Hold a Special Event

2. Date*
3. Name of Organization*
5. Address*
6. Contact Person*
8. Contact Phone Number*
9. Email Address*
11. Applicant*
12. Applicant's Phone Number*
14. Applicant's Address
16. Describe the Event*
18. Date and Time of Event*
    Date and Time of Event

    Date and Time of Event
19. Location of the Event*
21. Owner of Property*
22. Owner's Phone Number*
24. Attach Notarized Form
26. List streets involved if applicable*
28. Approximate Number of Spectators*
29. Approximate Number of Participants*
31. Describe all recording, sound amplification, or other attention-getting devices to be used
33. Will alcohol be served*

    1. Yes
    2. No
34. Will alcohol be sold*

    1. Yes
    2. No

    (State Alcoholic Beverage License required for sale of alcoholic beverages. 1-800-375-6975)

36. Please designate public facilities or equipment proposed to be utilized*
38. Do you plan to have food trucks*

    1. Yes
    2. No

    If answer is yes, each truck shall submit an application for a temporary Local Business Tax Receipt good for the duration of the event. Additionally, they will have to provide a copy of their state license and the trucks have to be inspected by the Lake Mary Fire Department. PLEASE NOTE: The issuance of a Special Events Permit from the City shall NOT relieve any person from the duty to secure other permits or approvals as may be required by the City Code to include, but not be limited to, a tent permit, fireworks permit, business tax receipt, street, lane or sidewalk use/closure, etc. Please attach a site plan of the site being utilized and indicate parking, restrooms, tent location, etc. Additional information may be required by the City including a plan for crowd control. Indemnification and Insurance: The applicant and any other persons, organizations, firms or corporations on whose behalf the application is made shall sign contract agreeing that they will jointly and severally indemnify and hold the City harmless against liability, including court costs and attorney's fees, and attorney's fees on appeal, for any and all claims for damage to property, or injury to or death to persons, arising out of or resulting from the issuance of the permit or the conduct of the Special Event. The applicant may be required to provide insurance, as determined by the City Manager, if the Special Event is expected to attract over 500 people. In that case, the City shall be named as an Additional Insured.

    Please Note: Once your form has been received, a hold harmless agreement will be emailed to you, or you can request one by calling 407-585-1415.

40. Applicant's Signature*
41. Date Submitted*
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field