDF tortnat
02/27/2001—ANNUAL REPORT Vlew Image in PDF tortnat
12/11R000—Amendment and Name Chanae View image in PDF fortnat
EXT.RECEIPT NUMBER
' Village of Tequesta 274694
_ 345 Tequesta Drive
�'���� � Tequesta,FL 33469
�
�, Ph:{561)768-0700 Paid By
I EVELYN WEIDMAN
� 3900 COUNTY LINE RD
TEQUESTA,FL 33469
Transac�ion Type Record Category Description Amourrt
03593887 Pertnit PSEP19-0002 Standard Item Special Event-Over 200 people $100.00
Project Address Total � 100.00
482 TEQUESTA DR Cash
Check
Credit $ 100.00
Transferred
Tendered ; 100.00
Change � 0.00
To Overpayment S 0.00
Village of Tequesta
Departrnent of Fire-Rescue Services
357 Tequesta Drive 561-768-0500
Tequesta, FL 33469 �v�vw.tequesta.org
��'��Bg�.7
* 4�} �
A, � om
9e e6sc
James B. Trube, Fire Chief
)anuary- 15, 2019
"Cransmitted �'ia F,-�Iail to: eh.knap�(c�comcast.net
Lynn ��;'eidman
FIRS1' PRESBYTERIAN CHURCH
482"I'equesta Drice
"I'equcsta, PL 33�69
Re: Annual Sttawberry Festival—Special Event Permit
Dcar i�Is. �`i/eidman:
I 1m in receipt of your Special I;�-ent Permit fc�r the aboee-referenced e�-ent being hcld on l�iarch 2,
2019. I3efore signing off on the final approval, there is sc�me information «�hich is needed pursuarit
to thc Narional Fire Protection r'�ssociation I,ife Safety� Code (NFP�� l, Sec. 10.14.3.2). The Code
requires and assessmcnt oE the follo�ving and «-hat, if any, safel�� measures you are tal:ing in that
rcgard:
(3) i�Iedical Emergencies. (I'aramedics are available at the hourly� rate of S4G.05 per hr.)
(4) f�ire Hazards
(5) Permanent and"I'em}�orary Struchiral Svstems. i.e. ���hat is your Plan of 1�vacuation?
(G) Severe ��leather C�ndiuons.
t\s I am sure y�ou understand, as the Authority Having Jurisdiction it is my primary concern to
consider the saEet�- of eeeiy�onc attencling y�our e�rent. Please respond Uack to me in �vriting in
response to the above, at�vhich time �vc can moce fonvard «�irh your permit.
lf�-ou ha�-e an}� yuesuons or conccrns, please do not hesitate to contact me.
Sincerelj-, � r---�'
7+ti%���.
)amcs F3 " ube, l��ire Chief
V'ice-�fa��or T'om Patemo A[�t�or:Abb��I�renn.in Council \Iembec V"ince_Arena
Council \Iember Lauric I�ranelon Council\fembec Kristi �olinson
�'illage \Ianagcr James\C�cin:ind
s f�X—�
sdoHs �p W�
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