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2. SECTION 1: APPLICANT INFORMATION
   Enter information as it appears on www.sunbiz.org
4. Check One*

   1. For Profit

   1. Non-Profit

   1. Individual

   1. Other
6. Organizaton Name*
7. President / CEO / Owner*
9. Phone*
10. Email*
12. Address1*
14. Address2
16. City
17. State
18. Zip
20. Applicant Name*
21. Position With Organization*
23. Phone*
24. Email*
28. SECTION 2: EVENT DETAILS
    Enter information as detailed as possible
30. Name of Event*
32. Proposed Location*
    Requests of use of City Property are granted based on availability and are subject to daily site fees in accordance with schedule of fees and charges. A $1,000 Refundable damage deposit / clean up bond will also be required • Events on private property will require written and notarized permission from the property owner • When the proposed event is to be held within 500 feet of a residential property, the sponsors or operators of the event must submit written waivers of objection for the event from at least 80% of the property owners.
34. Proposed Start Date*
    Proposed Start Date
35. End Date*
    End Date
36. Alternate Start Date
    Alternate Start Date
38. Start Time*
    Start Time
39. End Time*
    End Time
40. Estimated Attendance*
41. Admission
43. Describe your event and it's goals*
45. Have you held this event before?*
    If yes, list the date and location
47. Professional Reference 1
    Please list; name, contact number, and professional relation
49. Professional Reference 2
    Please list; name, contact number, and professional relation
53. SECTION 3: EVENT SPECIFICS
    To serve as an addendum to your application, a site plan must be created that depicts the specific location(s) within the city where the special event is to be held and describes the layout of the special event, including the locations of each and every booth, sponsor or vendor, points of entry and exit, rides, attractions, access to electricity, temporary structures and public facilities.
55. Characteristics of proposed event*

    Select all applicable

    1. 5k Walk / Run / Marathon
    2. Outdoor Festival
    3. Carnival

    1. Parade
    2. Inflatables
    3. Fireworks

    1. Live Music
    2. Amplified Music (DJ)

    1. Commerical Vendors
    2. Other
57. Request for use of City Owned Equipment or Facility

    Additional costs may apply

    1. Amphitheater

    1. Mobile Stage

    1. Riser Stage

    1. Sound System
59. List event sponsors
    Additional documentation and/or insurance may be required to be supplied by all sponsors and/or vendors on site. Fees may also be assessed if applicable.
63. SECTION 4: INFRASTRUCTURE
    The following items may require additional permitting and inspections.
65. Canopies (without sidewalls)*

    1. Professional
    2. Consumer

    1. Not Applicable
66. Size
67. Quantity
69. Name of Contractor
71. Tents (with sidewalls)*

    1. Professional
    2. Not Applicable
72. Size
73. Quantity
75. Name of Contractor
77. Toilets*

    1. On Site Facilities

    1. Standalone Portable Units

    1. Portable Trailer

    Minimum requirements may be placed based on expected attendance.
79. Name of Contractor
81. Electricity*

    1. Extension Cables
    2. Generator
    3. Not Applicable
82. Generator Size
83. Quantity
85. Name of Contractor
89. SECTION 5: FOOD AND BEVERAGE VENDORS
    Vendors may be required to attend a pre-event meeting with Hollywood’s Fire Marshal and Florida Department of Business & Professional Regulation representatives prior to inclusion in a proposed event. Vendors may also be subject to; inspections from the Florida Department of Health and the City of Hollywood Fire Department, and requests for insurance documentation.
91. Food and Beverage (Pre Prepared)*
    -- Select One --YesNo

    Sale and/or sampling of pre-prepared or packaged consumable goods, snacks, drinks, etc.
92. Food and Beverage (Prepared on Site)*
    -- Select One --YesNo

    Sale and/or sampling of consumable goods that are prepared and served on site by means of cooking equipment or other temporary equipment
94. Mobile Food Dispensing Vehicles*
    -- Select One --YesNo

    Sale and/or sampling of consumable goods that are prepared and served from a mobile food dispensing vehicle (i.e. food trucks, food trailers, and food carts) and may be subject to additional permitting and vendor fees.
95. Alcoholic Beverages*
    -- Select One --YesNo

    Sale and/or sampling of alcoholic beverages. May be subject to additional permitting, licensing and vendor fees.
97. Additional Information

    • Applicant may be required to provide a vendor list with appropriate contact information for all food/beverage vendors along with the type of items proposed to be sold • On site food service requires environmentally proper disposal of grease and gray water. Attach a detailed plan including copy of contract with outside vendor • The City of Hollywood is committed to recycling and requires the event organizer to provide and implement a program that includes containers for garbage, recycling, and their removal from your event. Please submit a trash and recycling plan that includes the following; Name of the Company, the equipment being used, the number of garbage containers and sizes being used, number of staff during the event and the disposal destination • The City’s plastic and Styrofoam ordinance passed in 2020, §97.08-97.12, prohibits the use of polystyrene (“Styrofoam”), single-use plastic and bioplastic food service products. This includes eating and serving utensils, tableware, containers, lids, plates, bowls, cups, straws, wrappings, bottles, bags or other packaging and all similar articles used for transporting or consuming prepared food or beverages • Reusable and/or biodegradable materials may be used as alternatives such as paper, bamboo, and other plant-based fiber items • A responsible products catalogue can be provided to assist in your sourcing of these items • We encourage applicant and contractors to practice a zero food waste policy by donating to local food banks or a food recovery organization which services individuals in need • 

101. SECTION 6: REQUEST FOR CITY SERVICES AND ADDTIONAL PERMITTING
     The following requests may require submittal at least 30 - 60 days prior to proposed event date.
103. Street Closure Request*
     Specify location, dates and times
104. Alcohol Variance Request*
     -- Select One --YesNo

     For the sale and/or sampling of alcohol beverages on Public Right of Way.
106. Animal Display Permit*
     For the public display of animals as part of an event.
107. Parking Reservations*

     For Reservation of parking spaces within an event space or for event personnel.

109. Police Detail*
     -- Select One --YesNo

     Request for Police Services. May be required due to the nature of the proposed Special Event.
110. Department of Environmental Protection Permit*
     -- Select One --YesNo

     For events on the sandy beach
112. Other
116. SECTION 7: APPLICATION SUBMISSION
     Any person or organization desiring to hold a special event shall make application for a Special Events Permit to the Director. The following supplemental materials may be requested by a member of the Special Events Division upon submission of this application.
118. Application Fee
     Such application shall be accompanied by a non-refundable application fee. The fee shall be in the form of cashier’s check or money order made payable to the City of Hollywood. A credit card authorization may also be accepted.
119. Certificate of Insurance
     Commercial General Liability, General Aggregate ($1,000,000) Each Occurrence ($1,000,000) Fire Damage ($50,000) The insurance coverage shall be for any and all associated activities related to the event. The City of Hollywood (City of Hollywood 2600 Hollywood Boulevard Hollywood, FL 33020) must be listed as certificate holder and additionally insured.
121. Site Plan
     As referenced in SECTION 3 of the application.
122. Indemnification Agreement
     Executed by an authorized agent of the organization responsible for the event.
124. Confirmation*

     The information I have provided in this application is true and complete to the best of my knowledge. I have read and understand the accompanying materials. I understand that I (the applicant) am financially responsible for all aspects of this event.

     1. Agreed
Leave This Blank:


126. 1. Receive an email copy of this form.
127. Email address

     This field is not part of the form submission.

128. Submit Submit and Print

* indicates a required field