HomeMy WebLinkAboutDocumentation_Regular_Tab 11_02/11/2016 ' � ,..� VfLLAGE OF TEQUESTA � ` �
COMMUNITY DEVELOPMEN? DEPARTMENT PERMIT N0 : '-
Submittal Date:
345 Tequesta Dr . Deposit Amount:
Tequesta, Fforida 33469 � � � " ' ` - � . .
(561j 768-0450 Fax (561) 768-0698 � � ;; �s -, �;
SPECIAL fVENT PERMIT APPUCATI4� ;��_:, �,..-` �. ;
Any ViMiage resident, or any Village business hoiding a current Village business tax receipt pursuant to Chapter 70, Article li, is eligibfe
to apply for and obtain a speciai 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 Vi(lage may adequately provide for
the potential impacts created by the proposed event. A maximum of four (4) such permits sha11 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 cammon
purpose, upon public or private property, which is likely to inhibit the usual flow of vehicular or pedestrian traf�c, which is
Ifkely to create noise in excess of that typicaUy 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 generaf pubtic. 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
specificaliy permitted by the Village"s zoning ordinance. Special Events that are sponsored by the vilia�e 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 far which the special event is proposed; which application shali contain the following information:
DATE OF SALE/EVENT: �lktvi20n'1.�i ` N� � ����.�Q �� HOURS: FROM:� ' F3-M TO: `�''''t
TYPE OF EVEPIT: C IJ U Xair S�+�-� ^► (i ��'� �= ,� T" 1 Y� 1. " C(� P� (� �- ���S '
_ � ►,+� ? P�-t�.K � �t i�� � r1 CNU fi,.-�,. �it.a � F �t-i� — --
LQCATtON OF EVENT: Y l� T" �R'CtS Q,'y °}�i ��A3 C� P��t� i $�' L�� ��`S�'" � '
PROPERTY OWNER: S,I��"�'�- (Attach written consent of property awner af record.)
Print Name
CONTACT INFORMATION: ,
SPONSOR or PERSON(S) RESPONSIBLE FOR EVENT: f" 1�' S Ptz�; SP� ���"��% I� — �� 5 T1� ��� �'"�$ L� �G I�� �2.
_w�: �n � " � 1 �`' � 7 �" �° ��E'_ iI �e� 4 "' S� 5-- � � �� EMAii: C � Rt .S MO J�T5 (�. �A I+CO + L��
MAlLING ADdRESS: �'I +� �'' '��: � '�SThs ��p t V � {��i�tu:�IPHONE tVO.: � �1 I � � 4 ' �P " � � � I
FAX NO.: " � 'fi" (G ` `7 r J � �
PROJECTED NUMBER Of ATTENDEES: +p'O� COUNCIL APPROVAL REQUIRED: (� }YES ( )NO
• Any proposed special event whose attendance is contemplated ta exceed 200 people in total shall require final approval by
the Vitfa�e Councii which, after considering the recommendations of the Cammunity Llevelopment Director, the Police
Chief and the Vi(lage Manager, may approve the application, deny the application in whale or in part; or approve the
application with conditions.
I5 ALCOHOL BEiNG SERVEp? ( jYES (�}1V0
• The serviee of alcoholic beverages at any special event shall require the issuance af the appropriate state alcoholic
beverage permit, a copy of whicM must be provided to the village in canjunction with the special event perm+t application.
• 7he Village may require the use of physicai barriers to define and contain the autdoor area within which aicoholic
beverages may be consumed and/or the use of security or off-duty law enfarcement personnel at the special event.
• it is the applicanYs responsibility to monitor for and prevent excessive as weil as underage consumption of alcoholic
beverages at all times.
Page 1 of 2
• By submitting a compiete application, the applieant expressly agrees that it shall indemnify, defend and hold the Village
harmless frorn any and ali damage to any real or personal praperty, and from any and all injury or death suffered by any
person directly or indirectly related to the consumption of aicoholic beverages in conjunctbn with the spedal event.
NON-PROFIT ENTERPRISES:
• The Vipage may issue non-pro�t permits ta any persan or organization for the conduct or operation of occasional sales
and/or fundraisin� projects held by non-profit enterprises, either regufarly or temporar�ly, when the app#icant signs an
a�fidavit that the applicant operates without private pro�t, for a civic, public, charitabie, youth, service, educatianal,
literary, fraternal, or religious purpose.
• A person making application under this section must comply vuith ail r�les and pracedures 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 campiiance with this section and all other rules and re�ulations of the ViNage.
THE FOLLOWING ITEMS ARE REQUIR�D TO SE SUBMITi"ED AT TIME OF APPLICATtON:
• Proof of insurance in amounts acceptable to the Village for the type of event. The Vitlage shall be named as an additional
insured on afl liability insurance.
• Expected traffic, fire-rescue, and utilities impact, if any, and proposed mitigation plans.
• Copy of atl required state and county permits if event will be hetd 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 appiication accompanied with drawing indicating layout for event.
• Afl sale sites shaA be left in a ciean and orderly manner upon completion of sale.
• Shouid the sale/event i�ciude the use of one or more tents, a$35.00 Fire Inspection Fee, due at tirne of application, and a
certi�cate of flame resistance is required for each tent. Inspection to be done on the first day of event. �� /q
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SIGNATUREOFAPPUCAIVT: �-NR�STlA�-' M��"r� C���� DATE: �}`�
Print Name Signature
**#*�*«*****�*�«*:*************x**�*****s*****r*********�►**s*��****.*s«**�*******�t****�****s»*
RECOMMEND FQR APPRO L: t--- -
�--�
POLICE CHIEF: '� DATE: �j �� L
FIRE CHIEf: ' DATE: � �Z' ��
PARKS/RECRE O . � DATE:
� � � �
COMMUNITY DEV. DIRECTOR:_�T'�,�, '-. .�;(��' �`,l��Jvt�J✓� DATE: `� � ��
---�--
APPROVED BY: LL ,, . ... ,_.__.W_..,_..�_
-�°--��`:�. `"'�
VIILAGE MANAGER•. QATE: � �'�
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Page 2 of 2
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First Presbyterian Church of Tequesta
The First Presbyterian ChurcM of Tequesta has hasted an annual Strawberry Festival
since 1976. This is the church`s largest fund-raiser for the year, and is weil known in
Palm Beach County and surrounding areas.
In addition to our home-made strawberry jam and bakery items, we a{so sell fresh
strawberries. We have severa! rooms of garage sale type items - used boaks, lines,
smalf household appliantes, jewelry, artwork, seasonai decorations, children's items
including tays, kitchen items, to name a few. We serve sandwiches and desserts in our
Strawberry Cafe and Strawberry Express, There are twa raoms of silent auctian items -
gift certificates, gift baskets and callectibles. We offer chiidren's activities, including
face painting, cookie decorating and a bounce house. All activities are conducted on
church property, and most take place inside aur building or within the courtyard areas
of our church.
For the day of our event, we have church volunteers who hetp to direct traffic and
parking in our parking area, and also place directional signs for those entering and
leaving our property.
Proceeds from this fund-raiser will be used for the church and its outreach pragrams,
both within the immediate area and for global charities.
The church has provided proof of insurance for this event, and has also added the
Village of Tequesta as an "additional insured" for this event.
Please let me know if additional information is required for our event to be approved
by the Village of Tequesta.
Chris Moats, Strawberry Festival Chair
614-565-4$09
482 Tequesta Drive
`I'equesta, FL 3.3469 �
Phone: 561 • Fax: 561
Email: tequestapres�gmail.cam
www.tequestapres.org
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A`.°R°' CERTIFICATE �F LIABILlTY INSURANCE °"�`�'�°°""""'
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THIS CERTIFICATE IS ISSUEDAS A MATI'ER OF (NFORMATION ONIY AND CONFERS NO RIGHTS UPOAI THE CERTIFlCATE HQLDER. THIS
CERTIFICATE DOES NClT AFfIRMATIVELY OR NEGATIVELYAMEND, EXTEND OR ALTER 1'HE COVERAGE AFFORbED BY THE POLICIES
BELOW. THIS CEftTiFICATE OF INSURANCE QOE8 N01' CONSTITUTE A CONTRACT BEiWEEN THE tSSU1NG INSURER{Sj, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLUER.
IMPORTANT: if the certtficate halder is an ADDI710NAL INSURED, the policy(iesymust be endorsed. If SUBROGATION IS WAIVEQ, subject to
the terms and oonditEons of the policy, ce rtaln pvlicies may rraqulre an endorsement. A statement on thia certiflcate does not confer rights to fhe
certificate holder in lieu of such endorsement{s).
PROdUQER CONTAC7
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48Y Tequeata Drive INSURERC:
Taqueata, FL 33969
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COVERAGES CERTIFICATE NUMBER aaos9saa REVISIqN NUMBER:
THIS IS TO CERTIFY TMAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED A80VE FOR THE PQLICY PERIOD
INDiCATED. NQTWITHSTANOfNG ANY REQUIREMENT, T£RM OR CONDITION OF ANY COMTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIM. THH INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUStONS ANO CONOITlONS OF SUCFt POLlCIES. LIMITS SHQWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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Rea The Aanual Strawbsrry 8eatival.
Pleasa cantact youx AgeAt for queatioas regardiag your Certificate of Inaurance. I£ you do not
know your Ageat's contect ia£ormatlon you can call the Insuraace Board at 800-437-883d.
The village oE Taqueeta is ax► Addttional Inauzed with respecta to eeneral Liability, Auto
Liabilfty, nnd U�mbzaila/Sxcess Liability as required by wri.ttea contract.
CERTIFICATB HOLDER CANCELLATION
SHOULD ANY QF THE ABOVE DESCRIBEO POLICIES BE CANCELIED BEFORE
THE EXPIRATIpN DATE THEREOF, NOZICE WIIL BE DELIVERED IN
ACCORDANCE WITH THE PpLICY PROVISIONS.
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Villaga ot Tequesta
345 Tequeste Drive
Toquasta. FL 33469
Co11:4823172 Tp1:2022306 Cert: 40 93 �1988-2014ACORDCORPORATION,AII�lghtsreserved.
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Certificate-Number - • - " -
This certi#ies thafi ' ' � .: • ' .' . • � . �
�fRST PF?ESBYTERIAN CHURCH OF � _ � � ' � _ � .. -
TEQU�STA iNC � . • - . �`. .
482 TEQl1ESTA DR • • ' . • . . , , '
3'EQUESTA FL 33469-2586 • � _ � `� _ ' : ,
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is exampt firom the payment of F[oritta saies and use tax on reat propetty rented, �ransient rentai property �rented, tangible .
persona) pr�per�y purchased or rented, or services purchased.
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OEPAR't'MEPtT
OF REVEt�tUE ,
�1, Yo� mus� provide a!l vendors and suppliers with an exemption cert'sficate befiore making tax-exerszpt purchases.
See Rule 12A '1.038, Florida Adrninistrafi9ve Code tFA.C.}.
2, Your Consurn�r's Ce�ttfrcate at Exemption is to be used sotely by your organization for your nrganization's
customary nonprafit activ'tfiies. .
3, Purchases made bY an ind9vidual on 6ehalf of the organization are taxabfe, even if the individcaai wi11 be
reirnbursed by th�organization.
q., Tftis exernption applies on[y to pvrchases your organizafian makes. The sale or Iease to others of tang"sb{e
persopai proper�y, slseping accommodations, or other real property is taxable. Your organization rnust register,
and catlect arid remit sakes and use tax on such taxable transac#ions. Nate: Churches are exempt from this �
requirement excepfi when fhey are the lessor of real praper�y {Ftule 12A-1:C170, �A.C.7.
5, it is a crirrrinai ofFense to fraudulently present this certificate �o evade the payment of sales tax. Under no
circums#ances shoutd #his certificate be used for the personat faeneft of any indiv[dual. Violators wili be Iiable for
payment of the saIes tax ptus a pena[ty of 20�% of the tax, and may �e subject to convictian of a th9rcf-degree
feiany. Any violation wi(f rec�uire the re�acation af fh'ss cerki�cate.
g, (� you have questions regarc�ing your exemption certificate, please contact th� Exempt[on Unit of Account �
Mar�agement at 800-3�2--3671. �rom the availabfe options, selsct "Registration of Taxes," then "Registration
lnformation," and finally °Exera�ptian GerEificates and f�onprofit Entit9es." The mailing address is PO Box 6480,
`Tallahassee, F�.32314-6480.