Film Daytona Beach

APPLICATION TO FILM VOLUSIA COUNTY PUBLIC PROPERTIES

Date Initiated:

Name of Project:

Producer:

Name of Applicant: *

Firm:

Phone:

Fax:

Cell:

Email Address: *

Web Site:

Address: *

City: *

State: *

Zip: *

Country:

Date(s) of Filming: *

Rain Date(s):

Times of Shoot: *

Exact Locations (Be Specific): *

Describe Scenes to be Filmed: *

Distribution:

Number of Crew:

Estimated Budget:

Type Activity

Commercial:

Video Movie:

Documentary:

Project Rating:

Music Video:

TV Feature:

TV Series:

Feature Film:

Still Photography:

Other:

Special Requirements

Area(s) to be closed/barricaded:

Traffic Control:

Structures or Tents to be Erected:

Size:

Will Sound Amplification Be Used?:

Sanitary Facilities (trash, comfort stations):

Parking Arrangements:

Security Personnel:

Firearms/Special FX:

Signage:

SA permit fee and man-hour charge will be assessed based on the size of filming area and City/County man-hour needs.

Authorized Representative: *

Title:

Company:

Date:

Please Type the Word in the Image:

This permit does not cover the Volusia County Beaches. You must obtain a separate permit for the all beaches in Volusia County. Contact the Volusia County Beach Department at (386) 239-6414. The permit holder agrees to carry a comprehensive General Liability Insurance Certificate in the amount of $1,000,000 minimum (if using City property) made payable to City of Daytona Beach:

City of Daytona Beach, ATTN: Helen Riger
301 South Ridgewood Avenue, Daytona Beach, FL 32114
A copy of the policy must accompany this application.

Return this completed form and Certificate of Insurance to:

Daytona Beach Area Film Office
126 East Orange Avenue
Daytona Beach, FL 32114

Phone: 386-255-0415 x117
Fax: 386-255-5478
Email: info@filmdaytonabeach.com

A Daytona Beach Area Film Permit covering non-beach areas will be issued from this office upon completion and approval of this form. Please allow four weeks for approval.

DAYTONA BEACH FILM FESTIVAL