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HomeMy WebLinkAbout20-114 Q City of Zephyrhills PERMIT NUMBER 4 5335 Eighth Street r Zephyrhills, FL 33542 SPCA/-000114-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 06/19/2020 Permit Type: Special Event/Temporary Sales Property Number Street Address. 35 25 21 0010 08800 0000 7242 Gall Blvd Owner Information Permit Information Contractor Information Name: PROVEST TOWNVIEW LLC& Permit Type:Special Event/Temporary Sales Contractor: PHANTOM FIREWORKS MISSION HILLS EQUITIES LLC Class of Work:Fireworks Address: Building Valuation: Electrical Valuation: Phone: Mechanical Valuation: D Plumbing Valuation: oil I Total Valuation:$0.00 Total Fees:$513.00 Amount Paid:$513.00 Date Paid:6/19/2020 11:40:12AM Project Description TEMPORARY SALE FIREWORK JUNE 26-JULY 5 2020 Application Fees Special Event/Temporary Sales $13.00 Fireworks Permit Fee $500.00 REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner:Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 'v mpoiralry $ales Checklist City 4f Zepfiyihips 5335 S°5treef 2'.e0 hyrtiitis;FI:33„5,42 1'hgpo;813 780-t1U2Q fFax;813-780-0021. Egg- Detailed Plot Plan showing setup of location. Refer.to Ordinance 103-8-.09,Sec 4 . ' Notarized letter from property owner stating their approval ' to A .._ AAflame,retardant certificate is required:]'_a tent is iuvolven.Inspection required once'teitt is effected_and rior to opening for iiysiness: �t - t r Approver certified fire extiqu skiers.per NFPA 10, Y: No Smoking signs must beplaced 6ntsi.0 entrances. IF there.is a wire fence or chain linkfencim...must have at least 5 Ft setback from tent and atleast: 2 exits. 'tenLlla&sues,the sides shall.be in the up position unless there is inclement weather, then 2 shies roust be in the:up position. FIREyI�OItK:R, QiJIRIMENTS,=(In addition to.tlie.atiove) Proof-*, Li niS 11 ;. i (Y)rC .List>of:items-to'be sold at-site:. Copy;of Drivers License and:Social Security Number of all personnel dealing with the sale of fireworks at the tent location. FEES $30:00'—CtyRegistration:{IfRegulated by DBPR—Fee.is Waived) l/ $500;00=Fireworlts fee-_Fire'Department fee. 5.00=Temporary:Sales Fee_for 161 two hays $ ]:00—Temporary Sales Fee per day for each consecutive day tbereaftei obt to exceed duration.of 7 consecutive days and no more thaa.two occurrences during a 12 month perio0'on same property:Ord#103849,See 6 $60.00—Tent Fee(45:0'4:, 15 o0*/FI3}=(*s i S.00 waived for Fireworks) $45,00.—Electrical Fee(if applicable) Property Owner. 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N.safetsane 10 45246 PHPiNTG1Nl Mt)ONS7 Rt7GK_f1SS C Safelsane 4 45291 O? AANT—;6bUD RATROL FpiI,Lln'e 8 A-069 ' GROPND,S FOI2'pIVOI?C4 ASST 1='i 3 A-015A, UNCM-BAM ASST 1 3 A 016 BATTLE QFYORKTOWN ASST.4-1 4 A-024. ROt1:iNG-tHt1N6ER,A§ST.4-4 4 A-025 GRANp FINALE,J?W(NEI(1r7:3-1 3 A-027 T 2- SUPREME FINALE ASSQRTMEN1 2 A-.6 9 NIAOA-.FALLS A$ST:6e1 6 A-030 NEW YORKER:A'SS'T(N,EW} 4-1 4 A-032A VOE ASSORTMRNT(DECORA'T 0, 3 A-034 NE1fU`ROMAN CANDLE ASST 84 8 A-470 BACKYARD.BARRAGE SAFE/SANE 3 A-$00 PHAiNTOM BACKYl4Rp BASH;SAFELSANE I A-510 PHANTOM EIITE:A'SSC7 2TMENT 1-'1 1 B-094 43 i4d Ook-V BAA 36-6. 36 C-007 PHANTOM 6 ASST.,CANDLES,2" 24 G017A 10 BALL ROMAN•CANDLE{PH} 246 24 "'t4A 1,Q'-`BALL WIR'.-C E(f?F!} 36 4 36 8 $1'o*f4G GOMET'CANDLE 4PK -2 C-040A FLABHING-THUNDER tNJSTARS 8 SH 24 C041 MINI BARRAGE GIINDtE,20-1 20 G-045 BXiRRAGE FIRE:CAt3Di:E;19fiSF1:1;5=1 15 C-046 BARRAGE FIRE CANbLEWlREPORT 15 9 CRAZY-BALL.CANNON 192SHOT 15A 15 C-056 5 BALL MINI ROMAN CANDLE 66 C-059 VENOM,OUS`NEON'S BALL CANDLE NEW t8 F-092F 840-200,WOLF PACK CRACKERS 80 F-.022 24.4OA6FIRECRAC.KERTHUNDERB 24 F-049A SILVER SALUTE•CRACKER 4046 40 0-013A LG;HAPPY PLANETS::36.SHOT 244 24 C-f119, B .SFLO 1 COLOR PEARL 10-4 40 G-026 100:SHOT SATURN BATTERY 30-1 3(! G-030 BURST&BLOOM 44 4 G=041 NEU11 YORKER SALUTE-01NALE.4i 4 G-042 PYROTECHNIC MOTHERLODE 41 4 SEASPARROW MISSILES: 24 G-048 PHANDE(4flONit1M. 2-1 2 G-050 _ SKl'FESl:PANf)RAMA SHELLS 12-a 12 6-05I MIGHTY:MITE'S MORTARxIT-246 24 G-0$2 _ CRACK THE SKY 4-1'. 4 G-o55' " SMALL FESTIVPiL Bi4LL515-6 15 0 -062 _ STF208E SPEC i'AGULAR 6-1 6 o..o" URBAN:WARRIOR.25SH..OT41 NEW 4 G-07$A : FJRESASE ALPHA 10.Sff07S 8 G-0$3 , 3FIAGADELLIC"MtJJQ.8€1 8 31lOGRAGKLI,NG MISSILE BASE;'12=1 12 G-086 TROPIC THUNpER._471' 4 G-088 £ASGADE OF; OL(3R-10 Slit3T 8 G-098 . HO:O:AH!2-7 2 RED-MffE.AND.@POM G=110 'WICKEDLYAINESCIME 1=1 1 G125 RAIN OF.FIRE.8-1 8 G=12y8 ThlE.BEiAST'UNLEASHED 98 SHOT$ 1. GA34 3,RED WHITE40LLiE`FINALE 2=1 2 07130 3 :GC?LD 8F2OGACl FINALE 2-4 2 Cr'139C UAkOR 81 8 GA49 PYRO,PROPULSION 86 SHOTS. 2 G=155 HIGH RERFORMANCE DI$PLY 33 SHO1 S 3 G-159 F'FRQTECHIdIG,PLILifEFiIZER 3 9 3 G=960' 0.0Ak-OR4MIC FINALE -2-1 2 d465 EIVIERALD 61TY 244 P12 G-171_,• WfJLFRACK.DOU.,BLESTAR 4P24 001 Y'.BOMB MORTAR.KIT 6'42 169 AERIAL ARTISTERY SHELL 12-12 G 20t}Ai W'0LFPACK_HIGH.PERFQRMANCE 12-6: 12 0-21;2 SILVER GLITTER:C000NUT RACK 2 0-215. RADICAL.RECOIL SFEELE;S 8-t2 6 G-217 WOFPACK CANISTER SHELLS 4-24 4 G-223 GOD OF•FIRE 4=4 4 G-224C §WoMING SKE&.ERS 871 $ 0426 TYPHOON'.SHELL k f C-i4 6 G-238A HOOTENANNY 10 SHOT 8 G-246A . EXTERMINATORSHELL.KIT4-1,0 4 G 249 M 1:OCYNlP11S THUNDER_4=1 4 G-277 V110LFPQGK.COLOR CHANGING SHELL 12 G-273 SPELLBINDER 12 SHOTS 2 G-285 11AINESHELL MAYHEM PREMIER 4-1 4 G=307 PULSAf INI§S&kAQLI.I.S`tR 4-1 4 G-306 EYE OF THE STORM 12-1 12 G.409 GOLDEN FOX 16`SHOT 1.6-1 16 G-315. STELLAR S TbRiVl,12rS}OT 4-1 4 ,G7325. . SHRILLER'i6 SHOT 24-1 24 -390 SUSpENDEDANIANA1 G IGiN26.Sti0T 12 G-392. BOLD'COLORS;2U_SHOTS 4 0-393_ DREAM TEAM 12.SHELL KIT B G=39.4. CONTINUU '24`SHELL KIT 4 0-404A SQLIp GOLCl.30 SlUl 41 4 G-411 RROTS PRAT Tl LE:36 SHOT 4-i.. 4 G 415. SLINKING.BQMBS MORTAR KIT 92�l2. 12 D.JA VU 24 SH* 1,2-1 12 G.4* ECHO IN'EAR:6 SHELLW fi INCH SHELL 1-2 G-r;30A GRAGKLSNGARTILERY,SHELL 12-6 42 G-46i FLED WHITE&.;BLUE;CANISTER 12 G-465 BOOMSHAKi1L6,GKA_i2=12 12 G-473 BEE-DAZZLED 12,1 12 G-474 WOLFFACK-D0UBLESTAR.4=P24 4 G-610 TOP-NOTCH:T9 SHOTREPEATER „ 12 9-613 METEOR FLASH.16 SHOTS NEW 12 50=SHOT AMMO BOX REPEATER,NEW 40 6414 PINTSIZE POWERHOU8E-6 SHOT 36 GA41 SKULL CRUSHER 2"'`10 SHOT RACK NEW 4 6-C4� 32 G 662 OEFENDAMERICA 48 SHEL'L'KIT NEW g G gg3ALL THAT FLASH 22 SHOTREPEATER'NEW 12 G-664 STROBINOMNERGY 1.6 SHOT REPEATER NEW 24 G-675 GF3t1CGT PA1L[ttl TO WIILi LOW-2-1 2 0-702 LOCK AND zOAD.I<IT 4=24 4 G-714 DEEP:IMPAGT, SHOT 600 GRAM 4 G-752 TWISTED MINES 24 SHOTS NEW 4 G-735 SKY SHOQOTER 100.SHOTS NEW 12 G-461 MiWBOMB AI7TILLERY SHELL:.12-6 12 G-820 AkfiLLERY SHELL.12 6 12 6-928 RIDING SHOTGUN 25 SHOT.Cr'I 6 G-929 BIG T6P:.42 SHC1T$6=1 6 6-9:32 ITHE*WHOLE SHEBANG 18 SHOT 2-1 2 G-949 RAGTIME.20.SHOT _ 4 b=919 147057 LUMINESCENCE FOUNTAIN.24.1i _ 24 H-065 P.EACOGK TAILFAN f LINTAIN.8A. 8 H-238 BLAGKBEAR-S CUTLASS 60 H-31g PHANTOM FUNNIES'NEW 16 H-328 PHOENIX FINALE FOUNTAIN NEW 12 (-p08 VV0.LFPACK,200.CT.,(4BXp 60=1. 60 1-Oi7i4 CFIWATOWN RED SNAP CPACKER,20, 30Q J-037 LADYBUG'GROUND SPINNER;3pK 60 tN OUTTA THIS 1lUORLD.AIR`SPINNERS-NEW 24' 2 . 'RED WHITE&SLI�E PARPiCNUTE-36 36 N-024 SMP,LL.MILI fARY l?ARA:36> 36 N 037 LOOK,SPtDEW.,4"'36-4 NEW 3S 0-03M ,6 OX:WO>_FPACK;,4SST:RC);Ci<ETS 36 0-043 W"l§TI:jNd 0#W-Ft:20.GI2osS 20 0-0tt4 .:WHIS.TLING 8t)TTLF;ROCK W. /S&W/R 0 0 53 SICYB(}LC ROCKED 5M 24 0-663 FLAT LINED'5PG.R0;CKETSNEW 20 Q-41 i" MAXiIVIUM:ALt1TUDE ROGICET 4PK 12 P=003Q SIJPER;COI OSSAL.SMOEK BALL PDQ 40 0=010 ASST."SMOKE BALLS"26=6-12 120 5-010Q 1$GOL'D SI?AF2ICLER., PDQ 60=6, 66 5 01;7Q NEON SAFtKLER FRQ 60 5 60 S-t119 MORNING GLORY:X-LONG 15-24-6, 15 M-073Q BROTHERS;NQVELTY PR.4 W.074, P.OVVFR TRIP RACE CAR.1"EACH 6 M-075 .HALF TON.PICK UP TRUCK i EACH 6, M-076 LOOP-DE=COtOP AIR PLANE 1 EACH. 6 A7480 PHANTOM INTERGALACTIC:FTNS `1 H-317 COSMIC VELOCITY FTN NEW 12 H-318 GALACTIC RADIP+NCE FTN NEW 12 H-319 ELECTRIC MANIPULATION FTN NEW 12 BASKET ITEMS 2020 A-482 R4'ANTOm.r iNtERGALACTIG SMALL FINS 9 H_32g OVA BLAST FOUNTAIN 2020 NEW 48 H-$30 BEAMING LI,NT FOUNTAIN 2020:NEW 4$ H-331 IGOSMIC ENCOUNTER FTN 2020 NEW 48 A-483. SING—LE ITEM"ASS4RTMENT'2020 NEW` I C,-014A 10 BALL"ROMAN CANDLE W/REPORT 72 I-00? WOLFPACK SNAPS 50CT 84 M=061 E PHANTOM TANK W/SPARK 64 0.10,8E CLOUDBUSTER ROCKET 40 P-019A ASST SMOKE BALL 6PC BAG $8 5-01;OA6 #8:G,OLD._8PARKLER 6PC,BOX 7.8 2019 ABC BOXES A=93.0 TENT&OX,:A 1 O- N3 ' 05tQb-Rl%)-WHITE&.BLu="I2=1 6 G=2U5O, #50.0 FLUORESCENT ORANGE 12-1" 2 6.650 ..;#500 RoU.NO,RED IJAHUAA 1.2=1 2 O;652 O:FLUORESCENT YELLOW 12-1 2 A=931, 'TENT.BOX B � H-000 FIRECRACKER FOUNTAIN.40=1 24 H-120 .KING.QF.BLING FOUNTAIN 24�412 A-932 TENT'OW(C 1 - J-02:1A JUMPING JACKS 8N=12='12 5„0. K=O6'0 OUTERSPACE JET 0 PC.-t6X 24-6 12 A-933 TENT 60A_ti 1 74ti5 GRC).UIIO;BLOOM.FLOWERS BOX,40-30 20 )-;906 't RNAG.Q,10 4=069 PNi4N1 OM TANKWI SPARK.60--4 39 A=934... MIXED.E(OX A i "06 SILVER SALUTE SELECT 50 K-dO7 ALIEN`.ESCAPE'NEW 40 K=028 MILITARY SATELLITES 32, 0-145 PHANTOM.NEON ROCKETS 120 A-"4 IMIX91Y BOX G; '1 4540 , .SNAKE BAG ASST. NEW 36 ERICAN_MiLITARY`CANpLES 12-6 $. F-01.OF -20=10011VOLF'PACK CRAWKERS 40. . 0.-007 PHANTOMV SWILEY FACE RKT;20-4 7 0-043FJ. JUMBO WH.WOLFPACK ROCKET 72-12 36 4445 1MIXED BOX:H 1 M-067 LANTERNS::ASST CdLOR 50 , Z=KITS Z-KIT.SUPPLIES(Z-KIT2) 1 Z-423 CHEMICAL FIRE EXTINGUISHER 1 Z-511 WA ,KFIRE:EXTINGUISHERS 1 Z-7030 CASH DRAWER 1 Z-42 A. LARGE.BAGS' 1 Z419 SMALL SAGS 1` Z-575 FEATHER;bANOER-LO j6 1 'Z=576 FEATHER-0,,+,CER-Flag 1 Z=431 EXIT SIGN-Lightged 1 Z-1421 SMALL WOOD 4FT X 301N 1 „Z=1023 6UN,GIE OORpS 1 2-555 MEDIUM CONES 1, PHANTOM Fiol EWOTZKS TEMPORARY LEASE AGREEMENT THIS Finwo mS STARD/TENT AND LEASE AGREEMENT is made Between Proverty Owner therein refetred to as the"Landlord!),whose address is: . Landlord:Provest TowaviOw LLC Phone;Number:518,&7.Mroloo Email:cv rovostinvestcom_.. Address:158 union Turopike'Hudson,NY 12534 Contact:Charles Vifa Federal Tax.ID or SSN;83-1353940 Check Payable-Provesi Towrnview L-LC SSte iafotar n _ Property Nartie:Townview Square Phone Number:917,9224794 Email: Address:72404422;Gall Blvd Contact: CharW Vita ie herh'ills FL 33541 and,PHANTOM FIREWORKS EASTERN REGIOX LL,C dba Phantom.Firewrorks(hewb'wfer d;to as the"Tenant"), whose address is:244S Belmont Avenue,Youngstown,Ohio.44505=24o5,330-746.1664: 'LEASE"6VTRUPERTY: Landlord leases to Tenant the location space on property described above,detailed on attached EXHIBIT A,which is made a part Ile 6f. The Iot,.parkmg.Iot or common area is owned and/or controlled by the Landlord,who warrants and certifies it ties full right and authority to lease the location_space to the'Terrant The location space is to be used for housing a temporary sales.faeUity froin which the.sate of state-legal IAG.(Class C)consumer, fireworks and novelty`items will lie conducted in,accoraance with applicable_law, landlord specifically gives.permission and'ttie exclusive right to Tenant to locate,-;a temporary stand,kiosk ar.tent and storage container on the lgcation space to be used for the purposes stated herein, landlord will permit no other sales of IAA consumer fireworks on any of the property not oecupied by Tenant. TERtyI. The term is for the lease period 06J10/2020 through. 07/1512020 . if the-Property is.soid to tmother .party at least 9€I days prior to the beoining,ofthe lease.period,this lease can be voided.'tandlord.must provide written notice on or before 90 days prior to the beginning orthe lease period and all prepaid.depasits,and/or rent must be returned within,i4 days.oftertitinatibn ase of this le .This lease cannot be voided due to the property being sold to another coitsttmer fireworks vendor. RENT.Tenani_agrees to pay resit to the Landlord in the aggregate amount of$3250.00 forthe location space on the.prdpeity named above and detailed on Exhibit A,which includes electricity and a.space for a storage trait,which amount shall he paid in fall prior to the commencement date of the lease tetra. TENANTS 1?ROP.ERTY. Tenant assumes the risk of its personal property;on the location space of the leased property OPERATORS- Landlord aoknowledges.that Tenant may sublet.the sale of the fireworks to independent operators and approves of all such arrangements,and Tenant%not relieved from its obligations hereunder. However in the event Tenant is not able twsecure an independent operator far the property,Tenant may terminate ihis:lease with at least TEN (10)days written notice to Landlord,and Landlord shall refund to Tenant ail prepaid rent amounts. INSURANCE.' Tenant shall provide liability insurance covering the Tenant's use and occupancy of the location space,including product tiabitity,bodily:u1jury,personas injury and,property damage coverage,on an oeeurrence basis,with, coverage in the aggregate ainoam of TEN h.ILLON DOLLARS($10,000,000.00). Landlord shalt be named as"addidonal insured"under tliWinsuiance."as Landlord's interest may appear." Prior to occupancy.Tenant shall provide Landlord with.a Certificate of insurance evidencing the required insurance: Undlord ji norrequired.to hold similar policies of insurance, and Tenant's insurance shall be ,primttry for ihe'term of this tease relative to the location space. I INDEMNITY. Tenant shall"lindenutilyj dpkqd,and hold the Laudlord'harnd0ss from-artyclaiiiiA in connection with any iquiy or damage caused to any Onsrut or property arising out of Tenant's use or occupancy of the leased location d negligeri a ts of Landlordjts employees or agents. space; Tenant shalt not indemnify or b�liable.to Landlord for the t coyees SURRENDER OF'PROPERTIES&RIGHTS. Tenant agrees to surrender possession ofthe,property to the Landlord Upon,termination of this,agreement in as good cofirli(ion.and repair as the same.sliall be on thedate.Tenant first, occupied the propertyhereunder-ORDINARY.W_EAR,AND TEAR EXCEPTED. The Tenant sIW;Make any and all repairs necessary W restore any 06rood of the pTGp,=y-Where such rest0flitiriii is nic6siiiated-b y-the Tenants use of the location space on the Property. Tenant agrees to keep the.location s#abe clean and fivat garbage and trash during the rem of this lease and remove all propeity-owned by'Tenant prior to surrendering occupancy. OPTION. If Tenant has met all of its obligations hereunder,Tenant"it have the option to lease the premises for the same purposefor the next fatworks selling season by giving notice to,the Landlord. CHANGE IN LAW. In the everitibat the sale of consumer flieworks is,pr6bibited for any portion of the term by, any level bfjddidal,leg islative gislative or executivelaw.Order.rule Of flOgii1ition,this tease shall,upon notice froth terrnmate,)�=cupon any advanced rental payment-shallbe returned' to,the lciw�on a pro rata basis(number of days of - , Tenant occupied)and the Tenant shall be feflivedfirim;any further liability hereunder., PERMITTING. This agreernenris,contingpntv at: ,cost and expense 411 required local and -Pon Tenant securing;at its .state N and permits sell IAG(dassc.)constimerAUMOTI(SAt the Ibcation*'ce on the propert34 If Tenant cannot licenses secure permits prior to commencement of the lease period,any pre-paid amounts shall be-refunded and this.agreement ihall,bq null and void. PRQPER.7*/SAU6FPkOPEM Ifth6,property'is inaccessible o.rimusable.due to construction orthe like,or if Landlord attempts to move the location space on the property,this lease is subject-to revision oh terms 4*pIrkbitto Tenant, If Landlord,sells the property to third ath parrt�buyii,Landlord shall have the.righttoterminm6this lean upon'90 notice to Tenant or transfer thii'lease to the buyer. Upon termination hereunder;Landlord-trye refund - to Tenant all tenfai payments mad.etodate. Landlord shall not ielfilic property to another fiiewo&'seller or to with the .intent of defeating Tehani's fightto:sell frewoiks on the location space in favor ofmY other fireworks vendor. ATTORNE-Y'S FEES.F-S. In any actidn,or proceeding to enforce,interpret or declare rights Oder this agre6ment,the prevailing parry shall be entitled to its reasonable tnt&ney fctiB;costs and'BlUgation expenses; ENTIRE.AGREEMENT. This agreement and any incorporated exhibits or attachments contain the entire agreement betuvienihe parties and cannot he modified in any manner other than b� e n L a *ement­. writing-,signed by the gr in j :parties with the sainefibmalities atten'dam 4to,the execution of,"agreemetir. Tabb understanding,tam-and provision of ;this agreement shall be construed to be a'priurilse.,covenant and c6nditicim This agreement supersedes any previously signed agr6ement(s),signed or unsigned,oral or written between the Parties. pgovIsIoNsaNDING. The agreements herein shall be binding fidiqg upon and inure to the benefit of the Parties, their heirs,executors,administrators,personal.representatives,successors and assigns. -IN WITNESS WHEREOF,'the Landlord and Tenant have executed this rigreemerit,each party itarnowledging receipt of an executed copy hereof. -IT PHANTOM FIREWORKS EAST RN REGION, Name 43 f Landl6rd. I LLC-"Tenaut" Bv. illymOr" gy- U.-A-&L4 f4anic: Whitheyfqeming 7 Title. drfiV)j-014,V—Tide: Leasing Spedialist Date: Date: 5-5-2020 L11 V?� 2 -DRIVE R'LIG£MSe'CIaASVE, I ..•J•f�f: - all - - •i i �._�ifY�.Y�1b11.CF1 it'ibS>}!�12tiK�._ V�� 201L(y. ��j`-�- 1 - •., �- } V i t • =THIS., S,BEEN6S'tABliSfi60 WR;:" ;- 1 I i i 1 I } l a- Ke Id EC o: IssirediiF ria400,` s; 'f°os e' mber30tit ts,rs ub'ec t .fiar�cta 5tafutes;aril+pa'scoGouri Okiiiarices �tssuaicecloes;niiticerti :; ?If?! -- cmli' F- �„p 2ry're>wEtirzon�rr �onother.:ialuus�?i°'h_tslrece( t� us#•he;� ted:�cons•iciiousl"'iri�'iacectfbusine�s.: 14 - Ft # .'} `�t,•� y,Kit': C LiN rr, •E•O`;TYP Fill•' �IiVI`S t1S S. AIL t2v=`:R F F:EtiltitOR 99 GQ - av E i� _ R 4•?v. _ ^ 't - Ft(J E E ' 7'O H�1 M�ai2E•`�. HAh17 'FRE=111C0- S ~ST E IOtV+L`"L `r' f=z ` C _ - - 'OGPiT01V'ADD} - 41 i R 4• - /4 t _ -;Z72E4P2f'3 Y D FL: 3244 EO U-� A ,2 �-. , .+Z 5 Dear Business Owner.: Your 2020 Paseo.County Business Tax Receipt is printed above. Please detach the receipt and display it in a place that is visible to the public and available for inspection. The Pasco County Business Tax Receipt is,in addition to any other license or certificate that may be required by law and does not signify compliance with zoning,health,or regulatory regLlirements.The Pasco County. BusinessTax Receipt is nan-regulatory and is not meant to be a certification of the holders ability to perform the service for which it is registered. Business Tax Receipts expire September 3.Oth. Annual renewals are mailed in June to the address of record at that time. Please contact bur office if there are any changes to your business name,ownership, physical address,or closing of your business. Thank you for allowing us to serve you! ' i MIKE FASANO PASCO COUNTY TAX COLLECTOR i EAST PASCO GOVERNMENT CENTER WEST PASCO GOVERNMENT CENTER TAX COLLECTOR BUILDING DADE CITY NEW PORT RICHEY GULF HARBORS CENTRAL PASCO GOVERNMENT CENTER COMPARK 75 BUSINESS PARK LAND O'LAKES WESLEY CHAPEL CALL CENTER:MONDAY-FRIDAY 8:30 AM-5:00 PM (352)521-4338 * (727)847-8032 a (813)235-607$ I 4 ' 1 stormy Patrordc Casia Sine* C11WFFWANCL4L OFFICER BUPXAU CKW 4ntl�a Batas Keith McCartby DMSION DXIMECITOR . . SAFEWPROGRAMMANAMR FLORWA DEPARTWIM OF FVM,CrALSERVXCES DMSION OF STATE FIRE MARSHAL 200 Fast Gaines Sheet -TaUa6asm FWda 32399.0342 Tat 850-413:3644 Fax.850-410-2467 r ' CERTIFICATE,OF REGISTRATION WHOLESALER.OF SPARIILM THIS CERTIFIES THAT: PHANTOM M PORTJNG+&DISTMUTI G,LLC 3566 Larcb moat Ave Warren OH 44483-2400 - Has registered purs_uant to the provisions of Florida Statues to engage in the business of selling sparklers to a retailer.' Issue Date: 02/0V2020 Type: 07 i Class: 62 County: Out of State License/Pemait* 660143-0001-1999 Expiration Date:. 01/31/2021 Chief Financial Officer I, DATE(MM/DDIYYYY) A�" CERTIFICATE OF LIABILITY INSURANCEF6/18/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Certificate Department She Insurance Group, Inc. FAX cAc Noxt No:407-774-09361021 Douglas Ave. Altamonte Springs FL 32714 AD ESS: certificates@sihie.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Fireman's Fund Insurance Co. 21873 INSURED NELSTEN-01 INSURERB:American Automobile Insurance Company 21849 Nelson's Tents&Events Inc. INSURERC:National Union Fire Insurance Co.of Pittsburgh 19445 1153 Ocoee Apopka Road Apopka FL 32703-9201 INSURER D:BusinessFirst Insurance Co. 11697 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:289448139 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR'OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AD L SUBR POLICPOLICY NUMBER MMIDDY EFF MM1DCD1 EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY UST005212200 1/1/2020 1/1/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTeD_ CLAIMS-MADE FK OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000.000 POLICY❑ PRO JECT ❑LOC PRODUCTS-COMPIOPAGG $2,000,000 X OTHER: $ B AUTOMOBILE LIABILITY SCV0030572001 1/1/2020 1/1/2021 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO - BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acc dent FL PIP $10,000 C X UMBRELLALIAB X OCCUR BE012781087 1/1/2020 1/1/2021 EACH OCCURRENCE $9,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $9,000,000 DED RETENTION$ $ D WORKERS COMPENSATION 0521-19175 1/1/2020 1/1/2021 XTH AND EMPLOYERS'LIABILITY YIN N STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Leased/Rented Equipment UST005199200 1/1/2020 1/1/2021 Limit 527,982 Deductible $2,500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER . CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Zephyrhills 5335 8th Street AUTHORIZED REeRESENTATIVE Zephyrhills FL 33542 Gwµ�(a. N�b(.c_, U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD