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  • Film and TV Application
  • Steet Closure
  • Accept Terms
  • Film and TV Approvers
  • Comments
This permit is issued to the applicant with the intent to film/video on street or property subject to the jurisdiction of the City of Jacksonville for the times and locations designated below. The permit must be in the possession of the applicant at all times while on location. (NOT VALID UNLESS SUBMITTED TEN(10) WORKING DAYS PRIOR TO START DATE)    Applicant Name (Company Name):
 
   Street Address: City: State: Zip: Representative: Title:
 
Phone: Mobile: Email:       PRODUCTION INFORMATIONProduction Title: Publicist:Phone:      Production Type:
Other Description
Producer:Director:Prod. Manager:        Number of:     Large TrucksOther TrucksVansMotor Homes Camera CarsPic VehicleCast/Crew Cars      General Liability Insurance Company: Policy No:   Projected Expenditures:
 
Projected Hotel Room Nights:
 
Projected Days:
 
  LOCATION INFORMATIONWill production require Street and/or bridge closure?: Will production be held in a Park?: Park Name:        Location #1Location #1 Address:
 
Arrival Date:
Select a date and time
...
Departure Date:
Select a date and time
...
Summary of Scenes:
Type a value
Special Effects:FX#:
 
No. of Animals & Types:
 
No. of Crew/Cast:
 
  LOCATION #2 Location #2 Address:
 
Arrival Date:
 
Select a date and time
...
Departure Date:
 
Select a date and time
...
Summary of Scenes:
Type a value
Special Effects:
 
FX#:
 
No. of Animals & Types:No. of Crew/Cast:
 
 Location #3 Location #3 Address:
 
Arrival Date:
 
Select a date and time
...
Departure Date:
 
Select a date and time
...
Summary of Scenes:
Type a value
Special Effects:FX#:
 
No. of Animals & Types:
 
No. of Crew/Cast:
 
 Location #4Address:
 
Arrival Date:
 
Select a date and time
...
Departure Date:
 
Select a date and time
...
Summary of Scenes:
 
Type a value
Special Effects:
 
FX#:
 
No. of Animals & Types:
 
No. of Crew/Cast:
 
 Location #5Address:
 
Arrival Date:
 
Select a date and time
...
Departure Date:
 
Select a date and time
...
Summary of Scenes:
 
Type a value
Special Effects:
 
FX#:
 
No. of Animals & Types:
 
No. of Crew/Cast:
 
      Upload additional locations and summary of scenes. Also include any exta ordinary services that may be required with date, duration, and time frame as noted in 123.308.
File Type IconFile Type Icon
Click here to attach a file
     Liability Insurance
File Type IconFile Type Icon
Click here to attach a file
        Permit No Issued
 
Approval Routing AreaJSO Traffic ReviewOGC Review
 
Parks Rec ReviewPublic Buildings ReviewTraffic Engineering Review
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Street Closure
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DATE SUBMITTED:
Select a date
...
 EVENT START DATE:
 
Select a date
...
EVENT END DATE:
Select a date
...
 
NAME OF ORGANIZATION/EVENT SPONSOR:
 
 
APPLICANT/CONTACT NAME:
 
 
CONTACT PHONE:
 
CONTACT E-MAIL ADDRESS:
 
 
CONTACT FAX:
 
TITLE OF EVENT:  EVENT DURATION:
 
 
IF ROAD CLOSURE(S) INVOLVED:
 
CLOSURE START TIME (INCL. SET UP/BARRICADES):
Select a date and time
...
 
CLOSURE END TIME (BARRICADES REMOVED):
Select a date and time
...
 
PLEASE DESCRIBE ROAD(S) TO BE CLOSED AND/ ATTACH MAP (REQUIRED): “See Attached Map” is not acceptable. Please list each road that will be closed (with limits from – to) and the duration of the closure.DO NOT USE THIS FORM FOR EVENTS THAT WILL CLOSE STATE ROAD(S) AND/OR REQUIRE LOCKDOWN OF THE MAIN STREET OR ORTEGA DRAWSPAN
Type a value
 
 
ATTACH MAP HERE:                   
File Type IconFile Type Icon
Click here to attach a file
PLEASE DESCRIBE DETOUR ROUTE AND ATTACH MAP:
Type a value
ATTACH DETOUR MAP HERE:
File Type IconFile Type Icon
Click here to attach a file
IS THE EVENT IN A RESIDENTIAL NEIGHBORHOOD: (If the Event is in a Residential Neighborhood written consent of at least 70% of occupants of property in the neighborhood is needed)THE CITY’S GRANTING OF A BLOCK PARTY PERMIT DOES NOT ELIMINATE ANY PRIVATE RESTRICTIONS THAT MAY EXIST WITHIN A COMMUNITY REGULATED BY A HOMEOWNER’S ASSOCIATION (HOA). ENFORCEMENT OF ANY AND ALL PRIVATE RESTRICTIONS IS THE RESPONSIBILITY OF THE HOMEOWNERS OF THEIR COMMUNITY, INCLUDING HOA REQUIREMENTS.
 
Consent Attachment
 
File Type IconFile Type Icon
Click here to attach a file
Property Type:
 
ANY SPECIAL CONDITIONS?:         
 
 
DESCRIBE SPECIAL CONDITIONS:
Type a value
 
Previous   Next
EXHIBIT A - Hold Harmless and Indemnification Agreement
 
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EXHIBIT B - INSURANCE REQUIREMENTS
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Additional Insurance Provisions
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Upload required insurance:
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The applicant agrees to comply with all pertinent provisions of Florida laws, rules and regulations. With justification provided in writing, this permit may be revoked at any time based upon the circumstances:
         
By checking below, I accept the terms outlined within the application:
 
Previous   Submit Application
Film and TV Application Approver Details
This permit is issued to the applicant with the intent to film/video on street or property subject to the jurisdiction of the City of Jacksonville for the times and locations designated below. The permit must be in the possession of the applicant at all times while on location. (NOT VALID UNLESS SUBMITTED TEN(10) WORKING DAYS PRIOR TO START DATE)    Applicant Name (Company Name):
 
   Street Address: City: State: Zip: Representative: Title:
 
Phone: Mobile: Email:       PRODUCTION INFORMATIONProduction Title: Publicist:Phone:      Production Type:
Other Description
Producer:Director:Prod. Manager:        Number of:     Large TrucksOther TrucksVansMotor Homes Camera CarsPic VehicleCast/Crew Cars      General Liability Insurance Company: Policy No:   Projected Expenditures:
 
Projected Hotel Room Nights:
 
Projected Days:
 
  LOCATION INFORMATIONWill production require Street and/or bridge closure?: Will production be held in a Park?: Park Name:        Location #1Location #1 Address:
 
Arrival Date:
Select a date and time
...
Departure Date:
Select a date and time
...
Summary of Scenes:
Type a value
Special Effects:FX#:
 
No. of Animals & Types:
 
No. of Crew/Cast:
 
  LOCATION #2 Location #2 Address:
 
Arrival Date:
 
Select a date and time
...
Departure Date:
 
Select a date and time
...
Summary of Scenes:
Type a value
Special Effects:
 
FX#:
 
No. of Animals & Types:No. of Crew/Cast:
 
 Location #3 Location #3 Address:
 
Arrival Date:
 
Select a date and time
...
Departure Date:
 
Select a date and time
...
Summary of Scenes:
Type a value
Special Effects:FX#:
 
No. of Animals & Types:
 
No. of Crew/Cast:
 
 Location #4Address:
 
Arrival Date:
 
Select a date and time
...
Departure Date:
 
Select a date and time
...
Summary of Scenes:
 
Type a value
Special Effects:
 
FX#:
 
No. of Animals & Types:
 
No. of Crew/Cast:
 
 Location #5Address:
 
Arrival Date:
 
Select a date and time
...
Departure Date:
 
Select a date and time
...
Summary of Scenes:
 
Type a value
Special Effects:
 
FX#:
 
No. of Animals & Types:
 
No. of Crew/Cast:
 
      Upload additional locations and summary of scenes. Also include any exta ordinary services that may be required with date, duration, and time frame as noted in 123.308.
File Type IconFile Type Icon
Click here to attach a file
     Liability Insurance
File Type IconFile Type Icon
Click here to attach a file
        Permit No Issued
 
Approval Routing AreaJSO Traffic ReviewOGC Review
 
Parks Rec ReviewPublic Buildings ReviewTraffic Engineering Review
Street Closure Approver Details
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Content area wrapper
RadEditor's bottom area: Design, Html and Preview modes, Statistics module and resize handle.
It contains RadEditor's Modes/views (HTML, Design and Preview), Statistics and Resizer
Editor Mode buttonsStatistics moduleEditor resizer
  • Design
  • HTML
  • Preview
  
RadEditor's Modules - special tools used to provide extra information such as Tag Inspector, Real Time HTML Viewer, Tag Properties and other.
   
     
 
  •  
  •  
  •  
  •  
  •  
  •  
  • Verdana
  • 11px
  •  
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Type a value

  • Design
  • HTML
  • Preview
   
     
DATE SUBMITTED:
Select a date
...
 EVENT START DATE:
 
Select a date
...
EVENT END DATE:
Select a date
...
 
NAME OF ORGANIZATION/EVENT SPONSOR:
 
 
APPLICANT/CONTACT NAME:
 
 
CONTACT PHONE:
 
CONTACT E-MAIL ADDRESS:
 
 
CONTACT FAX:
 
TITLE OF EVENT:  EVENT DURATION:
 
 
IF ROAD CLOSURE(S) INVOLVED:
 
CLOSURE START TIME (INCL. SET UP/BARRICADES):
Select a date and time
...
 
CLOSURE END TIME (BARRICADES REMOVED):
Select a date and time
...
 
PLEASE DESCRIBE ROAD(S) TO BE CLOSED AND/ ATTACH MAP (REQUIRED): “See Attached Map” is not acceptable. Please list each road that will be closed (with limits from – to) and the duration of the closure.DO NOT USE THIS FORM FOR EVENTS THAT WILL CLOSE STATE ROAD(S) AND/OR REQUIRE LOCKDOWN OF THE MAIN STREET OR ORTEGA DRAWSPAN
Type a value
 
 
ATTACH MAP HERE:                   
File Type IconFile Type Icon
Click here to attach a file
PLEASE DESCRIBE DETOUR ROUTE AND ATTACH MAP:
Type a value
ATTACH DETOUR MAP HERE:
File Type IconFile Type Icon
Click here to attach a file
IS THE EVENT IN A RESIDENTIAL NEIGHBORHOOD: (If the Event is in a Residential Neighborhood written consent of at least 70% of occupants of property in the neighborhood is needed)THE CITY’S GRANTING OF A BLOCK PARTY PERMIT DOES NOT ELIMINATE ANY PRIVATE RESTRICTIONS THAT MAY EXIST WITHIN A COMMUNITY REGULATED BY A HOMEOWNER’S ASSOCIATION (HOA). ENFORCEMENT OF ANY AND ALL PRIVATE RESTRICTIONS IS THE RESPONSIBILITY OF THE HOMEOWNERS OF THEIR COMMUNITY, INCLUDING HOA REQUIREMENTS.
 
Consent Attachment
 
File Type IconFile Type Icon
Click here to attach a file
Property Type:
 
ANY SPECIAL CONDITIONS?:         
 
 
DESCRIBE SPECIAL CONDITIONS:
Type a value
 
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