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HomeMy WebLinkAbout1540 S French Ave (2)CIAL EVENT APPLICATION PERMITREOUEST TE RECEIVED: APPLICATION & $50.00 PROCESSING FEE U - CLEAN - UP BOND PAID ($100) Commissioo Meeting Clean up bond refunded: Office use only 07-06-06A1 :51 RCVD We thank you for submitting this application for your proposed Special Event here in the Friendly City. Please complete application in its entirety and return at least sixty (60) days prior to the event date to the City of Sanford- Leisure Services Department -City Hall 300 North Park Avenue Sanford FL 32771 or mail to P.O. Box 1788 Sanford FL 32772. In order for the application to be forwarded to the City's Special Event Review Committee (SERC), we must receive the signed and notarized, original copy of the Special Event Application with the $50.00 non-refundable Application Processing Fee. An event layout should also be included. Should you have any questions, please callus at 407-330-5697 or Email: bowersa@ci.sanfard.fl.us Thank you for choosing the Historic City of Sanford as your host site. Name of Event: -spew CL 62 Faeility/I.ociitioo Requested:/V cry i9 dF� Event Date(s): =Jseei v /A - _t r,tc N S _ Event Hours: From: Arm To: Atm Setup Date(s): �J j G / % z 0 (n Setup Hoary. From: �s � � � Ais� To T!0 O �AWFU Breakdown Date(s): 7 ! 5- Breakdown Hoare: From Aevrw Ta. AWM Estimated: Participants spectators vehicles vessels (for Boating emu only) Type of Orgiraiation (Check one): Not far Profit Q1 For Profit [] Individual 0 i Federal LD. i{ (q` -0 SS ��v Tax E�empt u: - — root a: -- ss s: al- DD o Z=Do you anbcip ft this event being held next yew? (-Yes ; 0 No 11`$% Date: M i ocadow Sponsoring Organization Name: YAFe� Aot xz Dli S tOof 41A01 -•e" Office Phone: Contact Pelson Responsible for EvaWCharges: -_ %><ir, S'ne o 17-d � F, w Address: Pbone: wort a: y0 7- qZZ--!G 77 Home a: Fax C L&Z - V4 7&awPaser q C/0 7- 2 SG -C Z Address:.2U CAI 0O Li arx-t/ S' /®c= � k IU- city Q,C � o o stag F'f— Zip CID& VC Additional Contact Person:. Work 8: Email Address: *Please vide Below a Brief Description of Event t rNi�i+ �j • 5 PleaseSpecify below request for Alcoholic Beverages/Outdoors, Street Closure, Carnivals/Circuses, Parades, Pyrotechnics, Bonfires or Ceremonial Type Rres. i i All That Apply For Your Event C - City, A - Applicant, 0 - Other or NA - Non Applicable - 1. Carnival/Ch=sWak _2. Exhibit 3.Festival _4Fishing Tournament _5.Genaal Meeting _6.Parade _7.Picmic/Pa ay 8.Tournament or _ Competition 9.Wedding Reception _10.0ther, Explain 11.Admission / Mcket Sale 12AJoohoI Beverage Sales 13.Concession Stan'ls 14.Field Prcparatior�s 15Fircworkseyrote nics 16.FoodA3cve jWgatermg 17.Ma chandise Sales IS -Open to Public Free admission 19.Spocial Set-ups 20.Street, Sidewalk Closure 21.Vendors 22.Water/Electdc 23.Audio/Vidoo/Sound Equip. Hourly Rates per person 24.Inflatable Devices _ 35.EMS ($21) 25.Portable Reshvoms 36.Code Enforcement (Sl8) 26.1tegistretion Table 37.EveatManagement(S25) 27.Sporls Equipment 38Fkc($21) 28.StwTroWProduction 39.1eisure Services ($15) 40.Public Works(S20) 29. Teats _ 41.Polic a ($25) (OW) 4hr minimum 30.Trash Cans 31.Dcmupstcr(s) _ 42. Parks $15 32. Equipment 33. Banners Signage _ 34. Other, Explain *** If you checked any of the items above, provide a complete description by number of the drenuest_ Addltinnsilb_ nl"tPnnto all Vifs aauftA...... .. .,e..■■mK.... ***,. --_.-. / to a- TV i HOLD HARNIT M AGREEMENT: The Contractor, Vendor or User hereby promises and agrees to indemnify and save harmless the City of Sanford, a municipal corporation, its officers, agents, and employees, from and against any and all liability, claims, damages, demands, expenses, fees, fines, penalties, suits, proceedings, actions and cost of actions, including attorneys, fees for trial and on appeal of any kind and nature arising or growing out of or in any way connected with the performance of the Agreement whether by act or omission of the Contractor, Vendor, officers, agents, servants, employees or other or because of or due to the more existence of the agreement between the parties. The applicant will supply a "Certificate of Insurance" reflecting minimum coverage of 51,000,000 per occurrence for bodily injury and property damage as well as any other insurance required by the City. The City of Sanford shall be listed as additionally insured which will be noted on the Certificate. The Certi&ate will indicate that the applicants insurance policy will not be canceled without thirty days prior written notice to the City. The undersigned agrees to abide by the regulations governing the said facility and is responsible for charges incurred and must supply a "Certificate of Insurance" to the Leisure Services Department no later than ten (10) calendar days prior to program/event date. Copyright Law: Licensee assumes all costs arising from the use of patented, trademarked or copyrighted materials, equipment, devices, processes, or dramatic rights used on or incorporated in the conduct of any event covered under the agreement and licensee agrees to indemnify and hold harmless devices, processes or dramatic rights furnished or used by licensee in connection with the agreement and will defend the City from any such suit or action; regardless of whether it is groundless or liaudulem CERTIFICATION BY APPLICANT: I certify that I have read this application and that all information contained in this application is true and correct. Any falsehoods or misrepresentations will constitute a criminal violation of the code of the City of Sanford. I certify that I have received a copy of city code chapter 1 Ba. I agree to comply with and be bound by any and! all applicable provisions of the city code. I understand the event may be cancelled by the Chief of Police or The Fire Chief should any conditionststipulations of the permit or city ordinance or state statute be violated I certify that I am authorized by the organization named herein to act as its agent for the herein described activity. I also have received the notice informing we of my responsibilities and obligations should I cancel the event. 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 p party or injury to, or death of persons arising out of or resulting from the issuance of the permit or the conduct of the activity or any ifits participants. r 7 •'* A MAP AND/OR DIAGRAM OF THE PROPOS® EVEN' SrIm AYOUT/ ROUTE MUST BE SUBMITTED WITH T ms APPWCAmom— MONSOON IS i LICENSEE CERTIFICATION I beraby certify that all rhe information cw mad baein is *w and to the best of my knowtedp. If any portion is found robe false or mWgxeseated, such last may be just cause for immediate revocation of any permit(s� ' Signature of Applicant: s/ / Dde: �p (-7/0 �p Subscr0red and alarmed before me i �: Q &57By(Prw Appw am Name) �iif M- Z r X tJ %( d k) He/she is pas mAy know to me oR bas presented As identification and wlw did tabs an oath. (type of identification) Notary Signage and Seal: Clean imp bond will be refonded pending 5'-/5--07 HOLD HARMLESS AND INDEMNIFICATION AGREEMENT W ( � tame ory �m. A yv LS o x, �, hereinafter referred to as `Vendor', agrees through the signing of tris document by an authorized party, intending to be legally bound for themselves and their heirs, executors and administrators, covenants and agrees to Indemnify and Hold Harmless and defend the City of Sanford, the elected and appointed officials of the City of Sanford, the City Manager, department heads, division heads, supervisors and employees of the foregoing, and their heirs, representatives, successors, executors, administrators and assigns from and against any and all suits and actions including attorneys fees and all costs of litigation and judgments, claims for damages or injuries, including death, to persons or property of whatever kind or character, whether real, personal or mixed, asserted or occurring from every name and description arising out of or incidental to the Vendor's activity at the City of 7 / , /o (p Sanford, Florida, -7 aG l -t.✓ S/4 I -es to be held on re- ZZ' O(O hetherl `orK (dpi cvm) (dues) not due to or caused by the negligences of the City of Sanford, excluding only the sole negligence of the City of Sanford. This provision shall also pertain to any claims against the City of Sanford by any employee of Vendor or anyone directly or indirectly employed by Vendor. This 7_ day of Uv 2003 /fila-/tfG. Af- Sr/,?OWep-0 T .A o d Signature Print Name Title (Presidart, vice Pmident, etc) Signed in the presence of two mAgosses or a Nota -Public: t AAftec x. ,.S-rzxnatl Print Name Print Name Signature Signature Sworn to and subscribed before me `on this / day of t,,ke7c: �;�, . I Date Date i i Hod Harmless and Iu I ifiC1dM Ar=uaW—qw" ........................ ..... i J..� �•�•'�•��ULIE A. ELLENBUR Boded Wu OF My Commission Expires s........... N� ~ i i Hod Harmless and Iu I ifiC1dM Ar=uaW—qw" KILCrll RENTAL SERVICE 06/06/06 To Whom It May Concern: Kirby Rental Service gives Mark Stratton of First American Fireworks, permission to use our license to secure tent Rermits in the City of Sanford. These tents will be used for the sale of sparklers for the 4' of July and will be for the period of 6/15/06 — 7/05/06. Sincerely, ePauleidner President Shandra Ka =�- 7MWph ` Eonunission DD22f30�j xPirey Aug 30, 2007 „Auenru hc BondingBondCo., Inc. 411 HAMES AVENUE • ORLANDO, FLORIDA 32805 • (407) 422-1001 • FAX (407) 422-0028 TOLL FREE 1-800-446-1011 J ISSUED BY `J KIRBY TENT RENTAL } Division of Kirby Rental Service & Sales °9 411 Hames Avenue 8711 Phillips Highway F` ✓� •.v: Orlando, FL 32805 Jacksonville, FL 322569 �P�f ^, b MANUFACTURERS OF THE FINISHED TENT PRODUCT DESCRIBED HEREIN 9 ��REMP� �FRETP�� DATE: 5/.27 00 This is to certify that the materials used in the construction of the our 3cK -t-c2 FtESi AwLPr?JC'a.,j C -o - - - have been flame retardant treated (or are inherently non-flammable) *by the y Snyder Manufacturing Company Their registered application concern number F-140-01is approved and registered by the State Fire Marshal ' and the application of said chemicals was done in conformance with the laws of the State of California and the rules and regulations of the State Fire Marshal Flame Retardancy Cannot Be Removed By Washing And Is Good For The Life Of The Material. Fabric Meets The Requirements Of Specifications *THEIR �'�f! Listed As NFPA-701 (Large Scale) F-140-01 REGISTERED Signed: APPLICATION TENT DEPARTMENT CONCERN NO.(/00,- w j4ofes&"r7 arX•k) IAW A % Memorandum City of Sanford Department of Planning and Development Services P.O. Box 1788 Sanford, F132772-1778 Telephone (407)330-5673 Fax: (407)330-5679 TO: Fred De Falco FAX: 407.302.2143 (Picked up in person) rxrnm.ic�n.e June 27, 2006 RE: Temporary Sign Permit for Grand Opening of Gateway at Riverwalk Sales Center Pursuant your request, this department has approved the temporary installation of: Sign Type Banner Reason Grand Opening Business Gateway at Riverwalk Temp Sign # 01 Size 3' x 6' (18 square feet) Duration 14 Days (June 27, 2006 - July 11, 2006) Location 150 Fulton Street - attached to building Year FY 06 NOTE THE SIGN MUST BE REMOVED NO LATER THAN 14 DAYS AFTER INSTALLATION General Temporary Sign Regulations: The site is accorded a total of four (4) temporary signs per year. This sign constitutes as one (1) of four (4) within a twelve (12) month period. Any multi -tenant plaza is permitted a total of 4 signs for any and all tenants, NOT four per tenant. There are no "renewals" for temporary signs. All existing or previously installed temporary signs must be removed and a new formal request shall be submitted at any time a temporary sign is requested. The temporary sign shall meet all required setbacks as defined in Schedule K - Sign Regulations as follows: — All temporary signs shall be on -premises signs, located on the premises of the business hosting the specific occasion or on the premises of the specific occasion. All temporary signs shall be located at least fifty (50) feet from any zoning district in which the principal permitted use is a one (1), two (2), or multi -family dwelling or mobile home and five (5) feet from a property line fronting a right-of-way. If I can be of any additional assistance feel free to contact me. Thannk/ you. Eileen Hinson - Senior Planner ` CITY OFSANFORD PERMIT APPLICATION Permit #•s Job Address: Description of Work Historic District: Zoning: Permit Type: Building Electrical Electrical: New Service - # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures _ Plumbing/New Residential: # of Water Closets Date: Total Square Footage Value of Work: S Mechanical Plumbing Fire Sprinkler/Alarm _ Pool _ Addition/Alteration Change of Service Temporary Pole Replacement New (Duct Layout & Energy Catc. Required) # of Water & Sewer Lines # of Gas bines Plumbing Repair - Residential or Commercial Occupancy Type: Residential % Commercial Industrial Construction Type: C.k,S # of Stories: 1� # of Dwelling Units: _� 3 Flood Zone: (FEMA form required ) Owners Name & Address: C_7 -ATE W If y ft t-t-YrC � L C L1 U t� s/t ©? I t 5 O U L T U tnJ 5 A of FO Phone: Contractor Name & Address:TP'i��i �, r State License Number: Phone & Fax: Bonding Company.- Address: ompany:Address: Mortgage Lender: Address: Architect/Eagineer: Address: 7/ - Contact Person: Phone: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_ NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit I will owner of the property of the requirements of Florida Lien Law, FS 713- � ign re of O t e Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Produced iD APPROVALS: ZONING: UTIL: FD: ENG: BLDG: Special Conditions: Rev 03/2006