SPECIAL EVENT APPLICATION

SPECIAL EVENT APPLICATION
A nonrefundable $50 application fee is required before the application can be reviewed. Payment can be made at the end of this form. City-Produced Event Applicants (City Employees) should NOT submit payment.

The application must be filled out completely; and a detailed event site plan map must be uploaded depicting the proposed location, wet zone(s), structures, and equipment (e.g., stage, restrooms, signage, tents, roadways, etc.).

The application must be submitted at least 60 days before the event date; 6 months for events with an expected attendee size of 500 or more. If an application is not submitted on time, it will NOT be approved.

Before completing this application, please make sure to read the Special Events Policy and Procedures Manual to understand the expectations of the Special Event Permitting Process.

The individual that completes this application must be the Applicant or Organizer who is financially responsible for all fees, deposits, damages, or other charges for holding an event in Riviera Beach. This person has the authority to make decisions regarding the event, including the cancellation of the event.

Appropriate state licenses and City business tax receipts MUST be obtained before the submission of the application. The City cannot expedite the licensing process. Please make sure to obtain these requirements in a timely fashion.
Event Proposal
Name of event*
What is the purpose of the event?*
Requested location for the event*
List all dates/times of the event, including setup and breakdown. The application must be submitted at least 60 days*
How many attendees are you expecting at the event?
What type of event is this?

Private EventCity-Produced EventCity Sponsored/Contracted Event
Applicant Contact Info
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Property Owner Info
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
If this event is being sponsored by the City of Riviera Beach and/or the CRA, please upload the signed authorization form here.

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Event Logistics
Will your event require road closure?*

YesNo
If yes, describe the requested streets and times: (Please make sure to depict the area/route on your event site plan map)
Does the proposed event location require fencing off areas? (Clearly indicate the areas to be fenced off on your event site plan map.)*

YesNo
Will the event require the use of electricity?*

YesNo
If yes, describe the location and uses: (All electrical work must be permitted and performed by an electrician licensed in the City of Riviera Beach.)
Will you be providing electricity? *

YesNo
If yes, please specify (e.g., generator)
Will music be provided?*

YesNo
If yes, include date and time music will begin and end
Will alcoholic beverages be served? (Please indicate "Wet Zones" or locations where alcohol will be served on the event site plan map. Permission to sell alcohol on public property must be authorized by the City and State licensure. Please refer to the Special Events Policies and Procedures Manual regarding alcohol).*

YesNo
Will an identification method be provided for those consuming alcoholic beverages ( e.g. wristbands)*

YesNoNot applicable
Include an image of the cup that the alcoholic beverage will be served in.

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Are you requesting the use of City parking lots?*

YesNo
If yes, which lot?
Will temporary structures be used at the event? ( e.g., staging, tents, etc.) Note: If Yes, an inspection may be required by the Fire Department and/or the Building Department.*

YesNo
If yes, include number, size and type of structure:
Will the event have any vendors?*

YesNo
If yes, how many vendors? and what type of vendors?
Will the event include amusement rides/apparatuses? ( e.g., obstacle courses, inflatables, rock climbing walls, kiddy trains, petting zoos, etc.)*

YesNo
If yes, please provide the name of the company/companies and type of equipment.
Upload a copy of the proof of insurance listing the City as additionally insured for the amusement vendor here.

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NOTE: All amusement rides must be approved by the state. Please indicate locations on the event site plan map.
Please upload all other required documents here (e.g. Permits, Business Tax Receipt, Notarized Consent, Recorded Warranty Deed, etc.)
Notarized Consent

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A Detailed Event Site Plan Map here

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Recorded Warranty Deed

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Business Tax Receipt

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Certificate of Insurance

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Permit/License

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Other document(s)

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PLEASE NOTE:

SECURITY: The need for security by the Police Department will be determined by the City.

CLEAN-UP: The event applicant is responsible for the clean-up of all event sites. The City of Riviera Beach will provide dumpsters for your event at your request; all dumping fees will be charged to the applicant by the City. If the event site is not cleaned thoroughly, a clean-up charge will be assessed depending on the clean-up required.

PORT-O-LETS: Temporary restroom facilities may be required and will be determined by the City.

CROWD CONTROL: Certified crowd control may be required and will be determined by the City.
TERMS & CONDITIONS:

By submitting this application you agree to the following:

The applicant agrees to comply with City Ordinances and the Special Events Policy and Procedures Manual.

The applicant agrees to indemnify the city, its employees, agents, volunteers, and elected and appointed officials from any and all claims, demands, judgments, including, but not limited to, any and all such claims, suits, actions, damages, or causes of action arising as a result of the special event, or of the condition of the premises on which the special event is held including any personal injury or loss of life, or damage to or loss of property, and from and against any order, judgments, or decrees which may be entered, and from and against any costs, attorneys' fees, expenses and liabilities incurred in and about the defense or settlement of any claims, and the investigation thereof.
Do you agree or disagree with the statements above?*

Yes, I agreeNo, I disagree ( application will be denied)
Signature
PAYMENT SECTION: ( NOTE: PLEASE DO NOT SUBMIT THIS FORM NOR PAYMENT IF YOU ARE PAST THE DEADLINE FOR SUBMISSION. YOUR APPLICATION WILL BE DENIED AND PAYMENT WILL NOT BE REIMBURSED. SIMPLY CHANGE YOUR EVENT DATE TO ALIGN WITH THE DEADLINE. FOR ADDITIONAL ASSISTANCE, PLEASE CONTACT THE SPECIAL EVENT COORDINATOR, THANK YOU).
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SPECIAL EVENT APPLICATION FEE
$50.00

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

SPECIAL EVENT APPLICATION

Event Proposal

Applicant Contact Info

Property Owner Info

Event Logistics

NOTE: All amusement rides must be approved by the state. Please indicate locations on the event site plan map.

Please upload all other required documents here (e.g. Permits, Business Tax Receipt, Notarized Consent, Recorded Warranty Deed, etc.)