APPLICATION FOR USE OF SPECIAL EFFECTS ON PRIVATE/COUNTY/MUNICIPAL/TAXING DISTRICT PROPERTY

The APPLICANT agrees to have a representative on site at all times with authority over filming director, crews and all other aspects of their operation and empowered to act for the APPLICANT

 
Production Company:
Name:
FAX:
Title:
 
 
Address:
E-mail:
Local Address/Hotel:
Mobile:
   
   
Telephone:
Project / Title:
# Of Room Nights (out of town crew/talent multiplied by nights stayed):
     
Type:
 
Date of Prep:
 
Insurance On File/Attached?
 
     
Dates of Filming
Times
 
Locations in Palm Beach County:
 
Identify all Activities involved in the special effects:
The FTC shall require script approval for all scenes shot on Palm Beach County School Property. Additionally, films must not use the School name or contain scenes depicting alcohol, tobacco and drug use, nudity, or violence. Production Company shall contact Film Commission, not municipality staff, should any interruptions arise on or near the set.
 
Complete written description and location of Special Effect(s):
 
The production company will provide a copy of professional registration issued to the individual(s) who will execute the special effect. Please attach a copy of the registration to this application.
Signature of authorized individual(s) who will execute the special effect:
 
Estimated Budget $ Production Days Est Personnel Per Day Local PB County Crew
 
 
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