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Home My WebLink AboutTemporary Use FFICE USE ONLY. There are no other open pr ex ired building permits.: DATE FILED: PERMIT#: ® � Cost: $55.00 PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATIONS DIVISION �+ 2300 Virginia Avenue Ft. Pierce,FL 34982-5652 772-462-1553 Fax 772-462-15RECEIVED APR 2 5 2019 APPLICATION FOR TEMPORARY USE PERMIT ST. Lucie County, Permitting BUSINESS NAME: (im of AWwcy0 S NAME OF EVENT: LOCATION AND ADDRESS OF TEMPORY USE EVENT: 126'0 S 05 1 Pork Sk tum ��q sZ PROPERTY TAX IDENTIFICATION#: 3 l ( —S O t — I " 000 DESCRIPTION OF TEMPORARY USE: 00 Sl(]rc rcerlf Mf]S(C DATES OF THE EVENT: () 165 /1 I APPLICANT'S NAME: I Q(m't f2 N U((A-f APPLICANT'S STREET 1ADDRESS: �0 LS O S �p CITY: t OC Jr S� ld Cie STATE: (r ZIP CODE: J 4 S-Z WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES_K NO WILL THE EVENT HAVE A TENT(s):YES�NO (up to 900 square feet exempt from fire permit) i WILL THE HAVE BANNERSIPENNANTS/FLAGS?YES /NO_ (Only 1 per 300 linear feet;32 sq ft max size) I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CO CT AND AGREE TO CONFORM TO ST. LUCIE COUNTY LAND DEVELOPMENT CODE,SECTION 8.02. J. PRINT APPLICANT'S N SIGNATU APPLICANT I STATE OF FLORIDA,COUNTY OF ViE ACKNOWLEDGED EFORFr E THIS �1_ DAY OF ,20�, BY YY1 iv _ WHO IS PE ONALLY KNOWN TO ME_,OR WHO HAS PROD CEDJ, AS IDENTIFICATION. KAREN S. NIELSEN State of Florida-Notary Public *_ Commission #GG 207484 SIGNATURE OF NOTARY ti ;P KAREW1 NAME OF NOT AR 90 M Commission Expires ,2° L��:State of Florida-Notary Public """` y June 12, 2022 =* * Commission # GG 207484 %9rFC,- My Commission Expires %++ �� June 12, 2022 TITLE: NOTARY PUBLIC COMMISSION NUMBER: SLCPDS 10/19/2015 PERMISSION FROM OWNER OF PROPERTY RECEIVED APR 2 5 2019 FST DATE: Adi. , Lucie County, Permitting AS,OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE 11,&iGa' Dr¢ /7m !Gd-f TO HOLD A TEMPORARY USE EVENT. I Zj -'�10k, PROPERTY TAX IDENTIFICATION#: f - 170 f'- o a a- -� LEGAL DESCRIPTION OF PROPERTY: PROPERTY ADDRESS: 7 OWNER INFORMATION: PROPERTY OWNER'S NAME: PROPERTY OWNER'S ADDRESS: e- Yr/ 2— CITY: CITY: �DSA LyG e L STATE: l�L ZIP CODE: PRINT OWNER'S NAME f SIGNATURE OF O A" bollivd) STATE OF FLORIDA,COUNTY OF ACKNOWLEDGED BEFORE ME THIS -DAY OF BY WHO IS PERSONALLY KNOWN TO ME OR WHO PRODUCED AS IDENTIFICATION. GN TURE OF NOTARY TYPE OR PRINT NAME OF NOT Y TITLE: NOTARY PUBLIC COMMISSION NUMBER: SUSAN MAGES ;t- WC0MM8 M#GG 293073 seal - eABG(IQ04�111(�}�018f�Q1Ib�jC23'llfl '� Amended Sketch of Premises A complete sketch of the premises,drawn in ink or computer generated(letter size)which includes.all permanent walls,doors,windows,counters, labeling each room and area. Changes may be made to the interior of the existing premises only;no additional rooms may be added. Note: Zoning Approval is not required for an amended sketch of premises. APpL� CC�210N'CHE�KUST Select the appropriate transaction below and comply with the corresponding application requirements. ❑ Complete DBPR ABT-6029 Division of Alcoholic Beverages and Extension of Licensed Tobacco Application for Extension or Amended Sketch of Licensed .Premises Premises Pay$100 fee for each temporary extension of licensed premises requested(make check payable to the Division of Alcoholic Beverages and Tobacco) ❑ Complete DBPR ABT-6029 Division of Alcoholic Beverages and Amended Sketch Tobacco Application for Extension or Amended Sketch of Licensed ; Premises Auth.61A-5.0017 2 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&7)local district once. Please submit your completed application and required feels)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&7's web site at the link provided below, htto.l/u+rww rriyftoadacomtd6prlafifldistrist of cesllidensina:fi I Tansacon Type: --Temporary Extension ❑ Amended Sketch Permanent-Extension_: kens (as listed on aI ioliOw" r� a license), Btu sin -,Mame(D7BIA7 .G tit lAT4�-e =5�tG.:?!ciL� STSGaPa✓t 'Location Address Stfeet} City /- County`. State Zip Code )`� LitGI6irCt�- FL 3. S Z Atcoh Bevera a L, nse Numlie- — Series` Type/Class Bus�iinrress Telepiian�Number — Email Address(Optional FOR->�EMPORARY 1ELltSIONS ONL-W Dates of Extension: ABT District Office Received/Date Stamp Auth.61A-5.0017 1 -Location Street Address . City p� r J`County � FL Ak C:there outside aceas:rvii�eh are.dtirifiguous tothe prem ses.whrcli are to b..e rt o.the p e.,M.ses sought to:be ehsed?" jYes ❑;Na The PERII0IANENTeXtexlsionro#the licenser!prerriises as°shown iri thesketch compiles°with zoning requirements f or the safe.of alcgholic bet!ei agesptii�suant,W-this applrcatpn-P ; �Tequ ises as'showntrt the._sketch'complies in M zoninirements:for fhe sale of alooholic t�everagcs puruant,to:tf:is appbcatfon: Signed: Pot4f�`'Iefl— Title �-� _ vt u�bate: q a /_ This approval is valid until i The above establishrn_ complies with the requirements of the Florida nary Code.. Signed Date Ti#1e Agency This approval is valid until _ Auth.61A-5.0017 2 Business Name .DfA _ (... "I,the undersigned indivld'ual(y or if raglstetediegal entity for itself,its officers.and:directoFs,hereby swear or affirm titan I am duly authorized to make the;above and foregoing;appIkdH it and as such; I iheraby swear or affirm that the attached sketch is a true and correct representation of the extended licensed premises and agree that the place of tiusii ess may be inspected and searched during W0111- .hours or at:any fame businessJs being conducted;on the premises wrtl out a search�warrant;by offlcer_s;:of the DIVi6i0n`O ''AICohOIIC Beverages arlit= 'oliacco:`tiie sheriff, his deputises;and police officers for the purposes of determining compwiftr-Itffe lawerage:anr#cigarette laws" 1 swear under oath or affirmation under penalty of perjury as provided for in'Sections 559.791,562.45 and 1837.06, Florida Statutes that the foregoing information is true and correct." if .. ply rigPfor a temporary extension, check the box to confirm the following statement: "I understand that the premises must be restored to its original form at the conclusion of the -ati biftdd temporary,event." A. STATE OF:-=--__ COUNTY OF _ APPLICANT SIGNATURE -APPLICANT SIGNATURE Thefore-oitg:was( I'S'W"om to and Subscribed OR(Acknowledged Before me this rl Day Of... ,20 , By .who,is(�onally (print name(s)of person(s)making statement) known to me OR(/),who protluoed1 as identification. ty.FutiMo state of Florida loi _ - mmission Expires: Not4y1vuli _e Myoersx .- �}orE�06H612021 Auth.61A-5.0017 3 Business Name(D'1R1A); 1:•. Nts: -- Yes_p Is iiia .rv�_osed pcert►rses ffd t W6�able fo be`moved? 2:. I.Yes ❑ Nei: 'Is there any access Ofrah the premises to any area over wf to i you do not have dominion and.control? 3. Yes ❑ 1Vo Ari there more than 3 separate rooms or enclosures with permanent bars or _. .. counters3_-.___ ---------- Is ..__-Is the business located uvithiri a Speclalf}r Center' 1f'yes,check the applicable statute: 4. Yes p N ❑ 56f.20ON1,F.S.or❑ 561.20(2xb)2,F.S. I eatly'draw afloor plaiinof t1le=premises in ink,,includjngsldewalks and other.',- etside areas tivhief are contiguous to the Premises,walls,doors,counters,sales areas,storage areas,restrooms,bar locations and any other speck 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:= i Auth.61A-5.0017 4 Casa Amigos Mexican Restaurant 7950 US-1,Port St.Lucie,FL 34952 September 15th,2018—Mexican Independence Day-1 Day permit Grass- /I G'rai s Block Off 4, U 5, ;t `'-.. Moving Rail pC N f. i 1 y Q �0 0 f, 1 �Rt 4 i +'r' .r+ ..wi.. r .i'ir+.�wsL.. 1. .•...r+w 1 �_ 1 Side;Wa11� _ Al �. EXIT CASA AMIGOS i'