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Home My WebLink AboutDocumentation_Regular_Tab 15_09/11/2014 . VILLAGE CLERK'S OFFICE AGENDA ITEM TRANSMITTAL FORM Meeting Date: Meeting Type: Regular Ordinance #: September 11, 2014 Consent Agenda: Yes Resolution #: Originating Department: Community Development AGENDA ITEM TITLE: (Wording form the SUBJECT line of your staff report) SE-01-14- Special Event Permit Application from Good Shepherd Episcopal School for food trucks, children activities, family fundraising event. The event is planned to take place September 26, 2014. Alcohol will be served. Projected number of attendees is 1,000 people. BUDGET / FINANCIAL IMPACT: Account #: Amount of this item: Current Budgeted Amount Available: Amount Remaining after item: Budget Transfer Required: Choose an Appropriate Fund Balance: Choose an item. item. EXECUTIVE SUMMARY OF MAJOR ISSUES: (This is a snap shot description of the agenda item) SE-01-14- Special Event Permit Application from Good Shepherd Episcopal School for food trucks, children activities, family fundraising event. The event is planned to take place September 26, 2014. Alcohol will be served. Projected number of attendees is 1,000 people. Sec. 78-569 (e) (3) "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" APPROVALS: SIGNATURE: De artment Head �= p � � '�-� ; .��? �°.�. �"� �' �--- Finance Director � Reviewed for Financial Sufficiency ❑ No Financial Impact 0 ,� �( Attorney: (for legal sufficiency) ' Village Manager: �- -�"---, Submit for Council Discussion: � Approve Item: ❑ Deny Item: � SPECIAL INSTRUCTIONS FOR CLERK: (if you wish to have agreements signed, be sure to include the number of copies you want signed and place "Sign Here" sticker on them) Form Amended: 10/20/11 ' vi�.� ��-� �� s r- 0 l_� q-- ��r.�u��, �� '��#�` VILLAGE OF TEQUESTA , � / �,/ ��_ �.., Department of Community Developrnent PERMIT #�� `'�� 345 Tequesta Dr C!�1r."�-�.4l�P�8IT';� �v1fC' �:''�.".:.:;y'1 Tequesta Florida 33469 (561) 768-0450 fax (561) 768-0698 TEMPORARY OUTDOOR BUSINESS OR EVENT PERMET APPLICATION DATE OF SALE/EVENT: �G �G f HOURS: FROM � TO "� �'1 SPQNSORINGORGANIZATION: �a�� S�G �� -- ��5�� -� � ��t�� NAME 8� T{TLE OF PERSON � # ' DIRECTItJG SALE l EVENT: ' � �' � `�' `�� — � - �� - �(G'(�(� ,s� t h �- � MAlLING ADDRESS: � Z � � �� lC- `� °�� PHONE NO.: r�i� { `��,� �`�- ' ' - wt '�-- 3� (�� FAXNO.: tv ` �O PROCEEDS TO BE USED FOR: 'S G�1 ��) I `f 1""l�-t� �`� ��- ( LOCATION OF SALE/EVENT: _�t? Z S e.�. �j cti"'F� ��- �Z-Jt(.c'1 :`� �(�' C^- L5 �i �� I� DESCRIPTI�ON OF SALE/EVENT: EGt �� t�-�S `��v` L� � vl �L' � �tc� S a C�t U�� S - ct Vt1 i� � � vt kt.� V'G� � S�"-'�i L A�� vt"{"' �- PROJECTED NUMBER OF ATTENDEES: _�� 0 9 fS ALCOHOL BE{NG SERVED? � (If "yes", must obtain Div. of Alcoholic e� y� an �obacco temporary alcohol license) � , ,_ PROPERTY OWNER APPR�VAL: �C �� (if other than applicant) � �*NOTE** - • Site Pla� requiced with each application accompanied with drawing indicating layout for event. • No fee shall be charged for said permit; howeve�, not more than two (2) peRnits shail be issued to any one address, property, isgai description, property owner, or organization during any single calendar year. • Adve�tising signs are permitted ONLY on property having the sale. • All sale sites shall be left in a clean and orderly manner upon complefion of sale. • Should the sale/event include the use of one or more tents, there is a$35.00 Fire Inspection Fee due at fime of application and a certificate of flame resistance is required for each tent. Inspection to be done on the first y of e�ent. _ SiGNATURE OF APP�ICANT: I � �,�� DATE: �?� I �**��,��,��*,�,��**,�***�**��*�**�***,�**,�* ******�*�***,� ��*,��**��,��*�**�*�*W�� P..�20VAL IGN TURES: ��GOF-(��t', i t D 'N ; .�—� f POLECE DEPT.: � A` DATE: �� f� FIREIRESCUE: � .� D/�TE: � � ° ��''�� PARf6S/RECREATl0�9: -� � � DATE: � .1 VILI.AGE MANAGER: ��--�''` " DATE: P& Z DIRECTOR: � < !'��-�� DATE: J�� f ��t,�- /�,"� �-t; ��, ' � �1 (/� � , ` `,, c t' r�-��;,(i �/ t/�, _ .��t� �� . � _ . ' � � � ° � e DBPR �►►BT-6003 — Divi�ior� of Aicoholic Bev�rages aa�d Tobacco Appli�a�on for OnelTwolThfee Day t��rmi4 or SpeciaD Sales License � STAYE OF FLOt�IDA D�PR Fo�n DEPARTMEWT OF BUSINESS AMD PROFE�SIONAL REGULAYION R�T- 6003 Revlsed 0�/2013 !f you have any questions or nesd esslstance Pn completing thls appllcation, please corrtact �e Divislon of Alcoholic Beverages & Tobacco's (AB&TJ local dlsiri'ct �ce. Piease submif your complei�d ap,ollce�'on to your local d/sirlct oflice at least (� days prlor fo fhe flrst date of �e everr� to lns�re th� permit fs Pssued by the everit date. Thls applicatfon may be sufimiited by mall, oP f� r.�n be dropped off. A DJsirlct Office . � Address and Contac� Information Sheet can be found on AB&Ts page of fhe DBPR web sfte at the llnk provided belo.w. ht(x�J/www mvfloridalicense com/dbndab�/districe o�ices/licensina.himl Transaction Ty�Oe: .�' On�Tworfhree Da Permit .[a S: ecial Sales License � If the applicant is a corporation or other legal.eritity, �ente� the name and the document number as registered w►Ith the Florida De artrnent of State Dlviston of Co oration� on the line below. F Nu ber Busi Te ephone Number E-Mall Addr�ss (Optional) ��0�� I �'y�b. `SS��- �w� ayw� I� � aol• co�w F II Na � Ap I can s): is the th pe It o li nse wrill be Issued in) Depa ent of e ocumerit # ��' �, � �� ,60�'�� a oa�o �a BUsiness-Name (DB/A) or e of verrt�� ,,, b,� �� ' s e�� V n ��O Loca�on f Event Stree - and Idumber) �/ � a �i' O'i 7+f'1l�D � �a+1 c�y . .� �� f � � cou�j��.� � � scate aP co � 3 � � I Mailing Address (Street or P.O. Box) S � ` �� , �y State 7rp Code I Coeatact Person - This section is o�fonal, see ap iication 9nstructions for details � . Cor�tact Person� \ Telephone Number � �'+-� � � � o t � � S ° I � io (o ext Email � dress (Op� o al) � � � � e � � � �r� Ma119ng Addr (� et or P.O. Box) C�qy State Zip Code Date(s) Pe� it ��d � I � � �. �T D9s�r1c� O�ic� Received Dafis S#a�rep Auth: 61A-�i.0073, FAC 1 •' ' � � �: Ftoll f�ame of Ap�olic�nt Organization � D0 � 5 �L!/t�'� �, � SGai G� � S G� a 6 Tlie nam� applicarrt for a ficenselpermif has complie�,i with fhe �lorida Statutes concerning �egistratian for Sales and Use Tax and has agreed fo pay arry appllc�ble taxes due. � � P / Signed Date _ � 9 � Title � _ �. �' � - . � � � Departmerrt of Revenue Stamp: � �-"� �, FLORlD� � NUE � �� :��46� M O�EI�`T �L�e ,�— �� . �'3 P � CH, �L 33�07 ,� ��`� � _.� � — e; �. � Loca�on af Everrt (Street and Number) � � � � �� (� p� I City �'� �� Couniy (7(� � t.�t �j � az G� 1 The location complies with zoning requirements for the temporary sale af aicoholic beverages pursuarrt to this applic�tion r a One/Two/Three Day Permit Signed ,� � Date �� °�� -r�ae °�� t� ��r�i� �—Pd��►�°+ N�e: Colleg� �at�e��les and sororiti� rnust me�t �certaBn additioaaal cond�t9ons �ich can i�� fiound in tFa� a��lication ins�r�ac#9ons and requir�nn�nts. Auth: 69R�.0013, FAC 2 i ' , � � . , e� § ' � � _ ' K Business Name (DB/A) or Naine of Everrt � �'� _g � � � 9 � I ; � S � � I � � r GL G\ v I Neatiy draw a floor plan ofthe premises In Ink, Including sidewalks and other outslde areas whlch � cor�lyuous to the premises, wells, doors, wunters, sales areas, storage areas, restrooms, bar locatlons and an�t other speclflc'areas whlcFi are part of the � premises where the event wlll be heid. A mul�-story buildirig where the errtire bull�ng ts to be Iicens� must show the details of ! �ch floor. � � �� r� d� � � . � � � � � � �� . � � � � �� s �� c5 ��``� /4utFo: 61A-5.0013. FAC 3 . y °- . � � Y 9 �ull Name of Applic�nt OrganizaEion � Q � C � � � � ( � � . J ( 5 Ld �i 0 a "This is to certify that the applic�r�t requesting the permit in the above an foregoing appGcaBon is a non-profit civic orgenization and that the permit, if used, will be used only by the organiaation mafdng applic:ation, on the date(s) . tequested and at the locafilon�stated. By ac�eptance of this permit, we agree iftat ti�e appQcant organfz,�tion, as the pemut holder, is the OfdLY eiYtity that wlll receive any of the profrts from the sale of alcoholic beveraggs on tPils permt't 'This is to further certify that the applic�nt organlzai�on has not reeeived more than three (3) p�rmits �vlthin the calendar year, unless othenmise authorized by law, and acimowledge that tfie location may be inspected and'searched during the time that the perrnit is issued and business is being conducted withoufi a searcfi warrant by author¢ed agents or employees of the Division of Alcoholic �ederages and Tobacco, the SherifF, his Deputies, and PoQce Officers for pur�oses of deterrnining c�mpiiancc.e with the alcoho0c beverage laws. I, the undersigned indlvldual, here6y swear or affirm that ! am an officer or authorized represeritative and am duly authorized to make the above and foregoing statements on behalf of the applicant organization. Furthermore, I swear under oath or affirmadon under penalt�/ of perjury as provided for in Sections 559.791, 562.45, and 837.06, Florida Statutes, that fihe foregoing irrFormetlon is true to the best of my Imawledge.° STATE OF ��. � � COUNTY OF ��.�� C� I �`� � ' APPLIC / D E� A NAME � .� � APPLICANT/ ORI D PRESENTATNE SIGNATURE � The foregoing was () Swom to and Subscribed before me this �� Day of u� � Zo i`� . ay ��.� �' ( l o� Wno �s (�personally Imown to me (prinfi name(s) of pe� maWng statement) OR () who produced as iden 'trFic�iion. � . .�, Commission Expires: I�' f �" `� No P bGc � .Q'�Y e�, Jenmifer Cady �; cCammLs�on�FFQ6692� _;;��; Szpires: Dec.15, 2017 . `°•.;�•�� wvnv.AnaoxNOZSa�com Auth: 6'!A-5.0013, FAC 4 i I