HomeMy WebLinkAbout01-0290
BUILDING PERMITN~
0290
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
v.--h: .; ed
Date
r;/2/0\
. ,
BUILDING
ELE\TRICAL
PLU~ING
MEC,NICAL
Sewer Conn
Water Conn:
Property Owner: I <2 ",...\'-
Job Address: J 7 ~ 0 \
f C15c.o
Lk. P ~t
'{reA
I+~\ Lf
Water Meter:
T.I.F.'s:
Parcel I. D. #
Zoning: Energy Code:
DescriPtion of Work -F/ f"~ v-Jo I" k.
fA.c.. .
y
Radon Gas:
? 5 ( 200 ,
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
Permit Fee
:I Signature
Company
Address
?(felePhone# ~(3' '1)5'- Vt/D
Valuation or
Contract Price
City License Registration #
State Certified License#
Jlei{ s
r:i r e f-)dr k.. s
BUILDING
ELECT
PLUMB G
M
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compress r
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
DEPARTMENT OF THE TREASURY-BUREAU OF ALCOHOL. TOBACCO AND FIREARMS
UCENSE/PERMIT (18 U.S.C. CHAPTER 40, EXPLOSIVES)
In accordance with the provision of Title XI. Organized Crime Control Act of 1970. and the regulatlonlla8ued thereunder (27 CFR
Part 55). you may engage In the activity specified In this Ilcenl8/permltwlthln the limitation of Chapter 40. Title 18. United States
Code and tha regulations IBBUed thereunder. until the expiration data shown. See "WARNING" and "NOTICE" on back.
DlAECTATF
COARESPONIlENCE
TO
CHIEF. F & E LICENSING CENTER
BATF. P.O. BOX ZQ94
ATLANTA. GA 30301-ZQ94
UCENSEI
PERMIT
NUMIIEII
I-FL-OZ9-Z4-1F-12166
EXPIlATlON
DATE
,",UNE 1, Z001
NAME
LICENSED PREMISES:
BELLS FIREWORKS
DISPLAY CO INC
Z4 - IMPORTER OF LOW EXPLOSIVES
7813 N GOMEZ AVE
TAMPA, FL 33614
TYl'E OF
UCEN8E OR
PEIlMIT
CHIEf, FIE
UCENSING CENTER
t~~'
_...__.:"',.' ,~. ",-' ,- .J-....~
PURCHASING CERTIFICATION
I certify that this II a true copy of a license/permit
IBUsed to m I he actlv led
UCENSEEORPERMRJRLING ADDRESS
BELLS FIREWORKS
DISPLAY CO INC
7813 N GOMEZ AVE
TAMPA, FL
33614
The 1~/permlttae named herein shall use a reproduction of this
IIcenae/permlt to aaalst a transferor of explosives to verify the identity
and status of the Ilcenl88lpermlttae 88 provided In 27 CFR Part 55.
The Ilgnatureon each reproduction must be an ORIGINAL signature.
ATF F 5400.14/5400.15, Pert 1 (Sl8S1)
DEPARTMENT OF THE TREASURY-BUREAU OF ALCOHOL, TOBACCO AND FIREARMS
UCENSE/PERMIT (18 U.S.C. CHAPTER 40, EXPLOSIVES)
In accordanC8wlth the provision of Title XI. Organized Crime Control Act of 1970. and the regulatlonslBBUed thereunder (27 CFR
Part 55), you may engage In theactJvlty specified In this Ilcanl8/permltwlthln the limitation of Chapter 40, Title 18. United States
Code and the regulations IBBued thereunder. until the expiration date shown. See "WARNING" and "NOTICE" on back.
DIRECT ATF
CORIIESPONDENCE
TO
CHIEF, F & E LICENSING CENTER
BATF. P.O. SOX 2994
ATLANTA. GA 30301-2994
LICENSE!
PERMIT
NUMBER
I-FL-029-34--1G-12201
NAME
LICENSEO PREMISES:
BELLS FIREWO~KS DISPLAY
CO tNC
34 - USER OF LOW EXPLOSIVES
EXPIRATION
~~. JULY 1. 2001
7813 N GOMEZ AVE
TAMPA. FL 33614
TYPE OF
LICENSE OR
-
OIEF. F IE
UCENSlNG CENTER
/t:ZZf~-
..-.
.......---
PURCHASINGCERTIFICATION
I certify that this Is a true copy of a license/permit
Isu8ed e e In the a sp If led
(SIGNATURE OF LICENSEE/PERMITTEE)
UCENSEE OR PERI4IQEI LING ADO R E S5
BELLS FIREWORKS OISPLAY
CO INC
7813 N GOMEZ AVE
TAMPA. FL
33614
The Ilcen_/permlttH named herein shall use a reproduction ofthls
license/ permit to aBBlst a transfaror of explosives to verify the Identity
and status of the Ilcen_/permlttee aa provided In 27 CFR Part 55.
The signature on each reproduction must be an ORIGINAL signature.
1
ATF F 5400.14/5400.15, Part 1 (8/89)
DEPARTMENT OF THE TREASURY-BUREAU OF ALCOHOL. TOBACCO AND FIREARMS
LICENSE/PERMIT (18 U.S.C. CHAPTER 40, EXPLOSIVES)
In accordance with the provision of Title XI. Organized Crime Control Act of 1970, and the regulatlonslBBUed thereunder (27 CFR
Part 55), you may engage In the activity specified In this 11can18/permltwlthln the limitation of Chapter 40. Title 18. United States
Code and the regulations IBBUed thereunder. until the expiration date shown. See "WARNING" and "NOTICE" on back.
OIIECTATl'
COMESPONIlENCE
TO
CHIEF. F & E LICENSING CENTER
BATF. P.O. BOX 2994
ATLANTA. SA 30301-2994
UC9lSEI
PERMIT
NUMBER
I-Bl-00o-I9-1G-12138
EXPlRATlOH
DATE
JULY 1. 2001
NAME
TYPE Of
LICENSE OR
PERMIT
BEllS FIREWORKS DISPLAY
CO INe
19 MANUFACTURER OF BINARY EXPLOSIVES
CHIEf. F IE
LICENSING CENTER
UCENSEEOR~lING ADDRESS
BELLS FIREWORKS DISPLAY
CO tNC
7813 N GOMEZ AVE
TAMPA. Fl
33614
The 11can_1 permittee named herein shan use 1\ reproduction of this
license/permit to 888lst a transferor of exploslve8 to verify the identity
and status of the llcen_/permlttee as provldeld In 27 CFR Part 55.
Tha lignature on each reproduction must be an ORIGINAL signature.
ATF F 5400.14/5400.15, Pert 1 (Sl89)
General Application
Outdoor Public Fireworks Display
Applicant name: Bell's Fireworks Display Co., Inc.
Address: 7901 N. Armenia Avenue
Tampa, FL 33604
Phone # (813) 935-8810 Fax# (813) 933-8536
Federal license number: On File
Display operator name: Robert M. Stahl
Exact location of display: East Pasco Family YMCA, In large open field in front of the
YMCA.
Date and time of display: May 25, 2001 At 11 :30P.M.
Date and time if rescheduled: Next Available
Date and time of set up: May 25, 2001 12:0Op.m.
Special revisions: We would like to hire the fire department again this year to wet down
the display site before the display. We would also like them to stand by for fire watch.
Type and amount of fireworks to be discharged: lAG Aerial display repeaters
140 - 3" Display shells 1.3G Aerial display shells
030 - 4" Display shells l.3G Aerial display repeaters
200 - 1" to 2" Exhibition repeaters
Storage of fireworks: On site in approved mobile storage containers.
Maximum height of fireworks: 400ft.
Amount of Operators: 1 Assistants: 2. Monitors: 2.
Distinctive identification of workers: Bell's Fireworks pyrotechnician T-shirts along
Glow in the dark badges.
On another page include a sketch of the display site to include the following:
# 1 Discharge area
# 2 Fallout area
# 3 Spectator viewing area
# 4 Parking
R! bert M. Stahl
Bell's Fireworks Display Co.
<r:
u
~
cz:l
~
cz:l
:::>
o
::c:
::r-
..
~
~
:i
~
r- - - - - -
~o
~~
E~
0<
~t:l.
1.- _ _ _ _ _
avO'H
--
--
--
--
---
280'
~
~~
~~
rFl rFl
~
Q
--
--
--
---
p-
I
I~
I~
1::0<
IU~
1m
I 0 ""
I <f
-ow
I
I
I
I
I
I
I
I
-.
I
I
I
I
I
I
I
I
I
J......
..................
............
..................
............
............
............
............
......
.-
VffiIV
DNIA\3:IA ~
"HO.LV.L;)3dS
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
.................. I
.........j
280'
a.l
U
a
~
~
a.l
U
';>
...
a.l
00
I
~
~
a.l
U
a
S ~ ~
~+~ ~~~ ~
OU~ .5
U ...
N t:l.
I
- - - -----.-- ---- - -r-----mnn ____ _n______ ___ __
~ SPECIALTY INSURANCE INC.
10451 GULF BOULEVARDL TREASURE IsLANDt FL. 33706
Toll Free 1-~OO-237-3355 NatIonal
1-800-282-6776 Florida
Certlflca~e Number:
,e;
~,J
CERTIFICATE OF INSURANCE
FIREWORKS DISPLAY
NAME & ADDRESS OF INSURED:
8ell '8 t:'.treworks
":!Cil N. ,A.rmenlB A'J;::!'1ue
'7.' aIr!!' a
FL~3ti4
ADDITIONAL INSURED:
Pasco County; EastaPasco Family
YMCA; Silver Oaks VilLage;
Zephyrhills High School
_P!},!,~A RI_", __.CO ~~~EA_G~___ ____E><;f~ S_<;Q V E fift.GE__._
COMPANY;
~. !"1 E _, I r"'I; S ''-1 r' d "" I_~- e
C' -:,:01 i r;; a n '/
POLICY NO,:
~\1 \.~~ ~~' '.:; 9 S .'J
LIABILITY LIMIT: I
HI/PD t3CC: 'cs 1. ..YOU ')00 .
AG(~: ?rJ~~'p~r:tQ:~~.'~~9~27_-=~~~'.'
Class I
Products: $'.;
POLICY PERII}D:---
Fre'ID:
10:
$0
'ITc t?~~~)r~-"--'-" '._-'--'''--..-. ~-'_._-'--
.$JL__.______.__,_...__.,._...._._ ,...__...
~..Q-,.__..._----,--_._-,.__..- -- --"-' ..- ...----
:&0
IT"xcITs.--;:;r.----.----..-.--
!$ Q.....---.-. --.--. ""--'--' .----.
1ttL...__.______.__...._. _h.
l..)~) /0:6, Ci (\
,:)9.1 n:;:;: 1
(. r: h ~~ ~,' r~ r~
~ n;~, . :)rnp2 f".~/
(." ~,.. '~".;. f' .: c ~ t t:
.t ~~ L .:. 1 .~ t Y' ':-. }
00/00/00 00/00/00
00/00/00 00/00/00
· - COMBINED SINGLE LIMIT
:-'jnY..I.,at.,'?t".i.;:l change Inl or cance118tion of ~3aid pOlicy(j':;f.',
pnde9VO? to ~ive wrlt~en notice to the party whom thIS
s3ueG, but fCllure to ~lve such notlC9 shall lmpo~e no
.;2':~t J.c:;n upon t:ce company.
I;::;
- ~l
~_ "J "'
NAME & ADDRESS OF CERTIFICATE HOLDER:
Zephyrhills Hi]h School
6335 12th St.
Zephyrhills. PL 33510
, '
f:~ ':~ .;: t
-.
--'4 nou'"
;:~~r't.!. C JEt.
,r.rj, ~ 1 !
z;j" :~t;e ~(i~icv t~8t ~11 ~15p13YS :)8 r9p0rtf~d to tne (~GmpariV a
advance at the dlsPlay date,
r'''l"''/--r ~f'f'~ll-...tJ.tfl'?)-' noy. "''''["1'';-'\'''''.' "IDP"'d'.' svt","--<:, ".1- ..J '.--..r.-
fl..: . \,.- - ; t' ;;.":'. -. .t.... J.:..'),' . ... _.~ 1 , _ ~ tiC & ~ '\.,0 A. " _ :!" :i' Q _ 11 ~:<' t . . t'~ ~ ~ -~,l .~ ",.' ~ I.. <:; . ::'
"3 ~ '.:.' r .] e j t, -" t: I, i-~ pel 1 C?, ( 1 e S.I d 8 S C I- 1 b I-} d n ff r a Qt). N Q 1 E. : 1 n t. 1'1 ~ E'.f e n t
1" " en:",", ,..; eat !1 6' r . p r (, .! t bit s t. his d 1 S P. 1'1 V . '::: 0 lie r a ~ e ,..,' i I. 1 d P P 1 'j'.:- n :."
:.1 '."':)~': :..!t,Lc~I tr-;? :;lls:play is hel.J. i,./ttllln" '~e terms of the '.I,~'1ic'i
lJp a d pOllcln@ of the displ~y are the responslblllty ~f t0~
DATE OF DISPLAY:
RAIN DATE:
DISPLAY AMOUNT:'
LOCATION OF
DISPLAY: East Pasco Family YlviCA
In lar~e open field in front of
the YMCA.
OS/25/2001
N eX"E"--AVaIT"iI'b 1 e
"$.'- ------ --..-.. ..-.---
_. '.-...-.--. -.....~........._".__..._. .....
;'1 '
n,-~ f, <-. E' r b. ~ i~
. tl' ::; 'r d 1 i"i ,~-j:-
'll n s e :1 ~J 8' C' 1
c, 'it?' ;:." t .
.~~ D (, ;"\ ~~ .:~ c t~ ..
-~.. h '~: f ,) 11 .:" \.'; 1
. .f. ',: I ;~: ~; ~,l ~:, !~t &:! ~:: ;~';
t"}_ .', ~~( r C ,'j.. b:__~~:
\j", CfJ ';. d r:- ':c' , ,. .-
;" ,;. ~:ld':.tl')(:.Jl Insureds: any fair (,1 i?xhlblti(lt!, aSSOclati,:.'n,
::."ZCitl!"", ,.r ;-:OlrlllHttee, the (IWner ilr :Lt?'::see of5nv "0remlS'2:.; 'lSe(j
';"'\'~il''::'(~.''''~ '-,n'..! p1'lr'11'.' "'ut.h("'~l't\' c1c..:.,:,t.' "a ;o.~e.~-r;llt 't.r""h.:>NB.n''''''
,. , . ,,.' .;. ". ...."" ..' ~ c.; . . r . '... /oJ .. '- 1;;' .. -' \'. . Y 5. t,.,! .~ . .....- . eo:. .::1 ~ .... ~ .. \, ......, I ~ ..'
~-y as 'Espects aCCIdents arising Gut oft e neQll~ence 0f the
" rh", ""l,n"". rrl"",-pr"q eD".~lc"'y~o,.' ~,...'t'",. J'" t'h" cClur."'-' "'r'.'" ."-..):>
i,." '- . ,t t:. ~'~ -:...:... r..~ \... " ~.;, u.. ...~.l '- _ J "I' 't;"........" a,...... 1 16 ' .. f ,.i:~... .::s t-: ...,: 'd .~. .~' 1;-' !::
Theif ~~f, V~ent" Also, 8S additlona Named Insure1, any Independent
"',',--::':C;l I,"..: ,,0:''> t~ie cJ,~:pl";y .n b~half of the l:/ame.j Lislir'ed.
'Pi::: ;'(;;:'.,,:3.'..: .,." .",tlt. apply to F:.;':Y tElllure t':1 po.. C2 or c.,eanl,l!? ;;tH? ')~"f::;:1:r;
! :.,~ >'; 1.1 T '," ;~' j n ~ . h ,e r E' f r t) fn ~
.,._.1':,-.'/.'0:-,1':...;\.7_:.:6,.. :'i,'; .-.F' P'_";'C\' 13 C'~:",.jlt!onecl1jpof! fUll ':.,):i1pliance by ::lJ.). !'-,8U[;:\lS
.'" -. (\::.'1 ,:,rd: t~,tl,:,;,el F.'-e F'rotectibn AGSOc2Htlon INFPA) c''"j:je!:. arie
r. ':1' !.. j ~, r ;;3:: : (~ e"'~ ~. ~ , t ~-: f: ':~: ITti.? \) f 1: 11 e d i s.P 1 a Y' .
This certlflcate is not valid unless an ori~ln81 si~nature appears balow.
(Copies Not Valid.)
f I (0-1. 1"" 'i ~;", ..: "! ;';:
. -l)FtR'6r'~ I~~~:~~~~:~~~RANCE, INC.
-) ,.'
r' /' ;
......!...'-cz..'.~.Ld2_/ _:1.~.~~
----...----'"A\JTHO R1:zh'1J-sTGNATO"RE--".