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  • Event Memo & Details
  • Street Closure Details
  • Alcohol Application
  • Terms for Block Party
  • Block Party/Street Closure
  • Comments
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Event DetailsEvent Name:
 
Application Date:
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Applicant Name: Organization Name:
 
Indicate if Organization is Profit or Non Profit: Address Line 1: Address Line 2:
 
City: State: Zip Code: Phone Number: Alternate Number: Email Address: Event Start Date:
 
Select a date and time
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Event End Date:
Select a date and time
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Estimated Daily Attendance: Estimated Vehicles: What is your expected attendance for the duration of each event day?: Will Alcohol Be Sold, Served or Consumed?: Is there an Admission Fee or are tickets being sold?: Ticket Pricing or Entry Fees?: Are you selling tickets, or entries the day of the event?: What is the anticipated number of tickets or entries to be sold?: What is your re-entry policy?:
Type a value
Please describe the method for tracking and maintaining an accurate attendee count:
Please explain in detail
Will Food, Goods, or Services be Sold or distributed?:  Will Outdoor Musical Entertainment Be Provided?: What type?: Is the Event Being Promoted to the Public?: How is the Event Being Promoted?: Site InformationSitemaps must include all information about your event including, but not limited to, fencing, tents, generators, food vendors, stages, bleachers, activations, amusement rides, bars, trash cans, fire lanes, entrances/exits,amplified sound, race routes (if applicable), etc. Maps must be in full color and completely legible.   Please upload your site map(s) for the setup of your event: The layout plan should be drawn to scale and must include the locations of: o Main entrance(s) and exits and their dimensions o Emergency exits and their dimensions o VIP or exclusive areas, including entrances and exits for those areas o All infrastructure, including but not limited to: 1. Tents to include dimensions 2. Food trucks and/or food trailers 3. Stages 4. Bars 5. Merchandise areas 6. Portolets / Restrooms o Please include a key to indicate the symbols used in the layout plan.
File Type IconFile Type Icon
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What is your plan for providing lighting during the evening to illuminate paths of egress and exits/emergency exits?:
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Will your event have private security?: Please describe the plans for private security:
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What items will be allowed for attendees to bring inside the event?: (Check all that apply) *Please note that items brought or utilized inside by attendees will reduce the overall occupant load capacity. Event organizers should account for these items when planning to ensure they do not exceed by the Fire Marshal’s Office.*
Available Items
Chairs
Tent
Coolers
Umbrellas
Other (please specify):
Selected Items
Chairs
Tent
Coolers
Umbrellas
Other (please specify):
For any VIP or exclusive areas, please list the dimensions and total number of tickets for each of these areas indicated on your layout plan?:
(Please put "N/A" if not applicable)
Is your event fenced-in or otherwise enclosed to restrict free movement within the event footprint (e.g., fenced, bike-racked, barricaded, etc.)?: *For enclosed events, the Fire Marshal’s Office requires that safety officers be assigned to monitor occupant loads and conduct regular headcounts throughout the duration of the event to prevent overcrowding. The number of safety officers will be determined on a case-by-case basis, considering factors such as event location, event size, expected attendance, and number of entrances and exits. This service is mandatoryand will incur additional cost to the event organizer or applicant. *Will there be any mobile cooking operations on-site?: (This includes food trucks, food trailers, or any cooking under tents) *Please note that the Florida Fire Prevention Code requires that mobile cooking operations be inspected annually to ensure compliance with applicable code requirements. Mobile cooking operations that are not in compliance will not be allowed to participate in your event.*Will your event have food vendors?:
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How many food vendors are expected?: Please list food trucks with, Name, Owner/Representative, Phone number/Email, preferred contact:
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Parking PlanHow many vendor, sponsor, volunteer and staff vehicles are you expecting?: How many attendee vehicles are you expecting?: Please describe in detail your parking accommodations for all vehicles:
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Are you closing off any City parking spaces?: Please describe in detail your City parking needs, including any bagged meter requests:
Type a value
Electrical NeedsWill you need electricity at your event?: Are you requesting City electricity at your event (including plugging into an existing outlet)?: Will you be providing your own generators?: Please describe your electrical needs, including location and amperage:
Type a value
Water NeedsWill your event need connection to City Water?: Please describe your event’s water needs:
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Will this water be used for potable purposes?:  Will your event be connecting to fire hydrant water?: click here to go to JEA Fire Hydrant meter informationTemporary Structure InformationAny tents larger than 800 square feet, tents used for cooking, or erected temporary structures (bleachers, stages, etc.) must submit a separate building permit.Please download this form to begin the process of gaining permission to erect temporary structures at your eventWill your event have any tents?: Who will provide the tents?: How will your tents be weighted down?: Please list all tent sizes: Will any tents be used for cooking?: I understand that staking is not permitted on City Property:
Will your event have any stages, platforms or other temporary structures?: Please explain:
Type a value
Are you requesting the use of City Stages or Bleachers?: Small Stage (20’ x 16’) @ $430.00 ea. + Tax: (maximum 2)Large Stage (40’ x 16’) @ $455.00 ea. + Tax: (maximum 1)Bleachers (Seating capacity approximately 200) @ $370.00 + Tax: (maximum 8)Specific delivery location at event:  Date and time of delivery:
Select a date and time
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Date and time of pickup:
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Will overnight security be provided for equipment?: Please describe security:
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Insurance Form
 
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I certify that the above information, to the best of my knowledge is correct. I also, certify and understand that if I misrepresent the size and scope of event, or obtain this permit fraudulently, future permits will be denied.
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 Date Submitted:
Select a date
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 Event Start Date:
 
Select a date
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Event End Date:
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Name of Organization/Event Sponsor:
 
 
Applicant/Contact Name:
 
 
Contact Phone:
 
Contact Email Address:
 
 
Contact Fax:
 
Title of Event:  Event Duration:
 
If Road Closure(s) involved:Closure Start Time (incl. Set up/Barricades):
Select a date and time
...
Closure End Time (Barricades removed):
 
Select a date and time
...
 
Please describe road(s) to be closed and/ attach map (required):
 
“See Attached Map” is not acceptable. Please list each road that will be closed (with limits from – to) and the duration of the closure.DO NOT USE THIS FORM FOR EVENTS THAT WILL CLOSE STATE ROAD(S) AND/OR REQUIRE LOCKDOWN OF THE MAIN STREET OR ORTEGA DRAWSPAN
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Attach Map Here:
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Please describe detour route and attach map(if applicable):
 
Type a value
 
 
Attach Detour Map here:
 
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Is the Event in a Residential Neighborhood?: (If the Event is in a Residential Neighborhood written consent of at least 70% of occupants of property in the neighborhood is needed)THE CITY’S GRANTING OF A BLOCK PARTY PERMIT DOES NOT ELIMINATE ANY PRIVATE RESTRICTIONS THAT MAY EXIST WITHIN A COMMUNITY REGULATED BY A HOMEOWNER’S ASSOCIATION (HOA). ENFORCEMENT OF ANY AND ALL PRIVATE RESTRICTIONS IS THE RESPONSIBILITY OF THE HOMEOWNERS OF THEIR COMMUNITY, INCLUDING HOA REQUIREMENTS.Please attach the written consent here:
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Property Type:
 
Any Special Conditions?:
 
 
Describe Special Conditions:
 
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Will this event serve, distribute and/or sell Alcohol?:
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Entity Information
Name of Entity or Individuals seeking to conduct activity (List company name if company is conducting activity):
 
Address of above entity or individual:
 
Contact Name:
 
Contact Phone:
Contact Email:
 
Is the Applicant the same person/entity holding the alcohol license? :
Alcohol Service
Exact address of where alcohol beverages will be sold, served, or consumed:
Is this event in a Park?: Park Name: If your event is under 500 and located within a park, you must Visit the JaxParks Reservation Site to complete the park reservation process
Service Start Date/Time:
Select a date and time
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Service End Date/Time:
 
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Is this event open to the public, ticketed, or a private event?:
This event will have (check one or both):
 
   
How will alcohol be purchased or provided to guests?:
Please describe your ID checking procedures:
 
Type a value
Alcohol Containment
Name of security company possessing a class D license (may not be JSO or Volunteers) that will provide staff to contain alcohol within the approved area:
Security Company Contact Name:
 
Security Company Contact Phone:
 
Security Company Contact Email: Security Staff Count:
 
Security Start Date/Time: (must be at least 30 minutes before alcohol service begins)
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Security End Date/Time: (must be at least 30 minutes after alcohol service ends)
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Upload Containment Plan:
 
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InsuranceName of the person or entity that will hold liquor insurance as outlined in this application for this activity:
(Must be the same as person or entity holding the alcohol license)
A copy of the Certificate of Insurance is to be submitted with this ApplicationUpload Insurance Certificate:
 
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Indemnity
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I Accept the Terms and Conditions:
     
Assigned To Permit No Issued  
Insurance Requirements
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Hold Harmless and Indemnification Agreement
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Marking Of Pavement/Clean-up For Special Event
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Certification
 
I certify that the above information, to the best of my knowledge is correct. I also, certify and understand that if I misrepresent the size and scope of event, or obtain this permit fraudulently, future permits will be denied.
 
 
Agree To All
PreviousSubmit
Event DetailsEvent Name:
 
Application Date:
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Applicant Name/Organization:Organization Name
 
Indicate if Organization is Profit or Non Profit:Address Line 1:Address Line 2
 
City:State:Zip Code:Phone Number:Alternate Number:Email Address:Event Start Date
 
Select a date and time
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Event End Date
 
Select a date and time
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Estimated Daily Attendance:Estimated Vehicles:What is your expected attendance for the duration of each event day?: Is there an Admission Fee or are tickets being sold?:Ticket Pricing or Entry Fees?:Are you selling tickets, or entries the day of the event?:What is the anticipated number of tickets or entries to be sold?:What is your re-entry policy?:
Type a value
Please describe the method for tracking and maintaining an accurate attendee count:
Type a value
Will Outdoor Musical Entertainment Be Provided?:What type?:Will Alcohol Be Sold, Served or Consumed?:Will Food, Goods, or Services be Sold or distributed?:Is the Event Being Promoted to the Public?:How is Event Being Promoted?:Site InformationSitemaps must include all information about your event including, but not limited to, fencing, tents, generators, food vendors, stages, bleachers, activations, amusement rides, bars, trash cans, fire lanes, entrances/exits,amplified sound, race routes (if applicable), etc. Maps must be in full color and completely legible.   Please upload your site map(s) for the setup of your event: The layout plan should be drawn to scale and must include the locations of: o Main entrance(s) and exits and their dimensions o Emergency exits and their dimensions o VIP or exclusive areas, including entrances and exits for those areas o All infrastructure, including but not limited to: 1. Tents to include dimensions 2. Food trucks and/or food trailers 3. Stages 4. Bars 5. Merchandise areas 6. Portolets / Restrooms o Please include a key to indicate the symbols used in the layout plan.
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What is your plan for providing lighting during the evening to illuminate paths of egress and exits/emergency exits?:
Type a value
Will your event have private security?: Please describe the plans for private security:
Type a value
What items will be allowed for attendees to bring inside the event?: (Check all that apply) *Please note that items brought or utilized inside by attendees will reduce the overall occupant load capacity. Event organizers should account for these items when planning to ensure they do not exceed by the Fire Marshal’s Office.*
Available Items
Chairs
Tent
Coolers
Umbrellas
Other (please specify)
Selected Items
Chairs
Tent
Coolers
Umbrellas
Other (please specify)
For any VIP or exclusive areas, please list the dimensions and total number of tickets for each of these areas indicated on your layout plan?:
(Please put "N/A" if not applicable)
Is your event fenced-in or otherwise enclosed to restrict free movement within the event footprint (e.g., fenced, bike-racked, barricaded, etc.)?: *For enclosed events, the Fire Marshal’s Office requires that safety officers be assigned to monitor occupant loads and conduct regular headcounts throughout the duration of the event to prevent overcrowding. The number of safety officers will be determined on a case-by-case basis, considering factors such as event location, event size, expected attendance, and number of entrances and exits. This service is mandatoryand will incur additional cost to the event organizer or applicant. *Will there be any mobile cooking operations on-site?: (This includes food trucks, food trailers, or any cooking under tents) *Please note that the Florida Fire Prevention Code requires that mobile cooking operations be inspected annually to ensure compliance with applicable code requirements. Mobile cooking operations that are not in compliance will not be allowed to participate in your event.*Will your event have food vendors?:
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How many food vendors are expected?: Please list food trucks with, Name, Owner/Representative, Phone number/Email, preferred contact. (Possibly give fictitious example):
Type a value
Parking PlanHow many vendor, sponsor, volunteer and staff vehicles are you expecting?: How many attendee vehicles are you expecting?: Please describe in detail your parking accommodations for all vehicles:
Type a value
Are you closing off any City parking spaces?: Please describe in detail your City parking needs, including any bagged meter requests:
Type a value
Electrical NeedsWill you need electricity at your event?: Are you requesting City electricity at your event (including plugging into an existing outlet)?: Will you be providing your own generators?: Please describe your electrical needs, including location and amperage:
Type a value
Water NeedsWill your event need connection to City Water?: Please describe your event’s water needs:
Type a value
Will this water be used for potable purposes?:  Will your event be connecting to fire hydrant water?: click here to go to JEA Fire Hydrant meter informationTemporary Structure InformationAny tents larger than 800 square feet, tents used for cooking, or erected temporary structures (bleachers, stages, etc.) must submit a separate building permit.Please download this form to begin the process of gaining permission to erect temporary structures at your eventWill your event have any tents?: Who will provide the tents?: How will your tents be weighted down?: Please list all tent sizes: Will any tents be used for cooking?: I understand that staking is not permitted on City Property:
Will your event have any stages, platforms or other temporary structures?: Please explain:
Type a value
Are you requesting the use of City Stages or Bleachers?: Small Stage (20’ x 16’) @ $430.00 ea. + Tax: (maximum 2)Large Stage (40’ x 16’) @ $455.00 ea. + Tax: (maximum 1)Bleachers (Seating capacity approximately 200) @ $370.00 + Tax: (maximum 8)Specific delivery location at event:  Date and time of delivery:
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Date and time of pickup:
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...
Will overnight security be provided for equipment?: Please describe security:
Type a value
Insurance Form
 
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I certify that the above information, to the best of my knowledge is correct. I also, certify and understand that if I misrepresent the size and scope of event, or obtain this permit fraudulently, future permits will be denied.
   
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DATE SUBMITTED:
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...
 EVENT START DATE:
 
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EVENT END DATE:
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NAME OF ORGANIZATION/EVENT SPONSOR:
 
 
APPLICANT/CONTACT NAME:
 
 
CONTACT PHONE:
 
CONTACT E-MAIL ADDRESS:
 
 
CONTACT FAX:
 
TITLE OF EVENT:  EVENT DURATION:
 
 
IF ROAD CLOSURE(S) INVOLVED:
 
CLOSURE START TIME (INCL. SET UP/BARRICADES):
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...
 
CLOSURE END TIME (BARRICADES REMOVED):
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...
 
PLEASE DESCRIBE ROAD(S) TO BE CLOSED AND/ ATTACH MAP (REQUIRED): “See Attached Map” is not acceptable. Please list each road that will be closed (with limits from – to) and the duration of the closure.DO NOT USE THIS FORM FOR EVENTS THAT WILL CLOSE STATE ROAD(S) AND/OR REQUIRE LOCKDOWN OF THE MAIN STREET OR ORTEGA DRAWSPAN
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ATTACH MAP HERE:                   
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PLEASE DESCRIBE DETOUR ROUTE AND ATTACH MAP:
Type a value
ATTACH DETOUR MAP HERE:
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IS THE EVENT IN A RESIDENTIAL NEIGHBORHOOD: (If the Event is in a Residential Neighborhood written consent of at least 70% of occupants of property in the neighborhood is needed)THE CITY’S GRANTING OF A BLOCK PARTY PERMIT DOES NOT ELIMINATE ANY PRIVATE RESTRICTIONS THAT MAY EXIST WITHIN A COMMUNITY REGULATED BY A HOMEOWNER’S ASSOCIATION (HOA). ENFORCEMENT OF ANY AND ALL PRIVATE RESTRICTIONS IS THE RESPONSIBILITY OF THE HOMEOWNERS OF THEIR COMMUNITY, INCLUDING HOA REQUIREMENTS.
 
Consent Attachment
 
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Property Type:
 
ANY SPECIAL CONDITIONS?:         
 
 
DESCRIBE SPECIAL CONDITIONS:
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Update Application Details
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