Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Affidavit for 2023 Cocoa Beach Parking Permit

  1. Instructions
    1. When you submit your form you will be redirected to make your payment on Square.
    2. After your information and payment have been verified we will mail your permit to you, please allow for 5 business days for shipping. 
  2. Number of Vehicles Registering*

    You can register up to three (3) vehicles per affdavit. How many vehicles will you be purchasing Parking Permits for on this affidavit?

  3. Example: Honda Civic

  4. Example: 2015
  5. Example: FL 876FTG

  6. Vehicle Registration*

    Is this vehicle registration current?

  7. Example: Honda Civic

  8. Example: 2015

  9. Example: FL 876FTG

  10. 2. Vehicle Registration

    Is this vehicle registration current?

  11. Example: Honda Civic

  12. Example: 2015

  13. Example: FL 876FTG

  14. 3. Vehicle Registration

    Is the vehicle registration current?

  15. Rates & Fees

    Resident Rate is $20 per calendar year. In order to receive the Resident rate, your address needs to be within city limits. The taxing district code 26H must appear on the property information online at the Brevard County Property Appraiser's office.

    Non-resident Rate is $75 per calendar year.

    A $3 Convenience Fee is included in your online payment 

  16. Residency*

    Are you a Cocoa Beach Resident?

  17. Affidavit Statement*
  18. Important Information
    Permit is valid for all metered parking areas except Shepard Park. Permit does not extend 90 minute parking limits. Vehicle is subject to citation if the decal is not properly attached.
  19. Where to place your Parking Decal
    Parking decal must be affixed to the driver side rear bumper or the lower driver side rear window.
    The parking decal must be affixed to the driver side rear bumper or the driver side lower rear window.
  20. Leave This Blank:

  21. This field is not part of the form submission.