Pavilion Rental -Indian Rocks Beach

Pavilion Reservation

Applicant Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Reservation Date

Location

Purpose

Time Start

Time End

# of Attendees

No fire or open flame, alcohol, amplified music, speakers, or P.A. system permitted. Parking for your guests cannot impede the normal flow of traffic. Any supporting temporary structures or equipment shall be removed, and the site restored to its original condition. Attendees limited to 49. If more than 50 people are expected, a Temporary Use Permit must be approved by the City Manager. All reservations are on a first come-first served basis. Fees: $25 IRB Resident $100 Non-IRB Resident $75 City Business The applicant agrees: To abide by all City Ordinances and/or policies (City Code Sec. 110.701-110.707). Facilities used must be left in as good and clean condition as when reserved. Cost of repairs or clean-up will be charged to the applicant as determined by the Public Works Department. The applicant, as part of this reservation, agrees to accept all liability and agrees to defend, indemnify, and hold the City of Indian Rocks Beach, its elected official, officers, employees, and agents harmless from any and all damage or claims of whatsoever nature for personal injuries, property damage or equitable relief arising out of applicant’s use of the City premises/pavilion or the Application. Applicant assumes all responsibility for any damages to City property, including but not limited to pavilion, buildings, and recreation equipment during the time of this reservation.

Applicant's Signature

Date

Authorized City Personnel Signature

Date

Payment Information

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Fees Paid(Required)

Processing Fee

Total

Please note: there is a $3.00 processing fee

Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*

Questions: Mishelle Hargett – 727-595-2517.