Permit Application

Permit Application

Step 1 of 3 - Project Information

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• Production Representative Name & Title*
  This field is for the name of the person applying for the permit on behalf of the production.
• Phone Number (cell)*
  It is recommended that your provide at least one if not two contact numbers in this field.
• E-Mail Address*
• Site of Production
  • Sarasota County
  • City of Sarasota
  • City of Venice
  • City of North Port
  • Town of Longboat Key
  (please check all that apply)
• Today's Date*
  MM slash DD slash YYYY
• Project Title*
  This may be a working title or a finished title. Whatever the title is, if applying for REBATE program, the title above should be used in the application.
• Project Format
  • Feature Film
  • Independent Film
  • Commercial
  • PSA
  • Student Project
  • Reality/Docu/Unscripted
  • TV Series/Pilot
  • Still/Print
  • Music Video
  • Short/Demo/Promo
  • Web/Internet Content
  • Corporate/Industrial
  • News/Editorial
  • Other
• Production Company / Applicant Name*
• Address*
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country
• Phone Number*
• Cell Number*
• Fax
• Website

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• Local Budget for shoot*
  WE would like to know what money you are spending in Sarasota County on local People, Places and Things. It is NOT for TAXING purposes or for fees but rather for us to understand what economic impact filming, in general has on our community.
• Local Hires CAST*
  This is the total number of local hire CAST who perform functions for the production and are residents of Sarasota County. These are also the people you can use to apply for our REBATE program.
• Total Room Nights*
• Local hires CREW*
  This is the total number of local hire CREW members who perform functions for the production and are residents of Sarasota County. These are also the people you can use to apply for our REBATE program.
• Number of Production Days*
  This means the number of days you expect to be in our area.
• On-Site Production Coordinator Name / Cell
  (if different from above)
• Production office address LOCALLY
  Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Local Phone
• Local Fax
• Scouting Date(s)
• Preproduction / Prep Date(s)
• Wrap Date(s)
• Production Locations*
• Dates & Times – Rain Dates & Times
• Production Schedule*
  Include all relevant information such as production activity, number of ALL cast and ALL crew involved, the type of production vehicles and how many at location(s), any temporary structures. The details that help us serve your production effectively for permitting.
• Requested Services*
  Describe any additional personnel, facilities, or property assistance needed. For example – police escort, restroom use, extended hours, fire, EMS, security etc.
• Special Effects
  Check any applicable categories below and include an explanation detailing the activity.
  • Stunts
  • Explosives
  • Firearms
  • Incendiary devices
  • Other (i.e. animals)
• Explain Effects
• Traffic Control and Parking
  Describe all traffic control and parking arrangements necessary. When requesting parking, road closures or intermittent traffic control, a map of the impacted area must be included. This process takes as little as 14 days and as long as 30 depending on DOT etc.

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• Applicant's Certification

  The applicant agrees to abide by the provisions of the county/municipalities codes pertaining to film, video, television, web/internet, still, live or other forms of media and entertainment production. In addition, the applicant agrees to restore location production sites to the condition existing immediately prior to production. This permit is to be in possession of the production company at all times while on location and must be presented upon demand by any county/municipalities authorized agent. The person whose signature appears below certifies that he/she is an authorized agent of the applicant and is duly authorized on the applicant's behalf to execute this application.

  Indemnification

  The applicant indemnifies and holds harmless the county/municipalities in which activities are conducted, its officers and employees, from and against all claims, damages, losses and expenses, including reasonable attorney's fees, arising out of or resulting from the acts or omissions of applicant, its contractors, subcontractors, their employees, agents or servants, during the filming and all activities associated therewith for which this application is filed, including the use of any county/municipality owned real or personal property.

  Insurance Certificate

  Applicant shall procure and maintain, during the term of this Agreement, Commercial General Liability, with limits of not less than $1,000,000 each occurrence ($5,000,000 if any stunt work or explosives are utilized) including but not limited to bodily injury, property damage, contractual, products and completed operations. Commercial Auto liability with limits of not less than $500,000 combined single limit ($5,000,000 if vehicles are involved in stunt work). Sarasota County Government and/or the appropriate municipalities shall be named as additional insured, as their interest may appear.

  Applicant shall provide Proof that the Applicant carries workers' compensation insurance for the Applicant's employees and/or volunteers as required by the laws of the state where the Applicant is domiciled, or in the alternative, proof of exemption from such requirement if applicable. An affidavit attesting to the exemption from the workers' compensation insurance requirement is acceptable.

• Applicant Company*
• Date*
  MM slash DD slash YYYY
• Authorized Representative of Applicant*
• Representative Title*
• Authorized Representative of Applicant (Signature)*
• Hidden
  Insurance COI's and other documentation for the project*
  Max. file size: 256 MB.
  This is for you to upload your COI's for Insurance and other documents that need to be included with your permit. This is REQUIRED to process the permit.
• Insurance COI's and other documentation for the project*
  Drop files here or Select files

  Max. file size: 256 MB.
  This is for you to upload your COI's for Insurance and other documents that need to be included with your permit. This is REQUIRED to process the permit.
• Phone
  This field is for validation purposes and should be left unchanged.

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Fill out the forms, completely, LOCAL budgets, hotels, locations and remit with a copy of Insurance naming the municipalities as additionally insured, ***INDIVIDUALLY ISSUES COI’s AND WORKERS COMP. (OR EXEMPT PROOF, WHERE APPLICABLE).

***If you fail to complete the forms fully and correctly, permits will be put on hold or delayed.

Remit to: info@filmsarasota.com

Please allow at least 5-7 days after the receipt of your completed paperwork and insurance to obtain a permit if there are no stunts, pyrotechnics, traffic impacts or street closures required by your shoot. Allow a minimum of  (14) working days if those more complicated elements are involved. We will always try our best to expedite your requests.

Please find below the required information for additionally insured on COI’s:

City of North Port

4970- City Hall Blvd.

City of North Port , FL 34286

Sarasota County, Attn: Risk Management

Safety and Risk Management,

1660- Ringling Blvd. 3^rd Floor

Sarasota, FL 34236

Town of Longboat Key

501- Bay Isles Road

Longboat Key, FL 34228

City of Venice

401- West Venice Avenue

Venice, FL 34285

City of Sarasota

1565-1^st Street

Sarasota, FL 34236