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HomeMy WebLinkAboutItem #03a approval of a Special Event Permit to Authorize the Sale and Serving of Alcoholic Beverages Dueing a Fundraising Event center of Good ire �i �,0- AGENDA ITEM COVER SHEET Meeting Date: August 16, 2011 Item # Reviewed By.: n. Contact Name Melanie Sibbitt Department Director: ±:_ 1 . Contact Number: Ext. 1026 City Manager: x eced i z ... ,, 4 Subject: Approval of a Special Event Permit to Authorize the Sale and Serving of Alcoholic Beverages During a Fundraising Event Sponsored by the Ocoee Lions Club. Background Summary: In accordance with Resolution 2006 -010 as approved by the City Commission, the Ocoee Lions Club organization has filed a special event permit application for the sale of alcoholic beverages at a fundraising event to take place on September 10, 2011. Proceeds from the event will go towards local and surrounding charities which support residents within the community. Issue: Should the Honorable Mayor and City Commission approve the permit application authorizing the sale and serving of alcoholic beverages during the Ocoee Lions Club fundraising event on September 10, 2011? Recommendations Staff recommends the Honorable Mayor and City Commission approve the permit application authorizing the sale and serving of alcoholic beverages during the Ocoee Lions Club fundraising event on September 10, 2011. Attachments: Ocoee Lions Club Permit Application Financial Impact: The Ocoee Lions Club will be responsible for costs associated with this event. Type of Item: (please mark with an `x') Public Hearing For Clerk's Dept Use: Ordinance First Reading Consent Agenda Ordinance Second Reading Public Hearing Resolution Regular Agenda X Commission Approval Discussion & Direction Original Document/Contract Attached for Execution by City Clerk Original Document/Contract Held by Department for Execution Reviewed by City Attorney N/A Reviewed by Finance Dept. N/A Reviewed by 0 _ N/A Center of Good L Mayor � a o Commissioners S. Scott Vandergrift��,,�.. ��� •• —� .�e Gary Hood, District 1 - •,. °•.; • "• -, Rosemary Wilsen, District City Manager t4 ` Rusty Johnson, District 3 Robert Frank Joel F. Keller, District 4 SPECIAL EVENT PERMIT TO AUTHORIZE SALE OF ALCOHOLIC BEVERAGES APPLICATION FORM PI °cr b-ty IN ORDER TO QUALIFY FOR A COMMUNITY EVENT, YOU MUST BE A NONPROFIT CIVIC ORGANIZATION. Name of Organization: DC O L L Mailing address of Organization : P O 5 D x 38_ __ .. _ , _ �___ City /Town: Q C Zip: 347 C 1 President / Secretary of Organization: 5 l .,,EaJ \ iovr.1 V 1A k As eitith 4as trE Mailing address: P 0 60X 5 City /town: () Zip: Phone(3 g S4 g7gG Work( ) Contact for Event: 13 G DL K Mailing address: 13[0 0 Ly/'Yi rA Q/�t2.1C C[, [2.0 LC City /Town: QG • 34.76,( Phone(40 - 4&& -44 2 g work(gtlj *xi) - tar Has Applicant Organization been issue a permit this calendar year? Yes [EINo Location Of Event: ActCY S i Fie4 A 61.0 r f ) - 1T) diA iL UND 4Vf Address: 137 uJ . mC VA S T City /Town: ©Cd1Gt .fl., Zip: 347& List below the Exact Date(s) and Hours for Event which Application is being made for Permit. Date: S U, ]•ol ► From: IAM ❑PM TO: DAM RPM Date: From: ❑AM ❑PM TO: DAM DPM Date: From: ❑AM ❑PM TO: DAM DPM Estimated Number of Participants: / 0 00 Who will provide clean -up (trash, etc) after event? ocrt W dt i C L-) (3 f W d`(r1 rmi s C t, u 6 t_ GAL'S ❑ All alcoholic beverages as defined by the City of Ocoee. ISj 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 of Ocoee • 150 N Lakeshore Drive • Ocoee, Florida 34761 Phone: (407) 905 -3100 • fax: (407) 905 -3167 • www.ocoee.org THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTATCHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED: Appropriate Fee ['Diagram of area to be licensed (not larger than 8 1/2" x 11" reflecting fence, barriers, partitions, ingress, egress, and dimensions. Copy of deed, lease, or written permission of owner for use of premises. Certificate of good corporate standing (NONPROFIT) Issued by Secretary of State within last two years, or: ❑If not incorporated, A NONPROFIT Charter, or: ❑APPLICATIONS MUST FIRST BE SUBMITTTED TO THE LOCAL LICENCING AUTHORITY (CITY OR COUNTY) AT LEAST THIRTY (30) DAYS PRIOR TO EVENT. DCertificate 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 the iss ance of the • ermit of the conduct of the activity or any of its participants. / 1 i Signed (applicant) Date PPROVED al SAPPROVED ❑CONDITIONS FOR PERMq ATTATCHED Police Chief — Date: ii 1/ ❑APPROVED 0 • ISAPPROVED ❑CONDITIONS FOR PERMIT ATTATCHED Fire Chief Date: PPROVED ❑DISAPPROVED ❑CONDITIONS FOR City Manager .� , __....,./ i Date: PERMIT ATTATCHED i db rrrin k THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTATCHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED: ['Appropriate Fee Diagram of area to be licensed (not larger than 8 1/2" x 11" reflecting fence, barriers, partitions, ingress, egress, and dimensions. DCopy of deed, lease, or written permission of owner for use of premises. ❑Certificate of good corporate standing (NONPROFIT) Issued by Secretary of State within last two years, or: Dlf not incorporated, A NONPROFIT Charter, or: ❑APPLICATIONS 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 the iss an= of the • ermit of the conduct of the activity or any of its participants. Signed (applicant) Date ❑APPROVED []DISAPPROVED P ONS F PERMIT ATTATCHED Police Chief Date: ►� • 'PROVED %j DIS • ' ' • • VED �i ONDITIONS FOR I 4 ATCHED Fire Chief / r Date: O ['APPROVED ['DISAPPROVED OCO DITIONS FOR D City Manager Date: - L001G t►3C, 1 l: S /Ytu 5 r &- i t S Pbs-It tt e tuo t ez..- use_. /4i,, Act Page 1 of 1 d SE ai y / o09amb09 pm B ! eer Garden � l 137 W McKey St 2 Stiff Y SdS ,Parade Ends Magma eet at Ocoee Wt kra street tagrue c e Parade Rode eeG Pamto10am) ur \, W Skeet .- � M�fer Area ltti Street u, https: / /secure3 5.tecoenergy.com/owa/ W ebReady ViewBody.aspx?t= att&id= RgAAAAB c %... 7/24/2011 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF ALCOHOLIC BEVERAGES & TOBACCO ODP APPLICATION# 71879 FILE # 26223 TEMPORARY LICENSE /PERMIT EFFECTIVE DATE: 09/10/2011 EXPIRATION DATE: 09/10/2011 DATE RECEIPT NBR FEE LICENSE NBR SERIES CLASS 08/5/2011 110044781 $ 25.00 ODP5801257 ODP NON - TRANSFERABLE, DISPLAY CONSPICUOUSLY, VALID ONLY FOR THE DATE AND PLACE INDICATED PATRIOTS DAY OCOEE LIONS CLUB 137 W MCKEY ST OCOEE, FL 34761 CONTROL NUMBER: 11187160 DISPLAY AS REQUIRED BY LAW DBPR ABT -6003 — Division Of Alcoholic Beverages and Tobacco Application for One /Two /Three Day Permits or Special Sales License STATE OF FLORIDA DBPR Form DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ABT- 6003 Revised 09/2010 NOTE — This form must be submitted as part of an application packet 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 (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. http: / /www. state. fl. us /dbpr /abt/contact /index.shtml SECTION 1 -- CHECK TRANSACTION REQUESTED Transaction Ty pe: ❑ One/Two /T hree Day Permit ❑ Special Sales License SECTION 2 — LICENSE INFORMATION Full Name of Applicant Organization (This is the name the license /permit will be issued in) 3 OE L t 0 Ct.. L)13 Department 7 S 6 p ` i v � i s O o J n ' S of Corporations Document # FEIN Number & 3 %2 0 Business Name D /BB /A) Name Event � ipPST ?tOT Location of Event (Street and Number) Ste-, X37 J J. rk� e- City OCOEE- Cou0nt 6'6 FL Zip Code a L � fo Mailing P ¢Les o P. 3 B 6 ) City rr((�, 0 co State Zip Code Ft— S4 f Contact Person Telephone Number k A07- 4(9ro- 44 A_E3 Date(s) Permit Desired ! c ABT District Office Received / Date Stamp Auth: 61A- 5.0013, FAC 1 SECTION 3 - SALES TAX - TO BE COMPLETED BY THE DEPARTMENT OF REVENUE Full Name of Applicant Organization j 0 5 K The named applican •r a license /permit has complied with the Florida Statutes concerning registration for Sales and Use Tax : • d has agreed to pay any applicable taxes due. r Date 6 /24 41 Si' 11 Title Department of Revenue Stamp: DEPAE TMI„NT OIL REVENUE 2301 MAI`('LAND CENTER PKWY 1- J t= SUITE 180 =7 MAITLAND, FL 32751 L ;t7 SECTION 4 - ZONING TO BE COMPLETED BY THE ZONING AUTHORITY GOVERNING THE EVENT LOCATION Location of Event (Street and Number) 13� w me. g7^. City A County f rkiGrf The location complies with zoning requirements for the temporary sale of alcoholic beverages pursuant to this application for a O Wo/T,hr e gay Permit. Signedi �i r Date Title - e' ii\ A W 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 • %/Rankin Streat •cc 7d" c*- . Roads Closed 9 am to 9 pm ' "rx- Beer Gann 137 WhicKey co Wide* - faCkeY si�t sas An ,Parade En& ma street :at Ocoee Wc Ftral SUM LaMe* 'Para& Route Et IN cti skeet am to 10 ern) co- azt wDeemsbe street f• Muster "I-ea (1.); -4t 7th Site4t https://secure35.tecoenergy.com/owa/WebReadyViewBody.aspx?t=att&id-----RgAAAABc%... 7/24/2011 SECTION 5 — DESCRIPTION OF PREMISES TO BE LICENSED AB &T AUTHORIZED SIGNATURE REQUIRED Business Name (D /B /A) or Name of Event 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 each floor plan. Auth: 61A- 5.0013, FAC 3 SECTION 6 - AFFIDAVIT OF APPLICANT FOR NON - PROFIT CIVIC ORGANIZATION ALCOHOLIC BEVERAGE PERMIT NOTARIZATION REQUIRED Full Name of Applicant Organization ©co LIONS 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, unless otherwise authorized by law, 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 an officer and 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 F LO ( COUNTY F Q 2o titR.;� °� TISHA WILLIAifiMS APPLICANT SIGNATURE # � * MY CAMMISSION*DO$50iO4 EXPIHES:January 22, 203 4 OF Ft�`� landed Thni &Ida1t Oisbry Won APPLICANT SIGNATURE The foregoing was (worn to and Subscribed OR ( ) Acknowledged Before me this -D Day of , 20 \ , By • t'r�- who is (personally known to-rne (print name(s) of person making statement) OR ( ) who produced F 12D1-- as identification. Commission Expires: —VAXN . ,DkA3 Notary Public Auth: 61A- 5.0013, FAC 4 • SECTION 7 AFFIDAVIT OF APPLICANT FOR SPECIAL SALES LICENSE NOTARIZATION RE QUIRED Full Name of Applicant Organization "1, the undersigned individual or if a corporation for itself, its officers and directors, hereby swear or affirm that 1 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 1 understand this license does not permit the sale of alcoholic beverages for consumption on the prernlses Brad 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. 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 APPLICANT SIGNATURE The foregoing was ( ) Sworn to and Subscribed OR ( ) Acknowledged 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 Auth: 61A-5.0013, 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: 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 an 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