Jacksonville, FL - Friendship Fountain - Park Lighting Change Request

This form IS NOT for changing the colors of the Fountain itself. It is only to change the colors of the LED light poles around the Fountain.

The submission of this form does not guarantee approval.
Approval will be granted based upon Dates Requested, Purpose/Meaning, and Color Availability.
Light change requests are granted for 1 day only. Requests for longer periods will not be accepted.
Existing Fountain event dates and holidays will have priority over any requests.
Requests for a color change to promote a business will not be granted.
Requests must be submitted at least 30 days prior to the requested date in order to be considered.
Approval of your request DOES NOT mean you have a permit to hold an event or gathering at the Fountain.
If approved, a $55 (pre-tax) fee will be required. This includes a:

$35 Special Use Fee and a $20 Administrative Fee

First Name *

Last Name *

Email *

Phone Number: *

What is the name of your Organization? (N/A if applying as an individual) *

Is your organization a registered Non-Profit?

What date is being requested for the LED Color Change at the Fountain? *

What is the Purpose or Reason you are requesting this LED Light Pole color change at Friendship Fountain? *

What color, or colors are you requesting the LED light poles be changed to? (2 colors at most. The poles will rotate back and forth between the two colors) *

Do you understand that if approved, this light change DOES NOT mean that you have a permit to hold an event at the Fountain? You must submit an additional "Special Use Permit Application" to hold an event or gathering at the Fountain that coencides with your lighting request. *

Do you understand that if Approved, that there is a $55 fee required to confirm your request? *