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OFFICE USE ONLY: DATE FILED: 1 O '��` J PERMIT#: 11// 03 Cost: PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATIONS DIVISION � 2300 Virginia Avenue R • . Ft.Pierce,FL 34982-5652 - --------- - -- _ -- 772-462-1553 Fax 772-462-1578P. OCT q 2017 APPLICATION FOR TEMPORARY USE PERMIT BUSINESS NAME: I ,l2.M N %Of' kaa- 4Er�12i NAME OF EVENT: LOCATION AND ADDRESS OF TEMPORY USE EVENT: �;e r/ r/7 5D01 ca a (2►v,--n��e P K0 l rc.T ��--\\, e , PROPERTY TAX IDENTIFICATION#: �� I • o 0 V 00 DESCRIPTION OF TEMPORARY USE: Ft Jh' r�i DATES OF THE EVENT: 14I a o© APPLICANT'S NAME: rl2a{--r--) APPLICANT'S STREET ADDRESS: CITY: n)e STATE: ZIP CODE: WILL THE EVENT,HAVE A TEMPORARY LIQUOR LICENSE:YES %�n NO WILL THE EVENT HAVE A TENT(s):YES k?O NO (up to 900 square feet exempt from fire permit) WILL THE HAVE BANNERS/PENNANTS/FLAGS?YES /NO 'v":' (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 88.02.02J. ��G.G1y� l��►necL�er1 � �\c��c��cLG�Y' PRINT APPLICANT'S NAME SIGNATURE OF PLICANT STATE OF FLORIDA,COUNTY OF Gj LL-e--� ,- ACKNOWLEDGED ACKNOWLEDGED BEFORE ME THIS DAY OF C�C.-� a L,�� ,20 t? BY WHO,IS PERSONALLY KNOWN TO ME OR WHO HAS kODUCED AS IDENTIFICATION. U� Coll-een �'� �S SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER: r�2 0-ji 2$ SLCPDS 10/19/2015 •'"" COLLEEN SUE HAYES _ �• Conunissioq FF 209728 My Commission Cxpuca o,,.o March 15, 2019 OFFICE USE ONLY: DATE FILED: O ' 2• 1 fi f 1 r.. PERART#: 1 / Cost: 55M). IS-00 -- - - - ch0z PLANNING&DEVELOPMENT SERVI S BUILDING&CODE REGULATIONS DI ON EC____________-_-_ 2300_Virginia Avenue" • . Ft.Pierce, FL 34982-5652 772-462-1553 Fax 772-462-1578 OC z 2017 APPLICATION FOR TEMPORARY USE PERMIT • BUSINESS NAME: - FhP_ +- i NAME OF EVENT: LOCATION AND ADDRESS OF TEMPORY USE EVENT: 0 rc— epi e 4'! 1/4 (17 PROPERTY TAX IDENTIFICATION#: oo0 00 DESCRIPTION OF TEMPORARY USE: DATES OF THE EVENT: 1-zv- a o 1 APPLICANT'S NAME: n ear) APPLICANT'S STREET ADDRESS: CITY: STATE: T__ ZIP CODE: WILL THE EVENT HAVE A TEMPORARY LIQ R LICENSE:YES ONO WILL THE EVENT HAVE A TENT(s):YES NO (up to 900 square feet exempt from fire permit) WILL THE HAVE BANNERSMENNANT AGS?YES /NO (Only 1 per 300 linear feet;32 sq ft max size) I HEREBY ACKNOWLEDGE THAT ABOVE INFORMATION IS CORRECT AND AGREE TO CONFORM TO ST.LUCIE COUNTY LAND DEVE PM CODE,SECTION 8.02.02J. G.GI l�1- 1 er1 ��I. SZCxs'Y- PRINT APPLICANT'S NAM + SIGNATURE OF PLICANT STATE OF FLORIDA,C TY OF y L1ti� L ACKNOWLEDGED BE ORE ME THIS DAY OF QC `ha L,LI .920 1-7 BY G•�l 1 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS fR UCED D I— AS IDENTIFICATION. Coll-een H�xL7�5 - 0 SIGNA OF NOTARY TYPE OR PRINT NAME OF NOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER: SLCPDS 10/19/2015 COLLEEN SUE HAYES C0fjjjjjjS,,,jon 0 FF 209728 My commission Cxpucs march 1S.. 2019 PERMISSION FROM OWNER OF PROPERTY DATE: AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE �lac`1 I [ 3 h1 TO HOLD A TEMPORARY USE EVENT.` PROPERTY TAX IDENTIFICATION#: c �� '4 1 `` ©OO 1 ' 0W`3 LEGAL DESCRIPTION OF PROPERTY: PROPERTY ADDRESS: 5--10k r0. Ver V OWNER INFORMATION: PROPERTY OWNER'S NAME: PROPERTY OWNER'S ADDRESS: CITY: ay--t STATE: ZIP CODE: �4G4�1 /" 'jo�� o C-" mi I 1 PRINT OWNER'S NAME SIG AT RE OF OWNE STATE OF FLORIDA,COUNTY OF 15� , t"xG i C- ACKNOWLEDGED BEFORE ME THIS �- DAY OF Oe—Voto-,r- ,20 1 7, � ` r BY 5 0 e c) ,n k 1 n`c Ike WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. C4)�Lx�— C70 11 e-e-w\ SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER: seal COLLEEN SUE HAYES Commission 11 FF 209720 ag My Commission Cxpuus March 15, 2019 SLCPDS 10/19/2015 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.REGU.LATLON____AB_T_-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 fee(s) 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: ham://www.mvfloridalicense.com/dbpr/abt/district offices/licensin4.html ��+ 7SGQJ,C Transaction Type: Temporary Extension ❑ Amended Sketch ❑ Permanent Extension ` " SECfi1Jfl1Z�LG111SE`II1tP�ORA?laTI1N Licensee (as listed onoholi beve a lic nye Um Business Name(D/B/A) Location Address (Street) MC OVE!nt 9 City P1 erc� C my + FL to Zi Alcoholic Beverage License Number Series Type/Class 1 Business Telephone Number Email Address(Optional) ext. FOR TEMPORARY EXTENSIONS ONLY: Date(s)of Extension: ABT District Office Received/Date Stamp Auth.61A-5.0017 1 a ash `•isksa '4�-j`m� Yta.�l=�3+",.�r r .a '��^ `i'�Y�>_er ^sr'�is�,�✓„,At._ .av`s� ![^ 5�.t°��^.�ss'ffc�'",r�.�v- .�- �s._..,.� .c;1�' rma�ctrFf�.m ca.�`�7(terts�on<.a�t�certs�dr Location Street Address Cit County Zip Code _ S FL Are there outside areas which are contiguous to the premises which are to be part of the premises sought to be licensed?" ❑ Yes QPNo ❑ 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. I!oThe 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. r Signed:_ _ Title:/�j-m� Date__ ��7 217 This approval is valid vaW O�`y/�-7 �•�` / y } I' ET' '� x,- , pC�u #aeF `Fs ][iyc� &. fJ BQ�VIITED°BATHE D ISIrIf HOt'Ei.Sa4ND,h�T�i[J1 ►NTyS ��� � �,�' fi����:��'.,��'��'�nR,` EP71► 'M�N ���AG1��UTt57RE�8-CO.�ISUMER;��R�1E�� ..g��: ..�,. �,��.. 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 2 141 Business Name(D/B/A) -1,-tfi-e---Un-defgi§n—ed-ifFdiVidU-ailg�,-or if-dYe-g-i-ste-re-d-16Val-d-n-tity-fd-r-itVelf,-its-bffid-e-rsand-dirC-Ctb-Cs,-h6-CeU-y-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." At applying for a temporary extension, check the box to confirm the following statement: El "I understand that the premises must be restored to its original form at the conclusion of the authorized temporary event." STATE OF l 01 C-i 949�_ COUNTY OF I PPLlyAhgT81GNATURE 9- APPLICANT SIGNATURE lr The foregoing was )Sworn to and Subscribed OR Acknowledged Before me this T Day of OC1.102c 20_L2 By 0-cA Li 1-1 �'J who is personally (print name(s)of person(s) making statement) known to me OR (aho produced as identification. —Commission Expires: ;20q 7 21 Notary Public COLLEEN SUE HAYES ®•- C.0111111ission 0 FF 209728 ae My Commission Expnos ",OF I March 15, 2019 Auth.61A-5.0017 3 8 ucs s; SV3,sC�s'^.'Cft�.l Business Name (D/B/A) 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-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 El 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 Property Card Page 1 of 1 Michelle Franklin, CFA--Saint Lucie County Property Appraiser—All rights reserved. Property Identification Site Address:5701 ORANGE AVE Parcel ID:2312-411-0001-000-3 Sec/Town/Range: 12/35S/39E Account#: 13573 _ Map ID:23/12S Use Type:2100 Zoning:CG Jurisdiction:Saint Lucie County Ownership West of Towners LLC 5701 Orange Ave Fort Pierce,FL 34947 r r tiz _ � 2ti ]TyJ3-t si- Legal Description e 123539W 102.4 FT OF E 135.4 FT OF S 228.5 FT OF N 261.5 FT OF E 1/2 OF NE 1/4 OF NE 1/4 OF SE 1/4=LESS AS IN ORD TAKING CA#82- 131-05-(0.46 AC).(OR 572-515;1874-233:3622-1068) Current Values ' Just/Market Value: $303,900 Assessed Value: $303,900 - Exemptions:ti ns• $0 P Taxable Value: $303,900 Total Areas Taxes for this parcel: SLC Tax Collector's Office 12 Finished/Under Air(SF): 3,954 . Download TRIM for this parcel:Download PDF© Gross Area(SF): 4,819 Land Size(acres): 0.46 Land Size(SF): 20,037.6 This information is believed to be correct at this time but it is subject to change,and is not warranted. ©Copyright'2017 Saint Lucie County Property Appraiser.All rights reserved. http://www.paslc.org/RECard/ 10/12/2017 Detail by Entity Name Page 1 of 2 Florida Department of State DIVISION OF CORPORATIONS Department of State ! Division of Corporations 1 Search Records I Detail By Document Number! "Detail by Entity Name_ Florida Limited Liability Company WEST OF TOWNERS LLC Filing Information . Document Number L06000039527 FEI/EiN Number 20-5092748 Date Filed 04/17/2006 State FL E Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/03/2012 j Principal Address 5701 ORANGE AVENUE FORT PIERCE, FL 34947 Changed:04/14/2016 Mailing Address I 5500 ORANGE AVENUE ' FORT PIERCE, FL 34947 Changed:05120/2009 Registered Agent Name&Address JOSEPH,MILLER G. 5500 Orange Avenue Fort Pierce, FL 34947 Name Changed:08/14/2014 Address Changed:08/21/2014 Authorized Personfs)Detail Name&Address Title MGR MILLER,JOSEPH G. 5500 ORANGE AVENUE FORT PIERCE; FL 34947. Annual Reports http://search.sunbiz.org/InquirylCorporationSearch/SearchResultDetail?inquir,gype=Entit... 10/12/2017 Detail by Entity Name Page 2 of 2 Report Year Filed Date _2015 03/19/2015 2016 04/14/2016 2017 04/13/2017 04/13/2017—ANNUAL REPORT View image in PDF format 04/14/2016—ANNUAL REPORT View image in PDF format 03/19!2015—ANNUAL REPORT View image in PDF format 08/21/2014—AMENDED ANNUAL REPORT View image in PDF format 08/14/2014—ANNUAL REPORT I View image in PDF format 04/30/2013—ANNUAL REPOR I View image in PDF formal 10103/2012—REINSTATEMENT View image in PDF format 04/22/2011--ANNUAL REPORT View image in PDF format 04/22/2010—ANNUAL REPORT View image in PDF format 05120/2009—REINSTATEMENT View image in PDF format 08/2812007—ANNUAL REPORT View image in PDF format , 04/17/2006—Florida Limited Liability View image in PDF format Flonda Department of State.Dwision a Corporations http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquiryty.pe=Entit... 10/12/2017 : 10/12/2017 02:38PM 7726213604 FIREPREVENTION PAGE 02 I I CIE.:CC�. IV: ::. :::: ST RE PRE. . .RE. ENTIO .E R� __. ...:............::....:. .. .. { ............ ...:...:.. .......:..::.........:.. .....:..... ..... ..... .......::. ..:.......:......:..:....:::: o.whom,t may concern..':.•: . . ..: ...: . , Permit Number.. ...::... ...:..::...... : .....:.. � 8.Y.'.•:w.::.rt'. ue 6:•f:..:E...e:.. r.o...vrswansofth5ar.n..t.Lu:�d6'C.c.u:.n .:...:...r,re.::P..rev:.:.e�•;no: :..:.':::::�.:::::.•::.:..::.::::.;.:�:::.•.;::.:;:�:::'..:::�.:.::.':.:>'.;.:::'.::.;.::•:;:�'::'.:..:::::�:::::;:::�:;�.::':.;:'.:::.:;::°;:;�;:.:,:::>;:.;::;•`.:::�.;;;::::::::�::.. ::::.":';:..::.;:: :::::;.:::.:::;'.;:.::.•:.;: ....:... .... ate . 2 �0 -on t ractnr�::; .. ueri . 0 r.Ev� en :.::....:..:.:.:'::............�..::........:...'..:.:.....::�:..:..:.�...,..::::...: �:...:....:...::.:::.-..:......... :_.........:'::':...duress:. �.:.::�::.:.:.,:..:..�....:....::....:�::....,::::.:.::::_.::.:..::::.:'.:::::;:::�.::'::�:::'.,_:.:.::::::.•::: rtY PSL ::.::....::.:.. ..: ... ::.... -.':.ng,matleapplica#ron•'in due farm;and as the con . drt[ons,surrounding,and Arran amen :..::............: .:.:::':,.'..: :::,::;g...,:..:.:.:;:.,:are;:�n my.op�nron;;sucht�rat.the,rntertt;ofttie code tan.be obsery...... ithorrty;ls;hereb . iven and' h Y g.......:.... ..t e PERMiT;is:Granted fo�tfie€ tan !7 each 40 x 40 Tent foc f unto rarset:at The:Tin Roaf=.5et`ii`ori:October 13 Tear.dawri:on Qctob `:. ? Pio ::.:'..:.....:...::.:................::..::..::::::..:.:...:.:::.....::'.....,:::.::...:.::::::.;'::•:;::...;; :.::,::•:::::'::::;:;:: .. act NaN ne ... .::::: :...:.:.:... .. ... ::"..::...:........:......•:..:::.::. .-.:.......... ...... 1 €Tin.Roof.::'.::�.::::::.::'.•:;:.:::'•::::::::.........;..:�........:.................. :...... ............. . . '.::::;.;.::•.,:..•::.:...:.:•'.::.,.:.:::..... .......... e" ..:..:.:..::::::::....:.. . . .... Add ". .....:.... ::::":'::::::: :::�:'::;:;�::;;:::;.;:;;::::>::::;:.�:;::�:�:>;:.:. ::::.:::' eAv :"::.�...:.:.;:.:..:.:.:::..::.::....::....::_:::.:::�.:::.:�::._:::_:•. ....:.::...:......�...:.....:.....................::............:..:....:.:.zr ;;'(34947:•;:;:;':.: :::::.�:::::;. :�.<::;::�:::.::..,;. ;;::;::;:::.: s e rm t i does�:'':: �� :_�: n at .. p tak : : : e e. lace f p o:any Iccense r urred b 1aw.-an d is not transferable.;: ":: 'ji§ .:-: .E`4......:::...Y:......... .. ....:. .. An than . .. .. .:.: . :..::......:..:...:.:.....:::::.................::..:.y..........9..:....:.......,use.or.otcupan .oftlie::�`'�':::: remrses sh ...: ::::..:..:.::•.,;:.::::,•... :...:...:.:..:...:.::...... .... �.::�::•:�.::::::;�:'::�::.::::�::::.:';•::'•:::�::.:.:�.�:.::�.c...�. .c':::::::..:.:•.::::;:',:'.:..,:;:P. ait.re urrea new ::.:.....Y..:.. . ....3::.'r:: :.::::::�::'::,::':;:Contra ::::.. .::::�:�.•.,:::.�.�:..: F.: ;...::..:.:._... � ..:...::...:. Freiarshal::;DerekFo S (,� E LL AT ALL TIMES:6E KEPT.POSTE®.OMT .E_PRfMISIfS:LISTf#3 IABOV . .. .. .... . .................. . . . 10/12/2017 02:38PM 7726213604 FIREPREVENTION PAGE 03 Invoke .InvoiceNumber.- Tent Permit -' Date: October 12,2017 � . Job Name: Tin Roof -•- _ S-aint Lucie-County Fire Dimict -- _ Job Address. —5iO:i an a Avg Fort Pierce,FL 5160 NW Milner Drive Port Saint Lucie,Florida Company: Same as above_ 34983 Phone:772-621-3322 Address: Fa:c 772-621-3604 Www.5lcfd corn State/Zip Code: . Phone: 772-370-1715 Parc Contact Mame: Jackie �4. 'SYi':..7':f. r. v �. 1:t a uy ,Yev man .��""`til."+;t.'s^Y, ,va ..C<...y.a,+.)..•n .d�r'f°*•,.,;..�%ui°C'..•. 5�j1z"i'.�'�"i:�r.:. e"z4.�.,.n���..f,�, +.i+..�,`-'`r .t Rn:�x'•i�ceyrhC;ui:M1n'' t!pmYy• 1 1'c�a,,b, .a+ 1::n, ft,^ i1.. .dr", a 1.,, .:.a ...}', ..r1.'y! - r:t.J- .�eSRf{,,,�,,�1'1rr..''•.ti"r�t..� 5i3 �a+�,�� ;.'.t�s!'i�n:2t•i.'i '' ..,;::+ 'uiA ?`. ;.}. :.:17' x`';.;^ na.,.'A'rlii'.I�t+ '-=�" ,. ..f,+ .+�Y.afl. :� .l,X:! -�L,?-..;. ,�r. .,�. ,Y`_'.•. }a' A i• }:t�.+. :t5'ys.,.yt�<r�.�'.a:a.,,2rQ.� .;,•.,E�:;. ,..tf�'>r,.�. � a�S'.s,'iZ.}_+mow. is+. Uis. .t�.„r1'k.M:t1fi: .4a+`,l,�?`?a�;, ,nC;�;t' +.d.r T£•':ki�y 5"tat,< .3•�,r. e,..rc;x. tom/.Yy.. ...v„ N+r� -r &. �:t;FRs x2 .^., fr,�J .>:t�%'ix.>..:.�..s�,.... .w..�.:.:ua�s,.,.�.t:rs:��U.•�s?�c�,c.t� t'¢s:,a 32-..},.A-rx�f ,5�:3 F6ttio,n- 1 Tent permit-October 13-15,2017 1 $72 50 $7250 2 Tent Permit-November 10-12,2017-__ _- - -- 1- $72.50 $72.50 Comments: _u ,Sub-total -`$145_00 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 tees, Saint Lucie County Fire District Resolution - - -•- -- ---- --•---. #543-12, Grand Total - $145.00 MAKE CHECK PAYABLE TO: Saint Lucie County Fire District Internal Use Only Thank You. — vi:K:-'��i`:'; Have a nick day! �,�rocs~t'�a,�t-�r+� fi;;�;��,,,..�a i�.�{tx��':�'�2{• 7a4TF�iT✓Ta?%r:^+