HomeMy WebLinkAboutDocumentation_Regular_Tab 06_10/16/2024 Agenda Item #6.
Regular Council
STAFF MEMO
m ®
Meeting: Regular Council - Oct 10 2024
Staff Contact: Wayne Cameron Department: Building
immr
Consider approval of special event permit application for an an outdoor Trunk or Treat event on
10/26/2024 from 5:00 p.m. - 7:00 p.m. for -400 attendees by the Family Church to take place on its
premises located at 423 Tequesta Drive. No alcohol will be served.
Consider approval of special event permit application for an an outdoor Trunk or Treat event on 10/26/2024 from 5:00
p.m. - 7:00 p.m. for —400 attendees by Family Church LLC to take place on its premises located at 423 Tequesta Drive.
No alcohol will be served. This is a Trunk or Treat event where the Family Church will close off a section of their private
parking lot to accommodate approximately 20 decorated cars. Families will be present to hand out candy to attendees.
The event is open to the public, and neighborhood participation is encouraged.
Please find the attached permit application, which has been reviewed and approved by the Fire Department, Police
Department, Building Department, and Village Manager.
This document and any attachments may be reproduced upon request in an alternative format by
completing our Accessibility Feedback Form, sending an e-mail to the Village Clerk or calling 561-
768-0443.
BUDGET • - •
BUDGET AMOUNT N/A AMOUNT AVAILABLE N/A EXPENDITURE AMOUNT: N/A
FUNDING SOURCES: N/A IS THIS A PIGGYBACK:
❑ Yes ❑ N/A
DID YOU OBTAIN 3 QUOTES?
❑ Yes ❑ N/A
COMMENTS/EXPLANATION ON SELECTIONN/A
ATTACHMENTS: -
09242024 - 423 TEQUESTA DRIVE - TRUNK OR TREAT SPECIAL EVENT APPLICATION -
10.26.2024 - ADA (21
Page 90 of 512
Agenda Item #6.
V '111age of Tequesta
345 Tequesta Drive 561-768-0700
Tequesta, FL 33469 www.tequesta.org
r
TO. jereniy Allen, Village Maiiager
From: Wayne Cameron, building Director
D,,ite: September 23r;d, 2024
Ike: Special Event Permit by Family Church 14 LLC - PSEP24-0020- Trunk or
Treat on O t(-)ber 2 Lh, 2024 from S:0 p.m-7;00 p.in- —400 Attendees)
This is a Special Event Perrnit application for an outdoor Trunk oi-Treat event for Family
Church 14 LLC taking place on October 26th, 2024 from 5:00 p.m. - :00 p-in. at 42
T questa Drive.The projected number of attendees is 400. No alcohol will he seared.
Family ChUl-Ch 14 LLC has provided proof of liability insurance listing the Village of
Tecluesta as a Certificate Helder (see attached) and the invoice of$100 will he paid at
the time of permit issuance.
Page 91 of 512
Age n #6. VILLAGE OF TEQUE TA
PERMIT NO;
COMMUNITY DEVELOPMENT DEPARTMENT Submittal Date:
345 Tecluesta Drive DepositArnount:
Teclue ta, Florida 33469
Phone: (561) 758-0450 Fa 561 68-0 9
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. 7 -51. 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 bath, organized and hawing 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 gather 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:
[SATE OF SALE/EVENT-10/26/24 HOURS: Ff�O�111:' To:
TYPE OF EVENT: Trunk or Treat in Parking Lot
LOCATION OF EVENT:423 Tequesta Drive
Family Churoh ems. �,. n c owner PROPERTY OWNER Attach written nsent of property,one f record.)
Print Name
CONTACT INFORMATION:
'� r
O �
SPONSOR or PERSON(S)RESPONSIBLE FOR EVENT:
CA C-
EMAIL:mrichardson @gofamily hurc
MAILING 423 Tequesta Drive PHONE NO.: 5613136176
FAX NO.:
r
PROJECTED NUMBER OF ATTENDEES O 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.
15 ALCOHOL BEING SERVED? I YES � NO
0 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 Tillage 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 2is
Page 92 of 512
AgenogAqR1 #@,:
• 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.
f 1
SIGNATURE OF HOLDER ER/APPLICANT:CANT..Michael Richardson DATE: 9/9/24
/
Print Name Si at
Michael Richardson `/,4 9/924
SIGNATURE OF PROPERTY OWNER: DATE:
Print Name Signature
RECOMMEND FOR APPROVAL:
COMMUNITY DEV. DIRECTOR: DATE:
BUILDING DIRECTOR: DATE: "ILS
POLICE CHIEF: DATE: ?-21/—Z02,'/
FIRE CHIEF: b w DATE:
PARKS/RE ATION: DATE:
APPROVED BY:
Digitally signed by Jeremy Allen
VILLAGE MANAGER: JeremyAllen _ DATE:
_ ate:2024,0�. 5 1��47.2s 04 C1L�_
Approval/Review Notes: Ft'Ic — M,4I✓14tAf /�q 6GC55 fir Vckc%s do ivo7�
�/Cdf eMcr• CAlc ICI�S A,-vcf do tiof ex a6d oCCiu AAI C0/ld �'NSi(fC of dui�c�iv .5.
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Page 93 of 512
Agenda Item #6.
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Page 94of512
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Agenda Item #6.
CERTIFICATE F LIABILITY INSURANCE I?J1TE(Irllf+uDom"
It 1 0911712024
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 OVERAGE 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(les)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 an
this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
PRODUCER MANE.CONTACTTrevor Glisson
Brown&Brown Insurance Services,Inc. PHONE (561)686-2266 P'� (561)665-2313
A/C,No):
1661 Worthington Rd Ste 175 E4AA1L : trevor.glisson@bbrown.coni
ADDRE
INSURER(S)AFFORDING COVERAGE NAIC a
West Palm Beach FL 33409 INSURER A. Church Mutual Insurance Company.S.I_ 18767
INSURED INSURER 9: Church Muivai Hotding Company,Inc. 44569
First Baptist Church of WPB FL INSURER C: Zenith Insurance Company 13269
Palm Beach Christian Academy Lake r14 rNSURER D: Markel American Insurance Company 8932
1101 S F1agler Dr INSURER E
West Palm Beach FL 33401
INSURER F
COVERAGES CERTIFICATE NUMBER: 24-25 Master C01 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 CONTRACTOR 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 REDUCEQ BY PAID CLAIMS.
INBR POUCY EFFY ExP
LTR TYPE OF INSURANCE IN SD WVO POLICY NIJMBEA MMMD MUMI)MM LIMITS
COMMERCIAL l3ENERAL.LlAeiLrTy FIACH OCCURRENCE 5 2•Q00.000
CLAIMS-MADE Fx]OCCUR PREMISES I Ea o=rrence I S
D EXP lAny nne parsonj S 5,000
A Y 0337107-02•738442 04,f0112024 0410112025 PER SOW L 6 ADV INJURY S 2,000,000
OE N'L AGGRE CATE Ll?A IT-A P PLI ES PER: GENERAL AGGREGATE S 5,000,000
POLICY LOC PRODUCTS-COMPI,'7P AGG S 2,000,DOO
JECT
OTHER Professional Liab s 2,000,000
AUTOS MILE UABILITY COMBINED SINGLE LIMIT S 1,000,000
s acct&,>
ANYAUTO a0OILY INJURY(Per Pe(son I 5
g OWNED SCHEDULED 0337107 09-741171 04JO112024 04/01/2025 BOO ILY iNJURY(Per accadanl) 5
AUTOS ONLY AJTGS
IX F PERT
]HIRED NON-OWNED PROer PERTY DAMAGE S SAUTOS ONLY AUTOS ONLY
PIP-Basic s 10,000
UMBRELLALlAA OCCUR r4CHOCCURRENCE S 10,000,00
A EXCESS LAB CUNIMS-MADE 0337107-09-738447 04/0112024 0410112025 AGGREGATE 5
O EDF5;�RETE=NT(ON S 10000 S
WORKERS COMPENSATION SPER TATUTE arm-
AND EMPLOYERS'LIABILRY Y 1 N
X1 ANY PROPRIETORiPARTNERlE3{ECUTIVE E.L.E,ACF AC;CIDE1iT S 5flQ•�t�0
OFFICERIMEMBER EXCLUDED? Elf+I<f A Z134731741 0110112024 0110112025 500.000
IMIandatary In NHI E.L_DISEASE-EA EMPLOYEE S
If yes,dowAbe Lnder 500AOD
DESCRIPTION OF OPERATIONS Wow E.L.DISEASE-POLICY LIMIT S
Properly 204,213
Inland Marine
D MKLM51MOO55550 D410112024 0410112025 Musicallnstraments S152,813
Theft Included
DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES(ACORD 101,Additianal Remarks Schedule,may be attached if mate space is raquired)
Re:Family Church Tequesta,Trunk or Treat.October 26
The Village of Tequesta is listed as additional insured wrth respect to the General Liability policy when required as per written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DE LIVERED IN
The Village of Tequesta ACCORDANCE WITH THE POLICY PROVISIONS,
345 Tequesta Drive
AUTHORIZED R EPRESENTATNE
TegUeStB FL 33464
«.
ic,1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(20161031 The ACORD name and logo are registered marks of ACORD
Page 96of512
Agenda Item #6.
Additional Named Insureds
Other Named Insureds
Church CoRmunicy Foundation, Inc.
Family Church Roal Erraw, :no.
Family Crurrh-:, L:.0
Fami y church-2, LLC
Family Church--3, ,LC
Family Chu rCh-a, 1.1.0
'.amity tirJ1j+kch-5,, M.0
FaLm1_yy Church-D, LLC
Family Church-'?, LLC
Family Church-5, LLC
'ami 1 y Church-9, LLC
Ars= Baptist Church of Bake Park F1
Firs! F.ap:l st Church of Port St. :wci e, ?nc.
Own Gap.ist Lurch of ,;ensan 3,ach, Fos
North Stuart Ra_r i s: church, i w
Palm Beach Mr_stian Academy
OFAPPINF(02/2007) COPYRIGHT 2007,AMS SERVICES INC
Page 97 of 512
Agenda Item #6.
AGENCY CUSTOMER 10:
ADDITIONAL REMARKS SCH E D U LE (Page of
AGENCY TAMED IN6URED
Brown&Brown Insurance Services,Inc, First Baptist Church of WP8 FL
POLICY NUMBER
CARRIER NA CODE
EFFECTIVE OAFS:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FGRMF
FORM NUMBER: 26 FORM TITLE: Certificate of Liability Insurance-Mates
8ludentAccident Insurance:
Carrier:Philadelphia Indemnity Insurance Company
PHPA156795 Dates:41112024 to 4f 112025
Accident Medical Expense Benefits Accidental Death$25,000
Maximum Benefit$250,000
Accidental Dismemberment up to S50,000
Deductible Arneunt$0
Accidental Paralysis$50,000
ACORD 101(2008101) 9) 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and Toga are registered marks of ACORD
Page 98 of 512
A.MgqdRtom #6.
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C partment of State, 1 C3iv ision of Corporations / Search Re-cards ! Search b,_Eaj y Narr�e !
Detail by Entity Name
Florida Limited Liability Company
FAMILY CHURCH- 14, LLC
Ili Information
Document Number L240001 8084
FEI1EIN Number -37" 3 03
Date Filed 05/02/20 4
Mate FL
Status ACTIVE
Prinoipal Address
1101 S. FL.AGLER DRIVE
WEST PALS! BEACH, FL 33401
llaillng Addres
1101 S. FLA LER DRIVE
WEST PALM BEACH, FL 33401
Registered Agent Name&Ad rgss
CRAWFORD, SCOTT
1101 S. FLAGLER DRIVE
WEST PALM BEACH, FL 33401
Authorizers Person(§)Dctai
Name&Address
Title MBR
FAMILY CHURCH REAL ESTATE, INC.
111 S.FL.AGLER DRIVE
WEST PALM BEACH, FL 33401
Annual Reports
No Annual Reports Filed
Dvcunien{t Iniaiges
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