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HomeMy WebLinkAboutZoning Compliance/Use Permit OFFICE USE ONLY: DATE FILED: ` 1 PERMIT#: /—/ / a3) 1 Cost: $55.00 PLANNING&DEVELOPMENT SERVICES J` BUILDING&CODE REGULATIONS DIVISION 2300 Virginia Avenue R E C EE 9 V r Ft. Pierce, FL 34982-5652 - - - - -- - - 772-462-1553 Fax 772-462-1578 OCT 12 2017 APPLICATION FOR TEMPORARY USE PERMIT BUSINESS NAME: I)Ze MIA E Q E &9 NAME OF EVENT: h )I olw, s1& LOCATION AND ADDRESS OF TEMPORY USE EVENT: PROPERTY TAX IDENTIFICATION#: DESCRIPTION OF TEMPORARY USE: DATES OF•THE EVENT: I APPLICANT'S NAME: ( Vf Nato n� APPLICANT'S STREET ADDRESS: � 1 pffimve2 LJlC1 CITY: �)� �� 'STATE: ZIP CODE: WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES\NO WILL THE EVENT HAVE A TENT(s):YES--ONO (up to 900 square feet exempt from fire permit) WILL THE HAVE BANNERS/PENNANTS/FLAGS?YES /NO�(Only 1 per 300 linear feet;32 sq ft max size) I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT AND AGREE TO CONFORM TO ST.LUCIE COUNTY LAND DEVELOPMENT CODE,SECTION 8.02.02J. �, kw()AihMAnD rN&-1 �Vhaja2o— PRINT APP ILANT'S NAME SIGNAT60fi OF PPLICANT STATE OF FLORIDA,COUNTY OF ACKNOWLEDGED BEFORE ME THIS i 2=� DAY OF 00--L,,rf ,20 BY J ��•��n WHO IS PERSONALLY KNOWN TO ME OR WHO HAS RODUCED L® AS IDENTIFICATION. SIGNATURE OF NOTARY TYPE OR PRINT NAME OFNOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER: SLCPDS 10/19/2015 COLLEEN SUE HAYES Commission 1$ FF 209728 a My Commission Expires March 15, 2019 OFFICE USE ONLY: DATE FILED: PERNIIT#: Cost: $55.00 C PLANNING&D4,OPMENT SERVICES BUILDING&CODE REGULATIONS DIVISI 2300 VirginiaA_v_enue__ RECEIVED- Ft. E EI E-Ft.Pierce,FL 34982-5652 772-462-1553 Fax 772-462-1578 - OCT 12 2017 APPLICATION FOR TEMPORARY USE PERMIT BUSINESS NAME: NAME OF EVENT: YJ drmse& LOCATION AND ADDRESS OF TEMPORY USE EVENT: nDj PROPERTY TAX IDENTIFICATION#: o? ( -a-!41 DESCRIPTION OF TEMPORARY USE: C DATES OVTHE EVENT: (KhEOWZU-c-po1 1- APPLICANT'S NAME: 60akn APPLICANT'S STREET ADDRESS: CITY: STATE: ZIP CODE: WILL THE EVENT HAVE A TEMPORARY LIQUO ICENSE:YES�NO WILL THE EVENT HAVE A TENT(s):YES O (up to 900 square feet exempt from fire permit) WILL THE HAVE BANNERS/PENNANTS/FL GS?YES /NO (Only 1 per 300 linear feet;32 sq ft max size) I]HEREBY ACKNOWLEDGE THAT THE OV INFORMATION IS CORRECT AND AGREE TO CONFORM TO ST.LUCIE COUNTY LAND DEVELOP ENT CODE,SECTION 8.02.02J. PRINT APP ICANT'S NAME SIGNAT OF PLICANT STATE OF FLORIDA,CO OF �i • Lv�C L ACKNOWLEDGED BEFO ME THIS l 2%y DAY OF Oc_ P�e_f ,20 1 -7 BY -� ����� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS ROD CED AS IDENTIFICATION. Co 11-e �-!�N Z_ S SIGNATURE NOTARY TYPE OR PRINT NAME OF NOTARY nn TITLE: NOTARY PUBLIC COMMISSION NUMBER: SLCPDS 10/19/2015 COLLEEN SUE HAYES Commission# FF 209728 My Commission Expiies •.,',; March 16, 2019 PERMISSION FROM OWNER OF PROPERTY DATE: AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE TO HOLD A TEMPORARY USE EVENT. PROPERTY TAX IDENTIFICATION#: LEGAL DESCRIPTION OF PROPERTY: PROPERTY ADDRESS: L �� OWNER INFORMATION: PROPERTY OWNER'S NAME: UVC S boW 6 11e� �U PROPERTY OWNER'S ADDRESS: �p CITY: � STATE: PL ZIP CODE: ©e.5�2k PRINT OWNER'S NAME SIG A RE OF OWNE STATE OF FLORIDA,COUNTY OF C— �� ACKNOWLEDGED BEFORE ME THIS a- DAY OF C✓/1 C_� -e-r 20 f BY Jp��A, Ir. �� 1 e WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED 17 AS IDENTIFICATION. -_�'yda.�� ao l I ce , SIGNATURE OF NOTARY TYPE OR PRINT NAME 6F NOTARY i TITLE: NOTARY PUBLIC COMMISSION NUMBER: fCt o 7-;L g COLLEEN SUE HAYES " °Br,`'•, seal Conui„ss,0, N FF 209728 My Commission Expios ''."•f .o�.• March 15, 2019 SLCPDS 10/19/2015 10/12/2017 02:38PM 7726213604 FIREPREVENTION PAGE 01 n I' {i{? f. i. 4 e _:::ii :<'.::,•:>:'L.:;:3:'\':::r:r'.:i.::..;:,:'1�::'..�:y. ;:�.:,:.::.(f.:.'�,:.::.�v::(.::L;�:%}'::::::i�:;:ri:';:l:}:.'.v:'�:::..�::?.::::..'.y,:�..a;.,.,:.:::.,j•..:....:._.. STRIC T...........:...... .:.:..:.:.:..........:......:�. .:::f:`i:}.::il::::�.'::..::.�'...:�:::::'.'.'^:: �•" ��::.[^':':..::;.:: ., ..... .....:..`. :.:: : PRE1�E1��`t�?�V;:� .......'.. a. . .. . ......... ............ ... .....,..,.., .. ... . . . . .. . ..... ....... .. . . . . . .. . . ..: . .:..... c� ...:.... .... ...:...........:..::.. .:..:....:...... r .. a whom�t may car�cerns e rm rt N u rn be :::. y vrrtwe of the provisions of the Sa' . r TP tnt�.wc�e Cout3 i=tre P rave ... . .: .. .. ....... .. . . . Code..,::.;,::::;:.:°:.::::::�::::.'.:;..,:�.:.:..: :% Iiat o cte bar. ontrattorR ,5u enor :..::'::•:;:.....:..:.... .:..:...::..:.:.... 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Granted fo . r.the tnstai#atr© each 4Q x 4{3 Tent for fund raiser at The TnReof:=:Set up on.Nrvembec 1 Tear:downoovorm ri ;:..::. bar i 2,.2t1 i 7:; "ect Marne.`Tin Roof :.... ..::....... ...:.::..........:.:...:.................::..:.......::...:.:.......:..........:........:.....:.;..... .:......:....ran 9 erce Fdit-Pi V. ........:...........:::...........:......:..:...: . ..,:.-:::::..:....::..::. ......:.:....:.....:..::.-.::.:.......:.:.:.:.::..:....:.:..:....:..:.....:..:::..:._.....,:.,....:::.::....P:.: ... Is rm Aett es nQt take tine place ofany ltcense;caquired b lave .:,:.... :.: and.rs not trarrsfera '' .' :..::... :.....::.......:.... an e t use or.occu an of.th .. : .....,...,...:.:::::..:.::.;:....:.::.:':.:':'.;::..:..:::..:::..::..:.:. .,.:. ...... R . e ....... ... .. re utrea.new. �...:.... Da's Valid`:' 3;;: : .::' ontracto .:......... I re .......:;... >t� 3x511 e. o ......:..:....... .:...........:.......... ....... Ei k it T14S PERM -: ' 5 ALL . HE .:::::: :: :�:;:;:':;:: STIED*ww ON:: 1 ;:: ;;'. :`: ;:;'°`;�'; . ..::.:.....:.... E�11lStE5.E15T :.;. _ FIREPREVENTIDN PAGE 03 10112/2017 02:38PM 7726213604 Invoice - _'Invoice?Number: Tent Permit xti �x-.d Dane: October 12,2017 Job Name: Tin Roof _-_-- Saint Lucie County Fire District .Jab Address: -- 5701 Orange Ave Fort Pierce,FL 5160 NW Milner Drive Fort Saint Lucie,Florida 34483 Company: Same as above Phone:772 622-3322 Address: Fac 772-621-3504 City wwwsldd.com State/Zip Code: Phone: 772-370-1715 ya:c Contact Name: Jackie F..-�.. .,�F343 i•hv(, :f. ..T,l .nf•. ...4. i..,T:.n>Ln...Y..:.P:r..>nl.i .,. J. ,�..... "y!'+ {:4��t:'!'.+ :V•a J:-7.. +�r..v ..1.m !Y :.yni• ..is ,. t�,. z%°: .:> •. .,,.F.. .,•::r:::q .• :.s!r '' x y.L,,;u�a;, .,. ( i n'a.';4+::.,.f r.�5�: .,(!.l:. l...s!•Ai:"d.�tr.F .,l r'i'::r..C. �f'1 a.��' r:kJti'-_,.tai n �_t_ 3 .�.4� �s=GM''.�- ••Cn'�'�yir -t.}�;,:, ..fYs.:F_, :sr �'rti ..1,st:>:t•- }i,: uik,.{J+hri-; .�"i+ .-t z,,, 'r „q,r :.:�@m'�J: ;.;.t.. .:h_� :�.rY•; ,:S.ss���,�a,,_ r.-J„�:r,'..>t, i.�. �..,:� ,:�..t;:2.,, ,:.:+.z.. '.1. :•�" �<=x x.I.., ..i+TGlc:if � �;: '+fir, r._Y ,iF.,fak.'tidA 5 }� •�x�'� fir'`! h,';^ '�. r:.-. } }�';P'•:Y,mv1�A. •ry,.,�,•• :x,.t:.�i,.,�.. ;.as::.. '•fl:.•;t. ;:, i +rr:. �,1- �r•. ',+ /,fig r,we ,...,_r. ..n)lK:..>..es..r..oti..n,a.,n{t.>.-.n..:._ri..n.h..J...r,.....a,rf._,.1.<.,..2..A..,..n.....2.1....•;hl.:. .,f.. .J. t _!. ':i� '?%i i•��c[, ..xii'^".;1^• .:Y.1 �'3'zbf ..d;`:r~,• •y,• ,.L., .vnJv: :.,at.>r4Y,aJ�..,sci:. nd+-,•Y i�J;. :;:�L_ d...,ai=^.:.• v!i'«":.�zwrt5.a:j`r`` 1 Tent permit-October 13-15,2017 1 $72.50 $7250 2 Tent Permit-November 10-12,2017 1 $7250 $72.50 Comments: Sub-total $145.00 _..._._._..___._.._.._-..—_... ........____.__.._._-�.__..r. FEES ARE DUE UPON RECEIPT, Fire Marshal plan review and/or inspections shall-not be reviewed or scheduled-until fees are paid. Fire District fees are separate from Building Department fees. Saint Lucie County Fire District Resolution _........._....._. ._.... #543-12. Grand Total 5145-d0 MAKE CHECK PAYABLE TO: Saint Lucie County Fire District Internal Use Only Thank You. : ,,,•..:;, Y' .; s '� y,�'iJ},�nr•''Yi k�<;t:;r,'':.:t:'S�`r �it'fr rFi. _ Am,dnnt;A�Fd`-:2'•ii�t'"'ikiS;jy;.'."g=:���4ti;3��t✓``.,-3 Have a nice day! ^ '�'�'/t 1rJ�'i�'201'�s DBPR ABT-6029-Division of Alcoholic Beverages and Tobacco - - - - - Application for Extension or Amended Sketch of Licensed Premises STATE OF FLORIDA DBPR Form DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ABT-6029 Revised 02/2013 If you have any questions or need assistance in completing this application, please contact the Division of Alcoholic Beverages& Tobacco's(AB&T) local district office. Please submit your completed application and required feels)to your local district office. This application maybe submitted by mail, through appointment, or it can be dropped off. A District Office Address and Contact Information Sheet can be found on AB&Ts web site at the link provided below.- hftp://www.mvfloridalicense.com/dbpr/abt/district offices/licensing.html :�a$��.�'sa._�k¢`" � 'xd� �.x,�'�GV�IIQ}�:� '"h����7,1.�Ial ��L����,i���Ys�J•�5;����r,'yk3,a;'��.. }. 't.-r, e`�-�z- ��3T�� g R -Transaction Type: 0 Temporary Extension ❑ Amended Sketch ❑ Permanent Extension Licensee (as listed on alcoholic beverage license) ' L Business Name (D/B/A) C u� Location Address (Street) City County State Zip Code S .i- Lucie FL Alcoholic Beverage License Number Series Type/Class a Business Telephone Number Email Address(Optional) ext. FOR TEMPORARY EXTENSIONS ONLY: Date(s)of Extension: ABT District Office Received 1 Date Stamp Auth.61A-5.0017 1 G0 F� i1d� G� - .0 pty't?Y1IN �(Cj-i1ltlSI , 4CA N ._ ��ectioirt~�r� Ra , bets ex�taaitr�ilG�,t�o�,#�►_t1i :ora.,`_exter��lott�of�lficerised_1,,��in�se� R... Location Street Address ----- —---- - -- — -- --- --- - - - -- --A-V -- City Count�t 1_uc .2 FL Zip Code - p1erC� . 4 Are there outside areas which are contiguous to the premises which are to be part of the premises sought to be licensed?" ❑ Yes ® 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. ID/ �� Signed: _ _ Title:p-�Q�i % j Date:' L ll�L'�7 . This approval is valid mh* ll x� jay c ;3t w r wY�S �+T�C?�V�� "y k'� TO�B IMPL7BDY�TFIRtt S(O�VQF�HOTESURST�UR!►►�17 � � t THAUTHfRITY b,r x� DEPIR�NIEAGRIGl911J1� (J�1S�t11111EfRYE3x t 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 mss �W-4R ki3sw 4 �,�,.,p s �^�' j Business Name (D/B/A) "I,tthe undersigned individually; or if a registerealegal entity for itself,-its officers and diiecfors,he�eby 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: ❑ 9 understand that the premises must be restored to its original form at the conclusion of the authorized temporary event." STATE OF COUNTY OF IS L AP CANT SIGNATURE APPLICANT SIGNATURE The foregoing was( )Sworn to and Subscribed OR( )Acknowledged Before me this 1 Day of Oci o e_.' , 2C 1-] , By �-1 e, who is( )personally (print name(s)of person(s) making statement) known to me OR( -who produced �� as identification. Fr-;-05 Notary Commission Expires: ( O Notary Public COLLEEN HE HAYES Commission 4 FF 209728 °•: My Commission Expuus ';' • March 15, 2019 Auth.61A-5.0017 3 t: 0_0 ,�[ �t c` �+g x y'SI\" �� - ' RI< LpIGE .� __.�. ��-�•. -�.. _-•F,=rte__—_���.;. �__ Business Name(D/B/A) `fie 0 1 1 1 Yes ❑ No❑ Is the proposed premises movable or able to be moved? .2. Yes ❑ No❑ Is there any access through the premises to any area over which you do not -have-dominion-adddontrol? - - - - -- - - - - -- _ 3. Yes ❑ No❑ Are there more than 3 separate rooms or enclosures with permanent bars or counters? Is the business located within a Specialty Center? If yes, check the applicable statute: 4. Yes ❑ No❑ ❑ 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. Auth.61A-5.0017 4