CE: PW: MCSO: WMFD: CITY CLERK:  CITY OF ANNA MARIA  FILMING EVENT PERMIT APPLICATION & INFORMATION  NAME OF EVENT  COMPLETED APPLICATION MUST BE RECEIVED AT LEAST SIX (6) WEEKS PRIOR TO EVENT WITH A $250 APPLICATION FEE NONREFUNDABLE  Date ofI Event  From  a.m. to  p.m.  Approved  PO Box 779 10005 GulfDrive Anna Maria, FL 34216 Phone: 941-708-6132 Fax: 941-708-6136 Ordinance: 16-817    SPECIAL EVENT PERMIT GENERAL INFORMATION ORDINANCE: 18-36 PERMIT REQUIRED: FILMING  All filming operations, as defined in this article, taking place within the city limits, unless specifically exempted in this article, shall require a filming permit prior to beginning Notwithstanding the foregoing, commercial still photography activities do not require a The activity takes place at a location normally closed to the general public; or The activity uses model(s), set(s), or prop(s) brought into the immediate area used The city would incur significant administrative expenses to monitor or supervise the  filming operations. permit except when: (1). (2) (3) (c) (1)  (b)  as the location for the photography activity; or  activity.  Permitting standards, procedures and fees. minimum, provide the following:  All filming operations within the city limits which are subject to permitting must, at a  a. b.  A1 fully executed and signed application form along with any required  attachments.  Proof, as relevant to the activities applied for, of legal status of the applicant, insurance coverage, and financial, legal and technical capability to conduct the The application form, including its attachments and supporting documents, shall be presented to the fim.commissioner for processing. The film commissioner will thereafter forward the application to the city for the city's review. The city shall review the application for compliance with this and other applicable ordinances of the city as provided in section 18-38. The city shall approve the application, approve the application with conditions intended to mitigate any adverse impacts caused by the proposed filming operations, or deny the application ift the city finds that it does not comply with this or other city ordinances and no conditions can be attached to an approval which would keep the filming operations The film commissioner and the city shall endeavor to automate the application process applicable to the City of Anna Maria so that it may be completed on line to the fullest  applied-for activities.  (2)  (3)  compliant with city ordinances and regulations.  (d)  extent possible.    FILM APPLICATION DETAILS  The applicant shall provide in detail the nature of the film operations, including the following:  Number of persons in the crew,  including any contractors or volunteers:  Number of days of operation within  the city:  Proposed locations of filming operations:  Detailed description of scenes to be filmed:    Should need any Fire Department or Sheriff Department assistance please state SO in your  application  Insurance coverage:  (1)  Ift the filming operations will be conducted on city owned property, the applicant shall provide a general public liability insurance policy with the city as an additional insured. The general public liability insurance policy shall be taken out at a minimum of 90.0051,0000.00 combined limit per occurrence of bodily injury and property The applicant shall also be required to post a bond or other financial security showing the city as a payee in order to provide assurances that any city property or rights-of-way used for filming shall be cleaned after filming operations cease and placed into a similar  damage. (2)  condition of what it was prior to filming operations.  Use of city equipment:  The film commissioner shall not have the authority to authorize use of city equipment or personnel for filming operations. Said authorization may only be granted by the mayor of the  City of Anna Maria or the mayor's designee.    APPLICATION FOR PERMISSION TO FILM  Manatee County, Florida  Manatee County is the agency ofrecord for the Manatee County Film Commission Office, a division of the Bradenton Please allow three (3) working days after the receipt of your completed application and insurance to obtain approval to film if your shoot has no special requirements. Allow seven (7) working days ift there are pyrotechnics, stunts, street closures or traffic control.  Area Convention & Visitors Bureau  Date:  Filming in the City/Town of: APPLICANT INFORMATION  Name of Applicant: Company/Firm: Address: Phone: E-mail:  Fax:  FILM/PROJECT INFORMATION  Name/Nature of Project: Producer: Contact Phone: Date(s) of Filming: Total Days of Filming: Times of Shoot: Exact Locations:  Director: Contact Phone: Rain Date(s):  Description of scenes to be filmed:  Distribution of Film: Number of Crew: Number/Type of Vehicles:  Total Budget:  Film Rating:    Film Application/Page. 2 Special Requirements: (if àny) Area to be closed or barricaded Traffic control Music Amplification  Type of Project: Commercial video Documentary TVf feature Still Photography Other:  Movie Music video TVseries  Structures/tents to be erected. Please indicate size of structure/tent:  (You must provide drawing/map indicating where structure/tent will be placed. at film location.)  Sanitary facilities (trash, comfort stations, etc.):  Parking arrangements: Security personne!:  Firearms, pyrotechnics, speclal effects: Will special signage be required?  Note: Alcoholic Beverages are not permitted on location. INSURANCE & FEE REQUIREMENTS  Insurance Requirements:  Premises and event liability insurance is required by andi must name the municipality where the filming will take place as Additional Insured. Insurance coverage andi insurance carriers must be acceptable to the Manatee County Film Commission Office as well as the municipality where filming will take place. An original certificate must be on file, ini the film office, prior to filming. The minimum levels required are:  Bodily Injury Liability (per occurrence) $1,000,000 Property damage (per occurrence)  $1,000,000  Fee Requirements: Based on municipality, and their fee structure, certain fees may be imposed:  Permit Fee Amount: $250/per day  Bond Amount Other Fees:  Insurance Requirement: Minimum requirements stated above.  Mail a check int the amount of $250 per day, prior to filming, to the City of Anna Maria  Address: PO Box 779, 10005 Gulf Drive, Anna Maria, FL 34216    Film Application/Page: 3  Signature of ApplicantAuthorized Rep  Title Date:  Company:  Please return completed application and original certificate of  insurance to:  Manatee County Film Commission Office One Haben Blvd. Palmetto, FL 34221  Film Commissioner: Debbie Meihls (941)729-9177; x232 PbAman.dmpasog Film Office Liaison: Monica Luff (941) 729-9177: x231 or mencaluf@mymamaimeon  Fax: 941.729.1820  Thank you for choosing Manatee County às your location. We will do everything  possible to ensure you have a wonderful experience while here,  Permission to Film granted by:  Date: Date: Date: Date: Date:  Municipality Representative Administrative Representative Police Dept. Representative Fire Dept. Representative Film Commissioner/ Liaison  Updated: 3/22/2011