Bonfire Permit Request

Authorization Number:

Leave blank if you have not been issued authorization number in the past.

Business Name:

Leave blank unless you are a vendor.

First Name:

Last Name:

Driver's License Number:

Driver's License Issued State:

Phone Number:

( ) -

Email Address:

Street Address Line 1:

Address Line 2:

City:

Country and State:

Zip Code:

Additional Responsible Party

Responsible Party Name:

Responsible Party Phone:

( ) -

Responsible Party Email:

Number of People Attending:

Bonfires are limited to less than 30 people in attendance. Groups of 30 or more will require proof of a special event permit from Walton County.

Special Event Code:

If this permit request is for a special event enter the special event code here otherwise leave blank.

Date of bonfire:

All permits start at 4 PM for the date selected and expire at 1 AM the following day

Locations:

I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER:

I CERTIFY THAT I UNDERSTAND REFUNDS AND/OR RAINCHECKS ARE NOT GIVEN FOR BEACH BONFIRE PERMITS:

I CERTIFY THAT I UNDERSTAND THE RULES AND REGULATIONS REGARDING BEACH BONFIRES IN SOUTH WALTON:

WEATHER: