HomeMy WebLinkAboutDocumentation_Regular_Tab 12_12/08/2016 ,t ' ��{-, VILLAGE OF TEQUESTA
PERMIT NO.S� •
- COMMUNITY DEVELOPMEIVT DEPARTMENT Submittai �ate: /1 �/
�� 345 Tequesta Dr. �eposit amount: �--
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- Tequesta, Florida 33469
\ � .' . a �j �� (561) 768-0450 FdX (561) 768-0698
VIL�ACF pF rF=QUESTA
��
SPECIAL EVENT PERMIT APPLICATION NOV I 20j�
Any Village resident, or any Village business holding a current Village business tax receipt pursuant to C���t�r II, is eligible
to apply for and obtain a special event permit pursuant to Sec. 78-561. Any such resident or business that desires�i���i�let any
type of special event wilhin the Viilage must obtain a permit from the Village in order that the Viilage 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, shalt
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 typicaily 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 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: �.�-�- _. � 7`�l � HOURS: FROM: ���� T0: !) ►'" �
TYPE OF EVENT: l �tv;v ��1� �)� /r� � I Ifc:. /J��Z:+�:.='1Gy �:��n7✓J �i--(`� l't- f�-`�
LOCATION OF EVENT: t �.r�c..,n� I o�`I +� (�t���\ ��.'�47� �
.• — 7
PROPERTY OWNER: � r E��,�1 � 1�J���1� (Attach written consent of property owner of record.)
Print Name
CONTACT INFORMATION:
SPONSOR or PERSON(S) RESPONSIBLE FOR EVENT: M� �� V �/�"" �"��
, ,' EMAIL i..�;�'�S�v 3Z�("Vc.��C
MAILING ADDRESS: 2 ��- �, �✓ � ' :I'IL✓l�'� � PHONE NO.: ���� �4'� `5��
/�-�:�,-� �- ���-�� --- �'�- ���Z� S3�
PROJECTED NUMBER OF ATTENDEES: �I'u�� COUNCIL APPROVAL REQUIRED: (�(�) YES ( )NO
0 Any proposed special event whose attendance is contemplated to exceed 200 people in totai 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 alcoholi beverages at any special event shall require the issuance of the appropriate state aicoholic
' beverage permit, a copy of which must be provided to the village in conjunction with the special event permit application.
e The Village may require the use of physicai 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 personnei 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 submiiting a complete application, the applicant expressly agrees that it shall indemnify, defend and hold the Village
harrnless from an�� antl all damage to any real or personal property, and from any and ali injury or death suffered by am�
, person directly or indirectly related to the consumption oF alcoholic beverages in conjunction �vith the special event.
NOiV-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 he�d by non-proFit enterprises, either regularly or temporarily, wihen the applicant signs an
affitlavit that the applicant o�erates +,vithout private profit, for a civic, public, ch�ritabla, youth, service, educational,
literary, fraternal, or religious purpose.
a A person making application under this section must comply w�ith all rules and procedures for the granting of special event
permits as set forth in this section. AI� persons operating �mder a non-piofitpermii sh�ll operate tneir non-profit enterprise
in cornpliance with this section and all other rules and regulations oF the Village.
THE FOLl04VING ITENiS ARE REQUIRED TO BE SUBMITTED AT TINIE OF APALICATION:
� Proof of insurance in amounts accepiable to the Village for the type of event. The Vi�lage shall be named as an additional
insured on ail liability inszrrance.
� Expected traffic, fire-rescue, and utilities impact, if any, and proposecl mitigation plans.
� Copy of all requir�ed state and county permits if event will be held on or utilize state and/or counh�-controlled pro�erty.
� A refuncfabie deposit is required if the event is held on an� Village property.
o Site Plan required Niiih e�ch application accompanied �vith dr�tiving indicatino layou t for event.
6 All sale sites shall be left in a clean and orderly mann2r upon completion of sale.
N Should the sale/event includa the use of one or more tents, a$35.00 Fire Insoection Fee, due at time of application, and a
certificate of flame resistance is required for each tent. Inspection to be done on th2 first day of event.
SPcCl/�L EVENT FEES:
n Undei 200 attendees: $40.00
° Ov2; z00 �ttendees: �100.00
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— — � �/
SIGNfaTURE OF f1PPLICE\ l�'��L �lw�.: . ���� p/ ' -- - --�� ` � �
DaTE:
Print Narn2 Signatur2
A:it**#*:F**.FFA:M*�*:k$�:kF:kk:F:<:E:f:F'F. Fr:��k�k*##a��kk�k###ffi###*kk##*;k�#��k�W�k�B##k*#�kix:k�#.;c:kx:<:�*:k;�xy�t:k�k�k��##i:M%�
RECOMt��IEND FOR AP PROVAL :
CO�/1i�,9U�11T`( DEV. DIRECTOR: __ __DAiE: __' � � __
BUILDI�lG DIRECTOP,: ^ � ' DATE:
- � ,?------------ _ _--- _ _- -- ----
--._ .
POLICE CHIEF:__ C /
_ ------ ----_____------ D�11"E: ��'"� �
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FIRECHIEF: �9 � . !�.----- _.__....--.— DATE:_�_�r
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PARKS/RECK�7-1T ON:
- �----- --------- DATE:
--- -- -...
APPROVFD BY:
VILLAGE Nlf\N�\GER: _ ___.____ DATE:
Approval/Revie�ni Notes:
Paoe 2 0( 2
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VILLAGE Of; TEC�U[STF� �
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„y� � � ; VILLAGE OF TEQUESTA
� BUILDING DEPARTMENT
, - � � 345 Tequesta Dr.
' '*; o � Tequesta, Florida 33469-0273
�f � �'�” (561) 768-0450 FAX (561) 768-0698
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INVOICE
November 01, 2016
Permit #: SEP 16-000015
Address: 287 South US HIGHWAY 1
Contractor: TEQUESTA INVESTORS LP
1645 PALM BEACH LAKES BLVD., STE 1200
WEST PALM BEACH FL 33401
FEES:
Description Total Cost
Over 200 Attendees �V Z 100.00
Total Permit Amount: 100.00
Total Amount Paid: 0.00
Remaining Balance: 100.00
Cindy Morabito
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�� CER7'eI�pCAT-E O� LIA�OLi`0'l� I�iSlii�►(VCE :
. . . , . .. ... . . ,.. . .. . , .. :� :... ;10/21/2016 .
TMIS CEFtYIFICATE I$ ISSUED A3; A MATTER OF ; INFORMATION: OR�LY AND CONFERS NO R1GHT5 UPON TH� CERYIFICATE HOLDER.:THIS
CERTIFICA7E DOES.:NOT AFFIRflAAl1VELY OR NEGATIVELX -AMEND; EXTEND OR ALTER THE 'COVERAGE AFFORDEO. BY THE POLICIES
BELOW: 'THIS'CERTIFICATE OF INSURANCE DOES N(5T CONSTITUTE A CONTFtACY BETiNEEN THE"ISSUING.INSURER�S), AUTHQRIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE.HOLDER.. _ _ _ _ _ _ _ , _ _ _ _ _
IMPORTANT: �If the certiilcate hotd0r Is an AD01TlONAL IMSUREb, the policy(les) must be"endorsed. If SUBROGATION IS. WAIVED, subject to
the. terms- and conditions oT the policy; cenai.n policies may reguire an endorsemen4. A statement on this certiflcate does not canfer rights to the
CeRlflCete holder in,ileu of such endorsemant(s): . '
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PRODUCBR CONTAC7
Colodinas.Insurance G►oup, a Mar,sh & Mc - :"AME .
�l�1�8�eyTEL��oS��ny ,pHOrie �° 561 622 2b60 w ' z�ax _. -
d400:PGA Bitid, Suite-10D0.:': ;(ac No Ext1 { . _�.f._ .... . . „____. r :.._. , faC; .___ _.. ,
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NOV 1:. 2016 ,
, IN3URER(S)A�POROtNGCOVEttApE . NAfClI
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INSURBD .,..... .. P Y
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Tequesta Brewing LLC ����-DING DL-PAR7M�NT ; iNSUeErte Buslr�ess F�rsE Insurance Com an . 4 11697
Matt Webster ; INSUR�R C Gen�ral Star__Indemnily Company _ ;3736z:
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7'equesta, FC 33469 IN6URER'E:
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; INSURER f
COVERAGES CERTIFICATE NUMBER: � � REVISION NUAfIBER: _
THIS IS TO CERTIFY THAT THE ROLICIES OF INSURANCE LISTEO BELOW HAVE 9EEN iSSUED TO THE INSURED NAMED:A80VE FOR THE POLICY PERI00
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WiTH RESPECT TO WHICH THIS
CERTIFICATE MAY 6E ISSl1ED OR MAY PERTAIN, THE INSURANCE AF.FORDED BY THE BOLICIES DES.CRIBEO HEREIN IS SUBJEC7 TO AI:L THE TERMS,
EXCLUSION$ AND'C�NDITIONS OF SUCH POLICIES: LIMITS SHOWN MAY HAVE.BEEN REOUCED BY PAID CLAIMS.
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—°--•- ' PJICHOCCURRENCE 8 1 OOO 000
.__., CLAIMS-MADE t X- oCCUR �RDJ9826860 01I0712016 01107(2017 pR 1'�13ES Eaoe,�eopnea),,,_ ,S _, � r 100,000
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X � POLICY , JECT L_ LOC • , _. . _.
� PRODUCTS COMP/OP'HGG $ . Z�OOO�OOD
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B ANYPROPRIETOR/PARTNER�EXECUTNE 0521066690 01113/2018 011131201T EI.EACHACCIDENT $ 100, Q��
OFFICER/MEMBER E7(GWDEO? �. N / A , ,
(Mandatory in;NH) �•^ EL,OISEASE . EA �lAPLOYCE S 100,000
If yc�s, desc�Sba und�tr:
OESCRIPTIONOFOPEI2f�710NShalaw ` �E,l01SEASE-PQ4ICYUMI7 S SOO�OOO
C Proporty- �" iMA24q672D O1I0712U18 01/07/2017 Bpp/l&8 TIV 700,000
DE9CRIPi10N OF OPERATION9 / LOCAi}ONS! VEHICLES (ACORD 101, AddlUOnat Remarka Scheduto, mey be atteched U more space Is required�
Covorago shown expires on January 7, 2017 and would not include the event scheduled forJanuary 14, 2077 (Annive►sary Party). Howevershouid the cu�rent
policies be renewed with the same carriera and with celedinas Insurance the renewal coverage-would inctude this event
CERTIFIC,4TE HOLDER CANCELLATION
SNOULD ANY OF THE ABOYE DESCRIBED POLICIES 8E CANCELLED BEFORE
Vi118g9 oi TequeSta � THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELNERED IN
345 Tequesta Dr ACCORDANCE WITH TI{E POLICY pROVISIONS.
Tequasta, FI. 33469
AUTHORIZED REPRE9ENTATIVE
�.'n��_./�y�;��
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O 1988-2014 ACORD `CORPORATlON. Alf rights reservPd.
ACORD 25 (201d101) 7he ACORD name and Iogo are registered marks of ACORD
, � ����°Q� ������r
: t���a���, ar���
VILLAGE,OF FEQUESTA
�l�U � � 2��.6
October 19 , 20�.� BUILDING DEP�RI"hAERII'
Re: Tenant Event
Tequ�sta'Brewery LLC`
dba:'Tequesta Bi
287`.US H.iyfiway �.
Tequesta, FL 33469
' To 1Nhom It May Concern:
� TFiis letter -shall serve as authorization for T'equesta 'grewing Company, located at the abo�e
referenced.acldress, fc�r'i:fie ari�angemenis relateel to a private e�eni on Januarv'14. 2017:
Should there be any questions, please feel free to.contact me �t the nurn,ber shown below or via
. email at nmareno@rnhcreal com. �
Sineerely; �
NAI/M`erin H;unter Codman, Inc.
As Agenfi for Tequesta Investors, LP
� �'`�� .
Nebraska J: Moreno
Senior Property Manager
cc: Matt VVebster
webster323�a vahoo com
_ 9G01 Forum Place Suite 200
West Paliri Beach, Florida USA 33q01
o +� 56.1 q71 80Q0
f �+�1 561 640 7£355
rnhcreal,cou�
VILLAGE Of= f�QUESTq:
DBPR A�Tp6029 - Divi�ion of Alcoholic Beverages and Tobacco
Application for Extenslon oc;4mended Ske�ch of Licensed Premises N-O;V Z�.ZQ16
sui�oirvG oE�A�rrn�rvr
�TAT� OF FLORIDA , . _ _ __ DBPR Form .. _ , _ ,
DEPARTMENT.OF �USIIVESS AND PROFESSIORIAL PtEGULATION ABT-6Q29
R�vised 02/2093
If you liave any questions or need assistance in compfeting.this application,, please confact the Division of -
Alcoholie Beverages & Tobacco.'s (AB&T) Tocal district office. Please subrriit y.our completed application
and required fee(s) to your local district:office: .This applicafion may-be submitted by, mail, fhrough
appointment, or.if ean be dropped off. A Drstricf O�ce Address and Contactlnformation Sheet can be
fourid on AB&T's web site at: fhe link tovided be/ow:
P
fittp:%/www.mvflo�idalicense:comltlbpr7abt/disCriet offices/licensing•html
� ..;':� z � ��� �': ..,.��� .,, u �;�� �SEC710N.1:� �CHECK�TRpNS/�CTtOI�o�:l�EQUESTEDf;, '�� t: � � � �_ �� r �� �'�;'�; � Xz .
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Transactio`n Type:-
� Temporary. Exfension ❑ Amended Sketeh .
� Permanent Extension '
� ,�.-:rtYA,��.,f�`� �._�: =�'t=?h���. �7<. � ...,r;`,:� ._ �'€1<`R � ?�.:: ��..`..�'�i
Licensee (as listed on alcoholic beverage license)'
Te uesta Brewer LLC
Business Name (D%B/A)
Te uesta Bxewin Com an
L.ocation Address (Street)
287 S US Hi hwa 1
City County - State Zip Code
Te uesta Palm Beach FL 33469
Alcoholic Beverage License Number Series Type/Class
BEV601"5432 2COP
Business Telephone Number Email Address.(Optional).
561745 5000 ext. webster323 ahoo.com
FOR TEMPORARY EXTENS/OIIIS OAII.Y
Date(s) of Extension:
01/14/2017
, AB'T Distric# Office Received / Date S�amp
Auth. 61A-5.0017 �
, , VILLAGE OPTEQUGSi,'A
� • . .
. , . , . . . NOV f = Z,U'15
� � #�; XYa �'� ���� �� ;�� �r r �t�� ,�,� kx fSECTLON�3�- Z.ONING tAPP,ROYAL � _� `� �� � �� � , ' s �. G�oEpqarM, �r
� r. � �� �i `� .� + �: �'.� i �a `? `� <.�� r .! „ .= r - Y* J.s c, .
� s��`O BE COMPL�TEQ BYhTHE ZO�IING pUTH(?RITY GOVERNING YOUF� BUSINESS LC1CqTION'= ���,J �
f s Y j �
� � . �.z } i > � � Y t �, } 3� f � �` �ri `` j 7 j p r � � �. .i?r � �: 4'� �'� �� * � z{�'� i�`;% � 1 ..,v� r �'� : �� �C� ��`�'..
��r �,�t, �� kTh�s section oiil �a i�es to�;a° errrianent�ar,,tem ara n�e,xtensr.on,af�;l�cens�dA ,relr�is,es x� t,�,;s,4 �
.. _
_ . _ . � _. ._ _
' " i."ocation'StreefAtld�ess - ` �� �' - � m � "- - � " ' �
287 S US `Hi hwa 9 �� - .
City ; _ . CountY. . � Zip Code '
Te uesta Palm Beach - - FL .� 33469
' Are:there outside_areas,:which.ace contiguous to the.premises�which�are�to be part ofitfie premises sought
to be licensed?" � �
, � �`Yes 0 No
❑"The PERMANENT extension of:the licensed..premises �as shown in #he. sketeh complies with zoning :
requirements for the sale.of aleoholic:bevecages pucsuant to this appiication= � �� - '
� The TEMPORARY extension of the licensed premises.:as showrr.in the _sketch:complies with=zoning
requ'icements.for the sale: of alcoholic b`everages: purSuant.to this application..
Signed: � - .
Title� ' s� Date:
T s:ap; I is"valid until •
t � q5� 1 r�scy ,� t P 1 .� �y. * r, �.I �, �'} g� i�"�r�. }�^ w C /� v a .
�� t � � .�� f {1�.r 5� ox�r' �� }�:i4� . . HEALTH ��i�� .`5 ;.�` �.s� �.yif.� -, V..� d ,st� :? � ���� _�Y���x�;.��' .
s �('
# , � ,, � � TOsBE �OMPLET B,Y,THE DiU1S10N�OF_H07E�S�AND RESTAURANTS >�� �f 4� �
'� a sx+` ; v � ti: � �'' r� i � .. f t .i .1. r;
�u � � � .� � "�� s § ���y^a �;�_�.^�'� _�, ;, ,s�ORx�COUNTY H��4LTHdAU<fIiORIT�Yr� :x {����;,,,�, �h �r r �- ; ;.��,z F4F �,,�
� Y�1 f^;z.. r f�t - "� - s � 'Y c, � i r tr +i r r- a j� 5 a,�, ,nat� i�+ F, lt i �,� +�a L� i� S 2� k�,
� '� N 4 � f '�}} T„-. n.` �.�j ,1 r '��4:.. l O� �DEPARTME�IT OF HEAL7W k v ' a� � R : � �, �'`� �, r e� .�a-i._� 1
" x ke` 1 M
�.,. , _�= ``: Fr,>�..._ , # .�O.,IZ. DEPARTMENT�OF„AGRI�CU,._�TURE��&' C.d(11S,UMER S.ER1rICES:�. .m`x#�: t ';, 4;;`£` �;
The above establishmenfcomplies with the requirements ofthe Florida Sanitary Code.
Signed � Date
Title
Agency
This approval is valid until.
Auth. 61A-5.0017 2 .
VILLAG _E.'OF ,TtQU�STq
F� ;}4 �r�4���� �s�a,� `"`�, , y° 3ECTION 5�:_�AFFIDAVIT�OFAP�,PLICANT �� °��''� r "r ; ���
� � �.,.� ��,�> >.F .�..;F... �.�� �....��.�.� . ��.�x._ �...:NOTARIZATION..REQUIRED� �,s �� r Y ,_� � �
_ . . . . . ,.� -; , . � , .,., ?.,. ...� . _. .. ,.� ,,, ,, .. . �.. _� .��;.:.:
1s
Business Name (D/B/A) B��LDiNG�p
Te uesta $rewin Com an � ��ENT
"I, the undersigned individually, or if a registered tegal entity for itself, its officers and directors, hereby swear
or afficm that I am..duly authorized to make.the above and foregoing application and, as such,1 hereby 5wear
or affirm #hat the attached sketch is a true and correct representation. of the extended licensed premises and
agree that the plaee of business may be inspected and Searched during business hour.s or at any time �
business is beingconducted on the premises without a search warrant by officers of fhe Division of�Aleoholic
, Beverages and Tobacco, the sheriff, his .deputies, and police officers for the� purpos`es of determining '
'� compliance with the beverage and cigarette laws."
I swear under oath or a�rmation under penalty of perju .ry as.provided,for in Sections 559.791, 562.45 and
837.06, Florida Statutes that the foregoing information is true and.correct."
Ifapplying for a temporary exfension, check the� box to: confirm the following statement:
�"I understand that;ttie remises must be restored to '
, , p its origina! form at the conclusion of the
authorized temporary e�ent."
�
�
STATE OF . t lC��(1(� �
COUNTY OF__ ��11� \�J ��
_�
APPLICANT SIGNATURE
�
APPLICANT SIGNATURE
'Phe foregoing was (� J),lSworn to and Subscri6ed OR () Acknowledged Before me this �_Day
�
°f -1-�u�/ � 20.�.., gY y �►cV��„Z�l��� who is ( ersonally
(prmt name(s) of person(s) makin statement �
9 ?
known to me O who produced as identification.
� �
Commission Expires: �_
t ry Pub �c
��. . .
�� �� �F;IG,3P�tB,�{{�� � ..
� - �� �, Nc,P�cy Pi�9�!!c� ���Sa� p0 Flor;tla
Gainmi&3i� =rl i°�s �2�30
��� �?v€�n��: Ar��r�s,��3r,.����Di9
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Auth. 61A-5:0017 3
'� � S@CTION �6 DESCRIPTION O� PREii111��eS�'T�O��E LICENSEQ ;
Y �� s�� � ,� �'� �€ �s t :
� r..� s� .� �� �. � <: ;�
. . . . . . , •. , , , .., � � � � ;;. ,. � ,
... . _...... ., _. ��u,. ._., . � ..�, .,� �� �...� . . . . � , c,.
. �„ .. ° ;. :
Business Name (D/B/A)
Te uesta Brewin Com an
1. Yes p No � Is the propo premises movable or.-able to be moved? �
-2. _ Yes p� Na �-.Is-thece-any access-through the-premises-to-any-:a�ea-over-.which you•do not- -
have dominion and control?
3. Yes ❑ No � Are there more than 3.separate rooms or enctosures with perrnanent bars or
counters?
4. Yes ❑ �p ;� �s the business.loeated within a Specialty Center? If.yes, check fhe applicable statute:
❑ 561.20(2)'(b)1, F.S. or ❑ 561.20(2)(b)2; F:S.
fVeatiy draw�a.floor plan oftbe premises in;ink, including sidewalks and otheroutside areas-wtiich are.contiguous to the
premises, walls, doors, counters, sales areas, storage areas, restrooms,. bar locations and any other specific.areas which
are. part of the premises sought fo be ficensed. A multi-story building where the entire building is to be license�i must show .
the detaiis of.each floor,
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