HomeMy WebLinkAboutEmergency Item: Special Event Permit - 4th of July Block Party #6.,0% CC ;loot'O(o/.1"'
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Address: 5 R3 I N1 i I I S-{-2 a vn R c
City: 0 C Dem State:- Co F L Zip Code: 3 4 7
Phone#: (407- act 1-- ( g 10
Representative
Name:
Address:
City: State: Zip Code:
Phone#:
Applicant(if different):
Name:
Address:
City: State: Zip Code:
Phone#:
ype of Event: d"e 7 Ceremony
cExhibition Show
DT o eert - Demonstration Other V/ 1--}i' DT J q_�y �o ck pa-rtY
Dates and times scheduled: IA 4'h o- 3�k ,2__.001-‘ \71)„, I l a- 0 0 a w,
Nature and types of activities: l t rlti y`4^ 0-f July v ariy ) 3r i (t i vt_q
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Approximate number of spectators and participants: 60 ,Pe n e lr.
Purpose of Special event: 4`k-liN O-F 1:,t Ly .-€_t eb ro...+i 0 tel I\ I /
Exact location of event: Sal 5 +0 �0 3 i Sir-e-a."`r` � ' l S a ..0 ►'y,.; rt
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Designation of public facilities or equipment to be used: Darr 1 c .A €3 p(a C..�.et
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Number of temporary directional signs: x$5.00 per sign=
City of Ocoee• 150 N Lakeshore Drive•Ocoee,Florida 34761
Phone:(407)905-3104•fax: (407)656-5398 •www.ci.ocoee.fl.us
Copy of State Permit if State roadway is used: ❑ yes ❑ no
For Parade:
Exact location of marshalling and staging area:
Time at which units of parade will begin to arrive:
Time at which units of parade will be dispersed:
Exact route to be traveled shown on attached map: ❑ yes ❑ no
Please attach approximate # of persons, animals, & vehicles participating with
description of types of animals and vehicles.
Parade will occupy all of the width of the street, roadway, or sidewalk: ❑yes ❑ no
For Fireworks:
The following shall be attached to this application:
1) A detailed listing of the type & quantity of fireworks to be used.
2) A detailed written statement outlining all appropriate safety procedures which will be
used at fireworks display in order to protect the safety of the public and all surrounding
property.
3) A detailed written statement describing what facilities and containers will be used to
store fireworks.
4) If applicable, applicants federal license # for transporting fireworks across state line.
5) A detailed list of names, addresses, occupations, and backgrounds of all individuals
who will be responsible for the actual display, use or explosion of any fireworks. The
backgrounds statement should include a complete history of the experience of the
individuals involved with respect to their use of fireworks, including a detailed list and
explanation of each and every accident resulting from the use of fireworks which the
individual has been responsible for, or involved in. .
6) A map showing exact launch point and area of fallout.
Applicant Signature: ;�,, .c �b , Date: & — 1 5- 0
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❑ Approved ❑ Disapproved ❑ Conditions for permit attached
Police Chief Date:
❑ Approved ❑ Disapproved ❑ Conditions for permit attached
Fire Chief Date:
❑ Approved ❑ Disapproved ❑ Conditions for permit attached
Building Official Date:
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