Revised 1/2017
Staff Use Only
City of Wildwood, Florida
Development Services Department
Fee Paid:
100 N. Main St., Wildwood, FL 34785
Method of Payment:
Tel: 352.330.1334 Fax: 352.330.1338
www.wildwood-fl.gov
Receipt Number:
Temporary Use Permit Application
Applicant's Name:
Business/Organization Name:
Address:
Phone: Email:
Property Owner(s):
Address:
Phone: Email:
Proposed Use:
Beginning Date: Ending Date: Hours of Operation:
Property Information:
Address:
Parcel Number(s): Current Zoning:
The following items must be submitted at least three (3) weeks prior to event start date for application to be reviewed.
The proposed use must meet all criteria set forth in the City of Wildwood Ordinance No. 476.
$100.00 non-refundable application fee (per site).
Notarized, dated permission letter from the property owner(s).
Letter stating times and dates of the event.
Site plan indicating the placement of all materials and outlining the traffic flow and any other pertinent information.
If a tent will be used for the event, a copy of the flame-retardant seal must be provided.
Copy of State of Florida Dept. of Highway Safety and Motor Vehicles License.
State of Florida Dept. of Highway Safety and Motor Vehicles Temporary "supplemental" application (form HSMV 86042).
List of phone numbers and contact information on-site.
A fire safety inspection must be completed prior to start of sale (contact Sumter County Fire Department upon approval of permit).
Applicant's Signature: Date:
Staff Use Only
Conditions:
Application Approved By: Date:
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signature
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