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HomeMy WebLinkAboutApplication for Zoning Compliance - Use Permit OFFICE USE ONLY: DATE FILED: PERMIT#: Cost: $55.00 `` PLANNING &DEVELOPMENT SERVICES BUILDING &CODE REGULATIONS DIVISION 2300 Virginia Avenue RECEIVED Ft; Pierce, FL 34982-5652 772-462-1553 Fax 772-462-1578 SEP 2018 APPLICATION FOR TEMPORARY USE PERMIT ST. Lucie County, Permitting BUSINESS NAME: Kickstands Up NAME OF EVENT: Anniversary Party LOCATION AND ADDRESS OF TEMPORY USE EVENT: 6725 S US 1 Port St.Licie FI,34952 PROPERTY TAX IDENTIFICATION#: 3415-501-0039-010-6 DESCRIPTION OF TEMPORARY USE: Musk, Venders, Swap meet DATES OF THE EVENT: September 22nd 2018 APPLICANT'S NAME: James Notofranco APPLICANT'S STREET ADDRESS. 6725 S US CITY: Port St. Lucie STATE: Fi ZIP CODE: 34952 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 EE TO CONFORM TO ST. LUCIE COUNTY LAND DEVELOPMENT CODE,SECTION 8.02.02J. James Notofranco PRINT APPLICANT'S NAME SIGNA . OF APPLICANT STATE OF FLORIDA,COUNTY OF \.00A ACKN W EDGED CB�E�FOoocoloc- c) E THIS AY OF ,20 BY �caME), \ WHO IS PERSONALLY KNOWN TOM _, OR WHO HAS PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER: a0 SLCPDS 10/19/2015 Notary Public a"of FWWO ` Deborah M Stevens c� My Cana tion 00127559 of Expires 06/11/2021 8/23/2018 Notary.jpeg PERMISSION FROM OWNER OF PROPERTY D•.TE:August 23, 2018 AS OWNER OF TH�EJFOLLOWING DESCRIBED PROPER','Y,I ATITHORIZE 3-0—.0789IOI IT/(/�f�Lb 1�GU TO HOLD A TEMPORARY USE EVENT. PROPERTY TAX IllENTIFICATTON it: 3415-501-0039-010-6 "DEL LAND CO'S SID cf SEC 15 3 W 0 OLK 3 S 179 FT OF N 279 FI OFE 333 FI LOl'2-LESS.... LE GAL DESCRIPTION OF PROPERTY: PROPERTY ADDRESS: 6725-#6727 South US Highway 1 Port St Lucie Fi,34952 OWNER INFORMATION: + PROPERTY OW"NER,,NASM Christine Vitoio, Trustee PR.OPERTY OWNER'S ADD,tESS: P.O. Box 24903 CITY,: Fort Lauderdale STATE: Fi ZIP CODE: 33307 PRINT OWNERS NAME SIGNATURE OF&VNER'' STATE OF FLORIDA,COUNTY OF f� ACKNOWLEllGT•,D 13EFURE IYlE'1'H1S UAY OF &,Y :r 20!61, UU BY (-' '61—jY1 e- (AJJ2/0 WHO IS PERSONAIA.Y KNOWN TO a'IE"� OR WHO HAS PRODUCED AS IDENTIFICATION.n S GNATURE QF NO'T'ARY TYPE OR PRINT NAIME OF NOTARY rrl " COI°I!11ISSION NUMTIER: DENISE R.DAVIS•WHITEHEAD N MY COMMISSION GG 081492 q,= EXPIRES:April 29,2021 5UM 8mded Thru Notary Public Und�twrKers•. ' PMNI, SLOTS HYMNS tiu.....n..•...:I.....,nl.,nnmlm�ilh Jll/O�oi,=,..miki.,V,nv/G�AfnnvvvRi7mKl NinRmh(:1uYch(lvchlR(19nrniorfnr_1Rmcccanc Parflri_r1 1 1/1 DBPR ABT-6003—Division of Alcoholic Beverages and Tobacco Application for One/Two/Three Day Permit or Special Sales License STATE OF FLORIDA DBPR Form DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ABT-6003 Revised 0812013 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 to your local district office at least(7) days prior to the first date of the event to insure the permit is issued by the event date. This application may be submitted by mail, or it can be dropped off. A District Office Address and Contact Information Sheet can be found on AB&T's page of the DBPR web site at the link provided below. hftp://www.mvfloridalicense.com/dbpr/abt/district offices/licensing.html F _ r SECTION 1 CHECK TRANSACTIONREQUESTED;<,„ z y c Transaction Type: ® One/Two/Three Day Permit ❑ Special Sales License SECTION 2PERMIT or-LICENSEINFORMATION " a '��- .�-:�'�.._.r�.n e��'����,e�_ ..n-. __,._-�_-..-�-_��._.__-3:_..v_>...�5..._.->.:.., v _.._,..r_.<_......w...,-_.,...... ..... -x„?'«mac.• .�r If the applicant is a corporation or other legal entity, enter the name and the document number as registered with the Florida Department of State Division of Corporations on the line below. FEIN Number Business Telephone Number E-Mail Address(Optional) 46-4319181 - 1 772 607 0830 1 twistedribbons13@gmail.com Full Name of Applicant(s): (This is the name the permit or license will be issued in) Department of State Document# Twisted Ribbons INC. Business Name (D/B/A) or Name of Event Biker Bash Location of Event(Street and Number) 6725 S SU 1 City County State Zip Code Port St. Lucie [St. Lucie FL 34952 Mailing Address (Street or P.O.,Box) 6725 S SU 1 City State Zip Code Port St.Lucie FI 34952 Contact Person -This section isoptional,see application instructions for details Contact Person Telephone Number James Notofranco 772 242 8952 ext. Email Address (Optional) ksuconsignments@gmail.com Mailing Address (Street or P.O. Box) 6725 S US 1 CityState Zip Code Port St. Lucie FI 34952 Date(s) Permit Desired 9/22/2018 ABT District Office Received Date Stamp Auth: 61A-5.0013,FAC 1 SECTkQN 31 SALES TAXA vie __ __r" �.a n K:, ti: , ._TO�BE COMB;I,ETED BYTFEDEPARTMENTnOF REVENUE Full Name of Applicant Organization The named applicant for a license/permit has complied with the Florida Statutes concerning registration for Sales and Use Tax and has agreed to pay any applicable taxes due. Signed Date Title Department of Revenue Stamp: .5_ :..TO,.BE COMPLETED BY;THE�ZONING��AUTH;ORIS _�GOVE.RNING_THErEVENTsLOCATION ,� };_�".. °_:; Location of Event(Street and Number) ,I a 5 S V S City County L Co 0w The location com with zoning requirements for the temporary sale of alcoholic beverages pursuant to this applicatio o O /Three Day Permit. Signed _ Date 1,71112w Title Z Note: College fraternities and sororities must meet certain additional conditions which can be found in the application instructions and requirements. i Auth: 61A-5.0013,FAC 2 ; 7 SECTION 5 �DESCRIPTION--OF PREMISESTO BE'LICENSED ?r 2 r a -n- ;.., z. AUTHORIZED SIGNATURE,REQUIRED .. - e . Business Name (D/B/A) or Name of Event 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 where the event will be held. A multi-story building where the entire building is to be licensed must show the details of each floor. L-7 L7 /-7 -7 /-7 Z 7 /-7 1-7 L-� L7 Auth: 61A-5.0013,FAC 3 -..`lt '-3- �,-t _ -`' r ? a.741 - a t 1 '.C"'' ..s-..t-..-•... ,-+. �`�r����-����FOR�'NON'PROFIT�C11��/IC�ORGANIZATIONnAL`COHOL�IC BEVERAGE'PERMIT A�� -�� rv- n Full Name of Applicant Organization "This is to certify that the applicant requesting the permit in the above and foregoing application is a non-profit civic organization and that the permit, if used, will be used only by the organization making application, on the date(s) requested and at the location stated. By acceptance of this permit, we agree that the applicant organization, as the permit holder, is the ONLY entity that will receive any of the profits from the sale of alcoholic beverages on this permit. This is to further certify that the applicant organization has not received more than three (3) permits within the calendar year, unless otherwise authorized by law, and agree that the location may be inspected and searched during the time that the permit is issued and business is being conducted without a search warrant by authorized agents or employees of the Division of Alcoholic Beverages and Tobacco, the Sheriff, his Deputies, and Police Officers for purposes of determining compliance with the alcoholic beverage laws. I, the undersigned individual, hereby swear or affirm that I am an officer and is duly authorized to make the above and foregoing statements on behalf of the applicant organization. Furthermore, 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 to the best of my knowledge." STATE OF 'Rex-,00- COUNTY OF �ye� A PLI NT/AUTHO D REPRESENTATIVE NAME E APP ANT/AUTHORIZ D PRE ENT WE SIGNATURE The foregoing was (Sworn to and Subscribed before me this � Day of SF , 20 Byat�Qoa, �\ of _ who is (personally known to me (print name(s) of person making statement) OR ( )who produced as identification. Commission Expires: 1, Notary Public Nown Pdft so"Of Fnlbordftft Deborah M SWAM • My cone@ w GG 127559 ExpM�s 08111=21 04 A A OR AOS Auth: 61A-5.0013,FAC 4