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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 SEVEN(7) WORKING DAYS PRIOR TO START DATE)
Applicant Name (Company Name):
Street Address:
City:
State:
Zip:
Representative:
Title:
Phone:
Mobile:
Email:
PRODUCTION INFORMATION
Production Title:
Publicist:
Phone:
Production Type:
Feature
TV Series
TV Movie
Commercial
Music Video
Still Photo
Other
Other Description
Producer:
Director:
Prod. Manager:
Number of:
Large Trucks
Other Trucks
Vans
Motor Homes
Camera Cars
Pic Vehicle
Cast/Crew Cars
General Liability Insurance Company:
Policy No:
Projected Expenditures:
Projected Hotel Room Nights:
Projected Days:
LOCATION INFORMATION
Will production require Street and/or bridge closure?:
Will production be held in a Park?:
Park Name:
Location #1
Location #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 #4
Address:
Arrival Date:
Select a date and time
...
Departure Date:
Select a date and time
...
Summary of Scenes:
Type a value
Special Effects:
No
Yes
FX#:
No. of Animals & Types:
No. of Crew/Cast:
Location #5
Address:
Arrival Date:
Select a date and time
...
Departure Date:
Select a date and time
...
Summary of Scenes:
Type a value
Special Effects:
No
Yes
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.
Click here to attach a file
Liability Insurance
Click here to attach a file
Permit No Issued
Approval Routing Area
JSO Traffic Review
OGC Review
Parks Rec Review
Public Buildings Review
Traffic Engineering Review
Save Application Changes
Next
Please select an Approver Action
Update Status
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:
Click here to attach a file
PLEASE DESCRIBE DETOUR ROUTE AND ATTACH MAP:
Type a value
ATTACH DETOUR MAP HERE:
Click here to attach a file
IS THE EVENT IN A RESIDENTIAL NEIGHBORHOOD:
(If the Event is in a Residential Neighborhood written consent of atleast 70% of occupants of property in the neighborhood is needed)
Consent Attachment
Click here to attach a file
ANY SPECIAL CONDITIONS?:
No
Yes
DESCRIBE SPECIAL CONDITIONS:
Type a value
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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:
Click here to attach a file
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:
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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 SEVEN(7) WORKING DAYS PRIOR TO START DATE)
Applicant Name (Company Name):
Street Address:
City:
State:
Zip:
Representative:
Title:
Phone:
Mobile:
Email:
PRODUCTION INFORMATION
Production Title:
Publicist:
Phone:
Production Type:
Feature
TV Series
TV Movie
Commercial
Music Video
Still Photo
Other
Other Description
Producer:
Director:
Prod. Manager:
Number of:
Large Trucks
Other Trucks
Vans
Motor Homes
Camera Cars
Pic Vehicle
Cast/Crew Cars
General Liability Insurance Company:
Policy No:
Projected Expenditures:
Projected Hotel Room Nights:
Projected Days:
LOCATION INFORMATION
Will production require Street and/or bridge closure?:
Will production be held in a Park?:
Park Name:
Location #1
Location #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 #4
Address:
Arrival Date:
Select a date and time
...
Departure Date:
Select a date and time
...
Summary of Scenes:
Type a value
Special Effects:
No
Yes
FX#:
No. of Animals & Types:
No. of Crew/Cast:
Location #5
Address:
Arrival Date:
Select a date and time
...
Departure Date:
Select a date and time
...
Summary of Scenes:
Type a value
Special Effects:
No
Yes
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.
Click here to attach a file
Liability Insurance
Click here to attach a file
Permit No Issued
Approval Routing Area
JSO Traffic Review
OGC Review
Parks Rec Review
Public Buildings Review
Traffic Engineering Review
Street Closure Approver Details
RadEditor - HTML WYSIWYG Editor. MS Word-like content editing experience thanks to a rich set of formatting tools, dropdowns, dialogs, system modules and built-in spell-check.
RadEditor's components - toolbar, content area, modes and modules
Toolbar's wrapper
Font Name
Font Size
Content area wrapper
RadEditor hidden textarea
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 buttons
Statistics module
Editor resizer
Design
HTML
Preview
RadEditor - please enable JavaScript to use the rich text editor.
RadEditor's Modules - special tools used to provide extra information such as Tag Inspector, Real Time HTML Viewer, Tag Properties and other.
Verdana
11px
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:
Click here to attach a file
PLEASE DESCRIBE DETOUR ROUTE AND ATTACH MAP:
Type a value
ATTACH DETOUR MAP HERE:
Click here to attach a file
IS THE EVENT IN A RESIDENTIAL NEIGHBORHOOD:
(If the Event is in a Residential Neighborhood written consent of atleast 70% of occupants of property in the neighborhood is needed)
Consent Attachment
Click here to attach a file
ANY SPECIAL CONDITIONS?:
No
Yes
DESCRIBE SPECIAL CONDITIONS:
Type a value
Save Changes to Application
Approver Action
Update Status
Enter a new Comment
Comments By:
Comments Date:
Major Special Event ID
Permit ID
Department
Comments:
Type a value
Upload File:
Click here to attach a file
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