Item #04 Special Event Permit to Authorize Sale of Alcoholic Beverages, Application by the Ocoee Professional Firefighters Local 3623, for Founder's Day on November 4 and 5, 2011 Sre Center of Good L iv� B
AGENDA ITEM COVER SHEET
Meeting Date: October 18, 2011
Item # 1"/
Reviewed By:
Contact Name: Melanie Sibbitt Department Director: 41 ,, ,_ vt. A
Contact Number: Ext. 1026 City Manager: ire
Subject: Special Event Permit To Authorize Sale Of Alcoholic Beverages, Application by the
Ocoee Professional Firefighters Local 3623, for Founder's Day on November 4 and 5, 2011.
Background Summary:
In accordance with Resolution 2006 -010 as approved by the City Commission, Ocoee Professional Firefighters
Local 3623 has filed a special event permit application for the purpose of selling beer at the Founder's Day
Celebration on Friday, November 4th and Saturday, November 5 of 2011. Proceeds from the event will go
towards local and surrounding charities which support residents within the community.
Issue:
Should the special event permit application to authorize sale of alcoholic beverages be approved for the Ocoee
Professional Firefighters Local 3623 to sell beer at the Founder's Day Celebration?
Recommendations
Staff recommends the approval of the special event permit application to authorize sale of alcoholic beverages,
submitted by the Ocoee Professional Firefighters Local 3623, for the Founder's Day Celebration on Friday,
November 4th and Saturday, November 5th of 2011.
Attachments:
Special Event Permit Application - Ocoee Professional Firefighters Local 3623
Financial Impact:
A percentage of the revenue generated from the sales will be received by the City.
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
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
e C of Good L
Mayor �� Iv1 �g Commissioners
S. Scott Vandergrift ', ,,,, . �.. Ell Gary Hood, District 1
Rosemary Wilsen, District 2
City Manager C o Rusty Johnson, District 3
Robert Frank '"" - Joel F. Keller, District 4
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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
ORGANIZATION.
Name of Organization: Qc p € Th.oVessics..tAL Rita Fo t. a LbCAL 3 L,2
Mailing address of Organization : 30t,. O c.o aa. - Ap.pitA A vN c t
City /Town: OC.ba4 FL Zip: W414 t
President / Secretary of Organization: 314 v. as
Mailing address: Sot, 04.4 364- Ap•pKA RD
City /town: Dc o e e . Ft. Zip: 3'L . Phone('4 z lit 41 -5'9 '(&York('. a j 4 oS 3 t oo
Contact for Event: 3 w.as 14.(tesN
Mailing address: Sot, oc a -- Ap. 8.A &A LAN r t
City /Town: Q(4)ea Ft_ yp � g � Phone('VJ c141-5 . Work( q - -� too
Has Applicant Organization been issue a permit this calendar year? ]Yes ❑No
Location Of Event: i SO M. LA1tES‘■.&e eat B (?,e zm ?Ao..14)
Address: 15o M. Cl VeSLD4.1 •mac•
City /Town: Ot.oe_c- FL Zip: 3'(14 1
List below the Exact Date(s) and Hours for Event which Application is being made for
Permit.
Date: Med. 44 From: 5: 00 ❑AMMPM TO: q " 30 DAM 1213m
Date: 1,10:,0 . S From: noon DAMDPM TO: 11 : CO ❑AM�PM
Date: From: ❑AM ❑PM TO: DAM ❑PM
Estimated Number of Participants: go -,)
Who will provide clean -up (trash, etc) after event? O ,r- c
All alcoholic beverages as defined 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.
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City of Ocoee • 150 N Lakeshore Drive • Ocoee, Florida 34761 a x / 14
Phone: (407) 905 -3100 • fax: (407) 905 -3167 • www.ocoee.org
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THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTATCHED TO THIS APPLICATION
FOR A PERMIT TO BE ISSUED:
['Appropriate Fee
ODiagram 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
OIf 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..: Lcertify 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 cow ::Ncosts.• 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 issuance of the permit of the conduct of the,aetivity Qr any of its participants.
• Sept- $, '44)11'
igned (applicant) Date
APPROVED lop DDISAPPROVED ❑CONDITIONS FOR
PERMIT ATTATCHED
Police Chief � Date: i b' I )'o 1
iri"
PPROVE P • P ISAPPROVED ❑CONDITIONS FOR
PERMIT ATT TCHED
• Date: / 0 / ti Z6 1
Fire Chief L,� � _ � I
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ill DISAPPROVED DCONDITIO► FOR
)SktPPROVED PERMIT • • TCHED
City Manager /// Date: 1 2
0 OCOEE PROFESSIONAL FIRE FIGHTERS
306 Ocoee - Apopka Road, Unit 1, Ocoee FL 34761 • (407) 877 -6371
www.iaff3623.com
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State of or • a
Department of State
I certify from the records of this office that OCOEE PROFESSIONAL
FIREFIGHTERS LOCAL 3623 INC. is a corporation organized under
the laws of the State of Florida, filed on August 19, 2002.
The document number of this corporation is NO2000006273.
I further certify that said corporation has paid all fees due this office
through December 31, 2010, that its most recent annual report was filed
on September 21, 2010, and its status is active.
I further certify that said corporation has not filed Articles of
Dissolution.
Given under my hand and the Great Seal of
Florida, at Tallahassee, the Capital, this the
Twenty Second day of September, 2010
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: ,,` J � _ A; g'�. E =': ' Secr eta;y of State
Authentication ID: 400185709334- 092210- NO2000006273
-- -C To authenticate this certificate,visit the following site, enter this
- ___ ___ _ ID, and then follow the instructions displayed.
https: / /efile .sunbiz.org /certauthver.html
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DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
DIVISION OF ALCOHOLIC BEVERAGES & TOBACCO
ODP APPLICATION# 73445 FILE # 25078
TEMPORARY LICENSE /PERMIT
EFFECTIVE DATE: 11/04/2011 EXPIRATION DATE: 11/05/2011
DATE RECEIPT NBR FEE LICENSE NBR SERIES CLASS
10/12/2011 110126982 $ 25.00 ODP5801217 ODP
NON - TRANSFERABLE, DISPLAY CONSPICUOUSLY, VALID ONLY FOR THE DATE AND PLACE INDICATED
OCOEE FOUNDERS DAY - CITY OF OCOEE
OCOEE PROFESSIONAL FIREFIGHTERS
LOCAL 3623 INC
150 N LAKESHORE DR
BILL BREEZE PARK
OCOEE, FL 34761
CONTROL NUMBER: 11340411
DISPLAY AS REQUIRED BY LAW