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2. For questions, contact the Planning Division by phone at (407) 262-7751.
4. Address/Exact Location of Event
6. Date/Time of Event (Start)
   Date/Time of Event (Start)

   Date/Time of Event (Start)
7. Date/Time of Event (End)
   Date/Time of Event (End)

   Date/Time of Event (End)
9. Complete description of the nature of the event and all activities that are planned:
11. Activities

    1. Parade is included as an activity

    1. Fireworks are included as an activity
13. Number of Participants Expected
14. Number of Spectators Expected
15. Total Number of Attendees Expected
19. Special Event Requirements

    1. Allowable zoning districts Commercial General, Commercial Services, Commericial Limited, Planned Mixed-Use: Low Intensity, Planned Mixed-Use: High Intensity, Public Service, and Recreation Open Space
    2. Undeveloped property that is a minimum of 1 acre or developed property that is a minimum of 1.5 acres
    3. Off-premises directional signs and on premises signs are allowed with restrictions
    4. Maximum four (4) sales with a maximum of thirty (30) days per year
    5. Indemnification of City (liability is required)
21. Special Event Submittal Checklist

    1. Site plan drawn to scale: location of all required facilities, including adequate traffic control and parking and the proposed layout of the event, including all temporary structures.
    2. Master sign plan: drawn to show the location of all on-premises and off-premises directional signs to be used during the event and the dates for the placement and removal of all signs.
    3. Master vendor list: must include the name, address, and telephone number of all vendors and acknowledgement that each vendor has all necessary health and food service certifications.
    4. Property owner authorization: must include the owner's name, phone number, mailing address, and the dates for which the approval of land use has been granted.
    5. Plans for sanitation facilities, sewage disposal, garbage and refuse disposal, drainage, flood lighting, potable water supply, and food service.
    6. Plan for internal security, communications, fire protection, and emergency services.
    7. Parade information, if applicable.
23. Will event include any street closures? (If so, provide details)

    1. Yes
    2. No
25. Permit fee per number of attendees:

    1. 1-250: $50.00
    2. 251-500: $100.00
    3. 501-1,000: $500.00*
    4. 1,001-3,000: $750.00*
    5. 3,001-5,000: $1,500.00*
    6. Greater than 5,000: $3,000.00*
27. *Special event permit fees greater than $100 for non-profit or not-for-profit organizations. Up to 1/2 of the fee may be refunded to the permittee if there is no documented need to reimburse the City for police, fire, or public works service to the special event.
31. Agent/Applicant for Event
33. Address
35. City
36. State
37. Zip
39. Phone Number
40. E-mail Address
44. Sponsoring Organization
46. Authorized Agent(s)
48. Address
50. City
51. State
52. Zip
54. Phone Number
55. E-mail Address
59. Revocation: The Chief of Police, Fire Marshal, Building Official or City Manager, or their designated representatives, shall have the authority to revoke a permit issued hereunder immediately upon violation of any one (1) or more of the code requirements or conditions or standards of issuance as herein set forth.
61. The applicant's signature acknowledges he/she has read this application, has provided all the information required, and understands that the information provided is the basis for the conditions and standards for the issuance of the special events permit. The applicant further acknowledges that the City has the authority to revoke the special events permit upon violation of any of the requirements of Chapter 14, Article II, of the Casselberry City Code.
63. Applicant Name
65. Applicant Signature
66. Date
Leave This Blank:


67. Print Only

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