Special Event Application

Contact
Phone Number
Event Date

MonthDayYear
Date
Event
Special Event Application

City of Mount Pleasant
City of Mount Pleasant Special Event Application This application must be filled out completely and submitted to be considered for possible permit. Any person or organization desiring to conduct a mass gathering of 250 or more people must submit a Comprehensive General Liability Insurance Policy, or its equivalent, written on an occurrence basis (or yearly basis), with a minimum of one (1) million dollars ($1,000,000.00) combine single limit of liability per occurrence for bodily insurance, personal injury, and property damage is required. Insurance coverage must include all areas used by the event including any/all assembly areas, routes, disbanding areas and event location(s).

Any person or organization desiring to conduct a special event (parade, fair, foot race, 5K, bicycle race, or other activity) affecting the ordinary use of the city streets, rights-of-way, sidewalks, or other infrastructure must apply for a permit authorizing the activity. The application must be received at City Hall at least thirty (30) days before the scheduled event and must be approved by the City Manager. Please refer to City Ordinance 2014-1014.
Event Fees:

Event Fees:Special Event Permit (2-249) $25.00

Mass Gathering Permit (250+) $50.00

Beer Permit $150.00

(If selling beer or tickets to event; Must be bona fide charitable, nonprofit, or political organization)

Temporary Structure Use Permit $25.00

Background Check $29.00

(For Beer Permit Application only)
Event Title:*
Event Location:*
Name Streets/Roads (if any) you are requesting to be blocked for event:
Event Date:*

MonthDayYear
Date
Event Start Time:*

Hour Minutes

AM/PM Option
Event End Time:*

Hour Minutes

AM/PM Option
Date Set Up Will Begin:*

MonthDayYear
Date
Time Set Up Will Begin:*

Hour Minutes

AM/PM Option
Estimated time for Clean Up After Event Ends:
Number of Participants / Attendees Expected:*
Number of Participants / Attendees Expected:
Safety Plan:

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Insurance Declaration:

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Number of Volunteers / Event Staff:*
Type of Activity (Please select one):*

FestivalConcernParadeWalk / RunTrade ShowMarchFairCarnivalBlock PartyDemonstrationProtestRallyExhibitOther
Applicant Name:*
Cell Phone Number:*
Please enter a valid phone number.
Alt Phone #:
Organization:
Email Address:*
example@example.com
Fax #:
Please enter a valid phone number.
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Alternate Contact:*
Alt Contact #:*
Please enter a valid phone number.
Please describe your event in detail and be sure to include every, and all elements of your event that will help ensure its safety for all. If you anticipate 250 or more people, we will need to provide a diagram/layout of the event:*
Diagram of the Layout of the Event:

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Will Food be served or sold?*

YesNo
Type of Food?
Catered by Restaurant?

YesNo
Name of Caterer:
Food Trucks?

YesNo
Please Note: Food Truck Vendors must obtain a Peddlers/Solicitors Permit from the City of Mount Pleasant. Vendors must show proof of a business license in the city/county of their home base and have an initial inspection by the fire marshal. All must be completed prior to the event date.
Name/Owner(s) of Food Trucks:
Food Prepared on Site?

YesNo
Vendors/Merchants:
Number of vendors/merchants selling products/food/services?*
Entertainment:
Live Music on site?*

YesNo
Type of Audio System:
Fencing or Scaffolding Used?

YesNo
Temporary Stage?

YesNo
Dimensions of Stage
Utilities
Electricity Needed?*

YesNo
Origination of Power Source:
Portable Toilets?*

YesNo
TCA 68-112-104 - Separate enclosed toilets for males and females, meeting all state and local specifications, conveniently located throughout the grounds, sufficient to provide facilities for the maximum number of people to be assembled at the rate of at least one (1) toilet for every two hundred (200) females and at least one (1) toilet for every three hundred (300) males, together with an efficient, sanitary means of disposing of waste matter deposited, which is in compliance with all state and local laws and regulations; a lavatory with running water under pressure and continuous supply of soap and paper towels shall be provided with each toilet;
Garbage Cans / Collection ?*

YesNo
Propane / Gas / Liquid use or storage?*

YesNo
Miscellaneous
Tents / Pop Up Canopies?*

YesNo
How many and description of tents / pop up:
Temporary Structures?*

YesNo
How many and description of temporary structures:
Parade Included?*

YesNo
Animals Present?*

YesNo
Approximately how many & what type of animals?
Drawing / Raffle?*

YesNo
Alcoholic Beverages Available
Will you be selling tickets or charging admission to event?*

YesNo
Are you proposing to sell beer at the event?*

YesNo
Will you be serving beer without a charge?*

YesNo
Please note: A special occasion beer permit may be issued by the Beer Board and is a permit which may only be issued to a bona fide charitable, nonprofit, or political organization. You must provide your organizations 501C3 government certificate and a completed Beer Permit Application to be submitted to the Mount Pleasant Beer Board. The Beer Board will determine if a 24-hour special event permit will be issued or not for the event.
501(C)3 Certificate:

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Beer Board Application:

Beer Permit Application URL: https://form.jotform.com/250706098303050
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I, the undersigned, certify that the information contained in this application is correct to the best of my knowledge and belief. I have read, understand, and agree to abide by the city’s ordinance, traffic rules, park rules, state health laws, fire codes, and liquor licensing regulations governing this proposed special event. I also agree to comply with all other local, state, and/or federal laws that are applicable to this event. By signing, I acknowledge that I have authority to bind the sponsoring organization and acknowledge that I have received, read, and understand the special event ordinance and agree to be bound by all requirements as stated in the ordinance and incorporated by reference into signed agreement. If the event plans change, I will submit a revised application or additional information
Applicant Name:*
Date:*

MonthDayYear
Date
Applicant Signature:*

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Submission of this form does not guarantee permit will be issued. Permit applications cannot be processed until the permit fee is paid by the applicant, either in person or mailed.
Should be Empty:

Special Event Application

Vendors/Merchants:

Entertainment:

Utilities

Miscellaneous

Alcoholic Beverages Available