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2. Public Assembly/Event Permit Application
3. 
5. This application is for the use of city property. Submission of the application does not constitute any approvals for the event. It identifies the minimum documents and information required to initiate a review of the application. Since this is a preliminary application, the event planner should expect requests for additional information. The event planner is cautioned to follow the instructions carefully and to complete the application fully. If an answer to any question is unknown at the time of application, state “unknown” as the response. Indicate “NA” in any section that does not apply to the event. It is highly recommended that the event planner and/or organization read and understand in its entirety the Public Facility Use Manual. Approved permits will be based upon the event planner meeting the criteria as outlined in that manual. Event Planners are encouraged to email recinfo@pbgfl.com prior to submitting an application so that a staff member can answer preliminary questions and assist with the process.
9. Organization and Event Planner Information
11. Name of Event*
12. Organization(s) Producing the Event*
14. Address of Local Office*
15. Address of Corporate Office, if different
17. Name and Title of Person Responsible for the Event*

    This person must have authority to sign on behalf of the organization.

18. Phone # for Person Responsible for the Event*
20. Email for Person Responsible for the Event*
22. Name of Event Planner (if different than listed above)
23. Event Planner's Company Name
25. Event Planner Email
26. Event Planner Phone #
30. Event Overview
34. Facility Use Policies & Procedures
    Facility Use Policies & Procedures
35. I have read, fully understand, and agree to abide by the City's Facility Policies & Procedures. Further, I will take responsibility for ensuring that all other members of my organization are fully aware of these Policies & Procedures.*

    1. Yes
39. Event Description*

    Please be as specific as possible.

41. Will the event participants be adults or children?*

    1. Adults

    1. Children

    1. Both
43. Anticipated Attendance*
44. Open to the Public?*

    1. Yes
    2. No
45. If not open to the public, who will attend?
47. Is admission being charged to spectators/event attendees?*

    1. Yes
    2. No
49. City Property Requested*

    1. City Hall Complex
    2. Aquatics Complex
    3. Oaks Park
    4. Sandhill Crane Access Park

    1. Green Market Site
    2. Gardens Park
    3. Lilac Park
    4. Mirasol Park

    1. Russo Athletic Complex
    2. Burns Road Community Center
    3. Plant Drive Park
    4. Lake Catherine

    1. Gardens North County District Park
    2. PBG Tennis & Pickleball Center
    3. PGA National Park
51. List the specific facilities requested at the location(s)*
53. Setup Date*
    Setup Date
54. Start Date*
    Start Date
55. End Date*
    End Date
56. Breakdown Date*
    Breakdown Date
58. Explain the timeframe of the event. If multiple days, list the start time and end time for each day.*
60. Has this event been held before?*

    1. Yes
    2. No
61. If yes, for how many years and where previously?
65. Event Details
69. List ALL activities that are anticipated to occur during the event:*
71. Will there be food service at the event?*

    1. Yes

    1. No
72. If yes, will it be sold or complimentary?

    1. Sold
    2. Complimentary

    1. Both
74. Is the ability to serve alcohol being requested?*

    1. Yes

    1. No
75. If yes, will it be sold or complimentary?

    1. Sold
    2. Complimentary

    1. Both
77. Will there be amplified sound, music, and/or announcements at the event?*

    1. Yes
    2. No
79. Is the event requesting any vendors to be on site?*

    1. Yes

    1. No
81. If yes, please list the vendors or any companies that will be on site.

    If the event wishes to have vendors but has not selected specific vendors, please list the type of vendors, number of each type of vendor, and include on the site map where the event wishes the vendors to be set up as well as the size of the setup.  Vendors are subject to approval and may be required to provide insurance to the City.

83. What is the daily anticipated total number of vehicles to be parked?*
84. Is off-site parking anticipated for this event?*

    1. Yes

    1. No
88. Does/Is the event...
90. Require electric?*

    1. Yes

    1. No
91. If yes, explain electric requirements.
93. Require access to water?*

    1. Yes

    1. No
95. Wish to put up on-site signage?*

    Sign maps required before approval.

    1. Yes

    1. No
96. Wish to put up signage outside of the requested facility?*

    Sign maps required before approval.

    1. Yes

    1. No
98. Requesting Police services for the event?*

    1. Yes

    1. No

    Depending on the scope of the event, these services may be required by the City.

99. Requesting Fire Rescue services for the event?*

    1. Yes
    2. No

    Depending on the scope of the event, these services may be required by the City.

103. Acknowledgements
105. I have completed this application to the best of my knowledge with factual and truthful information.*

     1. Yes
107. I understand that this application is not an approval and that I will not advertise the event in any manner until such approval is given.*

     1. Yes
109. I understand that I will have to comply wit hall prescribed steps/actions deemed necessary by the City as outlined during the planning process.*

     1. Yes
111. I understand that fees will be assessed by the City as outlined in the City Council approved Fees and Charges document, of which some of those fees will not be refundable.*

     1. Yes
113. I understand that the City might require insurance coverages, indemnification statements, waivers, or other documents as required by the City's Risk Management or Legal Departments.*

     1. Yes
115. Upload documents such as requested site plan, vendor lists, etc.
117. Upload any additional documents.
Leave This Blank:


119. 1. Receive an email copy of this form.
120. Email address

     This field is not part of the form submission.

121. Submit

* indicates a required field