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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 �Dr , ,/a rid APPROVED JAN 2 2011 APPROVED JAN 2$ 2011 Yj�..sJ11'le�r..,\ 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 J e- UoLl n 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.