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HomeMy WebLinkAbout07-6814 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6814 Permit Number: 6814 Permit Type: TEMPORARY SALES Class of Work: SPECIAL EVENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 38050 15TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-00200-0060 6/28/2007 83.00 83.00 6/28/2007 Phone: TEMPORARY SALE FIREWORKS 07-02-07 THRU 07-06-07 Name: BECK, LINDA Address: 38050 15TH AVE ZEPHYRHILLS, FL. 33542 FIREWORKS PERMIT 8.00 TENT 25.00 FIRE TENT INSPECTION REINSPEcnON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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. " NO OCCUPANCY BEFORE C.O. 01&~~ '1Z_. rL/It:~ . " .... /'f6tA ~ ~ CONT::AAC OR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER ,~c lCil'J/u I 'I'emponuy Sales Checklist ~of~ :S33:S S--.Strec:t Zcp1J.y.dJiIls, PI. 33542 Phm1e: 813-78()..(}()20 I Fax: 813-780-0021 ~P.lanShowiDgaeClgJOfl~ /' '.' . V Nonm....ldlerliom p"~ .........-mg-.:_....u. / ~ lftcm is involved, a flame AdiuJat certifil".SltP-is lQ{ai&ca.. J:ospection ~ed 0DCe tent ./ is -erectecL -#0/- 0 B (fPn; #0 ~I f ~ .Apprtnrcd a:rtifial:fire ~Rl'1t~rs per NFPA 10. . ~ NoSJrUl~ sips must~placed .....nfP-~_ VWm: feDce or cbaiD.link fc:DciD&~have at ~ S Ft setbadtiiam tcDt. aud at least=?- ~. . '. ~~ / . . ~~\ COtt\~e~ 0\ l.""oO~ ~ If1:l:Dt has sides,.the sides shall be in the lip positicin UDiess . 0 ~U~\\~ then 2 sidcs"JllllSl be in tile up position. \\\e '3:~V -yte"le\\\\! 1PV~~'\. A(\1>- ~~~~e C\\'J 0\ 't\~~ 8,t. \\1' .JL If :fircwmks-~ involved, 1hc fo11~ is requiIal: ~Proof ofStateLiccase. / d yroof of Liability iIJSoraDce. / L:::::V ~ Registmtion me of$20.oo. . ~\) ~~ ~ ~Lislof__tobesoldalsilc. :/ g~~O ()\~\\\\t~.n l~~ n::=:::::~~"""I. iI} IT "....... ofall ~e)t>' -' -ql ~ \~ IW with the sale oL &......uaL. at tile taJl1ocaticm. ~\~ cO The follDwiDg fees arc ~l;r-sI~ ~ Tealporary.... pa;wiL' 'S5.IO far tile 1- two"'" aDd $1.81 per' day>> ad. ~ u~ day thena:fter~ not to exceed dmation of30 co.nsecm:ive days ami DO mare tban!me 0CM.&u.~ per calc:adar year per Qrmnsm~ #408. . Tent permit (if applicable): 135.80 + 51s.- Fke Dc:partmaIt ~ S50.oo El~;...d permit (if appIieabIe): $35.00 . . PiopertyOwnc:r: L-I /l,/'"" 0 A- s:- O.c:=~ .Applicant: 00""'-'" .5 c::...e ~ E ,-/?<:- ~ .;d Phone Comact: 7 ^ "7 - .dZ- 'T..3 - Y 7' r rY- .' AddressSite: .3 ~o>.C>. ./ J '77+ . pf-c.--~ "7 ~ "er/,.r..~~ /+-/~J . DatcofSale: ~ .~~~-.;;L..o. -;,;l:oo~ ~ '" ~.cy ~'77-I- ~7Z- G'd 6G8 ~ ~98 LGL 'v'aN3~8 dGS:G~ LO ~~ unr Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Kerry Barnett Bus (813) 780-0041 Fax (813) 780-0044 June 26. 2007 Plan Review Comments I have reviewed and approved the plans for a tent location for retail sales of sparklers at 38050 15th Ave under the following conditions. My comments have been placed below. Please contact me if you have any questions with regards to my comments. 1. Tent and sides to have flame rating on tent. 2. Certified fire extinguisher on site. 3. No smoking signs placed around the tent. 4. Adequate exit access and egress provided. 5. If providing lighting, bulbs shall have cages and wiring shall be positioned in a safe manner. 6. If a generator is used, it shall b e a minimum. of 30' away from tent/stand. 7. Aisles shall be maintained for accessibility. 8. All appropriate paperwork shall be on site. Inspections required: 1. Site/tent inspection required before opening to public. This inspection is required for an approved permit. /,o'iP-llJ c<-- ~;_i - - ~ ~ aLl 121~ S. Hgn Sdloo' Ro. ~ 'N4S:M1 (317)381-0529 C3'7)381~53Q F_ ~Olll._......tld".Mt . - Patriotic Flrevvorks Inc. DBA: Ron"s Hallovveen . Fax - - -..- .- ~... ~~- Tel J,<=.. -t-RE;"/' F.... .DO'~ .5c.r/(E,-./kA-/7~ ~ ~- /s ....... n..J -7 J-O - 00.2- (!) ... ~ - / -3 - a...---?Z- F-= /-(!;-1.3-7~-00~ .."",~ 7 7=.~1 ;p~/r- . o ~ C Far RevIew [J ...... ~~ _.--4& ~1l.. ......, C par ~ ..~ f'tt-PA-j~ X1E- \./'/E~ 77-1-/J /.6=~ _ A-~ f'J c- f e... 4-?7 CY "'-' A- ~.o C-.A-~ t:.- /? .E / F y~ .r--~.,cLJ A-~~/r-{, ~?J'~ ~~ /7 E .. /?-I-A /^"-' k::: Y O--?' (,../""~ Y /7 t.-,' Crr- )" /' r-- c--?"' ~ G-Y ~~-:!Y;!!ff~-::~ _ 4., . .... .... '. Ron's Halloweell & ~ P~9~~~~i~gn~~~~wor~~ ~. Port Richey. FL 34668 ::;;;;~~ ~ Off:ce Pori Richey: (727) 697-3929 =~-':~t~.l~ . -~ -~~~.:~~'.~ 111 -;:';;~~','Ni:.'\1 OON SURENKAMP c..E LL- r6;Z~;;i <-r::i;.idf 72/ ? ~~f"t_~ * ~*~ :.'). ""C""~.w ~'d 6Z8 ~ ~98 LGL 'v'ON3~8 d~S:Z~ LO ~~ unf ~ + s f "" \rt ~ } \ ft, €'d 3 ~cY SOlS j7-I- ~E 2-1: ~/...fYA':/~/t-~f P-'-- 3)5'1;2. rr- fJ A-/Z CE C- c,.f)- . /1-;1-' -;?-/ - 00'1"0 -0' OpoC-CO' 60 S /Or=- S rr-~.E.?rr- 618 ~ €98 LGL VON3Cl8 dl9:l~ LO €~ unr To'WhomIt.tIIBy Concern: Please ac(2fJtthis...... as. ~~Jor"~ R8fD Ten\s1D eIect-- on our property l(lGatlM at 3rP~"o /s-T'.Jt 19/.5.. 67~~;t~ 4- rrsyC;; RestIoom faclitiee wiD be ~. Thank you for ~r 88'1iliMallCe in tis J1IElII8i. If you have any questiOnS. please contact me at~-:1- - .S-.lil'~~~? . S1nC8l8ly~. -~~ A'/'~~' .' ~/f;~<1.' r~ ---:7 J;. ,'''.,j L." , ,,- , . ,.' ~ .' ~.~./ P' .. . .-- . . " ,/ ! I ~J-~ C Printsd Name: ^ / n)..,..9 :::.r-: ~~L Title: (y IY/J P/t Name of Company: T~r ~ ~~. S~L 0 ~ c::.("-VI~ C~"- ~ o~ YtA.Ico 1k .(l.(" ~ lM-c ~"-{{'7 a-pt'o.V'c./ Du-- (J ~ Vc'" ~ "'1 -ft...:' s (r;.-. ~ Cl f ~ 1,.... ()1 Tr c~_-(J FL J L -=- ~y. ~~ ..~...~ ;_;_' ".;, .~.. !.iICHB.lE I.EJTS t: ~.- ~ MY CtVlIISsKlN. 00--- ~_.OI"""; ~: ~,~ "~~>.' EXPIRES; Febtuary 12, 2009 ......;u_... lIoo"I"nll"'-.,I'IAIIic~ p'd 619 ~ ~99 ilL 'v'aN3~8 dl9:l~ LO ~~ unr " ~ a ~ :i!::II ~ II' a a en'; ~I 'V; . >> . o ! ~ir ~t uaQ. ~I -. ... !I!. 1 S . r il' lllji I Iii ~ 5" '5 i' ~ ii. f) :l ~ :. !I "0' :E >> fA :Q o l i 5 I ~ 2 S! a ~ S! i : ! ; = 8 ~ 0 ~ ~ ~ C1>> C ~ Ii ~ 2>> !l 9 ~ i z Q ~ i~ ~ li :c !:. II m a~ ; :r. ... e,.. I.... i! I ~ II ill i 'l ~ II f ! I S ~; ~I i I C:i .. I x. "01r - ~ ~ ~f ~ ~ "a ~ ,: ~;. -ZitI: ~a:ra ....rt_ C II 1:' i i ! III 11 i ~.I' I: ~ I t g.a i m .. a ~ CJ II' Go -< I ~ 181 ~ lit . en Q. U :t = f ~ eo . 00 nz >0'" ~~ r'" n!: j) -- Zi . . ~ 1ft I .i ;: o ... a ? I ~ I .~ I a :II ::a- n ~ 0- -- ~ r 4"9 !Ja 4"9 '^ ..... v. i " 4"9 ~ r- ID ~ fij "' . oc fn !: >1 .... ii1~ 1ft .. OJ i (') .. ~ .. G :t . . e- W e- o o -c ,.. ,.. r- o E "- t: % .... ~ "' go ... . o . " B i! " Ie ~ I- ~ I. "' :z: ... GJ L'd 6aSl~9BL2.L.l :D.1 1S62t~L2L 1~:1oI:Ri:t tu.2:01 LEl92-l>2-A~ S'd 6GB ~ €9B LGL dGS:G~ LO €~ unr 'v'ON3C:18 ROil's HUJJoweelJ & Pnrriofic Fireworks 10919 N. U.S. Highway 19 ......... Port Richey, FL 34668 :.:':,.~i~ Office Port Richey: (727) 697-3929 ".,~~~~:~' .,,,t, , -:~t.~ ~~.l~ ~** :;~I~{~lil~ DON SURENKAMP Cell: (727) 243-4718 .... L710611300t~. ~~ . . .' .' __.._'.~;.' ~_.__.. "_._-'--'''''""'~---.",,,,,,, "- -- .' - - '-.--..---.-/ 9~'d 6cS ~ €9S LGL . '.-'. .. . ,. - T/r.e.$iillSlzwSUue_c' ..~~.... "'IEILitl'"".."A'l/E.: . '. ........ ....'f,... 'lIJi.. . ....DaE~,_;IiISr; "~,,,"""" 12~.:...-S4T'. ." .... .DNiEs' .' .' "Q;.lClIll; ....'.........:'......,..:...... ...........\'....:~.. ~ :....:..--.00..> .~~;.~-7~ ... ...__ '. '~:w.....f1I.~~~b..y~_........""la.... "1...... '.' . '. . '.. _'. .... '. ._____ 'v'ON3H8 dvg:C ~ LO € ~ unr PATRIOTIC RREWORKS 10919 N HWY 19 PORT RICHEY. FL. 34668 TZl"'-3fIZ!J OFFICE 727.-T-39Z1 FAX INVENTORY lIST ClASS UN0336 CONSUIER GRADE FIREWORKS rTEM NAME: IMPORT CASE NUMBER ITEM NUMBER CASE BAEAK DOWN CASE UNIT . I3IIIck cat 1105 24MOt18 24 BIIIck Cat 1110 12J1O't8 12 EII8ck Cat 1US III5MOO 20 Black Cat 1125 8I'2W1GO 160 1,. 24I4OtI8 24- BIodc Busf8r 1178 'I2Ia'te 12 Block Bus1Br RDIs 1,. 1811000 16 Bunker sc-bs FOA1023 1023 32J4W12 32 BunIler Bo"" 1075 >>J4Gf40 32 &.nc8r-Boirifls . FOA.10Z5 1025 24#4CIt18 24- ~ FOA.103D 1030 121l8'1. 12 8wlker Bombs FOA1045 1045 CDl'lOO 180 Buncer Bombs FOA101S0 1050 ...01200 80 IBi.I__Bombs FOA1G74 1074 1N8OOD 1 Bunur !500 1013 32ftlOD 32 BatnJB' BusIIIn; . FOA1213 1213 1 DINGO 100 CIxie o,n.ma FOA1G29 1209 ..". 40 7111 111 58 Lady F"..... 0U:ller 1318 32HCJ4O 32 1317 8140135O 320 M-7O'a ...70-38 1380 4W36 40 SIver SaIuI8s 1384 40138 40 18.000 FInIcnIc:brs KMS1800QX 98 111 1 <<JOO ftlI 13107 .fI1 4 Thunder Bomb 1716 1025 2M4OI16 24 Thunder Bomb T715 1030 12JIGM6 12 Bomb Tl24A 1045 8I2Ort. 160 ElUmU T7Z1 1050 Bf10r280 80 itsUI BIadt Cat WlR- T f 1430 25112/12 Z5 Moon TnMIIers -r 0440S I 1425 25112112 Z5 I 0445S I 233 D12/12 20 . 0 *DicaI 18515 1:no ZUI 24- 10 B8II Craclding RC2O'IO 1378 2... 24- 10 Ball 0IIIIlII) CJ528..10 1375 3BI4 38 Blue Thunder 8B1111 K2255B 1385 2IUlI 24 rGiiiiiiI Gun (8IIIck CaO 1387 119 8 GI88I GIiZirN Asst. GG6GOO 488 3814 38 I Grlz'S Best 8 8ItlI 489 24/4 24- 1388 1814 18 40'" PItrat:huIIt T5530 2D83 .... 80 7- 0247 2D82 1118 ,. PwadIuIIt BtI\taIIort 0160 1108 1211 12 0lIW Am.tca FOA2G85 2D95 12M 12 F~ 2Dt1 2412 24 FLYING : 2Cctlar W!S3M 1251 3818 21. ArtiIDil s.---. 0428 1300 10112112 120 ~8amberPlllne L504 ..os 12M 12 0439 1308 300M2 300 : FiJ8H8wIc -r. 425 Z4I1 24- Sty1ab Retum 43B 4121t2 96 - 1686 1M2 218 : 2 oz 0ragCIn TOOa1A 1578 54112 54 .. oz Dragon TOOlI2A 234 38t12 38 6 oz Thunder BIrd TOOa3A 1586 38112 36 a oz Oraatm TOOa4A 1590 38112 36 I8itilAss Rot:bt 213 2414 24- IBunker I<IIer 2..- 248 1813 18 ICIusIetirW Bee T05CI8 1500 7218 72 I~ B1IIIeftIy TOIS10 201 7218 72 I EllDlorer Asst. Rockel SA104 1555 1MO 18 Page 1 of4 ~ ~'d 618 ~ t:98 LlL VON3~8 dVS:l ~ LO t: ~ unr PATRIOnc AREWORKS 10919 N HWY 19 PORT RICHEY, FL 34668 I I ITEM NAME: lfire HIMk As5t. 38'" 727-$17-3929 OFFICE 727-a7~ FAX Fanu:i1uie RociGIS TU6i~ i1iU ;a,a iiQ Pead roc:lcet 'TD5<<M 1.-0 12Ot12 120 Shake R.aue and RuI 119 111I4 18 Texas BcI1Ie Roc:ltet W595 ,.., 72112 72 \-.Ie:: ~~ p~ ...;. . ...... 1SC =.~: ~ ........ ; Ammo CIale 120G 1148 1 (BIac:k Bole) W5158 . 2940 12.'8 12 ~it.u"""".:a...aa oS s:..... ~ ...._~ .. ........ <- Bad Bamb& FOA2966 2966 12/12 12 Bear 90mb Bullet SheUs I 90S 24112 24 I fl19 Bad.Ass SIIe/I$ 922 8ffZ B I f't__.._ A.. . ^..~ ~ ... .."""....~ ....- ~"! ~ . ..........~ ""':r ""'---..--...... '---'- --- , Bombs Awaft TrfpIe ~ FOA2961 2!!'lS1 9/8 9 i 9u11et Bombs I RlA29B5 , 2965 12/12 I 12 : Dirty Dozen FOA2Il83 2983 12/12 I 1Z F~_~! e~!! ~ ~~ 1 !fUR I 1!'i I Rash BomtJs 2972 5r'24 8 !Ghost Killer Shells P6007 911 &l'f2 G lGolialh W(Jdd Class 1404 <fI36 .. ! r,rip ShP.ll WIngAr Tail!; 91& 12/12 12 I Heal/)' ArttIIeIy 2l!89 ..,48 4 I He., Fin:: 5 Break SI1eils I 910 4J6 4 (Just Too Good I FOA2964 2984 1218 12 lMad Bomber I 917 15/8 15 I I I ~CASEMMER I rreu NUMBER 2SI INVENTORY UST ClASS UN0336 CONSWtER GRADE FIREWORKS I I I ICASE,,=OOWHI ~.~ I I~i 12 StIot ArIIIeIy SheI Pred.:"" C8Bster Shells I~~-:::== a PL.E al1U I:S: 2941 914 1427 38t12 ntI2 3rI 3e 12 3 Abo\Ie the Law KMB830 15022 "'1 : ": ~ Aord D1e Cl"QlMS ~ lAW RlA288S 2989 1M ; ; I ! ..- . erg Bad and LoucI F'OoA2!mt 2978 Zl1 :< ; Bls Bad Ass--.=male 898 211 I ~""'''''''-i Otaos 7<40 2h. I Colars of ."-'IIerics -18 Shot FOA2986 2988 2/1 I 2 1 -..-.... Cosmic FOA2W1 517 8M P- I Fantastic 5 UP900S UP9005 411 4 f GI'IMt CIgger MWC0113 13211 411 .. I ~ Yeah - 220 SIIOCS GG5151 &Q' 1/1 . . I . , loud & Raudp 2974 411 .. i loulsiana Yald Dog JM15U29 .." 4 I loyal1D None IOlI802 1312' 311 3 . . - ... ........--.--! OneBad~ UWCOOBS 13087 . <If"! ! .... .. j RedtWhibIIBIUi FIlnMIr - 16 SIlCIt 13112 4;1 .-- ; ; MWC0102 .. Rock 'The ~ FOA2979 2979 211 I 2 I SeIty Beat 13163 ~1 I 4 I The Goad Sluff - 12 SJIat KU818 13138 41$ I 4 : 1be YWda NIne Yards 38 SHOT MWCOO85 13O:U 411 4 . TOG Hat. tD HIIndIe FOA2981 2981 2/1 2 I 0DjeCts - __ FOA2987 2987 2/1 2 - 1TI:M5: 19 Shot FesIIuaI Bds 0057-19 D057-19 611 6 61 Shot CusIerina Ccada l2011 806 12/1 12 9" ....n Gn1en15mlIeyI RIIDV Red 890 W4 38 After~ 2938 12/1 12 As8art8cI 81-Shot Repcd~ RedtCusIering Cicacl4tlWanrmg GtgeIIng) 806 1211 12 BlUe SIaIs WIR 0128A 2890 1812 38 Blue Slats WIR (JUIrBO) 779 1811 16 Boogie Nigtds FOA2891 2891 1812 3G COlor PeIul144 Shot 783 2411 24 48 3lot T2507 2830 2IW4 80 Color PeaIlII8 SbaC 12521 2840 40fI 40 DialllClllds In The Dartt FOA2I22 2IS22 1811 18 Dirty I>aItcing In SItv FOA2914 2914 811 6 Dragori's Fire 2811 2411 24 FISh 8cMt P2955 703 81'1 I Page 2 of4 G~'d 6G8 ~ ~98 LGL VON3C18 dP9:G~ LO ~~ unr .- PATRlOnC AREWORKS 10919N HWV19 PORT RICHEY, FL 34668 727-6874!R!!J OFFICE 7Z1-697-3!J27 FAX INVENTORY LIST ClASS UN0336 CONSlMER GRADE RREWORKS ITEM NAME: IMPORT CASE NUMBER ITEM NUMBER CASE &UW( DOWN CASE UNIT Funky Fantasy FOA2a17 2817 Z4t1 24 G81'G8n 11'I SIIItre L901 748 4011 40 Happy 16 Shall K7702B Z51:l <4an 48 Happy 36 Sholl K77tRA 2520 ~.v1 24 Hocus t"0aJS 722 1814 72 Jump JIVe and Jam FOA2899 2898 1811 18 Kiler CIoc:aclIe UP3DIl5 u:>>3055 .... 8 INngs Anger 859 12/1 12 FnliIi World UMa KMI04 1301 18/1 1. MlIgiclll Bange 100 ~ 12516 747 4W1 .... MidnIght M8C1ness FOA2IOO 2900 1211 1~ Midnight RIIIet FOA2928 2928 M 8 Oulr'ageous 2871 18/1 1a Red t1Dt and BUi FOA2I23 2B23 12ft 12 ISaIUm MiulIIt 2-D ~ 2730 3IJH 30 SaIum MilIsile 3IJO SIIoIs KMK11311C3OO 13115 12/1 12 Sa~ lJghIIng Bugs 300 Shot wtCl'8ct1ing Tail 875 1211 12 Salwn 400 Shot 738 811 8 Spaz BP2185 718 ...." 48 TIlIitI8r elillerl&J. 0530B 798 1814 72 .IWIlIBr~. .,;am 0530l. 2511 1811 18 IU~; ... GOO 1l1under ~ Under 2417 .." 4 #1500 Black (;81 Palm ~ 330 4ft 4 tsoo Black Cat k 327 4ft 4 .--- -...., 1M5 1a 72 luur .., RockIIt PoIIer Asat. 183 911 9 AnnageddocUNew Laok 0407 1/1 1 80m_ BurstIng In 1* FOA288O 18Z 111 1 FInIwartts over AnIedca FOA2905 3342 211 2 3338 211 2 erancl ~ As&t. 1140 411 " Gland ........., Asst. 3320 ~ 4 GIeaI Nilht Aut. KMA01 420 411 " It'll only Money 188 111 1 J8CIIpot (Jumbo) (~for 2004) 142 211 2 KJng~ NA <W1 411 4 MoIher LalId 1100 111 1 play A88L (New Look) 333D 411 4 Sky Rider Rackllt.Aast. 3315 1211 12 Super AsaarIrI'IeID 3310 811 8 1U5A 402 4ft .. 183 1 1 . : BIg B8I1II8 662 1211 12 Blue Palm 878 40M 40 ICUdtoa 0I5Z 858 2418 144 BecIric KaInbDw F0A2014 2014 1211 12 FuMy An FOAl961 1961 2414 96 H&ppy FlIStlvaI 0825 893 1814 72 Havaoa HllBt FOA2012 2.012 1an 18 Hot CcDs GGOI38 581 1211 12 JIMfe FIrMer SrmIlI 0837 6:r1 ... 281 J~ing jeI~ ..an f305 2411 24 'IQIW BeesMomeIi Nest W499A 692 2_ 96 Magic F~ 2lJ09 1812 36 Mini CUCICao 0852B 1978 36/12 432 Night SIren lQ.. 0711A 655 12J& 72 One Big FowaIn SOOgram 11313 4/1 .. Perfect ~arm Rn FOA20t9 2019 811 6 Quiet Riot Huge 16- FOA2015 2015 8ft 6 Rocky . High FOA2005 2005 2411 24 Run Uke Hell 675 811 8 Saelllling Wile 1958 9BIli 578 Page 3 of4 t:~ 'd 6GS ~ t:9S LGL 'v'ON3~8 dps:G~ LO t:~ unf PATRlonc FIREWORKS 10919NHWY'9 PORT RICHEY. Fl. 3466S n7-697-3929 OFFlCE nUilTl-39Z1 FAX INVENTORY UST ClASS UN0336 CONSUMER GRADE AREWORKS ITEM NAME: IMPORT CASE N\JMBER ITEM NUMBER CASE BRSAK DOWN CASE UNIT Sewm1h Heaven Fin FOA2020 2020 6/1 6 Space Flare 544 4813 144 Uniccm Fin 633 3811 36 IvvnlSDlng UJaCCID 815 72J1 72 : '-'0 Color Sper1lolers F0A1818 UP1005 24112/8 24 ..,0 Colored 5hc1wtime F0A1817 1818 2411217 24 .-.0 Geld SNwIme 1817 24112/10 24 1136 GOld181ack Cat 1846 3614 36 H Color Sparkler 07~O UP1Q02 2411216 2<6 18 Colored Shawlime FOA1804 1804 2411216 24 118 Gold SbowIim~ F0A1802 1802 2411217 24 lIS Gold Sparkrer om UP1001 2411216 24 Califomia Candle (Mammoltl) 000361 322 1213 36 Moming Glorv 15 Gr. 0981 1850 15124A5 360 MDming Glory 2.- 1023 14411 0 1<14 Moming Glory 36" 0981-36 1017 811218 96 IMomlRg Glory TOrch 0981L 1006 360/6 360 ~"",,...: 2 stage C/1ry5a~ T3706 340 36112 432 CamIlli Flowers Lg. K1128A 318 2Ot1216 240 craeung Ground Bloom (JUMBO) 330 1211216 1<14 Dancing BuItertIy Surplise 0902 3100 3618 216 Ground Bloom Flower 09018 315 2Ot1218 240 Jack in It1e Box Surprise T1569 362 3018 180 JU'llping Jacb T3500 1780 2OJ48I12 960 Jumping Jac:b T3500S 365 80112/12 80 Jumping Jacb Strip of 100 385 2OI6f100 120 M Asst. Cones 1110 1885 72/1 72 I)" ~IC ~tn T1517 835 2_ 1<14 Color Changing Wheel I T7505 I 364 I 7211 I 72 YVIlIStang I n-nuunmg VYneet I T7502 I 351 I 2_ I 1<14 '11t:M::>: Qimbing Panda K1149 K1149 2_ 1<14 FriendshiJ:l Pagoda W613A 3091 14411 1<14 Happy Lamp Lg. BP6031 300 7211 72 Hen Laying Eggs W701 3040 24124 576 Laser Glasses 1407 200 200 M-45 Tank BP7072 3003 4812 96 Strobe Light F0A1766 1766 6f4O 240 I rank "", W705B 3000 o4Of12 480 : cracldlng Balls 1782 1811216 192 crackling Strebe 1771 24CW 240 Magnum Pot:lper 1234 20136 720 Party Poppers T8502 1736 20112 1440 I~ap t'ops T8500L 1701 &/41J15O 240 I::>MOKC : Glow Worms 1245 15i4816 720 MamlllDlh Slnc*e 2min 5105-120 1719 6IZJ 1<14 Showlime Color Mini Tube 1715 21614 216 ShDWtime Color Smoke Tube FOA1718 1718 36/<6 144 Smoke 8alSlAsst Cellars F0A171 0 1710 1CWI12 120 Smoke Cladcers Color 1222 12180/16 960 Smoke Grenade 2 Color 1.9. 1244 12/38 <632 snakes/CoIDr Snalces GM812 1206 15i4816 720 ~lIlte t"llat Asst 1240 1.ws 144 I~: 112 Tray 0041 12/1 12 1M Tray 0049 &/1 6 $39.99 Assortment Bag 1030 811 B IShowtime Sale and Sane 3331 411 4 Slars & Stripes Safe & Sane 411 &/1 6 Super As&t-Sare and Sane 3311 611 6 USA Safe & Sane KNA12X 410 411 4 Page 4 of4 v~'d 6GB ~ ~9B LGL 'v'aN3~8 dvg:G ~ LO ~ ~ unr ST ATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE,FLORJDA CERTIFICATE OF REGISTRATION SEASONAL RETAILER . THIS CERTIFIES THAT: PATRIOTIC FIREW'ORKS ~ 1314 S HIGH SCHOOL RD INDIANAPOLIS, IN 46241- HAS REGISTERED TO THE PROVISIONS OF FLORIDA STATUTES TO ENGAGE IN THE BUSINESS OF SELLING SPARKLERS AT RETAIL, FROM JUNE 20 THROUGH JULYS M'D DECEMBER 10 THROUGH JA'\IUARY 2 AT TIiE FOLLOWING LOCA TIO~. LOCATION: 38050 15th Ave Zepherhills, FL 33540 PllSCO ~~ Chief Fiuncial Officcr 05 07 2007 07 63 59350500082005 8913760001 200.00 01 31 2008 lssuc Dare T~pe Class County License/Permit Number Applicarion # Taxes & Fees Expire Dale g'd 618 ~ 898 LlL 'v'ON3~8 dlS:l ~ LO 8 ~ unr STATE 01' FLORIDA DEPARTMENT OF Ji'lNANCIAL SERVICES DIVISION OF STATE JI'IRE. MARSHAL TALLAHASSEE, FLORIDA CERTmCATE 01' REGISTRATION WHOLESALER. OF SPA1lKLEBS THJS CERTIFIES lliAT: PA11Uonc FIREWORXS INC 13]4 S HlGH SCHOOL RD INDIANAPOUS. IN 46241- HAS REGISTEKED PURSUANT TO THE PROVISIONS OF FLORIDA STAlUJ"ES TO ENGAGE IN iHE BUSINESS OF SELLING SPARKLE1lS TO /to RETAILER. . .~~ ClIief FIUDci.. OOiccr OS 07 2007 01 62 Issue Da1c Type Class Out of Slate COlIIIly 5935050oo12ooS LicaaseJPenait Number 1913720001 Appliaalion ## 1000.00 Taxes It Fees 01 31 2008 &pile DIIfI: -"-"--. ........ ........._..-. ... .. ..~. ...- ..." '".-. .-. ,........... . ........-..- ...-..-----...-.. ..._... ". . ......_. -. -...... ['d 6Z9 ~ €99 LGL 'v'ON3Cl8 d€S:Z ~ LO € ~ unr MRV-24-C!S97 19:2f:jA FA:I'J:SRT ..-...-.-..---..- .-----.-..--- ----..- 7274612951 TO:l,c:'ttb..:lil829 P.2 ACORQ_ CERTIFICATE OF LIASIUTY I\ISURANCE ... ~ 03 1.2 n _ ___U.._ CF_~ n rr:inDa OIIR.Y", COIIRIIa. -..n UNIt ~ IIOdn .~111 ~ TIll _ .A...1'IIDOD*'Y -'IfXT'IiNDGA ..,.. TlllfCGWlUlGEAPIIOIIDeD ....11MPOI ~-.ow.._ I'IllIlIUl:8r _~"Loa&1 X1I&ar.aDaal ~.1S." IJ.1 ..u.... Ave.. 101:1I r1oo&' ..0. __ ~a., ~1edO QB 4~.D'-1..? I'tloae: ........,-71iS5 rAX:".-'.'-U,05 __.......CCWI!ItAGa --.....--- --...._~- U1C. 01.'&82 D!~24 -.:LUl"'~..""~ ~ .a.on..... Die. ... _Ul -'t:s ....... 1'14 ClIlu.et .u:eet C1e.&'MlCeK n. 33"JO IIIDMIIA --.. ~c -..:II- .....e COWUG&S 1le~':l!5~ ---.:r1JlnD)1B.<IIlII................TDUClDADlIIIoIIDolIIGllf FGI'tIC Il\:lI;ORIIIlIO-...wa ~ "'lttll!Ol_.. ''''QM~Clf' -~GtU'l"""o=a_ _1CMeCf'lD"'IICJI__'lUlIe__~CIII -.-....1ME...........~IW_......::JP.l~.-IS~'II).IIII.........~,,!UOo IIOI~ -~--_~..fN)a-. !.'lIt ClF- .ta ..-_ ---~ X t-=w..w \'InoIJW.LJor8U1Y ~D~' aAM;.... I X I.....COM ~~C::::t~'-trJA A 03/1.1/0., 03/1.1/08 lfAI."lfGt'~ .... .1, ODD ,!>>OD f lDO-"OOO. . o!,O,OOD_ .1.000 000 .Z,Ooo,OI. '2 .eoo ,010 ,......... IC.OW......,_.... l'l:IliCIR.'~ ..... '--' ollGolIIlEi1oIm IWXlUl:1& (ft#IGIt NIO CDIIIII&OGI!G.I!~ IJ tc......, lIIIIaY..... f 1"-_ ODOL'l'lMUI'I f ......--.J flIOllMI"r QlIIMllGe t ...,-. .B...A UIlMIIY cx.<:WI 0 QM6 - 451111UQZO." OS/U/08 __,,(0 . 03/U/"" aa:u:: IUL IlI!Il!NJl\lN ..1D DOG __ -... '"9000_ ~WMnY -'~I~~" l!llI!aJI_ ~ -~~. , ~-=:=u.... 0_ - lUX , ftia certU1.cat;e bal~ 1a 11.ac.d a. adlU.t.ioaal 1-..1UC8d wi.O ~ to work ~onaed by ~1ae IIaIIlO4 DaA:cecl. CDnWICAT& IIDLDER ~.. ___5___rO" ....... 01-. ..DIIICIIII1HI.-..,.. ...-.-.....__wu............ 30 1IIW-.mII hsc:o c:o.aacy ..,..T01I4I_~~_'I'O...L&n:ourF...1DDO.._ 80aEd of Couacy ~...j,aaec. ___........ 0............ ___ ftlIi.-.n. m:.....GIII 75S0 Li1:U. ..... .... ~IO lIeW ~~ &i.c:JlD7 n. :M6S1 .4li. IIJr_ l. '"' U- Co. w. '-'L -........ ~ ACORD Z5 CZt01/'" ON;ORD CORPOM1'IOII1_ g'd 6Gg ~ t:9g LGL 'v'ON3~8 dt:S:G ~ LO t: ~ unr ACORD.. CERTIFICATE OF LIASIUTY INSURANCE I _711"'-"""", 5/19/2007 -.ell" JI.ho:oe ..O-~..'.'ll F<<x: 4.~-248-5.0' nflS CIItTlPlCATE IS ISSUED AS A IlMTTER OF INFOfalATION Britton-Gallagher and Aesociaees, Inc. ONLY AND CONFERS NO RIGHTS ~ THE CERTIFIC.&TE 62.0 SOM Center Rd. HOLDER. '-"1S CER.T1F1CATE DOI!8 NOT AMEND. EXJEIoJD ~ Cleveland OK 44139 ALTeR 'n4E COVERAGE AJIFORDED BY TNB POLICIES BELOW. INSURERS AFFORDING COVERAGE HAIC . -- INCUAJOR .,." . -~ Co Patriotic Pireworke Inc. INSURJ;AIi:Axi.A Su.....lua :Inca ('!""""""'ft" 1314 $. High Scheol Road ~c;= Indianapolia IN 46~4l _~D: MUltER E: COWRAGES 'l"Ile POLleI!! 01' IIISUllAIICS LISTED II&LOIr IIII.VE BED ISStII:D 1'0 Tn DIstIllED liMED lUIOVB l'Oft THB POL7CY PBRroo D/I>ICATI!D. ~tw'%TH8TJ111t1Il'O 1II.f"I. UQUlaQtEln'. TERM OR C'QIIDITIOIV OF NIrl COftTl'.Ac:-r 011 0TlfZ1t POCUMmT WITH USPIICT TO WKrCK nus C:iRTIFrcAn MAY lIE l:BStJ!D OR MAY PBR"l'AIIf. TIm D18lJRA5CE AFFOIUlm) ay TRE JIOLICIES llE.SOUIlEl:l HEltEDf IS SUB.n:Cr TO ALL -na: tm'l8, EXCLUSIOIfS MIl COIQ)XTICNS OF SOO( POLICIES. A~DtrrS 611011lt .-r !aYE BIlJ:H AEDUc:m BY PAID cur"s. :r= ~__.. ~T -... LMfT'1 A ~1.IMlL."ry 6990249 5/1/200-' 5/1/2008 =OCCUlVlEllCf. Ii oon oon - ~CIALQE-'UAIIIU1'Y .en nnn - ~'Cl.Q\lS""'Dl! Ii] OCCUR MIIlIIW'___. . 'ADVIIUI.~ 1& 1 I\nn nnn ;e~IlQOI'Ml\~ 1 2 I\nn nno nACn....rr_Jii""': ~'CClIllf'Q AaG 52 000.000 -"Cl1C"l' I ~ LOC ~T<<*llIIULIMUTY ! -IlSD8tN~LWf'T S ANY AUTO (ea ICIiOMl) '-- i - AU. 0IM\0E.C ,""0$ 101IILYlIUURY (Pet_l I - _SOULfDA\IroS - HIM.l) lWTOi 8ODlL" INllJIN , NO~!D AUTOto CPw___.. - l'IloPERT't OAIIo\Gi . l1"- ........, ~UGEUAam AlIlOONLV. ."ACClOEHr . Rf'( lIUTO OTNaR ~N '" M:C . AIITOONLV, AQQ . B ~UMUTY ~U726SS7 5/1/2007 5/1/3008 EACWOCCURAeICI; 11 000 000 liJ' 0CCJIl. 0 CL...."" IIW)I! AOOla!raA~ '1 000.000 , R ,DeDlICTlll\.G . REtSNIION , , WOIlICIU~"'-T1DII_ "lU', I IU.I:- IIIIrLOYIM' ~ E1.. EACH ACClDENT' S ~ ~IlIPIoR1N!RIEXIECurM! OI'''I~&JCC:\UDSO~ e.~IlIII_. -_ani I =~aoa_ U.lII&EASIi .I'OUCVLNT I Dn.." I _c.rn"ll" ClfIfIUl'1lDltl' L~T1OI\" VIiHIl:LIla, I!;ICL.U__ AIIDI\)."nIOORSfMDfT I$PECIM. ""GVlSID'" ~.te. or C:over&9l; Jun. 1~, ~OO~ . JU1y 12, 2~D7 ~c.tion, JIOSO lS~_ Ave., Zepbyrhil1s, FL 335<<0 ~tiOll"" rDeurtl4, Jim" Linda Bcc~ ;>.eco COUAt.)I B_rd of COunt:y C~..1.onerll ,..~ P..co Gov.rnn.nt center 530 Littl& Rd., Rev Port. Ric~y, p~ 3.654 CI!ImPlCATE HOLDER P~.co Coun~y Board of Councy Commi..ionera Welt P..co Government Cen:er 7530 Little Road Hew Port Richey PL 34654 CANCELLATION SIIOUUJ .vrt OF JHE ABove DBBClUBBD POLICIES ax QllCELLED 'EJ'OJtI!: I'HE EXPJMTOON OATS 'I'HBlUlOF, '1'Ki ISStlING INSt."RER WILL ~wJt ro MIL 30 DAYS lfRI'l"I'EIJ HOTlCE TC '1'H8 CERTIFICATE IIOt.IlER -.am '1'0 THE: LEFT, .lOT FAIJ:.UJlE TO DO so SIW.I. DIllOn 1'lO o....rGll.1'ICllf oa LIABILITY \2 AJfY ICIGD UPON TIlE INSUREll, ITS AGENTS OIl. WEPRI!S2lI'TATIVES. NJ~MNlalIITAnvE ACORD 25 CZlO11011 6'd 6Z9 ~ €99 LZL 'v'ON3Cl8 d€S:Z ~ LO 8 ~ unr mY-24-~ 19: ~ FROM: SRT 7274612951 TO: 17278631929 P.l ~1'(/J~ .. ~ SMITH RENTS TENTS OF FLORIDA, INCORPORATED Uh4e............. CI_F....~. FL 3:1~. (J27)..~. T.. Fr-.IOD-IlM-TENT. ~AX (7Z7) .1-215t Pasco County Central Permitttng 7530 Little Road Room 210 New Port Rid'tey, FL 34854 May 17, 2007 To Whom It May Concern: Please accept this Ietl8r as authorizaIIon for Don SurenkM'lp or a ..presentative of PaIriotic: Firewortcs to pull a penm on behalf of SmiIn RenCs Tents of Fl. Inc. for 1heir tent for seasonal fireworks sales. Thank you for your assistance in this maIter. If you have any questions, p.... Contact me at 727-448-0987. Sincerely. ~~ D. Bruce Smith President State of Florida County of Pinellas The foregoing inS1rument was acknowledged before me this 17 May 2007 by O. BRIce Smith, who is pel'SCnaJy known to rrI@. or who has produced - as identification. .........,. Amy J. F~ :~~ C-ilII11lIDDZII9Z4 ~~~j Expinr. Jan 02, 2007 ~i!_~ .......11Ina I..~,.,."'" ~ ......c.... The a.v I\rea.s Tent SsMtdallsts O~'d 6G9 ~ 899 LGL VON3Cl8 d8S:G~ LO 8~ unr