St Paddy's approval 2011 a
Jan 20,2011
Att...Sonya Dorre City of Atlantic BeachLJ ` A N ,0 2011
By_
3
Hi Sonya,
Please find attached application for tent permit for St.PatricYs day March 17`h,2011.
Last year we had a 15 x 75 tent,this year with publix not in the shopping Centre and the event getting
bigger each year we were hoping to have a larger tent 30 x 80,this will mean no traffic can drive outside
our restaurant as we will have it barracked and of course have our in house security and Local Atlantic
beach officers.
Please let me know if this is possible.
Please call me at the pub 249 9595 or my cell 525 7708
Thanks again for all your help.
Michelle Culhane
Culhanes Irish pub
copy
JJ
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APPROVED JAN 2 2011
APPROVED JAN 2$ 2011
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el City of Atlantic Beach--Department of Recreation&Special Events
1 716 Ocean Blvd.—Atlantic Beach,Florida 32233-5445
Phone (904)247-5828 - Fax (904)247-5849 - http://www.coab.us
APPLICATION FOR SPECIAL EVENT PERMIT
(for individuals and non-profits)
Please provide the following information in order to receive approval from the City of Atlantic Beach to
hold a special event at City of Atlantic Beach parks and beaches areas. Requests to receive approval are
on a first come, first serve basis, submitted not less than two weeks(94)days prior to the proposed event.
Name Responsible(individual &organization): PRINT
PUIR
Address, City, State, Zip
IL
Daytime PhoneEvening Phone Email a2 3'
I�Dfl lr t�M t-h�"i"M .Cc�tA
Name/Purpose of Event: C-kCS t
Location including park, parking,streets: f`" ! �f
Date(s) & Hours(s)of use including set-up &clean up: Aft' t
INS - 9 ���
Give a description of event and activities:
bve 6 GaS l
How many people do you expect to attend? 1. 000 PILA S
Permit fees:
Total Fee Deposit Usage
refundable
25.00 25.00 Beach Campfire 6 pieces of wood or fire usage
125.00 25.00 Camping at Dutton Island; primitive campsite, per night
No fee No deposit Wedding or picnic on beach or in parks
No fee No de osit Use of Russell pavilion & parks, courts, and playing fields
Paid ck# Recpt#
Deposits are refunded if facility and area is left in good and clean condition. Charcoal roust be
removed from the beach, the area picked-up, and trash deposited in trash barrels or removed.
Attach site mao for lame events.
DBPR ABT-6029—Division of Alcoholic Beverages and Tobacco Application for Extension of
Licensed Premises or Amended Sketch of Licensed Premises
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL
REGULATION
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 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.myflorida.com/dbpr/abt/district offices/licensing.html
SECTION 1 -CHECK TRANSACTION REQUESTED
Tr nsaction Type:
Temporary Extension ❑ Amended Sketch
❑ Permanent Extension
SECTION 2-LICENSE INFORMATION,
Full Name of Applicant
Trade Name (D/B/A) �
Location Addr s ( eet)
City C GGA. County State Zi ode
FL` 22��
Beverage Licenltmber Series �^ - p Type
t�
t% �b02Lf 1 APS QK
Contact Person b
u
2S
FOR
TEMPORARY EXTENSIONS ONLY: �� �� A
Date(s)of Extension: r� f
Ve
SECTION 3-ZONING APPROVAL
TO BE COMPLETED BY THE ZONING AUTHORITY GOVERNING YOUR BUSINESS LOCATION
This section only applies to a permanent or temporary extension.of licensed remises
Trade Name D/B/A
Are there outside areas which are contiguous to the premises which are to be part of the premises sought to
be licensed?" U-3Xbs ❑ No
The above extension of the licensed premises as shown in the sketch ❑ does comply or❑ does not comply
with zoning requirements for the sale of alcoholic beverages pursuant to this application.
. (--
Signed:
� � R
SECTION 5-DESCRIPTION OF PREMISES TO BE LICENSED
AB&T AUTHORIZED SIGNATURE REQUIRED
Sketches should be drawn in inkand include all 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 qp9h floor.
Trade Name(D/B/A)
FA
n6ev � IUn\'V
1Y/
Y-
1{(jam\�j�Q' �
1
Receipt Number Date of Receipt
Extension Fee Date
AB&T Authorized Signature CI Approved C] Disapproved
-Do uC vvw.`�.� ,%n
-70 t
� T .
Continued next page...
Yes No ?lease answer the following:
Is additional equipment and/or are vendors Manned for?!-
Will
or?Will public restroom facilities need to be open?
Is there music planned fpj!h t extent? S t G �'
Type of music
/"lour '400A
Will alcoholic beverages be gerved or consumed?
Will you be using signs, banners or ecorations?
If yes for a banner, have you filled out a banner application? Approved?
Will you be cooking at this event? Ifrk—S.1
by what meth m?
For sale?
Will there be a fire or fireworks?
Where will people par 7
V6 Ct"O
Are there any additional requests for city provided equipment or services?
If yes, please list:
A"V C
PLEASE READ CAREFULLY
By signing this application,you are stating that you understand the information in this application to be
true to the best of your knowledge and that you agree to comply with the ordinances and codes of The
City ofAdantic Beach. Should approval be granted by the city and a permit issued you agree to comply
with any other requirements stipulated y the city.
Applicant Signature ( � Date
{must be 18 years of age}
Print Name1—[�—
Address if different from above: "9 ( f t G.� gi�/jo - 016e, t
Contact number if different from above:
Reviewed by .- z R ,Ua-cam.
Approved S i vill-e i"e C Oe-5) C� .S. /'Gt `j%� t'c v � 1 / 'C��6i! I 1 ✓�c 9 Gf �iG'��y/
� , f� rJ5 �4 c�.,�c( L) ay-1
enie S
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City of Atlantic Beach—Department of Recreation&Special Events
0.11
716 Ocean Blvd.—Atlantic Bpach.Florida 32233-S44.q
Phone (904) 247-5828 - Fax (904) 247-5849 • http://www.coab.us
APPLICATION FOR SPECIAL EVENT IN CITY OF ATLANTIC BEACH
Please provide the following information in order to receive approval from the City of Atlantic Beach to
hold a special event at City of Atlantic Beach parks and beaches areas. Requests to receive approval are
on a first come, first serve basis, submitted not less than two weeks(14) days prior to the proposed event.
Name Responsible(individual &organization): PRINT
Street, City, State, Zip
Daytime Phone Evening Phone Email
Name/Purpose of Event:
Location including park, parking, streets:
Date(s) & Hours of use including set-up & clean up:
Give a description of event and activities:
How many people do you expect to attend?
Fee schedule: For office use
Total Fee Deposit Usage/Event
refundable
$ 25.00 25.00 Beach fire or fire usage (open flame
$ 25.00 25.00 Camping at Dutton Island; primitive campsite
per night
$ 25.00 No deposit Wedding or event on beach or in parks
25.00 No deposit Use of pavilion, parks, courts, and playing fields
$ Special event in City of Atlantic Beach (business, photo
25.00 shoot, neighborhood party, church, festival, etc.
XXXXXX 7% sales tax on fee only.
Paid ck# Recpt#
Payment must be received in order to process application. Deposits are refunded by check, 5-10 business days
after the event, if facility and area is left in good and clean condition and all City policies and ordinanaces are
followed. Charcoal and wood debris must be removed from the beach, the area picked-up, holes and trash deposited
in trash barrels or removed.