HomeMy WebLinkAbout16-17887 � CITY OF ZEPHYRHILLS �
� 5335-8TH STREET
(813)780-0020 1 78 7'r
! FIRE WORKS PERMIT �'
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17887 Address: 7050 GALL BLVD
Permi�t Type: FIRE WORKS ZEPHYRHILLS, FL.
Class o�F Work: FIRE WORKS 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/ 8/2016 Name: FL HOSPITAL OF ZEPHYRHILLS '
Total Fees: 535.00 Address: 7050 GALL BLVD
Amou�e�t Paid: 535.00 ZEPHYRHILLS, FL. 33542
Da�e Paid: 1 Phone: (813)783-6189 �
Work Desc: FIREWORKS SHOW - DECEMBER 4, 2016 �
CONTRACTOR S APPLICATION FEES
PYR TECNICO F FLORI I C FIRE PERMIT FEES 500.00 SPECIAL EVENT 5.00
CONTRACTOR CERTIFICATE 30.00 �
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' Ins ections Re uired
FIRE W R S ITE IN PECTIO
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
preveition 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 �
prepared for the purpose of producing visible or audible effect by combustion,explosion,deflagration,or I
�� detonation. �
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CONTRACTOR SIGNATURE PERMIT OFFIC
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
I ZEPHYRHILLS FIRE RESCUE DEPT- 81�-780-0041
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' Temporary Sales Checklist
I City of Zephyrhills
� 5335 8'�Street
Zephyrhills,FI.33542
� Phone:813-780-0020/Faa:813-780-0021
REQUIREMENTS
' X Detailed Plot Plan showing setup of location. Refer to Ordinance 1038-09,Sec 4
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' 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 le etback from tent and at least
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2 exits. � o
N/A IF tent has sides,the sides shall be in the up position unles� s inclement weather,
then 2 sides must be in the up position. �� ��
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FIREWORK REQUIREMENTS—(In addition to the above) Q
� Proof of State License. � ��
X Proof of Liability insurance. �� �
i N�A List of items to be sold at site. ���
N/A Copy of Drivers License and Social Security Number of all personnel dealing
I with the sale of fueworks at the tent location.
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 15L two days
$ 1.00—Temporary Sales Fee per day for each consecutive day thereafter,not to
exceed duration of 7 consecutive 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 �
Phone Contact: 954.657.8403 �
Address site: 7050 Gall Blvd. Zephyrhills, FL 33541
iDate(s)of sale: December 4, 2016
Ordinance No. 1038-09(for additional requirements)
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I BUILDING PLAN REVIEW COMMENTS
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Contract I r/Homeowner: d' ���C�
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Date Received: l �—��l�
site:
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Permit Type: �J��.'+2 Ct��ie/�C ���
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Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
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This co Inment sheet shall be kept with the permit and/or plans.
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Ge e B;ro —Fire Safety fficer Date Contractor and/or Homeowner
(Required when comments are present)
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PYROTE�CNICO 800.854.4705 info@pyrotecnico.cnm laffrey,NH Tampa,FL
Las Vegas,NV Vlnelan0,N]
YITALE FAMILV FIRE\VORKS • 1689
Florida Hospital Zeph_yrhills- Firework Displa_y ;
Display Date: December 4, 2016 ',
PRODUCT RECAP:
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4 2"36 Shot Box
8 49 Shot Fan Cakes
2 49 Shot Star Cakes
Finale
1 100 Shot Barrage
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I TECHNICIAN RESUME
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.
Lead technician on followin�shows:
NNP Southbend:July 4, 2013,2014,2015
Tampa Yankees:2013, 2014&2015 Season
St. Leo University-Fall Family Day 10-10-15 �
Florida Hospital Zephyrhills 12-6-15
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r I `013-780-0020 City of Zephyriiills•Permit,Application Faz-813-780-0021
Building DePariment
Datu Received Phono Contact for Permltltng
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Oivners Namo��r� a����ospi a ��ep yr � S � O�vner Phono Numbec ' '
a v ., ep yr i s,
� Oi�lners Addres"s Ownor P.hono Numtier
Fee Simplo'Titleholder Nartie Ovmor Phone Numbor� �
Fne:Slmplo Titlolioldo�/Cildres's,
� ;)09 ADDRESS a V •° ep yr � S' LOT# �
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� SUBDIVISION PARCEL IDtd �
(06TAINEU FROM1{PROPERTY TAX AOTICE)
4YORICPROPOSED � NEINCONSTR B AUD/ALT Q SIGN Q MOVE Q DE�dOUSH ,
INSTALL REPNR
PROPOSED.USE Q SFR Q COMM Q OTHER '
TYPE pF CONSTRUCTION Q OLOCK_ Q FRAh7[ 0 STEEL Q OTHER i
irewor s isp ay or o i ay ree ig ing - - '
DESCRIBTIQN OF-WORK
BUILDING SI,'LE SQ FOOTAGB H[IGHT
F=�="_= -- ---- -='�-- -- `""�-� -_ ""-'t�.•.--' �
Q BUILDING ST V VALUATION OF TOTAL CONS7RUCTION �
Q ECECTRICAL S AMP SERVICE � PROGRESS.EN6RGY Q W.R:E.C.
Q PLUMBING S
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Q M,ECHANICAL S' VALUATION OF h7ECHANICAL INSTALLATION i
0 'GAS Q ROOfING 0 SPECIALTY Q OTHFR
FINISHED FlOOR EI.EVl�TIONS FLOOD ZONE AREA, �YES QNO
�'�=�;��.. -�=_�=_s._t�.���-�r =,�=�" , _. - - - ----- -. ,
BUILDER � COLIPANY �
SIGNATURE (iEGISTERE� Y! N FEE CURRENT Y/N
Aildress License l�
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ELECTRIGAN COfdPANY
SIGNATURE REGISTERED Y/ N FEE CURAENT Y/N
Address Ucense.t �---�
IPLUh16ER. COJAP.ANY �
SIGNATUf2E REGISTERED Y J N FEE CURRENT Y/N
i lCdcirass Licenso ff
i h1ECHANICAL CORiPANY
SIGNATURE REGtSTERED Y/N FEECURFEM1IT Y!N
I ��Add�ess . license tt
OTHER � C0�11PANY
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SIGNA7URE �' REGISTEREO Y/N F_EECURREt7i Y./N
ew as e i
Addfess ' � License Y
RESIDEN7IAL `Allach(2)Plot Pians;(2)sele of Buitding Pians;(1)sct�of Enerpy Fotms;R-0,1N P.ermil(or nev+conswc6on, I
�Ainiriwm len(t0)workinfl days aRer submlltal dato.,Requireil onsite,Conslnidion Plans,Sto�mtvater Plans�v/Siit Fenco installed, '
Sanitary Facfiities'8,t dumpster Site VJork Pemill focsubdivisions/large projecls
CO�dh1ERCIAL Atlach(3)complele�sels o(Quilding Plans plus a-Life Safoty Pnc�e;(1)set of Enerpy Farms.R-0=W P.ermil for new canstrucGbn.
hllnimum fen(10)workin9 days aRer:submillal date. RequiPed onsile,Conslruclion plans„Slormvater Plans��il Sill Fence fnstalled,
Sanitary Faciilqes&1 dumpster.SSfa VJoric Permil for ell nev{projecis.All tomrnerdal requiroments musl mee!compliance
SIGN PERMIT Allach(2)sels otE�pineered_f'lans.
""PROPERiY SURVEY requlred for all NGW conslrucUon.
�_-_-�—�- "-_ — ` --- - --- ' _' -= _- - - — -- -- '— -- ---�
�(ructions:
FIII out applicaUon complately.
Ovmer&ConUaUor sipn back.af applicaGon,nolarized
I(ovoi$2500,a Notico of Commencement Is requfred. (!llC upc�ra�os over$v000)
i " Agenl(tot lhe conlraclor)of Powar ot Altorney{tor the ormer)would ba someone wi.th noWrired letler from owner aulhorizing same
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.OVER THE COUNTER PERhf1T.T1NG (Front o(A(iplicalfon,Only)
Reroofs_ Sev=ars Senrice UpgraJes NC Fences(RIoVSurveyiFoolae�e)
Dri4ov�ays=Nal over Counler il on puU�ic roaderays..needs ROYJ
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NOTICE OF DEED RES7RICTIONS: The undersigned undersiands ihat ihis.permit may besubject to"deed"restrictions"
which may be more restricCiva than County regulaGons. The undersigned assumes responsibilily for conipliancelvith anq
applicablo deed restrictfons, �
UNLICENSED CON7RACTORS AND CONTRACTOR RESPONSIBtLITIES: If ihe ovrner has h(ted a conlractor or
� contiacto�s to undertake work,they may be requfred to be licensed.in accordance-vrith state and locaLregulations. If the
� contracfor is not Iicensed as.required by law, both.lhe ovmer�and contractor may be cited for a misdemeanor violation
under sfate law. If the otivner or intended conlraclor a�e unceriain as to�vhat licensing requiremenls may.appiy for the
inlanded work,they a[e advised to coniact tfie Pasco County Building Inspection Division—licensing Section at 727-847-
800�3�. FurtFiermore, if the ovrner has hUed,a coniraclor,or corilraclors, he is advised to haye the conlractor(s) sign
portions.of the"contractor Btock"of this•appllcation for which'they��rilf be responslble. If you, as lhe owner s,ign as the
conlracto�,that may:be an indication that he(s not.properly flcensed and is not entitled to permitting priviieges�in.Pasco
Cownty. �
TREINSPORTATION IMf?ACT/UTILITIES IMPACT AND RESOURCE,RECOVERY FEES: The undersigned understands
�lhat•Transportalfon Impact Feesand Recourse Recovery Eees may apply to ihe;construction of nev�buildings,change of
i, use in existing buiidfngs,orexpan,�ion of'existing builclfngs,:asspecified in Pasco County Ordfnance numbet 88-07 and
� 90•07,.as:amended. The undersigned also understands,.ihat such fees,as may be due,will be identified at the time of
pe�mitling. It_is furiher understood that Transportalion Impact Fees and Resource Recove.ry Fees must be.paid prior io
receiving-a"cerlificate of occupancy"or final power release, If the proJect.does not involve a certificate of occupancy or
fnal�ower release,lhe�fees must be paid prior to permit'issuance. Furihermore,if Pasco County 1NatedSe��rer Impact.
fees are due,ihey must be pa,id prior to.per,m'it issuance in accordance with-applicable Pasco County ordinances.
� CONSTRUCTION LIEN LAW(Chapter 713,�lorida Stafutes,:as amencietl); 'If valuation of�vork is'52,500.00 or more,I �
� ceCtify that I, the applicant, have been provided �vith a copy of�lhe "Florida Construction Llen Lavr—Homeo�vners
' Pintecllon Guide"p'repared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is someone ;
� other lhan lhe"o�mer",I certify lhai I f�ave obiained a copy of the.above described.document and promise in good faith to
deliver it�lo the"o��mer"prior lo commencement. .
QONTRAC'fOR'S/OWNER'S AFFIDAVIl': I certify that all the fnformation in this applicalion Is-accurate and lhat aD work
vrill"be done in compiiance;�vith all�apulicable laws reguialing construction,zoning and land development, Applicaqon is ,
here�y made lo obtain�a permit to do work and installation as indicated. I certify that no work or installal(on has
cammenced prior to.issuance of a permit and that all�vork.��iill lie performed to meet standards of all la�vs regulating
con"struclion, County and City codes, zoning regulations, and land development regulations iri the jurisdiction. I also
certify�that I undersland that tfie regulations-of othergovemment agencies may apply to the infended work,and that it is �
my�esponsitiility to identify what acilons I inust take to be in compliance. Such agehcies include but are not Iimited to:
- Department',of'Environmental ProlecUon-Cypress Baylieads,Wetland.Areas and Environmentaliy SensiQve i
Lands,Water/Waste��lale�Treatment. �
- Southiuest Florida_ Waler Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering �
Watercourses: �
- Army Corps of Engfneers-Seawalis,Docks,Navigable Watervrays.
- De,partmen#,of Health & Rehabilitalive Seryiees/Environmental Healih Unil-Wells, Wastevrater Treatmeht;
� Septic Tanks. � � � � �
- US Environmerital Proteclion Agency-Asbesios abalement.
- Federal Ayiation Authorily=Runviays.
I understand that ttie;follo�ving restriclions apply to ihe use of fll:
- Use of�II is nol allowed in Flood Zone"V"unles§exgressly permitted.
- If lhe fill mate�ial is.to be used in Flood Zone "A", it is undersiood thal a drainage plan addressing a
"compensat(ng volume"��,rili"be submilted al lime of permilling-which is prepared by a professfonaPengineer
; licensed by..the.Stale.of Florida., i
, - If the fill material is io be used in Flood:Zone "A"in connection��rilh a permitfed building using stem�vali
construction,I certify'that fill vrill be used oniy io.fill Ifie area wilh(n the stem wall.
- if fill.material is lo be:used in any area, I eeriify lhat use of such fll will not adversely affect adjacent '
� properiies. If use of fill is tound to adversely,aitect.adjacent properfies,ihe owner may be.cited for violating
i the condilions.of the building permi(issued under Ihe atlached permit appllcation,for lols:less lhan one(1)
� acre�vhich are.elevated by till,an engineered drainage.plan is_requfred,
i If I am the AGENT FOR THE OWNER,I promise in good fallh to fnform the owner of ihe permiUiny conditions sel forth in
i lhis atftdavit prior to cotnmencing construction. I understand lhat a separate pemiit may be required for elecfrical vrork,
plutnbin�, signs, vrelis, pools, air conditioning, gas, or other installations not spedfically included in lhe appfication. A
permiLissued•shalF�Q construed t"o'be.�.license:lo proceed�viUi Iheavork.and riot as authority to violate,cancel,alter,or
set aside.any provisions of the technical codes,nor shall issuance of•a permit prevent the E3uildiny Official from thereafter '
� requiring a correcllon of errors in plans,construction or violalion"s.of any codes. Every permit issued shall become invaBd
� unless the��lork�aulhorized by sucfrpermiCis corrimenced wilhin six months of perrriil issuance,or if work authorized by
the permit is suspended or abandoned fo�a period of sIx-(�)monlhs after the:tline the.work is commenced. /��extension
may be requested,(n writing,from the E3uilding Offic(al for a�eriod not to exceed ninety(90)days and will demonslrate !
justifiable cause for the extension: If v�ork ceases for_ninety,(�JO)consecutive days„the.job is considerecl abandoned.
WARNING TO;OWNER: YOUR FAIWRE TO-RECORD.A'NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
� PAYING'f1NICE FOf21MPROVEMENTS TO YOUR PROPERTY. IF YOU 1NTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER• AN, ORNEY BEFORE REGORDING YOUR NOTICE OF COMMENCEMENT. i
FLORIDA JURAT(F.S . 3) �
OWIJER OR AGE CON7RACTOR �
Subs,�nbe en b��ro o(Qr,af �d efo o moil�e/ � Subscritred and�m to(or atfirm�cn before me Ihis
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Wno Is/are pe�sonally known lo rtle �haslhava produced Wno islara personaity knovm to ma or has/nave produced
as identificalion; as Identification.
�-�1����^-�-��_Notary Rublic �otary Public
CO�Qro¢�si sion.tJ���_O�"7'�-/ .:J —/ Commisslon No.
MVIVWE
M_N�r��o��o�ay � pn��e�oO§amp� Name o(Nolary lyped,prinled or.stamped
ef L V IV i iy h
Union Twp., Lawrence County
My Commission Expires May 1, 2020
MEMBER,PENNSYLVANIA AS OCIATION OF NOTARIE