2. 

3. City of St. Pete Beach Recreation Department 

   
   

   Event Application 

   
   

   Phone: 727-363-9245  Fax: 727-363-9246

5. Applicant
7. Name of Applicant:*
8. Title(If applicable):
10. Name of Organization (if applicable):
12. Tax Exempt?

    1. Yes
    2. No
13. Non-Profit?

    1. Yes
    2. No
14. If yes on either, please provide documentation
16. Mailing Address:*
18. Cell Phone:*
19. Email:*
21. Event Information
23. Event Title:*
25. Event/Organization Web Address:
27. Event Location(s):*
29. Event Start Date & Time*
    Event Start Date & Time

    Event Start Date & Time
30. Event End Date And Time*
    Event End Date And Time

    Event End Date And Time
32. Set Up Date:*
33. Time Start:*
34. Time End:*
36. Clean Up Date:*
37. Time Start:*
38. Time End:*
40. Description of Event:*
42. Will this be an Annual Event?*

    1. Yes
    2. No
43. If yes, next year’s date:
45. Event Logistics
47. Estimated Attendance (This Year):*

    (includes event crew, participants, and spectators) 

49. Last Years Attendance (if Applicable):
51. List all event activities:*
53. List all food and beverage vendors*

    (Event Promoter is responsible for obtaining copies of all licenses and insurance forms from each vendor) 

55. Will alcohol be served or sold?*

    1. Served
    2. Sold
    3. No Alcohol
57. List all other vendors:*

    (may need to provide copy of certificate of insurance)

59. Event Equipment:*

    (include dimensions, seating, staging, tents, platforms, booths, scaffolding, truck, etc.on site map)

61. All the above require a temporary structure permit. Cost for each is $25
63. List times of music and/or amplified sound:*

    (list PA systems, microphone, speakers, amps) 

65. Electricity Needed?*

    1. Yes
    2. No
66. Source?
68. Will portable restrooms be used?*

    1. Yes
    2. No

    If yes (include on site plan): One ADA compliant toilet for every 10 per location

70. Will Dumpsters be used?*

    1. Yes
    2. No

    (include on site plan) 

72. If Yes, How Many?
73. Size?
74. Install Date:
75. Removal Date:
77. Please list any admission charges, donations, parking, registration or other fees and how much?
79. Does Event require any Road or Sidewalk Closures?*

    1. Yes
    2. No

    If yes, you must include all the details in the site plan including streets and times 

80. Please List: Road(s), Start Intersection(s), End Intersection(s), Date(s), Times

82. As the Applicant, I hereby accept and understand the responsibility to oversee all contractors, vendors, or parties affiliated with the event and to insure compliance with the special event guide, the event rules guidelines, requirements for tents and all policies, rules, regulations, and code provisions of the City of St. Pete Beach. I understand that any violations may result in immediate cancellation and revocation of the Event permits. I further certify that all the facts contained in this request are accurate.

     For events on Public property, I agree to obtain and furnish the City of St. Pete Beach with a certificate of general liability insurance in the amount of at least one million dollars ($1,000,000) or greater as deemed satisfactory by the city. The insurance must name the City of St. Pete Beach as an additional insured. 

    I understand incomplete application or any outstanding financial obligations with any department with in the City of St. Pete Beach may result in a denial of my request. 

84. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
86. Electronic Signature*
88. Corporation Name (if applicable):
89. Date:*

91. Please Include The Following Documents. Use the corresponding upload box below to upload.

    •  Site Map 
    • Traffic & Parking Plan 
    •  Safety Plan 
    •  Certificate of Insurance 
    • Day of Event Contact Person and Cell Phone Number 
    • Tax Exempt Documentation (if applicable) 
    • Non-Profit Documentation (if applicable)  
93. Site Map Upload
94. Traffic & Parking Plan
95. Safety Plan
97. Certificate Of Insurance
98. Day of Event Contact Sheet
100. Tax Exempt Documentation (if applicable)
101. Non-Profit Documentation (if applicable)

103. Upon approval, an Event Permit will be sent to the Applicant. Permit fees are due within 10 days of approval.

Leave This Blank:


105. 1. Receive an email copy of this form.
106. Email address

     This field is not part of the form submission.

107. Submit

* indicates a required field