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from 8:00 AM to 12:00 PM <br />start time end time <br />on Sunday, May 4, 2014 thru Sunday, May 4, 2014 <br />day date day date <br />for the purpose of Fundraising event, Pancake Breakfast <br />type of activity (profitno n- profit) <br />Deliveries and set up will begin at 8:00 AM <br />time <br />Removal of all equipment, structures and rubbish will be completed by: <br />Estimated attendance <br />Fees and Charges: <br />1110 <br />Facility Rental Fee$ <br />City of Sunny Isles Beach <br />Audio /visual Devices Fee <br />0 <br />Add'I Service fees <br />$ <br />TOTAL VALUE <br />Cultural & Human Services Department <br />(p) 305.792.1706 <br />\ <br />18115 North Bay Road, Sunny Isles Beach, FL 33160 <br />(f) 305.792.1566 <br />Pelican Community Park Community Center <br />www.sibfl.net <br />Facility Use Agreement <br />This Permit Entitles <br />Kiwanis Club of North Miami Beach & Sunny Isles Beach <br />Person or Organization <br />Address <br />Street. City, State, Zip Code <br />Phone Numbers <br />Home: Business: <br />Other: <br />Use of the <br />First Floor Multi- Purpose Room at Pelican Community <br />Park <br />Specific area being used <br />from 8:00 AM to 12:00 PM <br />start time end time <br />on Sunday, May 4, 2014 thru Sunday, May 4, 2014 <br />day date day date <br />for the purpose of Fundraising event, Pancake Breakfast <br />type of activity (profitno n- profit) <br />Deliveries and set up will begin at 8:00 AM <br />time <br />Removal of all equipment, structures and rubbish will be completed by: <br />Estimated attendance <br />Fees and Charges: <br />1110 <br />Facility Rental Fee$ <br />700.00 <br />Audio /visual Devices Fee <br />$ 50.00 <br />Add'I Service fees <br />$ <br />TOTAL VALUE <br />$ 750.00 <br />Cleaning Security Deposit <br />150 Date Received <br />on Sunday, May 4, 2014 <br />day date <br />5/4/14, 12:00 PM <br />date /time <br />Date received Receipt # <br />I have read and agree to the terms and conditions indicated on the reverse side. <br />Applicant Signature: <br />PCP Approval: <br />Department Director <br />Date <br />uate <br />Date <br />