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•.
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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
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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