APPLICATION FOR COMMERCIAL FILM, VIDEO AND AUDIO PRODUCTIONS PERMIT
Applicant Informaon:
Individual Name: ______________________________________ Contact Phone # ________
Organizaon Name: _______________________________________
On-site Individual Name: ________________________________ Contact Phone # ________
Required Informaon:
Purpose of Producon: ________________________________________________________
Dates of Producon: __________________________________________________________
Time of Producon: __________________________________________________________
Esmated Number of Parcipants/Aendees: ______________________________________
Locaon (s) of Producon:
_________________________________________________________________________________________
_________________________________________________________________________________________
__________________________________________________
Owner of Property: ___________________________________________________________
(proof of permission from owner must be provided)
If applicant will need to use City employees for any part of the preparaon and clean up of the site, a
separate agreement with the City will be required before issuance of the Permit.
Please note, this applicaon must include the following informaon:
The idencaon and contact informaon of the permit applicant including Federal Tax ID number or
SSN
Proof of Liability Insurance
Name of the producon, idencaon of proposed producon sites and schedule showing duraon of
site use
Detailed descripon of on site acvies
Descripon of use and outlet for nal product including potenal air dates
An itemized list of all lighng, special eects, pyrotechnics, equipment, vehicles and aircra to be used,
including when and where they will be used
An idencaon of the person on locaon who will be responsible for the company’s adherence to all
terms and condions of permit.