HomeMy WebLinkAbout3-64-07Name V �V 4-c� 'o,
Unit 3
Block C q
Lot 7
Date of Mark -out 713 MS
Date of Burial ��
Name of Furneral Home .CC,,Ivk5 { jo -(,�'
Authorized by �'�
State of Florida, Department of Health, Bureau of Vital Statistics
MflagBURIAL TRANSIT PERMIT
HMTH DATE PRINTED: July 3, 2025 TRACKING NUMBER: 2025118823
1. DECEDENT INFORMATION
Name of Deceased Date of Death
VICTORIA ARLENE DEPALMA June 24, 2025
Place of Death - County City, Town or Location Name of facility, or street address if not a facility
INDIAN RIVER SEBASTIAN 926 CANAL CIRCLE
Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. No./Reg. No. Phone Number
SEAWINDS FUNERAL HOME F073380 F073380 (772) 589-1933
735 SOUTH FLEMING STREET
SEBASTIAN, FLORIDA, 3295E
Funeral Director/Direct Disposer Fla. Lic. No./Reg. No.
BRANDON LEE WUNNER F062890
2. BURIAL -TRANSIT PERMIT
The Florida Department of Health, Bureau of Vital Statistics
hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes.
Permit Number: 2025-F073380-5134
— Date Issued: June 25, 2025
State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District 19 Approval Number:
4. CEMETERY OR CREMATORY
Place of Disposition: SEBASTIAN MUNICIPAL CEMETERY
Method of Disposition: BURIAL Date of Disposition:
EDRS maintains all statutorily required information regarding the death record and related
burial transit permit, therefore, returning the permit to the county health department is no
longer required.
If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so.
OH 326E, 10/12
64V-1.011. Florida Administrative Code
Funeral Director's Request to City of Sebastian for Burlal Opening in
Sebastian Municipal Cemetery
Contact fnformation:
City Clerk's Offrce
Cathy Testa
City Hall, 1225 iil..{.ain Street
Sebastian, FL 32958
Phone (772) 388-8209
cte sta @ cityofs eb a sti an. ore
.$tboe
JY"^3 @c#1 ,e
&bas\"''.-u3lD -Vwr@Funeral Home:
Address:
Phone:
e
XL 581-
(Checl0/
V Open Burial Lot
n Open Cremains Lot Unit
t] openColumbariumNiche Unit
Burial Date and Service Time:Ju
Deceased Name: f/ I Olcq-, a DzQa
Name and Signafure of Lot Owner or Representative:
(Must provide proper documentation of
€thae\nn I t0
uoit 3 eo,ckfu/{ rot 5
Block Lot
Block Niche
1 Z 5 llarn
+l t(auar'
Signature Date
sst-\133
Address Number
I certiS that I have detennined the ownership of the above-described site that all site fees and
administrative fees have been paid and authorized opening of same.
Name anrl Signafure of Licensed Funeral Director:
Z
Name Signature Date
I certify that I have checked the ownership inforrnation by viewing the owner's deed and
confinning with Clerk's Office and that all fees have been paid:
Cemetery Cerffication:
Cemetery Date
This form is to be provided to Clerk's Offrce for permanent record upotr completion.
7
CITY OF
Sf]3ASTIAN
HOME OF PELICAN ISLAND
Certificate No. 2987
CITY OF SEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is
hereby certified that:
Michael Bizzaro
926 Canal Circle
Sebastian, Florida 32958
In and for consideration of the sum of $2,850.00 is entitled to full interment rights in the
Sebastian Municipal Cemetery for the following lot:
Unit 3, Block 64, Lot 7
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 251h day of June, 2025.
CITY OF SEBASTIAN, FLORIDA
Xl��
riannton
City Manager
ATTEST:
4JpnetteWilliams, MMC
City Clerk = _ _
CITY OF SEBASTIAN 17055
FINANCE DEPARTMENT RECEIPT
Name LiCash
Date �KCheck # loB'3
3•- �e�— —7
❑ Credit
001501 362150 Non -Taxable Rent
001001 220000 Security Deposit
001501 362100 Taxable Rent
001001208001 Sales Tax
450010 369900 Airport Badge
450010 362521 AP Shade Hangar Rent
450001 208045 Airport Sales Tax
001501 347557 Community Center Revenue
001501 341920 General Fund Copies
001501 354100 Code Enforcement Fines
601010 343800 Cemetery Lot Sales
001501 343805 Cemetery Fees
480010 341920 Bldg Dept Copies
PD Shop with a Cop
PD COPE
PD Cadets
PD SRT
Amount Paid
Total Pai Ce
Ila lifitials
kL—White - Dept. of Origin Yellow - Finance Dpt. • Pink - Applicant
..,. S:
HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, FL 32958 772-388-8209
City of Sebastian Municipal Cemetery Purchase Order
114 iGkaeI
Name(s) 9 Z6
Address
Ccut a( C i rc (2 Sg 6e.S {6c i F G—
Area Code & Phone Number p
-7Z-"ZO5-- S147 Fo{Z: Vic {-or a �e Pot(
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
TrP
on this 35 day of
Cemetery Lot(s) and/or Niche(sj.
Unit J Block
rs ($
for the purchase of the following described
Lot(s)7 Niche(s)
for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed
therefore by the City of Sebastian.
Additional Fees paid at time of purchase:
Opening & Closing fee for ceremony after hours or on holiday. $
Disinterment Fee $
Vase and Ring for Niches (current market price) $
TOTAL $ ,Q19,50 •00
Signature of Purc r City of Sebastian
GnCF
SEAT"
HOME OF PELICAN ISLAND
Sebastian Municipal Cemetery
Artificial and fresh flower, blankets. No more than two bouquets of artificial or fresh flowers will be allowed
at any gravesite. Artificial flower arrangements will be permitted to remain until they become faded or
unsightly. Fresh flowers will remain until unsightly. No glass or ceramic flower containers or ornaments shall
be allowed, however, a plastic flower container no more than six inched deep, six inches wide and 24
inches long may remain in place unless broken or in decrepit condition. No wires shall be allowed to hold
flower arrangements permanently in place at the interment site. Blankets are allowed to be placed prior to any
holiday but must be removed within ten days following the holiday.
n
Initial
Sod placement. Sod will be placed after the ground has settled following the burial to ensure a level surface
and proper establishment of the grass. This process helps maintain the overall appearance and integrity of the
cemetery grounds.
S
Initial
Permanent Markers. All markers shall be installed within 120 days after burial. Where this regulation
renders a hardship or presents any special problems, such as an estate not settled, special consideration will
be given. Request for special consideration should be make in writing to the Sebastian Parks and Recreation
Director, 1225 Main Street, Sebastian, Florida 32958.
Initial
Unlawful Conduct. Our Ordinance states that it shall be unlawful for any person to possess or consume any
tynpeeof alcoholic beverage within the cemetery grounds.
/" K
Initial
Violations of article; penalties. A violation of any of the rules and regulations contained in this article shall be
considered a violation of the ordinances of the city, and any person adjudicated in violation of such rules and
regulations shall, in addition to any penalty imposed by court not exceeding $500.00 fine and/or not exceeding
90 days imprisonment, be denied the right to do further business in the cemetery of the city.
Initial
I acknowledge that I have
read and understand the contents on this form.
Signature Date
CITY OF S�T
jj3ASTI,&
�.;
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 388-8216
beakins@cityofsebastian.org
June 25, 2025
Mr. Michael Bizzaro
926 Canal Circle
Sebastian, FL 32958
RE: Interment Rights in the Sebastian Municipal Cemetery
Dear Mr. Bizarro,
Enclosed is City of Sebastian Certificate 2986 entitling you to full interment rights in Unit 3,
Block 64, Lot 7.
I have also enclosed a copy of the Sebastian Municipal Cemetery Rules and Regulations Booklet.
If you have any questions, please do not hesitate to contact me at (772) 388-8216.
Sincerely,
Bridget Eakins
Executive Assistant
Enclosures