HomeMy WebLinkAboutItem #11 Approval of Special Event Permit for Sale of Alcoholic Beverages
Mavor
S. Scott Vandergrift
center of Good L .
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Commissioners
Gary Hood, District 1
Scott Anderson, District 2
Rusty Johnson, District 3
Joel F. Keller, District 4
City Manag-er
Robert Frank
SPECIAL EVENT PERMIT
TO AUTHORIZE SALE OF ALCOHOLIC BEVERAGES
APPLICATION FORM
IN ORDER TO QUALIFY FOR A COMMUNITY EVENT, YOU MUST BE A NONPROFIT CIVIC
ORGANIZA TION.
Estimated Number of Partici ants:
0..2.0
Who will provide clean-up (trash, etc) after event?
CITY
o All alcoholic beverages as dermed by the City of Ocoee.
~Only beer, as defined in Florida State Statute 563.01, and wine, as defined in Florida
State Statute 564.01, shall be permitted to be served with this application.
City ofOcoee' ]50 N Lakeshore Drive' Ocoee, Florida 3476]
Phone: (407) 905-3100' fax: (407) 656-8504 . www.ci.ocoee.f1.lls
Unot inco orated, A NONPROFIT Charter, or:
APPLICA TIONS MUST FIRST BE SUBMITTTED TO THE LOCAL LICENCING AUTHORITY (CITY OR
COUNTY) AT LEAST THIRTY (30) DAYS PRIOR TO EVENT.
Certificate of Insurance
CERTIFICATION OF APPLICANT: I certify that I have read this application and that all
information contained is true and correct. I understand that the event may be canceled by the
Chief of Police or City Manager should any conditions/stipulations of the Permit or City
Ordinance or State Statue be violated. I certify that I am authorized by the organization named
herein to act as its agent for the herein described activity.
By filing this application I, and the organization on whose behalf I make this application,
contract and agree that we will jointly and severally indemnify and hold the City harmless
against liability, including court costs and attorneys' fees for trial and on appeal, for any and all
claims for damage to property or injury to, or death of persons arising out of or resulting from
e i SSWIDce of the perm it of the conduct of the acti vi ty or any ~its participants.
Slg~~Pli~Zt- 1l.J/# Date ~ Q -0 V
DAPPROVED DDISAPPROVED DCONDITIONS FOR
PERMIT A TT ATCHED
Police Chief Date:
DAPPROVED DDISAPPROVED DCONDITIONS FOR
PERMIT A TT A TCHED
Fire Chief Date:
DAPPROVED DDISAPPROVED DCONDITIONS FOR
PERMIT A TT ATCHED
City Manager Date:
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INSTRUCTIONS FOR COMPLETING
DBPR ABT - 6003
DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO
APPLICATION FOR ONEITWOITHREE DAY PERMIT OR SPECIAL SALES LICENSE
Application begins on page 3
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation or your local district office. Please submit your
completed application to your local district office at least seven (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, through
appointment, 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.
http://www.state.f1.us/dbpr/abtlcontactlindex . shtml
This application is used for obtaining a one, two, or three day permit to sell alcoholic beverages for
consumption on the reported premises only.
A special sales license may also be obtained from this application for the sale of alcoholic beverages for a
period of up to three days. This license does not permit the sale of alcoholic beverages for consumption
on the premises and only allows package sales in sealed containers.
GENERAL INSTRUCTIONS
Submitting Your Application for a One, Two, Three Day Permit
The Division of Alcoholic Beverages and Tobacco, Bureau of Licensing, accepts applications for one, two,
and three day events. Contact the District Office serving your area of interest for the dates and times
applications are accepted. Please complete all information. Incomplete applications will be returned. All
questions are applicable and must be answered fully and truthfully.
You must provide an original and a copy of the application and duplicate copies of all supporting
documentation. All signatures must be original.
APPLICA TION REQUIREMENTS
Florida Law for OnelTwolThree Day Permit
Per Florida Statute 561.422, Non-Profit Civic Organizations: Upon the filing of an application and payment
of a fee of $25 per permit, the division may issue a permit authorizing a bona-fide non-profit civic
organization to sell alcoholic beverages for consumption on premises only for a period not to exceed 3
days for a single event, subject to any state law or municipal or county ordinance regulating the time for
selling such beverages. Any such civic organization may be issued only three such permits per calendar
year. Notwithstanding other provisions of the beverage law, any civic organization licensed under this
section may purchase alcoholic beverages from a distributor or vendor licensed under the beverage law.
All sections of the application must be completed except the section titled Affidavit for Special Sales
License. This section does not pertain to obtaining OnefTwofThree Day Permits. Please note that the
Affidavit of Applicant must have an original signature of an officer of the Non-Profit Civic
Organization, or in the case of a church or synagogue, the signature of an authorized
representative of the church or synagogue, and must be notarized.
Zoning Approval
The city or county zoning authority in which the event will be held executes zoning approval. Please
check with your local authority for their requirements.
Sales Tax Certification to be completed bv the Florida Department of Revenue. Please take this
application form to the Department of Revenue for their approval
Corporate Registration or Proof of Non-Profit Status
Corporations are required to be registered with the Florida Secretary of State, Division of Corporations, as
"non-profit" and the status of the corporation must be "active." Organizations NOT incorporated must
submit one of the following: a letter outlining the purpose and the goals of the event and who will benefit
from the event's profits; organization's National, State, or Local charter; organization's by-laws, 501 (c)3
registration, or Minutes of Meeting. If you have not already registered, you will need to contact the
Department of State at (850) 488-9000 for further information. Your application cannot be accepted by
this division without this registration or proof of non-profit status.
There are several Important points you should be aware of:
1. The drinking age is 21. Please ensure that no one under 21 years of age is served an alcoholic
beverage or allowed to consume alcoholic beverages.
2. The purpose of this permit is to provide your non-profit organization with a permit to sell a!coholic
beverages to generate funds for your civic or charitable cause.
3. Your organization, as the permit holder, is the ONLY entity that may receive any of the
profits from the sale of alcoholic beverages on this permit. You must have responsible
members of your organization at the alcoholic beverage sales location at all times. Your
event CANNOT involve the SHARING OF ANY PROFITS OR RECEIPTS, or a "DONATION"
to your cause if you obtain a temporary permit. Participation in this practice subjects your
organization to jeopardy and denial of future alcoholic beverage permits.
4. All records of alcoholic beverage purchases and sales must be retained for examination by the
Division of Alcoholic Beverages and Tobacco.
s. No 1/2/3 Day Permit will be issued to any organization in connection with any type of gambling
activity, I.e. Casino Night, Las Vegas Night, Monte Carlo Night, etc.
6. If your event is cancelled due to acts of nature, and you plan to reschedule, you need to
notify the division within 14 days of the cancellation so that you will be eligible for re-
issuance of the permit at no fee to you.
Florida Law for Special Sales License
Florida Statute 561.20(12)(a), Special Sales License: Upon the filing of an application and payment of a
fee of $25 per permit, 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; bankruptcy; insurance companies in possession of
alcoholic beverages; license suspension or revocation; goods damaged by a common carrier; bona fide
wine collector; pursuant to part 5 of chapter 679; or a bulk transfer pursuant to chapter 676.
APPLICATION CHECKLIST
Select the appropriate Transaction below and comply with the corresponding application requirements.
.,......,.
TRANSACnON APP....~AJfPN....R~~li.IitR~MiNl'S
.
0 Pay $25 fee (make check payable to the Department of Business
OnelTwolThree Day and Professional Regulation)
Permit 0 Complete DBPR ABT-6003 Division of Alcoholic Beverages and
Tobacco Application for OnefTwofThree Day Permits or Special
Sales License
0 Submit document stating reason for the event
0 Pay $25 fee (make check payable to the Department of Business
and Professional Regulation)
Special Sales License 0 Complete DBPR ABT-6003 Division of Alcoholic Beverages and
Tobacco Application for OnefTwofThree Day Permits or Special
Sales License
0 Submit document stating reason for the sale
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DBPR ABT.6003 - Division Of Alcoholic Beverages and Tobacco Application for OnelTwofThree
Day Permits or Special Sales License
NM.:M4 FAA..uu
DBPRI/.
R~p~.
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL
REGULATION
1940 North Monroe Street
Tallahassee, FL 32399.0783
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation or your local district office. Please submit your
completed application to your local district office. This appNcation 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 page of the DBPR web site at the link provided below.
http://www.state.f1.us/dbpr/abUcontacUindex . shtml
SEC110N 1 ... CHECJ(TRA81AC110N REQUESTED
Transaction Type:
.. OnefTwofThree Dav Permit 0 Special Sales License
name as registered with the Secretary of State)
FEI Number (if applicable)
6 2.0
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OC-T08Ee 17,.tt
3
8E~Q". -~L.a:,r~~r .......
TO BE COMPLmbllV THEOEPAlTfl.ENTOF REVENUE
Name of Entity or 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:
SECTION'. ~ ZONING
TO BE COMPLETED. BY THE ZONING AtftHORfTY GOveRN NG YOUR BUSINESS LOCATION
Organization Name/Name of Event
City
The location complies with zoning requirements for the temporary sale of alcoholic beverages pursuant
to this application for a OnelTwolThree Day permit.
Signed Date
Title (1t TY MPrN A-(;.€2.
4
$F:cm()N 5 ~. ~fF:II)AVlT OF ~PPLtC:4~"
FORNON,.pRO..Flf CtVlC.ORGANIZA"tlON ALCOHOLIC.. . BEVERAGE PERMIT
. . . .' .' . ',- .. "', -' ", ',- .." '. .. ..,..... .. -.." .-.. .. ,..... .. .. .. ..
Name of Entity or Organization
NOfARtZ4fION REQUIRED
C CL
"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. This is to further certify that the applicant organization
has not received more than three (3) permits within the calendar year 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 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 _Ft..oQ...\ DA
COUNTY OF
O~Gt.
The foregoing was ( ) Sworn to and Subscribed OR ( ) Acknowledged Before me this Day
of
,20_. By:
who is ( ) personally known to me OR ( ) who produced
as identification.
Nota Public
Commission Expires:
5
SECTK.1N.. "~f:r:fPAVJ.,C)f~JlPI..ICANT
FOR SPECIAL SALES LICENSE
NOTARIZATION REQUIRED
Name of Entity or Organization
"I, the undersigned individual, or if a corporation for itself, its officers and directors, 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 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, 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 SIGNATURE
The foregoing was ( ) Sworn to and Subscribed OR ( ) Acknowledged Before me this Day
of , 20_, By:
who is ( ) personally known to me OR ( ) who produced as identification.
Commission Expires:
Notary Public
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This form is to be completed ONLY when the event of the non profit
organization is being held at a location that is licensed for the sale of alcoholic
beverages by the Division.
Note: This form must be signed by the permanent license holder and
submitted by the non-profit group along with the application for
One/Two/Three Day Permit.
Licensee:
Business Name:
License #
Series:
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. Failure to
comply will result in administrative charges being filed against your license.
Signature of Licensee
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