N/A · 8/18/2015 · Property Owner/Agent Name Palm Beach County Dept. of Airports Property...

Agenda Item: ~F3

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS

AGENDA ITEM SUMMARY

--------------------------------------------------------------------------------------------------------------------------------------------Meeting Date: August 18, 2015

Department:

[ x ] Consent [ ] Regular [ ] Ordinance [ ] Public Hearing

Submitted By: Department of Airports

Submitted For: Department of Airports -------------------------------------------------------------------------------------------------------------------------------------------

I. EXECUTIVE BRIEF

Motion and Title: Staff recommends motion to receive and file: Three (3) Agreements for the Department of Airports.

A. Palm Beach County Sheriff's Office Trespassing Enforcement Affidavit for North County General Aviation Airport (F45) commencing 7/15/2015.

8. Palm Beach County Sheriff's Office Trespassing Enforcement Affidavit for Palm Beach County Glades Airport (PHK) commencing 7/15/2015.

C. Palm Beach County Sheriff's Office Trespassing Enforcement Affidavit for Palm Beach County Park Airport (LNA) commencing 7/15/2015.

Summary: Delegation of authority for execution of standard County agreements above was approved by the BCC in R-2009-1163. Countywide {AH)

Background and Justification: N/A

Attachments: Three (3) Standard Agreements for the Department of Airports

------------------------------------------------------------------------------------------------------------------------------------------

&commended By: L/ ~ 2

DepartrnenfOirector z/2.o?c~-

Date

Approved By: County Administrator Date

11. FISCAL IMPACT ANALYSIS

A. Five Year Summary of Fiscal Impact:

Fiscal Years

Capital Expenditures Operating Costs External Revenues Program Income (County) __ _ In-Kind Match (County)

NET FISCAL IMPACT ~ ---No. ADDITIONAL FTE POSITIONS (Cumulative)

Is Item Included in Current Budget? Yes __ No X Budget Account No: Fund __ Department Unit __ RSource

Reporting Category

8. Recommended Sources of Funds/Summary of Fiscal Impact:

·* No fiscal impact.

C. Departmental Fiscal Review:_(_1;/\ __ ~ __ , __ _

Ill. REVIEW COMMENTS

A. OFMB Fiscal and/or Contract Dev. and Control Comments:

8. Legal Sufficiency:

C. Other Department Review:

Department Director

REVISED 9/03 ADM FORM 01

~~ U2}J✓ 7 -c;7?-r s--~contract Dev. and Control

(THIS SUMMARY IS NOT TO BE USED AS A BASIS FOR PAYMENT.)

Trespassing Enforcement Affidavit OAN 18486 (Owner Applied Number) This is the five digit number assigned to your property and is stored in the Business Partnership Program (BPP) database. The OAN is required to be on all "No Trespassing" signs.

Pursuant to 810.08(1) and(3) and/or 810.09(2)(b) and (3), Palm Beach County Sheriff's deputies are hereby designated as authorized representatives of the below listed business/property, and are authorized to warn and direct persons to leave said property.

Authority is granted by PRINTNAME Palm Beach County who is the authorized owner/agent of said business/property and is authorized to act on behalf of the below named business/property for the purposes of this affidavit, and who herein requests that Palm Beach County Sheriff's deputies enforce said statutes, on the said property, including parking areas and curtilages thereof. This affidavit is valid until: sale, change of ownership, or dissolution of business, or upon the owner/agent's request to cancel the designation of PBSO deputies as its authorized representative. If any such event occurs, it is the responsibility of the owner/agent to notify PBSO.

Any notice required or any changes to the information below must immediately be reported to 561-688-3970 or [email protected]. The owner/agent, on behalf of the business/property, will fully cooperate and assist with the prosecution of anyone arrested pursuant to this trespass affidavit.

Palm Beach County Business/Property Name PRINT North Palm Beach County General Aviation Airport

Palm Beach County Business/Property Address PRINT 11600 Aviation Blvd., Palm Beach Gardens 33462

Palm Beach County Business/Property Phone Number 561-471-7420 Fax 561-471-7427

Email address PRINT [email protected]

Do you have Video on premise? YES / NO Who can operate it? Phone Number Address _______________ _

Do you have Firearms on the property? YES / NO

Do you have K-9 on the property? YES / NO Number of signs on property? FORM APPROVED BY BOARD OF COUNTY COMMISSIONERS 7/21/2009 R2009-1163)

ST ATE OF FLORIDA

• (561) 688-3000 • http://www.pbso.org

- 1 -

Trespass Enforcement Contacts OAN _1_8_4_8_6 ___ _

Property Owner/Agent Name Palm Beach County Dept. of Airports

Property Owner/Agent Address 846 Palm Beach lnt'I Airport, WPB 33406

Property Owner/Agent Phone 561-4 71-7 420 Cell ________ _

Email Address [email protected]

After Hours Contact {Required}

Name

Address

Phone

Additional Contact

Name

Address

Phone

PBIA Communications Center

846 Palm Beach lnt'I Airport, WPB 33406

_5_6_1-_4_7_1_-7_4_2_0 ____ Cell ______ _

___________ Cell ________ _

Trespass sign locations ________________ _

Verified information/ Confirmed membership and authorization (every 2 years)

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

-2-PBSO #0599 REV. 05/2013

Trespassing Enforcement Affidavit OAN 18483 (Owner Applied Number) This is the five digit number assigned to your property and is stored in the Business Partnership Program (BPP) database. The OAN is required to be on all "No Trespassing11 signs.


Authority is granted by PRINTNAME Palm Beach County who is the authorized owner/agent of said business/property and is authorized to act on behalf of the below named business/property for the purposes of this affidavit, and who herein requests that Palm Beach County Sheriff's deputies enforce said statutes, on the said property, including parking areas and curtilages thereof. This affidavit is valid until: sale, change of ownership, or dissolution of business, or upon the owner/agent's request to cancel the designation of PBSO deputies as its authorized representative. If any such event occurs, it is the responsibility of the owner/agent to notify PBSO.


Palm Beach County Business/Property Name PRINT Palm Beach County Glades Airport (PHK)

Palm Beach County Business/Property Address PRINT 3800 State Road 715, Pahokee, FL 33476

Palm Beach County Business/Property Phone Number 561-471-7420


Do you have Video on premise? YES / NO Who can operate it? Phone Number

Fax 561-471-7427

Address _______________ _ Do you have Firearms on the property? YES / NO

Do you have K-9 on the property? YES/ NO Number of signs on property? FORM APPROVED BY BOARD OF COUNTY COMMISSIONERS 7/21/2009 R2009-1163

ST ATE OF FLORIDA

COUNTY OF PALM BEACH

(. This document must be signed by a Notary or signed by a Palm Beach Office Deputy to be valid) CJ,

~.I...C...!~~_.:...;~~.=..:...----

Authorized owner/Agent Bruce V. Pelly, Director of Airports ssistant

Sworn to and subscribed before me this J s-+>' day of Ju. l y . 20~. by_B_r_u_c_e_V_·~---------produced Personally known

3228 Gun Clu • (561) 688-3000 • http://www.pbso.org

- 1 -

Trespass Enforcement Contacts OAN _1_8_4_83 ____ _

Property Owner/Agent Name Palm Beach County Dept. of Airports Property Owner/Agent Address 846 Palm Beach lnt'I Airport, WPB 33406



After Hours Contact {Required)

Name

Address

Phone

Additional Contact

Name

Address

Phone



_5_6_1-_4_7_1-_7_42_0 ____ Cell ______ _

___________ Cell ________ _

Trespass sign locations

Verified information I Confirmed membership and authorization (every 2 years)

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

-2-PBSO #0599 REV. 05/2013

Trespassing Enforcement Affidavit OAN 16773 (Owner Applied Number) This is the five digit number assigned to your property and is stored in the Business Partnership Program (BPP) database. The OAN is required to be on all "No Trespassing" signs.


Authority is granted by PRINTNAME Palm Beach County who is the authorized owner/agent of said business/property and is authorized to act on behalf of the below named business/property for the purposes of this affidavit, and who herein requests that Palm Beach County Sheriff's deputies enforce said statutes, on the said property, including parking areas and curtilages thereof. This affidavit is valid until: sale, change of ownership, or dissolution of business, or upon the owner/agent's request to .cancel the designation of PBSO deputies as its authorized representative. If any such event occurs, it is the responsibility of the owner/agent to notify PBSO.


Palm Beach County Business/Property Name PRINT Palm Beach County Park (LANT ANA) Airport (LNA)

Palm Beach County Business/Property Address PRINT 2633 Lantana Road, Lantana, FL 33462

Palm Beach County Business/Property Phone Number 561-471-7420


Do you have Video on premise? YES/ NO Who can operate it? Phone Number

Fax 561-471-7427

Address _______________ _ Do you have Firearms on the property? YES / NO

Do you have K-9 on the property? YES / NO Number of signs on property? FORM APPROVED BY BOARD OF'.,.COUNTY COMMISSIONERS 7.121/2009 R2OO9-1163

STATE OF FLORIDA (. This document must be signed by a Notary or signed by a Palm Beach County Sheriff's Office Deputy to be valid) Ornav,_ ~ COUNTY OF PALM BEACH ~--------......__.__ ____________ _

. . Assistant ounty Attorney Authorized Owner/Agent Bruce V. Pelly, Director o,f Airports

Sworn to and subscribed before me this i 5 ~ day of Jl.t I y , 20~, by_B_r_u--,c,,_e-;IC-----------Who is personally known to me or produce,d ¾fentification. Ty e f I() produc~_P_e_r_s_o_na_lly_k_no __ n _________ _

\ () 1 v;,'\h- _;- \fJ~ Notary I Law Enforcement Officer --\..~' \._;'t...,i \ • ...1 ~ . ,u ·- ID# _________ _

Type/Print/Stamp Name --.t~"-'r-~---:-~~~~~":':':'.l'---t1----------------

3228 Gun Club R 3001 • (561) 688-3000 • http://www.pbso.org

- 1 -

Trespass Enforcement Contacts OAN _1_6_7_7_3 ___ _

Property Owner/Agent Name Palm Beach County Dept. of Airports Property Owner/Agent Address 846 Palm Beach lnt'I Airport, WPB 33406



After Hours Contact (Required}

Name

Address

Phone

Additional Contact

Name

Address

Phone



_5_6_1-_4_7_1-_7_42_0 ____ Cell ______ _

___________ Cell ________ _

Trespass sign locations

Verified information I Confirmed membership and authorization (every 2 years)

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

Caller ID Date

-2-PBSO #0599 REV. 05/2013

N/A · 8/18/2015 · Property Owner/Agent Name Palm Beach County Dept. of Airports Property...

Documents

Transcript of N/A · 8/18/2015 · Property Owner/Agent Name Palm Beach County Dept. of Airports Property...