HomeMy WebLinkAbout10-10525 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10525
FIRE WORKS PERMIT
Permit Number: 10525 Address: 5935 GALL BLVD
Permit Type: FIRE WORKS ZEPHYRHILLS, FL.
Class of Work: FIRE WORKS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10- 26 -21- 0020 - 00000 -0050
Improv. Cost: _ . - 777:7. . ,
Date Issued: 6/09/2010 Name: JOHN -MARY ENTERPRISES LTD
Total Fees: 529.00 Address: 5935 GALL BLVD
Amount Paid: 529.00 ZEPHYRHILLS, FL 3542
Date Paid: 6/09/2010 Phone:
Work Desc: FIREWORK SALE TEMPORARY - JUNE 10, 2010 THRU JULY 5, 2010 (26 DAYS)
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U - • . • - K • . 1 P - 1 S 500.00 ' • ' , - AL 29.00
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Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention 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
detonation. gigaPP
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7C SIGNATURE 3 " j 1 # IC R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041
. Temporary Sales Checklist
City of Zephyrhills (052-5
5335 8` Street
lls, Fl. 33542
Phone: 813-780-00201 Fax: 813 - 780 -002
P lot Plan Showing setup of location.
tarize
Nod letter from pro ..owner stating their approval.
If tent is involved, a ame retardant certificate is required. Inspection required once tent
is erected.
Approved certified fire extinguish per
PA 10
No Smoking signs must be placed outside entrances
If there is a wire fence or chain 1' • g 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.
If fireworks are involved, the following is required: E N�/IEWEV
/ NE PLAN(!)
Date: NE t. ,S OFFICE
�/ P oof of State T icense.
/ Proof of Liability insurance. O r r
i/ i �ir
ity Registration free of $20.00. Reviewer: ' �
List of items to be sold at site.
Fire Department fee of $25.00.
r-
opy of Drivers License and Social Security Numberof personnel dealing
the sale of fireworks at the tent lo
The following fees are applica�1e:
Temporary sales permit:. $5.00 for the 1" two days and $1.00 per day for each consecutive day
thereafter, not to exceed duration of 30 consecutive days and no more than one occurrence per calendar
year per Ordinance #408.
Tent permit (if applicable): $35.00 + $15.00 Fire Department = $50.00
Electrical permit if applicable): $35.00
Property Owner: TO h ( 1 6- e c O
Applicant: k.o J`-02 5 e_ no v e L 7 Li 1' f cr e w a f j s .271c
Phone Contact: 0 677 — ICI 7 t 'f
Address Site: 59 3 , i &-q Lc- 6 LVc ( Z -P) q P 1.111-1.5
Date of Sale: - 314, n e .. 10 . 2 0 10 _7d 5 k / y • Z 0 / 0
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E -mail: kbarnett @fire.zephyrhills.fl.us
Plan Review #: 10 -057
Project: Fireworks Tent Sales
Number of Pages: Packet
May 27, 2010
I have received and reviewed the plans for the fireworks tent sales located at 5935 Gall
Blvd and will allow the project to move forward. Please note that this review does not
eliminate any further requirements as the project continues moving forward. By receiving
permit, contractor acknowledges to comply with the items listed below. Should anyone
have any questions, please do not hesitate to contact the Fire Marshal's office.
1. Site shall be inspected after setup and prior to any sales.
2. Copies of all sales shall be given to this office every couple of days.
3. Attached guideline sheet shall be followed.
4. In addition to the certified ABC fire extinguisher, a minimum of 1
pressurized water extinguisher shall be present.
Inspections Required:
1. Site Inspection
A vor
KERRY BA' ■ TT, FIRE MARSHAL
** *Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes. This review is not intended to be a final approval of the
submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. In the event that further examination or site
inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keith Williams Bus (813)780 -0041 Fax (813)780-0044
FIRE SERVICE USER FEES
Occupancy No.: f
Plan No.: il Contractor:
a v'f� A��t/ 0 •
Business Name: �/7i it/!?' % L Billing Address: '4 . 'i y /8 2
Business Address: I'f��; fe er v +C-e-J .�. '
Business Phone No.: Billing Phone No.: /3 4. -' / M
Business Fax No.: Billing Fax No.:
Contact: Contact:
_ PLAN REVIEW FEES _ INSPECTION FEES PERMIT FEE 1 _ FALSE ALARM FEE
Site Plan N/C _ Annual N/C Sprinkler $50� _' 1st Alarm N/C
_ M F .06 sf _ 1st R i nspec ti on N/C Standpipes $5U _'2nd Alarm N/C
(Minimum Charge $25.00 _ 2nd Re- inspection $100 Fire Pump $50 -- .3rd Alarm N/C
Ei Plan Revisions DBL _ 3rd Re- inspection $250 Hoods $50 _ :4th Alarm $100
_ 4th Re- Inspection $500 Fire Alarm $50 5th Alarm $150
_ SPRINKLER SYSTEMS (Business closed until LP Gas $50 `_ 6th Alarm $200
0 - 25 Heads $50 violations corrected) Natural Gas $50� _ NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $10
0 Per Riser $50 Hydrostatic Test $65 per system ire Works
FIRE PUMP Acceptance Test $45 persyste Camp Fire 5
El Per Pump $100 Hydrant Flow $75 Controlled Bum $106
i
— FIRE ALARM SYSTEM Hood/Duct $50
0 - 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $501 Annual
—
_ 26 plus Devices $100 System Acceptance $50 Fire Protection $251
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $501 Annual
— Wet $50 _ OTHER Waste Tire Storage $501 Annual
_ Dry $50 _ Fire Wall/Smoke Wall $15 per well Generator < KW $10
_ CO2 $50 LP Gas $25 per tank Generator >30 KW 150
Other $50 .... Natural Gas $25 per system Bio- Hazard Waste $100, Annual
KITCHEN EXHAUST _ Fumigation Tenting $50
0 Hood/Ducts $50 _ Tent 10'x10' or greater $15 per tent Torch Pot/Applied $50
OTHER _ Fire Pump $45 Haz. Materials $100', Annual
LP Installation per tank $50 _ Fire Suppression $30
Fuel Tank Installation $50 _ System Acceptance
(Per Tank) $50 _ Exhaust Hood /Duct $30
El Natural Gas Installation 550 _ Re inspection DBL
(Per System) (other than annual) _
0 Spray Booth $50 0 Inspection scheduled DBL _ ,
and cancelled less than _
_ 24 hours j
_ Construction Insp. N/C
_ Emergency Vehicle Acr $50 !:' ' FALSE ALARM
PLANS TOTAL INSPECTION TOTAL PERMIT TOTA `F TOTAL
i
GRAND TOTAL
Comments:
1
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Date: _6 Z ill
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STATE OF FLORIDA : a` ir,.z
DEPARTMENT OF FINANCIAL SERVICES "'�I�t f :
DIVISION OF STATE FIRE MARSHAL r.' *•. 1=
TALLAHASSEE, FLORIDA
CERTIFICATE OF REGISTRATION
SEASONAL RETAILER
THIS CERTIFIES THAT: UNIVERSE NOVELTY & FIREWORKS CO., INC.
5935 GALL BLVD
ZEPHYRHILLS, FL 33599 -
HAS FROM REGISTERED TO THE
20 THROUGH PROVISIONS OF
5 AND DECEMBER 10 THROUGH JANUARY 2 AT THE FOLLOWING LOCATION.
SPARKLERS AT RETAIL,
LOCATION: 5935 Gall Blvd. Zephyrhills, FL 33599 Pasco0 DOD
aj x.e.
Chief Financial Officer
`
0210112010 07 63 83999800062002 1854190001 200.00 011 311 2011
Issue Date Type Class County License/Permit Number Application # Taxes & Fees Expire Date
OR» DATE (MMIDWYYYI)
AC CERTIFICATE OF LIABILITY INSURANCE 4/15/10
Pn m cm Allied Specialty Insurance, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
10451 Gulf Blvd. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Treasure Island, FL 33706 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
800/237 -3355
INSURERS AFFORDING COVERAGE NAIC #
INSURED Universe Novelty & Fireworks INBURERkT . N . E . Insurance Company
Company, Inc. INSURER B:
P.O. Box 1862 INSURER C:
Riverview FL 33568 INSURER D:
I INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7107\
LTR TYPEg INSURANCE POUCY NUMIER DA fI D° T�[� LIMITS
GENERAI LIABILITY
OCCURRENCE $ 1,000.000
A X COMMERCIAL GENERAL LIABILITY CPP 010 0 3 2 5- 0 0 02/14/10 0 2/ 17 / 11 P ISM w1 1 10 0.0 0 0
CLAIMS MADE 11,LI OCCUR /` E><P (My a n . pafO") 1
PERSONAL&ADV S 1.000.000
— -
GENERAL AGGREGATE $ 2. 0 0 0. 0 0 0
OEN'L AGGREGATE LIMIT AP � '( PJES PER PRODUCTS - COMPIOP.AGO 1
7 POLICY n 12,9-r I LOC ,
AUTOIICIILE LIABILITY COMBINED SINGLE LIMIT $
— ANY AUTO (E• "I) —
ALL OWNED AT BODILY INJURY
S
(Par pavan}
SCHEDULED AUTOS .— —
HIRED AUTOS BODILY INJURY
(Par ant) f
=Want)
NON -OWNED AUTOS -
_
PROPERTY DAMAGE .
(Par waking
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCISE UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR E CLAIMS MADE AGGREGATE 1
S
_ DEDUCTIBLE 1
— RETENTION $ 1
WORKERS COMPENSATION I T 1 -
AND EMPLOYERS' LIABILITY a
EL EACH ACCIDENT 1
OFFICER/I EMBER EXCLUDED?
(Mandatory in NH) EL DISEASE - EA EMPLOYEE 1
SPELL PROVISIONS below EL DISEASE - POUCY UNIT 1
_ SPEC
DESCRIPTION of OPERATIONS 1 LOCATIONS 1 VENCLIS I EXCLUSIONS ADDED BY INDORSEMENT I SPEGLAL PROVISIONS
THE CITY OF ZEPHYRHILLS, FL IS NAMED ADDITIONAL INSURED AS RESPECTS TO THE
OPERATION OF THE NAND INSURED ONT..Y.
RE: CLASS "C" FIREWORKS STANDS SITUATED AT VARIOUS LOCATIONS IN ZEPHYRHILLS,
FL FROM 6 /10 /10 THROUGH 7/05/10. SEE THE ATTACHED ADDENDUM
CERTIFICATE HOLDER CANCELLATION
CITY OF ZEPHYRHILLS SHOULD ANY OFTNEABOVE DESCRIBED POLICIES BECANCELLEDaf .FgRETHEECPIRATI0N
5335 8TH ST
ZEPHYRHILLS FL 33542 DATE THEREOF, THE BMruiNG INSURER WILL ENDEAVOR TO MAIL l U DAYS
NOTICE TO THE CERTIFICATE HOLDER MAMED TO THE LEFT, BUT FAILURE TO DO oO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ATIVEIL
4
ATlt _-
ACORD 25 (2009/01) m 1955-2009 A RD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
:
STATE OF FLORIDA + • �� .4!.
DEPARTMENT OF FINANCIAL SERVICES ri• ' *0 ,:
DIVISION OF STATE FIRE MARSHAL dT ', =
TALLAHASSEE, FLORIDA
CERTIFICATE OF REGISTRATION
WHOLESALER OF SPARKLERS
THIS CERTIFIES THAT; UNIVERSE NOVELTY & FIREWORKS CO INC
8820 US HIGHWAY 301 S
RTVERVIEW, FL 33569 -
HAS REGISTERED PURSUANT TO THE PROVISIONS OF FLORIDA STATUTES TO ENGAGE IN THE BUSINESS OF.SELLING SPARKLERS TO A
RETAILER.
Chief Financial Officer
02 011 2010 07 62 Hillsborough 66213200011999 1764330001 1000.00 01I3112011
li
Issue Date Type Class County License/Permit Number Application # Taxes & Fees Expire Date
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