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Special Event Permit Request

2. This application must be submitted two (2) weeks prior to date of the event. Filing of this application is NOT the same as receiving the permit for the event. This application must be signed and approved before the event may be held. No activity may continue beyond 11:00 P.M.

4. Rules of conduct
   All rules must be agreed to for consideration of permit

   All rules must be agreed to for consideration of permit

6. 1. No alcoholic beverages on public property*
   -- Select One --AgreeDisagree

8. 2. No fighting or physical assaults or batteries of any kind*
   -- Select One --AgreeDisagree

10. 3. Nothing that may be construed as a “Breach of the Peace” or a Disturbance *
    -- Select One --AgreeDisagree

12. 4. No weapons of any kind may be used or displayed by any person attending the function. This includes, but is not limited to firearms, knives, pipes, bats, etc. *
    -- Select One --AgreeDisagree

14. 5. Although amplified music is permitted, there may be no offensive or foul language, with the sound of the music not being audible 300 feet or more from the location of the event. *
    -- Select One --AgreeDisagree

16. 6. The Opa-locka Police Department will assess the necessity for the presence of Police Security and the number of Officers and Supervisors required for the function. The expense for such security is the responsibility of the applicant and shall be paid prior to the receipt of a permit. *
    -- Select One --AgreeDisagree

18. 7. This permit is only valid during the date and hours specified and approved on the permit. Any amplified music or voices before or after these hours is a direct violation of the permit and the law. *
    -- Select One --AgreeDisagree

20. 8. A building inspection will be required for all indoor events where the capacity is expected to exceed 25 persons.*
    -- Select One --AgreeDisagree

22. 9. In the event my application is not approved, I acknowledge that the fee paid is NON-REFUNDABLE. *
    -- Select One --AgreeDisagree

24. I, the undersigned applicant state that I have read and understand the Rules of Conduct, and will conduct the event in compliance with these rules, as well as the laws and ordinances of the City of Opa-locka , Miami-Dade County and the State of Florida. Failure to abide by the Rules of Conduct will result in the confiscation of property/equipment and/or the immediate closing of the function by the Opa-locka Police Department.

26. Electronic Signature*

27. I understand that checking this box constitutes a leagl signature confirming that I acknowledge and agree to the Terms of Acceptance *

    1. Yes
    2. No

31. Today's Date*
    Today's Date

32. Type of Event*

34. Name of Organization

36. Event Address*

38. City

39. State

40. Zip

42. Is the Event for one day?*
    -- Select One --YesNo

43. If yes what is the date, start time, and end time?*
    If yes what is the date, start time, and end time? Start Date

    If yes what is the date, start time, and end time? Start Time

    —

    If yes what is the date, start time, and end time? End Date

    If yes what is the date, start time, and end time? End Time

45. If the event is for more than one day, please complete a separate application for each day.

49. Applicants Must complete the following. Failure to accuratly complete this portion may result in denial of permit.

51. First Name

52. Last Name

54. Address1

56. City

57. State

58. Zip

60. Telephone*

61. Email*

65. How many persons attending?*

66. Will there be an admission charge or donation? If yes, attach a schedule of fees and ultimate disposition of proceeds. (City of Opa-locka Code of Ordinance, Chapter 2-5)*
    -- Select One --YesNo

68. Will you be using an amplification system? If yes, it must not be audible 300 feet from the location. (City of Opa-locka Code of Ordinance, Chapter 15-77) *
    -- Select One --YesNo

69. Upload Supporting Documentation

73. I understand that the person or organization requesting this permit shall be responsible for any and all damages that might occur during this special event, to include both private and public property. Also, such person or organization shall indemnify and hold harmless the City of Opa-locka, its employees and/or its agents from any and all liability whatsoever before, during and after such event. (City of Opa-locka Code of Ordinance 2-5)

75. I hereby acknowledge that I have received a copy and will adhere to the requirements of the “Saggy Pants” Ordinance (#0719) as required by the City of Opa-locka.

77. Electronic Signature*

78. I understand that checking this box constitutes a leagl signature confirming that I acknowledge and agree to the Terms of Acceptance *

    1. Yes
    2. No

82. Code Enforcement Dvision

    1. Approved
    2. Denied

83. Code Enforcement Official Making Determination*

85. Building & Licensing Department

    1. Approved
    2. Denied

86. Building & Licencing Official Making Determination*

88. Police Department

    1. Approved
    2. Denied

89. Chief of Police Making Determination*

91. Office of the City Manager

    1. Approved
    2. Denied

92. City Manager Making Determination*

Leave This Blank:


94. 1. Receive an email copy of this form.
95. Email address

    This field is not part of the form submission.

96. Submit Submit and Print

* indicates a required field