Film Permit Application

User information

• First name
• Last name
• Email
• Gender
• Birthday
• Address

Business information

• Business name
• Legal business name
• Contact name
• Address
• Email
• Phone
• Website (Optional)
• Logo (Optional)

Additional information

• Please upload a copy of your hold harmless agreement
• Production Company
• Mailing address
• Physical address
• Location Manager
• Location manager email
• Location manager phone
• Other contact name
• Other contact email
• Other contact phone
• Did you review a copy of Southport’s Film ordinance and fee schedule?
• Production Type
• If other, please explain here:
• Name of production
• Will your production include any credits or acknowledgments for the city of Southport?
• I affirm that if there are any props, items, etc. at the end of filming that production no longer needs/wants, we will offer the first right of refusal to the Community Relations Department
• Anticipated date(s) of production:
• Date(s), Location(s), and Time(s) of production in city limits:
• Number of cast
• Number of crew
• Number of extras
• Base camp name and address:
• Catering site address:
• Will you be cooking on site?
• Parking Area for Crew:
• Parking Area for Extras:
• Holding Area:
• If another staging area, please indicate here:
• Do you need to leave equipment on site during non-film days?
• Do you require road closures?
• Please describe road closures in detail:
• Please upload a copy of the notification letter, and addresses for street closures
• Upload a map indicating road closures
• Please select any of the following city property in which you plan to film:
• If you selected one of the above, please indicate in detail, location, date and time of planned use.
• City property use:
• If you selected one of the above, please indicate in detail, item, date and time of planned use.
• City personnel use:
• If you selected one of the above, please indicate in detail, personnel, date and time of planned use.
• All other use:
• If you selected one of the above, please indicate in detail, type, location, date and time of planned use.
• Indicate any scenes planned that may be offensive to minority, ethnic, or religious groups. Please also indicate scenes planned that may include inflammatory banners, pickets, placards, etc.:
• Please describe any anticipated alterations to public or private property readily visible from public areas:
• Additional Comments or requests, including special requests: