HomeMy WebLinkAboutZoning Compliance/Use Permit OFFICE USE ONLY: DATE FILED: PERMIT#: I t' l 1 O I
Cost: $55.00
PLANNING&DEVELOPMENT SERVICES
BUILDING&CODE REGULATIONS DIVISION
ICOUNTY 2300 Virginia Avenue �' N� '" " e; 0
Ft.Pierce,FL 34982-5652
772-462-1553 Fax 772-462-1578 NOV 0
PEPf;ITTING
APPLICATION FOR TEMPORARY USE PERMIT St. Lucie County, FL
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BUSINESS NAME: lek&,Aej� o c� M9,1 /1 1 0, 249
NAME OF EVENT: �J.
LOCATION AND ADDRESS OF TEMPORY S EVENT•
PROPERTY TAX IDENTIFICATION#: /314 2 u .0,),D ® � v
DESCRIPTION OF TEMPORARY USE: ' P;r,r-,I C
DATES OF THE EVENT: Z. 1 (L
APPLICANT'S NAME:
APPLICANT'S STREET ADDRESS: ago 3 s W
CITY: EQ,(o -p,�,��- STATE: ZIP CODE: �Z g
WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES L," NO
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 (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
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PRINT APPLICANT'S NAME GG SIG OF AP ANT
STATE OF FLORIDA,COUNTY OF �V
ACKNOWLEDGED BEFORE ME THIS DAY OF �tO V , ,201 Lo,
By WHO IS PERSONALLY_KNOWN TO ME
OR WHO HAS P ODUCED L' AS IDENTIFICATION.
SIGNATURE OF NOTA Y TYPE OR PRINT NAME OF NOTARY _
TITLE: NOTARY PUBLIC COMMISSION NUMBER:
SLCPDS 10/19/2015
,0 ";", KAREN S. NIELSEN
z commission# FF 115637
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o,, �o•' June 12. 2018
PERMISSION FROM OWNER OF PROPERTY
DATE:
AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE
TO HOLD A TEMPORARY USE EVENT.
PROPERTY TAX IDENTIFICATION#:
LEGAL DESCRIPTION OF PROPERTY:
PROPERTY ADDRESS:
OWNER INFORMATION:
PROPERTY OWNER'S NAME:
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
BY WHO IS PERSONALLY KNOWN TO ME
OR WHO HAS PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER:
seal
SLCPDS 10/192015
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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.
OV ��iDBPR ABT-6003-Division of Alcoholic Beverages-and Tobacco
e Application for One/Two/Three Day Permit or Special Sales License
PERP✓MINC
St. Lucie Count FL STATE OF FLORIDA DBPR Form
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ABT-6003
Revised 08/2013
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 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.
hfp://www.myfloridalicense.com/dbpr/abttdistdct offices/licensina.html
SECTION:'1 _ :CHECKTRANSACTION'REQUESTED
Transaction Type:
One/Two/Three Day Permit ❑ Special Sales License
SECTION 2 „PERMIT or,LI CENSE,INFORMATION,
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.
FEjN�u�m� l?/�A Business Tele h544Qone Number -eMSI Ad1d�res (O tna 1 0 ',L •IV-
Full Name of Applicant(s): (This is the name the permit or license will be issued in) Department of State Document#
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S La G(nron n NC• '7/3802
Business Name(D/B/A)or Name of Event
m ko L UnoN No• 76
Location of Event(Street and Number)
7850 s Soo/ u66 P'hR1c
CityCounttyy - State I Zip Code
R-7(tAire ST Zue/C FL 13 0
Mailing Address(Street or P.O. Box)
rd 14 ve v i 19e, 3
CityState Zip2 de
VMD 6e z 0
Contact PPJerson-This section is optional,see application instructions for details
Contact Person Telephone Number
TE!/r � S. a 53�•8/��ext.
Em it Address(Optional)
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Mailing 34003 MrAddress aj L/e
CityVenoeQ�r- AL Zi Code O
Date(s) Permit Desired u7
3 0/7
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t ABT District Office Received Date Stamp
Auth: 61A-5.0013,FAC 1
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SECTION 3 SALES TAX s -
COMPLETEWBYTHELDEPARTMEN OF
Full Name of Applicant Organization
TPPmsIrjqS L Union 769 J-ho-LOIA10 .SNC
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:
= `= � SECTION 4 ZONING `-
TO,;BE,COMPLETED BY:THE,ZONING.-AUTHORITYGOVERNINGTHE EVENT.LOCATION ,
Lo a ion of Event(Str et andfj�umber / J A SL RR k
SO V-hdM2 /•S
City Fol r 6:ex C 6 County LuciF
The location comp' th zoning requirements for the temporary sale,of alcoholic beverages pursuant to this
applicatio a n o/T ree Day Permit.
Signed Date
Title M Z&In, / 3
Note: College fraternities and sororities must meet certain additional conditions
which can be found in the application instructions and requirements.
Auth: 61A-5.0013,FAC 2
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SECTION:5 DESCRIPTION OF PREMISES TO BE LICENSED
ABBT..AUi HORIZED;SIGNAT,URE IR-
Business
R-Business Name(D/B/A)or Name of Event
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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.
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Auth: 61A-5.0013,FAC 3
'*:SECTION 6 AFFIDAVIT OF APPLICANT,'' F
FOR NON:PROFIT C1VICuORGANIZATIONALCOHOLlC BEVERAGE PERMIT
� NOTARIZATION REQUIRED
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 acknowledge 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 or authorized representative and am 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 je)/2 I;2&
COUNTYOFUA'DLc. ,�'Fµ "�e;,,
JOANNA BELANS
Notary Public-State of Florida
Commission M FF 969096
�/� c e D =:•, �o;= My Comm.Expires May 4,2020
I r •7 a°;,006 Bonded through Natbnsl Notary Assn.
APPLICANT/AUTHORMIEDIZEPRESENTATIVE NAME
APPLICANT/A H(fgZED REPRESENTATIVE SIGNATURE
The foregoing was( )Sworn to and Subscribed before me this ZCDay
of _ - , 20�Q , By �_A % V9 )W+-4- who is /)personally personally known to me
(print name(s)of person making statement)
OR( )who produced as identification.
Commission Expires: 1 L4 2,0 ZO
Notary Public
Auth: 61A-5.0013,FAC 4
"SECTION 7_iAFFID'AVIT QF APPLICANT_
FOR SPECIAL SALESLICENSE
f _
NOTARIZATION REQUIRED
Full Name of Applicant.Organization
"I,the undersigned individual, or if a corporation, its authorized representative, hereby swear or affirm that I am duly
authorized to make the above and foregoing application for a special sales license which authorizes the sale of
alcoholic beverages for period of up to three(3)days. I understand this license does not permit the sale of alcoholic
beverages for consumption on the premises and only allows package sales in sealed containers and acknowledge 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, his
Deputies, and Police Officers for purposes of determining compliance with the beverages laws.
I swear under oath or affirmation under penalty of perjury as provided for in Sections 559.791, 562.45, and 837.06,
that the foregoing information is true to the best of my knowledge and that no other person or entity except as
indicated herein has an interest in the special sales license and that all of the above listed persons or entities meet the
qualifications necessary to hold this special sales license."
STATE OF
COUNTY OF
APPLICANT/AUTHORIZED REPRESENTATIV NAME
APPLICANT/AUTHORIZED REPRESENTATIVE SIGNATURE
The foregoing was( )Sworn to and Subscribed before me this Day
Of , 20 , By who is( )personally known to me
(print name(s)of person making statement)
OR( )who produced as identification.
Commission Expires:
Notary Public
we- Do
Auth: 61A5.0013,FAC 5
ATTESTATION
This form is to be completed by the alcoholic beverage license holder ONLY when the event of the non profit
organization is being held at a location that is licensed by the Division of Alcoholic Beverages&Tobacco for the sale
of alcoholic beverages.
Note:This 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 non-profit group along with the application for the
One/Two/Three Day Permit.
Licensee:
Business Name(DBA):
License#: Series of Permanent License:
Type:
Contact Person Telephone Number
ext.
E-Mail Address(Optional)
Name of Non-Profit Group:
Date(s)of Event
IMPORTANT
A One/Two/Three Day permit is being requested for an event to be held on your licensed premises. During
the event, no sales or service of alcoholic beverages may be made under your alcoholic beverage license in
the area identified for use by the non-profit organization. Failure to comply will result in administrative
charges being filed against your license.
Signature of Licensee:
Date:
Auth: 61A-5.0013,FAC 6