HomeMy WebLinkAbout15-16764 CITY OF ZEPHYRHILLS �
• ' S335-8TH STREET
, (si3)�so-oozo 6764
FIRE WORKS PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16764 Address: 7050 GALL BLVD �
Permit Type: FIRE WORKS ZEPHYRHILLS, FL.
Class of Work: SPECIAL EVENT Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-10500-0000
Improv. Cost: OWNER INFORMATION
Date Issued: 11/24/2015 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 505.00 Address: 7050 GALL BLVD
Amount Paid: 505.00 �ZEPHYRHILLS, FL. 33542
Date Paid: 11/24/2015 Phone: (813)783-6189
Work Desc: FIRE WORK DISPLAY DECEMBER 6, 2015- FLORIDA HOSPITAL
CONTRACTOR S . APPLICATIO,N FEES
PYROTECN CO OF FLORID I C FIRE PERM T FEES 500.00 SPECIAL EVENT 5.00
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� Ins ections Re uired -
FIRE RK ITE IN PECTION I
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"FIREWORKS" per Section 791.01, Florida Statutes are considered as any combustible or explosive
composition or substance or combination of substances or,except as hereinafter provided,any article I
prepared for the purpose of producing visible or audible effect by combustion,explosion,deflagration,or I
detonation. �I
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CONTRACTOR SIGNATURE PERMIT OFFIC
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
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Temporary Sales Checklist
City of Zephyrhills
5335 8`�Street
Zephyrhills,Fl.33542
Phone:513-750-0020/Fax:813-780-0021
REQUIREMENTS
X Detailed Plot Plan showing setup of location. Refer to Ordinance 1038-09,Sec 4
X
Notarized letter from property owner stating their approval.
N/A A flame retardant certificate is required IF a tent is involved.Inspection required once tent
is erected and prior to opening for business.
X Approved certified fire extinguishers per NFPA 10.
X No Smoking signs must be placed outside entrances.
N�A IF there is a wire fence or chain link fencing must have at least 5 Ft setback from tent and at least
2 exits.
N/A
IF tent has sides,the sides shall be in the up position unless there is inclement weather,
then 2 sides must be in the up position.
FIREWORK REQUIREMENTS—(In addirion to the above)
� Proof of State License.
X Proof of Liability insurance.
N/A List of items to be sold at site.
X Copy of Drivers License and Social Security Number of all personnel dealing
with the sale of fireworks at the tent locarion.
FEEs
$30.00—City Registration(If Regulated by DBPR—Fee is Waived)
� $500.00—Fireworks fee-Fire Department fee
�_ $ 5.00—Temporary Sales Fee for 151 two days
$ 1.00—Temporary Sales Fee per day for each consecutive day thereafter,not to
exceed duration of 7 consecurive days and no more than two occurrences
during a 12 month period on same property Ord#1038-09,Sec 6
$55.00—Tent Fee(40.00BD, 15.00*/FD)—(*$15.00 waived for Fireworks)
$40.00—Electrical Fee(if applicable)
Property owner: Florida Hospital Zephyrhills
applicant: Pyrotecnico-Joanne Eskew P131 �3-- (� (� �—
Phone Contact: 954.657.8403
Address Site: 7050 Gall Blvd. Zephyl'hllls, FL 33541
Date(s)of Sale: December 6, 2015
Ordinance No. 1038-09(for additional requirements)
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Florida Hos�ital Ze�hvxhills- Firework Dis��v_
Iais�nla,v Date: De��er 6.2015
PRODUCT RECAP:
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, 4 2"36 Shot Box
8 49 Shot Fan Cakes
2 49 Shot Star Cakes
inale '
1 100 Shot Barrage
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t1r,�DfCLiIiC:»=itl3 tlu pro�risions of Titic XI,Oigaiuzeci Crimc Coirrol A�ot'19?0,a�sd the:re�ttlatior,s issu�xl thcrc�mdcr C27 CPR Part 555),,you may e�igaac in
e activit•_r spec�ifce.�in fhis lscense or permit�vithi,�thc timitations of Chapler4U.Tille.l B.Unitcd S#atcs Coda s��d the regulations issu�x!Ihereund�',uniil the
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�rres}x�ndence To 2�W Need1 Rcrad Number • � � •
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hief Fe�9eril E,• losiv��s Licensins Cen'.er�;f'F"],C/� �;xpiraticu I
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•pe oi Li�c.�nse or Pe:init
23-IU4PORT��O�E)(PLOSIV�S
Purcl�nsing Cerli(icatioa Slntement Mailing Address(�hanges?Notif��tl�e k�I:L.C:of atf}�ehungcs.)
e iicen. e -pa7nin�.z nam�d abel�e sl�afl n,e a cop}'aF@iis licpue or permit to a�ist a
osl'er�r z losn•eslo theidattit�•ttudthelicenszrclslatusoftl�elicrivcteor
mittee as nided by 7�F Pnri 555. The�i;�iaturc oa�cxh copv rTuis�be:ui a�"seinal pYROTECfdtCO FIAEWOF�KS tNC
naeure. i r:u d or o• �ailed eopF oftLe license ar pzrmfl��•itb n signnture
�ided tu b ori ' i si�atu is acceptaUJe.17r signature irnsn be th:t[oP qte F�ti�rnl PYROTECN ICO
?losives cen e{ L)or a r onsibl��xtson of the PE4. 1.Mifi�t1�a!tliis i�a truc PO QOX i d9
��ial' saer e ' i.u�ecic' dteliccnseeor�e�nitteenstn�la6o�letorngugrinthe ��W CASTLE,PA 7fi�03-0149
cines�: • erali a� ih'ed ab`•c m Jqm of'Lsc�isa o�•Pemiil.'
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�ee�Per�nittee Responsd c Person Segnaturc i'osition��'itl�
Yrinted:�Lamc Ddte ;:I"Fcmi i4xJ 13:S10D I S P+e�1
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ter.�l F,xplosrt�es Liccnsin�L;enter(FIiLC) 'Fall-f;ee Te,epl�one Nwnher: �8?7)283-3352 ATf'Ho�t3epage:+rsr�a�.nlfeo��
lNeed� Ruad Fa�,NuuiUer: (30�}61(r-1441 .
rtdnsbur€�WV?5�}0�-�1=R31 E-roa�: FELC(alntf.go�
aa�e 3Y.',r�:le•ess (27 CFR SSS�:J(a�!fi). Licensecs or permittees ma�•Jurinc t6�t�hm oCthci:currrait Gcenst:or penni�r�mrn�c tl�cir business or o}x.-ations ta n
�°tecation x1 whieh thcv intene r��dar{}�to cum t�n sucl;bi�sine,sy ar opc��tions. 'Phc liccnscc oi permiria�is r�quirccl to�i��e�iificauai of thc ne�ti•fncsiiun of'tlic
;inass or o�crations uai less Ihan l0 da}�s�rrior Eo si�ch removnl with tlie Chie£Federal Geplositi es Licensine Cenrcr. Thc licx:nse or�er+nit tiv:U be t+alid for fhe
��tinder of t€�e lerm of II�e origi�r<il license or perruil. (7?3r CYuet;l�lii.C,s?sall,i�'H�e 1ic�nse;ui��re�n�nt�rA is nn�quaJificd,refcr 3�►c i�q�e�r Sor u�e�;�tled�t:.��3c
pea�nit to�lse Ilirectm•of iradustn•OparAtinFo<pbr dcniaE in:�ce�r:;a�acs n�ii��555.�a.;
.A�i n"i S¢�sce_�sion (37 C17�555..i9; (a)Ceriai�i persons Utlter lhun thc licensee nt peimitt�t:mi�3�seeiuu tht rieht lo canyon ihc s�r,nc cxplosive materials
�nass oron�Yatior,s v ti��samc atklress shou�i�on,aitd Fo.;he n;mainder u1 tlic terrn ol:a current fieensc or permii. Such peisons are: (1)7h�sor�dt�in�spouse
-i�ild.�e�.�xeculor,adtninisUator.or ether]eanl represc:tlalil�e of a dece,qso3 licen��c or peor�irEce:nnd i;2)A rxci�•e;or4•uslce in benkr�}.�tc��,or an assianec ti�r
etit ot'ofediiois. i���7i�ordcr ro secure tl�c righ�p��+•ided b��lhis sectiao,ihc E�crso�;or persoiis c�izlinWne the busii�c;s e�-aperr�tions sh��l fi�rnish thc lia:ns�or
.na for lar ti�aE iiusir��ss or o�:e��tions lor�nciorscmcin oi'such su��:essiori io[he ChicE I�1:I.C.ti��ithin�_l dacs 1?om ilte dr�tc ou a�liicli 113c s►tca;cssor bccins to
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iceitsu�Pcria�il T}�}x::23•!DIlPORTER OF EXPLOSI�/E� f
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SITE I1�YFOI�+iAT��N FOR�]�tE'dV'p�:l]I3P�AY
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Zep�r�iil,l,s, FI, 3 �41 .�1ar5e'�reeman pn: t3��'.783.6192
�e:niadtit�a a�pxoduatton:_December 6, 2016�me:Approx.-8�p�n --�- -� -
�ot�titinq�produotion: �lorida �ospica._,1_�z,e_oh�rb�lis'—
N�neo£am.�uapenrator: Charles Flanagan -
�����°f���' Will update when we have them scheduled
C41ofit�onof�,iCet�a�held ity opQraWt; See ar�a�t�e�t
E�aideGC6:oPp�Crn�ao'S�nsurdrilin�tttet:--_See atta�hgd
I+Famt�ar eu�dtypes ofp�yrote�nic cl�rnices end�aferlala to be
��- es_-a.tta hgd
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' !4[S�3$f�rjfyrDf9c�mIG3478�.£l: �ge ar�tac'hed
�ctiagui&hers oa sits(prassutizCd watar--.at ti�st 2);. _z _
Dfsgrr�,u�Of w}�at+e pzoduot�On to ba conducstcd.(w�acluda poiiit afficbag�fi�l.a�rt rad�'�,
�t►6atidic�nCelo�aflDA�; q�rachei3
�safe�►�'d�i�aP7ac�:
� oiz�t test�xs no mort thet�$S mA
e powor£orfir�g sonrcea be restrict�d to batterks o�iso}ated pQwer s�gk�s
' .f�sYste�na���sures aga�nsG acoi��ultsl�1ng{2-step la�lbck)
��'natta 6e►lcft•rnnaf�teu$ed
, � _�mnking prohilaitsd.witLiu 2S'�fthe�i�nglhandl9ng araa.
' appaogri�ta°dista�r�:&o�audtenc�(�ot i�.as t},�u t�vtce t1�a f�lf,c�t:�diu�)
� aIt aoar.�spvl�ats ara blbokeil afflirto faingJH,endling area
TECHNICIAN RESLTMF
Charles Flanagan
5440 11 Street,
Zephyrhills,FL 33542
Cell:813.310.5524
Email: creitano@pyrotecnico.com
DOB: 10/17/1970
Age:45
Display Experience:
Charles has been a lead technician for 6+years;he has experience with electrical fired displays
and
Is familiar with all safety standards.
I.ead technician on following shows:
NNP Southbend:July 4,2013,2014,2015
Tampa Yankees:2013,2014&2015 Season
��de�-aY �xplo�iv�� I�fc��se/�en•a�►ig
U.S.DeparlmentofJusfice
Bureau ofAlcohol,Tobacco,Firearnts and Explosiees (l8 ll.,�:C �1�apPet'40� �im�mm�mmnen�muianuuniqumanmi
Li accordance wilh l6e pro�risions of Title XI,Organ¢ed Crime Coutrol Act of 1970,and lhe regulations issued tl�ereunder(27 CPR Pa�t 555),you may engage in
the nctit�ity speeified'ui this license or pennit�vithin lhe limitations of Chapter 40.Title 18.United States Code and the reguletions issued thereunder,until the
e�:piration date sl�o�vn. T'FI[.S LlCE14SE 1S NOT`I'RANSF�RA BLG UND�I2 2Z CFR 5�5.�3. See"WARNINGS"and'N0ITCES"on reverse.
D'acct ATF ATF-Chief,FELC Liccnsu'Pemiit
� Correspandence To 244 Needy Road Nuntber � ' e �
MaAinsburg��VV 25405-9431
Cluef,Federal Ex�Plosives Licensing Center(TELC Expiralion
(�7/1�� �v� �' P' —,r Date " • � " �
Name -,
PYROTECNICO � i
Peem[ses Addi•esS(Chmigas7 Notify the PELC'at laast 10 days btFora qit moce.) �
299 WILSQN RD ,
iVEW CAS'PLE,P�9G107- • �
TPpe ofLicense or Pemiit
23-IMPORTER OF EXPLOSIVES
Parohasing Certi6cation 5laleiucnt Mailing Addre"ss(Changes? Notify tlie FELC of any chnnoes.)
Tl�e lieensee or pennittee na�ned abo��c shall usc a copy ofthis licznse or prnriii to icsisl.o
trm�sFeror of aaplosives to verify the idzuthy and lhe lica7szd sta[us oFUie li��tsee ar
prnnittce as provid d by 27 CFR Part 555, 7'he simahire on cach conv must be an orieinal
sie�iature. Afaxe�i�s edore-mnilaticop��oPtllelicensao�ptttl7il�cRhesi��alu�e S VITALE PY{�OTECHNIC INDUSTFt1ES INC
uriended to be an o'' a iQtamre is accepinble. "Ihe sigiah�rz musy hathvl of tl�a Fedrrel PYROTECNICO�"�-' - -
F.�plosivcs Licausea L�a responsible persan oftht FEL. 1 ectitifi�ll�ai Iliis is a Vue p0 BOX 149
copy of a licznse ar�p it1'1,is ed�o the lic�rosee or pemiittrz namrd ahrn•e tn rngage ui�he NEW CAS-fLE, PA 1 61 03-01 49
hus'vieca oc er. m edifie �e nndzr"Type of Licaicr or Pennit."
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Licensee/PenmtleeRe ponsiblePerson Sienature Position/Title
Yrinted IJAme Date ATFFam�.4W.14/SW0.15 Part 1
Prc�•iousEdilionisObsalcte 5411GllVTPOtEqB�VIIWU8IP&SIHtyBOryIR0000:�41D1:/iN�01J.Td�419i1t]:Syhmh�I.t01347�I@P081EPOfFXPl0�VE6 RerisedOduber3011
Rederal Esplosives Lecense(F�L)Customer Sen�ce Inf'a�mafion
Federal Eiplosives Licensing Cen[er(FELC) Toll-frce Telephone Nuntber• (877)283-33�2 ATF Homcpage:w�t�w.atf.go��
244 Needy Road FaaNumber; (304)CI6=1401
Martinsburg,WV 25405-9d31 E-mail: FELC�atf.gov
C'hnnge oPAdJrc� (27 CI'R SS.i.�a(aJ(IJ}. Licensees or pennitiees moy during tLe term oftheir current license or permit rcmo��e tl�eir business or operations to,�
ne�v lecation at�vl�icli they intend re�ulurh�to carry on sucli business or operations. Tl�e Gceusee or penuittee is required to give noti5cation oftlie ne���localion of ttie
business or operations nat less than l0 dnvs prior to such ramoval�vith the Chie£Federal Faplosives Licensiue Center. Tlie license or permit�vill be valid for the
remainder oftl�c lcrni oCthe orieinul license or pemut. (The Chief,FCLC,shall,if ffie Gcensee or pec�rittee is not qualified,refer the request for amended license
or permit to the Dirceta•of Indushy Opera6ons for denisd in:�ccordance«ith§555.54.)
Rigl�t of Succession (27 CF'R 535.59). (a)Certain persons olher than the licensee or pennittee may secw�e Ilie riglit to cam�on tl�e same explosive materials
business or oPerations at Ihe same address sho���ii on,and forthe remainder of the lemi of,a curreni lieense er pennit. Such persons are: Q)The survi<<ino spouse
or child,or ca:ecutor,administrntor,or other legnl representative of n deceased licensee or pemiittee;and(2)A recci��er or truslee in bankruptcy,or an assignee for
benebt ofcreditors. (b)In order to secure tl�e right provided by tltis section;the person or persons eontinuing lhe business or operetions shall furnisli the license or
pennit for for tl�al business or operations for ei�dorsement of such succession to tha Chief.PELC,�vithin 30 days from tlic datc on wl�icl�the successor begins lo
carry on the basiness or operations.
" � (�ontim�ed on rererse side)
Cut Iiere�
�----------------------------------�
� �edesaP��lasn�es LicensJPei�etit{C��+L}dn1'ot;nnHon�nrt] �
t License/Pern�itName:S VITALE PYROTECHNIC INDUSTRIES INC I
t I
I 1
I BusincssName: PYROT2CNICfl t
I I
I I
� License/Pemlit Number:S-PP.-073-23-5J-12122 �
I I
� License/Pertnit T}'pe:23-IMPORTER OF EXPLOSIVES �
1 I
� Eapiration: September 1,2015 �
I 1
I Please Note:Not Valid fa the Sale or Other Diq�osition of��plosivzs. I
----------------------------------�
, o ,
DEPARTMENT OF NSTICE
Bureau of Alcohol,Tobacco,
Firearms and Explosives
Martinsburg,WV 15405
� August 19,2015
Pyrotecnico Fireworks Inc
Pyrotecnico 901090:CRR/SAW
PO Box 149 5400
New Castle,PA 16103-0149 File Number: S-PA-12122
Premises Address:299 Wilson Rd,New Castle,PA 16101-
Dear Sir/Madam:
This letter acknowledges receipt of your timely application to renew your Federal explosives
license/permit.
The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) is not able to process your
' application prior to the expiration date of your license/permit. However,Federal law allows you
to continue operations under your current license/permit until such time as ATF completes
processing your application. See 5 U.S.C. § 558.This letter, or as explained below, a follow-up
letter, will serve as your license/permit until we complete action on your renewal. It is referred
to as a Letter of Authorization(LOA).
Since we have not completed processing your application,you may supply a wpy of this letter to
� other licenseeslpermittees, e.g., your distributors, for the next six months (or until we complete
action on your renewal, if that occurs in less than six months) as evidence of your
licensedlpemutted status. If we have not completed processing your application for renewal
within six months of the date of this letter, we will send you another letter, which will atso be
valid for six months (or until we complete action on your renewal,if that occurs in less than six
months). This is of course contingent upon your remaining entitled to continue operations under
your current license/permit.
' Please direct questions or concerns regazding this letter to
Sincerely,
�/'�.,"o'f IC•
V`"`�"' /�
Chief,Federal Explosives Licensing Center
ATF web address: www.atf.gov �
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