2023
51 East Norton Avenue • Eustis, Florida 32726 • (352) 483-5400
SPECIAL EVENT PERMIT APPLICATION
IMPORTANT INFORMATION
Applications must be submitted at least 30 days prior to the event and no more than 180 days before.
A permit is not valid until approved and executed by the Chief of Police or designee.
Approval is subject to review by all affected City Departments.
APPLICANT INFORMATION
I am a
Applicant Name: ___ Phone: ___ Email: ___
Address:
StreetCityStateZip
Event Organizer: ______Phone: ______Email: ______
Person responsible for event charges:
Phone Number: ___ Email: ___
EVENT INFORMATION
Name of Event: ___
Description / Type of Event:
___
<div style="text-align: center;"><img src="imgs/img_in_chart_box_0_0_2282_159.jpg" alt="Image" width="99%" /></div>
Sponsoring Organization / Person: ___
Head of Organization:
Federal Tax ID #: ___
Address:
Street City State Zip EVENT DETAILS
Event Location: ___
Event Date(s):
Estimated Daily Attendance:
Shall not extend a period of 3 consecutive days, any break shall require the issuance of a separate special event permit.
Set-Up Start Time: ___ □ AM □ PM
Breakdown End Time: ___ □ AM □ PM
Event Start Time: ___ □ AM □ PM Breakdown End Time: ___ □ AM □ PM
Event End Time: ___ ☐ AM ☐ PM