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Application for Zoning Compliance - Use Permit
OFFICE USE ONLY: DATE FILED: 1 1 PERMIT#: Cost: $55.00 PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATIONS DIVISION 2300 Virginia Avenue - Ft. Pierce,FL 34982-5652 - 772-462-1553 Fax 772-462-1578 R E C E I `, _D JUL 111037 APPLICATION FOR TEMPORARY USE PERMIT BUSINESS NAME: rU S1p K) (igpv-ouSE -bi3-R• `3AR rus)ra1t�f4oys,-= NAME OF EVENT: '140T WF.:ELZ '26' VR hwj it/E25ar2%s AioP GAR 9NoccJ LOCATION AND ADDRESS OF TEMPORY USE EVENT: :G 50 S. Us Hwy t, Po RT c5T LuC(E, FL 3"5-2- PROPERTY "5-zPROPERTY TAX IDENTIFICATION#: 47— 4171T691-7 3 y%I—so)— 1101- O 4 o-� DESCRIPTION OF TEMPORARY USE: IaN#1/r VE25Rt2y Raery Alnr() Cn2 &H61.0 DATES OF THE EVENT: h—r 1 I(o 11-7 APPLICANT'S NAME: TUSNA�vt2 er -0L APPLICANT'S STREET ADDRESS: 5-4lg3 NGJ ;�=Tr4 Ccef,SWA C� CITY: Pep—T, IS-1 - LL:caL— STATE: F(_ ZIP CODE: S4gLik WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES X NO WILL THE EVENT HAVE A TENT(s):YES X NO (up to 900 square feet exempt from fire permit) WILL THE HAVE BANNERS/PENNANTS/FLAGS?YES X /NO (Only 1 per 300 linear feet;32 sq ft max size) I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT AND AGREE TO CONFORM TO ST.LUCIE COUNTY LAND DEVELOPMENT CODE,SECTION 8.02.02J. —amu 5 Vh4AyL Q r�Z_ PRINT APPLICANT'S NAME SIGNATURE OF AP STATE OF FLORIDA,COUNTY OF ACKNOWLEDGED BEFORE ME THIS �_ DAY OF ,20 BY c aJ 2` WHO IS PERSbNALLY KNOWN TO ME LK OR HO HAS PR D AS IDENTIFICATION. SIGNATURE OF Y TYPE OR PRINT NAME OF NOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER: VT �1aS3°�3 SLCPDS 10/19/2015 DANA MCGHEE Notary Public State or Florida Commission N FF 995393 �,�.• My Comm.Expires Sep 18,2020 , � PERMISSION FROM OWNER OF PROPER'T'Y DATE: o-i Imo[1't AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE /4or wj►• Ej_z A ND 13A9, TO HOLD A TEMPORARY USE EVENT. PROPERTY TAX IDENTIFICATION#: LEGAL DESCRIPTION OF PROPERTY: S't�-iND RLoNE TrucL 5rr�yccE R�Sta��2s'.t�i PROPERTY ADDRESS: -145-0 S . QS t-A c_n q k �o�.— ST t_LsG« . PL.- 4c).S Z OWNER INFORMATION: PROPERTY OWNER'S NAME: W'1t3-)F PROPERTY OWNER'S ADDRESS: 600 S U5 MVJ�( / CITY: FOAL Si L ucl STATE: r-L ZIP CODE: 3495 Z QX-Wt 13111U ti PPANT OWNER'S NAM SIGNATURE OF OWNER 5&tic 2o©2/6u2v- - AV rre &-v STATE OF FLORIDA,COUNTY OF L.13 10 ACKNOWLEDGED BEFORE ME THIS DAY OF 10 U ,20LL BY sdr��a�eZ_ WHO IS PERSONALLY KNOWN TO ME OR O HAS P D C �L171_ 1� laz`1 C S Is'too �IS 9 O AS IDENTIFICATION. SIGNATURE O TARY TYPE OR PRINT NAME OF NOTARY Q TITLE: NOTARY PUBLIC COMMISSION NUMBER: 13 �'����""��''' DANA MCGHEE ,►� _'�.• Notary Public-State o1-Florida seal ' Commission#FF 995393 My Comm.Expires Sep 18,2020 SLCPDS 10/19/2015 r DBPR ABT-6029—Division of Alcoholic Beverages and Tobacco Application for Extension or Amended Sketch of Licensed Premises STATE'OF FLORIDA DBPR Form DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ABT-6029 Revised 02/2013 If you have any questions or need assistance in completing this application, please contact the Division of Alcoholic Beverages& Tobacco's(AB&T)local district office. Please submit your completed application and required feels)to your local district office. This application may be submitted by mail, through appointment, or it can be dropped off. A District Office Address and Contact Information Sheet can.be found on AB&T's web site at the link provided below: http://www.mvfloridalicense.com/dbpr/abt/district offices/licen sing.html SECTION 1 -CHECK TRANSACTION REQUESTED Transaction Type: ® Temporary Extension ❑ Amended Sketch ❑ Permanent Extension SECTION 2-LICENSE INFORMATION Licensee(as listed on alcoholic beverage license) Fusion Ta house 8�Grill Business Name(D/B/A) Bar Fusion Ta house Location Address(Street) 7950 S US HWY 1 City County State Zip Code Port St Lucie St Lucie FL 34952 Alcoholic Beverage License Number Series Type/Class 6603166 4COP SRX Business Telephone Number Email Address (Optional) 772 877 2078 'ext. tru.barfusion sl mail.com FOR TEMPORARY EXTENSIONS ONLY: Date(s)of Extension: July 16, 2017 ABT District Office Received/Date Stamp Auth.61A-5.0017 1 4 � , SECTION 3 ZONING APPROVAL - { ' TO BE COMPLETED BY THE ZONING AUTHORITY GOVERNING YOUR BUSINESS LOCATION s r it zt . s ;his`section'otlt a .k,lies.to:;ae'manentr:tein ora ,'extension=ofaicensed remise Location Street Address 7950 S US HWY 1 City County Zip Code . Port St Lucie St Lucie FL 34952 Are there outside areas which are contiguous to the premises which are to be p of the premises sought to be licensed?" Yes i No ❑ The PERMANENT extension of the licensed premises as shown in the sketch complies with zoning requirements for the sale of alcoholic beverages pursuant to this application. ® The TEMPORARY extension of the licensed premises as shown in the sketch complies with zoning requirements for the sale of alcoholic beverages pursuant to this application. i ,1 Signed: Title:Q ��r��Date: This approval is valid tto* 7 k %" SECTION 4 HEALTH TOiBE COMPLETED BY TkE VISfON OF'HOT�LS AND RESTAURANTS X ` 4 = r AOR COUNTY HEALTH AUTHORITY ° �' AOR DEPARTMENT OF HEALTH � f " z ORDERARTMENT OF.AGRICULTURE_&.CONSUMER SERVICES The above establishment complies with the requirements of the Florida Sanitary Code. Signed Date Title Agency This approval is valid until - Auth.61A-5.0017 2 SECTION 5 AFFIOdVIT OF APPLICANT ky F NOTARIZATION°REQUIREf), BusinessName(D/B/A) Bar Fusion Ta house 79 , "I,the undersigned individually,or if a registered legal entity for itself, its officers and directors, hereby swear or affirm that I am duly authorized to make the above and foregoing application and; as such, I hereby swear or affirm that the attached sketch is a true and correct representation of the extended licensed premises and agree that the place of business may be inspected and searched during business hours or at any time business is.being conducted on the premises without a search warrant by officers of the Division of Alcoholic Beverages and Tobacco,the sheriff, his deputies,and police officers for the purposes of determining compliance with the beverage and cigarette laws." I swear under oath or affirmation under penalty of perjury as provided for in Sections 559.791,562.45 and 837.06,Florida Statutes that the foregoing information is true and correct." If applying for a temporary extension,.check the box to confirm the following statement: ® "I understand that the premises must be restored to its original form at the conclusion of the authorized temporary event." STATE OF LpQL1 O A COUNTY OF DANA MCCNEE llot'ry Public-Stale of Florida APPLIVAMPSIGNATUREZ Commission 0 FF 995393 •., t...r� My Comm.Expires Sep 18.2020 its APPLICANT SIGNATURE The foregoing was( )Sworn to and Subscribed OR(4 cknowledged Before me this \ Day of ,.20 , By who is(/personally (print name(s)of person(s)making statement) known to me OR( )who produced as identification.. Commission Expires: Notary c Auth.61A-5:0017 3 i X F 3 �` r RSCTION 6 DESCRIPTION OF PREMISES TO BE LICENSED 77 Business Name(D/B/A) Bar Fusion Tapuse I t prop AOzkp a is 3shkEWbIj Is the proposed premises movable or able to be moved? 2. Yes El No® Is there any access through the premises to any area over which you do not have dominion and control? 3. Yes No Are there more than 3 separate rooms or enclosures with permanent bars or counters? 4. Yes No Is the business located within a Specialty Center? If yes,check the applicable statute: ❑ 561.20(2)(b)1,F.S.or❑ 561.20(2)(b)2, F.S. Neatly draw a floor plan of the premises in ink,including sidewalks and other outside areas which 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 to be licensed. A multi-story building where the entire building is to be licensed must show the details of each floor. I I I NA41toCi� u 5 .1 t ---iL I A� Auth.61A-5.0017 4 a Building & Code Regulation Division rd Group Meeting on Process Improvement Agenda July 7,2017 3:00 PM I. Update on issues discussed at our 1 st Group Meeting last May- a, Request two product approvals for scanned permits. b. The front desk staff has been informed that we will be transitioning to a sufficiency review/checklist for all permits. c. Cover letters to address plan review comments is effective and in place. & Options have been discussed with the Hunter Group regarding placing customers on hold or transferring and not being able to get the customer back. Debra e. Contractors are-being reminded vis a vi mass email on what epermits are allowed f. Contractor are being reminded vis a A mass email on signing permit application two times II. New improvements to process a) Applicants required to submit comment letter addressing revisions to plans b) Drainage for infill development c) Truss plans—accept seal with original signature d) Target Industries—expedited reviews and most will have many deferrals III. New ideas for improvement to inspection or review process? IV. Adjournment