documentation - The Taylor County Board of County Commissioners

TAYLOR COUNTY B0ARD:OF COMMISSIONERS
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County CommissionAgenda Item
SUBJECTJTITLE: I Public Hearing for John Knight Bog Special Event
MEETING DATE REOUESTED:
October 17.2006
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Statement of Issue Public hearing to consider approval of permit for Pudding Creek Mud Bog
eveiitoriO~tob~r29,2006.
Recommended Action Hold public hearing
Fiscal Impact
Substantial
Submitted By:
John Knight
Contact: 37 1-2525
SUPPLEMENTAL MATERIAL / ISSUE ANALYSIS
John Knight, representing the Pudding Creek Mud Bog, submitted
History, Facts & Issues:
an application to the Planning Department to hold a Mud Bog event on October 29,2006.
The applicant expects the event to have attendance in excess of 1,000. Section 10-65 of
the Code of Ordinances requires that permits for special events with attendance in excess
of 1,000 must be approved at a public hearing. During the September 19,2006 County
Commission meeting, the Board approved the holding of a public hearing on October 17,
2006. The application has been reviewed by staff and contains the following items:
Physical location and legal description.
Waiver from property owners within 660-feet.
Hours of events from 7:00 a.m. to 7:00 p.m.
Estimated attendance.
Security statement from the Bid Star Security Service.
Ambulance/medical statement from Doctor's Memorial Hospital.
Map of property.
Hold harmless & entry consent form.
Waste hauler statement.
Insurance statement.
Sanitary waste statement.
Options:
1.
2.
Approve permits for events.
Deny permit for events.
Attachments:
Copy of application and associated documents.
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MALCOLM PAGE
District 1
DARYLL GUNTER
District 2
CLAY BETHEA
District 3
JACK BROWN
District 4
PATRICIA PATTERSON
District 5
(850) 838-3501 Fax
RMIT TYPE: MUDD-BOGGING
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FEE: $
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250.00
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NAME OF APPLICANT: r & v \
MAILING ADDRESS:
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6.380 #J
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PROPERTY OWNER:
er
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PROPERTY OWNERS WITH'@ 660 FEET OF ACTIVITY
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EVENT DATE (S):
*OURS OF OPERATION: START:
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SECURITY PROVIDER:
7
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SHERIFFS OFFICE
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END:
7 em.
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PRI.VATE._S_ECURITTYyYYYYYY.~~.
(If private security operator is used, attach sworn statement from provider)
SANITARY FACILITIES PROVIDER:
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LEGAL DESCRIPTION FOR LEASED PROPERTY
THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER, AND THE
SOUTH ONE HALF OF THE NORTHWEST QUARTER OF THE NORTHEAST
QUARTER OF THE SOUTHEAST QUARTER, AND THE NORTH ONE HALF OF
THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF THE
SOUTHEAST QUARTER OF SECTION 21, TOWNSHIP 5 SOUTH, RANGE 8 EAST,
TAYLOR COUNTY, FLORIDA. CONTAINING 50 ACRES MORE OR LESS.
SPECIAL EVENT WAIVER
DATE:
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I give my consent to have a Special Event (Mudd Bogg) within 660 feet of my property.
rAldterJBi-b
Print Name
SPECIAL EVENT WATVER
I give my consent to have a Special Event (Mudd Bo
8.J-3-0 u q (
Print ~ a m e '
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thin 660 feet of my property.
Signature
SPECIAL EVENT WAIVER
DATE:
I give my consent to have a Special Event (Mudd
~ AwJ/ m
Print Name
SPECIAL EVENT WAIVER
DATE:
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I give my consent-tohave a Special Event (Mudd Bogg) within 660 feet of my property
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SPECIAL EVENT WAIVER
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I give my consent to have a Special Event (Mudd Bogg) within 660 feet of m~property.
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Print Name
signat&
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10/05/2006 03:43
BIG STAR SECURITY
8505131204
PAGE
Thank youfor selecting Big S t a t Security Services, Inc We
appreciate your Business ...
-Confirnationfor Security Services at the Pageant Road
Mud-Bog
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Big Star Security Services?IHC.
1325 E. Makan Drive
Talhhnrsee, FIorida 32308
Phone: 850-513-1203
F a : 850-513-1204
Date: October 5,2004
NOTICE:
Pa&
and RecreotIom ~ ~ a r t a r e n t
Tcrylor Counw Building Perm&
Periy,Florida
Fax: 85M38-3501
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This i s to confirm servicesfor John Knighflugeant Mnd Bog on October 29,2006,
from 8:Ma.m to 4:OOpm
(10) Unarmed Security Oflcers Requested
Ewnt: MurCECog
Contact Peman: John Knight
(Contract Sales Manxtger)
02
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09/21/2006 16: 14
8505842706
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DOCTORS' MEN. EMS
aramedic/Assistmt Director
Ambulance coverage
ital EMS will provide ambulance
e for the Mud Bog on October the 29", 2006. If you have
stions, please feel free to call me.
c Assistant Director
Post Offlce Box 1847 Perry, Florida 3237 (850) 584-0800 Fax (850)584-2524
PAGE
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RELEASE AND HOLD HARMLESS AGREEMENT
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, owner of the property described as follows:
Address:
Commissioners, all County employees, agents, appointees, and designees from any and all manner action
or actions, cause and causes of action, suits, damages, judgments, and claims of any ki d hat o very
or be in any way co cted or related to the event on the
*dayof
, 2 0 0 3
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This right of ingress and hold harmless must be signed by the owner(s) of the property and by
signing same I warrant ownership of
DATED this
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day of
OWNERS NAME
I HEREBY CERTIFY that on this day before me, an officer duly qualified to take
,to me known the person
acknowledgement, personally appeared
described in and who executed the foregoing instrument and acknowledge before me that helshe executed
the same.
County of and State last aforesaid this
8"
day of
UNOTARY
~ LPUBLIC
a. L.
My Commission ~ x ~ i r e s l
Bonnie A English
MY COMMlSSKHlR W 2 1 4 EXPIRES
[Mober 4,2009
BONDEDTHRUTROYFUNINSURANCE, R(C
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SERVICE AGREEMENT
'Waste Pro
of Florida
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NON HAZARDOUS WASTES
CUSTOMER ACCOUNT NO.
8470 NW 1 68th~ a n e
Fanning Springs
Florida 32693
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800-228-4908
352-463-6200
352-463-6162,FAX
REASON CODE
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EFFECTIVE DATE
ADDRESS
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COUNTY
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&Q@PMENTISERVICE SPECIFICATIONS
K s y s t e r n Quantity
Size
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TAXABLE
schedule & ioute No.
Frequency On Call
.SPECIAL INSTRUCTIONS
RECEIPT REQUIRED?
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BILL TO ACCT #
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CUSTOME~~,
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NAME (PRINT OR TYPE)
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OCT-6-2006
04:46P FROM:
B&B SANITATION
CONTRACT:
RO. BOX 1564
PERRY, Fl32348
PHONE: (850)584-9191
ORDER:
FORTABLE TO!LET REWAG
RENTED TO:
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slrENAM€ AM?RES% PttONE
JOHN K ! < ~ t ~ : ; ~
6580 S. RED PADGETT RD.
PERRY, FL 32348
MTEOIUtERED
10/5/Q6
lNSlRUCTlONS
BUDDIN CREEK
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ORDERED BY
,
10/27/06
10
BATE cANC€U,CO
SET AS PER INSTRUCTIONS
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ue on receipt
CI*rJCELlEB BY
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TERMS
N KNTCWT
J M MMBIR
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MUD BOG
DATE WAHTED
C . 0 , NUMMll
SPECIAL
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DELIVERED TO:
Q # 6 P & R W R - M - m 5 5 . M E
UNIT
DESCRlPtlOlY
Porta Toilets
SERVICE
CODE
wk-end
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VALUE
500
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UNIT NUMMC-RS
THIS IS TO INFORM BLDG. DEPT. OF TAYLOR C O - , WE ARE FURNISHING
SANITATION SERVICES FOR MUD BOGS LOCATED ABOVE.
Thank you for ordering our B&8 Sa0i:atian Portable Toilet. You will find that in addition t o providing the
most modern and sanitaw temporary toilet facilities available, B&B Sanitation also provides the most
efficient service using specialized equipment and scientific techniques.
A B&B Sanitation Portable Toilet has been delivered to the site address listed above in accordance with
our standard terms and conditions.
Please do not hesitate to call on us whenever we can be of service.
TERMS AND CONDITIONS
1. 'The customer agrees to pay all invoices arising out of the rental charges for the portable toilets and
special services herein on or before the date specified in this contract.
2. The customer agrees to pay such extra and overtime charges as B&B Sanitation shall from time to
time invoice for services rendered, over and above the normal servicing schedule, on behalf of the
customer.
3. f HE CUSTOMER AGREES TO KEEP THE PORTABLE TOILETS CLEAR AND ACCESSIBLE FOR THE
SERVICE TRUCK AT ALL TIMES.
4. The customer agrees not to sell, rent, lease, or otherwise give up passes~ianof the portable toilets
listed herein eqcept to B&B Sanitation.
5. 'The customer agrees not to cause the portable toilets listed herein t o be removed from this site
address without specific written pttrmission or consent of B&B sanitation.
8. The customer agrees to pay for any damage to or loss af the portable toilets as an insurer, regardless
of cause Or feult. except for reasonable weer and tear, wh~lethe portable toilets are at the site
address.
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MADISON
COUNTYPARM BUREAU
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503 West Base Street
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Madison, FL 32340
Phone: (850) 973-4071
September 12,2006
To Whom It May Concern:
Re: Pudding Creek Bogging Boys
I have bound coverage for the event scheduled for October 29,2006, and will continue
to cover future events. A copy of the binder for the OCtober 28 event is attached.
If anyone has questions, or more information is required, please call me at 850-9734071.
Sincerely,
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U J / ~ L / - V U L L ~ . L Y ; J ' J I-IUIII;
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( / L / ) ~ / / - D I / ~
1 $Hull
& Company
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H u l l 15 company,
Inc.Page:UUL/$
Tam~a
Bay
P . 0 . Box 20027
St. Petersburg, FL 33742
T. 727-577-5775
T 800-727-4855
F. 727-579-9064
W. www.hullco.corn/tampabay
E. [email protected]
"Think Hull"
INSURANCE BINDER
1
Renewal of: REF-CLS1203117
911212006
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Fiegarding:
Risk L o c a t i o n :
'ffb*
P r o d u c e r : James L. King
Madison County Farm Bureau
233 West Base Street
Madison, FL 32340
6579 S RED PADGETT RD, PERRY, FL 32348
Attn: JIMMY
E f f e c t i v e Date: 1012812006
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Puddin' Creek B O ~ - N : B O ~ SInc
Exp. Date:
I policy
10/3012006
NO.:
~~~1275237
F o r m o f C o v e r a g e : Commercial General Liability
This binder is being offered on the basis indicated. It is incumbent upon you to ascertain the accuracy of the binder, and to review with
the insured the terms of the binder carefully, as the coverage, terms and conditions may be different than those you requested. Please
advise within 10 days of receipt of this binder if amendment should be considered by Hull & Co.
Limits:
$i
,000,000.OG
$2,000,000.00
$2,000,000.00
$1,000,000.00
$1 00,000.00
$5,000.00
Premium
Policy Fee
Surplus Lines Tax 5%
FSLSO - Service Fee 0.2%
Each Occurrence '
General Aggregate
Products Aggregate.
Pers. Inj. & Adv. Inj.
Fire Damage
Medical Payment
Total:
$1,450.00
$35.00
$74.25
$2.97
$1,562.22
Terms & C o n d i t i o n s include. but are not limited to. the followina terms, conditions and exclusions:
Exclusions: Total Pollution-CG2149, Asbestos, Nuclear, Punitive & Exemplary Damages, Subsidence, Assault &
Battery-GLS227s1Professional-CG2116, Lead contamination, Employment Related Practices, Contractors Special
Conditions, Special Events Limitations-GLS5s, Year 2000 Computer Related and Other Electronic Losses-UTS27lg1
Know I n j ~ ~or
r yDamage-CG0057, Total Liquor Exclusion-GLS1O6s, Athletic Participants-CG2101, Fungi or
Bacteria-CGL-CG2167, War or Terrorism-CGL-CG0062, Violation of Statutes that Govern E-mails, Fax, Phone Calls 01
(continued on attachment)
Piease be sure to check the Carrier's current A.M. 1
Besl raling lo sailsiy you and your dent's interests.
C o m p a n y SCOTTSDALE INSURANCE CO.
Remarks:
This Binder is cancelled when replaced by a policy.
Specimen policy and forms are available for your review upon request.
(continued on attachment)
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Sent by: KM
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1 Department: Commercial Lines
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