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Okaloosa County BOCC — March 18, 2014 — 2014 Check List for Sunset Beach Srv QBVC — reading text

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Revised February 11, 2013 Qualified Beach Vendor Certificate Processing Check List ___ New Applications __√_ Renewal Date Received: March 4, 2014 Company Name: Sunset Beach Service Contact Person: JR Struzinski Phone #: (850) 585-5912/ (850) 244-0452 Email: JR@sunsetbeachservice.com & Daniel@sunsetbeachservice.com 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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