☐ ☐ Will there be any hot-air balloons or other inflatable devices, helicopters, or parachutists?• If yes, which ones.

☐ ☐ Will amplified sound be used?• If yes, what type and what power source?

☐ ☐ Will signage or banners be displayed?• If yes, include size, location and method of attachment.

☐ ☐ Will admission be charged?• If yes, amount:

☐ ☐ Will private security be provided to protect exhibits, equipment or facilities on-site for the event?• Name of Company: ____________ How many?

☐ ☐ Will temporary restrooms and handwashing facilities be provided?• If yes, indicate quantities and location(s) on site plan.

☐ ☐ Is the event being held on City of Eustis property or City sponsored?• If yes, a Certificate of Insurance (COI) is required• City must be named as Additional Insured

☐ ☐ Will you be requesting the use of any City services, assistance from any City staff, or use of any City owned equipment? The applicant is responsible for the cost of services or equipment rental. To request an officer for your detail, please contact Detail Kommander at 407-906-2121. Indicate your needs by checking the appropriate box.

☐ ☐ City Services Requested (Enter Amounts)☐ Trash Containers = 10 each/day ________☐ Barricades =10 each/day ________☐ Power* = 10/vendor/day ________☐ Signage for Closures =5 each/day *Limited availability based on location of event City Staff Requested (3-hour minimum)☐ Trash Pickup = $85/hr☐ Custodial Services = $35/hr☐ Fire Safety Inspection = $31/hr☐ Fire First Aid = $67/hr☐ Fire Boat = $125/hr☐ Police Officer = $55/hr*Holidays are an additional $10/hr

Who will provide clean-up for streets/sidewalks after the event? ___ Who will provide other clean-up (trash, etc.) after the event? ___

During review by the appropriate city departments, additional conditions may be imposed. This permit is valid only for the time indicated on this permit. In the event that the applicant fails to fulfill the requirements set forth in this permit, fails to obtain proper authorization to proceed, of the expected outcomes, impacts, or specifications.