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Okaloosa County BOCC — April 15, 2014 — 2014 Check List for Coastal Beach Srv QBVC — reading text

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Revised: March 12, 2013 Qualified Beach Vendor Certificate Processing Check List New Applications √ Renewal Date Received: February 26, 2014 Company Name: Coastal Beach Service Contact Person: John Fitzgerald III Phone #: (850) 642-3288/ (850) 642-3289 Email: coastalbeach@gmail.net NA Application form √ $500 Application fee √ Designated Beach Area Permit √ Upland Property Owners Approval √ QBV Beach Vehicle Permit √ Vehicle insurance √ Vehicle registration √ $500 QBV Beach Vehicle Permit fee √ Hold Harmless Agreement √ Statement of Acceptance of Ordinance 13-07 √ Copy of Liability Insurance for $1,000,000 naming BCC as insured √ Copy of O.C. Local Business Tax Receipt √ Copy of Workman’s Comp. Insurance policy BCC Approval: _______________________

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