HomeMy WebLinkAbout11-11927 CITY OF ZEPHYRHILLS
5335 - 8TH STREET '
�si3��ao-oozo 11927
FIRE WORKS PERMIT
Permit Number: 11927 Address: 5953 GALL BLVD
Permit Type: FIRE WORKS ZEPHYRHILLS, FL.
Class of Work: FIRE WORKS Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0020-00000-0030
Improv. Cost:
Date Issued: 6/02/2011 Name: ZEPHYR LLC
Total Fees: 530.00 Address: 7162 READING RD #730
Amount Paid: 530.00 CINCINNATI. OH 45237-3845
Date Paid: 6/02/2011 Phone:
Work Desc: FIRE WORK TEMPORARY SALE-- JUNE 10, 2011 - JULY 7, 2011 (28 DAYS)
' • 5.
TEMPORARY SALES 25.00
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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.
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CONTRACTOR GNATURE I 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
5335 S'" Street
ZepLyrhills, FL 33542
� P6oue: 813-780-0020 ! Faa: 813-780-0021
REQUIItEMEN'I'S
j�Plot Plan showing setup of location.
✓ Notarized letter from property owner stating their approval.
�A flame retardant certificate is required IF a tent is involved. Inspection is required once tent
i erected and prior to opening for business.
✓ Approved certified fite extinguishers per NFPA 10.
; ,,�o 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
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 positiou.
FIREWORK LIIREMENTS -(In addition to the above)
oof of State License.
� roof of Liability insurance.
�t 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 Regisiration (If Regulated by DBPR - Fee is Waived)
$500.00 - Fireworks fee - Fire Deparhnent f�
% $�.00 - Temporary Sates Fee for I�' two days
���� j, Y�$..00 - Temporary Sales Fee per day for each consecutive day thereafter, not to
�W exceed duration of 30 consecutive days and no more thaa one occurrence
/� , per calendar year per Ordinance #40&.
�/ _ $ 50.00 - Tent Fee (35.00BD, I5.00*/FD} -{*$15.00 waived for Fireworks)
_ $ 35.00 - Electrical Fee (if applicable)
Ptoperty Owner. L�-�� � �
Applicant: �� � ��
Phone Contact:
Address Site: p
Date of Sale: -
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fiiJBMI7TED PLAN(S) fiAVE BEEN REVIE
�Y ZEPHYRHILLS F SH ' ICE
Date: � 1 �
Aoviewer•
�ephyrhills Fire hescue
6�11}7 naii�� [:c�ael. jcpherhill�. I�( >>74�
Fire Marshal (3us (K I 3) 7�30-00� I
hrrr� F3arn�tt Fa� (313) 78U-()04�
l�-ii�<�il: kharnett�cr.:fire.ie��h��rhills Il.us
Plan Review #: 11-064
-- -�._.._ .__... _..
Project: Fireworks Tent (retail sales)
Number of Pages: Packet
May 27, 201 1
1 have received and reviewed the plans for the fireworks tent for retail sales located at 5953 Gall
Blvd and will allow tl�is project to move forward. Paying for permit, contractor acknowledges to
the comments listed below. Should anyone have any questions, please do not hesitate to contact
the t�ire Marshal's office
1. Copies of all sales shall be given to this authority every couple of days.
2. Attached guideline sheet shall be followed.
3. In addition to the 1 ABC fire extinguisher, an additional pressurized water
extinguisher shall be present.
Inspection Required:
1. Site Inspection or�ce set up and prior to sales '
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KERRY BARNETT, 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 ofthe
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 ordmances. 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.
�Z�:����Y��iO��.�S FIR� [���'i41�T�AEI��
690�7 pairy Road, �ephyrhills, FL 33542
�=erE: Chdef Kesrh ililifii�rns �ius (8'I3)�780-0��1 F�x (813)78�-OUd•d
FIRE SERVICE USER FEES
Occupancy No.: ,
Plan No.: �/- C�;a Contractor: �/a /p f� --,,� `
Business Name: Billing Address: t�? "�-/ �� ���,, �/�
Business Address: �s-� �,�¢-/l iS/�"�' ��,,���, 2, � 3 �,-� �'
Business Phone No. Billing Phone No.:
Business Fax No . Billing Fax No..
Contact Contact.
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N/C Annual N/C Sprinkler $50 1 st Alarm N!C
Multi 06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N!C
(Mmimum Charge $25.OQ 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
� Plan Revisions DBL 3rd Re-mspection $250 Hoods $50 4th Alarm $�pp
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $� 5p
SPRINKLER SYSTEMS (Business closed until lP Gas $50 6th Alarm g2pp
0- 25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- �.�a�k $50
STANDPIPE SYSTEM Hydro Undergrounds �445 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 Per system Fire Works ��,,,,�
�.
FIRE PUMP Acceptance Test $45 ce, sys�em Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Burn $100
FIRE ALARM SYSTEM Hood/Duct $5p
0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly �SO Annual
26 plus Devices $100 System Acceptance a50 Fire Protection g25
SUPPRESSION SYSTEMS Recall Acceptance $50 FlammableApplication $50 Annual
Wet $50 OTHER Waste Tire Storage $50 qnnual
Dry $50 Fire wa1l/Smoke Wall $15 Per wan Generator < KW $100
CO2 $50 LP Gas $25 per tank Generator >30 KW 150
Other $50 Naturaf Gas $25 per system BiaHaza�d Waste $100 qnnual
KITCHEN EXHAUST Fumigation Tenting $50
� HoodlDucts $50 Tent 10'x10' or greater $15 �r teot To►ch PoUApplied $50
OTHER Fire Pump $45 Naz. Materials $100 Annual
8 LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
❑ (Per Tank) $50 8 Exhaust Hood/Duct $30
Nalural Gas Inslallation $50 Re-i�sp2CtlOt1 DBL
(Per System) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle Aa $50 FALSE ALARM
PLANS TOTAI �__� INSPECTION TOTAL �� PERMIT TOTAL L� TOTAL I_ I
GRAND TOTAI —
Comments
Date �5�� � I� � ,�
Insq��ctor� r �.� ����
p '�'' R �"� 2 � City of Zephyrhills Permit Applicafion F�-a��-�eo-0oz�
Building Department -
Date Receivad
�, Phone Contad for Permltting
Owner's Narne Owner phona Num6er � ��
, Ownbrs Address � Owner Phone Number �/�
Fee Simple'fitleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOBADDRESS LOT# ��
SUBDIVISIOI� PARCEL IQM ( ���(p � ^ �O�^�"�— ��
IOB7AlNED F OM PROPERTY iAX N0710E!
WORK PROf'OSED NEW CANSTR ADDfALT � SIGN Q Q DEMOLISH
IM&FAL! 8 REPAIR
PROPOSED JSE Q SFR Q COMM Q OTHER
TYPE OF CON5TRUCTION Q BLOCK Q FRAME STEEL Q
DEBCRtPTIOM pF WORK �Y'�_ � "Z� �� �
Bt11LDING SIZE SQ FOOTAGE� HEIGHT ��
QBUILDING $ y,R�URTfOMOFTQTRLCONSTRUCTION
�ELF:CTRICAL $ � AMp SERVICE � PROGRESS ENERGY � WRE.0
�PWMBIN� $
QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION
OGAli � ROOfING Q 6PEC#At.TY � OTHER
FfNISHED FLOOR ELEVATtONS �� FLOOD ZONE AREA �YES NO
BUILDER ^ COMPANY �
S16NATURE � � REOISTERED Y/ N �curtrt� Y!N
Address License # ��
ELECTRICIAIN � COMPANY �—
SIGNATURE Rccis�xEO Y/ N rg cuarxFr Y/ N
Address ���� � �--�
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y l N
Address License � ��
MECHANICAL � COMPANY �—
SIGNATURE aECfsi�xeo Y 7 N FEE CURREN Y/ N
Addresa license #
OTHER COMPANY �—
SIGNATURE �cisrsqEO Y/ N F[-E cuaaEn Y/ N
Add2ss iicense r� �
IIIIIINIIIIIIl1111111111111111111111111i111111111tI11111111111I1I11
RESIOENTIAL Attach (2) Plot Plans; (2) sets of Buitding Piaru; (9 ) set of Energy Fortns; R-O-W Pertnit for new consUuUion,
Minimum ten (10) worhing days aRer s�mittal date. Requaed wisi[e, Conshuction Plaru, Stormwater Plans w! Sitt Fence installed,
Sanitary Facilities & 1 dwnpster, Site Work Pertnit for suLx!'rvisio�sllarge projecfs
CON1trIfRC1AL Attach (3} complete sefs of 8uildnp �ans pfus a tife Safery Page; (i} set of Energy Forms. R-0 W Permh for new construction.
Minimum ten (10) waicing days aRer s�mittal date. Required oruite, ConsWdion Plans, Stortnwater Pians w/ Sift Fence installed,
San'Rary Facilities & � dumpster. Sfte Work Permit for ail new projeUS. Ali cmnmercial rec�irements must meet complia�ce
SICaN PERMIT Attach (2) seis of Engirreared Pl�s.
""'PROPERTY SURVEY required far all NEW construction
Dvect�ons: e
Fiii ouf appliration completety.
Owner & t;oMrector sign back oF appl'�cation, notar¢ad
!f over 52500, a Notice of CommencemeM is required. (A/C upgrades over S7500)
'� A9erri (tc�r ths ecxNractor) a Pwver d Attomey (ku the ownerJ wvc�ld be samecxre with not�ed ktter fivm c+wner authormng same
OVER THE COUNTER PERMITTING (Fmnt M Application Only)
Reroofs 'rF shir�iles Sewers Service Upgrades A/C Fences (PbUSurvey/Footage)
Driveways-Not over Counter iI on pubGc roadways..needs ROW
NOTICE OF DEED RESTRICI. .o: The undersigned understands that this permit may E >ject to "deed' resVictions
which may be more restrictive than Courrty regulations. The undersigned assumes respons����ity for compliance with any
appiicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake woric, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
' undeF state 1aw. tf the owner or intended contraetor are uncertain as to what lieensing requirements may apply for the
intended work, they are advised to wntact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Biock" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the consUuction of new buildings, change of
use in existing huildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned als� unde►sfands, that such fees, as may be due, wil! be idenSified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
recei�ing a"certificate of occupancy" or final power release. If the project does not invotve a certificate of occupancy or
final pawer release, the fees must be paid prior to permit issuance. Furthermore, 'rf Pasco County WatedSewer Impact
Fees are due, they must be paid prior to permit issuance in acxordance with appliqble Pasco County ordinances.
COH5TRtJCT1bH LtEN LA�Iff (Cfiapter 713, Fforida Statutes, as amendedj: livafuation of woric is $2,SOb.00 or more, (
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide' prepared by the Florida Department of qqriculture and Consumer Affairs. If the applicant is someone
�ther than the `owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
�2I11FP.f 1� �O YhE ° OWiI@� �NIOF � COFYN[)Bi1CCfX12Fl�.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
�rill be done in compliance with all applicable laws r�ulating construdion, zoning and land development. Appliption is
�ereby made to obtain a pertnit to do work and installatian as indicated. 1 certify that no work or insta�lation has
�mmenced prior to issuance of a pertnit and that all work will be performed to meet standards of aN laws regulating
�nstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is
my responsibiliry to identify what actions ! must take to be in compliance. Such agencies inGude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,lNa2eF/WastewaterTreaUnent.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Artny Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Departrnent of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatmeni,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
! understand that the following restrictions apply to the use of fill:
- Use of fitl is not allawed in Fbod Zone "V° unless expressly permit4ed.
- !f the fill material is to be used in Flood Zone 'A', it is understood that a drainage plan addressing a
°campensating volume' will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Fiorida.
- If the fiIl material is to be used in Fbod Zone °A° in connection with a pertnitted building using stem wal!
construc�on, 1 certify that fill will be used only to fill the area within the stem wall.
- If filf material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited tor violating
the conditions of the building pertnit issued under the attached permit application, for lots less than one (1)
aere whieh are elevated b� fi41, an engineeced drainage plan is requiFeci.
if 1 am the AGENT FOR THE OWNER, I promise in good faith to infortn the owner of the pertnitting conditions set forth in
this affidavit prior to commencing consVuction. I undershand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically induded in the application. A
pertnit issued sha8 be construed to be a license to proceed with the work and rrot as authorfty to violate, cancel, alter, or
set aside any provisions of ihe technical codes, nor shall issuance of a pertnit prevent the Building Offiaal irom thereafter
requiring a correction of errors in plans, constrvction or violations of any codes. Every pertnit issued shalt become invalid
unless the work authorized by such pertnit is commenced within sbc months of pertnit issuance, or ff work author¢ed by
the pertnit is suspended or abandoned for a period of six (6) months aiter the time the work is commenced. An extension
may be requested, in writing, fior� the Buifding Officia{ for a period rwt fo exceed nineiy j9(1} days and will demonstrale
justifiable cause for the extension. lf work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORO A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN7END TO OBTAIN FINANCING, CONSULT
YUU DER OR AN ATTORNEY BEFORE REC RDI R NOTICE OF C MMENCEMENT.
RORIDAJU T(F.S. '17.(Xi) �
OWNER OR AGE 'ONTRACTOR .� V \
�n e b su'om (or vm �is Su d svorn to w 's
Y
� isfare personaly known o or has/have produced VNw us/are i b r�ially fmown to m or haslhave produced d~/
as iderrtficatlon. �"\ �� as iden[ificatlon.
y Notary Public Notary Public
�� �. ('.ommission No.
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STATE OF FLORIDA
, DEP��Z�'MENT OF FINANCTAL SERVICES
DIVtSION O�' STATE F'IR� MAIZSHAL ' '
TALLAHASSEE, FLORIDA
CERTIFICATE OFREGISTRATION ~�°��
' WHOLESALER OF SPARKLERS
THIS CERTIFIES THAT GAI.AXY FIREWORKS INC
204 E MARTIN LUTHER KING BLVD
TAMPA, FL 33603-
HAS REGISTERFD PLRSUANT TO THE PROVISIONS OF FLORIDA STATUTES TO ENGAGE IN THF. BUSINESS OF SELLING SPARKLERS TO A
RETAILER.
������-
Chief Financia[ Officer
I
02 O1 2011 07 62 I�iilsborough 72584000012006 2115590001 1000.00 O1 31 2012
Issue Date Type Class County License/Permit Number Application # Taxes & Fees Expire Date
�� "�'r �-, �„ .
� � ��,
-�'""1 � ' � � �� j��y�-�
'`'�� �`•� CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DDMlYY)
3I�1/aoil
THIS CERTIFICATE IS ISSUED AS A MATTEft OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CER'fIFICATE' DOES NOT AFFIRMATIVELY UR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICtES
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 be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsemenL A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NTA
Britton-Gallagher and Associates, Inc NAME:
PHONE
6240 SOM Center P,3. A/C No exc:4�9=�4.$=4Z17. �n rvol�4qp_24g_5q_
Cleveland OH 441? 9 E-MAIL
ADORESS:
PRODUCER
CUSTOMER ID #:
IN5URER�S) AFFORDING COVERAGE NAIC #
INSURED
Galaxy Fireworks Inc. iNSURERA:Lexin ton Insurance Co
204 E. Martin Lut,her King Blvd INSURERB:j�1S Su lus Ins Com an
Tampa FL 33603 INSURERC:NEW Ham shire Insurance Co. 23841
INSURER D . I
INSURER E .
INSURER F :
COVERAGES CERTIFICATE NUMBER:457682688 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE 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 A L --- ------ �-- --
LTR NPE OF INSURANCE PO IL CY EFF POLICY EXP � ---
INSR WVD POLICY NUMBER MMIDD/YYYY MMlDD/YYYY LIMITS
� GENERALLIABILITY 64200908-01 �5/10/2011 6/10/2012
EACH OCCURRENCE ,g1,Q00,000
X COMMERCiAL GENE RAL UABILITY A I�A�'� �R�N�E� 50 , 000
CLAIMS-MADE � X� PREMISES�a occurrence) ', S
_ i _ _ OCCUR MED EXP (Any one perso�n) ' S �.
--- - - -- PER SONALBADVINJURY � 51
-- - GENE �52,000,000
GEN'LAGGREGATELIMIIAPPLIESPER: � PRODUCTS-COMP/OPAGG SZ,Q00,000
POLICY PR � � x LOC
( S
C AUTOMOBILELIABILITY CA66144431 6/10/2011 6/10/2012 COMBINEDSINGLELIMIT
X ANYAUTO (Eaaxident) � �i3O00,000
BODILY INJURY (Per person) � S
ALL 0`NNED AUTOS
i BODILY INJURY (Per acddent; � 5
SCHEDUIED AU705 �
PROPERTY DAMAGE
X HIREDAUTOS i I ; S
(Peracadent)
X NON-OWNEOAUTO: : S
S
B UMBRELLtI LIAB X � pC�UR � EAU753159
�6/10/2011 6/10/2012 EACH OCCURRENCE �54,000,
X EXCESS LIAB � CLAIMS-MADE �
--- - --- � � AGGREGATE j$ 4,OOC,000
_ __ DEDUCTIBLE } I S
RETENTION 5 i S
WORKERS COMPENSATION WC STATU- I OTH-
AND EMPLOYERS' LIABILiTY Y � N � T�RY LIMITS I_1_ER �_____ _
ANY PROPRIETOR/PARTNFRlEXECUTNE I � E.L. EACH ACCIDENT � 5
OFFICERlMEMBER EXCLUDEO? ❑ N I A i � __
(Mandatory in NH) E.L. DISEASE - EA EMPLOYG� S
If yes, desaibe under I -----
DESCRIPTION OF OPERATIONS below i I E.L DISEASE - POLICY LIMIT � S
DESCRIPTION OF OPERATIONS / LOCATIpNS! VEHICLES �Attach ACORD �Ot, Additio�al Remarks Schedule, if more space is requircd)
Stand Location: 5943-5953 Gall Blvd. Zephyrhills, FL 3542
Additional Insured: City of Zephyrhills, Pasco County Board of County Commisionsers, Mark Ayer, and all
their agents, representatives and susidiaries.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRtBED POLICIES BE CANCELLED
BEFORE THE EXPIRATiON DATE THEREOF, NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
City of 'Lephyrhills, Pasco County Board of
County Commissioners
MdT�C Ay22' AUTHORIZED REPRESENTATIVE
7162 Reading Rd. Suite 730
Cincinnat.i OH 45?_37 ���
I
O 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
..rasco �,oun.r .k'�.z'C�.i.: 1 U-Lb-L 1-U�JLU-UU� UU t Page 1 of 2
Search Ag�in Show Map Generalized 13uiiding Schematic Frequently Asked Questions Estimate Taxes
Other Parcel Cards: 1 � z � 3 � 4 � 5 � 6
Other Agericy Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: � Weekly Archive - Saturday, MarCh 21, 2009
Parcel ID � 10 (Card: 001 of 006)
�lassification 16 - Shopping Center Community
Mailing Address Property Vatue
ZEPHYR LLC Ag Land �p
7162 READING RD #730 Land $299,049
CINCINNATI, OH 452373845 Buiiding $223 519
Physical Address - See All 5 addresses (First shown) Extra Features $6 ,642
5845 GALL BLVD
ZEPHYRHILLS, FL 33542-3457 Market Yalue �529,210
l.egal Description (First 4 Lines) Assessed (save our Homes) $0
PINE GRaVE PB 2 PG 15 COM SW
COR LOT 10 TH NO2DG 02' 12"W Taxable Value $529,210
313.00 FT FOR POB TH CONT
NO2DG 02' 12"W 306.96 FT TH
Land Detail (Card: 001 of 006)
Line Use Description 2oning Units Type Price Condition Value
SHOPNG $87,g40
1 1600 � OOC2 12,OQ0.00 SF $7.32 1.00
SHOPNG
2 1600 �. OOC2 38,000.00 SF $2.87 1.00 $109,06�
3 1600 SH �R G OOC2 37,145.00 SF $102,149
$2.75 1.00
Additional Land Information
Acres 2.00 Tax Area 30ZH FEMA Code X Commerical Code M3612AQ
Building Information - Use 16 - Shopping Center Local (Card: 001 of 006)
Year Built 1969 Stories 1.0
Exterior Wall i Concrete Block Stucco Exterior Walf 2 None
Roof Structure Rigid Frame w/Bar Joist Roof Cover Built-Up Tar and Gravel
Interior Wall 1 Plywood Panel Interior Wall 2 Drywall
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central 8aths Z,p
Line Description Sq. Feet Repl. Cost New
1 SPA 1,100 $106,814
2 S DA 400 $45,696
3 CAN 300 $10,282
E�ctra Features (Card: 001 of 006)
Line Description Year Units Value
1 PAV ASP 1969 22,800 $4,617
Sales History
Previous Owner HUESING )AMES R
Year Month Book/Page Type Amount
2000 � Q3 4341 i 1C41
QC $0
1987 pg «' ' 167� , ^ , p $0
^ vV
, 1
http://appraiser.pascogov.com/search/parcel.aspx?sec=10&twn=26&rng=21 &sbb=0020&b... 3/23/2009
LEASE AGREEMENT
This LGase Agreement is entered into as of the 10` day of March 20 11 by and between the undersigned Lessor and Galaxy
Fireworks, Inc. a Florida Corporation, having its principal place of business at 204 East Dr. Martin Luther King, Jr. Boulevard, Tampa Flonda 33603
("Lessee(s)") fur the purpose of estabiishing the terms and conditions by which Lessor leases certain property to Lessee.
[n consideration ofthe following covenants and conditions, and of other consideration the receipt and sufficiency ofwhich aze acknowledgcd, Lessor and
Lessee agree as follows:
I Premises Location: The property that is tl�e subject of this Leasc Agreement (the "Premises") is located at the following address
_ 5943 Gall Bl��d Zephryhills Fl
2. Occupancy: Lessor represents and warrants that it owns the Premises, and Lessor hereby grants Lessee the exclusive right to occupy and use the
Premises undisturbed during each Term (as hereinafter defined), access thereto (including the right to cross surrounding property belonging to Lessor, if
any), along with all other rights provided to a tenant under the laws of the state of Florida.
3 Term:. The periods during which Lessee will be entided to occupy the Premises ("Terms") are as follows:
Term 1 is from June 15th 2011 until Ju1v 7th. 2011 Term 2 is from Dec. 15th 2011 until Januarv 7�' 2012. ("Initial Lease Period") 2011-
20] 6. Thereafrer occupancy will be determined by Lessee's election pursuant to Section 11 This Agreement shall continue in full force and effect until
the Option Periods identified in Section 11 below expire;
4 Use: Lessee may use the Premises to sell seasonal products, including but uot limited to fueworks and items incidental thereto.
5 Rent: Lessee will pay Lessor the sum of $2,000.00 for Term 1 and I 500.00 for term 2 which will be due and payable on the fust day of Ule
applicable Terr;i.
6. Permits: Lessee agrees to acquire any and all permits required by goveming authorities for Lessee's intended use of the Premises. If Ihe permits are
not approved fer aay reason, this Agreemcnt will be null and void, and all deposits will be refunded to Lessee. If, a8er any necessary permits ha��e been
issued to Lessec, Lessee is prevented from using the Premises for the intended purpuse of selling fireworks during any part ofaTenn because ofan act of
God, war, executive order, ordinance, change in law, or other reasun beyund L.essor's or I,essec's control, Lessee will be relieved of iu obligation to pay
rent for that Term, and any rent paid for that Term will either be refunded to Lessee or applied to the next Term, as Lessor chooses. Lessor shall make
that choicc and notify Lessee within ten days.of being informed by Lessee that it has been prevented from using the Premises.
7 Indemnitica tion: Lessee shatl indemnify and hold Lessor hartnless from any and al( actions and claims resulting d'uectly and solely from Lessee's use
of the Premises, fncluding but not limited to claims by Lessee's licensees, or invitee, and trespassers.
8. Fixtures: A 11 structures (including tents) shall Ue placed on the Premises under the approval of Lessor Any piacement shall not interfere �3�ith
Lessor's use of property surrounding the Premises. Any insta(lation shall not damage any of the Lessor's improvements on the Premises.
9 lnsurance: Lessee shall provide Lessor with proof of liabi(ity insurance before the Term begins. Liability insurance shall be in an amount ofnot less
than $1,000,000 for each occurrence.
[0 Nlaintenance: Lessee shall maintain the Premises in an orderly manner and wi11 haul away any and all trash made by Lessee, its customers, and
�endors prior to vacating the Premises.
I 1 Option: Fellowing the Initial Lease Penod, this Agreement will remain in eflect for an additional five years ("Option Period"). However, if Lessee
�otifies Lessor 30 days in advance of a particular year during d�e Option Period that Lessee elects to not exercise its option for that year, Lessee will not
be required to pay rent for that year, and Lessor will be free to rent the Premises to someone else for that year, subject to Lessee's right of first refusal set
forth below Scch election will not affect subsequent years. In the evcnt that Lessee elects to not excrcise its option for a particular year, Lessee has the
exclusive right of refusal to match any and all offers to lease the Premises during that year Lessor sl�all notify Lessee in writing of any such offer and the
ternis thereof, and provide Lessee thirry days [o elect to exercise or waive the right of first refusal.
12. Non-compete: Lessor agrees to not sell or permit the sale of freworks by anyone other than Lessee on any property owned or leased by Lessor
within 2 miles of ttie Prcmises.
l3 Cancellation: If tlie Premises is sold, master leased on a long term basis other than for the sale of fireworks, or the law is changed to prohibit thc
�ale of fireworks for all remaining Terms, this Agreement may be canceled by either party providing thirty days written notice to the other party
:N W IT'NESS \VHEREOF, Lessor and Lessee have each caused this Agreement to be executed and to take effect as of the date first above written, as
evidenced by the signatures of their respective duly authorized representat�ves appearing below
y Fireworks, Incorporated (Lessee) ��4'(� �--�. (Lessor)
i�
s •, � i._ B _ �� � ��
Signature Signature
Rickv Johnson, Vice-President � �� � , ��,, { ��,��
Vx e and Tide T — Name and Title
� �� � � �Z � 1 i
Datc Signed Date Signed
Before me, the undersigned Notary Public, personally appeared `' C U v�lp L% known to me to be the person wfio
�xecuted lhe foregoing Lease Agreement, and she/he acknowledged to and be re me that she/he executed such instrument and agrees to fully comply
therewith.
�w.q CITY OF ZEPHYRHILLS
CONTRACTOR CERTIFICATE
� - -- `� 5335 8TH ST.
� ZEPHYRHILLS, FL 33542
PERIOD COMMENCING 7ULY 1, 2010 TO SEPT. 30, 2011
License: 725840000012 Expires: 1/31/2012 Type: DISTRIBUTOR SPARKLER/FIREWORK
Qualifier: GALAXY FIREWORKS, INC Ph: (813)234-2264
Insurance: 64200908 Expires: 6/10/2012
Workers Comp: 019623706 Expires: 11/18/2011 Fee Paid: 30.00 12/17/2010
Notes:
GALAXY FIREWORKS, INC �
204 E. MARTIN LUTHER KING BLVD ���
TAMPA, FL 33603 CITY ANAG
This registration expires each year on Sept. 30.
�
Jacqueline Boges
From: Jacqueline Boges
Sent: Monday, May 23, 2011 10:49 AM
To: Kerry Barnett
Subject: PLACED IN YOUR BOX
GALAXY HAS AN ADDITIONAL SELLER PLACE SS CARD & ID IN YOUR BOX
Jackie Boges
Code Support Specialist
e�rt. 35
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�ocation Inventory for Permitting Galaxy Fireworks, Inc. 1
This location, GaII Blvd. , has consumer fireworks
products from the following list on site for sales purposes.
Imr SAFEfB�t�lE A�St'?RTM��iTS 1� Nur�tber
000000000103 Comet Collection 18/1 GLX-104
000000000111 Cosmic Cluster 8/1 GLX-118
000000000107 Cosmic Countdown 4/1 GLX-113
000000000116 Final Countdown 6/1 GLX-124
000000000106 Just for Kids 24/1 GLX-112
813559005248 Kids Pack 48/1 MB-A01
813559005705 Kids Fun Pack 48/1 MB-A02
000000000101 Little Dipper 18/1 GLX-102
80525300437 Mixx #3 9/1 WC
000000000108 Nin'a 6/1 GLX-114
000000000109 Parly Time 5/1 GLX-115
000000000114 Saturn's Revenge 4/1 GLX-122
000000000115 Solar Eclipse 3/1 GLX-123
000000000100 Star Gazor 24/1 GLX-100
000000000113 Warp Speed 12/1 GLX-121
1 FOUNTAINS li+�rn Mumbet
705108306404 4th of July Picnic 12/1 P3064
754471202011 7th Heaven 6/1 FOA Ftn.
705108310500 Acrobatic Monkey 4/1 P3105
705834221330 Ancient Myth 18/1 Y22-133
705834020223 April Showers 36/1 Y02-022
705108305018 Ass't. 8" Ftn. (Winda) 12/3 P3050
705834220630 Astro Jam 18/1 Y22-063
676551000877 Awe-Some 4/1 GPH3079
705834020360 Backyard Fountain 20/4 Y02-036
754471202110 Barrel of Fun 12/1 FOA
705108301010 Blaze and Blade 12/12 P3010
676551000815 Blue Ice (100 r ftn.) 24/1 GPH3073
000000000211 Boom and Buzz 40/1 Y02-021
705108304103 Brilliant Shower Ftn. 48/1 P3042
705834220722 Bulk Cones #3 Conic 18/4 Y22-082-G
761507114088 Bulk Cones #4 Crackling 18/4 Y22-072-G
761507118062 Bulk Cones #5 USA Spring Blossom 96/1 P3051
676551037590 Burn Baby Burn 16/1 GCF086
000000000202 Butterfly & Flowers 48/6 0833
000000000210 California Candle 36/6 T6018
754471200215 California Dreamin' 24/1 FOA Ftn.
754471200611 California Sunrise 36/1 FOA Ftn.
754471200017 Call of the Wild 36/1 FOA Ftn.
Location Inventory for Permitting Galaxy Fireworks, Inc. 2
000000015226 Crowd Thinner 6/1 GL-PS0001
676551050216 Cuckoos 24/6 GL- 0852
705834640070 Dazzling Dyno 4/1 Y64-007
000000000226 Dreamer 36/4 P3006
754471201410 Electric Rainbow 12/1 FOA Ftn.
754471201113 Far Out 12/1 FOA Ftn.
705108310401 Fire Fighter Fountain 6/1 P3104
000000000231 Fire Invioable 12/3 P4002
705834221170 Fireton ue Fountain 24/1 Y22-117
676551000921 Flamenco (100 gr) 18/1 GPH3084
705834640063 Floro Glo 6/1 Y64-006
705108302703 Gadzooks 12/6 P3027
676551033851 Gardenia 32/1 GCF056
000000000215 Gemmy Pebble 24/1 BP4022
80525301210 Girl Power 30/1 WC Fountain
676551001027 Glitz 6/1 GPH3094
7544T1202219 Grand Illusion 6/1 FOA Ftn.
676551051459 Happy Festival 18/4 0925
676551071136 Happy Silvery Flowers 24/4 0847-6
754471201212 Havana Heat 18/1 FOA2012
754471202714 Hearts A-Fire 4/1 FOA Ftn.
705834220609 Heat Wave 40/1 Y22-060
000000000302 HN-60 Asst. Fountain 36J4 HN-60
000000000303 HN-89 Asst. Fountain 18/4 HN-89
000000000304 HN-90 Asst. Fountain 18/4 HN-90
676551001669 Hot Roll 16/1 GPH3149
000000000224 Hollywood Park 24/1 P3013
676551036289 Jazz (100 r ftn) 12/1 GCF081
754471201311 Just Another Stinkin Fountain 24/1 FOA
000000000305 Killer Bees 24/4 GL-W499A
80525311427 M8M 32/1 WC Fountain
754471199816 Malibu Madness 36/1 FOA1998
676551001010 Mi Amor 4/1 GPH3093
80525303002 Most Wanted 12/1 WC Fountain
705834220616 Mumm 's Wrath 40/1 Y22-061
705108304400 Palm Party Ass't. Ftn. 4/3 P3044
805253113824 Perfect Silence 96/1 WC Ftn.
74471201915 Perfect Storm 6/1 FOA Ftn.
705834020414 Precious Stones 18/4 Y02-041
80525311423 Psychedelic 4/1 WC Ftn.
754471201519 Quiet Riot 6/1 FOA Ftn.
705834220913 Rainbow Fountain 16/6 Y22-091
000000000238 Rock Music 36/1 P3024
676551037583 Screamin Monkey 12/1 GCF085
Location Inventory for Permitting Galaxy Fireworks, Inc. 3
705834020278 Silver Dust 40/1 Y02-027
676551051435 Silvery Flowers-9" 18/4 0847-9
754471202813 Solar Storm 6/1 FOA
705108301607 Star Club 18/1 P3016
754471199717 Star Dust Ftn. 24/1 FOA Ftn.
17544712019 Stars Over America 24/1 FOA Ftn.
705834221156 Tropical Fish 36/1 Y22-115
687985426713 Up in Smoke 16/1 BP4267
705834220753 Whistling Color Cuckoo 48/1 T1117
000000000204 Whistling Dixie (Phx Tail) 48/6 T1016A
705108304608 Wonderland 36/1 P3046
805253113794 Worlds Strongest Fountain 18/1 WC Fountain
�t�RS � UVHEEL3 Item Wumber
676551051442 Ground Bloom Flower (Gorilla) 20/12 GL-09018
000000000513 Spinning Wheel 12/6 0544
000000000514 Tri-Rotatin Wheel 24/12 T7500
. NQVELTIES Item Nu�nnber
676551033479 Black Snake 15/48 GM801
612141811317 Black Snake (Legend) 15/48 GM801
000000000502 Booby Traps 10/144 T8501
000000000519 Crackling Balls 16/12/6 0205A
705108900121 Party Popper (6pk) 12/24 GP-T8502
000000000507 Party Poppers Champagne 12R2 T8502
676551033431 Snap-n-pops 6/40 GL-T8500A
676551033448 Snap-n-pops 6/50 GL-T8500
000000000510 Tanks 40/12 W705
i. SMCNCE ITEMS Item Nurnber
676551033486 Mammoth Smoke 6/24/1 GL-GM807
676551033462 Smoke Balls (color, 12 pk.) 20/6/12 GL- GM800
676551033509 Smoke Balls (white, 12 pk.) 20/6/12 GL-GM823
000000000602 Smoke Grenades 12/48/1 T8571
7058 Giant Smoke Grenade 72/1 P
!n� SPARl�LERS I#em Number
000000000709 #10 Color S arkler 24/12/8 GP-0750B
000000007177 #10 Gold Sparkler 24/12/8 GP-0978B
000000000701 #8 Color Sparkler 24/12/6 GP-0740B
000000000700 #8 Gold Sparkler 24/12/6 GP-0977B
000000000705 10" Mornin Glories 24/12/6 GLX-28-023G
000000000704 14" Morning Glories 15/8/12 GLX-28-022G
000000000703 36" Morning Glories 96/6 Y28-025
705834480034 36" Morning Glories 48/1 Y23-297
FULL "C" A3S�R�I�iTS Item P�t�mber
000000000810 Alien Attack 6/1 GLX-810
000000000805 Comet Collection (WL) 18/1 GLX-805
Location Inventory for Permitting Galaxy Fireworks, Inc. 4
. 000000000813 Cosmic Cluster 8/1 GLX-813
000000000801 Cosmic Countdown 4/1 GLX-801
000000000800 Final Countdown 6/1 GLX-800
000000008133 Galaxy Collection 8/1 GLX-8133
000000008003 Galaxy's Next Generation 6/1 GLX-8003
805253044050 Little Bi 6/1 WC
000000000802 Little Dipper (WL) 18/1 GLX-802
805253404571 More For Your Money 8/1 WC
000000000814 Rocket Barra e 12/1 GLX-814
000000000811 Saturn's Reven e 4/1 GLX-811
000000000812 Solar Eclipse 3/1 GLX-812
��kKES R rs I�t Mumber
705108506200 Armegeddon 12/1 P5062
805253132658 Beach Bum 8/1 WC Cake
000000000931 Big Snow 18/2 0503
000000000924 Blue Stars WlReport 18/2 0128A
805253132887 B�@W C�@W (Happy Hour, Botco�,g up Pop A Top �t c 24/1 WC Cake
687985219414 Burglar Alarm 8/1 BP 2194
705108512508 Cherry Bomber 12/1 P5125
000000000923 Coconut Grove 12/1 0704-19
676551050490 Color Pearl-48 shot 20/4 T2507
676551050728 Color Pearl-96 shot 10/4 T2521
705108511600 Cool Beauty 8/1 P5116
805253131774 Crazy Exciting 12/1 WC Cake
000000000904 Desert at Ni ht 40/1 L930
705108512201 Eye Candy 8/1 P5122
705108509805 Fascinating Cake 12/1 P5098
705108520404 Future Guy 24/1 P5204
612031614448 Galaxy Storm 24/1 LC1614
000000015257 Galaxy's Finale 8/1 GL-PS0006
612037206067 Galaxy's Warrior 72/1 GL-LC7206
805253131675 Grapes Over Vineyard 12/1 WC Cake
705108510900 Great Expectation 24/1 P5109
000000000939 Green Bamboo 18/2 GL-0502
705834231773 Happy Firework-16 shot 48/1 K7702B
705834231780 Happy Fireworks-36 shot 24/1 K7702A
805253010213 HN 68 Assorted Cakes 9/4 WC Cake
805253130128 Jumbo Colorfull Missile Launcher 18/1 WC Cake
000000000906 Kaleidoscope 50/1 T2512
705108520206 Lady Universe 12/1 P5202
805253013018 Land of the Free 18/1 WC Cake
705108510405 Latest Trick 12/1 P5104
705108513000 Me a City 10/1 P5130
705108511709 Mortal Kni ht 10/1 P5117
Location Inventory for Permitting Galaxy Fireworks, InC. 5
. 805253632462 Motor Mouth 12/1 WC Cake
805253132368 Power Pla 12/1 WC
805253133075 Re ae Pa 24/1 WC
705834233173 Spinning City 8/1 Y23-317
705108511808 Strong Man 12/1 P5118
676551034827 Summer Bowl Commotion 8/1 GCM0148
000000001519 ThunderStorm 36/1 GRL- L912
000000000963 Universal Beast 6/1 P5069
687985299515 Wake-up Call 8/1 BP2995
805253131293 Wreckless 12/1 WC
000000000919 Yellow Bees 18/2 0504
v S�D GR1�M CAKES Ite�t I�ffumber
612037567793 Act of God 6/1 GL-LC7567
676551001201 After the Storm 4/1 GPH3103
705108531707 Amazing Ballet 1/1 P5098
754471299011 Barely Legal 4/1 B-500
705834631009 Big Bike Biker 4/1 Y63-000
805253150614 Bi Unit 2/1 WC 3"
676551001713 Black Ma ic 4/1 GPH3154
805253150126 Breathless 3/1 WC 500
612037541496 Carnival Attack 6/1 GL-LC7541
612037577778 Catastrophic Storm 4/1 LC7577
676551037507 Cosmic Gazer 2/1 GCMO202
705108538201 Coun Thunder 2/1 P5382
705834630422 Craizy Daizy 1/1 Y63-042
805253150393 Crazy Exciting on Steroids 4/1 WC 500
705108536108 Defender 2/1 P5361
805253450Z40 Domination 2/1 WC 500
805253150287 Entertainer 6/1 WC 500
805253131279 Extreme Machine 4/1 WC 500
705834630750 Final Flash 6/1 Y63-075
805253150850 Flicker 6/1 WC 500
687985226610 Full Throttle 4/1 BP2266
680149026958 Fully Loaded 2/1 SSM185
676551001706 Galaxis 2/1 GPH3153
000000015271 Galaxy's Desire 4/1 GL-PS0004
000000015264 Galaxy's Eye Opener 4/1 GL-PS0005
000000001600 Galaxy's Golden Star 8/1 GLX-63-098
000000015240 Galaxy's Raging Gorilla 4/1 GL-PS0006
612130664321 Galaxy's Thunder 6/1 GL-LC0664
000000015233 Galaxy Ma ic 4/1 GL-PS0002
705108539307 Hearts of Fire 3/1 P5393
6932352129136 Hustle 4/1 GG-2913
705834630620 Invasion Station 4/1 Y63-062
Location Inventory for Permitting Galaxy Fireworks, InC. 6
� 676551001195 Island Ma ic 2/1 GPH3100
705108539901 Jaii Bait 4/1 P5399
705108534609 Jester's Reven e 1/1 P5346
705108535408 Jumbo Saturn Missile Battery II 6/1 P5354
805253131217 Loyal to None 4/1 WC 500
805253150775 Makin Thunder 2/1 WC 3"
612037522952 Mass Destruction 3/1 LC7522
805253150072 Me atron 3/1 WC 500
612030658856 Need for Speed 12 Shot 4/1 LC0658
805253132238 Not in M Yard 4/1 WC 500
805253029019 One Bad Mother 3" 2/1 WC 500
805253131859 One Bad Mother 4/1 WC 500
805253150379 One Bad Mother in Law 4/1 WC 500
805253450509 One Big SOB 2/1 WC 500
805253150867 Oriental Dra on 500 Gram 6/1 WC 500
805253150621 Power House 2/1 WC 3"
680149012111 P ro Alchemy 3/1 LBM16
705834630699 Pyro Indulgence 4/1 LBM-82
705834630712 ro Swords 1/1 Y63-071
705108541003 Ring Ring 2/1 P5410
805253150768 Rounders 2/1 WC 500
805253131217 Skull � Crossbones 3/1 WC 500
805253151277 Slightly Sinful 2/1 WC 500
705108538904 Super Sized 2/1 P5389
705108539000 Swam Gator 4/1 P5390
805253431966 The Chosen One 4/1 WC 500
612037564693 The New Frontier 6/1 GL-LC7564
612037516166 The Next Generation 4/1 LC7516
805253450431 Time Is On My Side 2/1 WC 500
705108534500 USA Conquerer 1/1 P5345
000000001526 Winter Blast 1/1 Y63-029
1�v FiRE CRACKERS Otem N�mtber
000000001001 Celebration Crackers-1388 12/1 T765
000000001002 Celebration Crackers-2492 6/1 T766
000000001009 Firecrackers-1000's 4/4 T733
000000001006 Firecrackers-100's 8/20 T724S
805253005242 Firecrackers-16000's 1/1 T737
000000001010 Firecrackers-2000's 8/1 T734
000000001007 Firecrackers-200's 8/10 T727
000000001004 Firecrackers-40/16 (Gorilla) 24/40 GP-T716
000000001011 Firec�ackers-4000's 4/1 T735
000000001012 Firecrackers-8000's 2/1 T736
000000001515 Gorilla Burst 12/1 GRL-35-078
000000001527 Junior Burst 12/12 Y35-075
Location Inventory for Permitting Galaxy Fireworks, InC. 7
. 000000001017 M-1000, Assorted (36) (Galaxy) 40/36 M88
2011001 M-5000 Jumbo Firecracker 48/1 MB-A01
�t �n C�ttr�cllas tfi�atrt Nunlber
000000001129 Blue Thunder 24/6 K2255C
000000001400 Galaxy Special Rom. Candle 18/4 GP-RA01
000000011105 Roman Candle - 5 Ball 48/6 GP-T6513
000000001111 Roman Candle - 5 Ball (w/rpt) 72/4 0527-5
000000011140 Roman Candle 10 Ball 24/6 GP-T6515
0000000011150 Roman Candle 10 Ball (w/rpt) 36/4 0529-10
000000001113 Roman Candle 8 Ball (w/rpt) 54/4 0528-8
000000011129 Roman Candle-8 Ball 48/6 GP-T6514
705834250392 Smash Tactic Candle 24/4 GG
705108400409 Super Gala�cy Candle 18/4 P4004
{ ii��t� � PArR�ACHt1TE I�t4�/EL77ES Ite.�t Nur�rber
000000001100 Artificial Sateliite (Comet) 10/12/12 0428
000000001102 B-52 Bomber 72/6 L507
000000001103 Bombin Planes 60/6 0432
705108508303 Military Parachute 24/2 P5083
000000001119 Two Color Space Ship 36/6 W538A
lmr. � �StLES Iterrt t�ber
676551050018 Saturn Battery 25 shot 120/1 GP-113007
000000001117 Saturn Batte -100 shot 30/1 GP-1130C12
000000015028 Saturn Battery-300 shot 12/1 GP-1130C300
000000015356 Saturn Batte -750 shot 2/1 GP-11300750
. �tflCKE'i'S �m l�mber
000000001226 Artillery Shell Rocket 20/4 Y21-040
000000001200 Bottle Rockets (Gorilla) 25/12 GP-0440S
000000001212 Cluster Bee 72/6 T0508
676551033523 Display/Jumbo Jet 24/4 T0642
000000001228 Emerald Meteor 96/6 T0004
000000001215 Flying Color Buttertly 72/6 T0510
612026121210 Galaxy Explorer 10/9 LB6121
705108200801 Galax Rocket 18/4 P2008
805253001411 Need for Speed Rocket 24/4 WC Rkt.
000000001221 Parachute Rocket 96/6 T0513
000000001213 Red Meteor Rocket 96/6 T0009
805253001428 Rin Shell Rocket 24/6 WC Rkt.
000000001205 Rockets 4oz (Galaxy) 36/12 GL-T0023
000000001206 Rockets 6oz (Galaxy) 36/12 GL-T0024
000000001207 Rockets 8oz (Galaxy) 36/12 GL-T0025
8052534016480 Rockets in Motion 6/8 WC Rkt.
0921432100338 Whistle Bottle Rockets 20/12 GP-0445
000000001203 Whistle BottJe Rockets-3 20/12 0445D
000000001214 Wild Geese 48/6 T0512
Location Inventory for Permitting ` Gakaxy Fireworks 111C. 8
� �t'�V. � �Q�/�L�� f�! N111'r'I�ET
612196486485 America On My Mind 1/1 LS648
676551071181 Artiilery Sheil 12/1 GL-W515B
676551071198 Cracklin Artillery 12/1 GL-W518A
687985904228 Critical Mass 1/1 BP-A042
805253131545 Excalibur 6/1 WC
016879852090 Fear No Evil 6/1 BP2090
612194054051 Galax 's Cutting Edge 6/1 GL-LS405
612198024364 Galaxy's Star Cruiser 4/1 GL-LS802
000000001344 Ghost Killer Shells 6/1 P8007
000000001341 Goliath 4/1 WC
000000014021 Gorilla 12 Shot Artillery 12/12 GP-506
000000001364 Mega Howitzer 1/1 Y23-232
000000001351 Merlin 4/1 WC
000000005000 MOAB 2/1 WC
676551071204 Ninja Shells (Galaxy Evil Balls) 12/1 GL-W519E
612192182183 Power Man 12 6/1 GL-LS218
676551033455 Prime Artillery Shells 6/1 GCRS005
000000013024 Small Festival Ball 15/1 GP-0008-6
687985903627 Smoke & Mirrors 4/1 BP-A036
70510880308 Super Bomb 6/1 P8003
000000001363 Super Howitzer 2/1 Y23-231
805253414082 Super Ma num 12/1 WC
705108801800 Swordman 6/1 P8018
000000001342 Trilo y 6/1 WC
000000001365 United We Stand 3/1 WC
612194010057 War of the Galaxy 6/1 GL-LS401
8052530147214 Zeus 2/1 WC
Jacqueline Boges
From: Kerry Barnett
Sent: Friday, June 17, 2011 6:14 AM
To: Jacqueline Boges
lackie,
1 completed the shed inspection at the shuffle courts. You may clear it. I have also completed the permit for Galaxy
Fireworks at 5953 Gall. You may clear that.
Also, it appears there is some work going in a vacant space located at 5943 Gall Blvd. This is next to the Local Gym. Work
might be done after hours. You may want Gene to go by there and post something or try to make contact.
Kerry Barnett
Fire Marshal
City of Zephyrhills
6907 Dairy Rd.
Zephyrhills, FL. 33542
(813) 780-0041
Cell: (813) 714-6326
"A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every
difficulty."....by Churchill.
1