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3THE CITY OF PLEASANT LIVING To: FROM: Via: DATE: SUBJECT: BACKGROUND: REVENUE: FEES TO BE WAIVED: ATTACHMENTS: Cln' OF SOUTH MIAMI OFFICE OF THE Cln' MANAGER INTER-OFFICE MEMORANDUM The Honorable Mayor & Members of the City Commission Steven Alexander, City Manager Quentin Pough, Director of Parks & Recreation Agenda Item No.:3 April S, 2016 A Resolution authorizing the City Manager to permit Team FootWorks Educational and Fitness Corporation, a non-profit organization, to hold its 28th Annual Twilight 5K Run/Walk event, and to waive the cost of parking meters. Team FootWorks Educational and Fitness Corporation ("the applicant"), a non- profit organization, submitted a Special Event Application requesting permission to host its 28th Annual Twilight 5k Run/Walk on Sunday, May 15, 2016. The Twilight 5K Run/Walk allows participants of all skill levels to partake in a fun, safe run/walk in the downtown South Miami area and surrounding streets, beginning at 76 th Terrace and 58th Avenue, ending at 57th Court and 73'· Street, in an effort to promote healthy living. The applicant has completed the Special Event Application and has submitted the necessary notification/petition form signed by businesses that will be affected by the requested street closure. Each year the applicant awards charitable designations to receive a donation for the funds cOllected. This year the South Miami Police Explorers will be one of the charitable beneficiaries for the run. The applicant has paid the City $660, which includes $60 application fee, $100 administrative fee and $500 refundable security deposit. The applicant is requesting a waiver for the parking meters fees in the amount of $1,450. Upon approval of the waived parking meter fee, the final cost for services rendered by the City is $4,383.48. The applicant is responsible for services rendered by the City: , DEPARTMENT AMOUNT POLICE DEPARTMENT $2,220 PUBLIC WORKS $554.48 STREET CLOSURE & MOT $1,609 PARKING METERS (58 METERS X $25) $1,450 TOTAL $5,833.48 The applicant is requesting a waiver for the parking meters fees in the amount of $1,450. Resolution Special Event Application 1 RESOLUTION NO.: ________ _ 2 3 A Resolution authorizing the City Manager to permit Team FootWorks Educational and 4 Fitness Corporation, a non-profit organization, to hold its 28th Annual Twilight 5K 5 Run/Walk event, and to waive the cost of parking meters. 6 7 WHEREAS, Team FootWorks has submitted a Special Event Application to hold its 8 Twilight 5K Run/Walk on Sunday, May 15, 2016 in the downtown South Miami area and 9 surrounding streets, beginning at 76 th Terrace and 58th Avenue, ending at 57'h Court and 73rd 10 Street; and 11 12 WHEREAS, the applicant has paid the City $660, which includes $500 refundable 13 security deposit, $100 administrative fee and $60 application fee; and 14 15 WHEREAS, the applicant is responsible to pay the City for Police ($2,220), Public Works 16 ($554.48), Street Closure and MOT ($1,609) and Parking Meters ($1,450), totaling $5,833.48; 17 and 18 19 WHEREAS, the applicant is requesting a waiver for the cost of 58 parking meters in the 20 amount of $1,450; and 21 22 WHEREAS, the applicant has completed the special event application and has submitted 23 the necessary notification/petition form signed by businesses that will be affected by the 24 requested street closure; and 25 26 WHEREAS, if the City Commission waives the parking meter fee, the applicant would be 27 responsible to pay the remaining services rendered totaling $4,383.48. 28 29 NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE 30 CITY OF SOUTH MIAMI, FLORIDA THAT: 31 32 Section 1. The City Manager is authorized to permit Team FootWorks to host its 28th Annual 33 Twilight 5K Run/Walk, in the downtown South Miami area and surrounding streets, beginning at 76th 34 Terrace and 58th Avenue, ending at 57th Court and 73'd Street. 35 36 Section 2. The cost of 58 parking meters in the amount of $1,450 are hereby waived 37 and fee for the loss of the revenue from these meters shall not be charged. 38 39 Section 3. Effective Date. This resolution shall become effective immediately upon 40 adoption by vote of the City Commission. 41 42 43 44 45 46 47 48 49 PASSED AND ENACTED this __ dayof ,2016. 50 51 52 ATIEST: APPROVED: 53 54 CITY CLERK MAYOR 55 56 READ AND APPROVED AS TO FORM: COMMISSION VOTE: 57 LANGUAGE, LEGALITY AND Mayor Stoddard: 58 EXECUTION THEREOF Vice Mayor Welsh: 59 Commissioner Edmond: 60 Commissioner Liebman: 61 Commissioner Harris: 62 CITY ATIORNEY TeamFootWorlcs 5724 Sunset Drive, South Miami, FL 33143 305.666. RACE www.teamfootworks.org March 15, 2016 To: Steve Alexander City Manager City of South Miami Mr. Alexander, This letter is to accompany our special event application for the South Miami Hospital Twilight 5K RunIW alk. The Twilight Sk is a healthy and wholesome family event based on exercise, fun, good food and music. In the twenty plus years we have been doing this event, South Miami has come out in large numbers to support it and our mission of fitness and community. The attached route map and venue layout should provide a fair overview of the event. Presented by South Miami Hospital (Baptist Health South Florida), the runlwalk will take place on Sunday, May 15, 2016. As we have in the past, the Twilight Sk will designate the South Miami Police Explorers as one of the charitable beneficiaries for the run. If you have any questions, please do not hesitate to call. Sincerely, cY~ Laurie Huseby Race Director TeamFootworks is a 501(c)(3) corporation committed to fitness education through the production of events and educational material. Throughout the year, we offer training programs and events to promote fitness. Special Event Permits Application Packet Special Events Division 6130 Sunset Drive South Miami, Florida 33143 305·663·6338 PACKET INDEX ,'-,-.. ,-. -. Within this packet, jJleasefind the following infbnnation fory()ur review and signature: .. Special Events Guideline ----------------------"---"",.-'"-",'~--"-------,-"-,-.-.,"'''------,-.'--''--.,~-III , De pa rtme ntal Co ntra ct --.-.--.-------..--.------,---,-., ----~ .• --" -,---------.'-. --,-. ~,.,~ •• --..--•.• -----------'V' .. -""-'."---' ,-...... -.. -... --.... '-.. " -'.' " -.-., Special Events Fee Sched ule -------------------------------------'. -'--,--.-~---,,-,----.. ,------,----.. -.-,-, VI Applicant / Sponsor I nformation---------------------------------------------------------------------------2 General Requirements ------------------------------------------------------------------------------------------7 Indemnificatio n Agreement .. --------------------.--------------------------------------.,--------------------8 . Departmental Approval Sheet· -------------------: --------------------------------------------------------. 9 Off-Duty Officers Request Form -------------------------------------------------------------------------11 Pu blic Right-of-Way Permit Application' ------.-----.--,,---------.•. ---, ••• -.'..,.; •• , .... --.--.-..... --.. 12 Public Right-of-Way Schedule of Fees --------------------. ------------13 Parking Meter Rental Application -------------------------------------------------------------------------14 Hanging Banner Permit Application --------------------------------------------------------------------15 Pole Banner Permit Application-------------------------------------------------,.",,-., .• --.---•.. -•. -16 Special Events Clean-Up Deposit -----------------------------------.... --."";,,, ... , ... ,------.--.. ,. 17 NOJE:Pleaseensure that all of the above pages .•. are confained in this packet II SPECIA.LEVENT CtJJJ>ELINES' A Special Event is any activity that occurs upon public or private property that affects the ordinary use of the parks, public streets, right-of-way or sidewalks. Special events may include but are not limited to such activities as filming, art fesiivals, fairs, tours, concerts, celebrations, grand opening celebrations, certain outdoor business promotional events, bicycle races, runs, parades, marches and processions and motorcades. Listed below are a few guidelines, please read this information completely prior to filling out the application: INTRODUCTION: The City of South Miami is pleased to welcome a variety of special events, from community festivals to athletic competitions. Our goal is to work with event organizers to help ensure that the events that take place in our City are safe and successful, while minimizing the impact of the surrounding community. We hope that you find these instructions hepful in planning and preparing to execute your special event. In order to help the organizers of special events coordinate their plans with City requirements, we have compiled this application which contains information related to /he City's review process. Even if you have planned events in our city before, there may have been resolutions and/or ordinances passed on special events with changes that could affect your next event fees, neighborhood notification, impact mitigation, signage, etc. Acceptance.ofa.specialeventapplication is not to ·be construed as approval of the request. PERMIT PROCESS: Please complete the following forms in their entirety and submit them to the Parks & Recreation Department Monday through Friday, 8:00am unHI 5:00pm, to the attention of the Special Events Coordinator. The permit application process begins with the receipt of a complete application and payment of the nonrefundable Special Event Application fee of $60.00. Delays in providing all of the required items to the Special Event Committee may holdup the review process. Applications must be submitted a MINIMUM OF 21 DAYS before the scheduled event. Any application submitted with less then 21 days prior to the event may not receive the necessary approvals from the required departments prior to the date of your event. An application with less than five (5) business days prior to an event WILL NOT BE ACCEPTED. SECURITY DEPOSIT: Upon application approval, a $600 security deposit, as well as other possible chargers (such as: Street Closure, Off DutY-Officers, etc.) will be due and required before any permit can be issued. If the event occurs without any city damages and/or charges, $500 of the deposit may be !'efunded; $100 will be retained by city for administrative cost. HOURS: Event activities are prohibited after 11 p.m. in residential areas, after midnight in commercial areas, and before 8 a.m. in any area. Loudspeakers, amplified music, bullhorn or public address systems (PSA) during event hours are strictly regulated by the Code Department. EVENTS WITHIN A PUBLIC RIGHT-OF-WAY: Events may be held on public or private property as well as public rights-of-way such as: streets and sidewalks in commercial, residential, or industrial zoned areas. Events on streets and sidewalks in commercial, residential, or industrial zoned areas may have special requirements and limitations on the use of certain streets to ensure safe and adequate traffic flow to areas near the special event. Any special event that impacts traffic or circulation in the area through lane closures, or other means, will require additional planning and impact analysis from our Public Works and Police Departments. III INSURANCE: All special events, especially events taking place on City property require the event holder to carry liability insurance for their own protection as well as insurance protection for the City. The event producer shall, prior to the event, submit a Certificate of Insurance showing the required insurance limits of $ 1,000.000 and in effect coverage; the City of South Miami must be listed as an additional insured in the amount of $1,000,000 are required prior to the event. SM()KING: Smoking is not permitted in any public facility. EVENT NARRATIVE: A detailed written description/summary of your event is required. Please describe all activities,a schedule of activities, inventory of any sold and/or give-a-way items, list cif vendor and any other important information. CITY . MANAGER LETTER: A letter written to the City Manager briefly discussing your Organization/Business, the purpose of the proposed event, the benefits, if any, that the event will have on the City and any additional information deemed pertinent to this application. SITE PLAN I SKETCH: A site plan must be submitted with your application (which you can find as part of this application packet) and include the location of all on-site buildings and parking areas, the location of the existing fire lanes; the proposed locations and dimensions of all tents, barricades, stages, and bleachers as well as the location and type of all speakers, signs, generators and inflatable. Show nearest cross streets, serving areas, and security positions .. NEIGHBORHOOD NOTIFICATION: Neighborhood notification (which you can find as part of this application packet) will be required if you propose to have off-site parking, outdoor amplified sound, fireworks, street closures, etc. Notification must be filled out by businesses and/or residential property owners or lessees within the road closure and shall give their acknowledgement in writing to the person or organization seeking the permit. The name, signature, address, and phone number of each person who is either a property owner or lessee within the requested barricaded area must appear on the sheet. SIGNS: No signs may be affixed to any trees, buildings or street fixtures. BANNERS: Separate pennits application(s) are required for Hanging Banner Over Public Right-of- Way and Pole Banner requests (which you can find as part of this application packet). Banner over a street right-of-way requires a separate application(s) fees and approval processes. MUSIC: The Committee considers times for duration of music on a case by case basis and takes into account things such as proximity to residential areas and if there have been prior complaints or issues with amplified sound/music. Outdoor music amplification may be denied and/or monitored for volume on a complaint driven basis. A South Miami Police Officer or a South Miami Code Enforcement Officer may require the music volume to be reduced or ceased based upon noise complaints or reasonable noise concerns as a result of the special event. Also, no swearing, yelling, or abusive/inappropriate language or behavior shall be used by the DJ or band. EVENT CLEAN-UP: Unless approved differently by a stipulation(s) thru the Special Events Committee, event cleanup and equipment removal must be completely finished by B am the day following your event, including removing stages, barricades and fences, temporary toilets and other event production equipment, picking up trash, street sweeping, power washing and other clean up/grounds maintenance stipulations. If city crews are required to perform any type of cleanup service due to your event, you will be billed and required to pay for the man-hours spent cleaning up. IV If you' have any questrons regarding YOLlr eveiillfiaf were not answered in the GUIDELINES section of this. applicant, please contact the proper departm!,rit as follow, or call the Special Event Coordinator: SPECIAL EVENT/MARKETING.. . ." .. ' ., •.• ,,, •............................ (305) 663-6338 DIVISION. . SOUTH MIAMI POLICE ................................................. , (305) 663-6301 DEPARTMENT PUBLIC WORKS . " •................... , .. .',., ... " .............................. (305) 403-2063 DEPARTMENT '. . . CODE ENFORCEMENT ...... _ ......... " •... -" ....... -..................... (305) 668-7335 DIVISION .' '. PLANNING & ..•• _ ............................................................. (305) 663-6326 ZONING PARKING/COLLECTIONS ............................. ----..... --.... (305) 663-6384 DIVISION . . v SFEdrAL EVENT FEE SCHEDULE "ALL FEES ARE SUBJECT TO CHANGE"" The following fee schedule was developed as a guide to help applicants estimate costs associated with an event. Each event fee will be calculated according to its locatio.n, size, attendance, and City pe~onnel requirements. All co.sts are an approximatian and are subject to. change. The fanawli\~scfiedlJle af fees willlColJld be ImPosed tat any . special event:' .' . t . • . Special Events/Marketing Division: Application Fee Clean-Up/Security Deposit Expedited Fee Police Department: Supervisor Officer Radio Fee Public Works Department: Supervisor Employee Street Closure Barricades (Only for City Sponsored Events) Pole Banner Parking/Collections Division: Parking Meter Rentals Planning and Zoning Department: Hanging Banner Over Public Street Please note the following: . $ 60.00 (Non-Refundable) $ 600.00 $ 60.00 $ 50.00 per hour (3 or more affice assigned) $40.00 per hour (3hrminimum) N/A $ 45.00 per hour $ 40.00 per hour Nate page 13 tmder "Summary afEvents". $ 80.00 a dayfor use of 10-125 $ 30.00 per pole banner; minimum of 10 poles = $300.00 $ 25.00 per day/ per meter $ 300.00 • Applicatian Fees are nan-refundable and must be paid befare applicatian can be cansidered fully submitted. • Clean-up depasits of $600 can be refundable up to $500 ($100 city administralive fee is non-refundable) ar less depending an any autstanding balances. • All pre-event fees such as street clasure, parking meter rentals, employee and aff-du~ afficers MUST be paid before permit is issued. • Street Banner application fee MUST be paid befare submitting the Special Event Applicatian (attach copy af inVoice/receipt) to. the applicatian. • Barricade fee shown above is an estimate and does not reflect cast for delivery, setup and/or break-down charges. Barricades can anly be rented when the event is spansored by the City. • Pole and/ar Hanging Over Street Banner include bath hanging and remaval of banner receipt. VI SUMMARY OF EVENT This section of the permit application is intended to provide the Special Events Permit Committee with an overview of your· event. Information you provide in this section is public information and may be used in developing the City of South Miami's Calendar of Special Events. Application must be submitted no' less than twenty-one (21) days prior to the effective date of the event with all required documents. . TYPE OF EVENT; D Filming D Charity D Festivals 0 Celebration o Promotion Other: ""Ruo /U) a I ~ NAME OF EVENT:. Twit!Jh± .oK ~u.n [Walk. LOCATION OF EVENT:-.S W .~.~Stcee+. "~"'" Sw ~5J'J!i. C!.pC,.{('± (Please note: write complete mailing address, as well as name of any buHdings and/or parks if applicable) Is this an annual event? 0 No I8:J Yes if yes, this is the 28 annual event, previous date 3/ Ma!120/~ EVENT DATE(S): . ~'l$" H~!j 201b EVENT DAY(S):Suod OJ ACTUAL EVENT HOURS: ~: oc) . ....a.m.(@ UNTILL. 9: OCJ .... . a.me (Please note: event may not begin earlier then 8il:·m.'Oiilhd later then 11 p.m. in residential areas, or mitlnightin commercial areas) ASSEMBLY DATE(S): l5" Ml'tfj 2.Dl(o SETUP/DOWN TIMES: 12Jvoo~.m.!.€Jj5:>~_a.m.lp.m. ANTICIPATED ATTENDANCE: /,:;)0 () TOTAL EVENT DURATION:.8 hrs mins -- Name: .:nbc ".Tp. f..Jusehy Title: VICe., ~Pc:-e.s(cl en t 1-16 Name.:~, ~~ ___ --.'-~ _____ ~ Title: CeIi/Phone: ____ ..."......,--_----"'=~ Email: ~~ ___ ~ ______ _ APPUCANT/5PONSOR:tNF'ORMATION The applicant for the Special Event Permit must be the autheirized representative oflhe organization/business conducting the special event. This person must be available to work with the City's Special Event Permit Committee throughout the permitting process. A professional event org;lnizer, or other representative, may apply for the Special E;vent permit on behalf of the organization/business. , NAME OF ORGANIZATION: ~. -,-/::::::e""o~m.LL!trn ......... ~tW~o!!..r-"k"",.s~~~_~~~"-,-__ _ ADDRESS OF ORGANIZATION: 57.;;).Lf.Sul)se+ brrl/e.., 3pLt-4-bNlI~m". EL .3.3/43 ,--",--"-;"'~'-. "-'''''_'n_' ."' ,-, , , I OFFICE TELEPHONE: 3Q 5-fo6b-J~ FAX: @5 -fp67:cr7 bO PRESIDENT: LaurIe ~. J+useb1 SECRETARY; Mol/lOb. GQrCla ADDRESS;. 57;;). Lj. Su. ose -I-. "br-I Ve. ~ou+h .. N lami .. FL33ILf3· I PRES. PHONE: ~.§~66(Q -7~ ............ EMAlutau. ne@ +ecrnfbo-ft.Vol'ks.0'7 SEC. PHONE:.30 S -: ~ ~<O. J oX) 3 EMAIL: [o/ph@fbotYJqr~SIY>I&mi.com If the organization is a tenant and/or renter of the event location, please have the property owner ,,'r ,mn,,,,,' o Applicant/Organization owns the event location o I give permission for the Applicant/Organization to use my property. Comments: ----~~------~------------------------~---------- Property Owner's Name: ~ ___________ Phone: _____ ......... ----_ Property Owner's Address: Property Owner's Signature:~ __ ~~~ ______ _ Date: _~~ _____ _ » Notary Signature: 2·16 EVENT FEE. QUESTIONNAIRE POLICE DEPARTMENT ::~ i Will your event obstruct the normal flow of traffic? Do you expect the total attendance for your event to be over 150 people at anyone given time? 3. uz(' 0 Will you bYBJ>estin g the use of Extra-Duty Police Officers? If yes, how many (Please note: if you answered NO, to this question off-duty officers can still be assigned to your event at a cost to you if deemed necessary) If NO, please describe why the event will not have a significant impact on the surrounding public streets and/or property area. Off-Duty Officer Applicant pg. 11 ISee Special Event Fee Schedule for cost detail PUBLIC WORKS 4. ;r 5. d' NO 0 0 Will your event interfere with any public right-of-way, such as roads, sidewalks, alley, etc.? Will your event require any full and/or partial road closures? If yes, please complete the Right-of-Way Application. (Please note: any right-of-way closures will require at least one off-duty officer and public works employee,) 6. ~ 0 ;.~vent require the use of barricades? If yes: how many .. . . . what typejylE :l.. ... .. .. ' (Pleas note: all pubic right-of-way closures must have approved barricades) 7" ~ 0 Would you like the City to provide you with barricades for you event, at a cost? If yes: how many .100 . 8. 0 [i2(" Will you be applying for a Pole Banner? Please describe your plans for the cleanup and removal of recyclable goods, waste and garbage during and after your event. Webaveexkns,·ve. experience_ w;-f-t,. cl€oo-u.p if. reel/elt'n!. Bc:d'::@S)2r~"msl +rq"h bd~.s .,.ancl (:IC'c.e.ss. t-o dlt./'I1psfe-ts t rec/jd ''7 eOnk,ne-q. Public Righl-Of-Way Applicant pg. 12 IPoie Banner Applicant pg. 15 See Special Event Fee Schedule for cost delail 3-16 PLANNING AND ZONING . i ;. YES NO 9. ~ 0 Are you confident that your event is in the City of South Miami limits? (Please note: that it is the sole responsibility of the applicant to ascertain the location is within the city's limit. You may call the Planning & Zoning department at (305) 663·6326 if you have any questlon(s).} 10. Ef 0 Will you be hanging ariy banners over public streets? If yes, please complete the Hanging Banner Application. (Please note: that all requests for banner over public streets must be reviewed and approved by the City Commission, which meets only twice a month.) 11,Q . 0 Haveyou notified the event location neighbors about your event? . Hiiiiging Banner over Street Applicant pg. 14/SeeSpecial Event Fee Schedule for cost detail PARKING DIVISION .-; . YES NO 12, '.@r 0 Will you be renting any City parking meters? If yes, how many 5'7 (Please note: that if you are closing or interfering with any right·of·way that .. includes parking meters you are required to pay the meter fee as well.) 13 .. 14. if 0 Do you have enough on-site parking to accommodate your event? [] . ff Will your event involve the use of a shuttle and/or alternate parking sites? Parking Meter Rental Applicant pg. 13 /See Speciiil Event Fee Schedule forcost detail CODE ENFORCEMENT ._ ... YES NO 15, [i2(' 0 Will you be having any music and/or loud sounds during your event? 16, 0 B" Will your event be starting before 8 a.m.? 17, 0 ~ Will your event end after 11 p.m. on a weekday and/or 12 a.m. weekend? 4. r PARKS. AND RECREATION YES NO 18.0 ~ Will this event take place in any of the South Miami City parks? (Please note: A rental fee will be applicable if a City Park is being utilized. Reservations are made through the Parks & Recreation Department (305) 668· ~232). 19. 0 0' Will this event require the use of any Parks equipment or staff? 4·16 SITE PLAN/SKETCH A map of the event site is required and should indicate event layout with proposed attractions, recom.niended street closures, parade or run/walk routes, etc. Please draw you map on the space provided below, or attach your map to the application upon submittal. The following must be identified and labeled: 1. Event Site (label streets, building, etc.) 3. Canopi~s, tents, stages 5. FencingiBarricade,x-x-x 7. First aid facilities + 2. Routes (races, parades, etc.) -7 -7 -7 4. Restroom facilities R 6. Off duty police officers P 8. Parking Area PA 5-16 , .. . , .' I ~. .is vLMS ( :l) c: '. z z \I ~, ,'- I!:lSINI:! ' , ..... " • ; :s " S1 . SiN3WHS3H:I3H , ,. 7;1 J , ' - l - }"V1d~IO .. . .. ' . EI NI>lHVd ,I " " J ~l' J.StLMS ~ m, n"~iiiiiiiiiiiiii11 r- , • AVldSIO >lNVa .iVN .iSHI:! NOI.iVH.iSIEl3H '3M:lO 13SNnS i \ I I I I . ... _~.~ •• ~ ~"M"" ___ ........ _ •• ~." ... ~. "_ ...... ,.. •• ' ,._ .......... " ......... ~. "'~""-"" .. ' .~ .. , .. _ .... _ .. ,. .-J I: ... o~ &~ -'--~\At J:: Twfl}j·igih.t 5k .' 'Miaml, FL~ . .c: S Red'Rd~ " --.,--......,--.. !'-I!~I~' r---'---:-'-~- "S:: .' . i! q:: . . . ..' , . ~'----" t •. ~ -----z 3MI Lr "[~,'--__ ~ . SW 59th. Avo.. CO .-___ ..,-____ -. . ':s: I t/) :JStart Detiaii SW·6~ndAv •• -Ave. ~ .-. sw 58th .. Ave. . r;: .r::,~::"".1li 1 mile Is on 87 St lust t;,efore 80th Ave. -. . Z n\1I~ Is on 84 Sllusl pasl6l Ct. \ 3 ",II. Is on 74 Tar lust:past tum olf of 58 51 .. :::1"1' h ·;s;:.IL,ve. ndAve. USATF Cerl.;/I Fl.,10055EBM offecUvo 6103lZ010 to 1'213112020 . SW.65th Ave. 1 I , . ,. J~ Start Is 81 ft. 111nohes north of :~anitpry sSY'sr at middle of;thG' ~reBt at SW 14 Ter and 58 th r' .c'. .... "",. r- FInish Ii; 13 F.\ 3 Inch •• sout~ of light past at ddva thru "o'nlrancelo First . N~Ik!rui1 B8nk of ,. ~outl\ M1~m1 ori !l7 Court.· . ., .- .,1/ ....... "iSW 57th. ct, ~ ~ ;l;t Course measurad by Don Matus:z:ak and O",vid R.aYbon. 78 8•525 -3"540, donaldmatuszalt@comcast.net ~. i : .. 1 ~-------------.. -~-.. ---.,-.~===----====-----...:::::=--.~~-'-====-.-. -, \ NO'!'):FIcAnON11'HITIION We, "the undersigned businesses and/or residents, have been notified of street closures associated with the event noted about on s'aid date, and hereby agree or disagree to the closure(s). We are also aware that this response may not effect this application being approved or disapproved. IAP~)rOV'~d~ Disapproved IAnr"nV'.rl~ Disapproved IAnrlroV'3d ~Disapproved ':l~lV Disapproved -(£~(-~~.J~ ';) -,,,,01 5'" 5'1·" ,-,-/ i/,rV\ppnJved ~ Disapproved IAP()roV'~d ~isapproved 0 Disapproved 6-16 NOTIFICATION Tl>E IT I 'ION Event Namei!M0ht~-;< !?unIWcUK-Event Date: H9YIS; c:::o/~ We, the undersigned businesses and/or residents, have been notified of street closures associated with the event noted about on s'aid date, and hereby agree or disagree to the clos'ure(s). We are also aware that this response may not effect this application being approved or disapproved . . . -,-.. : .. ~'!iP""'~~~----1~-1 • ,"~",<.,,'0;\~tr.\j {' .... ,. .... "', .• ?.\h,1,,_I'-'(f:v·I::1"-f·~}'II~'i1t~i$",l't:1-}",~,,l.j-" ,~11"'\"1"''''' ~~;1.;;'%,p"A~"',f,)?·i-:;'f!~~i!:~!Ji."'~;::; :'1."4, ,<~~ h '~.>'.1f:ri ~ ~::;!.f.:f~" Y!i)~ ['1 -,~' ,<'\ l .... -.... , ~h';::1 j ~ \, t -~,. >~) I"~ '"'~ ~"". ,f, 'J '~"....,,,,,-+..,,, " H !(~"T r:,-~1!il'~ "';;<" ,~;, ~ '>::;. ;y \ ,~,~ ""'''Ji:;C'':!::'"i: »",,1, ~". ~-,". ,-:' r.''<''<> ~I~, ,~,,-1>'';-;;r.::.'l"~ ~~5~' ~.' ~ 't,r; ~""\"l;;§r'«\l;~~ "'"\~,:\' ")~""'~~i'~ t§~':.. -~~~O1'.;' -""', 4,,) ~"';(§!' ,~ f).~ot:: ",~ ".~ ,,~ " 1-'" , " , 'Y ~ ~-'" <,' '. () , < '~~ .. ;;, ~'rut~~r""" ~~7fu;o'i:::':,t f)!-b;:'\ -1-_"f:::~:::;.;s;,ld"JI~' ".,~~< A ,~~<.~-.; >L ~~ !itS~'t'.r'l;{~J',"_, >,."",~. L.~'~,~.">?!r~ ~,!:;:-':(::O::;\'(-:'0"Pj'"'~""('~~ .~~, .'>g>--"2:"~ ~", i;~"""~F ,i':~11§,(~Ck""C'1.,oli:,~~({ ,(", "!!?, '",;'1";1\. ,C",;;;, ~"l;2,j;",'i;"" ", "" <\.''fc, "". ,.j_ ~'ibc'r~-1'~ ~ '~D..."t~.i~ )~,;..~~ ~~~~~~ ~1&~~:;"~..;~~L~\f5,f bWJ Zj 1ldaJ' J I~'i fW ~ 7!:k ............ if7rP3-f3lf S5 Approved ~isapproved 0 ~~fJJrJei JJ-~ e:J-. . ... -.... , 8.t.I ...... ~ ~ ao ("\ s. 'S "";)'-tS S" III ~l-t . .. . ~ .. -. biZ ( Co -:'""1-5l\, Approved ~isapproved 0 ~J\IV\Q E.<fl..t'.\e.!.{~ Plo..<u. t-I." i ,..M.'1 F'L Approved 0 Disapproved 0 ••....•.•.... Approved 0 Disapproved 0 .. , ... -. " Approved 0 Disapproved 0 ". . .. • -r . Approved 0 Disapproved 0 Approved 0 Disapproved 0 Approved 0 Disapproved 0 Approved 0 Disapproved 0 Approved 0 Disapproved 0 6-16 GliNERALREOUlREMENTS ,S,ection I v" When marking any public street, curb and/or right·of·way no permanent marking substance may be used. All marking agents must be removed immediately after the completion of the event v" Barricades shall require an additional rental fee established by the Public Works Department if a City Sponsored Event. If not sponsored by the City, then you must rent barricades through a barricade company. v" No pegs, stakes, or anchoring devices shall be driven into the concrete, asphalt, orCity hardened right·of· way. v" Map of route or site plan of the scheduled event including a·1I stations and descriptions of activities. v" Any temporary cover for stations such as a canopy shall be flame retardant and applicant shall provide proof of such certificate. . v" Review ofapOllcant'Spaperwork to note location; any food sale's, vb!Uma.Of rloiseimusica,fid·Puration. v" 72 hour notice given to all merchants whose 'street wciuld be closed. . . . ... ' ~.'. .. Please initial === 8ra ctio n " v" In the event of a parade, a permit from the South Miami Police Department must be obtained. v" If Police service for traffic and/or crowd control is required, arrangements will be made through the City of South Miami Police Department for off..cfuty Police officers. The Police Department will determine the number of officers required. (Please be aware that costs might change ana yearly basis). v" Code EtlforcemenrDePlirtnnent will chack'on each event to make sure tlial all cooesaiid'tecitllaiions are beinqadhered to. . .. , , . . . ....••. '. . . . . .. '. '. .' .... . v" Allpllrklng lssUesWilf i:ie reviewed throu9hthe.Plannlng Dapartmen\, Parklna Departmentaiidl6{Coda EhfelrcementDeparti'rieOt ..'.... '.' > Public IlabiJjtylhsUl'ahee coverage certitfcate naming the CitygfSouth Miainl as an additional Inslil'edfof.the'time; date, placeiuid namlfbi'thii'event, In the'amountof'$1,oOO,OOO isreatilred prior to the event! ... " , .. . '...' v" Barricades: The average hourly rate for 125 Barricades for one (1) day usage is approxlmate;;:I~=~ Please fnltial " Se,c:tion "I ~SpecJtlc Requirements: '. All cmlanlzatiOns sponsoring sbet:ial aVeh's lJsjnQ pUblic, property or public streets within tile CiWof$outh Miaii1fmUs! receiveprloraporbyaltiy' resolotion frbm thE/Sooth-Miami City Commission,. Tl\etesolulibnmus! inCfude theestfii1aled reifnoJJrsemebtatJ1ountlo bebaidtolheCity for all City revenue fesesandC(ty exbehdiluresassbciafed with lheapptoved specialevent . . '. .' The adopted res61litionmay alsospeciN,an additionalii16l'1etaN cootrtbutllritobe made by the organization to fhe.:Cit\l;:tne resoiutlOl1 shalispeefNhow theadditjdnaimonetarv SOntrfbutlcjrl<is:'to be used by the City. '. . . .' oj A majority vote of approval (one·month in advance) by the City Commission will Qe required for large events . ./' Deposit of Six Hundred Dollars /$600.00) to defray cost of litter clean·up, must accompany application, plus a permit fee of $60.00. If c1ean·up is not required, deposit may be refunded. The litter deposit may differ depending upon the event. ($100.00 will be retained by the City as an Administrative processing fee deducted from the $600,00 deposit). > (Please be aWare that rateS Shall Increase on a yearly basis, due to CQstof 1M nglncreases). > for Grant Recipients: Paymenloftnese6harges could be aeducteaffomthedesfsnatad Ar~tltamount approved by the City. ' . . v" Public Works -The average hourly rates are approximate $40.00 per non·supervising employee, per hour, and $45.00 for supervising employee, per hour. ~, Please initial -'~~"""''--___ _ 7·16 INDEMNIFICATION AGREEMENT .. ~ ---.. .--. THIS AGREEMENT ("Agreement") is entered into by and between Te.am~Works .... . ("Applicant"), and the City of South Miami ("City") on the date on which the last 0 theParties executes this Agreement. RECITALS \VHERE4S, the Applicant has submitted a Special Event Permit Application to the City for (event title) T!.Qill§Pt 51S: BunlWdlk . ·.at5W J3~.s+-.t suJ 5711t e+ (location) on (date(s» f S"'. Ma~ 20 J ((:, ,("Special Event"); and WHEREAS,pursuant to of the City's Code and the City's Special Event Reguations, the Applicant must execute an indemnification and hold harmless agreement protecting the City from any and all claims which may arise out of the Special Event. NOW, THEREFORE, in consideration of the matters recited above, the mutual covenants setforth herein, and other good consideration the receipt and sufficiency of which is hereby acknowledged, the Parties hereby agree as follows: I. The above recitals are true and correct. 2. Applicant agrees to indemnifY, defend and hold the City, its officers, affiliate~ employees, successors and assigns, harmless from and against any and all such claims, suits, actions, damages, or causes of action arising as a result of the Special Event, or of the condition of the site on which the Special Event is held including any personal injury or loss of life, or damage to or loss of property, and from and against any costs, aItomey's fees, expenses or liabilities incurred in and about the defense or settlement of any claims, and the investigalion thereof. 3. Permits for Special Events must be on event site at all times. 4. No Street shall be closed without authorization from the City of South Miami Public Works Department and· Police· Department. 5. Traffic shall be maintained in accordance with Florida Department of Trans pOI tat ion (FDOT), Miami-Dade County standards and any additional requirements by the City of South Miami Public Works Department and Police Department. 6. Event areas shall be restored to equal or better condition than they were before the event started. 7. lfall restoration worl< is not performed within 30 days of work completion, the City of South Miami Public Works Department may restore the event area and charge the applicant for the cost of restoration plusa minimum of 15% for administrative fee and any additional incidental fe ... 8. Applicant must pay all fees prior to.the start of their event(s). 9. Applica11ts that receive approval for their event more than thirty (30) days in advance shall notifY the City of South Miami Special Event/Marketing Coordinator at least forty-eight (48) hours prior to start oflheir event. 10. Any damage to private property shall be restored to its original condition or better and as accepted by the Owner. IN WITNESS WHEREOF, each of the parties hereto has caused this Agreement to be executed and sealed by its duly authorized signatory(ies) on the date set forth below and notarized. APPliCANT SIGNATURE SUbscri~d and sworn before me, this /1 Clay ofkk7a~, tau., a Notary Public in and for ..J=..J..a.:k..+-~:>o..". Count , State of ".....J.~¥ __ ~.:...J.~£ ,. ture (NOTARY PUBLIC) ~ -.r"-_ril_ • • June lewIa -16 ... '" I M,C_I" ... FF 181725 .. ." ExpIoo.02I2I11aOI. APPLlCJ1,NT§ TITLE .3///i'//k DATE:· . DATE: DEPARTMENTAL APPROVAtSHEET· _ " _ . -:.~ .. ','::Z:"-.. _. _ __ . .-. __ ,." _. n" ______ "_ • REVIEW.SY.CITY OF SOUTH MIAMI DEPARTMENTS: Each department will provide estimate of number of personnel required from their department to provide appropriate services for this event, along with an estimate of cost to applicant. o Y: Signature:~ _____ ~~ _________ ~ Oate:, __ ..,...,-",.,~~ __ Amount:,:,:$-",,,-,-,-,-__ Comments/Conditions: __ ~~~_-,,-___ ~-,,_== ____ ~_~_~ _________ ~ __ _ Signature:;-____ ~~ ________ .,.....~_ Oate: ___ -.,..",,.,.,..--Amount::;.$.c.. ~""-__ _ Comments/Condltions:_-_-,--_------.,=_"""'""""'-'"---~~-...... ~----~--~~--_ Signature:._. _____ '""-~~"'-________ ~ Oate:,~ .. __ ~ ____ _ Amount:,.;;$C-... ___ -- Comments/Conditions: __ = __ -----,..",_-_~---"'=~c....:.-""""-----'--~----_ Signature:,'"'.-'--'--'---:.._~_'_'''_'-____ ~ __ _ Oate:, ___ ~ ___ _ Amount:,:,:$ __ --_ Comments/Conditions: ~~------------=-----~~~~~~~'"'-'-===----- Signature: ___ ~--'===~"---_~-~c...;.= Oate: __ ~_""-__ ~, Amount:.;r.$_~ __ _ Comments/Conditions: --~--~~--~------------~----------~~~--- Signature:_------,..:-:------===~­Oate: __ ~_-,--,c.-. __ Amount:.;r.$~ ___ _ Comments/Conditions: ~~~--------------------------------------~ SPECIAL EVENT DiViSION USE ONLY: Permit NO:_-,-~~---, __ ~~ Event Name: Date: ___ ="" Resolution NO:,_~_~-,-___ _ No. ofDays'------~No-.-·o:--f -~-----N:7o-.-:of:--' Total Remaining Til Event: Approved Dep. ___ -'-.. Disapproved Dep. ____ Estimated Cost "'$ ___ .,.,.-,-___ _ Comments/Permit Conditions: -~-------~--~~~~----~~~~~----~~----- " ... .-, .-r ..• .,., ~ ,.r:,"_.;",: ",;t.if",?" __ ~, t· _0 "'.' _'." 0'-''' _,' , -",:.!,-,~ -..-;'.,r ~' .' .~ .• . ,', _'_.",,,-.~ ,"-.• ' ," ".: " ' •• "', " "'''" _"k" "" ,,-, '«-_v'>.<: ."~>Ii.".-,-~ . .,. _.' _~ .; .. '_d' , •. ~;~" -" --; -,. _, '''_' c: ,. ~ _~ CITY MANAGER OFFICE USE ONLY: Review & Final Apprara/ Comments/Permit Conditions:=--___ -__ ~~-__ --_-___ -----'c-~~---- Authorization Signature: Date: 9-16 ,,-'-", Othe .. rmlt . After submitting your "jJl"ll"'''~'{J'f' '.b.y,!.;the~'iSt)eClal Event Committee that . you must obtain one or no longer be considered complete and willde1ay the ap~t~V:~ For your benefit, BE SURE \1f.o(f~¥ii¢W plic:'aticm bietqI!Cl~~his page and complete the • . application if necessary or . al't~llicsltion "If not-applicable", for the committee and/or to insure that your application'tNv.imb.lfV~ I department evaluation your .:[ Application For: Off-Duty Officer Parking Meter Rental Right-of Way Usage Pole Banner Hanging Banner Refund Request 10-16 CITY OF SOUTH MIAMI POLICE DEPARTMENT 6130 Sunset Drive, South Miami, Fl33143 (305) 663-6301 Extra-Duty Police Officers Application , 2.00.1. A police officer for employment that is indigenous to their law enforcement authority commonly referred to as "Extra-Duty" employment. The following policies and procedures must conform in order to schedule a police officer for employment on a temporary or infrequent basis: »0 The'South Miami Police Department shall be the final authority in determining the minimum number of officers required to police a particular event. If more than three officers are hired, a supervisor must also be hired. The City Manager Office and South Miami Police Department will determine the supervisor to officer ratio for larger events. »0 The Applicant will be required to compensate the assigned officer for a minimum of three P) hours even if the event is of a shorter duration. Currently the rate for Extra-Duty Police Officer Is $40 per hour & $50 per hour for SJpervising Officer, plus a $3.00 charge for radio usage for each officer. »0 The Applicant must compensate the officer(s) for their services at least one (1) day prior to Ule start of the scheduled event that the officer(s) will be assigned to. No monetary payment will be accepted. No payment by exchange of goods or services is acceptable. »0 If, during a scheduled event, the Applicant determines that he/she needs to extend the time an officer(s) works at the assignment, the Applicant shall compensate officer(s) for a full hour worked if the Officer(s) works for more Ulan 20 minutes and/or less 59 minutes beyond .the regularly scheduled time of the event. »0 Applicant must notify of a cancellation request of an Off-Duty Police Officer forty-eight (48) hlllrs prior to the scheduled date of service. Failure to do so will require the Applicant to compensate the aSSigned officer for a minimum Ii three (3) hours . . APPLICANT INFORMATION. Sou:/~hHla mi FL. 33143 City State Zip Code 30 E, ~ to b ~ -7:;)..,;),3 Phone Number . ~os~1e107~cnbO . i~CE.£ffiVhPtXJtuJorl<s.oC5 Fax Number . . .... ~~ail . .. . .... EVENT INFORMATION .• :ro~n"jP';Jluse b .. On-Site Contact Person' . 'f Run !1.1 .. Jall<.. .' Type of Event Cellular Number' TLQillT{ht61'<. Rlln I Wqlk Name 0 vent l~oO StU r3.!:9'.s+ t Sw 5711!C+ Event Location Anticipated Attendance I acknowledge and accept fin ibilitles to pay all costs and fees associated with tHs request form prior to the service date(s);·· 3/Jr/;p. ..... . ..... Applicant's Signature Date FQR OFFICE USES ONLy: OAPPROV.EDA$PRf;Sf;NT~bDpi;NIED o APPROVED WITH CONDITION NO. Office: ________ ::x: NO. Radio: ::x: NO. Hours COMMENT: POLICEDEP~A~R=TM~EN~T:------------------------~~~E~S~tim-a~te~d~I====~~~~ SIGNATURE DATE Total Cost "'$ _____ ...... 11-16 CITY OF SOUTH MIAMI PUBLIC WORKS DEPARTMENl' 4795 SW 75" Avenue, Miami, FI 33155 (305) 668-7205 Fax (305) 668-7208 Application to Conduct A Special Event Function on Public Right-of-W.ay :aOOI NOTE: ALL FIELDS SHALL BE.FILLED. No action can be taken on this application until all questions have been answered. As set forth in Ordinance No. 21-09-2013; temporary full roadway and sidewalk closure (NO SINGLE LANE ROADWAY CLOSURE PERMITTED) for speclal events, eight (8) hours max. Schedule of fees is attached. Use blank paper if you need additional writing space. PLEASE PRINT clearly, except for signature. ,Contact Information: !€dmFg;tNorks, ' . .:l;ho ":SP" I-ktseb Authorized Representative Name 1 Eluslness/Organization Name' 5'1;;),Lf 0Lt.()Se.!-. DrPI e. Business/Organization Address SotH-h tt Idmi ',' F L-33/4-3 City Slate Zip Code ~C)5-Co~~-l:;?::> 3 , .",,, Phone Number' ., , .;JO£~l(;lD 7 -9 7leO Jp@tedmfoota.OOf'kS . 0 r~ Fax Number E-Mail ,Event Information; T10i1W 51<.. R..Uh I WCilk Event Name Project Location .s u.)" " '" !9 s t-f ,.;2 cJJ 57 r!!: C...T" , '""," " Event Date(s) I S N~1.f 2.011a Event Day(s) Sund 6 'I """ " Type of Event &',un I [)jed /<... Event Start Time I: a'I) '" """ ,(am /.@EventEndTime 8''.39 (am /~ntiCipated Attendance, /5""00 Event Setup Time l.;;t hOOI) (am/,§)Breakdown Time • It) : trf) (am@TOIaIDuratiOn(inciude setup) "~ __ ~~ I HEREBY REQUEST A PERMIT FOR THE FOLLOWING: AntIcipated effects on vehicular and pedesfrian traffic during Project Maintenance of traffic provisIons are specIfic Qnclude sketch if necessary): S IS tQ.u.n I t.J,..)q I /<... The fol/owing documents have been submitted with this permit application: o Site plan I sketch of event. Clearly define boundaries and linear foot of road closures. o Maintenance of Traffic (MOT) for vehicular and pedestrian traffic during event. 'In signing this application, I understand that separate City and/or County permits may be required tor this project. Furthermore, I am aware that I am responsible for ensuring that the project is completed in accordance with the plans and speciflcal/ons a. stipulated in the permit approval conditions. As well as acknowledge that any right·ot-way closures will require at public works employee and barricades." I r;.,1'1 f1t41' UJ/. ~ .. ,.... DATE Approvedl -ti By Date c Permit Fee ' Comments Disapproved 0 (.) " 12-16 CITY OF SOUTH MIAMI PUBLIC WORKS DEPARTMENT 4795 SW 75 'h Avenue, Miami, FI 33155 (305) 668-7205 Fax (305) 668-7208 Public Right-of-Way , Schedule of Fees Ordinance Item , Measurement PERMIT FEES Minimum permit fee Permit extension fee, for 60 day period ..... PERMANENT TRAFFIC' BARRICADE, GUARDRAIL AND GUIDEPOSTS Each 100 LF..orJraction TEMPORARY FULL -, .. , ROAD AND SIDEWALK No single lane roadway CLOSURE closure permitted. *For special event 8 hr. period max., incl. set up Per linear ft. of road, time. Excludes city events rounded to the next and events funded by the ' .' higher whole number in , . ' citv.. ,.", ' '. ft., per dav TEMP()RARY SIDEWALK CLOSURE Each 25 SF or fraction Permit requires French barricades along curb or EOP.* · Maximum permit fee TEMPOAARYSTAGING · Flat Fee perdiiYfor first AREA, CRANE, TRAILER, 5 days TRUCK ON THE RIGHT-Every five days or OF-WAY fraction thereof after MAINTENANCE OF · Intrusion into and/or TRAFFIC (MOT) using one-way lane Roadways with two-way traffic Detour, per direction . Sidewalk intrusion, each WORK WITHOUT After the fact permit fee: PROPER PERMITS For any work performed AND/OR INSPECTIONS without proper permits Permit fees And/or inspections quadrupled . Minimum, per day PUBLIc WORKS HOURLY RATE Non-supervisor ..... Supervisor 13-16 Fee S .... lh 1\-11.,,,1 l'" lot, I d II h -.t, i¥ r;( ;uu; , 'I.\I,~i $150 $150 $85 $025 $75 $10,000 $200 $300 $100 $200 $100 $100 . $1,000 $40 $45 CITY OF SOUTH MIAMI PARKING DIVISION 6130 SunsetDrive, South Miami, FI33143 (305)668-2512 Fax (305) 663 c6346 Parking Stalls/Meters Rentals Application Pursuant to Section 15 C-1 (a) (2) (b) of thl! Code of Ordinance, "Rental Fees for Public OnJStree1 curbside spaces (Parking space) are $25.00 per space per day, seven days per week based on twenty-four (24) hour use". Tecmt!xrtWorks '. ;bho ".:rP" t-ktsefoy Business/Organization Name Applicant Name 5'1;::Lq,~t.wae.t f)r/\J'oL Sou+h Ii f~m; Business/Organization Address City State Zip Code -=;o"-'!94S"",-,,,,,,,:(,,,,p-"".~<JI.lQ,--_'7u:;.;l ... .:J,,,-3J_-,,,3..,.,. O..,S.>?_-(P"""'("CL7-.-j~74~. OJ f' G2teorYI A:xtwo des. oay Phone Number Fax Number E-Mail Name of Event: TWi IlShf SK Ruo/Wall<. Type of Event Run It..UQll;s. Purpose for utilizing parking meters: _-"S=C\"-JfeL.:' "'-/-'-'.':!i.l<. f----~:.....-.-----,..---- Number of On/Street Number of Day's Start a.m. End a.l}l. curbside spaces requested: _"""","""-,_...-...,curbside spaces desired: ~ ___ nme:~_.".,.,_p.m. Time: ---0--'-----,,,,, p.rn, I hereby certify the above information is true, correct and complete as of the date of this submittal. It is understood that this applicant will be reviewed and may be adjusted periodically by City Staff; if any information should change that I shall amend or supplement this application within five business days of the change. ~ Appli nt's Signature . Date FOR OFFICE USES ONLY: PermilNo: ~--------~~--. o DENIED 0 APPROVED AS PRESENTED 0 APPROVED WITH CONDITION NO. Meter Days;' :x:: NO. Meter. :x:: Daily Fee: ___ ~ Comment: ----------,-------------,-..-,----..--.,1"'""------, 1$ PARKING DIVISION SIGNATURE DATE Estimated Total Cost 14-16 <:::'L'l 5"1 c.\ Co'>>.!) •• 4t.1~ '+1.0 4L\ 41..2- 't-l. ~ . '1:-1.4 . 4.1.. 'i 'h .. <.. <i-Li 40~ 'f.¢'1 ~(. ~S' .... ~IL '-k'l~ ~ ~o,) 'n!> I ~ . -,.--.. ,. .. CITY OF SOUTH MIAMI PLANNING & ZONING DEPARTMENT 6130 Sunset Drive, South Miami, FI33143 (305) 663-6326 Fax (305) 668-7356 Hanging Banner Over Public Street Request Form for Special Event ZODl Application for the purpose of requesting approval to display banners over public streets promoting events as set forth in Ordinance No, 10-07-1911; LDC Section 20-4,3(N), Complete this permit application form and submit the application to the Planning & Zoning Department located in the Sylva Martin Building in front of City Hall, This application must be submitted at least 30 days prior to the event date. An application fee of $300 must be paid at time of submittal. If approved by the City Commission, this fee covers installation and removal of banner. If approved, take the permit and the banner to the City's Public Works Department located at 4795 SW 75th Avenue Miami, FL 33155, at least one week prior to the installation date. The Public Works Departmentwill install and remove the banner on the dates specified by the approved permit. ORGANIZATION Name of Noit=for- Profit organization,~~ __ ~-.,,---=-____ --,-c-~"""i4""~--=_~-'-~-"""-'=-";~_~ __ ---'_~~~ organization Address Authorized Re- presentative Name. ~----~~~~~------~~-=~ EVENT Rep. Title_, _~....,..... ____ --., __ ~ Event Name: Event Date: Event Type: ' ' ~~~~~~~~~--~ --~--~~ ------~~- Approximate Installation Date Requested: thru Banner Location Requested: D 5800 Sunset Drive 05880 Sunset Drive Briefly describe event for which you wish to display a banner in South Miami: ~-'------'--~~~~ r ' ~ Installation and removal dates are based on workload. The City is not responsible for the condition of the banner during this period, > Applicant agrees to pickup banner within seven (7) days after the event. The city may discard the banner(s) after the specified period. ~ Banner Specifications-30ft X 3-4ft wide, 60ft of Y, (haln nylon rope with hooks and the banner must vents. Applicant's Signature PLANNING & ZONING OFFICE USE ONLY: > Illustration of banner showing height, width of the banner, and lettering > Copy of liability and/or property damage insurance required ~ Application fee $300 (per application) City Commission Approval Resolution No. _~ __ ~"--___ ~~_ Date SUBMITtED 'REC'I) By: INITIAL o o o Comm. Date: _____ ---- Comment: ~--------------~------------------------------------------------ 15-16 CITY OF SOUTH MIAMI PUBLIC WORKS DEPARTMENT 4795 SW 75 th Avenue: Miami, FI 33155 (305) 663-6350 Fax (305) 668-7208 Special Event Pole Banner Application 200-;1.: This application must be fully completed and submitted with REQUIRED attachments such as: copy of a public liability insurance policy and copy of the design with the banner dimensions listed, The $300 per 10 poles fee also include the installation and removal of banners, ORGANIZATION HOLOING EVENT Business/Organizalion Name Authorized Representative Name Business/Organization Address City State Zip Code Fax Number E-Mail EVENT & BANNER INFORMATION Event Name: " ,,'_, ,.,' " Event Date: Event Location: Event Type; Approximate Installaiion'bate:'~' ~=-____ ~=~ thru _-=-="",'CC" C::""""c:."~"" '-'-'-'-=''' Tot~ Duration:,.,~, '--__ ~~~ Sanner Size/Dimension: Pole Banner Description:_~,-,-,-==,--,--,--_,--~ I I I I estimate, iii"1 5t8ii:3iTOn Applicant agrees to pickup banner(s) within seven (7) days after the event. The city may discard the banne~s) after the speciftedperiod, '> Applicant understands the installation location(s) are approximate loeation(s), The inslal!~\ion IO,coti,on{s} isI1lIt~~§e(j,9n'Slt~aYl!I1abllitY'~nd degree of difficulty, The City is not responsible for the condition of the banner(s) dunngtnis period, "The applicant agrees to hold the City of South Miami, free and harmless from all liability that may be adjusted against it and to reimburse the City for all expenses of litigation in connection with the defense of claims as such liability and claims mey arise because of negligence in the performance of the operation, selVice, or act for which the permit was issued," PRINT NAME APPLICANT SIGNATURE DATE FOR OFFICE USE ONLY: "'Resolution NO. '''--'--~---~- OAPPROVED AS PRESENTED D DENII:m 0 APPRQVEDWITHGONOrriQN Permit No.,",-:"", ~~--' __ --'- Installation Date,: _____ ---Removal Date,:,~ ~ ____ "'-~~ Work Order NO .. ~, _--'. ____ -'--~ Comment,:. _______ ~ _____ ~ __________________________ ~~------------~ -1$ PUBLIC WORKS SIGNATURE DATE Estimated Total Cost 16-16 II C'onsu~erls Certificate of Exemption II Issued Pursuant to Chapter 212, Florida Statutes 85-8012600365C-4 i i Number This certifies that TEAM FOOTWORKS EDUCATIONAL AND FITNESS CORPORATION 5724 SUNSET DR SOUTH MIAMI FL 33143-5316 is exempt from the payment of Florida sales and use tax on real property rented, transient rAnt"Tffi'rii'l-.rill'I'fA'iltAri personal property purchased or rented, or services purchased. Important Information for Exempt Organizations DR-14 R.04/11 DR-14 R.04/11 1. You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases. See Rule 12A-1.038, Florida Administrative Code (FAC.). 2. Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's customary nonprofit activities. 3. Purchases made by an individual on behalf of the organization are taxable, even if the individual will be reimbursed by the organization. 4. This exemption applies only to purchases your organization makes. The sale or lease to others of tangible personal property, sleeping accommodations, or other real property is taxable. Your organization must register, and collect and remit sales and· use tax on such taxable transactions. Note: Churches are exempt from this requirement except when they are the lessor of real property (Rule 12A-1.070, FAC.). 5. It is a criminal offense to fraudulently present this certificate to evade the payment of sales tax. Under no circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for payment of the sales tax plus a penalty of 200% of the tax, and may be subject to conviction of a third-degree felony. Any violation will require the revocation of this certificate. 6. If you have questions regarding your exemption certificate, please contact the Exemption Unit of Account Management at 800-352-3671. From the available options, select "Registration of Taxes," then "Registration Information," and finally "Exemption Certificates and Nonprofit Entities." The mailing address is PO Box 6480, Tallahassee, FL 32314-6480. Internal Revenue Service Department of the Treasury Washington, .DC 20224 Person to.Contact: Team Footworks Educational Telephone Number: and Fitness Corporation c/o John K. Huseby (202) 622-8240 Refer Reply '0: 5724 sunset Dr. CP:E:EO:T:2 South Miami, FL 33243 Dale: • NOV 91994 Employer Identification Number: 65-0455073 . Key District: Atlanta . Account~ng }i'er,iod Ending: May 31 Foundation statu~ classificatiori: 509(a) (2) ·.Advance Ruling Period Begins: January.l, 1994 Advance Ruling Period Ends: May 32, 1998 Form 990 Required~ Yes Dear Applicant: Based on 'information supplied, and.assuming:your·operations will be·. as ,stated"in:'your~ai?plication for recognition 'of exemption I ··we·· have 'det"ermined: you are' exempt ':.from \ federal income tax under 'section -501(a) :'of the·.Internal·Revenue Code as an organization described"in section: 501(C) (3) • '.' . , . . '. . , " Because':'you are a "nei~Tly created organization, we 'are not . making a final determination of your foundation status under section.509(a) of the Code. However, we have determined that can reasonably be expected to be a publicly supported organization described in the section(s) shown above. now you Accordingly, . you will be treated as a publicly supported organization, and not as a private foundation, during an advance ruling period·. This advance ruling period begins and ends on the dates shown above. Within go days after the end of your advance ruling period, you must submit to your key District Director information needed to determine whether you.have met the requirements of the . applicable support test during the advance ruling period •. If you establish that·you have been a publicly supported organization, you will be classifiedas·a section 509(a) (3.) or 509(a) (2) organization as long· as' you continue to meet the requirements 'of the applicable' support· test.· . If you do not meet· the public . support. requirements during the advance ruling'period, you will be classified as'a:private foundation for future periods. Also, if you are classified· as a private foundation, you will be treated as a private foundation from the date of your inception for purposes of sections 507(d) and 4940. . '" ". CERTIFICATE OF LIABILITY INSURANCE I 3/14/2016" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR oonnllt'co. ANO THE CERTIFICATE HOLDER . .... r~~'" .. ,.lfthe '~~!.~,":.,i~~~_,;,:~:::::::'"~ .' the I must be !f IS.~~~j~ct.~o the.terms; i ofthe ,",UI~".1 ..... 'lnc .. 11 may require an endorsement. A statement on thiS certificate does not confer ,,~. the , holder In lieu of such, PRODUCER • M. STAR Xnsurance -Fort Wayne Off:i.ce '. E"', (260) 467-5689 I r~ '." (260) '67-5691 2130 East Dupont Road ,.com . , Fort Wayne XN 46825 INSURERA,'" -, r. ., INSURED INSURER B L:i.fe Co, NAICO 111991 I 66869 Road Runners CJ.ub of America/2016 and Its INSURERC: Member Clubs ~'~NSU~RER'~'D.-------------------------------4--------~ 1501 Lee H:i.ghway, Su:i.te 140 ~1~NSU~RER~"E~"~ ________________________________ +-______ -4 -,.. VA 22209 INSURERF, ~ ~ :N~ L6 $2M A.X '""MR~''' J~6fc~T~g C~~~~~~~N6~~t~~~I~~g&REMENT, T~~~S6'if ~5~~I';;~~~F B:~~ b~N~:6~ 6~E6THER D~~C~~~t~~,"~ ~~:P~~~ ~g~~JI(~~~~I~ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUC~I=. LIMITS SHOWN MAY HAVE BEEN ~~S. I'~i'.\' TYPE OF I -fJlWl fIlIl!'l POLICY NUMBER ~ ~ LIMITS X" ~ 1$ A I CLAIMS·MADE W OCCUR ~ 1$ ~ Legal. Liabil.i ty to KRO0000005888100 12/31/2015 1? I'll l?n11 I $ _ participant $2,000,000 12:01 AM 12:01 AM I J!.AnVIN.lIIRV 1$ ~'L AGGREGATE LIMIT APPLIES PER: ~FNFRAI I $ ~ POLICY D ~~8i D LaC Abuse & Molestati.on PRnnllr.n: . 'AGG I $ • OTHER, $5,000,000 Ab"el I 1$ _ LIABILITY i I ; LIMII I $ ANY AUTO 1$ A -ALL OWNED -SCHEDULED . I ~ KRO0000005888100 12/31/2015 II? I ~ --;-AUTOS -:;-__ ~g~?5WNED ~ HIRED AUTOS ~ AUTOS 12: 01 AM 12: 01 AM I $ -EXCESS LlAB UMBRELLA LlAB --I ~CCUR OED I I I e NIA ANY I EXCLUDED? ~NHI B Excess Medical & Acoident ($250 Deductible/Claim) SPX0000027201500 12/31/2015 12:01 AM ,-., "n, 12:01 AM EACH I ~I I~~H- 1$ 1$ 1$ • E.L EACH. $ E.L. DISEASE -I $ E.L. DISEASE -POLICY LIMIT $ Excess Medical AO & Specific Loss DESCRIPTION OF OPERATIONS / LOCATIONS /VEHIClES (ACORD 101, AddlUonal Remarks Schedule, may be attached If more space Is required) 2,OOD,000 500,000 5,000 2,000,000 2,000,000 500,000 2,000,000 $10,000 $2,500 CERTrFXCATE HOLDER XS NAMED AS AN ADDXTIDNAL XNSURED AS RESPECTS THEXR INTEREST XN TIlE OPERATXONS OF THE & ..... NAMED INSURED. DATE OF EVENT(S): . 05/15/16 Twil:i.ght 5k Run/Walk XNSURED RRCA CLUB/EVENT MEMBER: TeamFootWorks, Att'n: Karen Plaster, 5724 Sunset Drive, South M1ami, FL 33143 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 05/15/16 City of South Miami THE EXPIRAnON DATE THEREOF, NOTICE WilL BE DELIVERED IN 6130 Sunset Drive ACCORDANCE WITH THE POLICY PROVISIONS. South Miami, FL 33142 AUTHORIZED REPRESENTATIVE Terry Diller/MMA .~ .. -.l~ 'R _ ~,CPc..u © 1988·2014 ACORD CORPORATION. AUrlghls reserved. ACORD 25 (2014101) INS0251,o14on The ACORD name and logo are regislered marks of ACORD CITY OF SOUTH MIAMI SPECIAL EVENTS/MARKETING DIVISION 5800 SW 66 Street, South Miami, FI33143 (305) 663·6319 Fax (31l5) 668·7388 Special Events Clean-Up Deposit Refund Request Application South :!.Volt.unl 11' 1 'I> t' t d a. bft#'fII iliI[v 200]' In order to receive your clean·up deposit, (or a ponion thereoQ, you must complete and return this form to the Sp'ecial Events I Marketing Division, no sooner than twenty-four (24) hours after your event. The Deposit of Six Hundred Dollars (S60D.00) is to defray cost of litter clean·up. If clean·up is not required and your event occurs without any city damages and/or costly issues, $500 of your deposit may be refunded back to you. A $100.00 non·refundable administrative ~e~.,:,1!1 bededucted from the $600.00 deposit. Event Name ~ibl ~~ .. tv i-he-.!tiU-t:.ri ....... ;. . Event Location S u.) ~:a ~ ~+ r e e+ ~ .s LiJ 57 71!' C.Ou r t- Event Date(s) 1.3 MQrrh 20 I I.!veni Day(s) S un,J ~i . Type of Ev~~t-R~n I UJq lie Event Start a.m. Event E.nd a.m. Time p.m. Time p.m. Total Duration ......... -'----- were unscheduled Police Officer called out to your event? . were ttiere any damages to any city andlor private property? have you paid all the required fees associated to your event? Comments, problems andlor suggestions (if any):,~. ________________ _ If Refund Request Application is approved, would you like the payment to be: Mall Check 0 o Refund to: (Full Name & '-' --,-~. '''-' """~-'----'---~"":"''-------''-='-~~---------- Mail Address): "In signing this application, I understand that Refunds will not be processed until this form has been completed and signed off by designated City Departments. II fnv cost incurred is outstanding, it will be deducted from deposit and that I will be held responsible lo':"'j :ve. rages '~ . .' .•.. .•.• , .. ! I. -' J I Gf..I! ItJ.AL. ". _¥L -~:. , ,~+.P-tJ~ . .. ~~¥-~ FOR OFFICE USES ONLY: Police Department Date APprovedD Denied DAmount Due: ",$ __ _ Public Works Dap. . Date APproVedD Denied D Amount Due: ",$ __ _ Parks & Recreation . Date ApprovedD Denied D Amount Duo: $ ~-- Code Enforcement Date. ApprovedD Denied 0 Amount Due: .:$:...... __ Planning & Zoning .. Date." Approved D Denied D Amount Due: ",$ __ _ Parking Division . Date Approved ~nlectD Amount Due: $ -,; '" :-.... ..r..< .... n';. .. n ".'. ,< ;.-' ,¥' _~..; .-'-,"J' (' .-!, .' _~ ~ •• ,~'.,'.:., ,,,.~, ,... ... ,,"' .. , :: .,t:. -•• -:-,~ ~",..'.-.• ,"-,.-~, •• ,-. ~ ' •.• ' .' ~ ··-7;:' _~ .... ,:" >'0;-.:, ... "' ,w.-:-•.. ~··;$"r 1" ~·,..,. •• rv<"··,,<: ""'~:',,,, •• ' ........ _. " s.:".-'-"'--::-:-: FINANCE DEPARTMENT USE ONLY, Q Fteturn Deposii.d· '0 Raturn Portion 0 bulstanding Balin'C" Total Amount Deposited: "'$:...... ______ Date: _______ Amount of Service Rendered: . .:$c..,:,, ____ -'---" Total Amount Returned: $ Date: Total Amount Owned:.,,$:...... _____ _ Finance Department Authorized Signature:-.,..,.--:-:-=====:-=-::-:",,",,-:-:-=== Date: CITY MANAGER'oFFlce USES ONl.Y:--"·· ., ' .. ' , " .'" "'R;;;~;:; 8. Fi~;iAP~:O~;," "" .• ; .. " ... . ,,~ .. ,-" . ., .-",," City Manager Authorized Signature: ______________ ~ Date: .. Name of ~v.mt; EVIl ... t Da.t¢ (i$) FICA .Pllb6e Works. D~partment ltl'ilntCMt Estimate Twilipt5K Rmi S)Xndllf;,MIIf 1~2();l,6 4 ~amli )ubl1~ \V,o!lks F~ ~.Mamrlals Iii_mimi: BBtri~es. CUl' to moper day) ~4iif1 .. , -" Q HiS,illt' ,SS:ioq Valdes, Yvette From: Sent: To: Subject: Yvette, Marenco, Carlos Tuesday, March 22, 2016 11:18 AM Valdes, Yvette RE: Special Event Cost Estimate -Twilight SK Run/Walk There is a total of 58 parking spaces requested. The total for all 58 spaces is $1,450.00 per day. Let me know if you need anything else. Thanks, Carlos Marenco Parking Operations Manager From: Valdes, Yvette Sent: Ttiursaily, March 17, 2016 10:23 AM To: John Reese; Egues, Michelle; Aguiar, Jesus; Marenco, Carlos; Martinez, Grizel Cc: Landa, Rene; Kelly Barket; Corbin, Larry P. Subject: Special Event Cost Estimate -Twilight 5K Run/Walk Good Morning All! Commissioner Leibman has assisted in submitting this application today and has requested this be on the next Commission Meeting. Please review the applications attached and the sections that apply to you and provide me with a Cost Estimate forthe Twilight Sk Run/Walk, if possible by the end of the business day today. Your time and help with this is greatly appreciated, should you have any additional questions or concerns please let me know. Thank you and have a great day! Yvette E. Valdes Special Events Coordinator City of South Miami 5800 SW 66th St. South Miami, FL 33143 Office: (305) 668-3873 Fax: (305)668-7388 1 Valdes, Yvette From: Aguiar, Jesus Sent: To: Tuesday, March 22,2016 11:32 AM Valdes, Yvette Subject: RE: Special Event Cost Estimate -Twilight SK Run/Walk It actually totaled $2220.00, so I would go with this number. ef!iQ1J/mtfnt doms4gular Administrative Bureau South Miami Police Department 6130 Sunset Drive South Miami, Florida 33143 Tel: 305-663-6309 Cell: 305-890-4766 iaquiar@southmiamifl.qov From: Valdes, Yvette Sent: Thursday, March 17, 2016 10:23 AM To: John Reese; Egues, Michelle; Aguiar, Jesus; Marenco, Carios; Martinez, Grizel Cc: Landa, Rene; Kelly Barket; Corbin, Larry P. Subject: Special Event Cost Estimate -Twilight SK Run/Walk· Good Morning All! Commissioner Leibman has assisted in submitting this application today and has req~ested this be on the next Commission Meeting. Please review the applications attached and the sections that apply to you and provide me with a Cost Estimate for the Twilight 5k Run/Walk, if possible by the end of the business day today. Your time and help with this is greatly appreciated, should you have any additional questions or concerns please let me know. Thank you and have a great day! Yvette E. Valdes Special Events Coordinator City of South Miami 5800 SW 66th St. South Miami, FL 33143 Office: (305) 668-3873 Fax: (305)668-7388 1