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APPLICATION TO FILM IN SUMTER COUNTY

  1. TYPE OF PRODUCTION *

  2. Special Effects

  3. LOCATIONS

    (Please submit additional locations in an attachment, including maps if available, Parking fees may apply.)

  4. ADDITIONAL COUNTY ASSISTANCE

    *An additional permit is required when closing a street or sidewalk/walkway and must be approved by Sumter County, or appropriate municipality.

  5. INSURANCE

    A copy of the certificate of insurance in the amount of $1,000,000 must be submitted to Administrative Services for the application to be processed. Certificate Holder should be: Sumter County Board of County Commissioners, 7375 Powell Rd., Wildwood, FL 34785.

    Please note-private property owners may have additional insurance requirements.

  6. ECONOMIC IMPACT

  7. PLEASE LIST BELOW AMOUNT SPENT IN SUMTER COUNTY:

  8. Production Company Representative *

    By checking this box below, the applicant shall assume all risk in the use of County property in the permitted operation and shall be solely responsible and answerable in damages for all accidents and injury to person or property and shall indemnify and keep harmless the County and its officers and employees from any and all claims, suits, losses, damages or injury to person or property

  9. Leave This Blank:

  10. This field is not part of the form submission.