Tent Permit Application

CITY OF LAKE MARY
TENT PERMIT APPLICATION
 
DATE SUBMITTED: ____________ RECV’D BY: __________ PERMIT #: __________________

Incomplete application may result in a delay in the processing of your request.

Project Name _________________________________________________________________

Project Address ________________________________________________________________

Legal Description or Parcel Number ________________________________________________

Owner’s Name & Address ________________________________________________________

__________________________________________________ Phone # ____________________
 
Contractor Business Name & Address: _______________________________________________

__________________________________________________ Phone # _____________________

TENTS:
 
NUMBER AND SIZE OF TENTS (SQUARE FEET) ______________________________________

Tent set up date:________________________
Date of Event:__________________________
Date to be taken down:___________________

2 copies of flame retardant certifications ___
2 copies of site plans showing layouts ___

Describe Work:___________________________________________________________________
Valuation of Work: $_______________________________

Contact Person:_______________________________________ Phone #: ___________________

E-mail: ______________________________________________ Fax #: ______________________

Specify which of the above names should be contacted if questions or additional information is needed.

Application is hereby made to obtain a permit to do work and installations as indicated. (State Law
requires construction to be done by licensed contractors. Exemptions to that law may apply). I certify
no work or installation has commenced prior to the issuance of a permit and that all work will be
performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a
separate permit must be secured for other work to be performed.

NOTE: A notarized Letter of Authorization must be submitted from the property owner where the tent(s)
are to be erected.

OWNERS’ AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done
in compliance with all applicable laws regulating construction and zoning.

______________________________________________
                     Owner/Agent (Please Print) 

______________________________________________
                     Owner/Agent (Please Sign) 
 
___________________________________
                          Date: Date:
 
 
STATE OF FLORIDA
COUNTY OF SEMINOLE
 
Sworn to (or affirmed) and subscribed before me this ______day of_______, 20____,
by___________________ who did not take an oath.  _____________________________________
Personally known _____ or produced identification _____
Type of I.D. produced ____________________________________________
 
 
____________________________________                 (SEAL)
              Signature of Notary Public
 
 
 
 

______________________________________________
                        Contractor (Please Print) 

______________________________________________
                        Contractor (Please Sign)
 
___________________________________
                          Date: Date:
 
 
STATE OF FLORIDA
COUNTY OF SEMINOLE
 
Sworn to (or affirmed) and subscribed before me this ______day of_______, 20____,
by___________________ who did not take an oath.  _____________________________________
Personally known _____ or produced identification _____
Type of I.D. produced ____________________________________________
 
 
____________________________________                 (SEAL)
              Signature of Notary Public
 
 
OFFICE USE ONLY

          Department                   Date        Initial                       Comments

Community Development _________   _____  __________________________________________

Fire Department               _________   _____  ___________________________________________