Fillable Dayton Film Permit (City of Dayton)

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Dayton Film Permit (City of Dayton)

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The Dayton Film Permit (City of Dayton) form is 1 page long and contains:

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  • 12 check-boxes
  • 52 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Dayton

BROWSE CITY OF DAYTON (OH) FORMS

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Request By: Phone: Date:
Company: Address:
City, State: Phone:
Applicant’s Signature
Individual authorized to sign contracts:
Payroll Agent responsible for withholding taxes:
Location Manager/Phone: Cell Phone:
Director/Phone: 1st A.D./Phone:
Producer/Phone:
Prod. Manager/Phone:
Date(s) (attach additional info if needed): Location(s): Arrival Time/Wrap Time:
Type of Activities:
Vehicle Totals: Trucks Dressing Rooms Vans Picture Cars Condors (MARK APPLICABLE)
Check if you plan to use one of the following. Additional permits may be required.
Attn: Keith Klein, Office of Economic Development • Phone: 937.333.3634 • EMAIL: keith.klein@daytonohio.gov
Auto Stunt/Driving Shots (Police)
Physical Fighting/
Weapons
(Police)
Animals
(Police)
Open Flames (Fire Dept.)
Pyrotechnic, Fireworks or Smoke Effects (Fire Dept.)
Public Street or Right-of-Way (Civil Engineering)
Existing Building (Building Services)
Tent/Canopies (Building Services)
Temporary electric, electrical alterations, generators, or lighting
(Building Services)
Public Park (Recreation)
City of Dayton Government Facility [Facilities Management]
Equipment Request [Street Maintenance]
Approved as Submitted: Date
Approved with Modifications or Additional Permits Required Date
Ofce
Use
Only
(over)
PUBLIC WORKS
ITEM COST
Barricades $10.00 each, per event
Concrete Jersey Barrier
Call for cost
Shelter Rentals $50.00 per day
Shelter Rentals - Pavilion $75.00 per day
POLICE
ITEM COST
Police Officers $54 - $80 per hour (call for costs: 937.333.1105)
FIRE
ITEM COST
Open Flame Permit $ 35.00
Fire Prevention Specialist $ 62.00 per hour
Pyrotechnic Permit $ 100.00 ($10 Million Dollar Insurance Policy
naming “City of Dayton, its officers, agents,
employees and volunteers”) plus a minimum of
$68.00/hour for periods of set-up & use.
**Fees do not include extra fees that may be charged for such things as required overtime for weekend setup and teardown, replacement, or repairs.
The following fees are for related City of Dayton permits or services that may be requested.
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Dayton Film Permit (City of Dayton)

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Completed 3 August 2020

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