HomeMy WebLinkAboutDocumentation_Regular_Tab 12_03/14/2019VILLAGE OF TEQUESTA
Building Department
MEMORANDUM
TO: Honorable Mayor Abby Brennan and Council Members
CC: James M. Weinand, Acting Village Manager
FROM: Jose Rodriguez, Director, Building Departm
DATE: March 7, 2019
SUBJECT: PSEP19-0005 — St. Patrick's Day Event — Mai17, 2019 —Special Event
Permit Application (-500 Attendees)
This is a Special Event application for an annual St. Patrick's Day event by McCarthy's Pub
(see attached Special Event Permit Application), to take place at 518 N US Highway 1,
County Line Plaza. The event is to be held on Sunday, March 17, 2019 from 12:00 p.m. —
10:00 p.m. No alcohol will be served (except within the limits of McCarthy's Pub). The
roadway directly outside McCarthy's Pub will be closed off to traffic within County Line
Plaza and two (2) Village of Tequesta Uniformed Officers will be present for the duration of
the event. A notice to County Line tenants will be sent out prior to the event. The
projected number of attendees for the event is —500 over the course of the event.
The purpose of the event is to enhance community within the Village of Tequesta. The
applicant, McCarthy's Pub, 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 attached payment
receipt).
VILLAGE OF TEQUESTA PERMIT NO:
COMMUNITY DEVELOPMENT DEPARTMENT submittal Date: 3— // 4 /!
345 Tequesta Drive Deposit Amount: 10
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 flow 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 public. 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
specifically 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: PAO, 1 0 , �O1q HOURS: FROM: � i`- +�� �� " TO: if:
TYPE OF EVENT: S {' f aw itty Day &eo, "
LOCATION OF EVENT:_ (� K� US H 1okj om
PROPERTY OWNER: TQrAVJ eJ + QeiaL � (Attach written consent of property owner of record.)
Print Nam
CONTACT INFORMATION:
SPONSOR or PERSON(S) RESPONSIBLE FOR EVENT:
(ire ►1c 4_K IV, � C ay h y
EMAIL: r-CCLOKV1 0"6 25 .i- &fA
MAILING ADDRESS: S (g t4 us PHONE NO.:
FAX NO.:
PROJECTED NUMBER OF ATTENDEES: 5Vo COUNCIL APPROVAL REQUIRED: ()()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 ()()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 all 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 applicant signs an
affidavit that the applicant operates 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 acceptable 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 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 Inspection, 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: $100,00.
SIGNATURE OF HOLDER/APPLICANT: ( --.. 14DATE:
Print Name Signature
SIGNATURE OF PROPERTY OWNER: ` DATE:
Print Name Si ature
RECOMMEND FOR APPROVAL:
COMMUNITY DEV. DI
BUILDING DIRE
POLICE CHIEF:
FIRE CHIEF:
APPROVED BY:
VILLAGE MANAGER:
DATE:
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DATE:
DATE:
DATE:
DATE:
DATE:
Approval/Review Notes:
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TEQUESTA POLICE DEPARTMENT
357 Tequesta Drive
Tequesta, Florida 33469-0273
Phone: (561) 768-0500 0
Fax: (561) 768-0695 lip
Gustavo Medina
Chuf of roace APPUCATION FOR EXTRA -DUTY POLICE'SERVICE
This application Is required to engage the off-duty services of the requested number of Police
Officers for public safety, heafth and welfare that are in addition to those generally provided to
the public. It Is understood that this Is a IQN-SINDING agreement. A minimum of Five (5) Days
advance notice Is requested prior to the service date. Payment for the service is required by
CHECK gE MONEY ORDER made payable to the assigned officer(s).
"Three (3) hour minimum per detail.
Applicant.. Brendon McCarthy
Address, 518 N US Highway One CjtV: Tequesta
Phone. .561-320-9806 Business: McCarthy's Pub
Number of Officers Required uniformed: YesZ NoM
Numberof Days: 1 Date($): March 17,2019
Hours: 9 4,00 Pin 10:00 PM
Starting Time, I - — Ending 7.1me:
Basic Services Requested: security
Exact Location-, 516 N US Highway One
Estimated Attendance: 500+
Other Comments or Requests: sarnO 88 last
DATE. 03/04/2019
Alcohol Served: Yeg No R
Appikant's Signature
CHARGES: Officers X _ Hours X $ 3S,W (rate) =
I Supervisors X — Hours X $ 40.00 (rate) -
Holiday Detail Officers x Hours X $ _Akap _(rate) =
Total Amount Due for Service = $
Approved By. Date:
No Text
Village of Tequesta
345 Tequesta Drive
Tequesta, FL 33469
Ph: (561) 768-0700
EXT. RECEIPT NUMBER
280322
ear ff
MCCARTHY'S PUB
TEQUESTA, FL 33469
03594113 Permit PSEPI 9-0005 Standard Item Special Event - Over 200 people $100.00
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518 N US HIGHWAY I Cash
Check
Credit $100.00
Transferred
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ACOORL> CERTIFICATE OF LIABILITY INSURANCE
11*.�
DATE (MM/DDNYYY)
1 03/07/2019
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
NAME:
FAX -9996
(PAHO.NNE,. E. (561) 848-1886 (PJC No): (561) 842
IC
623 Northlake Blvd
E-MAIL
ADDRESS: diana@sstins.net
623 Northlake Blvd
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURERA: American Automobile Ins Company
EACH OCCURRENCE $ 1,000,000.00
North Palm Beach, FL 33408
INSURED
INSURERB: Retail First Insurance Company
INSURER C:
Shamrock 4, LLC dba McCarthys Pub
D:
MED EXP (Any one person) $ 5,000.00
518 US Highway I N.
-INSURER
INSURER E:
�INSURER F:
Tequesta FIL 33469
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
LTR
TYPE OF INSURANCE
ADDLSUBR
INSD
VAWD
POLICYNUMBER
POLICY EFF
(MMIDDNYYYI
POLICY EXP
(MMIDD/YYYY)
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000.00
CLAIMS -MADE 191 OCCUR
DAMAGETO
PREMISES (ERENcuErDrence) $ 100,000.00
MED EXP (Any one person) $ 5,000.00
PERSONAL & ADV INJURY $ 1,000,000.00
A
SAG 2002102-18
03/19/2018
03/19/2019
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $ 2,000,000.00
PRO- LOC
POLICY 1-1 JECT
PRODUCTS - COMP/OP AGG $ 2,000,000.00
Liquor Liability Occ/Agl $ 1,000,000.00
OTHER:
AUTOMOBILE
LIABILITY
BINED INGLELIMIT
(CEOaMccid.nts $
BODILY INJURY (Per person) $
ANY AUTO
1
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident) $
PR ER DAMAGE
ra �d $
(P. OF . _Z tj
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$
1
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION$
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE F7
OFFICERIMEMBER EXCLUDE[
(Mandatory in NH)
N/A
520-52380
11/16/2017
11/16/2018
X OTH-
X I SPTEARTUTE ER
E.L. EACH ACCIDENT $ 1,000,000.00
E.L. DISEASE - EA EMPLOYEE $ 1,000,000-00
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $ 1,000,000-00
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The Certificate Holder is listed as an Additional Insured.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Village of Tequesta ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
345 Tequesta Dr
Tecluesta FL 33469
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