HomeMy WebLinkAboutDocumentation_Regular_Tab 09_01/08/2015 Print Form
�; � VILLAGE CLERK'S OFFICE �'�:,
AGENDA ITEM ROUTING SHEET .,�`
Meeting Date: Meeting Type: Regular Ordinance #:
Consent Agenda: No Resolution #:
Jan 8, 2015
Originating Department: Community Development
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Special event permit application for a grand opening and open house event at Celtic Home Gallery located at
521 Old Dixie Highway in Tequesta, Florida. The event is planned to take place on Saturday, January 24, 2015.
The projected number of attendees is 200-300 people. The event will be held both indoors and outdoors and will
be catered, have a musical entertainm��� ��� � r��i� s±�fi�-� D,! c-� si}v. �'� a1;,����� t,��?�! �e served.
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Account#: -- ' _-_.._�_:_�_ �.-:- �_y_._:
Budgeted amount available: Amount remaining after item:
Budget transfer required: No Appropriate Fund Balance:
• ' •" .• • •- � � • .�- •.
'�� 5�-95=1 Special event permit application for a grand opening and open house event at Celtic Home Gallery
�i °t'j located at 521 Old Dixie Highway in Tequesta, Florida. The event is planned to take place on Saturday,
January 24, 2015. The projected number of attendees is 200-300 people. The event will be held both indoors
and outdoors and will be catered, have a musical entertainment and a radio station DJ on site. No alcohol will
be served. Per Sec. 78-561 (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 ap�Jic�±i�,:, �'�ny t;�� a��'ic��i�;� �� ��,vn�l? �r in part; or approve the application with conditions".
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Department �" == "
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Legal (for legal sufficiency) - - -~- --- --------
Finance Director or Representative _ ;.�
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Reviewed for Financial Sufficiency �� � `�,�'�,
No Financial Impact �
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Village Manager: ,_�.
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Submit for Council Discussion: �' °'`�
Approve Item: �
Deny Item: �
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Form Amended: 10/30/14
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VILLAGE OF TEQUESTA ' '
' PERMIT NO
COMMUNITY DEVELOPMENT DEPAR�'11�1�111T - submitta� �ate
�, � 345Tequesta Dr. oepositAmount:
�' Tequesta, Florida 33469 . �
(561) 768-0450 Fax (561) 768-0698
SPECIAL EVENT PERMIt�ARPEICATION_ ".
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.
"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 vent 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 tive (45) days prior to the
date for which the special event is proposed; which application shall contain the following information:
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DATE OF SALE/EVENT. �_:�:. '' ' _:.,,, K4�'._, � t,��, HOURS: FROM: TO: �-�' '
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T`fPE OF EVENT: ' F'��`�-�'j;(���
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LOCATION OF EVENT: _. -. � � ' • �
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PROPERTY OWNER: �.t-�7 ��j��� n�'��� j 1�� (Attach written consent of property owner of recor�.)
Print Name
CONTACT INFORMATION: �
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SPONSOR or PERSON S RESPONSIBLE FOR EVENT: ?~t" �..: ��� t. �
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MAILING ADDRESS: � � � , ;t�,<� ° ' �' ,> PHONE NO ';�'�" " (�� ""''�p��t,.�
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PROJECTED NUMBER OF ATfENDEES: .�U"° =-�'%.� `�� 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 Viilage Manager, may approve the appli�ation, deny the application in whole or in part; or approve the
application with conditions. ; �E-���` :� � -��� ,�,�
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IS ALCOHOL BEING SERVED? ( )YES ( •
� 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 viliage 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
• By submitting a complete application, the applicant expressly agrees that it 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 the consumption of alcoholic beverages in conjunction with the special event.
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 heid 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 ATTIME 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.
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SIGNATURE OF APPLICANT: � �`�� �v ' c.:('j/' ' �' /'—�-- / ' �� �� DATE: l � �t I
Print Name Signat
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RECOMMEND FOR APPRO�%AL: � � �
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POLICE CHIEF: DATE: `� �� ��
FIRE CHIEF: ,_..., , :;y"�;_,.���� �--'�" � ' DATE: _.. �/� , �-!; =j
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PARKS/RECRERTIOFV: DATE:
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COMMUNITI�EV. DIRECTOR: � �,�;?.i�: "��' ' �' � `�
�i' l�l�,/�i � DATE: ,v i �
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APPROVED BY
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VILLAGE MANAGER: ` � ` �ATE: � '� ` , j �
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Page 2 of 2
NOV/26/2�14/UdED 10:23 A�I Celti� '"�rble & Tile FAX No, 561 745 9550 P, 002
• By submi�ing a complete applica�ion, the applicant expressly agrees that it shaH indemnify, defend and hold the Viliage
harmless from a�y and all damage to any real or personal property, and from any and all injury or death suffered by any
person directiy or indirectly related to the consumption of alcoholic beverages in conjunction with the special event.
NON-PROFIT ENTERPRISES:
• The Vlllage may issue non-profit permits to any person or organization for the conduct or operation of occasional sal�s
and/or fundrais�ng projects held by non-profit enterprises, either regularly or tempor�rily, when the applicant signs an
2ffidavit ihat Che applicant oper�tes withouT private profl�, for a civic, public, charitable, youth, service, educ2tional,
literary, fraternal, or religious purpose.
• A perso� making application under Lhls seCtion must wmply with all rules and procedures for the granting of speCial event
permits as seY forCh in this section. AI( persons operating under a non-profit permit shall operate their non-profit enterprise
in compliante with thls section and all other rules and regulations of the Village.
�HE FOLLOWING ITEMS ARE REQUIRED TO BE SUBMfTTEO ATTIME OF APPLICATION:
• Proof of in5ur2nce in amo�nts acceptable to the Villag� for the type of event The Village shall be named as an additional
insured on all liability insurance. �
• Expected trafPic, fire-rescue, and utilities impact, if any, and proposed mi�igaCion plans.
' • Copy of all required state and county permits If event will be held on or utilize state and/or countiy-controfled property.
• A refundable deppsit is requlred lf the event is held on any Village propeRy. '
• Site Plan required with each application accompanled wlth drawing indicating layout for event_
• Afl sale siYes shall be left in a clean and orderly mdnner upon completion of sale.
• Should the sale�event Include tihe use of one or mor� tents, a$35.00 Fire Inspec'Cion Fee, due at time of application, and a
Certificate of flame resistance i5 requlred for e�ch tent. Inspection to be done on the fir�t day of ev�nt.
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SIGiVATURE OF APPLICANT:�G� DATE: � /
� Print Name Sign re
�Yy�w�'��R�e�RN�3��k M$��� � 1 l�y M���q���P�k�R�K�RN�aF�F�F� x�M�Mt*�cYX*� *�ltiCY��tx�������ak�k� ��k
iR y
RECQMMEND FOR APPROVAL: •
POlICE CHIEF: DATE:
FIRE CHIEF: �A7�:
PARKS/RECREATION: DATE:
COMMUNIIY DEV. QIRECTOR: DATE;
APPROVEO BY
VILLAGE MANAGER: DATE:
Page 2 of 2
NOV/26/2D14/WED 10:24 AM �eltir '"�rble & Tile FAX No,561 745 9550 P,003
�''��� CELTMAR-01 KKENNEDv
� ' R CERTI�iCaTE oF LIABILITY INSUR�►NCE DaTE�MMfDOM�YY)
11/18l2014
THIS CERTI�IGATE IS ISSUED AS A MA7TER OF INFORMATiON ONlY AND CONFERS NO RIC3HTS UPON THE CERTIFICATe HOLOER. THIS
GERTIFICATE OOES NOT AFFIRMATfYELY OR NEGATIVELY AMEND, HXTEND OR ALTER THE COVERAGE AFFORO�D BY THE POLICIE.€+
B�LOW. TH15 CERTIFICATE OF INSURAtdCE DOES NOT CONSTI7UTE A CONTRACT BETWEEN THE 13SUING INSURER(�S), AUTHORIZ�D
REPRESENTATIVE OR PROOUeER, AND TH6 CERTIFICA7E NOLD�R.
�MPORTANT: if the certiflcate holtl�r es an ADDfTIONAL INSURED, Eha potiey(ie6) must be endorsed. If SUBROGATION I8 WAIVED, sohjeat to
the benns and co�ditions of tha policy, certaln policias may require an endo�sement. A statem�nt on this certificate doe� not confer right� to the
cortifPcate holder In Ileu of such Aneorsement a.
PRODUCER CONTACT
Co(iineworth, Att�r ambart, LLC PMONE �ori B. Gleason A
23 Eganfl,sKeeS et r wo e�x:1�61) 776•9Q01 ,� N, 561 427-6730
' Sult¢ 702 aaoa�ss: � teason Ca111G.00111
Jupiter, FL 39d77
INSURER S AFfORDING CQl/�Rp9E NAfC iF
��suae� a; National Tru$t Insurance Co 20141
i"s�RE° ErrsuaeRe:FCCI Gommer'cial Insu�ance Co 334�2
• Ceftic Marbla and Tile, Ino dba Celtic Genstruction & �n�s,,RERC:�CCI Insurante Com an 10178
Development
621 Old Dixia Highway �NSURER D o
Tequesta, F! SS469 INSURER E:
IN3URER F :
COVERAGES C�RTIFICAT� NUMBER- REVI$IQN NUMBER:
TH15 IS TO CERTi�1' Tl1qT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISBUED 7Q TNE INSURF�D I�NED A80VE FOR THE POLICY PERI00
iNOiCATED. NO'iWITHSTANDinlG qNY REQUIREMEPIT, TERM OR CONpfTION OF ANY CONTRACTOROTHERO�•' n��ErvrWlTriRESPECTTOWHICHTNIS
C�RTIFiCAr� MAY BE ISSUEO OR MaY P�RTAIN, THE INSURANCE AFFOROeo BY ThE POLICIES DESCRIBEO HE'REIN.ISSUBJECTTOALLTHETERM�,
EXCLUSIONS ANO CONDITIONS OF SUCH POLICIE�^. LIMITS BNOWN MAY HAVE BEEN R�DUGED BY P,4iD CLAIMu�. '
IN3R NPE OF INSURAAICE P U EFF POUC�' E74P
I PQUCV NUMBER MM/vonWr MM/D UMITS
A X COMMEiZCIA� GeNERAI I,IqgILTY EACH OCCURRENCE � 1,OOQOQ
CLAIM�•MADE � OOCUR GL00104886 06123/201d 06f23l2016 PREMiSES Ea oc�unence $�^�` � �0,000
MED EXP (qn one persnn S 5,000
��SONa, a AQV INJURY s 1,000,000
GEN'LAGOR@QqTELlMITAPPLIESPER: GENERALAGGREGATE S Z�OOO�OO
POLICY � jEC � �OC PRODUCTS-CO�PJOpAG� S 2,000,00
OTHER: $
AUTOMOBIL@ L1A81LIYY 1 I LIMIT $ ��OOO,OOO
B X @a accident
ANYAUTO CAp0�627Q$ 06J23/2014 Q6/231201$ e�OfLYINJURY(PefpeBOn) $
A�L4WNED SC3IEDULEO BODILYINJURY(Peracdaerrt) 3
AUTQS RUTOS
x F11RED AUTOS X �ON-6WNE0
AUTOS PeYaccider+t �`
PIP Coverage s 10,00
UMBREU,A �IAB _ OCCUR F,ACH OCCURRENCE �
EKCE33 LIAB CLAIM^,�MADE AGGREGATE $
DE� R�'f'ENTI4NS �
WORKERS COMPENSA7fON X STA L1TE ER��
ANO EMP�OYERS' UA��Li1v
C oFF�CE�anEeaBER EXGLUDEO? EOU7YV� Y Q N � 001 WC14147a829 06/30/2014 06/30/2015 E.L. EAOH ACCIDENT $ ���Q����
(MenOStoryinMHj EL.DISEASE-EAEMPLOYE S ��������
It y tleecfibe under
OESG�RIPTIQNOFOPERATIONSbaow E.L.��SFASE-POLICYLIMIT S ��OOO,OO
�FSCRIPTION OF OPEi=A710aS 1�.oGA'T70NS / VEHtCLES (pCOR010V, Adoitfona� aemarks Sortaeuiq may Ga atYached �f moPo evace ie roQUiPod)
Certificlte holder is named as addldonal insured for general lisbility including produCtS and comp�eted operdtions per CGL08d and auto liability when
requlretd by wrltt�n eoM�act Ceneral Lteblllry (s prlmary and hon contributory when �equlred tsy wrltten coqtract por CGL084, Waiver of subrogation epplies
to general Nabilit,y and Workers' Compensation Whan required by rvritben contract •
Location of event: CeltlC HOm6 Gallery, 521 Old Oixie Hwy, Tequesta, FL 33469 -
CERTIFIC,qTE HOLDER CANCE�LATION
SHOULO AP?V OF THE ABOVE DESCRIBEO P�UCIEg BE CANCELI.ED BEFORE
VillageofTaquosta TNE �XP��q110N DATE 1HEREOF, NOTiCE WILL BE OEUVERED tN
Community Oeveloprtzent DepaRm�nt ACCORDANCE WI7H 7HE PaLICV PROYIg10N3.
345 Teques�a Dt.
Tequesta, Ft 33469 AUTkORIZEO R�PI7ESENTATYVE
U�
� 1988•2014 ACORD CORPORATION. All rlghts �sen►ed.
ACQRD 2S (2014/01) 7he ACORD �ame and logo are reglsEarad marks of ACORO
_ Page 1 of 1
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���� M REGISTERED FABRIC NUMBER
;� AESr`�O SNYDER MANUFACTURING, INC.
F.146 ?001 PROGRESS STREET
DOVER, OHIO 44622
140.01
This is to certrfy that the materrats descrrbed below are flame-retardant and inherently nonflammable.
FOR PROMOTIONAL DESIGN CONCEPTS ADDRESS 9872 RUSH STREET
CITY S. ELMONTE STATE CA 91733
The articles described below are made from a flame-resistant fabric or materiai registered and approved by the State
'+ Fire Marshal for such use.
The Flame Retardant Process Used WILL NOT Be Removed By Washing
'` FABRIC MEETS THE REQUIREMENTS F THE SPECIFICATIONS LISTED BELOW INDICATED BY �
� NFPA-701 (Large S a IL- - 006 ❑ FMVSS-302
❑ CAWULC-S109 P ❑ A-A-553o8
SNYDER MANUFACTURING INC. By Title �upervisor, Quality Control
STYLE PRV 1310Q WHITE 61" HI GLOSS
CONTROL NO. 19 USTOMER ORDER NO. NECTOR
SNYDER S-ORDER NO. 219383 DATE PROCESSED 11/09/10
YARDS OR QUANTITY 750 DATE CER7IFIED 11/24/10
4.10-4-36F-R2
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Account � De�cr�i tion Amoun't
00'1•000-�1'i520d AIR INSPECTIONS REVENUE - AR1NS �
00'1-000-'t'i5.2'i0 A1R FIRE TRANSPORTATION - ARTRN
00'1-000-2QS.500 SALES TAX - STAX .
00'l-UDO-34'f.'l0'[ CERTIFICATION I COPY FEES - COPY
`� . ���>�� 342.�Q� FJ.F,� PE:AI�t {��VI�VI� �'��S`�- �PLRV . . � . . . .
40�1-�92-34�,202 FIRE INSPECTION REVENUE - FINSP �� �
001-'192 342.202 FIRE INSP. REVENUE OTHER THAN ANNUAL (f�SP) - FOl'AI '`
00'1�i92 342.402 CPR FEES - CPR
�0�1-�92-365.1a2 FiRE DEPT 5ALES - FSAlE
OU1�192 365.3�0 FIRE MARKS - FMARK
007-192-366.'t00 CONTR1BUTlONS - FGONT
00'i-192 369.000 M(SCELlANEOUS REVENUE - �MSCL
00'[•192 342.600 EMS TI;ANSPORTATION FEES - EMSTt�
tOTAL �
R.eceived by:
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Date: '
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