Special Events Affidavit Form

Event Name

Date of Request

Permit #

From

Event Location/ Property Address

Address Line 1

Address Line 2

City

State

Zip Code

Set-Up Date

Breakdown Date

Temporary Structures Installation (Select One)

Name of Vendor and/or Qualifier (Licensed entity pulling the permit) *

Contact Person *

Phone

Email *

Lissette Garcia Arrogante
Director
LissetteArrogante@miamibeachfl.gov

Francys Vallecillo
Assistant Director
FrancysVallecillo@miamibeachfl.gov

Fernando Pestana
Administrative Services Manager
FernandoPestana@miamibeachfl.gov
Ext: 26727

Patricia Tielves
Front Desk Office Associate
patriciatielves@miamibeachfl.gov
Ext. 26596

Special Events and Film Division

Diana Bego
Special Events Coordinator
DianaBego@miamibeachfl.gov
Ext: 26298

Aron Soriano
Field Monitor
AronSoriano@miamibeachfl.gov
Ext: 26982

Jared Balladarez
Office Associate
JaredBalladarez@miamibeachfl.gov
Ext. 26385

Felicity Astete
Office Associate
felicityastete@miamibeachfl.gov
Ext. 27579