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HomeMy WebLinkAbout10-10200 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10200 BUILDING PERMIT Permit Number: 10200 Address: 38116 5TH AVE Permit Type: TEMPORARY SALES ZEPHYRHILLS, FL. Class of Work: SPECIAL EVENT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: , z l ) Date Issued: 3/04/2010 Name: CITY OF ZEPHYRHILLS Total Fees: 470.50 Address: 38116 5TH AVE Amount Paid: 470.50 ZEPHYRHILLS, Date Paid: 3/04/2010 Phone: Work Desc: CELTIC FESTIVAL- SAT MARCH 6- SUN MARC_ H 7TH _110 S - DEPOSIT$250.00 ELTIC HERI AG SO I - Y - 0F FLORI SP AL V N 470.50 C)4 LA ID 1 rR: to i D'` 24 FINAL .P {�,.•` .�,.�. 7 a, a. >(...� . =ia AL , REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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 improvemi: to your prope • . If you intend to obtain financing, consult with your lender or an attorney before , 1":9 1 i •` our noti - _ • f commencement." - / 'CONT'�� CTOR SIGNATUR PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER =Budding Permits Manager 11.61*1 Fie Eck Pitt Utley Setes Window Help Cream:too a contractor Record .. , . tiroene the Permit Fite X Permit Will lie (.lidriged X N MINE 5enelei IPmeeeF MiSC 11PIPeeeene fees 1 CcOelekee lanai:heal* , 4 , rT1111 Market 881--05-- 1 fe PeeniLlype: fW SPECIAL EVENT wod, Type. rcpa--- SPECIAL EVENT goner Type rN7A-- NOT APPLICABLE Cast 10.00 12escliptim: ) CELT IC FESTIVAL - MAR 7& 0/2009 2 DAYS @ $110.25 PER DAY- $250 DEPOSIT applicant: ) CELTIC FESTIVAL DAteAppliet 13/06/2009 .11 Date issued: 13/06/2009 Issued Ey: IBSS Expires: 19/02/2009 Completed ) 111/2009 Perste iub Perrres J J OK Cancel He k ICE iAppieetion Nusber 4:23PM . start 15 1,515 . 7. 1 5 5 . , 5 I ' , tut l'im t5,515 ' Pt,5555.4.. P P7 kj get \ \54 ` r\/ R�® CERTIFICATE OF LIABILITY INSURANCE OP ID PR DATE(MM/DD/YYYY) ASSO -19 1 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Gulfstream Insurance Group Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 8908 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Lauderdale FL 33310 -8908 Phone : 954 Fax: 954-566-0673 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Scottsdale Insurance company 41297 INSURER B: Association of Scottish Games and Festivals Inc. INSURER C: P.O. Box 245916 INSURER D: Pembroke Pines FL 33024 -5926 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSH AMYL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YYYY) DATE (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X X COMMERCIAL GENERAL LIABILITY CPS1128317 03/01/10 03/01/11 PREMISES (Ea occurence) $ 100000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 100 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1000000 X POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) ALL OWNED AUTOS — — BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE — AGGREGATE DEDUCTIBLE r RETENTION $ - WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY WC S I A I U- ! O fH- Y 1 N TORY LIMITS ANY PROPRIETOR/PARTNER /EXECUTIV �-- � ER OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ (Mandatory In NH) - If yes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ � l DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Insured: Zephyrhills Celtic Festival and Highland Games Event: Zephyrhills Celtic Festival and Highland Games, March 5 -7, 2010 Certificate holder is additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ZEPHYRH DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Zephyrhills REPRESENTATIVES. 5335 8th St. AU ORIZE REPRESEN TIVE Zephyrhills FL 33542 ACORD 25 (2009/01) ©1988 -2009 ACO D CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Temporary Sales Checklist City of Zephyrhills 5335 8 Street Zephyrhills, Fl. 33542 Phone: 813- 780 -0020 / Fax: 813 -780 -0021 REQUIREMENTS Detailed Plot Plan showing setup of location. Refer to Ord 1038 -09, Sec 5 Notarized letter from property owner stating their approval. A flame retardant certificate is required IF a tent is involved. Inspection required once tent is erected and prior to opening for business. Approved certified fire extinguishers per NFPA 10. No Smoking signs must be placed outside entrances. IF there is a wire fence or chain link fencing must have at least 5 Ft setback from tent and at least 2 exits. 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 addition to the above) Proof of State License. Proof of Liability insurance. 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 — City Registration (If Regulated by DBPR — Fee is Waived) $500.00 — Fireworks fee - Fire Department fee $ 5.00 — Temporary Sales Fee for 1 s ` 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 $ 50.00 — Tent Fee (35.00/BD, 15.00 * /FD) —0$15.00 waived for Fireworks) $ 35.00 — Electrical Fee (if applicable) Property Owner: C %V v 2_.cf (�..`�,'S \ r1 p Applicant: c�� i 1 q a� \, c Phone Contact: el'r`•ckS 14 Address Site: ► - �. \ Date(s) of Sale: 3 6 J I 314/1 - 3 / - 7 (1° Ordinance No. 1038 -09 (for additional requirements) 03/19/2010 13:27 8137798214 CUSTOMER SERVICE PAGE 01/02 • CELTIC HERITAGE SOCIEY OF FLORIDA FACSIMILE TRANSMITTAL SHEET To: FROM; Zephyxhills Building Department Steve Scmeels (Zephyrhils Celtic iTestival) COMPANY: 3/19/2010 FA:( NUMJ3CR TOTAL NO. OF PAGES INCLUDING COVER: 81 3- 780-0021 2 PHONE NUMB1ZR: Sr:NDER'S RF.'1-6;ItL NC:1: NUMIJt:R: Rr-.; YOc:R Rr..P7•,ReNCE NUMBER: W -9 for Refs. d O URGENT ❑ FOR REVIEW ❑ PLEASE c :OMMENT ❑ PLEASE REPLY ❑ PL,T AS.I; RLCY(:T.F. NOTES /COMMENTS: MY CELL NUMBER IS 813 - 312 -5014. THANK YOU. ) / j 1 5-2 -(d V 4551 HANDCART ROAD w_ ZEPHYRTIII.1.S_ FL 53544