HomeMy WebLinkAboutZoning Compliance/Use Permit OFF[a um O1 y. DATEmt. ,, -3>- 161 D`- 646�z
Cost: 355A
PLANNING&DEVELOPMENT SERVICESRE
�
BUILDING&CODE REGULATIONS DIVISIO
VED
COUNTY
2300Virginia Avenue
Ft.Pierce,FL 34982-5652 JAN 2 3 2019
772-462-ISS3 Fax M-462-1578
Permitting Department
APPLICATION FOR TEMPORARY USE P � -acre County, FL
-S� 0 A Sk),c.I or, )r
BUSINESS NAME:
NAME OF EVENT- V
LO O D OF RY EVENT: ---
PROPERTY TAX IDENTIFICATION#:
f
DESCRIPTION OF TEMPORARY USE: Q1,
DATES OF THE EVENT: _ O nkq
APPLICANT'S NAM: An
APPLICANT'S STREET ADDRESS: DWd .
QTY. � � STATE: ZIP CODE:
WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:Y.ES�K—NO
WILL THE EVENT HAVE A TENT(s):YES-t�NO (up to 900 square feet exempt from Sire permit)
WILL THE HAVE BANNFERS/PENNANTS/FItA GS?YES IN04rZ(0*1 ger 300 Hnear feed 32 sq B max size)
I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT AND AGREE TO CO ORM TO
ST. IM COUNTY LAND DE70PDFNT CODE,SECTION 8.02.02j
PRINT APPLICANT'S NAME SIG OF AP
STATE OF FLORIDA,COUNTY OF �
ACKNO GED O DAY OF 20
BY WHO IS PERSONALLY WN TO ME /
OR WHO HAS PRODUCED — IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOT
TITLE. NOTARY PUDLIC COMMISSION NUMBER:
SL6DS 10 /ZI�,Sw,, A
`.��t�YpU8�4CA7NENotary Puida� Commi5oFMy Comm. 020
PERMISSION FROM OWNER OF PROPERTY
DATE. v CV A
Qom• I ��'Ll .
AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE �U '
.. - - -- ------- ---
TO HOLD A TEMPORARY USE EVENT.
. .. ........
__. 1 ------- - --- ---------------
PROPERTY TAX IDENTIFICATION#:
LEGAL DESCRIPTION OF PROPERTY: 1
) F-end)
PROPERTY ADDRESS: `
OWNER INFORMATION:
PROPERTY OWNER'S NAME:
\,�Aos)A
PROPERTY OWNER'S ADDRESS:
CITY: STATE: ZIP CODE:
PRINT OWNER'S NAME SIGNATURE OF OWNER
STATE OF FLORIDA,COUNTY OF -
ACKNOWLEDGED BEFORE ME THIS DAY OF 20A
BY WHO IS PERSONAL1 41010"N TO ME V
O WHO HAS PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT N OF NQ Y
TITLE: NOTARY UIRI ''8W/ .
, CARLA NELSONj
COMMISSION NUMBER:
,
_ �= Notary PublicState ofCommission#FF 96p°� My Comm.Expires Feb
seal
SUPDS 10119 015
I
�N a
.yy.G.:
J. Special vehicle, recreational veh� i ft' oat sales events on sites not ppro
r the plat iir
be a
roved
r rm ent di . la ... :forve - trc'a b
fo tho. an hk
pe Y b ort Y PP Y
. � � follavnng regr��remerits and-sfartdarcfis ark rri�.
2. Said events shall be conducted dryr a CG,It or IH zoning dest31
natrttrr
..- ..00 PRO -
2. Said--events shall be conc[ucCedn � havFng existing, perm:fnerrt..and perrtFitte
7-.� °
drtveVv;�i Ano sec s points, f a tre _ rr evira�rs (read cuts) ace per'ri itEed in
cdnfuh Iiari.avith sales ev ils:
—43. the ev+:rti shalt have a duratFoli of d 3 r or fevuer consecutive days
three (3t daiys rtFcltrdr�set t1c�a� ' ;' �"dthe event avid shalt be corldtcxed
vn ur'ft N. ars havFn TI' avtY bu e s ari �;e +e .liiGens
_.
f a m e- is _°twa Fas- this` r �d t[ ed.nate"swe =dtt F
cafien ar
eat".'
4 aid evert --s hall be conducted arF LpF �adequate areae Vehiclearrd ;
`dFsdla , em ogee a nd cusfc V.1;..(t�� �
t
►eg' hempltiairlsir�g are + crst beavedt7ehrr
and vssejts c #ecdd far sate'�i �}l ; army Fn areas rderitiiiect as drsla ares
on tfie 3 t sirawin sut�alitest a����i�if � tiect�porary use per�rt apptkattor
,
Employee ark# custFer pa[KkiF � fovrtied at. a rate:r:f o space .der Qn
! -
a_The SI
7ran}djQfla[ONj sgyuaMre feet ay ureGs.,ma
ust:Rve Qackinsr ;:
.}%, - .. '.11�.�. .'�i `�GV��rGd:i/Q� �r•,��-`�w1.1�`+c-� L
t
5 fillsshall at {; ' I9rrd t 15 9b:of tkea r
t.'§_""• 5 railer lte�►icles-a '1
� 1 •n 710. eel to r+ovide ESQ -
_ 'ai[Ft 5
or
1 'ec `:aecln `s ie ted to.tom tear s1ds
6 5arrfvttitFttaY 6e 1 � sitas aprdrother uses(such as hanks,sliopplr '
.. Y -
ceoters)provided
Ab
064 cad met:
_ as
(a) bio prtcln �O'- nated as) �ig�iquired on the.approved site Marr fqr _
e hs ost rYe he t` d�spla}� area, trade-ih ha
thrlcu►ir
custQrnNr{ a partdngpeE�al:veli�cle sates everrt.
�, _
rz �: a 77 r
.. _ zrf..
`siring#0a's;ages are deleted. Underlited passajes,ere added.
fj
I :
. y
r
v
r
y .... :., .... ....., to '�..- -
w
" � e
„
lag
t:
(b) act' crt xa v.,ce ra ;:sa t_
it Ft—
CeSt ! AMC-
, me� ilT" :. ttC.fl
r fttE*i cft an -
c -
QWn :`i<irQ �R . {#.���t�1[
F—t7 E ax —
7. Ng exte�tsioR of a to Irary ti a pert far" t I iiet icle and o gessels sales event
s _
sin totFser �nH�uncsontit�tiee vngst conEorrn#oe requirements of
„ Sect,gnt � St. Euc,e Ca faik, T fvPrngnt Code A
� � �:. s� a ,.
tgalr`e nnust-6ca�►��d pric�,r to asrfa€te s any temgorayy tse Pentt"fer a{safe
euegt: >
9. ntta }facltl RIO ait�f €o # ed�niam ddt�,,r tth appilcabte.env,ronmentat eattf ;
1=egc�fatns. Prior * a +� art rrt�R a dies eveo,
00
Ah
__ if Fi�Yii'11YI 1 flf'e>.kl`M<- Ft T
jY � �ucte CvunAr OP ��teaf.th '
' <:
=r �C pFi3�1ff5e4Sela�rttle5 Stfelt be:retnoi I trleEft�ltc tl
I F �
- 10. Prior t�fhe t suar� fa�Iy e i oi€ s + �for a satese_ 3_074,vtheOpkal�►t must
t.
-- Q�tt81n Wrl�.�
Oft resWR psi kectt
' Ilse of�>~y face ,. � � ivved6yS�t.t,�,a Cau�ty�� " •
51
`tea
{
11 Cancesslons may "pty use to the safes event t
canressians are d; sates event t�tust obtafrr wriderf,
appiatal fronth � ai - r
!fav -e rs,(-moi J y
nz.
pirot5sedo,tssq sof any tet#1por �tse periYtit fOr tb '
sates went. x
12 Spec,�t 'Vehicle sates �Ications must ,neat att swam #a :
cey€ tner fir tie pe. �Cit addiwrs specat-
lt la _
eventppticatio'ns tfeIeotto ,
t#►tt gi:passages are deleted: Unci tiln paSoi i ate dttEd:
(a) Ascaled dteriuiishawng:
1, Thi i►nenslons 41166 04 parcel upon which the event is
he[d l
2. the Mitten"cions of t}'e salek+ n area. l n
3. lcnrio ate,drmensplay atreas, errtnlayee_and,-..cu
cttel
patklr�,a�eas,a�nd'�d�t�ting�tslestorbe utilized.
4. All acl eR roadways and ilr 44#s of tihe property parcel site.
f
S. , AEI st ost '
d.11'. cvn u[EctaJ uuith the sales event and the size and
r'jhn- a .4
typet � s ttsetfjfm is rettu'ved for alf tehtporttt fEa
banrte a�rrtd c3e€tnaitts..
6: Existiri zobiog of the sttfr<t property, surrbunc .eirerties arty
r,
aPpitsaettiacks.
rj f�f 4
7. T d �rhe'shali a tt tfie follElWllt ftses and the t gtlt
'r,��,.�'�.fi�'q'"�'* s .ter• - -
s °;tett inecEtasat_ vie -
_ sa►�` � `T+_ _ `��u �t_ a :be.setlyac
feel .Y� -�
frW&Med:" i>i:a .caftora afrt :ruiaX_iiist
(b) Information td �rrg:
BeittAft KWertd�ng tfate t�fEhe event.
h
My 4 {
2. HoWr `tff ttidrt of the event _
t.�.
3, Total t riumbet:o€rre tcEe aniifor vessels`+splayed at arty
i` orte tf�t��t iiia:event srte:
A.7 T ' atiQn sh�l[be. ed that etetxtrx tes the event do"
I .� c rasa�f i�it5
13. fiail. gild ces with.to
f t
I( 5'-V'4 : r
C Arty prftporary f c li � tdt t" sanitary, display .(such as tend,
3 �h
via ai: of � i663 Twilla a+lees m�u' reF r
may. -
,}god- _,.._ncfb .t
amu. -
4
S gb passages are 8eleted. Underlined passages are added.
S. kteW Y +ng and ttaffA 9Vitt be property directed onto,a wltt�s
r "be.evesite
f 6. It"a por ksng spaces of penrlanent use (such as shotplrgJpl w< M
l' _ 3,r -
etre _=5 € itil�zed by oaf%r ��rtpayees ofe sales evet, ,.[
Y x
ca cu ft for th ..ste sftal�p � +fitted demunstratin that' Ar
tti to
ev rit s v li not Parking ',spices
p g s"arias specified`in this code,to servic,
attce wtttr tie arkin
ttte+kk ng uses.
A,�e`ftlllowlrtr;5i+tali b,1=x�ravlded'�" - '
'the site's tom fir �ec,€, rkl soaees.
, -he totat���6e�' f� l ng_ oaEes�reau_„?red_for the „� ti
_ p,,_,e�rceeEted�s��zih��s�c�drda��va►tEt.#Fie t�a�it -staada€ds s�-
'
hurnbdr�f er 'ss (rtat real�irediarkina spaces hi
4.
13. a U arsh r2ide.a srt nza rr fr - the: ro o
�-rr-
statl ti1Cx t'd h .fit t IOcatiorto InCtte tits'li
afo ei�abat€ertd ?aratitiffexte SoM
t
14. Tt►e p[anrsl a o c ma sus std nstd E tscirt o w
rt a
a [Ca tart cta6 tit
Asoli `ire c+3Asia�iw : tK ''��
a .. �^ t �'
T
_ tI0Mate
e
J'
.r
I5 �'h r It ca rt tt�s safes ev rtt
t >F
6
guncl+dl:3 " [tats 7de. ' e `cfes'and Me not;
pro
'*#*s��i+���s*ssaMiswsF �*sr�Y�ss*�s►*x4**it�*�+r � =
II _
_ r
SaEts aftertorida i +sitai� i + 'gated areas of St.toc►e£406tyg .
, Ir,
ortlsn4artif ttttr: r resaldf#oiirrerl,itr u Ytti- t is oEdinarice arelerer ,
a !P
suptsfied 6y€his r�rdlnartr. to-ttre" osucFii
3 1
n -
If a i�rtrort of i tti v� t(ttartt a U-'M eson held ttr d to be uncgnstittlxconef�[s �le�rattue� r
voltf�strhtpfdtttlall fatcftainitig portrl � ti _:ordinance_ tt �hts:ordlrl'dnSA
ttr air
_ St usk tee�t passages are deteted. U fined passages aria add
} SEC�IfSN 6 D�,•SORlIQT1ON,,��PRENIISES.TO B�LI4�NSEd` 1
Business Name(D/B/A)
Sprina Festival
1. TYes0 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?
Is the business located within a Specialty Center? If yes,check the applicable statute:
4. Yes ❑ TNo® El 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.
CDS X S NKA
C
Auth.61A-6.0017 4
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 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:
http://www.myfloridalicense.com/dbpr/abtidistrict offices/licensing.html
_ �<"SEC_TION 1 i=CHECK TRANSACTION;REQUESTED„';' . ,,. � _
T ansaction Type:
Temporary Extension ❑ Amended Sketch
Permanent Extension •
_. . : -;SECTION 2 :LICENSE INFORMATION ' ;._
Licensee(as listed on alcoholic.beverage license)
Nettles Island Mens Club Inc
Business Name(DIB/A)
Nettels Island Spring Festival
Location Address(Street)
9801 S.Ocean Dr.
City County State Zip Code
ensen Beach St.Lucie FL 134957
Alcoholic Beverage License Number Series Type/Class
BEV5302588 11C
Business Telephone Number Email Address(Optional)
772 208 7929 ext. Renitahalladav@gn-tafl.com
FOR TEMPORARY EXTENSIONS ONLY:
Date(s)of Extension:
ABT District Office Received/Date Stamp
r
Auth.61A-5.0017
` - , i � SECTIONS ZONING APPROVAL r={ a
TO BE COMPLETED BY THE ZONING AUTHORITY GOVERNING YOUR BUSINESS LOCATION
TM
F Thts section.onl .a Gies to a ermanent:o�tem ora. extension oflcensed.. remises
Location Street Address
9801 S.Ocean Dr.
City County Zip Code
Jensen Beach St.Lucie FL 34957
Are there outside areas which are contiguous to the premises which,are to be part of the premises sought
III 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.
Signed: J Title: Date: �' �•
This approval is valid until I 0 Q SIV `1 .
`SECTION 4 HEALTH
TO BE COMPLETED BY THE DIVISION OF HOTELS AND RESTAURANTS !,
OR COUNTY HEALTH AUTHORITY
4 OR DEPARTMENT OF HEALTH `
` OR,�EPARTMENT,�OF AGRICULTURE`S 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
' $ECTlON 5 AFFIDAVIT OF APPLICANT
NOTARIZATION R-Q -IR
Business Name(D/B/A)
Nettels Island Sprim Festival
"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 '
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,
N "1 understand that the premises must be restored to its original form at the conclusion of the
authorized temporary event."
STATE OF
_ L
COUNTY OF P�
APPLE SIGNATURE
APPLICANT SIGNATURE
The foregoing was(Sworn to and Subscribed OR( )Acknowledged Before me this CDay
Of By 1 t who is(,/) personally
(print name(s)of person(s) making aternent)
known to me OR( )who produced as identification.
Commission Expires: lad j'
Notary PubliC
CARLA NELSON
'rte •�°�= r Public-State of Florida
�? ommission
�''�ikOFFMy Comm.Expires Feb 28,2020
nn,m•
Auth.61A-6.0017 3
SECTION 6 DESCRIPTION OF PREMISES TO BE LICENSED `-' -
Business Name(D/B/A)
Nettels Island S rinR Festival
1. Yes ❑ No ❑ I 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 [I 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.
Auth.61A-5.0017 4