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2020 Special Event Permit Application

  • Per Article II of the City of Madeira Beach code of ordinances, Special Event permits are required for any organized meeting, activity, gathering, or group of 50 or more persons, on private property or within a public area for commercial, public, or charitable purpose which is not typically authorized by any ordinance of the city or the or the occupational license issued for the property. Additionally, any case where the temporary activity or fee waiver requires City Manager or Board of Commissioner approval.
  • The City of Madeira Beach must receive applications and permit processing fees at least 60 days prior to event, but not more than one year. Special events seeking waiver of fees must have application turned in at least 90 days prior to the event, but not more than one year. Payments and permits can be submitted in person at the Madeira Beach Recreation Center, 200 Rex Place, Madeira Beach 33708. Please contact 727-392-0665 if you have any questions regarding special events or the application process.
  • General Information

  • If event is multiple dates, state hours for each day of the event.
  • Type of Special Event: (check all that apply) * Required
  • List all activities and details of operation.
  • Please enter a number from 0 to 500000.
    Include event staff in attendance number.
  • Applicant Information:

  • Must be legally responsible for event with proper insurance.
  • Address
  • Authorized Person in Charge * Required
    This should be a person who can make event decisions and will be onsite for the event.
  • This number is used to contact the event organizer prior and on the day of the event.
  • This email is used to contact the event organizer on event details.
  • Required Application Documents

  • The following documents will need to be sent to the Madeira Beach Recreation Center. You can send them via email to JHatch@madeirabeachfl.gov or send them directly to the Recreation Center: 300 Municipal Dr, Madeira Beach, FL 33708. For questions contact 727-392-0665.
  • A) Site Plan/ Event Map/ Parking Plan with Map
  • B) Insurance- You are required to procure and maintain commercial general liability insurance with a minimum of $1,000,000 per occurrence. Proof of event insurance must be submitted a minimum of 30 days prior to the event start and held throughout the activities. This insurance must name the City of Madeira Beach as an additional insured in any and all policies.
  • Event Component Information & Forms

  • Alcoholic Beverages: (check all that apply)
    Please Note: A permit is required for the sale and distribution of alcoholic beverages and must be provided to the City of Madeira Beach 30 days prior to the event.
  • Amplified Sound: * Required
    Please Note: Sec. 34-87 Enumeration (5). Amplified outdoor sound, music, or live entertainment shall be prohibited between the hours of 9:00 pm to 7:30 am Sunday through Thursday and 11:00 pm to 7:30 am Friday through Saturday.
  • If no sound required answer N/A. If event is multiple days with sound, list each day/time sound will be amplified.
  • Fireworks * Required
    If you plan to have fireworks you will also need to contact the Madeira Beach Fire Department for approval.
  • Food Trucks * Required
    Please Note: Temporary food must meet all State and Local guidelines and requirements. All temporary cooking must be inspected by Madeira Beach Fire Department. Event Organizer is responsible for enforcement of proper disposal of coals, and cooking oils. Food vendors must maintain commercial general liability insurance with a minimum of $1,000,000 per occurrence. Proof of event insurance must be submitted a minimum of 30 days prior to the event start and held throughout the activities. This insurance must name the City of Madeira Beach as an additional insured in any and all policies.
  • Restrooms: Besides the restrooms within the facility, how many additional portable restrooms are you planning to have? * Required
    Madeira Beach Recreation Center may require additional restrooms based on per day attendance.
  • Road Closure: Will you require a road closure for your event? * Required
    Madeira Beach Recreation Department may require additional fees for road closures. This will be discussed with the organizer before event is approved. Madeira Beach reserves the right to deny any road closures .
  • Event Organizer is responsible for leaving the venue clear of debris. Please describe your plan for cleanup and removal of all waste during and after your event:
  • Sanitation support can be provided by Madeira Beach Public Works only, availability pending application approval.
    Price: $5.00 Quantity:
  • Sanitation support can be provided by Madeira Beach Public Works only, availability pending application approval.
    Price: $100.00 Quantity:
  • Sanitation support can be provided by Madeira Beach Public Works only, availability pending application approval.
    Price: $200.00 Quantity:
  • Security/EMT: Do you plan to have security or EMT onsite?
    Pinellas County Sheriff's Department is required to be onsite for the full duration of all events involving alcohol. Contact off-duty detail for public events at 727-582-6176. Additional security may be required. EMT required for events involving 3,000 persons or more and all events involving boating/watersports. Costs may vary, standard rate of $97/hour. Contact Madeira Beach Fire Department for more information.
  • Will you have any temporary structures set up at the event? If so please include item, set up time, and breakdown time. If no structures please answer N/A.
  • NOTE: BEACH VENUES- NO OPEN FLAME, NO FOOD OR BEVERAGE SOLD
  • Application Certification

  • I hereby certify that I have read this application and that all information contained herein is true and correct to the nest of my knowledge, information and belief. I agree to comply with all Statues, County and City Ordinances, and the general instructions stated in this application and the special conditions issues by the City in connection with the approval of the Special Event contemplated herein. I, and the organization on whose behalf I make this application, if any, represent, stipulate, contract and agree that we will jointly and severally, defend, indemnify, save and hold the City harmless from any and all claims, lawsuits, judgements, and liability for death, personal injury, bodily injury, or property damage arising directly or indirectly from the exercise of the Special Event Permit and performance of the Special Event by Application, the organization represented by Applicant, its employees, subcontractors, or assigns, including acknowledges that he/she, together with any organization represented by Applicant, shall be solely responsible by complying with the terms of the Permit. I further understand that failure to comply with any for the provisions specified herein, or the unauthorized modification of any parameter, may result in immediate cancellation of this event by City officials.
  • The non-refundable application processing service fee must be submitted at the time of application. Please make all checks payable to the City of Madeira Beach.
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