No preview available
HomeMy WebLinkAboutZoning Compliance/Use Permit OFFICE USE ONLY: DATE FILED: ®' PERMIT Cost: $55.00 PLANNING&DEVELOPMENT SERVICES � � - BUILDING&CODE REGULATIONS DIVISION COUNTY 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 772-462-1553 Fax 772-462-1578 APPLICATION FOR TEMPORARY USE PERMIT ����BUSINESS NAME: Aclu.-;w1r)G ��"U�n/�/ �L Z /Ll� �� ' NAME OF EVENT: re /L- &rwy L/I Al _ , LOCATION AND ADDRESS OF TEMPORY USE E ENT:` ttg� PROPERTY TAX IDENTIFICATION#: DESCRIPTION OF TEMPORARY USE: DATES OF THE EVENT: APPLICANT'S NAME: /C dU APPLICANT'S STREET ADDRESS: � z � � ��'' Cam_ /qtau CITY: STATE: G ZIP CODE: WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES NO -? -? v /^• 9 )9, WILL THE EVENT HAVE A TENT(s):YES ZNO (up to 900 square feet exempt from fire permit)( WILL THE HAVE BANNERS/PENNANTS/FLAGS?YES /NO k . (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 8.02.02J. PRINT APPLICANT'S NAME SIGNA URE OF APPLICANT STATE OF FLORIDA,COUNTY OF �-r' )�-• ACKNOWLEDGED BEF E ME THIS DAY OF ��" 1 ' ,20 .2) BY e e J\)0 D WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED c2 I C— AS IDENTIFICATION. ' SIG9ATURE-OFb1OTARY TYPE OR PRINT NAPE OF NOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER: SLCPDS 10/19/2015 AUQREYB.HUMPHREY #: *; w COMMISSION#GG 3W817 EXPIRES:March 6,2023 ,'9jF OF KL�Q' I30ndd Thru Notary Public Underwriters Property Card Page 1 of 1 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:8271 S US HIGHWAY 1 Use Type: 1600 Sec/Town/Range:26/36S/40E Account#:41253 Parcel ID:3414-501-1809-400-0 Map ID:34/26N Jurisdiction:Saint Lucie County Zoning:Comm Genra Ownership Beverly A Martino 9950 S Ocean DR Apt 201 Jensen Beach,FL 34957 Legal Description ST LUCIE GARDENS 26 36 40 BLK 2 BEG AT PT 1260 FT SELY OF INT OFWLY LI LOT 8 AND WLY R/W US 1,TH RUN SELY ALG WLY - R/W US 1 249.70FT M/L,TH WLY ALG LI BEING AT RTANG TO WLY LI LOT 10 700.09 FT TO W LI LOT 10,TH NLY ALG SD W LI 221.50 - FT,TH ELY AT RT ANGLESTO WLY LI LOT 9 584.18 FT TO POB(3.27 AC)(OR 670-2263) Current Values Just/Market Value: $1,196,500 Assessed Value: $1,041,370 Total Areas Exemptions: $0 Finished/Under Air(SF): 24,777 Taxable Value: $1,041,370 Gross Sketched Area(SF): 28,915 Land Size(acres): 3.27 Property taxes are subject to change upon Land Size(SF): 142,441.2 change of ownership.• Past taxes are not a reliable projection of future taxes. Building Design Wind • The sale of a property will prompt the removal of all exemptions,assessment caps,and special classifications. $peed Taxes for this parcel: SLC Tax Collector's Office Occupancy Category I I II III&IV Download TRIM for this parcel:Download PDF Speed 1140 1160 1 170 Sources/links: All information is believed to be correct at this time,but is subject to change and is provided without any warranty. ©Copyright 2021 Saint Lucie County Property Appraiser.All rights reserved. file:///C:[Users/HUMPHR-1/AppData/Local/Temp/Low/ASK5ABXG.htm 4/30/2021 PERMISSION FROM OWNER OF PROPERTY DATE: y' AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE TO HOLD A TEMPORARY USE EVENT. PROPERTY TAX IDENTIFICATION#: LEGAL DESCRIPTION OF PROPERTY: PROPERTY ADDRESS: '92's p, S• ��`L L72 '� 1 ` OWNER INFORMATION: PROPERTY OWNER'S NAME: PROPERTY OWNER'S ADDRESS: CITY: lf'1 1��� STATE: ZIP CODE:// JeLa�� PRINT OWNER'S NAME SIG A URE OF OWNE A STATE OF FLORIDA,COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF �cZp le BY e N Q Q N o �. WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED P LJ o AS IDENTIFICATION. SIGNATURE OF NqrARY TYPE OR PRINT NAME OF NOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER: seal t,sY Pii�, AUDREY B.HUMPHREY MY COMMISSION#GG W17 a: EXPIRES:March 6,2023 Public Underwriters SLC?DS 10/19/2015 i:;`F o'� °P� Bonded ilw Notary Special vehicle and boat sales events on sites not approved for the permanent display vehicle and boat sales may be approved by the Planning & Development Services Director for special public events if the following standards & requirements are met: 1. Said events shall be conducted on property having a CG, IL or IH zoning designation, or on property approved by the Public Works Director for special public events, such as the fairgrounds site; 2. Said events shall be conducted on property having existing, permanent, and permitted driveways and access points. No new driveways (road cuts)are permitted in conjunction with sales events; 3. The event shall have duration of four(4) or fewer consecutive days and shall be conducted by one(1) or more dealers having a valid St. Lucie County occupational license; 4. Said events shall be conducted on property having adequate area for vehicle display, employee and customer parking. Vehicle display areas may be unpaved, However all employee and customer parking areas must be paved. Vehicles offered for sale must be displayed only in areas identified as display areas on the scaled drawing submitted as part of the temporary use permit application. Employee and customer parking must be provided at a rate of one (1) space per one thousand (1,000) square feet of vehicle display area; 5. Said events may be conducted on-sites approved for other uses (such as banks, shopping centers) provided that the following conditions are met: A. No parking spaces designated as being required on the approved site plan for the host site may be used as display area or customer/employee parking for the special vehicle sales event unless the following criteria are satisfied: 1. The applicant for the Temporary Use Permit provides a written, certified statement from the owner or agent for the host site/use that sufficient square footage of approved floor area is unoccupied to provide parking or display area for the special vehicle sales event; or 2. The applicant for the Temporary Use Permit provides a written, certified statement from the owner or agent for the host site/use stating that the host use will be closed for the entire duration of the special vehicle sales event, including vehicle display times. However; where host uses such as banks, participate in the sales event that activity will not constitute operation by the host use, provided that the host use is not open to the general public for business unrelated to the special sales event. 6. No extension of a temporary use permit for special vehicle sales events maybe granted. 7. All signs to be used in conjunction with the event must conform to the requirements of Section 9.01.02(c) of the St. Lucie County Land Development Code. A sign permit(s), if required, must be obtained prior to issuance of any temporary use permit for a sales event. 8. Sanitary facilities shall be provided in accordance.with applicable environmental health regulations. Prior to issuance of any temporary use permit for a sales event, the applicant must obtain written approval from the St. Lucie County Public Health Unit for all proposed sanitary facilities. 9: Prior to the issuance of any temporary use permit for a sales event, the applicant must obtain written approval from the Public Works Director for use of any temporary facilities (such as a tent). Use of any facilities required to be inspected by St. Lucie County or the St. Lucie County Fire Department shall be inspected by the appropriate department prior to operation of the facility. 10. Concessions. may only be permitted as an accessory use to the sales event. If concessions are proposed, the applicant for the sales event must obtain written approval from the St. Lucie County Public Health Unit for the proposed concession facilities, prior to the issuance of any temporary use permit for the sales event. 11. Special Vehicle Sales Event applications must meet all submittal requirements for a temporary use permit application. In addition, special vehicle sales event applications must include the following: (a) A scaled drawing showing- 1. The dimensions of the property parcel upon which the event is to be held; 2. The dimensions of the sales event area; 3. Location and dimension of all display areas, parking areas, and driving aisles to be utilized; 4. All adjacent roadways and driveways of the property parcel site; 5. All signs to be used in conjunction with the sales event and the size and type of sign(s) used; 6.- Existing zoning of the subject property and applicable setbacks. (b) Information identifying: 1. Beginning and ending dates of the event; 2. Hours of operation of the event; 3. Approximate number of vehicles displayed at any one time on the event sited; 4. Any temporary facilities, including sanitary; display (such as tents), and concessions; 5. How parking and traffic flow will be properly directed onto and within the event site; 6. If existing parking spaces of a permanent use (such as shopping plaza) are to be utilized by patrons and employees of the sales event, calculations shall be submitted demonstrating that the sales event will not utilize any parking spaces necessary, in accordance with the parking standards specified in this Code,to service the existing uses. Detail by Entity Name Page 1 of 2 Florida Department of State _ DIVISION OF CORPORATIONS *�It7Lif3i`J�JJ rg Cis"r-2, �Trc�NO rue e�_,/ICfu!Se1Psy Oj'rl9rlilu lurLs(� Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Profit Corporation BRADY LYONS, INC. Filing Information Document Number P15000067409 FEI/EIN Number 47-4786814 Date Filed 08/10/2015 Effective Date 08/10/2015 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed - 11/06/2020 Principal Address - 1442 SW SANTIAGO PT ST LUCIE, FL 34953 Changed:06/06/2018 Mailinq Address 1442 SW SANTIAGO PT ST LUCIE, FL 34953 Changed:06/06/2018 Registered Agent Name 8r Address DOYLE,MATTHEW 1442 SW SANTIAGO PT ST LUCIE, FL 34953 Name Changed: 11/06/2020 Address Changed:06/06/2018 Officer/Director Detail Name&Address Title ST SNOOK, DENEEN 6701 WOOD ISLAND CIR APT 306 PT ST LUCIE, FL 34952 file:///C:/Users/14UMPHR-1/AppData/Local/Temp/Low/OOEDKYH5.htm 4/30/2021 Detail by Entity Name Page 2 of 2 Title P DOYLE,MATTHEW 1442 SW SANTIAGO PT ST LUCIE, FL 34953 Annual Reports Report Year Filed Date 2019 04/30/2019 2020 11/06/2020 2021 04/30/2021 Document Images 04/30/2021--ANNUAL REPORT View image in PDF formal 11/06/2020--REINSTATEMENT View image in PDF forma[ 04/30/2019--ANNUAL REPORT View image in PDF format 06/06/2018--Amendment View image in PDF format 06/06/2018--Reg.Agent Change View image in PDF format 05/01/2016--ANNUAL REPORT View image in PDF format 08/24/2017--Amendment F View image in PDF format 01/04/2017--REINSTATEMENT View image in PDF format 08/10/2015--Domestic Profit F View image in PDF format Florida Department of State,Division of Corporations file:///C:/Users/HUMPHR-1/AppData/Local/Temp/Low/OOEDKYH5.htm 4/30/2021 i w ` " aQMpBPRAB =,sUuO'3 r3 t t =Y bu3t Try. �QPPLICA�TIONFORsTEJ111PfRAlitXrEtMIfOR SPCIAL�SAL�S LICENSE�,Y; h FORM DBPR ABT—6003 IS REQUIRED TO. •Apply for a temporary permit, not exceeding three days, to sell alcoholic beverages forconsumption. on premises only; or •Apply for a special sales license, not exceeding three days, for the package sale only of alcoholic beverages. ,_ ' ; %OR11A D¢PR ABTA 6003 CHEC�KUST v v t`�,,, a. ' - ♦r g�-�. a�xwa�c�nt t+<` t�i"w r ;g x r i} e , o+ ,.. -.,� r,,.... z a. �� :,�,a,,4 4 2- �tL'� APPLICATION FORM DBPR, ABT,_6003 Q- Complete.Sections 1-6.- 11 Obtain Notarization for Applicant Affidavit in Section'6, 0 Determine if Section.8 applies.to the location of:the event and.obtain attestation of.permanendicensee if:applicable: ❑. APPROVALS BY OTHER.STATE OR LOCAL AGENCIES ❑ Section 3-Sales Tax Certification Obtain approval from the local area office of.the Florida- Department of Revenue. TEMPORARY PERMIT 0 Section 4—Zoning Approval 'Obtain approval from the city..or county zoning.authority governing the location.of the event.'.. .13 APPLICATION FEE ❑ $25:00 Payable To: Div. of.Alcoholic Beverages.and'Tobacco 0 FILE APPLICATION FORM DBPR ABT -6003 d Submit the original,.completed application with:the required approvals and the application fee at least seven (7) days:. prior to.the first date of the:planned event.. 13 : APPLICATION FORM DBPR ABT_.6003. ❑ Complete Sections.1-3 and 7: ❑ Obtain Notarization for,ApplicantAffidavit.in=Section 7. 0 , APPROVALS BY OTHER STATE OR.LOCAL AGENCIES 0 Section 3 -Sales:Tax Certification : Obtain app roval from the local area,office of the-Florida . SPECIAL SALES LICENSE Department of Revenue: APPLICATION FEE ❑ .$25.00 Payable To: Div: of..Alcoholic Beverages and Tobacco 13 FILE APPLICATION FORM DBPR:ABT -6003 Submit the original, completed application.with the required approvals and the application'fee at:least seven (7) days prior to the.first date of the. lannetl event. INCORPORATED BY REFERENCE: 61A4.0013,.F.A.C. EFFECTIVE 912019 DBPR ABT—6003 APPLICATION FOR TEMPORARY PERMIT OR SPECIAL SALES LICENSE. -t�t3.�£�""- C� �• ��a lira � a� � t� n �7,_/ � -, � r:A.:,,� �G s TO PREPARE FORM DBPR ABT=6003: All fields must be completed. If a question on the form.is not applicable, insert"N/A." The form:must be signed by the applicant prior to filing the application with the Division: TO SUBMIT FORM DBPR ABT—6003:. . The completed, original application must-be submitted, by mail or hand delivery;to.a.Divisioh.District. Office serving the location of the licensed premise address.at least seven days prior to the first.day of the. planned event to ensure the permit is issued by the requested.event date. District Office contact. information is available at: ooridalicense.com/DBPk/aicoh'olio-bev6rages-and-'tobacc'o/. hftp://www. es-and-tobacco/. p � ���"�§tL�AiW�SfA'�N D� E-,G�ULAT�O�NS;:;REL�ATED�TQ4THE`YTEMPORAI� ,.PERM;IT r.�`�N= � ' Florida Law for Temporary Permits Pursuant to section 561.422, Florida.Statules,.upon the.filing of.an application and payment.of a fee of-' $25 per permit,the division may issue a'permit auth:orizing.a bona-fide nonprofif civic organization, charitable organization, municipality,:or county to sell alcoholic beverages for consumption only on'. premises for a period not to exceed.3-days,'subject to any state law ormunicipal or county ordinance regulating the time for selling such beverages.Any such civic organization, charitable organization, . municipality or county may be issued up to twelve temporary permits per calendar year, except in those counties or cities with special acts governing the number of permits..allowe.d annually:. Information regarding the cities and counties with applicable special acts can be found at: http://www myfloridalicense com/DBPR/alcoholic-beverages-and-tobacco/. Purchases of Alcoholic Beverages and Related Records The permitted bona-fide nonprofit civic organization, charitable organization;municipality, or county may, purchase alcoholic beverages from a distributor or vendor licensed under the beverage law..All records of alcoholic beverage purchases and sales must be retained for examination upon request of the Division of Alcoholic Beverages and Tobacco. Sales of Alcoholic Beverages and Related:Revenue: All alcoholic beverage sales transacted under the authority of the permit must be made by responsible members of the permitted organization, only during the permitted time:frame, and. only at the permitted,. location. All net profits from sales of alcoholic beverages collected during the permif period.must:be retained by the permitted nonprofit civic organization or charitable organization: When a temporary permit is issued to a municipality or county, all net profits_derived from sales of alcoholic beverages during the. permit period must be donated to a nonprofit civic or charitable.organization within 90.days after the event. Changes to the Permitted Event Date(s) or:Event Venue . If, before the first day of the event date, the permitted event-is rescheduled for reasons outside the control of event organizers, the applicant organization must notify the Division within-14.days of_the cancellation.., to be eligible for reissuance of the temporary permit on the rescheduled date(s) at no additional application fee. If the permitted venue becomes unavailable and a new venue is..choseh, the city or county zoning authority serving the new event venue must complete anew Section 4 of this application confirming . zoning approval. INCORPORATED BY REFERENCE: 61A-5.0013, F.A.C. EFFECTIVE 9/2019 i DBPR ABT—6003 APPLICATION FOR TEMPORARY PERMIT OR SPECIAL SALES.LICENSE . ' ADDITION, NSTR7UCTI NS,FORTEII(IPORA„RYPERMIT �1PPLICATIOtV`SECTIO S ' �_:.. SECTION ADDITIONAL INSTRUCTIONS Registration of Legal Entity or.Proof.of Nonprofit.Status All corporations, domestic or foreign, and limited liability companies seeking a permit are required to be registered with the Florida Secretary of.State, Division of Section 1: Corporations, as an active nonprofit. Organizations which are not incorporated.must Applicant submit one of the following:a Letter outlining the purpose and the goals of the event and who will benefit from the:everit's.profits; he organization's,national;.state; or.local Information �� charter;the organizations by-laws, 50'l'(c)3 registration:; or minutes of.meeting..:The application will be considered inco►nplete without this active registration'and:proof of. nonprofit status. For further-'information, contact the Department of-State-at(850)488 9000 or www.sunbiz.orq: Sales Tax Certification Section 3 must be-completed by the Florida Department of Revenue confirming that the Section 3: applicant has complied_with the Florida Statutes concerning registration for Sales and Sales Tax Use Tax and has agreed to pay any applicable taxes due. Applications must be Certification submitted within 90 days of DOR approval.-The address and other.contact information for Department of Revenue area offices can.be.found at: http://dor.mVflorida.eom/dor/taxes/se.'rviceceniers.html.,. _ . Local Zoning Approval .:. Section 4 applies only to applications for.a temporary permit, not exceeding.three days, Section 4: to sell alcoholic beverages for consumption on premises only. The.city or,county Local Zoning zoning authority serving.the'area where the event or special'sale will be held must... Approval complete this section.conflrming zohi.ng approval..,Applications must be submitted within 180 days of receiving zoning approval..The address and.other contact information for area zoning offices can be found at http://www.m yflorida license.com/D BPR/a lcoholic-beverages-an d-tobacco%: Description Of Premises of Temporary Event(Premises Sketch) Section 5 requires.a complete:sketch of..the premises,-drawnin.ink or.computer generated (letter size),:detailing all permanent walls,:doors; windows,.counters,:.a.nd labeling each room'and area. Any.outside areas where alcoholic beverages will be Section 5, sold, consumed, or-se'Ned-rhust also be.included in the sketch: Due to the dill cuify of Description Of scanning, no blueprints will be accepted: Premises of Temporary When the event will.be held.at,a location currently licensed for the sale of alcoholic Event beverages, a sketch of the entire premises:mList be submitted...lf the eventwill not make use of the entire I'icerised premises, the.sketch must identify the separate room or enclosure area of.the licensed premises where the:event will be.held..: in such . circumstances, the:attesta.tion:in Section 8-ofthis application most`be signed by the: . current, permanent licensee and.must be submitted by.the nonprofif civic organization, charitable organization;municipality or count .as part of its completed.appli.cation, Section 6: Affidavit of Affidavit of Applicant for,Temporary Permit . Applicant for Section 6, the affidavit of applicant:for temporary permit,.must be read and.signed by Temporary an officer of the applicant-organization in the presence of a notary,with the notary's- Permit seal affixed. Section 8: Attestation By Permanent Licensee For Use Of-Licensed Premises As A Attestation By Permitted Temporary Event Permanent When the event will be held at a location currently licensed for the sale of alcoholic License beverages, the attestation in Section 8 of this application must be signed.by the Holder current, permanent license.: and-must-be: submitted,b.y`.the nonprofit civic organization, charitable or anization, munici alit or count as.part.of the com leted.ap.licatlon. INCORPORATED BY REFERENCE:61A-.5.0013,;F.A:C. EFFECTIVE 9/2019 DBPR ABT—6003 APPLICATION;FOR TEMPORARY.PERMIT OR SPECIAL SALES.LICENSE ` " �" :"-$''n:.^u§i i� c t", 'i:- - <..�;� MZ`i S AREG M!OAS;f ELAT�D'f,QrT IE,SPECIgLS�LES t ICENS .- __f.F ,3 Florida Law for Special Sales Licenses Pursuant to section 561.20(12)(a), Florida Statutes,upon the filing.of an-application and payment of a.fee of.$25 per license, the division may issue a license authorizing the sale of alcoholic beverages in sealed containers only, for a period not to exceed 3 days. This license is issued only for the purpose of authorizing: a sale pursuant to levy and execution; a sale by.an insurance company in possession of . alcoholic beverages; a bankruptcy sale; a sale.resulting from a license suspension or revocation;a sale of. damaged goods by a common carrier; a sale by a bona fide wine collector; or a.sale pursuant to Part V of Chapter 679, Florida Statutes. �ADDiT10NA�NSTRR �CTI,ONS,F�©2;SPt*C1/t►L SALES LICENSE A'PPL`dfTtO�i SEC "tON SECTION ADDITIONAL INSTRUCTIONS Registration of Legal Entity Section 1: All corporations, domestic for foreign; general partnerships;.limited liability companies,.. Applicant limited liability partnerships, and limited partnerships seeking a license are required to. Information be registered with the.Florida Department of State, Division'of..Corporations The application will be considered incomplete without this.active registration. For further information, contact.the Department.of.State at`(850.)488-9000.or.www.sunbiz.org. Sales Tax Certification Section 3 must be completed by the Florida Department of Revenue confirming.that the Section 3: applicant has complied.with the Florida Statutes con*cerning registration:for Sales and Sales Tax Use Tax and has agreed to pay any applicable taxes due: Applications must be Certification submitted within 90 days of DOR approval, The address and,other.contact information for Department of Revenue area offices can b.efound at: hftp://dor.myflorida.c6m/dor/taxes/servicec6nters'.htMI. Affidavit of Appllcant.for Special Sales License Section 7: Section 7, affidavit-of.applicant for special.sales license; must be read and signed by Affidavit of the individual applicant;every partner of a general partnership,every general partner of Applicant for a limited partnership, a.managing member,.manager, or officer of a limited liability Special Sales company, a managing member,.manager, or.officer of a limited liabilitypartnership, or License an officer of a corporate applicant,.in the presence of a notary,with the.notary's seal affixed. INCORPORATED BY REFERENCE:61A-5.0013, F.A.C. EFFECTIVE. 9/20`I9 DBPR ABT—6003 APPLICATIQN;FOR TEMPORARY,PERMIT OR SPECIAL SALES LICENSE. APPLICATION s b Temporary Permit 0 Special Sales License Full Name of Applicant(s) ,.. The permit will be issued in the name of the.applicant..as provided on the application. ' Applicant Mailing Address .� ox 7 City County. State. Zip.Code . r FL 3�� l Applicant Telephone Number Applicant E-mail Address v► 1 &C�� � C.cj _. .— c Corporation or Other Legal Entity . If the applicant is a corporation or other legal entity;enter the name and the document number related to the legal entity as registered with the Florida Department of State Division of Corporations.. FEIN Number 4.Florida.D.epartment of.State Document Number # kSECT10N '�B'(Ol'zTIOf�AL)tr DESIGNAT.EDCOiVTACT A contact person must be designated below if the applicant prefers..to designate a person.other than the applicant to receive anal reply to Division communications regarding this applicatioq: The designated contact personwill.be permitted to make changes to the application paperwork on behalf of the applicant,.and the Division will communicate directly:with the contact person regarding the application. The applicant will not be copied on communications from the Division to the'designated contact: It is the responsibility of the applicant to inform the Division if there is a change of designated contactand/or to the contact information of the designated contact. FuLName of Designated Contact Designated Contact Mailing Address. Cit Count State Zip Code op Designated Contact E-mail Addresss� Designated Contact Telephone Number 9 MA INCORPORATED BY REFERENCE:6:1A-5.0013, F.A.C. EFFECTIVE. 9/201.9 DBPR ABT—6003 APPLICATION FOR.TEMPORARY.PERMIT.OR:SPECIAL SALES LICENSE t � ySEC7 00(,MAT S°ANO(.4GgTtbNIEOR PERMIT OR LICENSE f. ...S-,:+.... Dates of Active Use for Temporary Perinit-or Special Sales.License. Provide the dates of the event or sale when the. errhit or license will be effective. The**dates provideo may not exceed three da s. Day 1 Day 2 Day 3 Address for Physical Location of Temporary.Event or Special.Sales Event City C unty State. I' Zip Code ICT "N Po" 1- -514 ri T tL(ot LC FL 13 . 4 Is the event location currently .licensed for. sales of_alcoholic beverages .under a permanent license issued by the Division? Yes Q. No Q if yes,obtain attestation of permanent license:holder in Section 8. SECT10N 3$ALES TAX?CERTIFICATION . ��� � p������.,���' ,���'��O,s�E COM„QIETED BY THE FLO,RIDA DEPAFjTMENT OF REVENkJE _ r Full Name of Applicant(s) Florida Department of Revenue Verification-of Registration The named applicant(s)for a temporary permit or special sales.license-has complied with Florida Statutes concerning registration for.Sales and Use Tax and has paid or agreed to pay.any applicable taxes due. Authorized Agency Signature Printed Name Title Date INCORPORATED BY REFERENCE: 61A-5.0013,F.A.C. EFFECTIVE 912019 DBPR ABT—6003 APPLICATION FOR TEMPORARY'PERMII"OR S:FECIAL SALES LICENSE �LOCAi,'�01C11NG APPR01fAL �a ,PTO BE�COMPL�F�TED�BY��''FH�y,�6NING�1UThORIT1C�OVERNING THE TEMPORAFdY�EVEf�T LOCA'f1�N � ��-�� Location of Temporary Event Street Address DL Ci Country State Zip Code Local Zoning Approval The location of the temporary event compli.es.W' ith local.ordinances"for the temporary sale of alcoholic beverages based on the information supplied by the aPplicant.in this application. Authorized Agency Signature �w\ Printed Name Title G 0'KL Kv E. V 5uY' Date INCORPORATED BY REFERENCE: 61A-5.0013,F.A.C. EFFECTIVE 9/2019 DBPR ABT-6003 APPLICATION FOR TEMPORARY PE'RMIT.OR SPECIAL SALES LICENSE IN...: SECT 0,P rRESCR1PTlON OF PREMISES OF TEM QR�►RY:EVENT f 4 ....':� x � ._.. ,. ... . ._ a: Full Name of Applicant(s) j-,J Name or Title of Temporary Event.: Neatly draw a floor plan of the premises in ink,including;sidewalks and other.dutside areas.which are contiguous to the premises, walls,doors,counters,points of sale of alcoholic.beverages;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 ore the entire.building is to 6'licensed.must- show the details of each floor. o INCORPORATED BY REFERENCE: 61A-5t0013,.F.A.C. EFFECTIVE 9/20.19 DBPR ABT—6003 APPLICATION:FOR TEMPORARY PERMIT OR SPECIAL SALES.LICENSE . �.a�Ps3,� s..�s.."�ni�i'�d�t.,�a s�"`•r-t rR r � � J, z .- ,; 1SECTiON 6 GAFF{DA�%IT QF APPLICANT FOR TEMPORARY PERMIT 5 4 IOTARIZATIOt�I REQCJIRED{ 7 Full Name of Applicant(s) Ski) P)W_ /Os 0 "The applicant requesting the permit in the above'and;foregoing application is a nonprofit.-civic:organization;charitable organization, municipality or county,and the permit,if used,:will be-used only by the applicant organization of tlie.date(s)requested and.at the location stated.By acceptance of this permit,the:app(ic0nt agrees.that, as a nonprofit or civic organization,all net.proftts from sales'*._. : of alcoholic beverages during the permitted period will be retained by it,or,.as a:municipality or county,all net profits from.sales of . alcoholic beverages during the permit.period will be.donated to a nonprofit civic or charitable organization within 90 days after the. permitted event. As a municipality or county,the:appiicant attempted to solicit a qualified nonprofit civic or charitable organization to conduct such sales for the permitted event but has been unabie:to find such a'qualifyipg nonprofit;civic or charitable,organization in a reasonable and practicable manner and timeframe::The applicant organization has not received.more.than twelve(12)permits within the calendar year,unless otherwise authorized by law,and the applicantagrees 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,Deputies,and Police Officers for purposes Of' determining compliance with the Florida Beverage Law. . 1,the undersigned individual,or if a corporation;for.itself,'its officers:and directors,herebyswear or affirm.t-at 1 am duly.authorized to make the above and foregoing application and,as such,I s ar nderbath or affirmation under penalty of perjury as provided for in: sections 559.791,562.45,and 837.06,Florida Statutes;th the f oing informatio ue and, orrect^' nature of A. icon t%A tant STATE OF T—I -I--) , COUNTY OF Sworn to (or aft rmed} and subscribed before.me.this �D�. day of / . 2 _ - by G Y) f� � t� i P/I Ca.. (Print affiant name). ( Personally Known ( roduced identification Type of Identification Produced SI nature of No lic=State of.Florida DAWN STEINHURST 2 Commission#GG319809 D��tVN°STtv1IVHURST My Commission Expires Ma 11 2023 Name of Notary Pubiic=Typed, Printed, or Stamped (NOTARY SEAL) Commission Expires: `l"�. 37 -� � w .:.. FOR�DIIUtiSiON IJSE�ON�Y ,.�..z R ._ � w.9 � V DATE ACCEPTED BY DISTRICT OFFICE:. INCORPORATED BY REFERENCE: 61A-S:00.13, F.A.C. EFFECTIVE 9/2019 6003 DBPR ABT— APPLICATION FOR.TEMPORARY P ERMIT OR SPECIAL SALES LICENSE. �� SEGTIOf 7, }AF,FID�VI CIF APPLIarANT;F0R SPACIAL $ALES LICENSE 5 x i Full Name of Applicant(s) "As the applicant requesting the special sales license in the above?nd.foregoing application, I understand that this.license allows package sales in sealed containers for a period of up to three,days,and does not"permit the sale of alcoholic be for consumption on the premises.I agree that the location may be inspected and searched during the hours that the.special sale is being conducted without a search warrant by authorized agents or employees.of the.Division of.Alcoholic Beverages and Tobacco, the Sheriff, Deputies,and Police Officers for purposes.of determining compliance with the Florida Beverage Law; I,the undersigned individual,or if a corporation,for"itself,.its officers and directors;hereby.swear.or'affirm that I am duly authorized10 make the above and foregoing application and,.as su.h,:l.swea , der oath or of rmationunde'r penalty of:perjury.as.provided for in sections 559.791,562.45,and 837.06,Florida Statutes,that t e.for... oing information is try d come.t." r. Sig a ure of Applicant/Affiant.. STATE OF COUNTY OFF f ` .. .. Sworn to (or affirmed) and subscribed before me this dayof 2 , b �a (Print affiant name). ( `/)Personally Known ( educed Identification Type of Identification Produced Signature of �tart'Putiiic-Stat�6�F�o ida ��YPGo DAWN STEINNURST` .. . Commission#GG319809 D, %VN STEMURST �¢ My Commission.Expires &11 2023 Name of Notary.Pub.lic—.-.Typed;-PH ed, or Stamped (NOTARY SEAL) Commission Expires: 1� D utr$� � ;FOR DIVISION IISE ONLY2. DATE ACCEPTED BY DISTRICT OFFICE:.: INCORPORATED BY REFERENCE: 614-5.0613,,F.A.c. EFFECTIVE 12019.: . . DBPR ABT—6003 APPLICATION FOR TEMPORARY-.PERMIT OR SPECIAL SALES. LICENSE: Fa � yh {SECTIONx8 4ATTES1i'�ITIQN BY PERMANEhI"'`, r , 4r FOR',SE OF LICENSED PREMISES AS A PERMITE4`.;: �' �c.3 ";; '.- . .„ _,..._Ar. ..k:,... . .-s.ion is to be obtained from the current,permanent alcoholic beverage license holder when the temporary:event of the onprofit civic organization,charitable organization,municipality;or county is hosted at a location.that is permanently licensed by the Division of Alcoholic Beverages&Tobacco for the sale of alcohiolic beverages. NOTE:The attestation must have the original signature of the alcoholic beverage license;holder(only persons on file with the Division may sign)and must be submitted by the'nonprofit civic organization,'charitable.organization,municipality,or county as.part of the application for the Temporary Permit. Full Name of Permanent License Holder°at Temporary Event Location 2 L . Business Name (D/ ) License Number Series of Permanent License d/QJ Series, . . .. Type Contact Person for Perman t License Ho Contact.Person Telephone Number 7Z Ext. ( . ontact Person E-mail Address / t,�il r)(-1 62 it Name of Applic t for Temp ry ermit Date(s) of Temporary Event Day I Day,?. Day 3 ` A temporalpermit is being requested for an event to be held on your licensed.premises...During the permitted dates and times of the event,.no-sales or service of-alcoholic.beverages may be made under your permanent alcoholic bevera e license inthe.area identified for use.by the temporary.perm.it applicant: in Section 5 of this application Fal ure to comply ay result in.administrative charges being filed against your license. Date Sign ure of Permanent Lic Ho at Temporary Event Location Printed Name of Permanent License Holder at Temporary. Event Location INCORPORATED BY REFERENCE: MA-5..0013, F:A.C: EFFECTIVE 912019 INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. O: BOX 2508 CINCINNATI, OR 45201 ry /{ Employer Identification Number: Date: A U G 2 6 2014 46-4319191 DLN: 17053196327024 TWISTED- RIBBONS INC Contact Person: 573 SW DAIRY RD CUSTOMER SERVICE ID# 31954 PORT ST LUCIE, FL 34953 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: Form 990 Required: Yes Effective Date of Exemption: December 6, 2013 Contribution Deductibility: Yes Addendum Applies: No Dear Applicant:. We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive ta.k deductible.bequests, devises, transfers or gifts under section 2055, 2106 or 2'522 of the Code. Because this letter could help resolve any questions. regarding your exempt status you should keep it in your permanent records. Organizations exempt under section 501(c) (3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this For important information about your responsibilities as a. tax-exempt organizatio'l, go to www.irs.gov/charities. Enter 114221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c) (3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. Sincerely, 0 Director, Exempt Organizations Letter 947 4/21/2621 Detail by-Entity.Name L lorida Division of Corporations • Department of State • Division of Corporations • Search Records • Search by Entity Name Previous On List Next On List Return to List.: twisted ribbon Search No Events No Name History Detail by Entity Name Florida Not For Profit Corporation TWISTED RIBBONS INC. Filing Information : Document NumberN13000010915 FEUEIN Number46-43 01-81.Date Filedl2/06/2013:StateFL StatusACTIVE . Principal Address 1392 SW GRANVILLE AVE PORT SAINT LUCIE, FL 34953 Changed: 07/29/2015 Mailing Address P O Box 8744 PORT SAINT LUCIE, FL 34985 Changed: 07/29/2015 Registered Agent Name &Address Patterson; Laura.K.. 1392 SW GRANVILLE AVE PORT SAINT LUCIE, FL 34953 Name Changed: 04/23/2015 Address Changed: 07/29/2015 Officer/Director Detail Name & Address Title DT KETTERING, PATRICIA 426 SE WALTERS TER PORT SAINT LUCIE, FL 34983 Title DP PATTERSON, LAURA K 1392 SW GRANVILLE AVE PORT SAINT LUCIE,FL 34953 Title DVP MEHLER, DAWN file:///C:/Users/Administrator/Downloads/TWISTED RIBBON(1),html 1/2 4/21/2021 Detail by Entity Name.. 2734 SW HAMILTON AVE PORT ST LUCIE, FL 34987 Title Secretary NOTOFRANCO, DONNA 2455 SE LAKEWOOD ST PORT ST LUCIE, FL 34952 Title Director SCHULMAN, CATHRYN 1392 SW GRANVILLE AVE PORT SAINT LUCIE, FL 34953 Annual Reports Report Year Filed Date 2018 04/12/2018 2019 04/30/2019 2020 03/29/2020 Document Images 03/29/2020 --ANNUAL REPORT View image:in PDF format 04/30/2019 --ANNUAL REPORT View image in PDF format 04/12/2018 --ANNUAL REPORT View image in PDF format 02/24/2017 --ANNUAL REPORT View image in PDF format 05/03/2016 --ANNUAL REPORT View image in PDF"format 07/29/2015 -- AMENDED ANNUAL REPORT View image iii PDF format 04/23/2015 --ANNUAL REPORT View-image in PDF;format 04/30/2014 --ANNUAL REPORT View image in PDF format 12/06/2013 --Domestic Non-Profit . View image in PDF format Previous On List Next On List Return:to ]List :. twisted ribbon arch_ No Events No Name History Florida Department of State, Division of Corporations Florida Department of State • Division of Corporations file:///C:/Users/Administrator/Downloads/TWISTED RIBBON(1).html. .2(2. L