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HomeMy WebLinkAboutDocumentation_Regular_Tab 13_02/08/2018 � � � VILLAGE OF TEQUESTA pERMIT IVO: COMMUNITY DEVELOPMENT DEPARTMENT submittal�ate: 345 Tequesta Dr. Deposit Amount . � ' Tequesta,Florida 33469 (561)768-0450 Fax(561)768-0698 SPECIAL EVENT PERMIT APPLICATION Any Vltage resident,or any Vllage business holding a current Vilfage business tax receipt pursuant to Chapter 70,Article II,is etigibie to apply for and obtain a special event permit pursuant to Sec.7&561. Any such resident or business that desires to conduct any type of special event within the Vllage must obtain a permit from the Vtlage in order that the�Ilage 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 singte calendar year. "Spedai Event" is any outdoor activity,gathering or group of persons, vehicles or both, organized and having a common purpose,upon pubiic or private pfoperty,which is likely to inhibit the usual flow of vehicular or pedestrian trafRc,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�Ilage'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 shali contain the foliowing information: DATE OF SALE/EVE T: .� .3 �6��5 HOURS: FROM: �� t'O�.1.�, TO: � 7� - 7YPE OF EVENT: � t�G� �Y'f'O..c.�.J � � c� — UJ11 G�.t - -e� - - �_� -�--�-=-c�-�—.�-�- _- _ -----=*- c �- • -- - �- ' _. - _ � LOCATION OF EVENT:�ir�C �rGs� TQ, c�Ssa..t1 ��oc V� 1^ 3�['ro c PROPERTY OWNER: �'���' ��� .�'1C�i�' �UY'� (Attach written consent of property owner of record.) Print Nam� CANTACT INFORMAT10Pi: SPONSOR or PERSON(S)RESPONSIBLE FOR EVENT: `) ��G--'n ��41 `�S' ���1 5 � � 1 aCL� EMAIL:�I'���-L��{ �l►b�+� , MAtLINGADDRESS: `("��-- �`�1C1�""F� �� . PHOIVE NO.:���`�� �� (� �Q�k t�eSa-�CC�.. �L ���� FAX NO.: �lo �—�r -��'� PROJECTED NUMBER OF ATTENDEES: �� � COUNCiL APPROVAt REQUIRED: ( tjrYES ( )NO �' Any proposed special event whose attendance ts contemplated to exceed 200 people in total shall require flnal approval by the vllage Counal which, after rnnsidering 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 condfions. IS ALCOHOL BEING SERVED7 ( }YES (�NO • The service of alcaholic beve�ages at any speaal event shaq require the issuance of the appropriate 'state alcoholic beverage permit,a copy of whici�must be provided to the village in conjunction with the special event permit application. • The �Ilage 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 personnet at the special event. • It is the applicarit's responsibil'ity to monitor for and prevent excessive as well as underage consumption of alcohofic beverages at all times. Page 1 of 2 A . � INDEMNIFICATION: • 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 ENTERPRfSES: • 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 shatl ope�ate their non-profit enterprise in compliance with this section and all other rules and regulations ofthe Village. THE FOLLOWING ITEMS ARE REQUIRED TO BE SUBMITTED AT TIME OF APPLICATION: • Proof of insurance in amounts acceptable to the Vllage for the type of event. The Village shall be named as an additional insured on all liability insurance. • Eupected 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 c►ean 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. SIGNATURE OF HOLDER/APPLICANT:���%-'�'�-"�-/� ,���tit:�*-� ��'S�-`� ``'"�= ��� DATE: F� 1 �^' ? Z-��� Print Name Signature F � SIGNATURE OF PROPERTY OWNER: ��t�'f �t`��..�y`��`u-%R �--��v;':...�� pqTE: �� �"� ��'�� Print Name Signature *�ss*sss**s*•*s:•*s***�e*s�•ssrs•s*.ss***:**s*.*ss*�es***s*s******x**s*s***•�*s**s*****s:*s*s�s** RECOMMEND FOR APPROVAL: COMMUNITY DEV.DIRECTOR: DATE: BUILDING DIRECTOR: DATE: POLICE CHI : y?'=` DATE: ���7��� FIRE CHIEF: � DATE: f ` PARKS/RECREATION DATE: APPROVED BY: VILLAGE MANAGER: DATE: Approval/Review Notes:'1'��"f �.�i'A,I � (,I',Q,1� � vQ.l'1(�(S.�M�iP.Vi�t� Wl l� h,e, �D��r�� !c/I 'I/lS C/Y�C.1�� ("!•VV/T7���a�a,�l . � , � li IQ VILLAGE OF TEQUESTA PERMIT N0: COMMUNITY DEVELOPMENT DEPARTMENT Submittal Date: .� r/f- 345 Tequesta Dr. �eposit amount: �Z��'�` �;� Tequesta, Fiorida 33469 (561)768-0450 Fax(561)768-0698 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. 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�Ilage in order that the Village may adequately provide for the potential impacts created by the proposed event. A maximum of four (4) such permits shail 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 Vltage'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/EVE T: � � ���� HOURS: FROM: �� �'0�./1�. TO: � � : TYPE OF EVENT: � U �r-'f� � � :�I�� -- U-� . Q.� LOCATION OF EVENT: T ilr5'� ��G 'I"Q � °Lcx.tl '"t'�d l�� h �7`t��C�7 PROPERTY OWNER: �'��rt �� .�G�n �ll�(.,�rUl (Attach written consent of property owner of record.) Print Nam CONTACT INFORMATION: SPONSOR or PERSON(S�RESPONSIBLE FOR EVENT: � �1l � � S EMAIL-��t�� `=���'� MAILINGADDRESS: `c�--��-- `�1�� �`�' !�Q � PHONE NO.:���`e3�� •—� 4 �l��a�C�. �L� ���-1 FAX NO.: �(o I — ����� PROJECTED NUMBER OF ATTENDEES: �� � COUNCIL APPROVAL REQUIRED: ( j/rYES ( )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. IS ALCOHOL BEING SERVED? ( )YES (�NO • 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 village 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 INDEMNIFICATION: • By submitting a complete application,the Special Event holder/appiicant and property owner(if different) expressly agree that they shall indemnify,defend and hofd 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 adivity 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 condud 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 Vllage. THE FOLLOWING ITEMS ARE REQUIRED TO BE SUBMITTED AT TIME OF APPLICATION: • Proof of insurance in amounts acceptable to the Vllage for the type of event. The Vllage 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. SIGNATURE OF HOLDER/APPLICANT:��5��,�/ ���,�,/ J C:5�.`-''����I'1 DATE: �1 '�, "T Z.`(JI Print Name Signature SIGNATUREOFPROPERTYOWNER: ��l'�"�' �f'esb�`�'`'�'�'`-'`� ��°�"� DATE: �l �� ��� Print Name Signature sssr*:�s*:s*.*sr#s:*�*�t*..ss*s:****s.sss�:*s**s+�ss#sssss**:r:s:«sss******:sss:sssss::s*:ss*s:� RECOMMEND FOR APPROVAL: � COMMUNITY DEV.DIRECTOR: • � DATE: ��i 3 �_ BUILDING DIRECfOR: DATE: POLICE CHIEF:� ! �7 �'�� DATE:�L �' FIRE CHIEF: DATE: PARKS/RECREATION: DATE: APPROVED BY: VILLAGE MANAGER: DATE: Approval/Review Notes: (� ��l��G��.�-� �u S-t� ���.�v;�� U�����i L���, �� �i ��t.su� � IS 7�� �.NuM.�b l���v�- To �a�v� s���uc��;E ��.{��x— -]��;�',c. ' h�v� f NuMl3��. �r- �� ° �-��k.�n SO,ui s�e��r,,�r�r E�t'�eC�e��f����s� �u/xi✓�� D2 dc-fan �� �C��IAN � 'I' � ti � Y� G h � � � �US A� First Presbyterian Church of Tequesta Village of Tequesta Special Events Coordinator In accordance with recent instructions furnished by your department, we are providing the following details of our annual church fund raiser. The Strawberry Festival, which we have sponsored every spring for the past 40 years, will be held on our property at 482 Tequesta Dr. on Saturday March 3, 2018 from 9:00 a.m. to 2:00 p.m. We expect to have approximately 750 attendees during this timeframe. Our peak attendance has traditionally occurred during the first hour of the festival followed by a steady flow during the remaining hours. The included site plans show the designated areas of our buildings and property which will be used for our sales and parking during the event. Exits from each of the buildings are also shown on these plans. Regarding monitoring of visitor loads and fire escapes, we recruit approximately 50-60 volunteers who are identified Uy Uadges and/or attire in all areas of the event. The main entrance as shown on the plan is manned by two or more people who pass out flyers and maps to visitors as they arrive. Each of the other areas used for sales are also manned by volunteers who assist buyers and collect funds. Parking areas are roped off and assigned only by our parkers . No parking is allowed in the driveways around the church. Also, there are no tents used at the event. We wish to employ personnel from the Village to act as security and EMT services for the festival, and have included a $500 check to cover the charges. Please advise our event cachairs , Susan Glenn (561-339-0888) or Chris Moats (614-565- 4809) of any other necessary requirements for application approval. ' cerely, ev. Dan Comme rd 482 Tequesta Drive Tequesta, FL 33469 Senior Pastor Phone: 561-746-5161 • Fax: 561-746-7709 Email: tequestapres�gmail.com www.tequestapres.org ��7t �>.��� � � _, �s���T�� � „ . . � � _ -.,. . . 1.�, ; _ "-o __ _. , ,. ' ' � rr +��', . ; � ; � ' ;, , � � _ , , � i � +-�-_� � �— =� �� �.� g.54 .� '�.:�' ���-t >' ��:y . �;r„-�� • � , i'e(�.�e,(a [)r � Iryue5ta�.,Lr�� �'_ _ - � � - - �l tr� g —__ ��s. ! - }��,'- ` r F . �.� 1: � _ y'.�,' ��� Y f �`iy 4.1�. ��t �. �f i� �'a' � - _.' , ' .�,��. L�' .'-R,L�: —1-' .. .`T ��� � :.y� ;.1• . >.: r,,,, ... , ,� . �. ` ,r� � � [ y � t . ;.:s �" . . . _ R�. !� , � m� !�' . ' +. 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Q-a--�-` '�—" . ` �' i�I\� \ =�- Han7nIIon Pcrlw 1 �/ \ A'anhu L L2mry J` ° "� T . � Nrtnu\ �.� --o--�"�-'Q"�-- � _ �� � mu �wmm 1� � � ��: �.,� � _�� � �� �,� '� ������.� ..�Li � !s �� �, � �-- �, , � �_.� �..�)�—" t 1 ' � ' ---- -- -- ` --...------___ ---------- --_ —- --- -----— f- --._...--- -- ------ �1 • A�� CERTIFICATE OF LIABILITY INSURANCE page 1 of Z Zi15,�"� THIS CERTIFlCATE iS ISSUED AS A AAATTER OF INFORAAATION ONLY AND CONFERS NO RIGMTS UPON THE CERTIFICATE HOLDER.TH1S CERTIFlCATE DOES NOT AFFIRMATNELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POI..IqES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHOR¢ED REPRESENTATNE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pol'icy(ies)must have ADDITIONAL INSURED provisions or be endorsed. ffSUBROGATION IS WAIVED,subjecttothe terms and conditlons ofthe policy,certain policies may require an endorsement.A statemerrt on this certific�te dces not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ACT Nillis of Ohio, Inc. pHpp�E pqX 8_ _ 3 c/o 26 Ceatury Hlvd. �� ' ' r. o. so�c 305191 certificates�willis.com Naahville, TN 37230-5191 �µ���S R�NGCOVERAGE NAIC� �NS�RERp;Lexington Insuraace Compaay 19437-002 � I URER�Natioaal IIaion Pire Iae. Co. of Pitteburg 19445-001 0000003983-Pirst Presbyteriaa Church of Tequesta, 48S Teqneata Drive INSURERC: Tequesta, FL 33469 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUAABER:25935485 REV[SION NUMBER: THIS IS TO CERTIFY THAT THE POl1CIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED.NOTVNTHSTANDING ANY REQUIREMENT,TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT IMTH RESPECT TO WHICH THIS CER7IFICATE MAY BE iSSUED OR MAY PERTAIN.THE INSURANCE AFFOROED BY THE PpUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.UMffS SHOWN AAAY HAVE BEEPI REDUCED BY PAID CLAIMS. IWSR TYPEOFINSURANCE DDL S POUCYNUTABER POLICYEFF POLICYEXP UMITS A COMM�tCULLGalatal.w►elurY y 011971558 � 048409888 /1/2018 1/1/2019 EnCHOCCURRENCE S 2 000 000 c�vµs-�noe0 occuR �&�1Qfs� �,�� a 5 0 0 0 0 0 MED EXP one S 10 00 O �sow�annviwuRr s 2 000 000 GEN'Lnc(aYiREGATEUMITAPPUESPER: (iENERUAOOREciNTE S 4 000 000 $ POUCY�� �1.oC PRODUC75-COMPIOPAGG S 4 000 000 OitiER: S • A A�LELY►BK1TY Y 011971558 �048409888 /1/2018 1/1/2019 �eB��SINGLELIMR a Z,000,000 ANYAUTO BODILYINJURY(Perperson) S � ��� BODILYINJURY(PeracddenQ S AUTOSONLY AUTOS g fp�p x NON-0WNED AUTOS ONLY AUTOS ONLY exbeM S S 8 �� � OCCUR Y H8 038180509 /1/2018 1/1/2019 �CHOCCURRENCE S 5 000 000 a OC�S lwe CUUMS-M1L4� AGGREGATE S 5 000 000 DED t�TENiION i S _ WORIC6iS COI�ENSATON " AND EI�WYFRS'W►BMJTY YJN � ANYPROPRIETORIPARTNERIIXECIJfIVE� NIA E.LEACHACGDENT S OtFFICERAAENBERIXCLUOED7 LJ R�D�R�7�OFOPERATIONSbelow E.L DISEASE-POLICY�IT� S DESCRIP7tON OFOPBtAT10N8/LOCATONS/VEHICLES(ACORD 101,Addldonal Remarks Sdwdule,msy 6e alhchad if more apaw b requlrod� Re: Anaual Strawberry Festival. Please coatact your Insuraaca Board Ageat, RICSARD V. ALE%ANDSR at ((561)-512-5732, fos queationa regarding your Certificate of Inaurance. If you would like to apeak to someoae at the Insuraace Board, please call 800-437-8630. CERTIFlCATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAl10N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WffH THE POLICY PROVISIONS. AUTHOR�D REPRESENTATIVE Villaga of Taqueeta 345 Teqneata Drive Tequesta, FL 33469 Co11:5157269 Tp1:2185298 Cert: 9 54 01988-2015ACORDCORPORATION.Allrightsr�erved. ACORD 25(2016103) The ACORD name and togo are registered marks of ACORD